Community Benefit Report 2011 - Saint Joseph Hospital

2011
Community
Benefit Report
S a i n t J o s e p h H e a l t h S y s t e m
Joseph - Berea • Saint Joseph East • Saint Joseph - Jessamine • Saint Joseph Hospital • Saint Joseph - London • Saint Joseph - Martin • Saint Joseph - Mount Sterling
t Memorial Hospital • Saint Joseph - Berea • Saint Joseph East • Saint Joseph - Jessamine • Saint Joseph Hospital • Saint Joseph - London • Saint Joseph - Martin • Sain
ph - Mount Sterling • Flaget Memorial Hospital • Saint Joseph - Berea • Saint Joseph East • Saint Joseph - Jessamine • Saint Joseph Hospital • Saint Joseph - London • Sain
ph - Martin • Saint Joseph - Mount Sterling • Flaget Memorial Hospital • Saint Joseph - Berea • Saint Joseph East • Saint Joseph - Jessamine • Saint Joseph Hospital • Sain
ph - London • Saint Joseph - Martin • Saint Joseph - Mount Sterling • Flaget Memorial Hospital • Saint Joseph - Berea • Saint Joseph East • Saint Joseph - Jessamine
Joseph Hospital • Saint Joseph - London • Saint Joseph - Martin • Saint Joseph - Mount Sterling • Flaget Memorial Hospital • Saint Joseph - Berea • Saint Joseph East • Sain
ph - Jessamine • Saint Joseph Hospital • Saint Joseph - London • Saint Joseph - Martin • Saint Joseph - Mount Sterling • Flaget Memorial Hospital • Saint Joseph - Berea
Joseph East • Saint Joseph - Jessamine • Saint Joseph Hospital • Saint Joseph - London • Saint Joseph - Martin • Saint Joseph - Mount Sterling • Flaget Memorial Hospital

Dear Friends,
Saint Joseph Health System’s commitment to community outreach continues to be at the center of
everything we do. We provided more than $48 million in charity care from July 1, 2010, through
June 30, 2011. Combined with our various programs and services, we provided more than $81
million in outreach care for which limited or no reimbursement was received.
This represents who we are as a faith-based organization dedicated to creating healthier
communities and advocating on behalf of those who are disadvantaged and underserved.
As a Catholic organization, we believe that everyone, regardless of their ability to pay, has the right
to health care – it is a basic human right, not a privilege. This was our founding Sisters’ mission
more than a century ago and one that we are still called to live out today.
In this community benefit report, you will learn how we lived our mission in 2011, caring for those
in need both inside and outside our hospital walls.
One example of local outreach is the story of our Congestive Heart Failure Outreach Program in
London. Through the free program, a nurse visits discharged patients in their homes to provide
follow-up care to reduce their chances of readmission. Tied to the program is the Pharmaceutical
Assistance Program which helps patients and families obtain the medicine they need.
Our partnership with Love on a Leash allows us to bring therapy dogs inside our halls to visit with
patients and families in Lexington, helping to relieve anxiety and boost morale. This is a different
type of outreach, but part of our overall comprehensive approach to provide compassionate care
to everyone from all walks of life, no matter their financial situation. You’ll learn more about this
program and others inside these pages.
Thanks for your support as we continue our journey to transform health care across the state of
Kentucky.
Bruce A. Klockars, FACHE
Interim Chief Executive Officer
Saint Joseph Health System
The content of this report (representing July 1, 2010-June 30, 2011) is reflective of Saint Joseph Health System prior to the creation of KentuckyOne Health.
In January 2012 Saint Joseph Health System joined Jewish Hospital & St. Mary’s HealthCare to form KentuckyOne Health, the state’s largest health system.

Essentials
Saint Joseph Health System (SJHS) includes Flaget
Memorial Hospital, Bardstown; Saint Joseph - London;
Saint Joseph - Martin; Saint Joseph Hospital and Saint
Joseph East, Lexington; Saint Joseph - Berea; Saint
Joseph - Jessamine; and Saint Joseph - Mount Sterling.
The system has 917 licensed beds, approximately 6,000
employees and approximately 1,300 physicians on its
medical staffs, including more than 100 employed
physicians.
By combining the technology, services, expertise
and caring of eight of the best health care facilities
in the region, everyone in every community we serve
benefits. Together as SJHS, we provide more state-ofthe-art
care reaching out to more communities, more
specialists able to serve more patients, and more of
the latest technology.
Combined, the member facilities have received
the following honors: Recognized 20 times as being
among the 100 Top Hospitals in the nation by
Thomson Reuters; Winner of the Joint Commission’s
Codman Award for quality improvements; Named one
of Kentucky’s Best Places to Work four years in a row;
Awarded the highest honor by the Kentucky Center
for Performance Excellence; Received the Kentucky
Hospital Association Quality Award; Received the
Distinction for Service Excellence Award by J.D.
Power and Associates.
SJHS’s commitment to community outreach is deeply
rooted in the work of the founding congregations of
religious women – the Sisters of Charity of Nazareth,
Congregation of Divine Providence, and the Sisters
of Charity of Cincinnati. The heart and soul of these
pioneer women in health care was their commitment
to community outreach to the poor and underserved.
This tradition is carried on today in each of the
facilities comprising SJHS.
Our Mission
The mission of Saint Joseph Health System and
Catholic Health Initiatives is to nurture the healing
ministry of the Church by bringing it new life, energy
and viability in the 21st century. Fidelity to the Gospel
urges us to emphasize human dignity and social
justice as we move toward the creation of healthier
communities.
Our Vision
Our vision is to live up to our name as one CHI:
• Catholic: living our mission and core values
• Health: improving the health of the people
and communities we serve
• Initiatives: pioneering models and systems of
care to enhance care delivery
Our Destiny
Saint Joseph Health System is a faith-based community
united in our unwavering commitment to
person-centered care. Our destiny is to grow our healing
ministry as a national quality leader.
Our Core Values
Our core values guide how we live our mission on
a daily basis and are the touchstone upon which all
strategic and operational decisions are made.
• Reverence: Profound respect and awe for all
of creation, the foundation that shapes spirituality,
our relationships with others and our journey
to God.
• Integrity: Moral wholeness, soundness, fidelity,
trust, truthfulness in all we do.
• Compassion: Solidarity with one another,
capacity to enter into another’s joy and sorrow.
• Excellence: Preeminent performance, becoming
the benchmark, putting forth our personal
and professional best.
Contents
1 Essentials
2 Introduction
4 Feature: Outreach Program
Empowers CHF Patients
6 Feature: Building Relationships
in Belize
8 Saint Joseph - Berea
10 Saint Joseph Hospital/Saint Joseph
East/Saint Joseph - Jessamine
12 Saint Joseph - London
14 Saint Joseph - Martin
16 Saint Joseph - Mount Sterling
18 Flaget Memorial Hospital
20 Feature: Love On A Leash
23 Foundation Community
Benefit Report
1 essentials

Creating Healthier Communities
Mission Leaders
Ben Wiederholt,
Interim Vice President of Mission Integration
Saint Joseph Health System
Lisa Rutherford,
Vice President of Mission
Saint Joseph - London & Saint Joseph - Martin
Flora Washburn,
Manager of Mission Services
Saint Joseph - Berea
Sr. Janet Carr, CDP,
Mission Leader/Chaplain
Saint Joseph - Mount Sterling
Primary Tax Exempt Purpose
Throughout Saint Joseph Health System (SJHS)
the emergency departments frequently serve as the
primary source of care for many of the uninsured and
underinsured of their respective communities. This
year 229,831 outpatient visits were made to the emergency
rooms throughout the system.
A hospital board comprised of business, physician,
and religious leaders advises and directs the CEO on
issues impacting the system, as well as, strategic planning
and community health needs.
All hospitals participate in Medicare, Medicaid,
CHAMPUS, TRICARE and/or other government-sponsored
health care programs.
Community Benefit Approach
• Our mission to create healthy communities continually
challenges us to explore with representatives of
business, social agencies and religious organizations
opportunities for addressing the changing needs
of our communities. We seek new ways to extend
our healing ministry through projects focused on
improving the health and quality of life of those we
serve, especially, the poor, the underinsured and
uninsured. Through the establishment of a Healthy
Communities Council, SJHS is working with representatives
from each community we serve to identify
existing programs, explore community needs
throughout the system and develop projects.
• This Community Benefit Report addresses the locations
and demographics of each community served,
by facility.
• SJHS follows Catholic Health Initiatives’ standards
and guidelines for the provision of charity care. Our
income guidelines are based on 130 percent of the
HUD Very Low Income Levels. We communicate
this charity program to all patients through signage,
information in the patient handbook, and oral communication.
Any patient presenting to a facility
without insurance is apprised of the available assistance
programs including charity, Medicaid and the
Kentucky Hospital Care program. Financial counselors
are available to meet with patients and discuss
financial assistance options. Financial counselors are
also available by phone and make extra efforts to
contact patients after their discharge to communicate
every available financial assistance alternative.
“Never walk away from someone who deserves help;
your hand is God’s hand for that person.” Proverbs 3:27
2

