Form990
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 07-01-2018 , and ending 06-30-2019
BCheck if applicable:
CName of organization
Saint Joseph Health System Inc
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
One Saint Joseph Drive
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Lexington, KY40504
D Employer identification number

61-1334601
E Telephone number

G Gross receipts $ 776,787,209
F Name and address of principal officer:
Bruce Tassin
One Saint Joseph Drive
Lexington,KY40504
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.chisaintjosephhealth.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:  
L Year of formation: 1998
M State of legal domicile: KY
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: Saint Joseph Health System, Inc.'s vision is to be the premier, integrated, comprehensive health system in the community providing high quality care close to home, reducing the incidence of disease and eliminating the inequities in access to healthcare.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 19
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 15
5 Total number of individuals employed in calendar year 2018 (Part V, line 2a) ...... 5 5,191
6 Total number of volunteers (estimate if necessary) ............. 6 478
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 282,202
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 214,438
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,041,618 453,395
9 Program service revenue (Part VIII, line 2g) ......... 765,981,511 712,178,949
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 853,871 240,634
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 45,256,023 63,438,350
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 814,133,023 776,311,328
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 27,850,399 374,427
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 262,686,058 266,210,618
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 491,848,169 464,799,614
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 782,384,626 731,384,659
19 Revenue less expenses. Subtract line 18 from line 12....... 31,748,397 44,926,669
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 871,023,914 879,151,676
21 Total liabilities (Part X, line 26)............. 427,276,397 450,760,696
22 Net assets or fund balances. Subtract line 21 from line 20..... 443,747,517 428,390,980
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2018)
Form 990 (2018)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: We bring hope, improve health and change lives. Inspired by our Catholic and Jewish faith heritage, we Serve with a spirit of innovation and collaboration, Transform health care delivery, Partner to create healthy communities and Advocate for a just health system.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 567,879,831 including grants of $ 374,427 ) (Revenue $ 712,082,710 )
SEE SCHEDULE H
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet567,879,831
Form 990 (2018)
Form 990 (2018)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
Form 990 (2018)
Form 990 (2018)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
Form 990 (2018)
Form 990 (2018)
Page 5
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
5,191
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
Yes
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? If "Yes," see instructions and file Form 4720, Schedule N .....
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
If "Yes," complete Form 4720, Schedule O ................
16
 
No
Form 990 (2018)
Form 990 (2018)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
19
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
15
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
 
No
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
KY
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletChristy SpitserOne Saint Joseph Drive   Lexington,KY40504 (502) 587-4710
Form 990 (2018)
Form 990 (2018)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Jane J Chiles
 
CHAIR
 2.0
.................
4.0 		X   X       0 0 0
(2) Martha Jones
 
VICE CHAIR
 2.0
.................
4.0 		X   X       0 0 0
(3) BRUCE TASSIN
 
PRESIDENT/MARKET CEO
 50.0
.................
4.0 		X   X       1,104,734 0 100,470
(4) MICHAEL ADES
 
Board Member
 2.0
.................
4.0 		X           0 0 0
(5) louann atlas
 
BOARD MEMBER
 2.0
.................
4.0 		X           0 0 0
(6) Jane Burks
 
BOARD MEMBER
 2.0
.................
4.0 		X           0 0 0
(7) DAVID FENNELL
 
Board Member
 2.0
.................
4.0 		X           0 0 0
(8) FR NORMAN Fischer
 
BOARD MEMBER
 2.0
.................
4.0 		X           0 0 0
(9) Diana Han MD
 
Board Member
 2.0
.................
4.0 		X           0 0 0
(10) ROBERT HEWETT
 
Board Member
 2.0
.................
4.0 		X           0 0 0
(11) Charles Kennedy MD
 
Board Member
 2.0
.................
4.0 		X           0 0 0
(12) Richard Schultz
 
BOARD MEMBER
 2.0
.................
4.0 		X           0 0 0
(13) JOHN D STEWART II MD
 
Board Member
 2.0
.................
4.0 		X           0 0 0
(14) Gerald Temes MD
 
Board Member
 2.0
.................
4.0 		X           0 0 0
(15) LOUIS I WATERMAN
 
Board Member
 2.0
.................
4.0 		X           0 0 0
(16) SR ELIZABETH WENDELN
 
Board Member
 2.0
.................
4.0 		X           0 0 0
(17) SHELLEY STANKO MD
 
BOARD MEMBER
 2.0
.................
40.0 		X           0 324,672 40,318
Form 990 (2018)
Form 990 (2018)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) CHARLES NEUMANN
 
INTERIM PRESIDENT & CEO KY1 HEALTH (PARTIAL YEAR)
 1.0
.......................4.0 		X           0 0 0
(19) PAUL EDGETT III
 
BOARD MEMBER/CHIEF BUSINESS LINES OFFICER
 1.0
.......................50.0 		X           0 1,322,094 43,304
(20) LARRY SCHUMACHER
 
BOARD MEMBER/SENIOR VP-CHI-SYSTEM
 1.0
.......................50.0 		X           0 2,126,971 183,226
(21) STEVEN FRANTZ
 
MARKET SVP CFO
 55.0
.......................0.0 		    X       419,227 0 18,985
(22) SHARON HAGER
 
Secretary/DIV VP SR COUNSEL
 1.0
.......................50.0 		    X       0 627,591 14,243
(23) COLLEEN HOLTON
 
TREASURER/CFO
 1.0
.......................50.0 		    X       0 547,106 41,322
(24) JENNIFER NOLAN
 
PRESIDENT OF FLAGET AND OUR LADY OF PEACE
 55.0
.......................0.0 		      X     500,032 0 40,529
(25) LESLIE BUDDEKE SMART
 
PRESIDENT SAINT JOSEPH FOUNDATION
 55.0
.......................0.0 		      X     349,781 0 16,938
(26) TERRENCE DEIS
 
PRESIDENT ST JOSEPH LONDON, BEREA AND MOUNT STERLING
 55.0
.......................0.0 		      X     547,878 0 62,027
(27) ERIC GILLIAM
 
President Saint Joseph East & Chief Operating Officer St. Joseph Hospital
 55.0
.......................0.0 		      X     508,332 0 42,317
(28) SATHYENDRA MYSORE
 
Anesthesiologist
 55.0
.......................0.0 		        X   558,758 0 41,274
(29) DON LOVASZ
 
PRESIDENT CLIN INT NETWORK
 55.0
.......................0.0 		        X   533,336 0 33,654
(30) DANIEL GOULSON
 
VP-QUALITY-MEDICAL AFFAIRS
 55.0
.......................0.0 		        X   503,680 0 20,008
(31) KHALID MEMON
 
Pediatrician - Adolescent Medicine
 55.0
.......................0.0 		        X   479,627 0 38,907
(32) MUHAMMAD ALI
 
Pediatrician - Adolescent Medicine
 55.0
.......................0.0 		        X   450,420 0 41,274
(33) MELINDA EVANS
 
VP - Finance
 0.0
.......................0.0 		          X 0 148,564 0
(34) TANJA OQUENDO
 
Former SVP Chief HR Officer KOH
 0.0
.......................55.0 		          X 0 1,179,943 72,351
(35) CHARLES POWELL
 
FORMER PRESIDENT
 0.0
.......................55.0 		          X 0 806,610 40,944
(36) CHRISTY SPITSER
 
MKT VP OPERATIONAL FINANCE
 0.0
.......................55.0 		          X 256,015 0 39,406
(37) JAMES WENTZ
 
FORMER DIV SVP - CFO
 0.0
.......................0.0 		          X 0 825,058 25,359
(38) RUTH WILLIAMS BRINKLEY
 
FORMER PRESIDENT & CEO KOH
 0.0
.......................0.0 		          X 0 1,321,795 6,750
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 6,211,820 9,230,404 963,606
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet226
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
AMN HEALTHCARE

12400 High Bluff Dr
San Diego,CA92130 		Medical Staffing 8,456,947
NISC NATIONAL INFORMATION SOLUTIONS COOPERATIVE

3201 Nygren Drive NW
Mandan,ND58554 		IT Developing and Supporting 7,227,788
SOUND PHYSICIANS

1498 Pacific Ave
Ste 400
Tacoma,WA98402 		Emergency physician call coverage 4,022,910
CGS ADMINISTRATORS LLC

Two Vantage Way
Nashville,TN37228 		Administrative services 3,846,029
NEW LEXINGTON CLINIC PSC

PO Box 11790
Lexington,KY40504 		Physician Services 2,472,980
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet78
Form 990 (2018)
Form 990 (2018)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 0
b Membership dues..1b 0
c Fundraising events..1c 0
d Related organizations1d 447,905
e Government grants (contributions)1e 5,490
f All other contributions, gifts, grants, and similar amounts not included above1f 0
g Noncash contributions included in lines 1a - 1f:$ 0
h Total. Add lines 1a-1f.......MediumBullet 453,395
Program Service RevenueAmt Business Code
2a Net Patient Services 900099 711,715,252 711,715,252 0 0
b Equity changes of unconsolidated orgs 900099 433,794 337,555 96,239 0
c Medicare/Medicaid 900099 29,903 29,903 0 0
d     0 0 0 0
e     0 0 0 0
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f ....MediumBullet 712,178,949
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 679,512 0 0 679,512
4 Income from investment of tax-exempt bond proceedsMediumBullet 0 0 0 0
5 Royalties...........MediumBullet 0 0 0 0
(ii) Personal (i) Real
6a Gross rents 0 2,341,112
b Less: rental expenses 0 0
c Rental income or (loss) 0 2,341,112
d Net rental income or (loss)......MediumBullet 2,341,112 0 0 2,341,112
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   37,004
b Less: cost or other basis and sales expenses 475,881 0
c Gain or (loss) -475,881 37,004
d Net gain or (loss).....MediumBullet -438,878 0 0 -438,878
8a Gross income from fundraising events (not including $ 0of contributions reported on line 1c). See Part IV, line 18 ....
a 0
b Less: direct expenses ...b 0
c Net income or (loss) from fundraising events..MediumBullet 0 0 0
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 0
b Less: direct expenses ...b 0
c Net income or (loss) from gaming activities..MediumBullet 0 0 0 0
10a Gross sales of inventory, less
returns and allowances ..
a 0
b Less: cost of goods sold ..b 0
c Net income or (loss) from sales of inventory..MediumBullet 0 0 0 0
Business Code Miscellaneous Revenue
11a Intercompany Transactions 900099 51,774,957 0 0 51,774,957
b Pharmacy Services 446110 3,574,626 0 0 3,574,626
c Laboratory Services 621500 2,548,110 0 0 2,548,110
d All other revenue .... 3,199,545 0 185,963 3,013,582
e Total. Add lines 11a–11d ...... MediumBullet 61,097,238
12 Total revenue. See Instructions......MediumBullet 776,311,328 712,082,710 282,202 63,493,021
Form 990 (2018)
Form 990 (2018)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 118,387 118,387
2 Grants and other assistance to domestic individuals. See Part IV, line 22    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16. 256,040 256,040
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 3,644,791   3,644,791  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 207,749,228 160,632,971 47,116,257  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 10,218,489 7,723,159 2,495,330  
9 Other employee benefits ....... 29,380,457 22,134,214 7,246,243  
10 Payroll taxes ........... 15,217,653 11,413,240 3,804,413  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,379,365   1,379,365  
c Accounting ........... 92,678   92,678  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 136,084,971 80,167,657 55,917,314 0
12 Advertising and promotion .... 5,394,041   5,394,041  
13 Office expenses ....... 10,012,825 9,311,927 700,898  
14 Information technology ...... 11,076,408   11,076,408  
15 Royalties ..        
16 Occupancy ........... 12,790,815 10,872,193 1,918,622  
17 Travel ............ 872,629 479,946 392,683  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 86,239 21,560 64,679  
20 Interest ........... 10,400,722 10,400,722    
21 Payments to affiliates ....... 5,011,096   5,011,096  
22 Depreciation, depletion, and amortization .. 31,081,669 13,986,751 17,094,918  
23 Insurance ... 7,754,611 7,599,519 155,092  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Medical Supplies 179,566,245 179,566,245    
b Miscellaneous Expenses 33,512,670 33,512,670    
c State Provider Tax 9,592,328 9,592,328    
d Repairs and maintenance 8,093,216 8,093,216    
e All other expenses 1,997,086 1,997,086 0 0
25 Total functional expenses. Add lines 1 through 24e 731,384,659 567,879,831 163,504,828 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2018)
Form 990 (2018)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 464,955 1 329,692
2 Savings and temporary cash investments ......... 98,834,121 2 149,422,917
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 117,952,114 4 99,431,348
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
  6 0
7 Notes and loans receivable, net .... 100,000 7 100,000
8 Inventories for sale or use ........ 12,872,178 8 15,050,522
9 Prepaid expenses and deferred charges ...... 1,447,291 9 1,434,491
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 885,030,392
b Less: accumulated depreciation 10b 505,879,793 377,368,471 10c 379,150,599
11 Investments—publicly traded securities . 2,762,731 11 2,951,655
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 .. 0 13  
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 259,222,053 15 231,280,452
16 Total assets. Add lines 1 through 15 (must equal line 34)... 871,023,914 16 879,151,676
Liabilities 17 Accounts payable and accrued expenses ..... 86,719,159 17 87,513,181
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 4,802,055 19 3,456,711
20 Tax-exempt bond liabilities ......... 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..   22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 7,519,618
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 335,755,183 25 352,271,186
26 Total liabilities. Add lines 17 through 25.. 427,276,397 26 450,760,696
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 443,746,110 27 428,390,980
28 Temporarily restricted net assets ........... 1,407 28 0
29 Permanently restricted net assets 0 29 0
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 443,747,517 33 428,390,980
34 Total liabilities and net assets/fund balances ........ 871,023,914 34 879,151,676
Form 990 (2018)
Form 990 (2018)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
776,311,328
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
731,384,659
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
44,926,669
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
443,747,517
5
Net unrealized gains (losses) on investments ...............
5
90,209
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
-1,992
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-60,371,423
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
428,390,980
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2018)
Form 990 (2018)
Additional Data


Software ID: 18007697
Software Version: 2018v3.1
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
Saint Joseph Health System Inc
 
Employer identification number

61-1334601
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9

10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2018 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2018 		(iii)
Distributable
Amount for 2018
1 Distributable amount for 2018 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2018:
a From 2013.......  
b From 2014.......  
c From 2015.......  
d From 2016.......  
e From 2017.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2018 distributable amount  
i Carryover from 2013 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2018 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2018 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2018, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.		  
6 Remaining underdistributions for 2018. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.		  
7 Excess distributions carryover to 2019. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a Excess from 2014......  
b Excess from 2015.....  
c Excess from 2016.....  
d Excess from 2017.....  
e Excess from 2018.....  
Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Name of the organization
Saint Joseph Health System Inc
 
Employer identification number

61-1334601
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
Name of organization
Saint Joseph Health System Inc
  		Employer identification number
61-1334601
Part I
Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 3
Name of organization
Saint Joseph Health System Inc
  		Employer identification number

61-1334601
Part II
Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 4
Name of organization
Saint Joseph Health System Inc
  		Employer identification number

61-1334601
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data


Software ID: 18007697
Software Version: 2018v3.1
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Saint Joseph Health System Inc
 
Employer identification number

61-1334601
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2018

Schedule C (Form 990 or 990-EZ) 2018
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................    
c Total lobbying expenditures (add lines 1a and 1b) ...................................................................    
d Other exempt purpose expenditures ........................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2018


Schedule C (Form 990 or 990-EZ) 2018
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
Yes
 
51,035
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
 
No
 
j
Total. Add lines 1c through 1i ....................................................................................................
51,035
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The portion of organization dues that are related to lobbying are as follows: American Hospital Association - $8,684 Catholic Health Association - $6,554 Kentucky Hospital Association - $35,797
Schedule C (Form 990 or 990EZ) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Saint Joseph Health System Inc
 
Employer identification number

61-1334601
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
 
 
(ii) related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   17,344,406 17,344,406
b Buildings ....   468,705,616 207,146,126 261,559,490
c Leasehold improvements   5,546,277 5,132,206 414,071
d Equipment ....   372,374,920 292,333,400 80,041,520
e Other .....   21,059,173 1,268,061 19,791,112
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 379,150,599
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) YMCA  
(2) ExecuFlex  
(3) Intercompany Receivables  
(4) Investments in Unconsolidated Organizations  
(5) Deposits  
(6) Income Guarantee  
(7) YMCA  
(8) EXECUFLEX  
(9) INTERCOMPANY RECEIVABLES  
(10) INVESTMENTS IN UNCONSOLIDATED ORGANIZATIONS  
(11) DEPOSITS  
(12) INCOME GUARANTEE  
(13) EXECUFLEX 136,019
(14) INTERCOMPANY RECEIVABLES 230,157,021
(15) INVESTMENTS IN UNCONSOLIDATED ORGANIZATIONS 929,671
(16) DEPOSITS 19,354
(17) INCOME GUARANTEE 38,387
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 231,280,452
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
INTERCOMPANY DEBT 341,354,884
RENTAL DEPOSITS  
MISCELLANEOUS LIABILITY 28,500
PROFESSIONAL STAFF FUND 188,244
ENVIRONMENTAL REMEDIATION 138,365
UNAPPLIED PATIENT DEPOSITS 2,011,927
CHARITY HEALTH MINISTRY 716
DEFERRED GAIN ON SALE/LEASEBACK-LT 8,518,694
UNCLAIMED PROPERTY 29,856
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 352,271,186
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Saint Joseph Health System, Inc.'s financial information is included in the consolidated audited financial statements of CommonSpirit Health, a related organization. CommonSpirit Health's FIN 48 (ASC 740) footnote for the year ended June 30, 2019, reads as follows: "CommonSpirit has established its status as an organization exempt from income taxes under the Internal Revenue Code Section 501(c)(3) and the laws of the states in which it operates, and as such, is generally not subject to federal or state income taxes. However, CommonSpirit's exempt organizations are subject to income taxes on net income derived from a trade or business, regularly carried on, which does not further the organizations' exempt purposes. No significant income tax provision has been recorded in the accompanying consolidated financial statements for net income derived from unrelated trade or business. CommonSpirit's for-profit subsidiaries account for income taxes related to their operations. The for-profit subsidiaries recognize deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of their assets and liabilities, along with net operating loss and tax credit carryovers, for tax positions that meet the more-likely-than-not recognition criteria. Changes in recognition or measurement are reflected in the period in which the change in judgement occurs. Income tax interest and penalties are recorded as income tax expense. For the years ended June 30, 2019 and 2018, CommonSpirit's taxable entities recorded an immaterial amount of interest and penalties as part of the provision for income taxes. CommonSpirit's taxable entities did not have any material unrecognized income tax benefits as of June 30, 2019 and 2018. CommonSpirit reviews its tax positions quarterly and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated financial statements".
Schedule D (Form 990) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Saint Joseph Health System Inc
 
Employer identification number

61-1334601
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
Sub-Saharan Africa 0 0 Grantmaking   256,040
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 256,040
b Total from continuation sheets to Part I ...     0
c Totals (add lines 3a and 3b) 0 0 256,040
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
Sub-Saharan Africa PROGRAM SUPPORT 0 N/A 256,040 HOSPITAL EQUIPMENT & SUPPLIES BOOK
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
1
3 Enter total number of other organizations or entities .......................MediumBullet
0
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds SAINT JOSEPH HEALTH SYSTEM, INC. (SJHS) ENSURES THAT GRANTS TO RECIPIENTS ARE PROPERLY USED FOR THEIR INTENDED PURPOSE BY ENSURING THAT THE GRANT RECIPIENTS ARE PRIMARILY IRC 501(C)(3) ORGANIZATIONS. SJHS DOES NOT REQUIRE ACCOUNTING FOR THE GRANT MONIES, SINCE THE RECIPIENT ORGANIZATIONS ARE REQUIRED, AS IRC SEC 501(C)(3) ORGANIZATIONS TO USE THE FUNDS IN FURTHERANCE OF EXEMPT PURPOSES.
Schedule F, Part I, Line 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS SAINT JOSEPH HEALTH SYSTEM, INC. (SJHS) ENSURES THAT GRANTS TO RECIPIENTS ARE PROPERLY USED FOR THEIR INTENDED PURPOSE BY ENSURING THAT THE GRANT RECIPIENTS ARE PRIMARILY IRC 501(C)(3) ORGANIZATIONS. SJHS DOES NOT REQUIRE ACCOUNTING FOR THE GRANT MONIES, SINCE THE RECIPIENT ORGANIZATIONS ARE REQUIRED, AS IRC SEC 501(C)(3) ORGANIZATIONS TO USE THE FUNDS IN FURTHERANCE OF EXEMPT PURPOSES.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2018
Additional Data


Software ID: 18007697
Software Version: 2018v3.1



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Saint Joseph Health System Inc
 
