OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER INC (EIN 85-3033915)
- Tax period
- 2021-06-01 to 2022-05-31
- Filed
- 2023-04-12
- IRS object ID
- 202311029349302001
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-04-12T23:31:08+00:00 | ReturnTs |
| Tax Period End | 2022-05-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST AND YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 4000 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 462045100 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-06-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 853033915 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Owensboro Health Twin Lakes Regional Medical Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OWEN | BusinessNameControlTxt |
| Phone | 2702599400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 Pleasant Valley Road | AddressLine1Txt |
| City | Owensboro | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42303 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Russ Ranallo | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2704172000 | PhoneNum |
| Signature | 2023-04-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Russ | PersonFirstNm |
| Person Last | Ranallo | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jennifer D Rhoderick | PreparerPersonNm |
| PTIN | P00395735 | PTIN |
| Phone | 3176817000 | PhoneNum |
| Preparation | 2023-04-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Owensboro Health Twin Lakes Medical Center | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Russ Ranallo | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 Pleasant Valley Road | AddressLine1Txt |
| City | Owensboro | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42303 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $56,278,932 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.OWENSBOROHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2020 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER EXISTS TO HEAL THE SICK AND TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 484 | TotalEmployeeCnt |
| Total Volunteers | 34 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $115,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $21,127,728 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $54,769,840 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $241,838 | PYOtherRevenueAmt |
| CY Other Revenue | $1,394,092 | CYOtherRevenueAmt |
| PY Total Revenue | $21,369,566 | PYTotalRevenueAmt |
| CY Total Revenue | $56,278,932 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,190,838 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,100,962 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,813,643 | PYOtherExpensesAmt |
| CY Other Expenses | $25,329,388 | CYOtherExpensesAmt |
| PY Total Expenses | $21,004,481 | PYTotalExpensesAmt |
| CY Total Expenses | $48,430,350 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $365,085 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,848,582 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $49,384,321 | TotalAssetsBOYAmt |
| Total Assets EOY | $55,501,629 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $49,019,236 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $47,287,962 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $365,085 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,213,667 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER EXISTS TO HEAL THE SICK AND TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $42,581,305 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $55,987,273 | RevenueAmt |
| Desc | OHTLMC IS A 75 BED HOSPITAL BASED IN LEITCHFIELD, KY, ABOUT 65 MILES SOUTHEAST OF OWENSBORO. THE SERVICE AREA COMPRISES 115,000 PEOPLE FROM SIX COUNTIES: GRAYSON (PRIMARY), BRECKINRIDGE, OHIO, BUTLER, EDMONSON, HART, AND HARDIN. OH WHOLLY OWNS AND CONTROLS OHTLMC AND IS NOT A MEMBER OF THE OBLIGATED GROUP. OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER ("OHTLMC") PRIMARY ACTIVITY CONSISTS OF PROVIDING MEDICAL AND PATIENT CARE SERVICES IN ITS MAIN HOSPITAL, SERVING SIX COUNTIES, IN SUPPORT OF OWENSBORO HEALTH, INC. ("OH"). THE SOLE MEMBER OF OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER (OHTLMC) IS OWENSBORO HEALTH, INC. (OH). OUR MEDICAL SERVICES ARE DELIVERED BY HIGHLY SKILLED PHYSICIANS ALONG WITH A CARING AND COMPASSIONATE NURSING STAFF. FOR THE FISCAL YEAR 2022, OHTLMC HAD TOTAL ADMISSIONS OF 1,897, PATIENT DAYS OF 7,470 AND TOTAL ER VISITS OF 17,868. COST OF PARTICIPATING IN GOVERNMENT PROGRAMS: OHTLMC IS COMMITTED TO SERVING ALL PERSONS IN NEED, REGARDLESS OF RACE, CREED, SEX, NATIONALITY, RELIGION, DISABILITY, AGE OR ABILITY TO PAY. TO PROMOTE ACCESS TO CARE, OHTLMC PARTICIPATES IN THE FOLLOWING PUBLIC HEALTH PROGRAMS: MEDICAID, MEDICARE, TRICARE AND LOCAL HEALTH DEPARTMENTS. IN GENERAL, PAYMENTS FROM THESE PROGRAMS FREQUENTLY DO NOT COVER THE COSTS OHTLMC INCURS TO SERVE PROGRAM BENEFICIARIES. UNCOMPENSATED CARE AND FINANCIAL ASSISTANCE: OHTLMC PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COST TO RESIDENTS OF THE COMMUNITIES THAT IT SERVES. OHTLMC'S FINANCIAL ASSISTANCE PROGRAM WAS ESTABLISHED TO ASSIST PATIENTS WHO DO NOT QUALIFY FOR MEDICAL ASSISTANCE PROGRAMS, LIKE MEDICAID, AND WHOSE ANNUAL INCOMES ARE AT OR BELOW CERTAIN PERCENTAGES OF THE FEDERAL POVERTY GUIDELINES. OHTLMC IS COMMITTED TO EXPANDING ITS PROGRAMS TO IMPROVE ACCESS TO HEALTH CARE IN THE AREAS IT SERVES, WHICH INCLUDE RURAL AND ECONOMICALLY DEPRESSED AREAS AND AREAS THAT LACK ADEQUATE NUMBERS OF PRIMARY CARE AND SPECIALTY PROVIDERS. | Desc |
| Total Program Service Expenses | $42,581,305 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 67 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 484 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Russ Ranallo | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2704172000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 Pleasant Valley Road | AddressLine1Txt |
| City | Owensboro | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42303 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| GREG STRAHAN | |||||||||