Saint Joseph Health System Community Benefit
Fiscal Year 2011
Community Benefit Provided For The Poor FY 2011
Cost of charity care provided $48,735,633
Unpaid cost of Medicaid $22,614,037
Unpaid cost of indigent programs $8,131,503
Non-billed services for the poor $78,993
Cash and in-kind donations for the poor $117,115
Other benefits provided to the poor $205,160
Total cost of community benefit provided to the poor $79,882,441
Benefits Provided For The Broader Community FY 2011
Non-billed services for the community $615,806
Education and research provided to community $831,127
Other benefits provided to the community $355,555
Total cost of community benefit provided to the community $1,802,488
Total cost of community benefit $81,684,929
Community benefit % operating expenses before restructuring 9.8%
Uncompensated Care
As described in the above table, SJHS provides
a significant level of free care each year. In fiscal
year 2011, the cost of charity care provided by the
organization was more than $48 million. SJHS also
incurred more than $22 million in unreimbursed costs
for services provided to Medicaid patients. Frequently,
the cost of providing services to Medicaid patients is
greater than the payments SJHS receives from the
Medicaid program.
Saint Joseph Health System
Board of Directors
Mike Ades
Ralph Alvarado, MD (Medical Staff Representative)
Jeff Amburgey
Jeff Brother
David Brown
Robert Granacher, MD
Bob Hewett, Chair
Miller Hoffman
Bruce Klockars, Interim CEO
Chris Mays, CNO Representative
Michael Rowan, CHI COO
Pat Rutherford
Michael Stahl, PhD
Sr. Liz Wendeln, SCN, Vice Chair
Saint Joseph Health System
President’s Council
Bruce Klockars, Interim CEO, SJHS
Ed Carthew, CHRO, SJHS
Gary Ermers, CFO, SJHS
Mark Streety, CIO, SJHS
Daniel Varga, MD, CMO, SJHS
Virginia Dempsey, President, SJL
Sue Downs, President, FMH
Greg Gerard, President, SJB
Ken Haynes, President, SJH/SJE/SJJ
Benny Nolen, President, SJMS
Kathy Stumbo, President, SJM
Jackie Kingsolver, Associate Counsel, CHI
Ben Wiederholt, Interim VP, Mission Integration, SJHS
3
introduction

4
Registered nurse Rita Taylor (left) teaches patients to live healthier
and Debra Mills (right) helps patients obtain the medicines they
need through an outreach program at Saint Joseph - London.

Outreach Program
Empowers CHF Patients
Visiting nurse teaches about lifestyle changes
By Tanya J. Tyler
Two innovative programs are helping Saint Joseph - London (SJL) make a
difference in the health of people in its community.
The Congestive Heart Failure (CHF) Outreach Program began three
years ago when SJL received a $170,819 grant from the Catholic Health Initiatives
Mission and Ministry Fund. The funding was used to design and
implement a program to help reduce the high rate of hospital readmission for
patients with CHF. The aim was to improve the disease-management abilities of
patients who had been discharged with a primary diagnosis of CHF by having
a nurse visit them in their homes. The nurse would teach them about following
a healthy diet and the importance of exercise and how to monitor their weight.
The program has been a great success. Rita Taylor, RN, who is primarily
responsible for making the visits, took over the program in September 2010.
“Since then, the 30-day readmission rate for patients participating in our program
is zero,” she said.
Taylor checks the hospital census daily to find patients that fit the program
criteria. They must live within a 30-mile radius of the hospital and be discharged
to their home, not to a nursing home or home-health care.
“I contact them and explain the program, and if they agree to join it, I go to
their home and see them,” Taylor said. She visits the patient for a total of six
months, first once a week for four weeks, then once every other week for four
visits and then once a month. The number of patients vary, but the average is
about 40 at any given time. “I’m always picking up new patients and always
discharging patients,” Taylor said.
On the initial visit, Taylor and the patient discuss the causes and symptoms of
CHF and what the patient can do to stay healthy. Taylor stresses the importance
of controlling sodium intake and teaches the patient how to read food labels.
Chester Newby, Sr., 61, participates in the CHF Outreach Program. Eleven
years ago, with his health failing due to lung and heart problems as well as
diabetes, he was told he only had three months to live. Two years ago, his
physician referred him to the program. Newby enjoys working with Taylor.
“Rita makes home visits, checks my blood pressure, listens to my lungs and has
taught me the importance of daily weights and my diet,” he said. “She helps me
with my medication needs. She calls to check on me, and if I need her, she will
either talk to me on the phone or be right here. Without her, I could not make it.”
Taylor believes that personal aspect of the program is an integral part of its
success.
“The patients see that I’m not just somebody from the hospital bringing all
this stuff out to them. I care what happens to them,” she said.
Taylor lets patients know adhering to the recommendations of the program
might not be easy, but
it will definitely be
worth it if they do. “I
tell them, ‘If you’re just
willing to do a few
lifestyle changes, your
quality of life is going
to be so much better,’”
she said.
The grant ended
this past July, but SJL
decided to keep the
program going because
it was so effective.
“Our CHF Outreach
Program has been wonderful,”
said June Rawlings,
RN, BSN, director of Healthy Community Outreach at SJL. “We’re just so
excited about it and just can’t say enough about it.”
Tied into the CHF Outreach Program is the Pharmaceutical Assistance Program,
which helps patients and their families obtain the medicine they need
to treat and control such health challenges as diabetes, chronic obstructive
pulmonary disease and asthma.
“If they don’t have their medications, the CHF program is not going to be
successful,” Taylor said.
Laurel County resident Paul Sizemore, 65, has benefited from the Pharmaceutical
Assistance Program. He was hospitalized at SJL several times over the
past five years due to chronic diabetes and open-heart surgery. With large bills
to pay, he worried that he could not afford his medicine. A discharge planner
told him about the assistance program. Sizemore says it has relieved his anxiety
and fear about getting his medicine.
“I would not have had money for food if I would have had to buy my medications,”
he said.
The CHF program encourages the patients to have a hand in their own health
maintenance, says Lisa Rutherford, VP for Mission Integration at SJL.
“I look on this as an empowerment for the patients because the more knowledge
they have, the more they’re able to take control of what they’re about,”
she said. “That to me makes all the difference because it’s not just us going in
and doing something; it is us helping patients understand better how they can
help themselves stay well, and that’s the key.”
5
feature

Building Relationships in Belize
God’s grace is worldwide
By Kathie Stamps
Would you happily live in a wobbly structure with dirt floors and a tarp for
walls? Hundreds of people outside of Belize City do, and they’re actually
quite content.
“They are such people of faith,” said Billie Turner, RN, chief operating officer
and chief nursing officer at Saint Joseph - Martin. “They are very thankful for
what they have, and are very happy.”
Flora Washburn, manager of mission services at Saint Joseph - Berea, agreed.
“We tend to think of third-world countries as being disadvantaged, which economically
they are,” she said, “but they have so many cultural, spiritual and
family situations in place that are extremely strong and resilient.”
Turner and Washburn were two of a dozen Americans who traveled to Belize
on Valentine’s Day 2011 for a weeklong mission trip in the small village of Las
Flores, a suburb of the capital city of Belmopan in Belize. The projects for the
trip were organized through the Sisters of Charity of Nazareth (SCN). SCN has
a strong presence in Belize City.
“This was my first time on a mission trip,” Turner said. “I want to do it again!”
The mission team was charged with the task of working on home repairs
for three different families in Las Flores. With the help of some of the villagers,
they laid a concrete floor in one home for a mother and her six children, where
sand, cement and water were mixed on the ground itself because there were
no cement mixers available. They added an extra room to another structure by
putting up plywood walls and topping them with an aluminum roof. The third
project was to start a house from scratch, which basically consisted of building
a frame so concrete could be poured at a later date.
“We were quite taken aback by the situation at the first home we went to,”
Turner said. But as the week progressed, she knew she would be encouraging
co-workers and family members to think about doing something similar.
“It is one of the most rewarding things I’ve ever done,” she said. “It gives
you a different picture of the world. Our neighbors are not just the people next
door; we have solidarity with people all over the world.”
In the fall of 2010, Sister Liz Wendeln, SCN and Saint Joseph Health System
(SJHS) board vice-chair, challenged the SJHS Leadership Development Institute
to become involved with international missions “to expand our vision and see
what goes on beyond ourselves,” Washburn recalled.
SCN worked with local village leaders in Las Flores to determine the home
repair projects before the Americans arrived.
“We go there with great intentions of helping them, but we are the ones
who end up becoming richer from it,”
Washburn said. “The difficult part is
when you see the needs of someone
else. Coming from the American
culture, we want to try to ‘fix’ it,”
she said.
Turner said, “Until you see those
situations and how people are living,
you don’t realize how much we take
for granted.”
Early in the week, when members
of their group found out that kids
were sleeping on a dirt floor – and
yes, it all turned to mud when it
rained – their first thought was to
buy bunk beds for them. “A few of us went out for a couple of hours one morning
looking for bunk beds!” Washburn said. As it turned out, they liked sleeping
in hammocks. What the family really needed and wanted was linoleum for
the floor. “We bought a piece of linoleum and you would have thought it was
Christmas,” Washburn said. “They were so excited to no longer be sleeping on
a dirt floor or walking in mud in the bedroom.”
She was immediately reminded of a piece of advice from Diane Jones at
Catholic Health Initiatives: “Build relationships. Find out how you can help –
what they want, not what you think they need.”
“These people were so appreciative and thankful for what we did,” Turner
said. “I left there feeling like they did more for me than I did for them.”
Known as British Honduras until 1973, Belize is about half the size of Kentucky
(the Commonwealth has 4 million more people, though). It is the northernmost
country of Central America. Although the official language is English,
many of the people in Las Flores speak Spanish, as they are refugees from El
Salvador, Guatemala and other countries.
Washburn and Turner are headed back to Belize in early 2012 to meet with
the sisters and local officials on a needs assessment trip. Perhaps SJHS can
help establish a full-time health care presence, or maybe the outreach will be
on a routine basis with groups of medical professionals providing services for
the people of Belize.
“It is all about the people and building an ongoing collaborative relationship,”
Washburn said, “where we learn from one another and can build a sustainable
future together.”
7 feature