Employer identification number

61-1334601
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    18,307,539 17,127,839 1,179,700 0.16 %
b Medicaid (from Worksheet 3, column a) . . . . .     178,315,241 144,676,413 33,638,828 4.60 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .         0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 196,622,780 161,804,252 34,818,528 4.76 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 47 20,294 1,544,777 384 1,544,393 0.21 %
f Health professions education (from Worksheet 5) . . . 13 1,545 1,143,033   1,143,033 0.16 %
g Subsidized health services (from Worksheet 6) . . . .         0 0 %
h Research (from Worksheet 7) . 1   15,319   15,319 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 21 1,957 593,284 197 593,087 0.08 %
j Total. Other Benefits . . 82 23,796 3,296,413 581 3,295,832 0.45 %
k Total. Add lines 7d and 7j . 82 23,796 199,919,193 161,804,833 38,114,360 5.21 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support 6 100 85,401   85,401 0.01 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy 5   58,037   58,037 0.01 %
8 Workforce development 1 2,660 3,443   3,443 0 %
9 Other         0 0 %
10 Total 12 2,760 146,881 0 146,881 0.02 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
39,180,256
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
190,914,768
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
205,910,817
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-14,996,049
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?5Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 SAINT JOSEPH HOSPITAL
ONE SAINT JOSEPH DRIVE
LEXINGTON,KY40504
https://www.chisaintjosephhealth.org/saint-joseph-hospital-lexington
100117 		X X         X     A
2 SAINT JOSEPH - MOUNT STERLING
225 FALCON DRIVE
MOUNT STERLING,KY40353
https://www.chisaintjosephhealth.org/sterling
100339 		X X         X     A
3 SAINT JOSEPH EAST
150 NORTH EAGLE CREEK DRIVE
LEXINGTON,KY40509
https://www.chisaintjosephhealth.org/saint-joseph-east-lexington
100538 		X X         X     A
4 SAINT JOSEPH - LONDON
1001 ST JOSEPH LANE
LONDON,KY40741
https://www.chisaintjosephhealth.org/saint-joseph-london
100281 		X X         X     A
5 SAINT JOSEPH - BEREA
305 ESTILL STREET
BEREA,KY40403
https://www.chisaintjosephhealth.org/berea
600079 		X X     X   X     A
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.chisaintjosephhealth.org/financial-assistance
b
https://www.chisaintjosephhealth.org/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 3E CHI Saint Joseph Health contracted with the Community and Economic Development Initiative of Kentucky (CEDIK) to conduct a CHNA in accordance with the Affordable Care Act (ACA) and section 501(r) of the Internal Revenue Code for nonprofit tax-exempt hospitals. CEDIK facilitated the process of primary data collection through community surveys, focus groups and key informant interviews to create an implementation plan to address identified health needs. The Steering Committees of the counties served reviewed survey results, focus group and key informant interview results as well as key secondary health data. The committees considered existing local, state and national priorities, conducted an open discussion and voted on specific strategic initiatives for the counties. Members identified current resources and possible barriers to resources that residents may experience. This information will assist the hospital facilities and the larger CHI network, to address the prioritized health needs. Saint Joseph Berea Madison County CHNA Steering Committee selected the following priority areas for action: * Mental Health * Obesity * Substance Abuse Saint Joseph East and Saint Joseph Hospital Fayette County CHNA Steering Committee selected the following priority areas for action: * Substance abuse, including tobacco and vaping * Obesity and diabetes, including wellness and exercise * Mental Health support * Lack of resource knowledge (will be addressed by weaving resource knowledge through the above three identified needs) Saint Joseph London Laurel County CHNA Steering Committee selected the following priority areas for action: * Mental Health Services * Substance Abuse * Chronic diseases (obesity & cardiovascular diseases) Saint Joseph Mount Sterling Montgomery County CHNA Steering Committee selected the following priority areas for action: * Substance abuse * Mental health * Partnering to provide more information and services * Navigating the health care system
Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - All facilities. To gather feedback from residents, the Community and Economic Development Initiative of Kentucky (CEDIK) facilitated the process of primary data collection through community surveys, focus groups and key informant interviews. Throughout the process, CEDIK and the community steering committee made it a priority to get input from populations that are often not engaged in conversations about their health needs or gaps in service. CEDIK conducted key informant interviews to probe more deeply into health and quality of life themes within the county. Current community resources and potential barriers to accessing resources were also identified in these interviews. This CHNA report synthesizes community health needs survey data, focus groups with vulnerable populations, and key informant interview data with social and economic data as well as health outcomes data collected from secondary sources to help provide context for the community. A health department representative participated in the assessment.
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - ALL FACILITIES. See Part VI
Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - ALL FACILITIES. The patient must have a minimum account balance of thirty-five dollars ($35.00) with the CHI Hospital Organization. Multiple account balances may be combined to reach this amount. Patients/Guarantors with balances below thirty-five dollars ($35) may contact a financial counselor to make monthly installment payment arrangements. The patient must submit a completed Financial Assistance application. Patient Cooperation Standards - A patient must exhaust all other payment options, including private coverage, federal, state and local medical assistance programs, and other forms of assistance provided by third-parties prior to being approved. An applicant for Financial Assistance is responsible for applying to public programs for available coverage. He or she is also expected to pursue public or private health insurance payment options for care provided by a CHI Hospital Organization within a Hospital Facility. A patient's and, if applicable, any Guarantor's cooperation in applying for applicable programs and identifiable funding sources, including COBRA coverage (a federal law allowing for a time-limited extension of employee healthcare benefits), shall be required. If a Hospital Facility determines that COBRA coverage is potentially available, and that a patient is not a Medicare or Medicaid beneficiary, the patient or Guarantor shall provide the Hospital Facility with information necessary to determine the monthly COBRA premium for such patient, and shall cooperate with Hospital Facility staff to determine whether he or she qualifies for Hospital Facility COBRA premium assistance, which may be offered for a limited time to assist in securing insurance coverage. A Hospital Facility shall make affirmative efforts to help a patient or patient's Guarantor apply for public and private programs.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?7
Name and address Type of Facility (describe)
1 Saint Joseph Outpatient Care Center - Tates Creek
1099 Duval Street
Lexington,KY405156490 		Outpatient imaging center
2 St Joseph RadiationMedical Oncology
701 Bob-O-Link Drive
Lexington,KY40504 		Outpatient cancer care center
3 St Joseph RadiationMedical Oncology
3470 Blazer Parkway
Lexington,KY40509 		Outpatient cancer care center
4 Saint Joseph Outpatient Care Center Richmond
103 Alycia Drive
Richmond,KY40475 		Outpatient Imaging Center
5 Commonwealth Cancer Center - London
165 London Mountain View Drive
London,KY40741 		Outpatient cancer care center
6 Commonwealth Cancer Center - Corbin
1 Trillium Way
Corbin,KY40701 		Outpatient cancer care center
7 Saint Joseph Jessamine
1250 KEENE ROAD
NICHOLASVILLE,KY40356 		Ambulatory Care Center
8
9
10
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part I, Line 3c Financial Assistance Eligibility Unless eligible for Presumptive Financial Assistance, the following eligibility criteria must be met in order for a patient to qualify for Financial Assistance: * The patient must have a minimum account balance of thirty-five dollars ($35.00) with the CHI Hospital Organization. Multiple account balances may be combined to reach this amount. Patients/Guarantors with balances below thirty-five dollars ($35) may contact a financial counselor to make monthly installment payment arrangements. * The patient's Family Income must be at or below 300% of the FPG. * The patient must comply with Patient Cooperation Standards as described [in the FAP]. * The patient must submit a completed Financial Assistance application. For patients and Guarantors who are unable to provide required documentation, a Hospital Facility may grant Presumptive Financial Assistance based on information obtained from other resources. In particular, presumptive eligibility may be determined on the basis of individual life circumstances that may include: * Recipient of state-funded prescription programs; * Homeless or one who received care from a homeless clinic; * Participation in Women, Infants and Children programs (WIC); * Food stamp eligibility; * Subsidized school lunch program eligibility; * Eligibility for other state or local assistance programs (e.g., Medicaid spend-down); * Low income/subsidized housing is provided as a valid address; or * Patient is deceased with no known estate.
Schedule H, Part VI Lines 2 & 4 & Part II The legacy of Saint Joseph Hospital System began 140 years ago with the Sisters of Charity of Nazareth (Kentucky). The heart and soul of the founding sisters was their Gospel commitment to community outreach in response to the needs of the poor and underserved. This tradition continues today at the facilities in SJHS. They include Saint Joseph Berea, Saint Joseph East, Saint Joseph Hospital, Saint Joseph Jessamine Ambulatory Care Center (a department of Saint Joseph Hospital), Saint Joseph London, and Saint Joseph Mount Sterling. Saint Joseph Berea (SJB) Saint Joseph Berea, formerly Berea Hospital, began in 1898, as an eight-bed cottage on the Berea College campus in Berea, Kentucky. Now a 25-bed facility, Saint Joseph Berea provides health care to residents in Madison, Jackson, Rockcastle and Garrard Counties. For the purposes of its CHNA, Saint Joseph Berea has defined Madison County as its primary service area. According to the 2019 county health rankings, Madison County is the 36th healthiest county of Kentucky's 120 counties. Also, according to the U.S. Census Bureau, Madison County's estimated population in 2018 was 91,368. Of the population in Madison County, 91.8% of the population is white, 4.6% is black or African American and 2.5% is Hispanic or Latino. The median household income was $46,687, slightly above the state's median income of $43,740 and below the nation's income of $53,889. Approximately 16.5% of Madison County residents live below the poverty level and 6.2% are uninsured. The health needs addressed in Saint Joseph Berea's FY2017-2019 CHNA included: community safety. The hospital's actions toward improving these health needs over the previous CHNA coverage period are described below. Cardiovascular Disease Reduction through Access to Care * Improved health awareness by promoting available resources for nutrition, healthy control and fitness, and provide education at community events. * Continued outreach program to local schools to provide education about heart health to include exercise and nutritional guidelines during "Back to School" events and for American Heart Month. * Advocated for expanded Medicaid program for incomes up to 138% of the federal poverty level. Currently, the Medicaid expansion program includes people at 138% of the FPL. Maintaining access to care for Kentucky's most vulnerable people has remained a top priority for CHI Saint Joseph Health. * Annually, all KentuckyOne Health employees completed a Cultural Competency LEARN module. * KentuckyOne Health's Diversity & Inclusion Department was eliminated in FY2017 and the training for KentuckyOne Health employees at the manager level and above was not implemented. * Contract was not renewed with Eastern Kentucky University for managing diabetes care. * Walk With a Doc was discontinued in 2017. Community Safety * Continued the Green Dot program for two high schools in Berea. * KentuckyOne Health, American Hospital Association and Massachusetts General Hospital worked collaboratively to secure recognition for diagnostic codes that will allow health care providers to identify victims of human trafficking that seek health care. * Participated in disaster preparedness activities. * Provided education materials at events and screenings. * Campaign Awareness about Balance and Fall Prevention - television. * Physical therapy - Facebook/social media - education about sports & non-sports injuries. * Annually, all KentuckyOne Health employees completed a LEARN Security Awareness module that included an active shooter. * Evaluated the feasibility of a telehealth initiative for a safe aging in place and falls prevention pilot project, but grant funding was not received. Significant Needs Not Addressed - Alcohol and Drug Abuse The data in the health needs prioritization chart showed alcohol and drug abuse to be in the top three highest weighted scores of all the health measures assessed. The leadership team chose not to address this area specifically in the Implementation Strategies report due to the lack of resources available at Saint Joseph Berea for this specific type of health need. Saint Joseph East (SJE) Opening its doors in 1983, Saint Joseph East, a 174-bed, full-service, community hospital is located in the rapidly growing southeastern section of Lexington, Fayette County. At Saint Joseph East, ambulatory surgery, 24-hour emergency care and women's health services are supported through a vast array of inpatient and outpatient programs. Opening in 2010, the Women's Hospital at Saint Joseph East (a department of Saint Joseph East) is a state-of-the-art hospital dedicated exclusively to the health and well-being of women in central and eastern Kentucky. The facility features patient and family centered design, including a fathers-only lounge, a play area for siblings, and an education center. In addition to providing the finest health care for mothers and their babies, the Women's Hospital is dedicated to providing a broad array of specialized services for women. For the purposes of its CHNA, Saint Joseph East has defined Fayette County as its primary service area. According to the 2019 county health rankings, Fayette County is the 10th healthiest county of Kentucky's 120 counties. Also, according to the U.S. Census Bureau, Fayette County's population estimate in 2018 was 323,780. Of the population in Fayette County, 77.4% of the population is white, 15.3% is black or African American and 7.4% is Hispanic or Latino. The median household income was $54,918, above the state's median income of $43,740 and the nation's median income of $53,889. Approximately 19.1% of Fayette County residents live below the poverty level and 11% are uninsured. The health needs addressed in Saint Joseph East's FY2017-2019 CHNA included: alcohol and drug use, tobacco use, community safety, diet and exercise. The hospital's actions toward improving these health needs over the previous CHNA coverage period are described below. Community Safety * KentuckyOne Health, American Hospital Association and Massachusetts General Hospital worked collaboratively to secure recognition for diagnostic codes that will allow health care providers to identify victims of human trafficking that seek health care. * Participated in LexBeSafe committee and ONE Lexington that coordinates all activities (city government, public and private partners) addressing violent crime. * Continued providing after-school tutoring and mentoring program and summer camp to Winburn and Cardinal Valley youth. * Leaders participated in tutoring sessions for students at Valley Branch Library. * Peace for Parents program provided by Our Lady of Peace. * Participated in the Family University program through the Fayette County Public School System. Sessions included school safety and bullying. * Participated in Winburn Public Safety Day and Winburn Public Safety Forum. * Participated in Fatherhood class. * Partnered with Sisters and Supporters Working Against Gun Violence (SWAG) for youth lock-in. * Participated in disaster preparedness activities. * Provided education materials at events and screenings on various aspects of safety. * Annually, all CHI Saint Joseph Health employees complete a LEARN Security Awareness module that includes an active shooter.
Schedule H, Part VI Lines 2 & 4 & Part II Diet & Exercise * Continued expansion of employee and community education about the benefits of healthy eating and active living through Healthy Spirit. * Each month, shared Harvest of the Month flyer for posting, article and recipes. * Promoted existing hospital programs that benefit employees and the community (bariatric services, diabetes, wellness, etc.) * Supported legislation mandating coverage for bariatric surgery in Kentucky Due to expected increased cost to insurance plans for all, the SJE bariatric director and physician decided not to pursue. * Offered free community education programs on healthy eating and living * Posted nutrition information on foods served in the hospital cafeteria and promoted healthier menu options for both children and adults * Collaborated with approved vendors to increase purchasing of local food products and actively promote items branded as "Kentucky Proud". * Continued to offer diabetes education classes, individual counseling and plan to begin a weight management program within the next month * Continued representation on LexBeWell committee - began as part of the Fayette County Health Department's community health improvement plan * Provided pre-diabetes and diabetes refresher education offerings to enhance disease prevention * Partnered with CHI Saint Joseph Health - Weight Loss Surgery at Saint Joseph East to provide educational classes * Participated with American Heart Association in developing and implementing programs to educate females in Central Kentucky about the risk factors, prevention and treatment of heart disease * Provided health screenings in conjunction with American Heart Association at major community events including the Legends Ballgame, UK basketball games, and Junior League Horse Show * Walk With a Doc was discontinued in spring 2017. Significant Needs Not Addressed One health need appeared in the data analysis which the Saint Joseph East leadership team chose not to select as a priority area for this community health needs assessment: * Alcohol and Drug Use The data in the health needs prioritization chart showed alcohol and to have the third highest weighted score of all health measures assessed. The leadership team chose not to address this area due to capacity concerns. With two complex and multifaceted priorities already selected, the leadership team was concerned about scarcity of resources in addressing such a variety of health needs. Saint Joseph Hospital (SJH) Saint Joseph Hospital, Lexington's first hospital, remains the first choice for health care today. Founded in 1877, it has grown into a 433-bed medical center, with a full range of services, including the national award-winning Heart Institute and leading-edge da Vinci robotic surgery. Also known as Lexington's "heart hospital", Saint Joseph has pioneered many firsts in the health care community. Saint Joseph has also been nationally recognized for treatment in the areas of cardiology, orthopedics and stroke. For the purposes of its CHNA, Saint Joseph Hospital has defined Fayette County as its primary service area. According to the 2019 county health rankings, Fayette County is the 10th healthiest county of Kentucky's 120 counties. Also, according to the U.S. Census Bureau, Fayette County's population estimate in 2018 was 323,780. Of the population in Fayette County, 77.4% of the population is white, 15.3% is black or African American and 7.4% is Hispanic or Latino. The median household income was $54,918, above the state's median income of $43,740 and the nation's median income of $53,889. Approximately 19.1% of Fayette County residents live below the poverty level and 11% are uninsured. Opening in 2009, Saint Joseph Jessamine RJ Corman Ambulatory Care Center - a department of Saint Joseph Hospital - is Jessamine County's first and only full service, 24/7 emergency room. Saint Joseph Jessamine serves Boyle, Fayette and Garrard counties in addition to Jessamine. According to the 2019 county health rankings, Jessamine County is the 23rd healthiest county of Kentucky's 120 counties. Also, according to the U.S. Census Bureau, Jessamine County's population estimate in 2018 was 53,920. Of the population in Jessamine County, 91.8% of the population is white, 4.4% is black or African American and 3.5% is Hispanic or Latino. The median household income was $56,728, above the state's median income of $43,740 and the nation's income of $53,889. Approximately 12.6% of Jessamine County residents live below the poverty level and 7.6% are uninsured. The health needs addressed in Saint Joseph Hospital's FY2017-2019 CHNA included: alcohol and drug use, tobacco use, community safety, diet and exercise. The hospital's actions toward improving these health needs over the previous CHNA coverage period are described below.
Schedule H, Part VI Lines 2 & 4 & Part II Alcohol and Drug Use * Supported provision of state funding for evidence-based substance abuse initiatives and collaboration between the public and private sectors. * Continued to support legislation allowing the Kentucky Harm Reduction Coalition to dispense Naloxone. During the 2019 legislative session, House Bill 470 passed. It provides authority for pharmacists to dispense naloxone to a person or agency that provides training on the use of naloxone as part of a harm reduction program. It further clarifies that heroin trafficking is not eligible for a Class D felony and adds the unlawful distribution for remuneration of a Schedule I or II drug where the drug is approximate cause of death to the elements of manslaughter in the second degree. * Participated in Kentucky Safety and Prevention Alignment Network (KSPAN) to align prevention efforts with statewide efforts. * Facilitated emergency telepsych assessments by Our Lady of Peace - Louisville, KY. * Continued as a member of the LexBeWell committee. * Collaborated with Jessamine County Safe and Healthy Communities. Tobacco Use * Advocated for legislation that would prohibit smoking in indoor workplaces and public places, including restaurants, bars, and hotels. Although legislation called for a statewide ban on smoking, it has not passed the Kentucky General Assembly. A number of new laws are in place that are making incremental changes. For example, House Bill 11 passed in the 2019 legislative session. This bill prohibits tobacco product use, including e-cigarettes, at all times on Kentucky K-12 public school campuses and in vehicles owned by school districts. It is a policy proven to reduce peer pressure among adolescents and teens to use tobacco and, in turn, keep kids from trying and becoming addicted to the nicotine in cigarettes, vapes and other tobacco products. * Advocated for increase in cigarette tax. The state legislature passed a 50 cent tax increase on tobacco. Half of Kentucky's adult smokers say they smoked fewer cigarettes, or that they considered or tried to quit smoking, following the cigarette excise tax increase that went into effect July 1, 2018. Kentucky Health Issues Poll (KHIP) is an annual telephone poll of Kentucky adults funded jointly by the Foundation for a Healthy Kentucky and Interact for Health. The KHIP report found that 39 percent of Kentucky smokers cut back the number of cigarettes they smoked, 33 percent considered quitting, and 26 percent actually tried to quit because of the cigarette price increase. * Continued as a member of the LexBeWell committee. * Collaborated with Jessamine County Safe and Healthy Communities. * Tobacco Free Campus continues and signage is in place. Enforcement continues to be a challenge. * Worked with collaborative partners to promote/provide cancer screenings. * Collaborated with Lexington-Fayette County Health Department, which provides Freedom from Smoking classes * Provided Quit Now KY hotline number and Healthy Spirit resources to employees and families * Partnered with Kentucky Cancer Program on Plan to Be Tobacco Free as a tobacco cessation strategy * Partnered with American Heart Association on the Go Red event * Provided tobacco prevention and effects of tobacco educational materials at health fairs, screenings and other events Community Safety * KentuckyOne Health, American Hospital Association and Massachusetts General Hospital worked collaboratively to secure recognition for diagnostic codes that will allow health care providers to identify victims of human trafficking that seek health care. * Participated in LexBeSafe committee and ONE Lexington that coordinates all activities (city government, public and private partners) addressing violent crime. * Continued providing after-school tutoring and mentoring program and summer camp to Winburn and Cardinal Valley youth. * Leaders participated in tutoring sessions for students at Valley Branch Library. * Peace for Parents program provided by Our Lady of Peace. * Participated in the Family University program through the Fayette County Public School System. Sessions included school safety and bullying. * Participated in Winburn Public Safety Day and Winburn Public Safety Forum. * Participated in Fatherhood class. * Partnered with Sisters and Supporters Working Against Gun Violence (SWAG) for youth lock-in. * Participated in disaster preparedness activities. * Provided education materials at events and screenings on various aspects of safety. * Annually, all CHI Saint Joseph Health employees complete a LEARN Security Awareness module that includes an active shooter. Diet & Exercise * Continued expansion of employee and community education about the benefits of healthy eating and active living through Healthy Spirit. * Each month, shared Harvest of the Month flyer for posting, article and recipes. * Promoted existing hospital programs that benefit employees and the community (bariatric services, diabetes, wellness, etc.) * Supported legislation mandating coverage for bariatric surgery in Kentucky. Due to expected increased cost to insurance plans for all, the SJE bariatric director and physician decided not to pursue. * Offered free community education programs on healthy eating and living * Posted nutrition information on foods served in the hospital cafeteria and promoted healthier menu options for both children and adults * Collaborated with approved vendors to increase purchasing of local food products and actively promote items branded as "Kentucky Proud" * Continued to offer diabetes education classes, individual counseling and plan to begin a weight management program within the next month * Continued representation on LexBeWell committee - began as part of the Fayette County Health Department's community health improvement plan * Provided pre-diabetes and diabetes refresher education offerings to enhance disease prevention * Partnered with CHI Saint Joseph Health - Weight Loss Surgery at Saint Joseph East to provide educational classes with American Heart Association in developing and implementing programs to educate females in Central Kentucky about the risk factors, prevention and treatment of heart disease * Provided health screenings in conjunction with American Heart Association at major community events including the Legends Ballgame, UK basketball games, and Junior League Horse Show * Walk With a Doc was discontinued in spring 2017 Significant Needs Not Addressed All top three needs were identified as needs to address, plus an additional health need (community safety). Other, less-pressing measures were not identified as significant needs per the data analysis. Saint Joseph London (SJL) Saint Joseph London is a 150-bed, regional hospital located in London, Kentucky. Founded in 1926, Saint Joseph London opened a new $152 million, 340,000-square foot regional facility in 2010. The hospital treats patients from southeastern Kentucky, including those from Clay, Laurel, Jackson, Knox, Pulaski, Rockcastle, and Whitley counties. For the purposes of its CHNA, Saint Joseph London has defined Laurel County as its primary service area. According to the 2018 county health rankings, Laurel County is the 63rd healthiest county of Kentucky's 120 counties. Also, according to the U.S. Census Bureau, Laurel County's population in 2018, was estimated to be 60,669. Of the population in Laurel County, 97.0% of the population is white, 0.8% is black or African American and 1.6% is Hispanic or Latino. The median household income was $39,230, well below the state's median income of $43,740 and drastically below the nation's income of $53,889. Approximately 20.6% of Laurel County residents live below the poverty level and 6.9% are uninsured. The health needs addressed in Saint Joseph London's FY2017-2019 CHNA included: tobacco, diet and exercise, alcohol and drug use. The hospital's actions toward improving these health needs over the previous CHNA coverage period are described below.
Schedule H, Part VI Lines 2 & 4 & Part II Tobacco Use * Implemented a collaborative effort between the Kentucky Cancer Program, American Cancer Society, Laurel County Health Department and Saint Joseph London. * Advocated for legislation that would prohibit smoking in indoor workplaces and public places, including restaurants, bars and hotels. Smoking ban in place in Laurel County preventing smoking within 25 feet of businesses and schools. Although legislation called for a statewide ban on smoking, it has not passed the Kentucky General Assembly. A number of new laws are in place that are making incremental changes. For example, House Bill 11 passed in the 2019 legislative session. This bill prohibits tobacco product use, including e-cigarettes, at all times on Kentucky K-12 public school campuses and in vehicles owned by school districts. It is a policy proven to reduce peer pressure among adolescents and teens to use tobacco and, in turn, keep kids from trying and becoming addicted to the nicotine in cigarettes, vapes and other tobacco products. * Advocated for increase in cigarette tax. The legislature passed a 50 cent tax increase on tobacco. Half of Kentucky's adult smokers say they smoked fewer cigarettes, or that they considered or tried to quit smoking, following the cigarette excise tax increase that went into effect July 1, 2018. Kentucky Health Issues Poll (KHIP) is an annual telephone poll of Kentucky adults funded jointly by the Foundation for a Healthy Kentucky and Interact for Health. The KHIP report found that 39 percent of Kentucky smokers cut back the number of cigarettes they smoked, 33 percent considered quitting, and 26 percent actually tried to quit because of the cigarette price increase. * Collaborated with the Laurel County Health Department to provide Freedom From Smoking classes. * Participated in Health in Motion meetings. * Participated in the Tri-County Cancer Coalition meetings. * Participated in annual Relay for Life events. * Worked with collaborative partners to promote/provide cancer screenings in Laurel County annually. * Provided Quit Now KY hotline number and Healthy Spirit resources to employees and families. * Worked with Operation UNITE - On the Move! to provide education at Laurel County middle schools and high schools. * Partnered with Kentucky Cancer Program on Plan to Be Tobacco Free as a tobacco cessation strategy. * Provided tobacco prevention - effects of tobacco educational materials at health fairs, screenings and other events. Diet & Exercise * Began community garden with community partners to provide fresh vegetables. Community members who were able to work in garden did so in exchange for vegetables; those who were not able, were given vegetables. Also, excess was preserved for winter months. * Continued expansion of employee and community education about the benefits of healthy eating and active living through Healthy Spirit. * Each month, shared Harvest of the Month flyer for posting, article and recipes. * Promoted area walks/runs. * Evaluated the feasibility of developing a faith-based wellness program, but was not feasible at this time. * Due to financial challenges, Walk with a Doc discontinued in 2017. Alcohol and Drug Use * Continued to support legislation allowing the Kentucky Harm Reduction Coalition to dispense Naloxone. During the 2019 legislative session, House Bill 470 passed. It provides authority for pharmacists to dispense naloxone to a person or agency that provides training on the use of naloxone as part of a harm reduction program. It further clarifies that heroin trafficking is not eligible for a Class D felony and adds the unlawful distribution for remuneration of a Schedule I or II drug where the drug is approximate cause of death to the elements of manslaughter in the second degree. * Continued to collaborate with Laurel County Health Department to address issues surrounding alcohol and drug use including: * Participated in Laurel County UNITE meetings * Assisted with On the Move in local schools * Participated in Hooked on Fishing Not on Drugs * Drug Take Back hosted by Saint Joseph London * Collaborated with Laurel County Health Department to support clean needle exchange. Needle exchange program went into effect January 1, 2019. * Presently working with National Alliance on Mental Illness (NAMI) to host a mental health support group at Saint Joseph London * Collaborated with existing addiction programs that included: - Health in Motion Committee - Safe Child Coalition - UNITE Coalition * Continued to focus on fatal/near fatal events for children 0-4 years of age and the impact of drug use by parents, specifically in reference to the identification of the offender, the influence of drugs/alcohol on the fatal/near fatal event, and the offender's age, sex and relationship to the child. * Nurturing parenting program provided bi-monthly to inmates. School Age Parenting program delayed due to change in staff. * Neonatal Abstinence Program (NAP) to address drug use during pregnancy was attempted at London Women's Care without success. * Explored the feasibility of partnering with local organizations to support Narcan distribution. Laurel County Health Department plans to provide community Narcan education classes. * Explored the feasibility of establishing a drug rehabilitation program, but discovered it is not feasible at this time. Significant Needs Not Addressed - Income. The data in the health needs prioritization chart showed income to have the highest weighted score of all the health measures assessed. The leadership team chose not to address this area specifically in the Implementation Strategies report due to the lack of ability to impact this area beyond the hospital employees in the community.
Schedule H, Part VI Lines 2 & 4 & Part II Saint Joseph Mount Sterling (SJMS) Saint Joseph Mount Sterling is a 42-bed community hospital located just off Interstate 64 in Mount Sterling, KY. An investment of $60 million opened the current facility in 2011, but the legacy of its mission dates back to 1918. The hospital primarily serves Bath, Bourbon, Clark, Menifee, Montgomery, Nicholas, Powell, and Rowan counties. For the purposes of its CHNA, Saint Joseph Mount Sterling has defined Montgomery County as its primary service area. According to the 2019 county health rankings, Montgomery County is the 70th healthiest county of Kentucky's 120 counties. Also, according to the U.S. Census Bureau, Montgomery County's estimated population in 2018 was 28,203. Of the population in Montgomery County, 94.9% of the population is white, 2.8% is black or African American and 2.9% is Hispanic or Latino. The median household income was $41,974, below the state's median income of $43,740 and drastically below the nation's income of $53,889. Approximately 15.3% of Montgomery County residents live below the poverty level and 6.2% are uninsured. The health needs addressed in Saint Joseph Mount Sterling's FY2017-2019 CHNA included: Substance Abuse (alcohol and drug use, tobacco use) Obesity (diet and exercise) and Teen Health (sexual activity) and community safety. The hospital's actions toward improving these health needs over the previous CHNA coverage period are described below. Substance Abuse (Tobacco, Alcohol, & Drug) * Continued to collaborate on Montgomery Health Department MC ADAPT committee to address issues surrounding alcohol and drug use in Montgomery County. * Advocated for legislation that would prohibit smoking in indoor workplaces and public places, including restaurants, bars, and hotels. Although legislation called for a statewide ban on smoking, it has not passed the Kentucky General Assembly. A number of new laws are in place that are making incremental changes. For example, House Bill 11 passed in the 2019 legislative session. This bill prohibits tobacco product use, including e-cigarettes, at all times on Kentucky K-12 public school campuses and in vehicles owned by school districts. It is a policy proven to reduce peer pressure among adolescents and teens to use tobacco and, in turn, keep kids from trying and becoming addicted to the nicotine in cigarettes, vapes and other tobacco products. * Advocated for increase in cigarette tax. The state legislature passed a 50 cent tax increase on tobacco. Half of Kentucky's adult smokers say they smoked fewer cigarettes, or that they considered or tried to quit smoking, following the cigarette excise tax increase that went into effect July 1, 2018. Kentucky Health Issues Poll (KHIP) is an annual telephone poll of Kentucky adults funded jointly by the Foundation for a Healthy Kentucky and Interact for Health. The KHIP report found that 39 percent of Kentucky smokers cut back the number of cigarettes they smoked, 33 percent considered quitting, and 26 percent actually tried to quit because of the cigarette price increase. * Continued to support legislation allowing the Kentucky Harm Reduction Coalition to dispense Naloxone. During the 2019 legislative session, House Bill 470 passed. It provides authority for pharmacists to dispense naloxone to a person or agency that provides training on the use of naloxone as part of a harm reduction program. It further clarifies that heroin trafficking is not eligible for a Class D felony and adds the unlawful distribution for remuneration of a Schedule I or II drug where the drug is approximate cause of death to the elements of manslaughter in the second degree. * Compiled resource list of agencies and services available for patients and families. * Continued community health worker in the ED. * Collaborated with Montgomery County Health Department to provide smoking cessation classes. Obesity (Diet & Exercise) * Continued to participate in Montgomery County Health Department Physical Activity and Nutrition (PAN) Committee to address issues surrounding diet and exercise in Montgomery County. * Collaborated with the Montgomery County Health Department and sponsored a program teenage girls to learn the benefits of healthy eating and exercise. * Education and information on diet and exercise provided at events, health fairs and screenings. * Continued expansion of employee and community education about the benefits of healthy eating and active living through Healthy Spirit. * Each month, shared Harvest of the Month flyer for posting, article and recipes. * Offered individual and group diabetes education courses. * Due to financial challenges, Walk With a Doc was discontinued in 2017. Teen Health (Sexual Activity) * Continued to collaborate on Montgomery Health Department teen pregnancy committee to address issues surrounding teen pregnancy in Montgomery County. * Promoted community programs addressing adoption and foster placement. * KentuckyOne Health , American Hospital Association and Massachusetts General Hospital worked collaboratively to secure recognition for diagnostic codes that will allow health care providers to identify victims of human trafficking that seek health care. Access to Care * Continued to advocate for Kentucky's expanded Medicaid program for individuals with annual incomes up to 138% of the federal poverty level. Currently, the Medicaid expansion program includes people at 138% of the FPL. Maintaining access to care for Kentucky's most vulnerable people has remained a top priority for CHI Saint Joseph Health. * Develop three-five year plan to increase capacity by optimizing bed utilization and using staff most efficiently. Includes developing plan for using advanced practitioners more extensively. Unable to work on this objective because of downsizing. * Continued to collaborate with Montgomery Health Department on promoting programs and initiatives to prevent access to care barriers in Montgomery County. * Continued to collaborate with NACCHO and Montgomery Health Department on MAPP training to address access to care barriers in Montgomery County. * Continued programs to address barriers to access to cancer screening and care. * Provided a community health worker in the Emergency Department to overcome barriers to access * Promote community efforts to improve access to care in Montgomery County. * Annually, identify and promote at least three community efforts to improve access to care (i.e. screenings, support groups, breast-feeding classes, community outreach programs). Participated in American Heart Association Go Red for Women; participated in community health fair; and continued to provide assistance for public medical programs. Significant Health Need(s) Not Addressed Saint Joseph Mount Sterling chose to identify the top health needs indicated by the data as priorities. Other health measures were not illustrated by the data as being significant health needs.