Saint Joseph - Berea (SJB), established on the grounds
of Berea College in 1898, is a 25-bed critical care access
hospital, serving the residents of Madison, Jackson, Rockcastle,
Estill and Garrard counties. The hospital includes
a fully-staffed 24-hour emergency department, Berea
Family Medicine, Berea Specialty Clinic, Diabetes and
Nutrition Center, Heart Institute, Rehabilitation Services,
Sleep Wellness Center and Surgical Services. Additional
services include: Senior Renewal Center, Wound Center
and Pain Center.
SJB was recognized as a nation’s Top Performer in
Quality by The Joint Commission in 2011 and received the
Distinction for Service Excellence award by J.D. Power
and Associates.
Saint Joseph - Berea
Community Outreach For
People Who Are Poor
A Day of Hope
SJB participates in a community-wide program
designed to provide resources for parents to improve
children’s health and nutrition. Organizers provide a
free meal, groceries, haircuts, community services and
other resources. SJB financial counselors provide information
and education regarding health care and other
programs available to low-income families. This year,
employees donated mittens and hats for the children
and more than 500 children were served.
Berea Health Ministries Partnership
SJB’s partnership with Berea Health Ministries
(BHM), a faith-based medical clinic, was formed in
the spring of 2010. SJB provides in-kind support
that includes office and clinical space, maintenance,
cleaning, information technology and other support
as needed; in turn the clinic provides primary care,
education and support for all people, but primarily
the poor, uninsured and underinsured. SJB’s in-kind
support was $38,973. The ministry has been able
to extend hours to provide more options to patients
through a Mission and Ministry grant provided by
Catholic Health Initiatives. The grant is in its second
year and has helped BHM to see an additional 1,100+
patients in fiscal year 2011.
Henrietta Child Fund
SJB provided funding for orthopedic, emergency
surgery, orthotics and/or gynecological care in the
amount of $27,962 for 29 Berea residents who were
uninsured, indigent patients and met the poverty
guidelines.
The Indigent Care Program
SJB provided free medications and/or chemotherapy
treatments for 21 uninsured patients. This effort
was made possible through collaborative efforts with
various pharmaceutical companies.
Lights for Life Emergency Medical
Services Fund
SJB provided more than 200 prescriptions at a
savings of $19,180 to low-income, uninsured patients.
This fund is supported by employees and community
members with the purpose of helping the uninsured
and underinsured patients.
Patient and Family Assistance Fund
SJB provided close to $10,000 to patients and families
for accommodations, meals, transportation, etc.,
as needed. Many employee hours went into providing
these services. Funds were raised by the SJB Foundation
through employee and community contributions.
Community Outreach For
The Broader Community
Community Donations
SJB gave $9,425 in donations to support local fundraising
efforts, disaster response, charities and community
events and organizations.
St. Mark’s Catholic School
SJB educator and departments provide monthly
presentations on various disease and health-related
educational programs for awareness and disease prevention.
Student Volunteer Program
Through the Summer Junior Volunteer Program, SJB
provided training and supervision for students who
are interested in pursuing health care careers.
New Opportunity School for Women
This program was developed to help low-income
women have a second chance to gain new skills. In
8

“This hospital was founded on the desire to help
serve our community. We continue this today
through the programs we offer to the community
and through our employees who generously give
of their time and resources. It is rewarding to
know we can make a difference.”
– Greg Gerard,
Saint Joseph - Berea President
2011, SJB provided free physicals, blood tests and
mammograms for 19 participants.
Lifeline
SJB assisted 41 elderly citizens to subscribe to the
Lifeline Program. Lifeline is sponsored by the Public
Service Commission of Kentucky and provides emergency
personal response for the elderly.
Collaborative Efforts To
Improve Community Health
Blue Grass Energy Members Meeting
SJB provided First-Aid services and hosted a health
fair to include Sleep Wellness Center, Diabetes and
Nutrition Center, general service information and giveaways
(including medication cards).
Madison County Health Department
SJB partners with the Madison County Health
Department to assess community needs and set goals
for creating a healthier community.
Safety Coalition
SJB is helping to promote safety in its communities
through this coalition.
Health Professions Education
SJB is a clinical site for Eastern Kentucky University,
Spencerian and Berea College nursing programs.
SJB precepts nursing students and evaluates their
performance. SJB also performs competencies on the
students if they want to “camp” a procedure. SJB provided
volunteer training, placement and supervision for
pre-med Berea College students and supervised interns
in Health Information, Pharmacy, Lab and Radiology.
Community Health and Wellness
SJB provided health and wellness education, as well
as vaccinations, for 127 community members in order
to educate and prevent against disease. Education
was also provided to 168 students on healthy options,
effects of illness and a career in health care.
Spoonbread Festival
SJB provided First-Aid, medication cards, education
and general information about services including the
Diabetes and Nutrition Center. SJB served as the presenting
sponsor of the festival’s 5K run/1 mile walk
with emphasis on health and fitness.
Get Healthy Berea
SJB’s hospital-sponsored community event promotes
physical activity, nutrition and healthy alternatives.
During the event, local and community vendors set up
booths promoting healthy alternatives. SJB provided
blood pressure screenings, cholesterol and blood sugar
checks, and heart health information. The event also
sponsored a “fun walk” and 8K run. The SJB Foundation
sponsored the event. Hospital employees supplied
labor and some supplies.
Hispanic Resource Fair
SJB hosted a fair targeted to the growing Madison
County Hispanic population and provided health education/wellness,
general resources regarding community
services, and legal information for 50 people. The
fair was a collaborative effort between SJB, Madison
County Health Department, EKU-Migrant Education
and Kentucky Foothills Project.
“Saint Joseph - Berea’s commitment to the
community is realized in several ways, i.e.,
improving patient care; listening to patients and
families and responding to needs; creating an
environment that promotes teaching individuals
to care for themselves upon discharge; promoting
creative outlets during hospital stays through art;
assisting individuals who are disenfranchised to
find resources they need; and promoting healthy
ways of living through Get Healthy Berea, as well
as a co-sponsor of the farmers market.”
– Ruth R. Hawkins,
Health Education Director,
Madison County Health Department
9 berea

Saint Joseph Hospital
Saint Joseph East
Saint Joseph - Jessamine
Saint Joseph Hospital (SJH), Lexington’s first hospital,
was founded in 1877. It has grown into a 433-bed medical
center, with a full range of services, including the nationally
award-winning Heart Institute and leading-edge da
Vinci robotic surgery. Also known as Lexington’s “heart
hospital,” SJH has pioneered many firsts in the health
care community.
SJH has been nationally recognized for treatment in the
areas of cardiology, orthopedics and stroke, by Thomson
Reuters and U.S. News and World Report. SJH received an
Excellence Through Insight award from HealthStream in
2011 for overall emergency department satisfaction and a
Silver Medal of Honor from the U.S. Department of Health
and Human Services for surpassing national organ donation
goals. In 2011, SJH also received the Distinction for
Service Excellence award by J.D. Power and Associates.
Saint Joseph East (SJE), a community hospital with
218 beds, complements SJH’s 134-year health care mission
through multiple services and specialties. At SJE,
maternal and childcare, cardiology services, ambulatory
surgery and 24-hour emergency care are supported
through traditional inpatient and outpatient programs.
Additional specialty services include the Heart Institute,
Breast Center, Sleep Wellness Center and the Center for
Weight Loss Surgery.
SJE received an Excellence Through Insight award
from HealthStream in 2011 for overall patient satisfaction
for its outpatient-cardiology unit and for overall outpatient
satisfaction. Also in 2011, SJE became a four-time winner
of the “100 Top Hospital” award from Thomson Reuters. In
2011, SJE received the Distinction for Service Excellence
award by J.D. Power and Associates.
Saint Joseph - Jessamine RJ Corman Ambulatory Care
Center (SJJ) opened on January 2, 2009. It is Jessamine
County’s first and only full service, 24/7 emergency
department. It also provides diagnostic imaging, laboratory
services and offices for doctors and staff.
Community Outreach For
People Who Are Poor
Surgery on Sunday
Andy Moore, MD, started the Surgery on Sunday
(SOS) program in 2005 thanks in part to a $145,000
grant from Catholic Health Initiatives and in-kind
donations amounting to $567,000. Since the beginning,
2,000 outpatient surgeries have been performed. SOS
now has 250 volunteer surgeons and 450 other medical
and non-medical volunteers. SJH nurses provide a
large portion of the care. The surgeries are performed
in donated space in the Lexington Surgery Center the
third Sunday of every month.
Patients are the working poor who have no health
insurance. For income-eligible patients, all services
and supplies, from the pre-operative visit with a volunteer
surgeon, to the imaging studies, to the medications
needed before and after surgery, to physical
therapy, to the post-operative appointment, are free. In
response to the great need and long waiting list, SJH
offered its surgical space and supplies to add another
Sunday to the SOS rotation once a quarter.
Saint Joseph Continuing Care Clinic
SJH operates a free health clinic for residents of
central Kentucky (primarily of Fayette County) who
are low-income and do not qualify for Medicaid services.
The clinic provides primary health care services
including pharmaceuticals. In fiscal year 2011, the
clinic served 1,885 patients during 2,825 visits and
provided $3,711,674 in the market value of free medications.
The clinic also began a redesign process to
identify ways to better serve people who leave the
hospital without follow-up care to improve appropriate
utilization of services and reduce readmissions.
PharmAid Program and
Prescription Assistance
SJH, SJE and SJJ strive to ensure patients have the
prescriptions needed to further their healing process
when they leave the facility. A social worker assists
low-income patients in finding resources to provide
their prescription medication at low or no cost. If the
medication is not available through one of these programs,
or if the patient does not qualify, the pastoral
care team utilizes a fund to help patients obtain a
three-day supply of selected medications and a sevenday
supply of many antibiotics.
10