Schedule H, Part V, Section B, Line 11 HOW HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN CHNA Saint Joseph Berea Substance Abuse Goal: Address substance abuse from a CHI Saint Joseph Health system-wide approach, including working upstream to address issues that underlie substance abuse, a primary prevention to alcohol and drug use. Outcome Objective: To decrease substance abuse as measured by Centers for Disease Control and Prevention and County Health Rankings and Roadmaps. According to the CDC, in 2017, Kentucky ranked 5th in the nation for the highest rates of death due to drug overdose (37.2 per 100,000). Also, Kentucky had statistically significant increases in drug overdose death rates from 2016-2017. Strategies will be accomplished through participation and collaboration with community partners. Information about available resources will be provided with each opportunity. Strategies - Substance Abuse * Participate and support the Kentucky Hospital Association (KHA) and the Cabinet for Health and Family Services as part of the Kentucky Opioid Response Effort (KORE), to launch the Kentucky Statewide Opioid Stewardship (KY SOS) program. * Advance CHI Saint Joseph Health's recent new position of Opioid Stewardship Pharmacist and forthcoming drug task force. * Participate and support the Kentucky Chamber of Commerce's Opioid Task Force. * Promote and support community support programs such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA). * Promote existing community programs to mitigate, treat and care for those affected by substance abuse. * Promote and support existing community resources needed for patients to address alcohol and drug use. * Explore the feasibility of expanding telehealth opportunities for alcohol and drug counseling. * Continue providing education and resources to address tobacco use and negative health consequences in the community. Obesity Goal: Address obesity through education and prevention. Outcome Objective: To decrease obesity as measured by Kentucky Behavioral Risk Factor Surveillance Survey. (KY ranks 8th for obesity; 36% of Madison County residents are considered obese compared to 32% of Kentucky and 31% across the U.S.) Strategies - Obesity * Advocate for initiatives that address the risk factors that lead to obesity in children. * Promote healthy options for diet and exercise. * Promote Healthy Food Initiative and "Mindful" program. * Offer items and educational materials from "Harvest of the Month" program. * Provide nutrition labeling in cafeteria. * Continue availability of diabetes education classes and individual counseling, along with medical nutrition therapy. * Participate and support local groups and events that have a mission to promote healthy diet and exercise to prevent negative health outcomes. * Promote and support the American Diabetes Association. * Establish opportunities for improved diet and exercise to address barriers to access. Mental Health Support Goal: Address mental health. Objective: By June 2022, increase mental health resources, including telehealth, participation and collaboration with community partners. Strategies - Mental Health * Support legislation considering a holistic approach to address mental health, including telehealth. * Pursue various private, state and federal grants to address mental health needs. * Participate and support local groups and events that have a mission to promote mental well-being. * Leverage expertise in mental health to increase access to mental health services including telehealth. * Research and/or develop a resource guide that identifies credible mental health facilities in close proximity to Berea * Collaborate with Our Lady of Peace to provide Peace for Parents seminars on topics such as anxiety, depression, suicide, bullying and substance abuse. * Utilize telehealth for consultations through the emergency department. Significant Health Need(s) Not Addressed - All top priorities identified as needs will be addressed. Saint Joseph East Substance Abuse - including Tobacco and Vaping Goal: Address substance abuse, including tobacco and vaping, including working upstream to address issues that underlie substance abuse, a primary prevention to alcohol and drug use. Outcome Objective: To decrease substance abuse, including tobacco and vaping rates as measured by Centers for Disease Control and Prevention and County Health Rankings and Roadmaps. (KY is #2 in the nation for tobacco use at 24.6%; and #1 in cancers tied to smoking.) According to the CDC, in 2017, Kentucky ranked 5th in the nation for the highest rates of death due to drug overdose (37.2 per 100,000). Also, Kentucky had statistically significant increases in drug overdose death rates from 2016-2017. Strategies - Substance Abuse * Participate and support the Kentucky Hospital Association (KHA) and the Cabinet for Health and Family Services as part of the Kentucky Opioid Response Effort (KORE), to launch the Kentucky Statewide Opioid Stewardship (KY SOS) program. * Participate and support the Lexington Fayette County Health Department LexBeSafe committee. * Participate and support the Lexington mayor's Opioid Task Force. * Promote, support and develop further medication-assisted treatment program for patients of Women's Hospital. * Advance CHI Saint Joseph Health's recent new position of Opioid Stewardship Pharmacist and forthcoming drug task force. * Participate and support the Kentucky Chamber of Commerce's Opioid Task Force. * Promote and support community support programs such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA). * Collaborate and support Drug-Free Lex Agency for KY Substance Abuse Policy (ASAP). * Identify opportunities to address alcohol and substance use. * Support local groups and events that have a mission to prevent alcohol and substance use. * Provide telehealth alcohol and drug counseling through the Transformation Care Center. Strategies - Tobacco and Vaping * Advocate for smoke-free schools, workplaces and public places. * Advocate for increasing the cigarette tax. * Advocate to increase the age to 21 for purchase of tobacco products. * Promote and encourage lung screenings for cancers associated with tobacco use. (Lung cancer is the most common cancer in men and women in the United States.) * Enforce Tobacco-Free Campus policy. * Provide information about smoking cessation classes and 1-800-Quit-Now. * Continue representation on the American Cancer Society's Kentucky Advisory Board. * Collaborate and support Kentucky Cancer Program Plan to Be Tobacco Free. * Collaborate and support Foundation for a Healthy Kentucky tobacco-free efforts. * Continue providing education and resources to address tobacco use and negative health consequences in the community. Obesity and Diabetes - Including Wellness & Exercise Goal: Address obesity and diabetes, including wellness and exercise through education and prevention. Outcome Objective: To decrease obesity and diabetes as measured by Kentucky Behavioral Risk Factor Surveillance Survey and to increase wellness and exercise as measured by County Health Rankings and Roadmaps. (KY ranks 7th for diabetes and, 8th for obesity.) Strategies - Obesity and Diabetes - Including Wellness & Exercise * Advocate for initiatives that address the risk factors that lead to obesity and chronic disease in children. * Promote healthy options for diet and exercise. * Provide community-supported agriculture program and/or farmers markets. * Promote Healthy Food Initiative and "Mindful" program. * Offer items and educational materials from "Harvest of the Month" program. * Provide nutrition labeling in cafeteria. * Participate and support the Lexington-Fayette County Health Department LexBeWell committee. * Continue availability of diabetes education classes and individual counseling, along with medical nutrition therapy. * Participate and support local groups and events that have a mission to promote healthy diet and exercise to prevent negative health outcomes. * Promote and support the American Diabetes Association. Mental Health Support Goal: Address mental health. Outcome Objective: By June 2022, increase mental health resources, including telehealth, participation and collaboration with community partners. Strategies - Mental Health Support * Support legislation considering a holistic approach to address mental health, including telehealth. * Pursue various private, state and federal grants to address mental health needs. * Participate and support local groups and events that have a mission to promote mental well-being. * Leverage expertise in mental health to increase access to mental health services including telehealth. * Collaborate with Our Lady of Peace to provide Peace for Parents seminars on topics such as anxiety, depression, suicide, bullying and substance abuse. * Utilize telehealth for consultations through the emergency department. Significant Health Need(s) Not Addressed - All top priorities identified as needs will be addressed.
Schedule H, Part V, Section B, Line 11 HOW HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN CHNA Saint Joseph Hospital Substance Abuse - including Tobacco and Vaping Goal: Address substance abuse, including tobacco and vaping, including working upstream to address issues that underlie substance abuse, a primary prevention to alcohol and drug use. Outcome Objective: To decrease substance abuse, including tobacco and vaping rates as measured by Centers for Disease Control and Prevention and County Health Rankings and Roadmaps. (KY is #2 in the nation for tobacco use at 24.6%; and #1 in cancers tied to smoking.) According to the CDC, in 2017, Kentucky ranked 5th in the nation for the highest rates of death due to drug overdose (37.2 per 100,000). Also, Kentucky had statistically significant increases in drug overdose death rates from 2016-2017. Strategies - Substance Abuse * Participate and support the Kentucky Hospital Association (KHA) and the Cabinet for Health and Family Services as part of the Kentucky Opioid Response Effort (KORE), to launch the Kentucky Statewide Opioid Stewardship (KY SOS) program. * Participate and support the Lexington Fayette County Health Department LexBeSafe committee. * Participate and support the Lexington mayor's Opioid Task Force. * Advance CHI Saint Joseph Health's recent new position of Opioid Stewardship Pharmacist and forthcoming drug task force. * Participate and support the Kentucky Chamber of Commerce's Opioid Task Force. * Promote and support community support programs such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA). * Collaborate and support Drug-Free Lex Agency for KY Substance Abuse Policy (ASAP). * Identify opportunities to address alcohol and substance use. * Support local groups and events that have a mission to prevent alcohol and substance use. * Explore the feasibility of expanding telehealth opportunities for alcohol and drug counseling. Strategies - Tobacco and Vaping * Advocate for smoke-free schools, workplaces and public places. * Advocate for increasing the cigarette tax. * Advocate to increase the age to 21 for purchase of tobacco products. * Promote and encourage lung screenings for cancers associated with tobacco use. (Lung cancer is the most common cancer in men and women in the United States.) * Enforce Tobacco-Free Campus policy. * Provide information about smoking cessation classes and 1-800-Quit-Now. * Continue representation on the American Cancer Society's Kentucky Advisory Board. * Collaborate and support Kentucky Cancer Program Plan to Be Tobacco Free. * Collaborate and support Foundation for a Healthy Kentucky tobacco-free efforts. * Continue providing education and resources to address tobacco use and negative health consequences in the community. Obesity and Diabetes - Including Wellness & Exercise Goal: Address obesity and diabetes, including wellness and exercise through education and prevention. Outcome Objective: To decrease obesity and diabetes as measured by Kentucky Behavioral Risk Factor Surveillance Survey and to increase wellness and exercise as measured by County Health Rankings and Roadmaps. (KY ranks 7th for diabetes and, 8th for obesity.) Strategies - Obesity and Diabetes - Including Wellness & Exercise * Advocate for initiatives that address the risk factors that lead to obesity and chronic disease in children. * Promote healthy options for diet and exercise. * Provide community-supported agriculture program and/or farmers markets. * Promote Healthy Food Initiative and "Mindful" program. * Offer items and educational materials from "Harvest of the Month" program. * Provide nutrition labeling in cafeteria. * Participate and support the Lexington-Fayette County Health Department LexBeWell committee. * Continue availability of diabetes education classes and individual counseling, along with medical nutrition therapy. * Participate and support local groups and events that have a mission to promote healthy diet and exercise to prevent negative health outcomes. * Promote and support the American Diabetes Association. Mental Health Support Goal: Address mental health from a CHI Saint Joseph Health system-wide approach. Outcome Objective: By June 2022, increase mental health resources, including telehealth, participation and collaboration with community partners. Strategies - Mental Health Support * Support legislation considering a holistic approach to address mental health, including telehealth. * Pursue various private, state and federal grants to address mental health needs. * Participate and support local groups and events that have a mission to promote mental well-being. * Leverage expertise in mental health to increase access to mental health services including telehealth. * Collaborate with Our Lady of Peace to provide Peace for Parents seminars on topics such as anxiety, depression, suicide, bullying and substance abuse. * Utilize telehealth for consultations through the emergency department. Significant Health Need(s) Not Addressed - All top priorities identified as needs will be addressed. Saint Joseph London Substance Abuse Goal: Address substance abuse, including tobacco use and vaping, including working upstream to address issues that underlie substance abuse, a primary prevention to alcohol and drug use. Outcome Objective: To decrease substance abuse, including tobacco use and vaping rates as measured by the Centers for Disease Control and Prevention and County Health Rankings and Roadmaps. (KY is #2 in the nation for tobacco use - 24.6%; and #1 in cancers tied to smoking.) According to the CDC, in 2017, Kentucky ranked 5th in the nation for the highest rates of death due to drug overdose (37.2 per 100,000). Also, Kentucky had statistically significant increases in drug overdose death rates from 2016-2017. Strategies - Substance Abuse * Participate and support Kentucky Hospital Association (KHA) and the Cabinet for Health and Family Services as part of the Kentucky Opioid Response Effort (KORE), to launch the Kentucky Statewide Opioid Stewardship (KY SOS) program. * Advance CHI Saint Joseph Health's recent new position of Opioid Stewardship Pharmacist and forthcoming drug task force. * Participate and support the Kentucky Chamber of Commerce's Opioid Task Force. * Collaborate and support with Laurel County Health Department to address issues surrounding alcohol and drug use. * Collaborate and support Laurel County Health Department's harm reduction program to spread awareness of HIV and Hep C through use of contaminated needles. * Develop protocols to address addiction issues. * Support community support programs such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA). * Identify opportunities to address alcohol and substance use. * Pursue opportunities to develop and/or expand services to address alcohol and drug use. * Collaborate with the local jail to provide parenting education bimonthly for inmates selected for the program. * Support local groups and events that have a mission to prevent alcohol and substance use. * Explore the feasibility of expanding telehealth opportunities for alcohol and drug counseling. Strategies - Tobacco and Vaping * Advocate for smoke-free (including vapor and JUULs) schools, workplaces and public places, including restaurants, bars and hotels. * Advocate for increasing the cigarette tax. * Advocate to increase the age to 21 for purchase of tobacco products. * Promote and encourage lung screenings for cancers associated with tobacco use. (Lung cancer is the most common cancer in men and women in the United States.) * Develop and implement an automated process for lung screening to ease the ordering and patient follow-up. * Develop and implement a lung accreditation program to address gaps in care and strengthen access to screening, prevention and treatment. * Enforce Tobacco-Free Campus policy. * Provide information about smoking cessation classes and 1-800-Quit-Now. * Continue representation on the American Cancer Society's Kentucky Advisory Board. * Collaborate and support Kentucky Cancer Program Plan to Be Tobacco Free. * Collaborate and support Foundation for a Healthy Kentucky's tobacco-free efforts. * Collaborate and support the Laurel County Health Department's efforts to address tobacco prevention in Laurel County. * Continue collaboration with the Tri-County Cancer Coalition to address tobacco prevention in Laurel County. * Support clean air ordinance expansion for Laurel County to include e-cigarettes. * Expand behavioral and pharmacological counseling for cancer patients who continue to smoke. * Continue providing education and resources to address tobacco use and negative health consequences.
Schedule H, Part V, Section B, Line 11 HOW HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN CHNA Chronic Disease - Obesity and Cardiovascular Disease Goal: Address obesity and cardiovascular disease as chronic diseases, including wellness and exercise through education and prevention. Outcome Objective: To decrease obesity and cardiovascular disease as measured by Kentucky Behavioral Risk Factor Surveillance Survey and to increase wellness and exercise as measured by County Health Rankings and Roadmaps to reduce the incidence of heart disease and stroke. (KY ranks 8th for obesity and 6th for cardiovascular deaths.) Strategies - Chronic Disease - Obesity and Cardiovascular Disease * Advocate for initiatives that address the risk factors that lead to obesity and chronic disease in children. * Support legislation to provide tax breaks and other incentives for the creation of wellness programs and enabling businesses to have a healthier workforce. * Promote healthy options for diet and exercise. * Continue community garden that began as a result of the 2017-2019 CHNA and: a) Utilize portable produce stand to provide education and available produce from the community garden at community and school events in underserved areas. b) Partner with local school system to create garden club to encourage students to participate in community garden. c) Host a healthy foods cooking event using produce from garden. d) Construct produce stand at community garden to allow easier access to available produce from garden. * Promote existing safe walking paths within Laurel County. * Continue availability of diabetes education classes and individual counseling * Participate and support local groups and events that have a mission to promote and/or address healthy diet, exercise, obesity and cardiovascular disease to prevent negative health outcomes. * Promote Saint Joseph London stroke program. * Continue to support Laurel County Health in Motion Coalition. * Organize community event in recognition of Longest Day of Play. * Create and implement a walking program for expectant mothers to reduce incidence of pregnancy-induced medical conditions. * Continue to grow community outreach program to provide disease-specific education and resources to patients. * Pursue various private, state and federal funding for programs to address healthy eating. Mental Health Support Goal: Address lack of mental health support in the community. Outcome Objective: By June 2022, increase mental health resources including telehealth, participation and collaboration with community partners. Strategies - Mental Health Support * Support legislation considering a holistic approach to address mental health, including telehealth. * Pursue various private, state and federal grants to address mental health needs. * Develop or identify a mental health coalition to collaborate and align substance abuse prevention efforts with statewide efforts. * Collaborate with Rae of Sunshine Foundation to provide mental health awareness education. * Collaborate with National Alliance on Mental Illness (NAMI) to provide a local peer and mental health support group. * Collaborate with local schools to provide anti-bullying education. * Promote anti-bullying month and provide resources to build awareness in the community. * Participate and support local groups and events that have a mission to promote mental well-being. * Leverage expertise in mental health to increase access to mental health services including telehealth. * Collaborate with Our Lady of Peace to provide Peace for Parents seminars on topics such as anxiety, depression, suicide, bullying and substance abuse. * Utilize telehealth for consultations through the emergency department Significant Health Need(s) Not Addressed - All top priorities identified as needs will be addressed. Saint Joseph Mount Sterling Substance Abuse Goal: Address substance abuse, including tobacco, including working upstream to address issues that underlie substance abuse, a primary prevention to alcohol and drug use. Outcome Objective: To decrease substance abuse, including tobacco rate as measured by Centers for Disease Control and Prevention and County Health Rankings and Roadmaps. (KY is #2 in the nation for tobacco use at 24.6%; and #1 in cancers tied to smoking.) According to the CDC, in 2017, Kentucky ranked 5th in the nation for the highest rates of death due to drug overdose (37.2 per 100,000). Also, Kentucky had statistically significant increases in drug overdose death rates from 2016-2017. Strategies - Substance Abuse * Participate and support Kentucky Hospital Association (KHA) and the Cabinet for Health and Family Services as part of the Kentucky Opioid Response Effort (KORE), to launch the Kentucky Statewide Opioid Stewardship (KY SOS) program. * Advance CHI Saint Joseph Health's recent new position of Opioid Stewardship Pharmacist and forthcoming drug task force. * Participate and support the Kentucky Chamber of Commerce's Opioid Task Force. * Promote and support community support programs such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA). * Identify opportunities to address alcohol and substance use and the negative health outcomes. * Support local groups and events that have a mission to prevent alcohol and substance use. * Create and/or update and maintain a resource book that identifies agencies and the resources they provide for those suffering from addiction (i.e., services offered, hours of operation, location fees, etc.) * Explore the feasibility of expanding telehealth opportunities for alcohol and drug counseling. Strategies - Tobacco * Advocate for smoke-free schools, workplaces and public places. * Advocate for increasing the cigarette tax. * Advocate to increase the age to 21 for purchase of tobacco products. Promote and encourage lung screenings for cancers associated with tobacco use. (Lung cancer is the most common cancer in men and women in the United States.) * Enforce Tobacco-Free Campus policy. * Provide information about Smoking Cessation Classes and 1-800-Quit-Now. * Continue representation on the American Cancer Society's Kentucky Advisory Board. * Align efforts with Commission on Cancer triennial community health assessment. * Collaborate and support Kentucky Cancer Program Plan to Be Tobacco Free. * Collaborate and support Foundation for a Healthy Kentucky tobacco-free efforts. * Support local groups and events that have a mission to prevent tobacco use. * Continue providing education and resources to address tobacco to address use and negative health consequences in the community. Mental Health Goal: Address lack of mental health support in the community. Outcome Objective: By June 2022, increase mental health resources, including telehealth, participation and collaboration with community partners. Strategies - Mental Health * Support legislation considering a holistic approach to address mental health, including telehealth. * Pursue various private, state and federal grant to address mental health needs. * Participate and support local groups and events that have a mission to promote mental well-being. * Leverage expertise in mental health to increase access to mental health services including telehealth. * Collaborate with Our Lady of Peace to provide Peace for Parents seminars on topics such as anxiety, depression, suicide, bullying and substance abuse. * Utilize telehealth for consultations through the emergency department Provider of Additional Information and Services/Navigating the Health Care System Goal: To connect families to health care education, services and navigating the system. Outcome Objective: By June 2022, assist all patients who request education materials, list of available services and/or help navigating the system. Strategies - Provider of Additional Information and Services/Navigating the Health Care System * Create and/or update and maintain a resource book that identifies agencies and the resources they provide for those suffering from addiction (i.e., services offered, hours of operation, location fees, etc.) * Provide education/information about a variety of health topics including tobacco, substance abuse, mental health, etc. * Continue collaborative efforts with community organizations, including Montgomery County Health Department, to promote programs and initiatives and share information about services to decrease barriers to health care access. * Promote and support community resources and support groups for patients. Significant Health Need(s) Not Addressed - All top priorities identified as needs will be addressed.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount The organization has reported bad debt expense at gross charges written off. The organization's bad debt expense represents amounts billed to patients that was deemed uncollectible and does not include any charges that were ultimately reimbursed or discounted. Patient discounts are recorded in contractual allowance or financial assistance, as appropriate, as an offset to gross revenue and are not included in bad debt expense.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology Saint Joseph Health System does not believe that any portion of bad debt expense could reasonably be attributed to patients who qualify for financial assistance since amounts due from those individuals' accounts will be reclassified from bad debt expense to charity care within 30 days following the date that the patient is determined to qualify for charity care.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Saint Joseph Health System does not issue separate company audited financial statements. However, the organization is included in the consolidated financial statements of CommonSpirit Health. The consolidated footnote reads as follows: CommonSpirit relies on the results of detailed reviews of historical write-offs and collections in estimating the collectability of accounts receivable. Updates to the hindsight analysis is performed at least quarterly using primarily a rolling eighteen-month collection history and write-off data. Subsequent changes to estimates of the transaction price are generally recorded as adjustments to net patient revenue in the period of change. Subsequent changes that are determined to be the result of an adverse change in a third-party payor's ability to pay are recorded as bad debt expense in purchased services and other in the accompanying consolidated statements of operations and change in net assets. Bad debt expense for 2019 was not significant.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Using essentially the same Medicare cost report principles as to the allocation of general services costs and "apportionment" methods, the "CHI Workbook" calculates a payers' gross allowable costs by service (so as to facilitate a corresponding comparison between gross allowable costs and ultimate payments received). The term "gross allowable costs" means costs before any deductibles or co-insurance are subtracted. Saint Joseph Health System's ultimate reimbursement will be reduced by any applicable copayment/deductible. Where Medicare is the secondary insurer, amounts due from the insured's primary payer were not subtracted from Medicare allowable costs because the amounts are typically immaterial. Saint Joseph Berea is the hospital within Saint Joseph Health System which is designated as a Critical Access Hospital ("CAH"). CAHs are rural community hospitals that are certified to receive cost-based reimbursement from Medicare. The reimbursement that CAHs receive is intended to improve their financial performance and thereby reduce hospital closures. CAHs are certified under a different set of Medicare Conditions of Participation (CoP). Shortfalls are created when a facility receives payments that are less than the costs of caring for program beneficiaries. Because shortfalls are based on costs, not charges, Saint Joseph Berea, due to its designation as a CAH, received cost-based reimbursement for Medicare purposes, Saint Joseph Berea will typically not experience Medicare related shortfalls. Although not presented on the Medicare cost report, in order to facilitate a more accurate understanding of the "true" cost of services (for "shortfall" purposes) the CHI Workbook allows a health care facility not to offset costs that Medicare considers to be non-allowable, but for which the facility can legitimately argue are related to the care of the facility's patients. In addition, although not reportable on the Medicare cost report, the CHI workbook includes the cost of services that are paid via a set fee-schedule rather than being reimbursed based on costs (e.g. outpatient clinical laboratory). Finally, the CHI Workbook allows a facility to include other health care services performed by a separate facility (such as a physician practice) that are maintained on separate books and records (as opposed to the main facility's books and records which has its costs of service included within a cost report). True costs of Medicare computed using this methodology: Total Medicare Revenue: $190,914,768 Total Medicare costs: $205,910,817 Surplus or Shortfall ($14,996,049) Saint Joseph Health System believes that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as "subsidized health services." Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance The organization's billing and collections policy applies to all individuals presenting for emergency or other medically necessary care. The policy contains provisions for collecting amounts due from those patients who the organization knows to qualify for financial assistance either through the traditional financial assistance application process or through presumptive eligibility processes. Before engaging in extraordinary collection actions (ECAs) to obtain payment for EMCare, Hospital Facilities must make reasonable efforts through its billing and collections processes, pursuant to Treas. Reg. §1.501(r)-6(c), to determine whether an individual is eligible for Financial Assistance. In no event will an ECA be initiated prior to 120 days from the date the Facility provides the first post-discharge billing statement (i.e., during the Notification Period) unless all reasonable efforts have been made. Hospital Facilities will not refer accounts for collection where the patient has initially applied for Financial Assistance, and the Hospital Facility has not yet made reasonable efforts with respect to the account. For patients and Guarantors who are unable to provide required documentation, a Hospital Facility may grant Presumptive Financial Assistance based on information obtained from other resources. Patients who qualify for Medicaid are presumed to qualify for full charity write off. Any charges for days or services written off (excluding Medicaid denials related to timeliness of billing, insufficient medical record documentation, missing invoices, authorization, or eligibility issues) as a result of a Medicaid are booked as charity. Some Medicaid plans offer coverage for a limited or restricted list of services. If a patient is eligible for Medicaid, any charges for days or services not covered by the patient's coverage may be written off to charity without a completed application. This does not include any Share of Cost (SOC) or other patient cost-sharing amounts such as deductibles or copayments, as such costs are determined by the state to be an amount that the patient must pay before the patient is eligible for Medicaid. Health and Human Services (HSS) uses the term "Spend Down" instead of Share of Cost. All collection activities conducted by the Facility, a Designated Supplier, or its third-party collection agents will be in conformance with all federal and state laws governing debt collection practices. All third-party agreements governing collection and recovery activities must include a provision requiring compliance with the hospital facilities' financial assistance and billing and collections policy and indemnification for failures as a result of its noncompliance. This includes, but is not limited to, agreements between third parties who subsequently sell or refer debt of the Hospital Facility.
Schedule H, Part V, Section B, Line 16a FAP website A - SAINT JOSEPH HOSPITAL: Line 16a URL: https://www.chisaintjosephhealth.org/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website A - SAINT JOSEPH HOSPITAL: Line 16b URL: https://www.chisaintjosephhealth.org/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - SAINT JOSEPH HOSPITAL: Line 16c URL: https://www.chisaintjosephhealth.org/financial-assistance;
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Notification about the availability of Financial Assistance from CHI Hospital Organizations shall be disseminated by various means, which may include, but not be limited to: * Conspicuous publication of notices in patient bills; * Notices posted in emergency rooms, urgent care centers, admitting/registration departments, business offices, and at other public places as a Hospital Facility may elect; and * Publication of a summary of this Policy on the Hospital Facility's website, www.catholichealth.net, and at other places within the communities served by the Hospital Facility as it may elect. Such notices and summary information shall include a contact number and shall be provided in English, Spanish, and other primary languages spoken by the population served by an individual Hospital Facility, as applicable. Referral of patients for Financial Assistance may be made by any member of the CHI Hospital Organization non-medical or medical staff, including physicians, nurses, financial counselors, social workers, case managers, chaplains, and religious sponsors. A request for assistance may be made by the patient or a family member, close friend, or associate of the patient, subject to applicable privacy laws. In addition, Hospital registration clerks are trained to provide consultation to those who have no insurance or potentially inadequate insurance concerning their financial options including application for Medicaid and for assistance under the Financial Assistance Policy. Counselors assist Medicare eligible patients in enrollment by providing referrals to the appropriate government agencies. Once it is determined that the patient does not qualify for any third party funding, the patient is verbally notified about the existence of Financial Assistance Application and additional screening takes place by a Hospital employee to determine if the patient is eligible for charity service prior to discharge. Upon registration (and once all EMTALA requirements are met), patients who are identified as uninsured (and not covered by Medicare or Medicaid) are provided with a packet of information that addresses the Financial Assistance Policy, the plain language summary of that policy, and an application for assistance. Hospital registration clerks read the organization's medical assistance policy to those who appear to be incapable of reading, and provide translators for non-English-speaking individuals. Patients that have been discharged prior to charity screening, such as emergency room patients, receive a written notification of possible eligibility for services. If the patient is determined not to be eligible for government assistance, he/she may notify the hospital that they seek charity assistance. The appropriate charity form is sent to the patient/guarantor for completion and then returned to the hospital for evaluation and qualification. Once determination of eligibility is made, the patient is sent a notice informing him/her if they qualify for full, partial, or no charity care services. Hospital Facilities must make reasonable efforts through its billing and collections processes, pursuant to Treas. Reg. §1.501(r)-6(c), to determine whether any individual is eligible for Financial Assistance.
Schedule H, Part VI, Line 5 Promotion of community health The organization's hospital facilities promote health for the benefit of the community. Medical staff privileges in the hospital are available to all qualified physicians in the area, consistent with the size and nature of its facilities. The organization's hospital facilities have an open medical staff. Its board of trustees is composed of prominent citizens in the community. Excess funds are generally applied to expansion and replacement of existing facilities and equipment, amortization of indebtedness, improvement in patient care, and medical training, education, and research. The facilities treat persons paying their bills with the aid of public programs like Medicare and Medicaid. All patients presenting at the hospital for emergency and other medically necessary care are treated regardless of their ability to pay for such treatment.
Schedule H, Part VI, Line 6 Affiliated health care system The organization is affiliated with CommonSpirit Health. CommonSpirit Health was created by the alignment of Catholic Health Initiatives and Dignity Health as a single ministry in early 2019. CommonSpirit Health, a nonprofit, faith-based health system is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen - both inside its hospitals and out in the community. CommonSpirit Health owns and operates health care facilities in 21 states and comprises 142 hospitals, including three academic health centers, major teaching hospitals as well as 31 critical-access facilities; community health services organizations; accredited nursing colleges; home health agencies; living communities; a medical foundation and other affiliated medical groups; and other facilities and services that span the inpatient and outpatient continuum of care. In fiscal year 2019, CommonSpirit Health provided more than $2.1 billion in financial assistance and community benefit for programs and services for the poor, free clinics, education and research. Financial assistance and community benefit totaled more than $4.4 billion with the inclusion of the unpaid costs of Medicare. The health system, which generated operating revenues of $20.96 billion in fiscal year 2019, has total assets of approximately $40.6 billion. CommonSpirit Health provides strategic planning and management services as well as centralized "share services" for its Divisions. The provision of centralized management and shared services including areas such as accounting, human resources, payroll and supply chain provides economies of scale and purchasing power to the Divisions. The cost savings achieved through CommonSpirit Health's centralization enable Divisions to dedicate additional resources to high-quality health care and community outreach services to the most vulnerable members of our society.
Schedule H, Part VI, Line 7 State filing of community benefit report KY
Schedule H (Form 990) 2018
Additional Data