Baby Health Service
SJH provides space and utilities to Baby Health
Service. Baby Health Service is the oldest children’s
health clinic in the Commonwealth. Baby Health
Service is about healthy families and a healthier community.
Its name may be misleading, as its patients
are children age birth to 17 years in families without
any form of health insurance and whose families do
not qualify for Medicaid.
All services are free for children. “Well Child” visits,
sick visits, medications, lab tests and immunizations
are paid by Baby Health Service. The dollar value
of the volunteer medical services averages nearly
$300,000 annually. Started in 1914, the non-profit has
more than 90 years of service to Lexington’s children
and families. The clinic is open Monday-Friday from
7:30 a.m. until noon.
Community Outreach For
The Broader Community
Appalachian Outreach Program
Appalachian Outreach Program is a communitybased
program that provides home visits for patients
discharged from SJH, SJE, SJB, SJMS and SJL. The
services provided include spiritual care, social work,
clinical nutrition and dietitian consultation/education
for the patient and caregiver/immediate family. The
program made 18,220 contacts with people in fiscal
year 2011 as it celebrated its 25th anniversary.
Eastern Kentucky Mobile Clinic
The Eastern Kentucky Mobile Health Service provides
primary medical/health services in Morgan,
Wolfe and Lawrence counties. These sites are in highrisk
very remote rural areas of eastern Kentucky. The
Mobile Health Service utilizes a forty-foot long, eightfoot
wide and twelve-foot tall coach to deliver the
services.
The services provided include health promotion,
prevention, monitoring of illness and referrals. Practitioners
accomplish this through a primary care model
which includes assessments, counseling, education
and screening. The Eastern Kentucky Mobile Health
Service is in an evolutionary process with the establishment
of primary care clinics, within our sixty
county service area, providing telehealth connectivity
to primary care and specialty physicians in the Saint
Joseph Health System network.
Perinatal Education
SJE has a well established community education
program on breastfeeding, childbirth preparation, and
teen parent care for newborns. SJE also hosts a Maternity
Fair annually that provides education to hundreds
of attendees.
Education of Medical/
Paramedical Professionals
SJH, SJE and SJJ serve as clinical education sites
for medical professionals offering classes and residency
programs. Health professionals include medical
students, family practice residents, Pharm D students,
physical therapy students, respiratory therapy students,
radiology students, nursing students, social
work students, surgical technicians, and students
earning master’s degrees in public health.
Collaborative Efforts To
Improve Community Health
SJH, SJE and SJJ work with several community
partnerships in an effort to improve the health status
of its communities. They support the participation
of employees on several foundation and community
boards. They support, through both monetary donations
and employee educators, the continuing education
and support of several foundations working for a
healthier community (e.g., American Cancer Society,
Ronald McDonald House, YMCA Black Achievers,
Camp Horsin’ Around, American Heart Association,
American Diabetes Association
and Habitat for
Humanity).
SJH, SJE and SJJ also
participate in the education
of healthy living through
offering hand hygiene,
sleep wellness, bariatric
and diabetes education
at schools and businesses
throughout central Kentucky.
SJH and SJE also
participate in collaborations
with the local government,
the Lexington-Fayette County
Health Department, and
other health care facilities
to evaluate and improve
community health.
“Saint Joseph Hospital has always embraced its founding
mission, set forth by the Sisters of Charity of Nazareth,
of reaching out to those less fortunate, those in need of
compassion and quality health care. For the past 134 years,
Saint Joseph Hospital has looked for ways to meet these
needs and build healthier communities, understanding
that a healthy community starts with healthy people. Saint
Joseph Hospital, Saint Joseph East and Saint Joseph -
Jessamine are dedicated to embracing their neighbors and
helping them to achieve healthy lives. Through multiple
programs and outreach services, we have given more than
$38.4 million in quantifiable community benefit”
– Ken Haynes,
Saint Joseph Hospital, Saint Joseph East and Saint
Joseph - Jessamine President
“Our partnership with Saint Joseph is a natural
connection because our mission is the same: to create
a healthier community. For Baby Health, we focus
specifically on improving the health of uninsured
children birth through age 17, and we could not do it
without your support. Whether it be providing for our
physical space needs or supporting needed diagnostic
tests, Saint Joseph has always been there for us.”
– Nellie Wilkinson, President,
Baby Health Services
11 hospital • east • jessamine

Saint Joseph - London (SJL) opened a new facility
on August 19, 2010 that increased its capacity to 120
beds. SJL provides a full range of medical, emergency,
surgical and obstetrical services. The new facility
features the latest technology including expanded
award-winning cardiovascular services, expansive
interior spaces, private rooms, beautiful labor and
delivery rooms and comprehensive outpatient diagnostic
services. Other services provided in the community
include respiratory and cardiovascular care,
pediatrics, orthopedics, neurology, endocrinology and
sleep wellness.
For three years in a row SJL has been designated
as a “100 Top Hospital” for cardiovascular care by
Thomson Reuters. In 2011 the hospital received the
Distinction for Service Excellence award by J.D. Power
and Associates.
Saint Joseph - London
Community Outreach For
People Who Are Poor
Pharmaceutical Assistance Program
The Pharmaceutical Assistance Program was established
to help uninsured and underinsured individuals
with their medication needs. Serving Laurel, Whitley,
Clay and Knox Counties the program addresses medication
needs specific to cardiac, diabetes, hypertension,
cholesterol and COPD. Through the program
672 people were assisted with more than 1,132 free
prescription medications provided by pharmaceutical
companies at a market value of $519,300. Part-time
staff members assist individuals in the application
process and with follow-up needs.
Summer Feeding Program
Organized and federally funded through United Way
of Laurel Co., SJL joined with other agencies and
companies to provide daily lunches (Monday-Friday) to
children in the area. The Summer Feeding Program is
designed to deliver lunch to children in underserved
areas. Lunches are provided at more than 50 designated
locations with agencies/companies assigned to
a specific location. This year 80 employees volunteered
to serve more than 1,000 lunches in the eight weeks
of the program.
Seed (Senior Education
Event Dinner) Program
Over the past four years SJL has provided health
education at the local Catholic Church to senior adults
living on fixed incomes. These monthly programs offer
an opportunity for seniors to socialize, have lunch and
hear about specific health issues. It is also a time for
them to ask questions regarding health issues and
have monthly health checks to assist in monitoring
their wellness. On average, between 30 and 35 attend.
Flu Clinics
Through SJL’s Healthy Community Program, 520
individuals were provided free flu vaccinations from
January through March 2011. Clinics were set up to
meet the needs of the uninsured/underinsured at:
Kentucky Home Place, Community Care Corporation,
Old Persons Activity Center (OPAC), Homeless Shelter
and at the monthly SEED (Senior Education Event
Dinner) Program.
12