Software ID: 18007697
Software Version: 2018v3.1

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
Saint Joseph Health System Inc
 
Employer identification number
61-1334601
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) Commerce Lexington
330 E Main St
Ste 100
Lexington,KY40507 		61-0258800 501(C)(6) 41,000       GENERAL SUPPORT
(2) March of Dimes
207 E Reynolds Rd Ste 110
Lexington,KY40517 		13-1846366 501(C)(3) 10,000       GENERAL SUPPORT
(3) Saint Joseph Hospital Foundation
1 Saint Joseph Drive
Lexington,KY40504 		61-1159649 501(C)(3) 22,177       GENERAL SUPPORT
(4) Lexington Clinic Foundation
350 Elaine Drive
Ste 100
Lexington,KY40504 		61-6037046 501(C)(3) 6,000       GENERAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
4
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018

Schedule I (Form 990) 2018
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Grants and requests for contributions are administered by the CEO and VP of Mission Integration. All grant expenditures require the same approval as non-grant expenditures through the accounts payable matrix.
Schedule I (Form 990) 2018



Additional Data


Software ID: 18007697
Software Version: 2018v3.1


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Saint Joseph Health System Inc
 
Employer identification number

61-1334601
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
Yes
 
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1BRUCE TASSIN
 
PRESIDENT/MARKET CEO 		(i)

(ii)		 651,424
-------------
0 		364,890
-------------
0 		88,420
-------------
0 		75,523
-------------
0 		24,947
-------------
0 		1,205,204
-------------
0 		50,562
-------------
0
2SHELLEY STANKO MD
 
BOARD MEMBER 		(i)

(ii)		 0
-------------
318,419 		0
-------------
5,145 		0
-------------
1,108 		0
-------------
15,563 		0
-------------
24,755 		0
-------------
364,990 		0
-------------
0
3PAUL EDGETT III
 
BOARD MEMBER/CHIEF BUSINESS LINES OFFICER 		(i)

(ii)		 0
-------------
673,732 		0
-------------
493,231 		0
-------------
155,131 		0
-------------
19,266 		0
-------------
24,038 		0
-------------
1,365,398 		0
-------------
0
4LARRY SCHUMACHER
 
BOARD MEMBER/SENIOR VP-CHI-SYSTEM 		(i)

(ii)		 0
-------------
1,086,890 		0
-------------
682,996 		0
-------------
357,085 		0
-------------
156,836 		0
-------------
26,390 		0
-------------
2,310,197 		0
-------------
104,000
5JAMES WENTZ
 
FORMER DIV SVP - CFO 		(i)

(ii)		 0
-------------
143,511 		0
-------------
202,500 		0
-------------
479,047 		0
-------------
19,181 		0
-------------
6,178 		0
-------------
850,417 		0
-------------
0
6RUTH WILLIAMS BRINKLEY
 
FORMER PRESIDENT & CEO KOH 		(i)

(ii)		 0
-------------
0 		0
-------------
366,745 		0
-------------
955,050 		0
-------------
6,750 		0
-------------
0 		0
-------------
1,328,545 		0
-------------
0
7STEVEN FRANTZ
 
MARKET SVP CFO 		(i)

(ii)		 319,977
-------------
0 		10,000
-------------
0 		89,250
-------------
0 		2,202
-------------
0 		16,783
-------------
0 		438,212
-------------
0 		0
-------------
0
8SHARON HAGER
 
Secretary/DIV VP SR COUNSEL 		(i)