Donations of Supplies & Equipment
The closing of the former hospital afforded SJL an
opportunity to work with Supplies Over Seas (SOS),
an organization dedicated to recycling equipment and
supplies to hospitals and clinics in the states and
foreign countries. Approximately $59,000 in equipment
was distributed through the SOS agency. In late
spring of 2011 more than $400 in medical supplies
were donated to the hospitals ministering to tornado
victims in Alabama.
Medication/Durable Medical
Equipment (DME) and Transportation
In the past year, SJL has assisted patients on limited
incomes with medications, transportation and
DME needs at their discharge. Often medication assistance
is given to patients until they can receive help
through the Pharmacy Assistance Program and/or are
eligible for Medicaid. Self-pay patients who have major
infections and require an antibiotic on discharge are
also eligible for assistance. Transportation assistance
is provided in cases where patients have no money
or medical card to assist with transit buses or taxis.
Through the Social Services department more than
$49,000 was dispensed to meet these needs.
Community Outreach For The
Broader Community
Maternity Fair
The Maternity Fair is organized by the Southeastern
Kentucky Area Health Education Center (AHEC)
and assisted by SJL and the Laurel County Health
Department. The one-day event had 181 mothers and
172 guests in attendance from Laurel, Clay, Knox and
Whitley counties. The program is designed to assist
young mothers in the care of their newborns, infants
and toddlers. Participating moms ranged between the
ages of 15 to 44 years. They were required to attend
educational break-out sessions on relevant topics,
such as labor anesthesia-epidurals, breastfeeding &
nutrition, pregnancy and early childhood development,
to be eligible for prizes and gifts. Fifty-four vendors
offered educational materials and information on a
host of items and services available within the community.
CHF Outreach Program
Through SJL’s Congestive Heart Failure (CHF) Outreach
Program, a full-time nurse educates and assists
CHF patients in monitoring and controlling their
chronic disease process. This past year more than 175
patients were followed through the program. In addition
to education of patients, the nurse has provided
in-service education on caring for CHF patients to the
staff of home health agencies and nursing homes.
Education Projects and Programs
Throughout the year SJL staff members have collaborated
with other agencies and organizations in providing
the following educational opportunities to the
community: Cardiac Symposium, Diabetic Symposium,
Cancer Survivors Dinner and Pulmonary Symposium.
Education of Medical/
Paramedical Professionals
SJL served as a clinical education site for more than
100 students in the following areas of study: nursing,
public health, radiology, laboratory, pharmacy, respiratory
therapy, paramedics and cardiac cath technicians.
“Saint Joseph - London has a rich history of
reaching out to the community by providing
health screenings, education and programs.
In addition, we collaborate with other area
hospitals and health care agencies to provide
the maximum impact for those we serve.
Last year, Saint Joseph - London provided
$19.5 million in quantifiable community
benefit.”
– Virginia Dempsey,
Saint Joseph - London President
“Saint Joseph - London is an asset to our community
and a great collaborating partner. This partnership
affords us the opportunity to combine our resources
and talents to meet the needs of our community. Their
positive impact on our community is visible through
the programs they offer, such as the congestive heart
failure outreach program, and the outstanding care
they provide their patients.”
– Mark Hensley, Director,
Laurel County Health Department
13 london

Saint Joseph - Martin (SJM), established in 1947, is
located in the beautiful Appalachian Mountains. The
25-bed critical access facility provides patients with holistic,
personalized care. In addition to the hospital, SJM
operates four rural health clinics located in Wheelwright,
Betsy Layne and Martin.
SJM strives for excellence and garnered the Kentucky
Hospital Association Quality Award in 2007, 2009 and
2011. In 2011, SJM received the Distinction for Service
Excellence award by J.D. Power and Associates. SJM continues
to collaborate with community partners to improve
the health and wellness of those served.
Saint Joseph - Martin
Community Outreach For
People Who Are Poor
Social Services Programs
Through SJM’s Social Services programs, 596 people
were assisted with transportation, medication, supplies
and other basic needs totaling near $16,000.
Patient Financial Counselors
SJM financial counselors made 7,750 patient contacts
to assist individuals with medical bills and to
seek assistance with programs such as Kentucky
Hospital Care Program (KHCP).
Christmas Basket Program
SJM assisted the efforts of employees who donated
1,374 items for 63 families through the Christmas Basket
Program. The program is organized through Social
Services in collaboration with Martin First Baptist
Church.
Community Outreach For
The Broader Community
Dental/Oral Health Care Initiative
The Dental/Oral Health Care Initiative was formed
as a result of four focus groups – consumers, health
care providers, business and industry leaders, and
religious leaders who met in 2005 to address the
important issue of improving health care access in our
community.
The Dental/Oral Health Care Initiative completed
its fifth year screening students of Floyd County. This
year, grades 6-8 were added and 1,530 students were
screened. The Dental/Oral Health Initiative is a collaborative
effort of Big Sandy Health Care, Floyd County
Health Department, Floyd County Schools and SJM.
Floyd County Communities Against
Drug Addiction (CADA)
Healthy Floyd County 2010 Drug Action Team combined
forces with CADA because the ultimate goal
of each is to decrease drug use in Floyd County. The
Drug Action Team is one of the three original Healthy
Floyd County 2010 Action Teams – Drug, Economy/
Employment and Education.
In June, CADA hosted the “Drug Abuse Kills –
Ride for Life” event, a poker run. Twenty-two riders
enjoyed the ride through several neighboring counties
and close to $5,000 was raised for education and drug
rehabilitation treatment vouchers.
SJM participated with Operation UNITE (Unlawful
Narcotics Investigation Treatment and Education), a
federal program initiated by Rep. Hal Rogers to assist
in dealing with the local drug epidemic, for the “Shoot
Hoops – Not Drugs” event.
Relay for Life
SJM supported the efforts of employees’ fundraising
events that raised close to $16,000 for American Cancer
Society’s Relay for Life; this surpassed their goal
of $10,000 and exceeded the previous year’s efforts
by $4,000.
Senior Health Fest
SJM hosted its annual Senior Health Fest in October
serving more than 90 seniors. Free flu shots and
blood pressure screenings were provided. The seniors
were treated to lunch and entertained by the Swinging
Sensations.
School Programs
SJM’s Community Health Outreach Department collaborates
with all area schools and many community
organizations to provide prevention programs. The following
programs were presented to more than 4,000
students: Let’s Talk About Drugs (primary); Tobacco Prevention
(primary, middle and high schools); Nutrition (primary
and middle schools); Heart Health/CPR Information
(middle and high schools); CPR Heartsaver (middle and
high schools); Student Self-Breast Exam (high schools).
14

SJM continues to be dedicated to Respect – an
abstinence-based program for 6 th and 7 th grade
females, which began in 1994. Real Care dolls are
an integral part of the program. The program was
conducted in six of the seven middle schools in Floyd
County serving more than 100 students. A parent said
the following about the program: “I think it should be
that they have to do this, not optional. It was a great
training experience for (my daughter). Thank you for
having this program.”
Community Donations
SJM donated more than $2,000 to support local
efforts that aligned with community needs and its
mission.
Collaborative Efforts To
Improve Community Health
SJM continues to lead and be a champion for collaborative
efforts and networking with the community
to fulfill the goal of building a healthier community
through the works of the Healthy Floyd County 2010
Initiative.
Healthy Floyd County
The Healthy Floyd County Coordinating Committee
remains committed to building a healthier community.
Two action teams, Drug Action Team and the Dental/
Oral Health Team, of the Healthy Floyd County 2010
initiative continue their effort in building a healthier
community.
Floyd/Pike ASAP
SJM is a member of the Floyd/Pike ASAP – Agency
for Substance Abuse Policy – a state program established
in 2000 to help manage local policies that will
help overcome illegal drugs and underage tobacco
use.
Floyd County Diabetes Coalition
SJM is a member of the Floyd County Diabetes
Coalition, a branch of the Tri-County Coalition (Floyd,
Johnson and Magoffin) that was created approximately
three years ago by the Friedell Committee. The
goal is to investigate and address the needs of people
with diabetes in the three previously mentioned counties.
According to The Courier Journal (2005), in the
eastern Kentucky area, adult diabetes rises as much
as 74 percent above the national average.
Health Professions Education
SJM serves as a clinical site for nursing and respiratory
students.
Community Building Activities
SJM actively fosters partnerships to help build
a healthier community. Staff collaborates with all
schools in Floyd County to provide prevention programs
covering some of the most pressing health
issues today such as nutrition and drugs.
Members of the Community Outreach Department
serve on the following committees to assist in building
a healthier community: Floyd County Chamber
of Commerce Women’s Council; Floyd County Diabetes
Coalition; Floyd County Cancer Coalition; Floyd
County Schools District Emergency Management
Support Team; Allen Elementary Family Resource
Youth Services Center Advisory Council; May Valley
Elementary Family Resource Youth Services Center
Advisory Council; Allen Central High School Youth
Services Center Advisory Council; Floyd County Communities
Against Drug Addiction (CADA); Floyd/Pike
Agency for Substance Abuse Policy (ASAP); Floyd
County Schools Tobacco Education Facilitators Committee;
Built Environment/Healthy Communities Committee
Family Consumer Sciences Advisory Council;
and, Floyd County Community Council on Domestic
Violence.
“We are honored to continue the legacy of
care established by our Foundresses in 1947.
Our mission is to build a healthier community
and this guides us in the programs we provide
and strengthens our partnerships with other
organizations. It is our goal to serve all people
with compassion and respect.”
– Kathy Stumbo,
Saint Joseph - Martin President
“Big Sandy Health Care, Inc. has been a participant
in the Floyd County 2010 Oral Health Coalition since
2006. Since its inception, the coalition’s oral health
program has expanded to include 11 elementary and
middle schools in Floyd County. During the 2010-2011
school year, the coalition provided services to over
1,500 school children in Floyd County. Without the
efforts, dedication and the contribution of Saint Joseph -
Martin, this program would not have achieved this level
of success.”
– Ancil W. Lewis,
Chief Executive Officer,
Big Sandy Health Care, Inc.
15 martin