(ii)		 0
-------------
362,623 		0
-------------
242,459 		0
-------------
22,509 		0
-------------
4,348 		0
-------------
9,895 		0
-------------
641,834 		0
-------------
0
9COLLEEN HOLTON
 
TREASURER/CFO 		(i)

(ii)		 0
-------------
316,758 		0
-------------
214,022 		0
-------------
16,326 		0
-------------
16,375 		0
-------------
24,947 		0
-------------
588,428 		0
-------------
0
10MELINDA EVANS
 
VP - Finance 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
148,564 		0
-------------
0 		0
-------------
0 		0
-------------
148,564 		0
-------------
0
11TANJA OQUENDO
 
Former SVP Chief HR Officer KOH 		(i)

(ii)		 0
-------------
534,819 		0
-------------
584,824 		0
-------------
60,300 		0
-------------
48,919 		0
-------------
23,432 		0
-------------
1,252,294 		0
-------------
39,346
12CHARLES POWELL
 
FORMER PRESIDENT 		(i)

(ii)		 0
-------------
435,426 		0
-------------
360,924 		0
-------------
10,260 		0
-------------
15,997 		0
-------------
24,947 		0
-------------
847,554 		0
-------------
0
13CHRISTY SPITSER
 
MKT VP OPERATIONAL FINANCE 		(i)

(ii)		 231,588
-------------
0 		21,408
-------------
0 		3,019
-------------
0 		13,922
-------------
0 		25,484
-------------
0 		295,421
-------------
0 		0
-------------
0
14JENNIFER NOLAN
 
PRESIDENT OF FLAGET AND OUR LADY OF PEACE 		(i)

(ii)		 374,065
-------------
0 		67,852
-------------
0 		58,115
-------------
0 		15,676
-------------
0 		24,853
-------------
0 		540,561
-------------
0 		0
-------------
0
15LESLIE BUDDEKE SMART
 
PRESIDENT SAINT JOSEPH FOUNDATION 		(i)

(ii)		 307,610
-------------
0 		36,740
-------------
0 		5,431
-------------
0 		12,742
-------------
0 		4,196
-------------
0 		366,719
-------------
0 		0
-------------
0
16TERRENCE DEIS
 
PRESIDENT ST JOSEPH LONDON, BEREA AND MOUNT STERLING 		(i)

(ii)		 432,405
-------------
0 		79,281
-------------
0 		36,192
-------------
0 		38,595
-------------
0 		23,432
-------------
0 		609,905
-------------
0 		18,750
-------------
0
17ERIC GILLIAM
 
President Saint Joseph East & Chief Operating Officer St. Joseph Hospital 		(i)

(ii)		 387,602
-------------
0 		70,227
-------------
0 		50,503
-------------
0 		16,626
-------------
0 		25,691
-------------
0 		550,649
-------------
0 		15,848
-------------
0
18SATHYENDRA MYSORE
 
Anesthesiologist 		(i)

(ii)		 543,505
-------------
0 		13,230
-------------
0 		2,023
-------------
0 		16,375
-------------
0 		24,899
-------------
0 		600,032
-------------
0 		0
-------------
0
19DON LOVASZ
 
PRESIDENT CLIN INT NETWORK 		(i)

(ii)		 379,391
-------------
0 		124,277
-------------
0 		29,668
-------------
0 		16,375
-------------
0 		17,279
-------------
0 		566,990
-------------
0 		0
-------------
0
20DANIEL GOULSON
 
VP-QUALITY-MEDICAL AFFAIRS 		(i)

(ii)		 446,462
-------------
0 		39,248
-------------
0 		17,970
-------------
0 		16,375
-------------
0 		3,633
-------------
0 		523,688
-------------
0 		0
-------------
0
21KHALID MEMON
 
Pediatrician - Adolescent Medicine 		(i)

(ii)		 408,486
-------------
0 		65,597
-------------
0 		5,544
-------------
0 		16,375
-------------
0 		22,532
-------------
0 		518,534
-------------
0 		0
-------------
0
22MUHAMMAD ALI
 
Pediatrician - Adolescent Medicine 		(i)

(ii)		 409,620
-------------
0 		38,868
-------------
0 		1,932
-------------
0 		16,375
-------------
0 		24,899
-------------
0 		491,694
-------------
0 		0
-------------
0
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 4a Severance or change-of-control payment During the calendar year 2018, post-termination payments were addressed in executive employment agreements for Catholic Health Initiatives and related organizations' employees at the level of Vice President and above, including the MBO CEOs. These employment agreements require that in order for the executive to receive post-termination payments, these individuals must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package. The following reportable individuals received severance payments from Catholic Health Initiatives during the 2018 calendar year, and these severance payments were included in the individual's W-2 income and reportable compensation on Schedule J: James Wentz - $394,615 Ruth Williams-Brinkley - $955,050 Melinda Evans - $148,564
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan During the 2018 calendar year, Catholic Health Initiatives ("CHI"), a related organization, maintained a supplemental non-qualified deferred compensation plan for MBO CEOs/Presidents and other CHI employees at the level of Senior Vice President and above. During 2018 the following distributions were made by CHI from the deferred compensation plan: Bruce Tassin - $67,488 Larry Schumacher - $86,358 Terrence Deis - $18,580 Eric Gilliam - $15,856 Jennifer Nolan - $22,915 Tanja Oquendo - $39,368 Due to the "super" vesting rules under the CHI deferred compensation plan, participants who had met certain requirements such as involuntary termination without cause, age, age and years of service, or more than 5 years of plan participation were eligible to receive their 2018 contributions in cash during the calendar year. These cash payouts are included in the participant's reportable compensation in column (iii) Other Reportable Compensation on Schedule J Part II. During 2018, the following contributions and any associated investment income, gain or loss that would have been made by CHI to the deferred compensation plan were paid in cash: Paul Edgett - $128,853 Eric Gilliam - $19,698 Jennifer Nolan - $19,041 James Wentz - $81,046
Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization Reportable physicians receive incentive compensation based on "gross professional revenue." "Gross professional revenue" was not determined with reference to organizational gross revenue or organizational "gross income." Rather, amounts were determined based upon the physician's individual contribution computed as: physicians personally performed professional services (for services rendered by the physician to patients personally) less some specifically stated physician revenue and refunds.
Schedule J, Part I, Line 7 Non-fixed payments St. Joseph Health System Inc. has an incentive plan for employed physicians. The plan is based on a combination of physician productivity, quality, and patient satisfaction goals.
Schedule J (Form 990) 2018
Additional Data


Software ID: 18007697
Software Version: 2018v3.1
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
Saint Joseph Health System Inc
 
Employer identification number

61-1334601
Return Reference Explanation
Form 990, Part VI, Line 16b FORMAL POLICIES CONCERNING PARTICIPATION IN JOINT VENTURES St. Joseph Health System Inc. has not formally adopted a written policy or written procedure regarding joint ventures. However CommonSpirit Health's system-wide joint venture model operating agreement incorporates controls over the venture sufficient to ensure that (1) the exempt organization at all times retains control over the venture sufficient to ensure that the partnership furthers the exempt purpose of the organization; (2) in any partnership in which the exempt organization is a partner, achievement of exempt purposes is prioritized over maximization of profits for the partners; (3) the partnership does not engage in any activities that would jeopardize the exempt organization's exemption; and (4) returns of capital, allocations, and distributions must be made in proportion to the partners' respective ownership interests. Any joint venture agreements that do not conform to the model agreement are generally reviewed by counsel.
Form 990, Part VI, Line 15 PROCESS USED TO ESTABLISH COMPENSATION OF EMPLOYEES St. Joseph Health System, Inc.'s executive leadership compensation is reviewed by the executive committee to the board. An outside consultant provided comparative data based on base compensation, total compensation, and executive benefits. Physician compensation is reviewed and approved by PLC, Management PTRC, Board PTRC, and ultimately the full board.
Form 990, Part VI, Line 14 Document Retention Policy The document retention and destruction policy is more of an operational policy.These types of policies usually do not go to the board of directors.This has not been adopted by the board of directors.
Form 990, Part VI, Line 12c Conflict of Interest Policy 2. Matters elevated to the executive committee or board chair: a) Determination of existence of conflict - the board chair or his or her designee performs any further investigation of any conflict of interest disclosures as he or she may deem appropriate. If the conflict involves the board chair, the vice chair assumes the chair's role outlined in the COI policy. Based on review and evaluation of the relevant facts and circumstances, the board chair makes an initial determination as to whether a conflict of interest exists and whether, pursuant to the COI policy, review and approval or other action by the board is required. A written record of the board chair's determination, including relevant facts and circumstances, is made. The board chair then makes an appropriate report to the executive committee of the board concerning the COI review, evaluation and determination. If a difference of opinion exists between the board chair and another trustee as to whether the facts and circumstances of a given situation constitute a conflict of interest or whether board review and approval or other action is required under the COI policy, the matter is submitted to the board's executive committee, which makes a final determination as to the matter presented. That determination, including relevant facts and circumstances, is reflected in the executive committee minutes and is reported to the board. b) Board evaluation of transactions involving an officer / board member conflict of interest - I. The board carefully scrutinizes and must in good faith approve or disapprove any transaction in which CHI or a CHI entity is a party and in which the trustee or a corporate officer either: 1. Has a material financial interest; or 2. Is a trustee or corporate officer of the other party (other than a CHI affiliated organization). II. The board must approve the transaction by a majority of the trustees on the board (not counting any interested trustee). In reviewing such transactions between CHI or CHI entities and vendors or other contractors who are, or are affiliated with, trustees or corporate officers, the board acts no more or less favorably than it would in reviewing transactions with unrelated third parties. The transaction is not approved unless the board determines that the transaction is fair to CHI or the CHI entity. III. A conflicted trustee or corporate officer is not permitted to use his or her personal influence with respect to the approval or disapproval of the conflicted transaction. However, if requested, such trustee or corporate officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from trustees, as his or her knowledge may be relevant. The trustee or corporate officer is excused from the meeting during discussion and vote on the conflict of interest. c) Board evaluation of non-transactional conflicts - I. The board carefully reviews and scrutinizes any non-transactional conflict of interest (e.g., disclosure of nonpublic information, competition with CHI or a CHI entity, failure to disclose a corporate opportunity, excessive gifts or entertainment, etc.). II. In such circumstances, by a majority vote of the disinterested trustees, the board takes whatever action is deemed appropriate with respect to the trustee or corporate officer under the circumstances (including possible disciplinary or corrective action) to best protect the interests of CHI or the CHI entity. The board is encouraged to consult with the general counsel of CHI or his or her designee when considering disciplinary or corrective action. III. The conflicted trustee or corporate officer is not permitted to use his or her personal influence with respect to the conflict matter. However, if requested, such trustee or corporate officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from trustees, as his or her knowledge may be relevant. The trustee or corporate officer is excused from the meeting during discussion and vote on the conflict of interest. d) Record of proceedings - with respect to board member and officer conflicts of interest, minutes of the board are expected to reflect the identity of the individual making the disclosure, the nature of the disclosure, discussion regarding any proposed transaction, the decision made by the board, and that the interested trustee or corporate officer was excused during the discussion, and that the interested trustee abstained from voting. D. Conflicts reporting: All conflicts of interest are reported by CHI as required by law, regulations, and policy.
Form 990, Part VI, Line 1a Delegate broad authority to a committee Pursuant to Section 7.1 of the bylaws of Saint Joseph Health System, Inc., the Board of Directors may set the qualifications for membership on any committee it may establish; provided that each committee shall consist of at least two (2) directors of the Corporation. Committees may include persons other than directors, except that a committee that has the authority to act on behalf of the Board of Directors must include only directors of the Corporation. Minutes of all committee meetings shall be recorded and copies of such minutes shall be provided to the Board of Directors. Actions of committees shall be reported to the full Board of Directors, but actions of Committees which include persons other than directors shall be subject to ratification by the full Board of Directors.
Form 990, Part VI, Line 6 Classes of members or stockholders According to the bylaws of Saint Joseph Health System Inc., the entity's sole member is KentuckyOne Health, Inc., A Kentucky nonprofit corporation.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body According to the organization's bylaws, directors shall be appointed or refused by the corporate member. The corporate member may appoint one or more individuals to the board of directors, and may at any time remove, with or without cause, any member of the board of directors. According to the organization's bylaws, directors of the corporation shall be appointed by the corporate member no later than June 30 of each year. The names and qualifications of each individual accepted by the board of directors shall be submitted to the corporate member, who shall appoint or refuse each nominee in accordance with the corporate member's bylaws and with endorsement of the senior vice president of operations. The corporate member may unilaterally appoint one or more individuals to the board of directors should the board fail to furnish the corporate member with a list of individuals qualified to serve on the board of directors of the corporation.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Saint Joseph Health System, Inc.'s (SJHS) corporate member is KentuckyOne Health, Inc. Pursuant to Section 4.4.1 of the organization's bylaws, Neither the Board nor any officer or employee of the Corporation nor any subsidiary or affiliate of the Corporation shall take any action either in contradiction of any of the foregoing powers, or without first having secured the necessary approvals or given the appropriate notifications as may be required by these Bylaws. In addition, pursuant to Section 4.4.2 of the organization's bylaws, in exercise of its approval powers, the corporate member may grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the board and the president of the corporation, recommend such other or different actions as it deems appropriate.
Form 990, Part VI, Line 11b Review of form 990 by governing body Once the return is prepared, the return is reviewed by the VP-Finance and an electronic copy is provided to each member of the board. After the return is reviewed by the VP-Finance, the tax department files the return with the appropriate federal and state agencies, making any nonsubstantive changes necessary that effect e-filing. Any such changes are not resubmitted to the board. Subsequent to the return being filed, the President/CEO of CHI Saint Joseph Health, Inc., the sole member of the organization, presents the return at CHI Saint Joseph Health, Inc's board meeting.
Form 990, Part VI, Line 12c Conflict of interest policy The organization has a conflicts of interest ("COI") policy (the "policy") in place to maintain the integrity of its activities. Through February 7, 2019, conflicts were administered solely through Catholic Health Initiatives' ("CHI") Governance Policy No. 1 (described below). On February 8, 2019, in connection with the alignment of the Catholic Health Ministries of CHI and Dignity Health, the CommonSpirit Health Board of Stewardship Trustees approved CommonSpirit Health Corporate Responsibility Policy No. G-001, a CommonSpirit Health conflicts of interest policy. This policy stipulates that, at minimum, the pre-closing CHI COI policies and pre-closing Dignity Health COI policies identify the individuals that are covered under the new policy. In addition, subject to certain exceptions, pre-closing CHI COI policies shall continue to apply to the CHI entities and the individuals who were subject to the Pre-Closing CHI COI policies; and the Pre-Closing Dignity Health COI policies shall continue to apply to the Dignity Health entities and the individuals who were subject to the Pre-Closing Dignity Health COI policies. Until CommonSpirit Health adopts a single process for identifying and managing conflicts of interest for all system entities, the following individuals shall be subject to the Pre-Closing CHI COI policies from and after the effective date of Corporate Responsibility Policy No. G-001: 1. Members of the CommonSpirit Health Board of Stewardship Trustees and members of the committees of the Board of Stewardship Trustees; 2. Corporate officers of CommonSpirit Health; 3. Members of the Board of Directors of Dignity Health and members of the committees of the Board of Directors of Dignity Health. CHI Governance Policy No. 1: The policy applies to the following persons: members of the CHI board of stewardship trustees and its committees; members of any CHI direct affiliate or subsidiary (each a CHI entity) board and their committees; employees of CHI entities, and all CHI researchers (as defined in the policy). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure review process. A. Disclosure obligations: 1. Ongoing: Each person is required to promptly and fully disclose to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must disclose the actual or potential conflict as soon as she/he becomes aware of it. In any situation in which the person is in doubt it is expected that full disclosure be made to permit an impartial and objective determination as to the existence of a conflict. 2. Periodic written: In addition to the ongoing disclosure obligation, periodic written conflict of interest disclosure forms must be completed as follows: a) Initially: 1) Upon hiring (employees), 2) Appointment (board / committee members), 3) Upon consideration of affiliation with research sponsor (researchers). b) Annually: 1) Board / committee members, 2) Employees at the level vice president or above, 3) Researchers, 4) Supply chain employees at the level of vice president and above and those employees involved in contracting regardless of employment level, 5) Other employees as determined by CommonSpirit Health leadership. 3. Failure to disclose - an individual who fails to disclose a perceived, potential, or actual conflict of interest, or all material facts surrounding an actual or potential conflict or fails to abide by the final decision regarding the conflict may be subject to disciplinary or corrective actions such as termination of employment, removal from a board or committee, loss or restriction of clinical privileges, or restrictions on research activities in accordance with applicable laws, regulations, rules, contracts, and bylaws. B. Conflicts review: 1. No disclosed conflicts: In the absence of perceived, potential or actual conflicts of interest, no follow-up conflicts review is required or performed. 2. Disclosure of perceived, potential or actual conflicts: a) Are initially reviewed by national or regional legal or corporate responsibility team members (depending upon the role of the individual disclosing the actual or potential conflict) to determine whether an actual or potential for a conflict may exist. b) If it is determined that a potential or actual conflict may exist, I. In the case of board or committee members or officers, issues are elevated to the executive committee of the board or board chair. II. In the case of other persons, conflicts issues are elevated to the conflicts of interest review committee ("C-CIRC"). C. Conflicts determination and management: 1. Matters elevated to C-CIRC: a) The C-CIRC determines whether a disclosed or otherwise identified interest is a conflict of interest. If the C-CIRC determines that a COI exists, and adequate controls are not in place to mitigate the conflict, the C-CIRC facilitates development of a COI management plan designed to mitigate the conflict. Designated entity staff are responsible for monitoring the COI management plan and for documenting monitoring activities. Notwithstanding the foregoing, at its sole discretion, an entity may reject a person's request to enter into the relationship in question, or require the relationship be sufficiently altered to avoid a potential conflict of interest. b) Appeal - if a person does not agree with a determination made by the C-CIRC, its interpretation of the COI policy, still seeks an exemption or exception, or seeks further clarification of the C-CIRC 's decision, the individual may appeal the decision through his or her manager for reconsideration by the C-CIRC, and the C-CIRC will review and issue a final determination based upon any new or additional information presented. (Continued on Schedule O)
Form 990, Part VI, Line 19 Required documents available to the public The organization's financial statements, conflict of interest policy and governing documents are available to the public upon request. The organization's financial statements are included in CommonSpirit Health's consolidated audited financial statements that are available at www.commonspirit.org or www.catholichealthinitiatives.org.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Miscellaneous Revenue - Total Revenue: 3199545, Related or Exempt Function Revenue: , Unrelated Business Revenue: 185963, Revenue Excluded from Tax Under Sections 512, 513, or 514: 3013582;
Form 990, Part IX, Line 11g Other Fees Contract Labor - Total Expense: 48625610, Program Service Expense: 28645347, Management and General Expenses: 19980263, Fundraising Expenses: 0; Other Fees for Services - Total Expense: 45467983, Program Service Expense: 26785189, Management and General Expenses: 18682794, Fundraising Expenses: 0; Purchased Services - Total Expense: 39949163, Program Service Expense: 23534052, Management and General Expenses: 16415111, Fundraising Expenses: 0; Consulting - Total Expense: 1260830, Program Service Expense: 742755, Management and General Expenses: 518075, Fundraising Expenses: 0; Contract Services - Total Expense: 781385, Program Service Expense: 460314, Management and General Expenses: 321071, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances Affiliate Transfers - -60357228; Returned Grant - -14195;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Saint Joseph Health System Inc
 
Employer identification number

61-1334601
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) IMAGING CENTER OF MOUNT STERLING LLC
200 ABRAHAM FLEXNER WAY
LOUISVILLE,KY40202
 MEDICAL IMAGING KY 0 0 SJHS
 
(2) ONCOLOGY SERVICES OF CENTRAL KENTUCKY
ONE SAINT JOSEPH DRIVE
LEXINGTON,KY40504
27-0900852 		ONCOLOGY KY 0 0 SJHS
 
(3) JESSAMINE HEALTH SERVICES LLC DBA SAINT JOSEPH HEART INSTITUTE
200 ABRAHAM FLEXNER WAY
LOUISVILLE,KY40202
 HEALTHCARE KY 0 0 SJHS
 






Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)ALEGENT CREIGHTON CLINIC
12809 W DODGE RD

OMAHA,NE68154
47-0765154 		HOSPITAL NE 501(c)(3) 3 ACH
 
 
No
(2)ALEGENT CREIGHTON HEALTH
12809 W DODGE RD

OMAHA,NE68154
47-0757164 		HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA
 
 
No
(3)ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM
7500 MERCY RD

OMAHA,NE68124
47-0484764 		HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA
 
 
No
(4)ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA
631 N 8TH ST

MISSOURI VALLEY,IA51555
42-0776568 		HOSPITAL IA 501(c)(3) 3 CHI NEBRASKA
 
 
No
(5)ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND ST

OMAHA,NE68122
47-0376615 		HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA
 
 
No
(6)ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER
104 W 17TH ST

SCHUYLER,NE68661
47-0399853 		HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA
 
 
No
(7)ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368

CORNING,IA50841
42-0782518 		HOSPITAL IA 501(c)(3) 3 CHI NEBRASKA
 
 
No
(8)ALVERNA APARTMENTS
300 SE 8TH AVE

LITTLE FALLS,MN56345
41-1351177 		LTERM CARE MN 501(c)(3) 10 CSH
 
 
No
(9)APPLETREE COURT
601 OAK ST

BRECKENRIDGE,MN56520
41-1850500 		SENIOR LIVING MN 501(c)(3) 10 SFH
 
 
No
(10)Arroyo Grande Community Hospital Foundation
345 S Halcyon Rd

Arroyo Grande,CA93420
20-3256066 		FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(11)Bakersfield Memorial Hospital
420 34TH Street

Bakersfield,CA93301
95-1802779 		HOSPITAL CA 501(c)(3) 3 DCC
 
 
No
(12)Barrow Neurological Foundation
350 West Thomas Road

Phoenix,AZ85013
86-0174371 		FUNDRAISING AZ 501(c)(3) 7 DH
 
 
No
(13)BAYLOR ST LUKE'S HEALTH VENTURES
17200 ST LUKES WAY STE 170

THE WOODLANDS,TX77384
27-4499340 		PHYSICIANS TX 501(c)(3) Type I SLCHS
 
 
No
(14)BAYLOR ST LUKE'S MEDICAL GROUP
6624 FANNIN ST STE 1100

HOUSTON,TX77030
76-0458535 		PHYSICIANS TX 501(c)(3) 3 SLHS
 
 
No
(15)BORNEMANN HEALTHCARE CORPORATION
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
23-2187242 		HEALTHCARE PA 501(c)(3) Type I CSH
 