Saint Joseph - Mount Sterling (SJMS), founded in 1918,
is committed to serving the people of the Mount Sterling
area, including Montgomery, Bath, Menifee and Powell
counties. SJMS opened a new replacement facility June
16, 2011.
Located on a 30-acre campus, the new 114,000-squarefoot,
56-bed facility features private rooms, the latest technology
including MRI services and digital mammography,
an Infusion Center, and original artwork from Kentucky
artists. The two-story facility will allow for the expansion
of several service lines, such as cardiology, imaging, OB-
GYN and same-day surgery. The hospital will reach more
community members from the local and surrounding
areas with its modern hospital, and continue its impressive
record of delivering quality health care.
SJMS received the Distinction for Service Excellence
award by J.D. Power and Associates in 2011.
Saint Joseph - Mount Sterling
Community Outreach For
The Broader Community
The Better Breather’s Club
The Better Breather’s Club is a free social/educational
support group for patients, their families and/or
friends with chronic lung disease such as COPD. The
Better Breather’s Club helps people better understand
and deal with their lung disease and gives them
the opportunity to discuss their concerns with other
people with the same issues. At each meeting, there
is an average of ten participants and educational topics
are discussed, such as respiratory medications,
the disease process and illness prevention, as well as
other topics that may be requested by the patients.
The Healthy Hearts Club
The Healthy Hearts Club is a free educational support
group for patients with heart disease and their
families/friends. Healthy Hearts Club offers support
for people who have been diagnosed with heart
problems or people who are trying to prevent heart
disease. An educational topic is offered each month
that informs these patients of new treatments, exercise
and prevention strategies. There is an average of
ten participants each month.
Smoking Cessation Classes
Smoking cessation classes are offered by the cardiopulmonary
rehabilitation staff. The Cooper Clayton
Method for smoking cessation is offered to employees
as well as the community at large free of charge. The
Montgomery County Health Department partners with
SJMS in providing the first two weeks of nicotine
replacement for free to help with the initial cost for
people who wish to quit smoking. There is an average
of ten participants each month.
Walk to Remember
The “Walk to Remember” event was held in October
2010 at Easy Walker Park and about 75 people participated.
The event supports those in the community
who have suffered the loss of a child. The women’s
care department was the primary sponsor and respiratory,
same day surgery, purchasing, human resources
and risk management were integral members of the
event’s success.
16

Education of Medical/
Paramedical Professionals
SJMS participated as a training site for Sullivan University
Pharmacy Technician Program, Appalachian
College of Pharmacy and University of Kentucky. This
fiscal year, nine students participated logging 1,300
hours.
The Pharmacy Technician Externship represents
a hands-on opportunity to experience the pharmacy
operations. The Pharmacy Technician
Externship is a 200-hour
experiential encounter consisting
of 100 hours of community pharmacy
experience and 100
of hospital pharmacy experience.
Students are scheduled based on
the availability of the practice
site and the students’ schedules
for each of the two experiences.
Upon completion of the externship,
students are required to
recap their experience via a written
reflection and subsequent
presentation of their reflections on their experience
activities.
The purpose of the Pharmacy Technician Externship
is to bridge the information learned in the classroom
to real-life experiences in a pharmacy workplace.
To successfully matriculate beyond this program, the
student must master all primary learning objectives
and any additional learning objectives as directed by
the director of the Pharmacy Technician Program.
“Saint Joseph - Mount Sterling has the privilege
of ministering quality care and compassion to our
community and surrounding area. We delivered this
kind of service to almost 7,000 indigent patients last
year. We view this as part of our mission and calling
to serve everyone who is in need, regardless of their
ability to pay. Our desire is to always deliver this kind
of care. This is at the heart of who we are.”
– Benny Nolen,
Saint Joseph - Mount Sterling President
“The Montgomery County Health Department
has had a long-standing relationship [with Saint
Joseph - Mount Sterling]. Their commitment to the
community coupled with public health’s mission
to strive toward a healthier community serves as a
strong foundation for us to partner on a number of
health care issues. Saint Joseph - Mount Sterling is
fortunate to have a skilled and compassionate staff
who are eager to work with community partners to
improve the lives of the individuals that we all serve.”
– Jan Chamness,
Public Health Director,
Montgomery County Health Department
17
mount sterling

Flaget Memorial Hospital (FMH), a 40-bed facility, is
the only hospital in the Nelson County (Bardstown) area
and treats those from Washington, Spencer, Bullitt and
LaRue counties in addition to Nelson County. The hospital
became part of Saint Joseph Health System in early 2008.
Services are provided to the community through Flaget
Cancer Center, Flaget Center for Weight Loss Surgery,
Flaget Birth Center, Pain Management Center, Sleep
Disorders Center, Skilled Nursing, Wound Center and
Surgical Services. Off-site services are provided through
Cardiopulmonary Rehabilitation, Flaget Immediate Care
Clinic, Flaget Health Connection, Hospice of Nelson
County and Bardstown Rehabilitation Services.
FMH is a five-time winner of the “100 Top Hospital”
award from Thomson Reuters. In 2011, it was recognized
by Becker’s Hospital Review as one of the 65 greatest
community hospitals and received the Distinction for
Service Excellence award by J.D. Power and Associates.
Flaget Memorial Hospital
Community Outreach For
People Who Are Poor
Prescription Assistance Program
FMH has an employee dedicated to coordinating
the prescription assistance program, which serves
people who otherwise could not afford to pay for their
prescription medications. By utilizing the assistance
options through pharmaceutical companies, the program
is able to ensure patients get the medications
they need at no cost. This enables the patients to better
manage their health and avoids unnecessary utilization
of high cost emergency department services.
If there is a gap between when the patient needs
a medication and when the pharmaceutical assistance
begins, the program includes a bridge through a
voucher system with local retail pharmacies so people
have immediate access to vital medicine. Last year
2,294 free prescription medications were distributed
at a market value of $1,162,769. This comprehensive
service walks patients through the application process
and follows up with patients to make sure their longterm
needs are met.
Nelson County Community Clinic
FMH works with other community members and
organizations to support the operations of a free clinic,
which offers basic medical and dental services for people
who are working but do not have health insurance.
FMH provides financial assistance and supplies to the
clinic and receives referrals from the clinic’s patients
with needed advanced diagnostic tests.
Back to School Drive
Every August, FMH employees provide multiple
boxes of school supplies to local children to make sure
they have the physical tools they need to develop and
excel as students.
Food Drive
The annual Fall Harvest Food Drive is an opportunity
for departments across the organization to engage
in friendly competition to see who can donate the
most amount of food to benefit the local Saint Vincent
de Paul Mission Store. The winning departments are
determined by weighing the food that is donated and
typical collections are around 2,000 pounds.
18

Christmas Family Sponsorships
In collaboration with the local Community
Action Agency, several departments
in the hospital receive referrals
to sponsor families for Christmas. This
effort builds community within the
departments in the process of shopping
and wrapping the gifts and it
creates a more joyful Christmas for
local families.
Donations of Supplies &
Equipment
FMH partners with Supplies Over
Seas (SOS), which offers an environmentally-friendly
and cost-effective
way of dealing with surplus medical
products while simultaneously helping
people in desperate need. SOS relies on these product
donations to supply their qualified recipient institutions
in the economically developing world with a
wide variety of equipment and supplies.
Community Outreach For
The Broader Community
Baby Fair
The annual Baby Fair is organized by FMH employees
with the support of local community partners.
This year marked the largest Baby Fair yet with 350
attendees and 40 vendors. The program is designed to
empower mothers with the knowledge and resources
they need in the care of their newborns, infants and
toddlers. The fair included educational opportunities
on topics such as breastfeeding, epidurals, post-partum
blues, childbirth with confidence, and kangaroo care.
Flaget Health Connection
The Flaget Health Connection provides holistic care
programs to promote wellness for a healthy community.
The program accounts for more than 2,500 visits
annually through services such as free blood pressure
checks daily, free glucose testing monthly, 55 Alive
Driving Course annually and “Trim Down Bardstown”
weight loss program annually. Other services consist
of health and wellness information, referrals; and, community
social services referrals including prescription
assistance, domestic violence shelters, rape crisis lines
and mental health crisis lines. The health connection
coordinator also publishes weekly
health information articles in
the local newspaper.
Education of Medical/
Paramedical Professionals
FMH provides a clinical site
for health care professionals,
including students pursuing
careers in nursing and imaging
services.
Counseling/Support
Groups
Through Hospice of Nelson
County and the Community
Education Room at the Flaget
Immediate Care Clinic, public
meeting rooms are available free of charge for community
groups and organizations. Through Hospice,
comprehensive grief support is offered, which includes
support groups for people coping with the loss of
loved ones at any age.
Collaborative Efforts To
Improve Community Health
Event Sponsorships
FMH partners with the following organizations in a
collaborative effort to improve the health of our communities:
local parishes/churches and the Bardstown/
Nelson County Ministerial Association, St. Vincent de
Paul Society, American Heart Association, American
Cancer Society, Community Action and March of
Dimes.
FMH’s “Go Red for Women” campaign through the
American Heart Association included a presentation
from Dr. Mark Abramovich on the topics of cardiac
health, weight control, genetics and hyperlipidemia.
The 80 women who attended also received gift bags
with health information and an opportunity to receive
free blood pressure checks.
In support of the American Cancer Society’s “Relay
for Life” event, FMH raised more than $8,000 and
employees participated in the walk. FMH also was a
leading sponsor in the March for Dimes event “March
for Babies” with several employees walking and raising
$2,500.
“The motto of our foundresses, the Sisters
of Charity of Nazareth, is ‘the love of Christ
impels us.’ As we celebrate 60 years
of providing health care services to our
community, it is that same love that impels us
to care for people who are economically poor.
In the last fiscal year we provided $7.9 million
in quantifiable community benefit, which is
a testament to our commitment to serve all
people regardless of their ability to pay.”
– Sue Downs,
Flaget Memorial Hospital President
“Flaget Memorial Hospital has been a blessing
for us as we seek to fulfill our calling to have a
preferential option for people who are poor. Every
year the departments across the hospital collect
literally a ton of food and it always seems to come
when we need it the most. We are just one of
the many agencies that Flaget supports in our
community and we are proud of our partnership
with them.”
– Margaret Mattingly,
Executive Director,
Saint Vincent de Paul
19 flaget