 
No
(16)BRAZOSPORT HEALTH FOUNDATION INC
1 West Way Ct

LAKE JACKSON,TX77566
76-0080110 		FUNDRAISING FOUNDATION TX 501(c)(3) Type I BRHS
 
 
No
(17)BRAZOSPORT REGIONAL PHYSICIAN SERVICES
100 MEDICAL DRIVE

LAKE JACKSON,TX77566
80-0240261 		PHYSICIANS TX 501(c)(3) 3 BRHS
 
 
No
(18)BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2759890 		HOSPITAL TX 501(c)(3) 3 SJSC
 
 
No
(19)BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2913931 		HEALTHCARE TX 501(c)(3) 10 SJSC
 
 
No
(20)California Hospital Medical Center Foundation
1401 South Grand Avenue

Los Angeles,CA90015
95-4000909 		FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC
 
 
No
(21)CARRINGTON HEALTH CENTER
800 N 4TH ST

CARRINGTON,ND58421
45-0227311 		HOSPITAL ND 501(c)(3) 3 CSH
 
 
No
(22)CATHOLIC HEALTH INITIATIVES - COLORADO
9100 East Mineral Circle

Centennial,CO80112
84-0405257 		HOSPITAL CO 501(c)(3) 3 CSH
 
 
No
(23)CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVE

DES MOINES,IA50314
42-0680448 		HOSPITAL IA 501(c)(3) 3 CSH
 
 
No
(24)CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
1150 Kelly Johnson Blvd 204

COLORADO SPRINGS,CO80920
84-0902211 		FUNDRAISING FOUNDATION CO 501(c)(3) 7 CHIC
 
 
No
(25)CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
1150 Kelly Johnson Blvd 204

COLORADO SPRINGS,CO80920
27-0930004 		HEALTHCARE CO 501(c)(3) Type I CSH
 
 
No
(26)CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
46-0992796 		PHYSICIANS CO 501(c)(3) Type I CHINS
 
 
No
(27)CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWY

ROSEBURG,OR97471
26-3946191 		SURGERY CENTER OR 501(c)(3) 10 MMC
 
 
No
(28)CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAY

GREAT BEND,KS67530
48-0543724 		HOSPITAL KS 501(c)(3) 3 CSH
 
 
No
(29)CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY S

FARGO,ND58104
27-1966847 		FUNDRAISING FOUNDATION MN 501(c)(3) 10 CSH
 
 
No
(30)CHI HEALTH FOUNDATION
12809 W DODGE RD

OMAHA,NE68154
47-0648586 		FUNDRAISING FOUNDATION NE 501(c)(3) 7 ACH
 
 
No
(31)CHI INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
27-1050565 		HEALTHCARE CO 501(c)(3) Type I CSH
 
 
No
(32)CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400

ERLANGER,KY41018
20-2741651 		HEALTHCARE KY 501(c)(3) Type I CSH
 
 
No
(33)CHI LIVING COMMUNITIES
5942 RENAISSANCE PLACE STE A

TOLEDO,OH43623
34-1892096 		HEALTHCARE OH 501(c)(3) Type II SFH
 
 
No
(34)CHI Memorial Hospital - Georgia
100 GROSS CRESCENT CIRCLE

FORT OGLETHORPE,GA30742
82-2748395 		HOSPITAL GA 501(c)(3) 3 MHCS
 
 
No
(35)CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
45-1261716 		HEALTHCARE CO 501(c)(3) 10 CHI NS
 
 
No
(36)CHI NATIONAL SERVICES
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
45-2532084 		HEALTHCARE CO 501(c)(3) Type I CSH
 
 
No
(37)CHI NEBRASKA
12809 West Dodge Road

Omaha,NE68510
36-3233121 		HEALTHCARE NE 501(c)(3) Type I CSH
 
 
No
(38)CHI ST JOSEPH CHILDREN'S HEALTH
1929 LINCOLN HWY E STE 150

LANCASTER,PA17602
23-2342997 		HEALTHCARE PA 501(c)(3) Type I CSH
 
 
No
(39)CHI ST JOSEPH'S CHILDREN
1516 5TH ST NW

ALBUQUERQUE,NM87102
71-0897107 		COMMUNITY NM 501(c)(3) Type I CSH
 
 
No
(40)CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER ST

HOT SPRINGS,AR71913
71-0236913 		HOSPITAL AR 501(c)(3) 3 CHISVHS
 
 
No
(41)CHI ST VINCENT HOT SPRINGS
300 WERNER ST

HOT SPRINGS,AR71913
26-1125064 		HOLDING CO AR 501(c)(3) Type II SVIMC
 
 
No
(42)CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
300 WERNER ST

HOT SPRINGS,AR71913
26-1125131 		PHYSICIANS AR 501(c)(3) 3 CHISVHS
 
 
No
(43)COMMONSPIRIT HEALTH
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
47-0617373 		HEALTHCARE CO 501(c)(3) Type I NA
 
 
No
(44)Community Hospital of San Bernardino
1805 Medical Center Drive

San Bernardino,CA92411
95-1643373 		HOSPITAL CA 501(c)(3) 3 DCC
 
 
No
(45)COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK ST ACCOUNTING-3 W

CINCINNATI,OH45206
23-7419853 		HOLDING CO OH 501(c)(4)   GSH
 
 
No
(46)COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION
631 N 8TH ST

MISSOURI VALLEY,IA51555
42-1294399 		FUNDRAISING FOUNDATION IA 501(c)(3) Type I AH-CMHMV
 
 
No
(47)CONTINUING CARE HOSPITAL
One Saint Joseph Drive

LEXINGTON,KY40504
61-1400619 		HOSPITAL KY 501(c)(3) 3 SJHS
 
Yes
 
(48)Dignity Community Care
185 Berry Street Suite 300

San Francisco,CA94107
81-5009488 		HOSPITAL CO 501(c)(3) 3 NA
 
 
No
(49)DIGNITY HEALTH
185 BERRY STREET STE 300

SAN FRANCISCO,CA94107
94-1196203 		HOSPITAL CA 501(c)(3) 3 CSH
 
 
No
(50)Dignity Health Connected Living
200 Mercy Oaks Drive

Redding,CA96003
23-7115371 		Senior Center Services CA 501(c)(3) 7 DH
 
 
No
(51)Dignity Health Foundation
185 Berry Street

San Francisco,CA94107
46-2037641 		FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(52)Dignity Health Foundation - Inland Empire
2101 N Waterman Avenue

San Bernardino,CA92404
23-7440086 		FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(53)Dignity Health Foundation East Valley
475 South Dobson Road

Chandler,AZ85224
74-2418514 		FUNDRAISING FOUNDATION AZ 501(c)(3) Type I DH
 
 
No
(54)Dignity Health HPL Self-Insurance Trust
185 Berry Street

San Francisco,CA94107
94-3006034 		Self Insurance CA 501(c)(3) Type I DH
 
 
No
(55)Dignity Health Insurance Nevada Ltd
185 Berry Street

San Francisco,NV94107
81-3800752 		Self Insurance NV 501(c)(3) Type I DH
 
 
No
(56)Dignity Health Medical Foundation
3400 Data Drive

Rancho Cordova,CA95670
68-0220314 		MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC CA 501(c)(3) Type I DCC
 
 
No
(57)Dignity Health Workers Comp Self-Insurance Trust
185 Berry Street

San Francisco,CA94107
94-6612446 		Self Insurance CA 501(c)(3) Type I DH
 
 
No
(58)Dominican Health Services
1555 Soquel Drive

Santa Cruz,CA95065
77-0056778 		Community Health System CA 501(c)(3) Type I DH
 
 
No
(59)Dominican Hospital Foundation
1555 Soquel Drive

Santa Cruz,CA95065
94-2450442 		FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(60)Dominican Oaks Corporation
1555 Soquel Drive

Santa Cruz,CA95065
77-0127719 		Operation and management of housing complex to elderly persons CA 501(c)(3) 10 DHS
 
 
No
(61)East Texas Clinical Services
2801 VIA FORTUNA SUITE 500

AUSTIN,TX78746
45-4736213 		HEALTHCARE TX 501(c)(3) Type I SLHS
 
 
No
(62)ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1455 BATTERSBY AVE

ENUMCLAW,WA98022
91-0715805 		HOSPITAL WA 501(c)(3) 3 FHS
 
 
No
(63)FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RD

BARDSTOWN,KY40004
61-1345363 		HOSPITAL KY 501(c)(3) 3 KOH
 
 
No
(64)FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RD

BARDSTOWN,KY40004
56-2351341 		FUNDRAISING FOUNDATION KY 501(c)(3) Type I FH
 
 
No
(65)FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RD

TOLEDO,OH43623
34-1931806 		HEALTHCARE OH 501(c)(3) 10 CHI LC
 
 
No
(66)FRANCISCAN FOUNDATION
1717 SOUTH J ST

TACOMA,WA98405
91-1145592 		FUNDRAISING FOUNDATION WA 501(c)(3) 10 FHS
 
 
No
(67)FRANCISCAN HEALTH SYSTEM
1717 SOUTH J ST

TACOMA,WA98405
91-0564491 		HOSPITAL WA 501(c)(3) 3 CSH
 
 
No
(68)FRANCISCAN HEALTH VENTURES FKA SJMGROUP
TACOMA FNC CTR BLDG 1145 BROADWAY

TACOMA,WA98402
43-1882377 		PHYSICIANS MO 501(c)(3) 10 CSH
 
 
No
(69)FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200

TACOMA,WA98402
91-1939739 		HEALTHCARE WA 501(c)(3) 10 FHS
 
 
No
(70)FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 S CHICAGO AVE

SOUTH MILWAUKEE,WI53172
39-1093829 		HEALTHCARE WI 501(c)(3) 10 CSH
 
 
No
(71)French Hospital Medical Center Foundation
1911 Johnson Avenue

San Luis Obispo,CA93401
20-3256125 		FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC
 
 
No
(72)GARRISON MEMORIAL HOSPITAL
407 THIRD AVENUE SOUTHEAST

GARRISON,ND58540
45-0227752 		HOSPITAL ND 501(c)(3) 3 SAMC
 
 
No
(73)Glendale Memorial Health Foundation
1420 South Central Avenue

Glendale,CA91204
95-3625651 		FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC
 
 
No
(74)GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
20-1536108 		MINISTRIES CO 501(c)(3) Type I CSH
 
 
No
(75)GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
619 OAK ST ACCOUNTING-3 W

CINCINNATI,OH45206
31-1778403 		EDUCATION OH 501(c)(3) 2 GSH
 
 
No
(76)GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK ST ACCOUNTING-3 W

CINCINNATI,OH45206
31-1206047 		FUNDRAISING FOUNDATION OH 501(c)(3) Type I GSH
 
 
No
(77)GOOD SAMARITAN HOSPITAL
PO BOX 1990

KEARNEY,NE68848
47-0379755 		HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA
 
 
No
(78)GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST ST

KEARNEY,NE68847
47-0659443 		FUNDRAISING FOUNDATION NE 501(c)(3) 7 GSH
 
 
No
(79)HARRISON MEDICAL CENTER
2520 CHERRY AVE

BREMERTON,WA98310
91-0565546 		HOSPITAL WA 501(c)(3) 3 FHS
 
 
No
(80)HARRISON MEDICAL CENTER FOUNDATION
2520 CHERRY AVE

BREMERTON,WA98310
91-1197626 		FUNDRAISING FOUNDATION WA 501(c)(3) 7 HMC
 
 
No
(81)HEALTH FOUNDATION OF KENTUCKYONE INC
1451 HARRODSBURG RD STE D-308

LEXINGTON,KY40504
83-2170324 		FUNDRAISING FOUNDATION KY 501(c)(3) Type II KOH
 
 
No
(82)HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DR

BRECKENRIDGE,MN56520
76-0761782 		FUNDRAISING FOUNDATION MN 501(c)(3) Type I SFMC
 
 
No
(83)HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SW

BURIEN,WA98166
91-0712166 		HOSPITAL WA 501(c)(3) 3 FHS
 
 
No
(84)HOUSE OF MERCY
1111 6TH AVE

DES MOINES,IA50314
42-1323808 		SHELTER IA 501(c)(3) 7 CHI-IA CORP
 
 
No
(85)JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
250 E Liberty St Ste 500

LOUISVILLE,KY40202
61-1029768 		HOSPITAL KY 501(c)(3) 3 KOH
 
 
No
(86)KENTUCKYONE HEALTH MEDICAL GROUP INC
100 E Liberty St Ste 800

LOUISVILLE,KY40202
61-1352729 		HEALTHCARE KY 501(c)(3) 10 JHSMH
 
 
No
(87)KENTUCKYONE HEALTH INC
200 ABRAHAM FLEXNER WAY

LOUISVILLE,KY40202
61-1029769 		HEALTHCARE KY 501(c)(3) Type II CSH
 
 
No
(88)LAKEWOOD HEALTH CENTER
600 MAIN AVE S

BAUDETTE,MN56623
41-0758434 		HOSPITAL MN 501(c)(3) 3 CSH
 
 
No
(89)LAKEWOOD REGIONAL HEALTHCARE FOUNDATION
600 MAIN AVE S

BAUDETTE,MN56623
41-1893795 		FUNDRAISING FOUNDATION ND 501(c)(3) 7 LHC
 
 
No
(90)LINUS OAKES INC
2700 STEWART PKWY

ROSEBURG,OR97471
93-0821381 		SENIOR LIVING OR 501(c)(3) 10 MMC
 
 
No
(91)LISBON AREA HEALTH SERVICES
905 MAIN ST

LISBON,ND58054
82-0558836 		HOSPITAL ND 501(c)(3) 3 CSH
 
 
No
(92)LUFKIN VISION ACQUISITIONS
PO BOX 1447

LUFKIN,TX75901
82-0563768 		PROPERTY MGMT TX 501(c)(3) Type I MHSET
 
 
No
(93)MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2761145 		HOSPITAL TX 501(c)(3) 3 SJSC
 
 
No
(94)MADONNA MANOR INC
2344 AMSTERDAM ROAD

VILLA HILLS,KY51017
61-0654635 		LIVING ASSIST KY 501(c)(3) 10 CHI LC
 
 
No
(95)Marian Regional Medical Center Foundation
1400 E Church Street

Santa Maria,CA93454
95-3818027 		FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(96)Mark Twain Medical Center
768 Mountain Ranch Road

San Andreas,CA95249
68-0127677 		HOSPITAL CA 501(c)(3) 3 NA
 
 
No
(97)MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVE

CHATTANOOGA,TN37404
62-1839548 		FUNDRAISING FOUNDATION TN 501(c)(3) 7 MHCS
 
 
No
(98)MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVE

CHATTANOOGA,TN37404
62-0532345 		HOSPITAL TN 501(c)(3) 3 CSH
 
 
No
(99)MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500

CHATTANOOGA,TN37411
03-0417049 		HEALTHCARE TN 501(c)(3) 10 MHCS
 
 
No
(100)MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447

LUFKIN,TX75902
75-0755367 		HOSPITAL TX 501(c)(3) 3 SLHS
 
 
No
(101)MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447

LUFKIN,TX75902
76-0436439 		HOSPITAL TX 501(c)(3) 3 MHSET
 
 
No
(102)MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447

LUFKIN,TX75902
75-2663904 		HOSPITAL TX 501(c)(3) 3 MHSET
 
 
No
(103)MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVE

LUFKIN,TX95904
75-2721155 		PHYSICIANS TX 501(c)(3) Type I MHSET
 
 
No
(104)MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447

LUFKIN,TX95902
75-2492741 		HOSPITAL TX 501(c)(3) 3 MHSET
 
 
No
(105)MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVE

DES MOINES,IA50314
42-6076069 		AUXILIARY IA 501(c)(3) Type I MF-DM IA
 
 
No
(106)MERCY CLINICS INC
1111 6TH AVE

DES MOINES,IA50314
42-1193699 		PHYSICIANS IA 501(c)(3) 10 CHI-IA CORP
 
 
No
(107)MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVE

DES MOINES,IA50314
42-1511682 		EDUCATION IA 501(c)(3) 2 CHI-IA CORP
 
 
No
(108)Mercy Foundation Bakersfield
PO Box 119

Bakersfield,CA93302
77-0201321 		FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(109)MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVE

DES MOINES,IA50314
23-7358794 		FUNDRAISING FOUNDATION IA 501(c)(3) 7 CHI-IA CORP
 
 
No
(110)MERCY FOUNDATION INC
2700 STEWART PKWY

ROSEBURG,OR97471
93-6088946 		FUNDRAISING FOUNDATION OR 501(c)(3) 7 MMC
 
 
No
(111)MERCY HEALTH CARE FOUNDATION
PO BOX 368

CORNING,IA50841
42-1461064 		FUNDRAISING FOUNDATION IA 501(c)(3) Type I AHMH-Corning
 
 
No
(112)MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVD

VALLEY CITY,ND58072
45-0435338 		FUNDRAISING FOUNDATION ND 501(c)(3) Type I MHVC
 
 
No
(113)MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DR

COUNCIL BLUFFS,IA51503
42-1178204 		FUNDRAISING FOUNDATION IA 501(c)(3) Type I AHBMHS
 
 
No
(114)MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NE

DEVILS LAKE,ND58301
45-0227012 		HOSPITAL ND 501(c)(3) 3 CSH
 
 
No
(115)MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NE

DEVILS LAKE,ND58301
35-2367360 		FUNDRAISING FOUNDATION ND 501(c)(3) 7 MHDL
 
 
No
(116)MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVD

VALLEY CITY,ND58072
45-0226553 		HOSPITAL ND 501(c)(3) 3 CSH
 
 
No
(117)Mercy McMahon Terrace
3865 J Street

Sacramento,CA95816
68-0117340 		Senior Citizen's Housing/Retirement Communities CA 501(c)(3) 10 DCC
 
 
No
(118)MERCY MEDICAL CENTER
1301 15TH AVE WEST

WILLISTON,ND58801
45-0231183 		HOSPITAL ND 501(c)(3) 3 CSH
 
 
No
(119)MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVE

CENTERVILLE,IA52544
42-0680308 		HOSPITAL IA 501(c)(3) 3 CHI-IA CORP
 
 
No
(120)MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER
204 N 4th Ave E

Newton,IA50314
42-1470935 		HOSPITAL IA 501(c)(3) 3 CHI-IA CORP
 
 
No
(121)Mercy Medical Center Merced Foundation
301 E 13th Street

Merced,CA95340
77-0035928 		FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(122)MERCY MEDICAL CENTER INC
2700 STEWART PKWY

ROSEBURG,OR97471
93-0386868 		HOSPITAL OR 501(c)(3) 3 CSH
 
 
No
(123)MERCY MEDICAL FOUNDATION
1301 15TH AVE WEST

WILLISTON,ND58801
45-0381803 		FUNDRAISING FOUNDATION ND 501(c)(3) Type I MMC
 
 
No
(124)NEBRASKA HEART HOSPITAL
7500 S 91ST ST

LINCOLN,NE68526
39-2031968 		HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA
 
 
No
(125)Northland Healthcare Alliance
2223 East Rosser Avenue

Bismarck,ND58501
91-1845296 		MANAGEMENT ND 501(c)(3) 7 NCHA
 
 
No
(126)Northridge Hospital Foundation
18300 Roscoe Blvd

Northridge,CA91328
23-7444901 		FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC
 
 
No
(127)OAKES COMMUNITY HOSPITAL
1200 N 7TH ST

OAKES,ND58474
45-0231675 		HOSPITAL ND 501(c)(3) 3 CSH
 
 
No
(128)OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH ST

OAKES,ND58474
71-0966606 		FUNDRAISING FOUNDATION ND 501(c)(3) Type I OCH
 
 
No
(129)Pacific Central Coast Health Centers
1400 E Church Street

Santa Maria,CA93454
77-0447575 		Clinic CA 501(c)(3) 3 DH
 
 
No
(130)PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447

LUFKIN,TX75902
75-2493116 		PROPERTY MGMT TX 501(c)(3) Type I MHSET
 
 
No
(131)Port City Operating Company LLC
3400 Data Drive

Rancho Cordova,CA95670
46-5322209 		HOSPITAL CA 501(c)(3) 3 DH
 
 
No
(132)PROVIDENCE CARE CENTER
2025 HAYES AVENUE

SANDUSKY,OH44870
34-1658625 		HEALTHCARE OH 501(c)(3) 10 CHI LC
 
 
No
(133)PROVIDENCE CARE CENTERS
2025 HAYES AVENUE

SANDUSKY,OH44870
34-1826099 		HOLDING CO OH 501(c)(3) Type II CHI LC
 
 
No
(134)PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION
5055 PROVIDENCE DRIVE

SANDUSKY,OH44870
34-1896807 		LIVING COMM OH 501(c)(3) 10 CHI LC
 
 
No
(135)PUEBLO STEPUP
1925 E ORMAN AVE STE G52

PUEBLO,CO81004
84-1234295 		COMMUNITY CO 501(c)(3) 7 CHIC
 
 
No
(136)REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE
16251 Sylvester Road SW

Burien,WA98166
91-1170040 		HOSPITAL WA 501(c)(3) 3 FHS
 
 
No
(137)SET OF COLORADO SPRINGS INC
9100 E Mineral Circle

Centennial,CO80112
84-1183335 		Senior Center Services CO 501(c)(3) 7 CHIC
 
 
No
(138)SAINT CLARE'S COMMUNITY CARE INC
25 POCONO RD

DENVILLE,NJ07834
22-2876836 		HEALTHCARE NJ 501(c)(3) 10 SCHS
 
 
No
(139)SAINT CLARE'S FOUNDATION INC
25 POCONO RD

DENVILLE,NJ07834
22-2502997 		FUNDRAISING FOUNDATION NJ 501(c)(3) 7 SCHS
 
 
No
(140)SAINT CLARE'S HEALTH SERVICES INC
25 POCONO RD

DENVILLE,NJ07834
22-3639733 		MANAGEMENT NJ 501(c)(3) 10 CSH
 
 
No
(141)SAINT CLARE'S HOSPITAL INC
25 POCONO RD

DENVILLE,NJ07834
22-3319886 		HEALTHCARE NJ 501(c)(3) 3 SCHS
 
 
No
(142)SAINT ELIZABETH FOUNDATION
555 S 70TH ST

LINCOLN,NE68510
47-0625523 		FUNDRAISING FOUNDATION NE 501(c)(3) 7 SERMC
 
 
No
(143)SAINT ELIZABETH HEALTH SERVICES
555 S 70TH ST

LINCOLN,NE68510
36-3233120 		HOSPITAL NE 501(c)(3) 3 SERMC
 
 
No
(144)SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH ST

LINCOLN,NE68510
47-0379836 		HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA
 
 
No
(145)SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEY

GRAND ISLAND,NE68803
47-0376601 		HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA
 
 
No
(146)SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804

GRAND ISLAND,NE68802
47-0630267 		FUNDRAISING FOUNDATION NE 501(c)(3) 7 SFMC
 
 
No
(147)Saint Francis Memorial Hospital
900 Hyde Street

San Francisco,CA94109
94-1156295 		HOSPITAL CA 501(c)(3) 3 DCC
 
 
No
(148)SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL ST

BEREA,KY40403
26-0152877 		FUNDRAISING FOUNDATION KY 501(c)(3) 7 SJHS
 
Yes
 
(149)SAINT JOSEPH HOSPITAL FOUNDATION INC
701 Bob Olink Dr 200

LEXINGTON,KY40504
61-1159649 		FUNDRAISING FOUNDATION KY 501(c)(3) Type I SJHS
 
Yes
 
(150)SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANE

LONDON,KY40741
26-0438748 		FUNDRAISING FOUNDATION KY 501(c)(3) 7 SJHS
 
Yes
 
(151)SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DR

MOUNT STERLING,KY40353
27-2884584 		FUNDRAISING FOUNDATION KY 501(c)(3) 7 SJHS
 
Yes
 
(152)SAINT JOSEPH'S HOSPITAL FOUNDATION
2500 Fairway Street

DICKINSON,ND58601
36-3418207 		FUNDRAISING FOUNDATION ND 501(c)(3) Type I SJHHC
 
 
No
(153)San Gabriel Valley Medical Center Foundation
438 West Las Tunas Drive

San Gabriel,CA91776
95-3430341 		INACTIVE CA 501(c)(3) Type I DH
 
 
No
(154)SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH ST

SCHUYLER,NE68661
36-3630014 		FUNDRAISING FOUNDATION NE 501(c)(3) Type I AHMHS
 
 
No
(155)Sierra Nevada Memorial-Miners Hospital
155 Glasson Way

Grass Valley,CA95945
94-1439787 		HOSPITAL CA 501(c)(3) 3 DCC
 
 
No
(156)SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
44-0545809 		HOSPITAL MO 501(c)(3) 3 CSH
 
 
No
(157)St Francis Foundation of Santa Barbara
2323 De La Vina St Suite 104

Santa Barbara,CA93105
23-7137119 		FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(158)St Francis Hospital Support Corporation
601 E Micheltorena Street

Santa Barbara,CA93103
77-0022302 		INACTIVE CA 501(c)(3) Type I DH
 
 
No
(159)St Johns Healthcare Foundation
1600 North Rose Avenue

Oxnard,CA93030
20-2865781 		FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(160)St Josephs Foundation (Phoenix)
350 West Thomas Road

Phoenix,AZ85013
94-2941245 		FUNDRAISING FOUNDATION AZ 501(c)(3) Type I DH
 
 
No
(161)St Josephs Foundation of San Joaquin
1800 N California Street

Stockton,CA95204
51-0432777 		FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(162)St Mary Medical Center Foundation
1050 Linden Avenue

Long Beach,CA90813
23-7153876 		FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(163)St Mary Professional Building Inc
1050 Linden Avenue

Long Beach,CA90813
23-7373088 		INACTIVE CA 501(c)(3) Type I DH
 
 
No
(164)St Marys Medical Center Foundation
450 Stanyan Street

San Francisco,CA94117
94-3336143 		FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(165)St Rose Dominican Health Foundation
3001 St Rose Parkway

Henderson,NV89052
88-0349432 		FUNDRAISING FOUNDATION NV 501(c)(3) Type I DH
 
 
No
(166)ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUE

BISMARCK,ND58501
45-0226711 		HOSPITAL ND 501(c)(3) 3 CSH
 
 
No
(167)ST ANTHONY HOSPITAL
2801 St Anthony Way

PENDLETON,OR97801
93-0391614 		HOSPITAL OR 501(c)(3) 3 CSH
 
 
No
(168)ST ANTHONY HOSPITAL FOUNDATION
2801 St Anthony Way

PENDLETON,OR97801
93-0992727 		FUNDRAISING FOUNDATION OR 501(c)(3) Type I SAH
 
 
No
(169)ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DR

MORRILTON,AR72110
71-0245507 		HOSPITAL AR 501(c)(3) 3 SVIMC
 
 
No
(170)ST CATHERINE HOSPITAL
401 EAST SPRUCE ST

GARDEN CITY,KS67846
48-0543721 		HOSPITAL KS 501(c)(3) 3 CSH
 
 
No
(171)ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE ST

GARDEN CITY,KS67846
20-0598702 		FUNDRAISING FOUNDATION KS 501(c)(3) Type I SCH
 
 
No
(172)ST CLARE COMMONS
12469 Five Point Road

TOLEDO,OH43551
27-0163752 		LIVING COMM OH 501(c)(3) 10 CHI LC
 
 
No
(173)ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
93-0433692 		HEALTHCARE OR 501(c)(4)   CSH
 
 
No
(174)ST FRANCIS HOME
2400 ST FRANCIS DR

BRECKENRIDGE,MN56520
41-0729978 		LTERM CARE MN 501(c)(3) 10 CSH
 
 
No
(175)ST FRANCIS LIFE CARE CORPORATION
19 POCONO RD

DENVILLE,NJ07834
22-2536017 		ELDERLY CARE NJ 501(c)(3) 10 SCHS
 
 
No
(176)ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DR

BRECKENRIDGE,MN56520
41-0695598 		HOSPITAL MN 501(c)(3) 3 CSH
 
 
No
(177)ST JOSEPH FOUNDATION OF BRYAN TEXAS
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2351158 		FUNDRAISING FOUNDATION TX 501(c)(3) Type II SJSC
 
 
No
(178)ST JOSEPH MANOR
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2847594 		HEALTHCARE TX 501(c)(3) 10 SJSC
 
 
No
(179)ST JOSEPH MEDICAL CENTER INC
201 INTERNATIONAL CIRCLE STE 212

HUNT VALLEY,MD21030
52-0591461 		HOSPITAL MD 501(c)(3) 3 CSH
 
 
No
(180)ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVE

BRYAN,TX77802
20-3159302 		PHYSICIANS TX 501(c)(3) 3 SJSC
 
 
No
(181)ST JOSEPH PHYSICIAN ENTERPRISE INC
201 INTERNATIONAL CIRCLE STE 212

HUNT VALLEY,MD21030
52-1311775 		PHYSICIANS MD 501(c)(3) Type I SJMC
 
 
No
(182)ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-1282696 		HOSPITAL TX 501(c)(3) 3 SJSC
 
 
No
(183)ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVE

BRYAN,TX77802
45-4088170 		HOSPITAL TX 501(c)(3) 3 SJSC
 
 
No
(184)ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVE

BRYAN,TX77802
46-3265423 		HEALTHCARE TX 501(c)(3) 10 SJSC
 
 
No
(185)ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2455161 		MANAGEMENT TX 501(c)(3) Type I SLHS
 
 
No
(186)ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVE

PARK RAPIDS,MN56470
41-0695603 		HOSPITAL MN 501(c)(3) 3 CSH
 
 
No
(187)ST JOSEPH'S HOSPITAL AND HEALTH CENTER
2500 Fairway St

DICKINSON,ND58601
45-0226429 		HOSPITAL ND 501(c)(3) 3 CSH
 
 
No
(188)ST LEONARD
8100 CLYO ROAD

CENTERVILLE,OH45458
34-1940863 		LIVING COMM OH 501(c)(3) 10 CHI LC
 
 
No
(189)ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC
6624 FANNIN ST STE 2505

HOUSTON,TX77030
27-3733278 		HOSPITAL TX 501(c)(3) 3 SLHS
 
 
No
(190)ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
6624 FANNIN ST STE 2505

HOUSTON,TX77030
26-1947374 		HOSPITAL TX 501(c)(3) 3 SLHS
 
 
No
(191)ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN ST STE 2505

HOUSTON,TX77030
26-0335902 		HOSPITAL TX 501(c)(3) 3 SLHS
 
 
No
(192)ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100

HOUSTON,TX77030
76-0536234 		HOSPITAL TX 501(c)(3) 3 SLHS
 
 
No
(193)ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855

HOUSTON,TX77004
45-3811485 		FUNDRAISING FOUNDATION TX 501(c)(3) 7 SLHS
 
 
No
(194)ST LUKE'S HEALTH SYSTEM CORPORATION
PO Box 20269

HOUSTON,TX77225
76-0536232 		MANAGEMENT TX 501(c)(3) Type I CSH
 
 
No
(195)ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505

HOUSTON,TX77030
26-3734606 		HOSPITAL TX 501(c)(3) 3 SLHS
 
 
No
(196)ST LUKE'S PROPERTIES CORPORATION
1213 Hermann Drive Ste 855

HOUSTON,TX77004
76-0531716 		PROPERTY MGMT TX 501(c)(3) Type I SLHS
 
 
No
(197)ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505

HOUSTON,TX77030
45-4120549 		PROPERTY MGMT TX 501(c)(3) Type I SLCDC-SL
 
 
No
(198)ST MARY'S COMMUNITY HOSPITAL
1301 Grundman Boulevard

NEBRASKA CITY,NE68410
47-0443636 		HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA
 
 
No
(199)ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVE

NEBRASKA CITY,NE68410
47-0707604 		FUNDRAISING FOUNDATION NE 501(c)(3) 7 SMCH
 
 
No
(200)ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE

LITTLE ROCK,AR72205
51-0169537 		FUNDRAISING FOUNDATION AR 501(c)(3) Type I SVIMC
 
 
No
(201)ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE

LITTLE ROCK,AR72205
71-0236917 		HOSPITAL AR 501(c)(3) 3 CSH
 
 
No
(202)ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE

LITTLE ROCK,AR72205
71-0830696 		HEALTHCARE AR 501(c)(3) 10 SVIMC
 
 
No
(203)SYLVANIA FRANCISCAN HEALTH
1715 INDIAN WOOD CIR 200

MAUMEE,OH43537
34-1412964 		HEALTHCARE OH 501(c)(3) Type I CSH
 
 
No
(204)SYLVANIA FRANCISCAN HEALTH FOUNDATION
1715 INDIAN WOOD CIR 200

MAUMEE,OH43537
45-5357161 		FUNDRAISING FOUNDATION OH 501(c)(3) Type I SFH
 
 
No
(205)THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVE

SANDUSKY,OH44870
34-1826097 		ASSIST LIVING OH 501(c)(3) 10 CHI LC
 
 
No
(206)THE COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL DRIVE

LAKE JACKSON,TX77566
74-1385192 		HOSPITAL TX 501(c)(3) 3 SLHS
 
 
No
(207)THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK ST ACCOUNTING-3 W

CINCINNATI,OH45206
31-0537486 		HOSPITAL OH 501(c)(3) 3 CSH
 
 
No
(208)THE PHYSICIAN NETWORK
2000 Q ST STE 500

LINCOLN,NE68503
47-0780857 		PHYSICIANS NE 501(c)(3) Type I CHI NEBRASKA
 
 
No
(209)TOTAL HEALTHCARE
9100 E Mineral Circle

Centennial,CO80112
84-0927232 		HOSPITAL CO 501(c)(3) 3 CHIC
 
 
No
(210)TRINITY HEALTH FOUNDATION
380 SUMMIT AVENUE

STEUBENVILLE,OH43952
31-1329423 		FUNDRAISING FOUNDATION OH 501(c)(3) Type I THS
 
 
No
(211)TRINITY HEALTH SYSTEM
380 SUMMIT AVENUE

STEUBENVILLE,OH43952
34-1818681 		HEALTHCARE OH 501(c)(3) Type I NA
 
 
No
(212)TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREET

DENNISON,OH44621
27-5401105 		HOSPITAL OH 501(c)(3) 3 THS
 
 
No
(213)TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVD

STEUBENVILLE,OH43952
34-1522484 		ASSIST LIVING OH 501(c)(3) 7 THS
 
 
No
(214)UNITY FAMILY HEALTHCARE
815 SE 2ND ST

LITTLE FALLS,MN56345
41-0721642 		HOSPITAL MN 501(c)(3) 3 CSH
 
 
No
(215)VILLA NAZARETH INC
801 PAGE DR

FARGO,ND58103
45-0226714 		LTERM CARE ND 501(c)(3) 10 CSH
 
 
No
(216)VISITING NURSE ASSOCIATION OF ST CLARE'S INC
191 WOODPORT RD

SPARTA,NJ07871
22-1768334 		HOME HEALTH NJ 501(c)(3) 10 SCHS
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) AGH Phoenix LLC

220 E Las Colinas Blvd Suite 1000
Irving,TX75039
47-1584330 		Holding Company AZ NA
  		N/A       No     No  
(2) American Mercy Home Care LLC

1700 EDISON DR
MILFORD,OH45150
83-0486150 		HOME HEALTH OH NA
  		N/A       No     No  
(3) Arizona Care Network LLC (ACN LLC)

350 W Thomas Rd
Phoenix,AZ85013
45-4494682 		Care Network AZ NA
  		N/A       No     No  
(4) Audubon Land Company LLC

630 Southpointe Court 200
COLORADO SPRINGS,CO80906
84-1513085 		Real Estate CO NA
  		N/A       No     No  
(5) AVON EMERGENCY AND URGENT CARE CENTER LLC

9100 E Mineral Circle
Centennial,CO80112
81-1727282 		HEALTHCARE SRVC CO NA
  		N/A       No     No  
(6) BAYLOR CHI ST LUKES HEALTH SERVICES LLC

6624 Fannin St Ste 1100
HOUSTON,TX77030
47-2079184 		HEALTHCARE SRVC TX NA
  		N/A       No     No  
(7) BERGAN MERCY SURGERY CENTER LLC

7710 Mercy Rd Ste 200
OMAHA,NE68124
20-8671994 		AMBUL SURG CTR NE NA
  		N/A       No     No  
(8) BERYWOOD OFFICE PROPERTIES LLC

2501 Citico Avenue
CHATTANOGA,TN37404
62-1875199 		PHYS OFFICE TN NA
  		N/A       No     No  
(9) BLUEGRASS REGIONAL IMAGING CENTER

1218 SOUTH BROADWAY STE 310
LEXINGTON,KY40504
61-1386736 		DIAGNOSTIC IMAGING KY SJHS
  		Excluded 261,365 3,217,506   No 0   No  
(10) CBCC Outsmarting Cancer LLC

6501 Truxtun Avenue
Bakersfield,CA93309
46-1602286 		Radiation / Oncology including Cyberknife CA NA
  		N/A       No     No  
(11) CENTRAL NEBRASKA REHABILITATION SERVICES LLC

3004 W FAIDLEY AVENUE
GRAND ISLAND,NE68803
81-0653461 		Physical Therapy NE NA
  		N/A       No     No  
(12) CENTURA-SCA HOLDINGS LLC

569 BROOK VILLAGE STE 901
BIRMINGHAM,AL35209
47-4823023 		OP SURGERY CENTER AL NA
  		N/A       No     No  
(13) CHI OPERATING INVESTMENT PROGRAM LP

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
47-0727942 		INVESTMENTS CO NA
  		N/A       No     No  
(14) CHICAMSURG Surgery Centers LLC

1A Burton Hills Blvd
Nashville,TN37215
46-5683027 		SURGERY CENTER CO NA
  		N/A       No     No  
(15) CHICLARKIN VENTURES LLC

9100 E Mineral Circle
Centennial,CO80112
47-4210888 		URGENT CARE CO NA
  		N/A       No     No  
(16) Colorado Springs CK Leasing LLC

630 Southpointe Court 200
COLORADO SPRINGS,CO80906
26-2982714 		REAL ESTATE CO NA
  		N/A       No     No  
(17) Community Mercy Home Care Services of Springfield LLC

1700 EDISON DR
MILFORD,OH45150
31-1746556 		HOME HEALTH OH NA
  		N/A       No     No  
(18) DE JV LLC

8686 New Trails Drive
The Woodlands,TX77381
32-0496548 		Emergency Care NV NA
  		N/A       No     No  
(19) DHHP Surgery Centers LLC

1513 S Grand Avenue Ste 350
Los Angeles,CA90015
83-1847466 		SURGERY CA NA
  		N/A       No     No  
(20) DHRT Holdings LLC

185 Berry Street Suite 300
San Francisco,CA94107
35-2484591 		Holding Company DE NA
  		N/A       No     No  
(21) Dignity- GoHealthUrgent Care Management LLC

5555 Glenridge Connector Suite 700
Atlanta,GA30342
35-2548698 		Management Services DE NA
  		N/A       No     No  
(22) Dignity Health at Home LLC

1700 EDISON DR
MILFORD,OH45150
82-4674115 		HEALTHCARE SRVC DE NA
  		N/A       No     No  
(23) Dignity Health Specialty Pharmacy LLC

185 Berry Street Suite 300
San Francisco,CA94107
32-0589462 		Specialty Pharmacy Services DE NA
  		N/A       No     No  
(24) DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC

15305 Dallas Parkway
Suite 1600 LB 28
Addison,TX75001
20-2999237 		Surgery TX NA
  		N/A       No     No  
(25) DignityUSP NorCal Surgery Centers LLC

15306 Dallas Parkway
Suite 1600 LB 28
Addison,TX75001
20-2468509 		SURGERY TX NA
  		N/A       No     No  
(26) DIGNITYUSP PHOENIX SURGERY CENTERS LLC

15307 Dallas Parkway
Suite 1600 LB 28
Addison,TX75001
13-4248908 		Surgery TX NA
  		N/A       No     No  
(27) DignityUSPJohn Muir East Bay Surg Ctrs LLC

15308 Dallas Parkway
Suite 1600 LB 28
Addison,TX75001
35-2584991 		SURGERY TX NA
  		N/A       No     No  
(28) Dignity-Abrazo Health Network LLC

3030 N Central Avenue Suite 1402
Phoenix,AZ85012
46-5477985 		Management Services AZ NA
  		N/A       No     No  
(29) Dominican Magnetic Resonance Imaging Center

1545 Soquel Drive
Santa Cruz,CA94065
77-0095477 		Imaging Center CA NA
  		N/A       No     No  
(30) Folsom Sierra Endoscopy Center LP

1650 Creekside Drive 1600
Folsom,CA95630
68-0482416 		Endoscopy CA NA
  		N/A       No     No  
(31) Franciscan Medical Pavilion Bonney Lake LLC

6622 Wollochet Dr NW
Gig Harbor,WA98335
46-3494108 		Real Estate WA NA
  		N/A       No     No  
(32) FRANCISCAN SPECIALTY CARE LLC

680 SOUTH FOURTH STREET
LOUISVILLE,KY40202
81-3725123 		HEALTHCARE SRVC WA NA
  		N/A       No     No  
(33) Good Samaritan Home Care Services of Vincenne IN LLC

1700 EDISON DR
MILFORD,OH45150
20-1792869 		HOME HEALTH OH NA
  		N/A       No     No  
(34) HC SL VINTAGE I LLC

18000 W SARAH LANE STE 250
BROOKFIELD,WI53045
27-0453767 		PROPERTY HOLDING WI NA
  		N/A       No     No  
(35) HEALTHCARE SUPPORT SERVICES LLC

PO BOX 9804
GRAND ISLAND,NE68802
72-1546196 		LAUNDRY NE NA
  		N/A       No     No  
(36) Heartland Oncology LLC

2337 E Crawford St
Salina,KS67401
46-4265403 		ONCOLOGY KS NA
  		N/A       No     No  
(37) Highline Physical Therapy Group

181 S 333rd Street STE 250
Federal Way,WA98003
91-1431904 		Physical Therapy WA NA
  		N/A       No     No  
(38) LAKESIDE AMBULATORY SURGICAL CENTER LLC

17031 LAKESIDE HILLS DR
OMAHA,NE68130
20-4267902 		AMBUL SURG CTR NE NA
  		N/A       No     No  
(39) LAKESIDE ENDOSCOPY CENTER LLC

17001 LAKESIDE HILLS PLZ STE 201
OMAHA,NE68130
20-5544496 		ENDOSCOPY SRVC NE NA
  		N/A       No     No  
(40) LINCOLN CK LEASING LLC

555 SOUTH 70TH STREET
Lincoln,NE68510
26-2496856 		Real Estate NE NA
  		N/A       No     No  
(41) Mercy Davis Cancer Center Management Co LLC

2740 M Street
Merced,CA95340
94-3358445 		Management of Cancer Center CA NA
  		N/A       No     No  
(42) Mercy Rehabilitation Hospital LLC

680 SOUTH FOURTH STREET
LOUISVILLE,KY40202
81-4437201 		HEALTHCARE SRVC TX NA
  		N/A       No     No  
(43) Military Road Properties LLC

181 S 333rd Street STE 250
Federal Way,WA98003
91-2067879 		Real Estate WA NA
  		N/A       No     No  
(44) NEBRASKA SPINE HOSPITAL LLC

6901 N 72ND ST STE 20300
OMAHA,NE68122
27-0263191 		SPINE HOSPITAL NE NA
  		N/A       No     No  
(45) NICU Operating CO of Santa Cruz LLC

1555 Soquel Drive
Santa Cruz,CA95065
46-0502935 		Neonatal Healthcare CA NA
  		N/A       No     No  
(46) NORTH RIVER SURGERY CENTER LLC

2209 WILDWOOD AVE
SHERWOOD,AR72120
71-0799771 		AMBUL SURG CTR AR NA
  		N/A       No     No  
(47) NSC Channel Islands LLC

3000 Riverchase Galleria Suite 500
Birmingham,AL35244
77-0418197 		Ambulatory surgical center CA NA
  		N/A       No     No  
(48) OMG Arizona LLC

130 Sutter Street 2nd Flr
San Francisco,CA94104
47-1708588 		Medical Office AZ NA
  		N/A       No     No  
(49) ORTHOCOLORADO LLC