Chemotherapy patient
Robert Davis and Ned
20

Love on a Leash
Therapy dog visits give chemotherapy patients a “paws”-itive outlook
By Tanya J. Tyler
It’s a cloudy, chilly Friday. Patients and their loved ones sit in the waiting
room at Saint Joseph Hematology Oncology in the Saint Joseph Cancer
Center. The patients are there to receive their chemotherapy treatments. The
atmosphere is somber and resigned. It’s quiet except for the ringing of phones
and the turning of magazine pages.
Then the door opens, and a fluff of white fur waltzes into the waiting room.
With a low “whoooo,” the visitor announces his arrival. And suddenly the feeling
in the room changes. People put aside their magazines and sit up. Smiles
appear on their faces.
Mister is here.
Touch starts with a ‘T’
Jamine Hamner is the coordinator of volunteer services for Saint Joseph
Hospital (SJH), Saint Joseph East (SJE) and Saint Joseph - Jessamine (SJJ). At
a peer conference, she heard people talking about therapy dog visitation. It
sounded like something that would be a perfect fit for SJH.
“The hospital already had a policy for patients to have their own pets come
and visit them,” Hamner said. “I felt if the hospital was open to having pets in
the hospital, there would be some support for this program.”
The goal of the therapy dog visitation program would be to reduce patient
and visitor anxiety and depression associated with hospitalization. Hamner
gathered policies from other pet therapy programs and put together one for
SJH. She sent it to various departments including security, risk management
and infection control. Around the same time, Julie Steffey, manager of oncology
support services for the newly opened Saint Joseph Cancer Center Resource
Services, contacted Hamner about ways volunteers could help. Not knowing
Hamner had already set the wheels in motion, Steffey mentioned incorporating
therapy dog visitation.
“I said I was working on this (policy) and waiting for final approval, but since
the cancer center was located outside of the hospital, maybe we could start it
over there,” Hamner said.
Steffey asked the oncology doctors how they felt about having dogs visit
patients receiving chemotherapy. They approved the plan, and Love on a Leash
(LOAL) was chosen to provide the service.
“We chose Love on a Leash because they make sure the dogs are prepared,”
Hamner said. “Also, they carry liability policies. It just made them a really good
group to work with.” Hamner said the successful program has since spread from
Saint Joseph Cancer Center to inside SJH and SJE, with therapy dogs visiting
units, patient rooms and waiting rooms.
Deb Ratcliffe, president of the central Kentucky chapter of LOAL, said the
national program was founded in California in 1984 by author and dog-obedience
instructor Liz Palika. The Lexington chapter began about six years ago.
Therapy dogs are different from service dogs.
“Therapy dogs go places to let people pet on them and love on them,” Ratcliffe
said, who visits with Dollar, her 9-year-old Boxer. “If you see a service dog helping
somebody with a disability, they will have a vest on that says ‘Service Dog,
Do Not Pet.’”
Liz Young, a LOAL team leader, has a mnemonic for remembering the difference.
“Service starts with an S and so does the word ‘stop.’ And therapy starts
with a T, which also is the first letter of the word ‘touch,’” she said. Young
owns the white furball
named Mister.
His vest says, “I love
working for hugs and
kisses.”
Meeting
Mister
Young and Mister
have been visiting
SJH and other venues
for about two
years. It’s very apparent
Mister, a 5-yearold
Samoyed, loves
his work.
“Mister has never
met a stranger,”
Young said. “I think
dogs like Mister
know when someone
needs their comfort.”
One time Mister
sat at the feet
of a man who had
high blood pressure.
Young and the man’s
wife watched the
man’s blood pressure
go down. Another
time, a woman who
was experiencing
back pain realized
she didn’t need her
medication while she
LOAL Volunteer Liz Young and Mister
21 feature

Chemotherapy patient
Carol McCaslin and Mister
was patting Mister.
“It was a miracle,” Young said. “It was like magic.”
Another therapy dog is Ned, a 5-year-old “cockapoo gone bad,” according to
his owner, Janie Fergus, director of information technology for SJH, SJE, SJJ,
Continuing Care Hospital and Saint Joseph - Mount Sterling. She and Ned were
certified three years ago.
“I was so happy when Saint Joseph went through the process to allow the
therapy dogs to come in,” Fergus said. “Ned loves it. I can just see his whole
personality coming out when we’re visiting people. He was born to do this.”
Ned shakes hands and dances for patients. Because he is small, patients
sometimes ask Ned to get up on the bed with them. “If the nurse approves, they
put down a sheet and Ned can get up on the bed,” Fergus said.
A lot of smiles
Patients share stories of their own dogs, present and past, as they love on
the therapy dogs.
“It’s good for the patients,” Ratcliffe said. “The staff gets a whole lot out of
it, too.”
Dr. Monty Metcalfe, with Saint Joseph Hematology Oncology, agrees. “I see
a lot of smiles when the dogs come in,” he said. “It universally makes people
happy. The dogs walk in and everybody’s immediately up going to pet them
and smiling. It changes the atmosphere totally. It’s an amazing difference that
you see in people.”
A dog lover himself, Metcalfe is glad the program has been implemented. “It’s
a wonderful program,” he said. “I hope it continues forever.”
Chemotherapy patient Carol McCaslin recently had her first encounter with
LOAL. It was a pleasant surprise to receive a visit from Mister. He loved her
long nails.
“We take for granted that the medical team is going to do what they need
to do for us, but it’s sometimes hard to address the soul,” she said. The therapy
dogs fill the void.
“They make you feel good,” added McCaslin, who once had a pet-photography
business with her husband. “You just sit there and you’re patting them, stroking
them, scruffing them behind the ears. It makes all the difference in the world.”
Robert Neal has enjoyed meeting LOAL participants while taking chemotherapy
treatment for the past five months. He believes Mister is an angel.
“He’s very special,” Neal said. “He really brightens the room up. When I’m
sitting there getting the drip done and he comes through the door, it makes
my day go better.”
For the human participants, LOAL has proven to be equally uplifting.
“It’s the best thing I’ve ever done,” Ratcliffe said. “It’s a blessing. You get so
much more out of it than you give, you really do.”
For Fergus, volunteering with LOAL has improved her attitude toward her
job.
“This has really helped me remember to keep in touch with what our business
is here,” she said. “It’s brought great rewards to my work.”
“Love on a Leash has changed my life,” Young said. “It’s everything I never
knew I always wanted to do. God has laid this out before me and I love it.”
Learn more at SaintJosephCancerCenter.com.
22