11650 WEST 2ND PLACE
LAKEWOOD,CO80228
37-1577105 		ORTHO HOSPITAL CO NA
  		N/A       No     No  
(50) Park Rapids Area Health Care

600 Pleasant Avenue S
Park Rapids,MN56470
20-4926259 		HEALTHCARE SRVC MN NA
  		N/A       No     No  
(51) Pasadena Urgency Center LLC

4600 E SAM HOUSTON PKWY SOUTH
PASADENA,TX77505
81-2482854 		URGENT CARE TX NA
  		N/A       No     No  
(52) Patient Transport Services of Columbus Inc

1700 EDISON DR
MILFORD,OH45150
26-4601285 		Ambulance OH NA
  		N/A       No     No  
(53) PENINSULA RADIATION ONCOLOGY LLC

314 MLK JR WAY STE 11
TACOMA,WA98405
87-0808610 		HEALTHCARE SRVC WA NA
  		N/A       No     No  
(54) Penrad Imaging LLC

1390 Kelly Johnson Blvd
COLORADO SPRINGS,CO80920
84-1072619 		Medical Imaging CO NA
  		N/A       No     No  
(55) Performance Medical Equipment & Respiratory Svsc LLC

19625 62nd Avenue South STE 101
Kent,WA98032
45-2901632 		Holding Company WA NA
  		N/A       No     No  
(56) Plaza Surgery Center LP

525 E Plaza Drive Suite 100
Santa Maria,CA93454
77-0573567 		Surgery CA NA
  		N/A       No     No  
(57) PMC HOSPITAL LLC

3100 MAIN ST STE 500
HOUSTON,TX77002
27-3280598 		HOSPITAL TX NA
  		N/A       No     No  
(58) Precision Medicine Alliance LLC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
35-2569159 		Diagnostic Services CO NA
  		N/A       No     No  
(59) Pueblo Ambulatory Surgery Center LLC

25 Montebello Rd
Pueblo,CO81003
62-1488737 		SURGERY CENTER CO NA
  		N/A       No     No  
(60) Radiation Oncology Centers of Ventura County

1700 N ROSE AVENUE SUITE 120
OXNARD,CA93030
77-0191706 		IMAGING CA NA
  		N/A       No     No  
(61) RBR Management LLC

91 Corporate Park Drive Suite 120
Henderson,NV89074
27-1466450 		Ambulance NV NA
  		N/A       No     No  
(62) Reid-ANC Home Care Services LLC

1700 EDISON DR
MILFORD,OH45150
37-1454747 		HOME HEALTH IN NA
  		N/A       No     No  
(63) SAINT JOSEPH - SCA HOLDINGS LLC

1451 Harrodsburg RD
LEXINGTON,KY40503
45-3801157 		OP SURGERY DE NA
  		N/A       No     No  
(64) SAINT JOSEPH-ANC HOME CARE SERVICES

1700 EDISON DR
MILFORD,OH45150
26-3330545 		HOME HEALTH KY NA
  		N/A       No     No  
(65) Santa Cruz Comprehensive Imaging LLC

1661 Soquel Drive Suite G
Santa Cruz,CA95065
01-0550623 		Imaging CA NA
  		N/A       No     No  
(66) Santa Cruz Land & Building LP

1555 Soquel Drive
Santa Cruz,CA95065
77-0285236 		REAL ESTATE CA NA
  		N/A       No     No  
(67) Santa Cruz Surgery Center LLC

3003 PAUL SWEET ROAD
SANTA CRUZ,CA95065
77-0194916 		SURGERY CA NA
  		N/A       No     No  
(68) SMI Imaging LLC

6740 E Camelback Road Suite 101
Scottsdale,AZ85251
26-4000683 		Imaging Center CA NA
  		N/A       No     No  
(69) Southeastern Home Care LLC

1700 EDISON DR
MILFORD,OH45150
27-1219638 		HOME HEALTH OH NA
  		N/A       No     No  
(70) St Joseph's Surgery Center LP

15305 Dallas Parkway
Suite 1600 LB 28
Addison,TX75001
20-1019390 		Surgery TX NA
  		N/A       No     No  
(71) St Elizabeth Home Care Services LLC

1700 EDISON DR
MILFORD,OH45150
26-1236191 		HOME HEALTH KY NA
  		N/A       No     No  
(72) ST FRANCIS LAND COMPANY

5390 N ACADEMY BLVD STE 300
COLORADO SPRINGS,CO80918
26-3134100 		REAL ESTATE CO NA
  		N/A       No     No  
(73) ST LUKE'S DIAGNOSTIC CATH LAB LLP

6624 FANNIN ST STE 800
HOUSTON,TX77030
71-0959365 		DIAGNOSTICS TX NA
  		N/A       No     No  
(74) ST LUKE'S LAKESIDE HOSPITAL LLC

6624 FANNIN STE 2505
HOUSTON,TX77030
30-0427437 		HOSPITAL TX NA
  		N/A       No     No  
(75) ST LUKE'S THE WOODLANDS SLEEP CENTER LLC

6624 FANNIN STE 800
HOUSTON,TX77030
46-2795726 		DIAGNOSTICS TX NA
  		N/A       No     No  
(76) Templeton Surgery Center LLC

1310 Las Tablas Road Suite 104
Templeton,CA94365
20-2246616 		Surgery CA NA
  		N/A       No     No  
(77) The Medical Pavilion at St John's

1700 Rose Avenue
Oxnard,CA93030
77-0332349 		Real Estate CA NA
  		N/A       No     No  
(78) THREE SPRING IMAGING LLC

1 Mercado St STE 200A
DURANGO,CO81301
81-3571570 		HEALTHCARE SRVC CO NA
  		N/A       No     No  
(79) Valley Physicians Surgery Center At Northridge LLC

18330 Roscoe Blvd
Northridge,CA91328
80-0864336 		Surgery CA NA
  		N/A       No     No  
(80) WEST LAKES SURGERY CENTER LLC

12499 UNIVERSITY AVENUE STE 100
CLIVE,IA50325
20-5345295 		HEALTHCARE SRVC IA NA
  		N/A       No     No  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Alegent HealthCreighton St Joseph Managed Care Services Inc

12809 West Dodge Rd
Omaha,NE68154
47-0802396 		Managed Care NE NA
  		C Corporation         No
(2) All Saints Insurance Company SPC Ltd

PO BOX 10073 APO
Georgetown,GRAND CAYMANKY11001
CJ
98-0556913 		Insurance CJ NA
  		C Corporation         No
(3) ALLIANCE HEALTH PROVIDERS OF BRAZOS Valley Inc

2801 FRANCISCAN DRIVE
BRYAN,TX77802
74-2466914 		Healthcare TX NA
  		C Corporation         No
(4) Alternative Insurance Management Service Inc

3900 OLYMPIC BLVD STE 400
Erlanger,KY41018
84-1112049 		Management Services CO NA
  		C Corporation         No
(5) AMERICAN NURSING CARE Inc

1700 EDISON DR
MILFORD,OH45150
31-1085414 		HOME HEALTH OH NA
  		C Corporation         No
(6) AMERIMED INC

1700 EDISON DR
MILFORD,OH45150
31-1158699 		HOME HEALTH OH NA
  		C Corporation         No
(7) BC HOLDING COMPANY INC

1850 BLUEGRASS AVE
LOUISVILLE,KY40215
31-1542851 		Fitness Club KY NA
  		C Corporation         No
(8) BrazoSport Health Alliance

1 WEST WAY COURT
LAKE JACKSON,TX77566
76-0518376 		Health Care TX NA
  		C Corporation         No
(9) Caduceus Medical Associates INC

5600 Brainerd Road Ste 500
Chattanooga,TN37411
62-1570736 		Healthcare TN NA
  		C Corporation         No
(10) Captive Management Initiatives Ltd

PO BOX 10073 APO
Georgetown,GRAND CAYMANKY11001
CJ
98-0663022 		Captive Management CJ NA
  		C Corporation         No
(11) Catholic Health Initiatives Center for Translational Research

198 INVERNESS DRIVE WEST
Englewood,CO80112
27-2269511 		Research CO NA
  		C Corporation         No
(12) CHI St Luke's Health - Memorial Condominium Association Inc

1201 W Frank Ave
Lufkin,TX75904
83-4184717 		Condo Assoc TX NA
  		C Corporation         No
(13) ClearRiver Health

198 INVERNESS DRIVE WEST
Englewood,CO80112
46-4495960 		Insurance TN NA
  		C Corporation         No
(14) Coastal Surgical Specialists Inc

921 Oak Park Blvd Suite 101
Pismo Beach,CA93449
74-3000596 		Healthcare CA NA
  		S Corporation         No
(15) Comcare Services Inc

5570 DTC Parkway
Englewood,CO80111
84-0904813 		Inactive CO NA
  		C Corporation         No
(16) CONSOLIDATED HEALTH SERVICES

1700 EDISON DR
MILFORD,OH45150
31-1378212 		HOME HEALTH OH NA
  		C Corporation         No
(17) Des Moines Medical Center Inc

1111 6TH AVE
Des Moines,IA50314
42-0837382 		Real Estate IA NA
  		C Corporation         No
(18) Dignity Health Holding Corporation

185 Berry Street Suite 300
San Francisco,CA94107
46-0675371 		Holding Co NV NA
  		C Corporation         No
(19) Dignity Health Insurance Ltd (Cayman Island corporation)

PO Box 1051 KY1-1102
Grand Cayman Islands,GRAND CAYMANKY11001
CJ
98-1065338 		Insurance CJ NA
  		C Corporation         No
(20) Dignity Health Provider Resources Inc

185 Berry Street Suite 300
San Francisco,CA94107
47-3366764 		Health Plan CA NA
  		C Corporation         No
(21) Diversified Health Resources Inc

100 MEDICAL DRIVE
LAKE JACKSON,TX77566
76-0222679 		Health Care TX NA
  		C Corporation         No
(22) First Initiatives Insurance LTD

PO BOX 10073 APO
Georgetown,GRAND CAYMANKY11001
CJ
98-0203038 		Insurance CJ NA
  		C Corporation         No
(23) Franciscan City Urgent Care Services PS dba City MD - Franciscan Urgent Car
e
C/O CPGUSA 1345 AVE OF THE AMERICAS
NEW YORK,NY10105
81-2174959 		Healthcare NY NA
  		C Corporation         No
(24) Franciscan Services Inc

198 INVERNESS DRIVE WEST
Englewood,CO80112
23-2487967 		Healthcare CO NA
  		C Corporation         No
(25) Good Samaritan Outreach Services

PO Box 1990
Kearney,NE68848
47-0659440 		Medical Clinic NE NA
  		C Corporation         No
(26) HarvestPlains Health of Iowa

32129 Weyerhaeuser Way S STE 201
FEDERAL WAY,WA98001
47-3451750 		Insurance WA NA
  		C Corporation         No
(27) Health Services of the Pacific Central Coast Inc

1400 E Church Street
Santa Maria,CA93454
77-0074057 		Healthcare CA NA
  		C Corporation         No
(28) Health Systems Enterprises Inc

PO BOX 1990
Kearney,NE68848
47-0664558 		MGMT NE NA
  		C Corporation         No
(29) Healthcare MGMT Services Organization INC

1149 MARKET ST
Tacoma,WA98402
91-1865474 		Health Org. WA NA
  		C Corporation         No
(30) HeartlandPlains Health

198 INVERNESS DRIVE WEST
Englewood,CO80112
46-4368223 		Insurance NE NA
  		C Corporation         No
(31) Highline Medical Group

1717 S J Street
Tacoma,WA98405
91-1407026 		Medical Services WA NA
  		C Corporation         No
(32) Integrated Medical Services

9250 N 3rd Street Suite 4010
Phoenix,AZ85020
86-0783428 		Multi-specialty physicians group AZ NA
  		C Corporation         No
(33) KOMG-Louisville Region Inc

201 Abraham Flexner Way
Louisville,KY40202
83-2481198 		Healthcare KY NA
  		C Corporation         No
(34) Management Services Organization of Santa Maria Inc

1400 E Church Street
Santa Maria,CA93454
77-0318135 		Health Care Mgmt CA NA
  		C Corporation         No
(35) Medical Office Building Horizontal Property Regime Inc

300 Werner St
Hot Springs,AR71913
71-0720429 		Real Estate AR NA
  		C Corporation         No
(36) Medquest

1301 15TH AVENUE WEST
Williston,ND58801
45-0392137 		Sale of DME ND NA
  		C Corporation         No
(37) Memorial CV Service Line Management Company LLC

1201 W Frank Ave
Lufkin,TX75904
46-3622849 		Heath Care TX NA
  		C Corporation         No
(38) Mercy Park Apartments LTD

1111 6th AVE
Des Moines,IA50314
42-1202422 		Housing IA NA
  		C Corporation         No
(39) Mercy Services Corp

2700 STEWART PARKWAY
Roseburg,OR97471
93-0824308 		Retail Sales OR NA
  		C Corporation         No
(40) MHI Clinical Services

1201 W Frank Ave
Lufkin,TX75904
46-1967952 		Healthcare TX NA
  		C Corporation         No
(41) Millenium Surgery Center Inc

9300 Stockdale Hwy 200
Bakersfield,CA93311
77-0513445 		Healthcare CA NA
  		S Corporation         No
(42) Mountain Management Services Inc

6028 Shallowford Rd
Chattanooga,TN37421
62-1570739 		MGMT SVC ORG TN NA
  		C Corporation         No
(43) North Central Health Care Alliance

PO Box 5538
Bismark,ND58506
45-0439894 		Healthcare ND NA
  		C Corporation         No
(44) PATIENT TRANSPORT SERVICES INC

1700 EDISON DR
MILFORD,OH45150
31-1100798 		HOME HEALTH OH NA
  		C Corporation         No
(45) QCA Health Plan Inc

12615 Chenal Parkway STE 300
Little Rock,AR72211
71-0794605 		Insurance AR NA
  		C Corporation         No
(46) QualChoice Advantage

32129 WEYERHAEUSER WAY S STE 201
FEDERAL WAY,WA98001
47-3433912 		Insurance WA NA
  		C Corporation         No
(47) QualChoice Health Plan Services Inc (fka CollabHealth Plan Services Inc)

198 INVERNESS DRIVE WEST
Englewood,CO80112
46-1224037 		Admin Services CO NA
  		C Corporation         No
(48) QualChoice Health Inc (fka CollabHealth Managed Solutions Inc)

198 INVERNESS DRIVE WEST
Englewood,CO80112
46-1222808 		Holding Co CO NA
  		C Corporation         No
(49) QualChoice Holdings Inc

198 INVERNESS DRIVE WEST
Englewood,CO80112
27-4075520 		Holding Co AR NA
  		C Corporation         No
(50) QualChoice Life and Health Insurance Company Inc

12615 Chenal Parkway STE 300
Little Rock,AR72211
71-0386640 		Insurance AR NA
  		C Corporation         No
(51) QualChoice of Nebraska

2401 S 73rd St
Omaha,NE68124
81-0738827 		Inactive NE NA
  		C Corporation         No
(52) RiverLink Health

198 INVERNESS DRIVE WEST
Englewood,CO80112
46-4380824 		Insurance OH NA
  		C Corporation         No
(53) RiverLink Health of Kentucky Inc

198 INVERNESS DRIVE WEST
Englewood,CO80112
46-4828332 		Insurance KY NA
  		C Corporation         No
(54) Ross Park Pharmacy Inc

380 SUMMIT AVE
STEUBENVILLE,OH43952
34-1832654 		Pharmacy OH NA
  		C Corporation         No
(55) RUSHWINC Properties Inc

25124 Springfield Court Suite 200
Valencia,CA91355
75-3160650 		Lease negotiations GA NA
  		C Corporation         No
(56) Saint Clare's Primary Care Inc

198 INVERNESS DRIVE WEST
Englewood,CO80112
22-2441202 		Billing Services NJ NA
  		C Corporation         No
(57) SJH Services Corporation

198 INVERNESS DRIVE WEST
Englewood,CO80112
23-2307408 		Healthcare CO NA
  		C Corporation         No
(58) SJL PHYSICIAN MANAGEMENT SERVICES INC

424 LEWIS HARGETT CR STE 160
Lexington,KY40503
27-0164198 		Mgmt KY SJHS
  		C Corporation 0 0   Yes  
(59) SoundPath Health Inc

32129 Weyerhaeuser Way S STE 201
Federal Way,WA98001
42-1720801 		Insurance WA NA
  		C Corporation         No
(60) St Mary Health Ventures Inc

1050 Linden Avenue
Long Beach,CA90813
95-1912528 		Retail Pharmacy CA NA
  		C Corporation         No
(61) St Anthony Development Company

1415 Southgate
Pendleton,OR97801
93-1216943 		Athletic Club OR NA
  		C Corporation         No
(62) St Joseph Development Company Inc

1717 SOUTH J ST
Tacoma,WA98405
91-1480569 		Rental WA NA
  		C Corporation         No
(63) St Luke's Health System Holdings Inc

6624 Fannin STE 800
Houston,TX77030
76-0637138 		Holding Co TX NA
  		C Corporation         No
(64) St Mary's Multi Specialty Clinic

1625 Prater Way Suite 102
Sparks,NV89434
11-3763590 		Healthcare NV NA
  		C Corporation         No
(65) St Vincent Community Health Services Inc

TWO ST VINCENT CIRCLE
Little Rock,AR72205
71-0710785 		Healthcare AR NA
  		C Corporation         No
(66) StableView Health Inc

198 INVERNESS DRIVE WEST
Englewood,CO80112
46-4373713 		Insurance KY NA
  		C Corporation         No
(67) STE Holdings

12809 West Dodge Rd
Omaha,NE68154
82-2383629 		Holding Co NE NA
  		C Corporation         No
(68) Sugar Land Doctor Group

1317 Lake Point Parkway
Sugar Land,TX77478
45-4270163 		Medical Clinic TX NA
  		C Corporation         No
(69) Towson Management Inc

7601 OSLER DR
Towson,MD21204
52-1710750 		Mgmt Services MD NA
  		C Corporation         No
(70) TRINITY MANAGEMENT SERVICES ORGANIZATION

380 SUMMIT AVE
STEUBENVILLE,OH43952
34-1471026 		Mgmt Services OH NA
  		C Corporation         No
(71) US HealthWorks Inc

25124 Springfield Court Suite 200
Valencia,CA91355
58-2420844 		Occupational Medical Services CA NA
  		C Corporation         No
(72) US HealthWorks Medical Group of Alaska LLC

25124 Springfield Court Suite 200
Valencia,CA91355
63-1219117 		Occupational Medical Services AK NA
  		C Corporation         No
(73) US HealthWorks Medical Group of Arizona Inc

25124 Springfield Court Suite 200
Valencia,CA91355
58-2625710 		Occupational Medical Services AZ NA
  		C Corporation         No
(74) US HealthWorks Medical Group of Florida Inc

25124 Springfield Court Suite 200
Valencia,CA91355
58-2654983 		Occupational Medical Services FL NA
  		C Corporation         No
(75) US HealthWorks Medical Group of Georgia Inc

25124 Springfield Court Suite 200
Valencia,CA91355
58-2625714 		Occupational Medical Services GA NA
  		C Corporation         No
(76) US HealthWorks Medical Group of Kentucky Inc

25124 Springfield Court Suite 200
Valencia,CA91355
47-3277440 		Occupational Medical Services KY NA
  		C Corporation         No
(77) US HealthWorks Medical Group of Maine Inc

25124 Springfield Court Suite 200
Valencia,CA91355
58-2654976 		Occupational Medical Services ME NA
  		C Corporation         No
(78) US HealthWorks Medical Group of Ohio Inc

25124 Springfield Court Suite 200
Valencia,CA91355
31-1540841 		Occupational Medical Services OH NA
  		C Corporation         No
(79) US HealthWorks of Colorado Inc

25124 Springfield Court Suite 200
Valencia,CA91355
81-1053593 		Occupational Medical Services CO NA
  		C Corporation         No
(80) US HealthWorks of Illinois Inc

25124 Springfield Court Suite 200
Valencia,CA91355
46-1384805 		Occupational Medical Services IL NA
  		C Corporation         No
(81) US HealthWorks of Indiana Inc

25124 Springfield Court Suite 200
Valencia,CA91355
35-1991196 		Occupational Medical Services IN NA
  		C Corporation         No
(82) US HealthWorks of Kansas City Inc

25124 Springfield Court Suite 200
Valencia,CA91355
46-2754415 		Occupational Medical Services KS NA
  		C Corporation         No
(83) US HealthWorks of Minnesota Inc

25124 Springfield Court Suite 200
Valencia,CA91355
45-2494357 		Occupational Medical Services MN NA
  		C Corporation         No
(84) US HealthWorks of New Jersey Inc

25124 Springfield Court Suite 200
Valencia,CA91355
04-3323869 		Occupational Medical Services NJ NA
  		C Corporation         No
(85) US HealthWorks of North Carolina Inc

25124 Springfield Court Suite 200
Valencia,CA91355
56-2029468 		Occupational Medical Services NC NA
  		C Corporation         No
(86) US HealthWorks of Pennsylvania Inc

25124 Springfield Court Suite 200
Valencia,CA91355
58-2660955 		Occupational Medical Services PA NA
  		C Corporation         No
(87) US HealthWorks of Tennessee Inc

25124 Springfield Court Suite 200
Valencia,CA91355
45-2697510 		Occupational Medical Services TN NA
  		C Corporation         No
(88) US HealthWorks of Washington Inc

25124 Springfield Court Suite 200
Valencia,CA91355
91-1173613 		Occupational Medical Services WA NA
  		C Corporation         No
(89) US HealthWorks of Wisconsin Inc

25124 Springfield Court Suite 200
Valencia,CA91355
46-1384564 		Occupational Medical Services WI NA
  		C Corporation         No
(90) USHW Holding Corporation

25124 Springfield Court Suite 200
Valencia,CA91355
20-8050895 		Occupational Medical Services DE NA
  		C Corporation         No
(91) USHW of California Inc

25124 Springfield Court Suite 200
Valencia,CA91355
95-4585828 		Occupational Medical Services CA NA
  		C Corporation         No
(92) USHW of Texas Inc

25124 Springfield Court Suite 200
Valencia,CA91355
74-2785392 		Occupational Medical Services TX NA
  		C Corporation         No
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
Yes
 
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Saint Joseph Hospital Foundation

 C 381,921 FMV
(2) Saint Joseph Hospital Foundation

 O 100,439 FMV




Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2018

Additional Data


Software ID: 18007697
Software Version: 2018v3.1