Saint Joseph Health System Foundations • Fiscal Year 2011
Community Benefit Report
During 2011 Saint Joseph Health System (SJHS)
cared for people beyond their hospital bedside. SJHS
remains dedicated to serving the ever increasing number
of patients and citizens in need in its communities.
That is why in fiscal year 2011, SJHS invested in and
expanded the presence of its local Foundations. The
ultimate goal is for each Foundation to support the
hospital(s) mission and improve the quality of lives for
patients and their families and build healthier communities.
In Kentucky, each of SJHS’s five Foundations is
unique and conducts their campaigns locally with all
funds raised remaining local. Fundraising initiatives
include: grateful patient programs, major gifts, grants,
employee campaigns, physician campaigns, memorial
gifts, planned giving, capital campaigns and events.
Monies raised this year were used for equipment
and technology, and education and mission outreach
programs such as the Patient Family Assistance Fund,
Employee Financial Emergency Fund, the Appalachian
Outreach Program and Nursing and Allied Health
Scholarships.
Saint Joseph Hospital
Foundation
The Saint Joseph Hospital Foundation’s mission is
to assist the health care professionals of Saint Joseph
Hospital, Saint Joseph East and Saint Joseph - Jessamine
by raising and allocating funding for innovative
programs and projects that enrich the health of
patients, family and community in the tradition of the
Sisters of Charity of Nazareth.
In 2011, through the heartfelt generosity of grateful
patients, physicians, clinical and non-clinical
employees, hospital and Foundation boards and other
community partners, the Foundation returned nearly
$325,000 for the mission-related programs, services
and technological needs of SJHS.
The following are some specific examples of the
$325,000 in critical need projects and outreach programs
that generous donors of the Foundation have funded:
• Provided $50,000 in services to the Eastern Kentucky
Mobile Clinic, including the development of
a mental health diagnostic and treatment network
for residents in the communities served by the
Eastern Kentucky Mobile Health Clinic.
• Provided $12,000 to the award-winning Appalachian
Outreach Program which helped provide
nutritional, social and pastoral services to patients
and their families in central and eastern Kentucky.
• Awarded scholarships to deserving central and
eastern Kentucky students in nursing and radiology
totaling $14,500.
• Provided $8,000 to the Saint Joseph Continuing
Care Clinic to provide health care for the uninsured
in Fayette County.
• Donated more than $240,500 to Saint Joseph Hospital,
Saint Joseph East and Saint Joseph - Jessamine
RJ Corman Ambulatory Care Center for
increased technology, equipment upgrades and
continuing education for hospital staff.
For more information, please contact Barry A. Stumbo, President
and CEO, at 859.313.1705 or via e-mail at stumboba@sjhlex.org.
Flaget Memorial Hospital
Foundation
The mission of the Flaget Memorial Hospital Foundation
is to support the hospital’s ministry in building
healthier communities in the tradition of the Sisters
of Charity of Nazareth. The Foundation embraces the
core values of Reverence, Integrity, Compassion and
Excellence.
The Flaget Memorial Hospital Foundation emphasizes
a strong culture of philanthropy in Bardstown
established by the Sisters of Charity of Nazareth and
supports the hospital through fundraising efforts for
patient, technological, capital and community needs.
It is through the generosity of the community, employees,
auxiliary and board members that the Foundation
was able to return more than $200,000 in fiscal year
2011 to support the critical programs of Flaget Memo-
rial Hospital Foundation and community organizations
that fulfill the Foundation’s mission.
The following are some specific examples of the
projects and outreach programs that the generous
donors of the Flaget Memorial Hospital Foundation
have funded:
• Provided $100,000 to purchase a Neurosurgical
Microscope for Outpatient Surgery.
• Created the YES, MAMM! digital mammography,
breast cancer screening and education campaign
through a grant totaling $36,935 awarded from
Susan G. Komen Louisville Affiliate.
• Purchased new infant hearing testing equipment
for the Flaget Birthing Center through a
grant from WHAS Crusade for Children totaling
$9,303.84.
• Developed the Bruce A. Klockars Employee Education
Fund by raising $9,525.
• Raised $8,141 in donations to help the children of
an employee who was tragically killed in an automobile
accident.
• Provided $21,902 to the Cardiology Department for
Cardiac Stress Test Treadmill equipment.
• Provided $7,030 for blanket warmers for the surgery
department and the Flaget Cancer Center.
• Provided $7,000 to the Nelson County Community
Clinic, the free medical and dental clinic that
provided more than two million dollars in value
of services to the working, uninsured residents in
Nelson County.
• Purchased more than $2,000 of prescription medications
for the clients of the Flaget Memorial Hospital
Prescription Assistance Program that provided more
than one million dollars in value of medications to
the uninsured/underinsured residents.
• Purchased a $350 storm door for a needy lowincome
patient of the Hospice of Nelson County.
For more information, please contact Bobbi Harned,
Director of Development, at 502.350.5058
or via e-mail at foundation@flaget.com.
23 community benefit report

Saint Joseph - Berea
Foundation
Saint Joseph - Berea Foundation’s mission is to
enhance the health care services provided by the
hospital by raising and allocating funding for innovative
programs and projects that enrich the health
of patients, family and community. It is through the
generosity of the community, employees and board
members that the Foundation was able to return more
than $100,000 in fiscal year 2011 to support the critical
programs of Saint Joseph - Berea and community
organizations that fulfill the Foundation’s mission.
The following are some specific examples of the
$100,000 in projects and outreach programs that the
generous donors of the Saint Joseph - Berea Foundation
have funded:
• Provided $3,000 to the hospital Auxiliary to provide
Lifeline services to community members who
cannot afford this service on their own.
• Provided more than $37,000 to update and renovate
several areas of the hospital including the
chapel and three waiting areas.
• Provided $27,000 to fund an Artist-In-Residence
program. The goal is to provide healing through
art and to enhance the aesthetic look and feel of
the hospital.
• Provided nearly $20,000 to the Patient and Family
Assistance Fund to give assistance to low-income
patients with travel to and from the hospital, food
vouchers, lodging, medications, medical testing
and supplies.
For more information, please contact Chris Schill,
Director of Development, at 859.986.6498
or via e-mail at christopherschill@catholichealth.net.
Saint Joseph - London
Foundation
The newly formed Saint Joseph - London Foundation
is dedicated to building a healthier community
through philanthropic leadership, charitable outreach
and educational programming that support the hospital’s
primary mission of providing compassionate,
curative and spiritual care to all who seek it.
With the opening of the new hospital on August
19, 2010, the Foundation embarked on the first ever
naming opportunity campaign, “Building for Tomorrow,
Committing to the Future.” This provides donors
the opportunity to make tax-deductible gifts to place
a name on a specific room, department or area of the
new hospital in someone’s honor. To date more than
$300,000 has been raised for Cardiac Services, the
Emergency Department and Respiratory Services. During
fiscal year 2010, Saint Joseph - London Foundation
returned more than $40,000 for Cardiac Services.
For more information, please contact April Nease,
Director of Development, at 606.330.6008
or via e-mail at amnease@sj-london.org.
Saint Joseph - Mount Sterling
Foundation
The Saint Joseph - Mount Sterling Foundation has
continued its mission in 2011 of assisting the health
care professionals of Saint Joseph - Mount Sterling
by providing financial support to charitable, educational
and scientific programs that have helped build
a healthier community. The Foundation has remained
dedicated to the continued success of the new hospital,
working tirelessly to secure funding for social service
programs and equipment. In fiscal year 2011, the
Foundation contributed approximately $25,000 to support
the vital programs and services of Saint Joseph
- Mount Sterling, including assisting more than 40
patients through the Patient Family Assistance Fund.
The Foundation, now in its fourth year of operation,
has finished the “One Heart, One Hospital”
capital campaign to bring cardiac catheterization to
its seven-county service area. The Foundation to date
has received pledges totaling more than $700,000 in
support of the campaign, with more than $98,000 of
that total coming from employees.
For more information, please contact Martin Riggs,
Director of Development, at 859.497.5013
or via e-mail at martinriggs@catholichealth.net.
Saint Joseph Health System is investing in our communities every day to address community health
needs whether it is poverty, violence or access to care. The Foundations are extremely appreciative of
the generous support of community partners, employees, administration, board members, physicians
and grateful patients who believe in this worthy mission. However, the tremendous need for public and
private support is greater now than ever before as we continue to build healthier communities in central
and eastern Kentucky.
Can we count on you to join us and make a difference in your community today? To make a taxdeductible
gift, or for more information about mission-related programs and services at any of our
Foundation locations in Kentucky, please call Barry A. Stumbo, Saint Joseph Foundation President and
CEO, at 859.313.1705 or visit SaintJosephHealthSystem.org.
24

Saint Joseph
Hospital Foundation
Board of Directors
Floyd Blake
M. Cary Blaydes, MD
J. Peter Cassidy, III
LaJava Chenault
Barbara Bailey Cowden
Dermot Halpin, MD
Ken Haynes,
SJH/SJE/SJJ President
Walter Hillenmeyer, III,
Treasurer
Jane Scott Hodges,
Secretary
Martha Jones
Mike Marnhout
Katherine McCarty
Foster Ockerman, Jr.
Tony Ottaiano
Porter G. Peeples
Robert Salley, MD
Tricia Shackelford
Barry A. Stumbo,
Foundation President/CEO
Pat Takacs
Alan VanArsdall,
Vice-Chair
Teresa Wallen,
Chair
Jane Warner
Greg Yeary
Flaget Memorial
Hospital Foundation
Board of Directors
John Bradford,
Treasurer
Bill Conway,
Chair
Sue Downs,
FMH President
Tink Guthrie
Bobbi Harned,
Foundation Director
Norma Jean Haydon,
Secretary
Larry Hicks,
Vice-Chair
Jack Newcomb
Carol Rogers, SCN
Jim Rogers
Michelle Buckley Sparks
Matthew Stiles, MD
Barry A. Stumbo,
Foundation President/CEO
Saint Joseph -
Berea Foundation
Board of Directors
Symerdar Baskin,
Secretary
Dorothy Blackburn
Cathy Broaddus
Jim Davis,
Vice-Chair
Sune Frederiksen
Greg D. Gerard,
SJB President
Ray Himes
Charles Hoffman
Brenda Huser-Taylor, DC
Diane Kerby
Greg Lakes
Stephanie Moore
David J. O’Reilly, MD
Barry Poynter,
Treasurer
Ken Riley,
Chair
Jim Rousey
Barry A. Stumbo,
Foundation President/CEO
Flora Washburn,
SJB Chaplain/Mission Leader
Tim White
Saint Joseph -
London Foundation
Board of Directors
Sean Buck
Larry Corum
Holbert Hodges, Jr.
Dianna Milam,
Treasurer
Stan Owens
Peggy Pratt,
Chair
Star Kusiak Robbins
Joe Schenkenfelder,
Vice-Chair
Paul Smith, MD
Wayne Sturgeon
James Sutton
Jane Rice Williams,
Secretary
Michael Wood
Saint Joseph -
Mount Sterling
Foundation
Board of Directors
Granetta Blevins,
Treasurer
Sister Janet Carr, CDP
Cinda Fluke
Benny Nolen,
SJMS President
Tracy Pearce,
Chair
Omar Prewitt,
Vice-Chair
Martin Riggs,
Foundation Director
Barry A. Stumbo,
Foundation President/CEO

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www.SaintJosephHealthSystem.org