| PRESIDENT AND CEO (THRU 08/21) | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $1,068,089 | $46,317 | ||
| JEFFREY THOMAS | |||||||||
| BOARD TREASURER, CFO (START 08/21) | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $163,601 | $9,496 | ||
| JOHN HACKBARTH | |||||||||
| BOARD SECRETARY, CFO (THRU 08/21) | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $594,153 | $42,608 | ||
| MARK MARSH | |||||||||
| PRESIDENT AND CEO (START 06/21) | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $578,107 | $33,647 | ||
| ROBERT FARMER | |||||||||
| BOARD CHAIRPERSON | 1.0 | 5.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| VICKI STOGSDILL | |||||||||
| BOARD SECRETARY | 1.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DENNIS FENTRESS | |||||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| GAVIN ROBERTS | |||||||||
| BOARD MEMBER | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | |||
| GLENNA BLACK | |||||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| JEFF CARPENTER | |||||||||
| BOARD MEMBER (THRU 10/21) | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | |||
| LARRY BRETT ABNEY OD | |||||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| RYAN BRATCHER | |||||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| ASHLEY HERRINGTON | |||||||||
| CEO - OHTLMC | 45.0 | 5.0 | Yes (X) | $293,734 | $0 | $41,499 | |||
| CATHERINE CLEMONS | |||||||||
| VP OF OPERATIONS - OHTLMC | 45.0 | 5.0 | $178,858 | $0 | $19,282 | Yes (X) | |||
| CATHY STEWART | |||||||||
| VP PATIENT CARE SVCS AND CNO - OHTLMC | 45.0 | 5.0 | $164,698 | $0 | $33,617 | Yes (X) | |||
| TRINA DAVES | |||||||||
| VP PT CARE SVCS AND CNO-TL (THRU 10/21) | 45.0 | 5.0 | $201,195 | $0 | $12,401 | Yes (X) | |||
| AMANDA HARTLAGE | |||||||||
| CLINICAL PHARMACIST | 50.0 | 0 | $117,945 | $0 | $21,906 | Yes (X) | |||
| ANGELA M GIBSON | |||||||||
| DIRECTOR OF PHARMACY | 50.0 | 0 | $156,948 | $0 | $32,177 | Yes (X) | |||
| BRITTANY N CLEMONS | |||||||||
| DIR OF NURSG AND QLTY-PT SFTY | 50.0 | 0 | $106,913 | $0 | $14,739 | Yes (X) | |||
| CHLOE ADAMS | |||||||||
| CLINICAL PHARMACIST | 50.0 | 0 | $118,684 | $0 | $14,185 | Yes (X) | |||
| TODD E BULLOCK | |||||||||
| NURSE PRACTITIONER | 50.0 | 0 | $117,056 | $0 | $13,674 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,456,031 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,403,950 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $335,548 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | Address Line2ContractorAddress/USAddress/AddressLine2Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| QUALIVIS LLC | ||||||
| DEPT 3847 | PO BOX 123847 | DALLAS | TX | 753123847 | CONTRACT LABOR FOR NURSING | $1,070,857 |
| CLINICAL MANAGEMENT SOLUTIONS | ||||||
| PO BOX 6890 | EVANSVILLE | IN | 47719 | OCC. AND PT SERVICES | $741,342 | |
| EXCEL ANESTHESIA PSC | ||||||
| 1020 NORTH MAIN STREET | BEAVER DAM | KY | 42320 | ANESTHESIA SERVICES | $648,998 | |
| BLEIBEL MD SAMER | ||||||
| 34912 BUNKER HILL DR | FARMINGTON HILLS | MI | 48331 | PHYSICIAN SERVICES | $487,104 | |
| JENKINS MD ANDREW | ||||||
| 223 BYRTLE GROVE ROAD | LEITCHFIELD | KY | 42754 | PHYSICIAN SERVICES | $322,656 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $100,000 | GovernmentGrantsAmt |
| All Other Contributions | $15,000 | AllOtherContributionsAmt |
| Total Contributions | $115,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE/MEDICAID PAYMENT | 622110 | $36,830,135 | $36,830,135 |
| PATIENT REVENUE - OTHER INCOME | 622110 | $9,557,195 | $9,557,195 |
| UPPER PAYMENT LIMIT | 622110 | $8,357,236 | $8,357,236 |
| REVENUE - HOME HEALTH LHC | 621493 | $25,274 | $25,274 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $54,769,840 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $183,699 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $183,699 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $183,699 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $183,699 | RelatedOrExemptFuncIncomeAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA AND VENDING | 722514 | $176,659 | $176,659 | |
| ALL OTHER REVENUE | 900099 | $1,033,734 | $1,033,734 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,210,393 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,278,932 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $55,987,273 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $176,659 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $777,196 | TotalAmt |
| Management And General | $777,196 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,126,221 | TotalAmt |
| Program Services | $16,040,801 | ProgramServicesAmt |
| Management And General | $1,085,420 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $426,527 | TotalAmt |
| Program Services | $298,310 | ProgramServicesAmt |
| Management And General | $128,217 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,501,135 | TotalAmt |
| Program Services | $2,447,745 | ProgramServicesAmt |
| Management And General | $1,053,390 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,269,883 | TotalAmt |
| Program Services | $1,150,982 | ProgramServicesAmt |
| Management And General | $118,901 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,722 | TotalAmt |
| Program Services | $41,597 | ProgramServicesAmt |
| Management And General | $4,125 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,000 | TotalAmt |
| Management And General | $30,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,241,933 | TotalAmt |
| Program Services | $7,820,546 | ProgramServicesAmt |
| Management And General | $421,387 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,579 | TotalAmt |
| Program Services | $1,549 | ProgramServicesAmt |
| Management And General | $87,030 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,050,221 | TotalAmt |
| Program Services | $2,695,738 | ProgramServicesAmt |
| Management And General | $354,483 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $349,624 | TotalAmt |
| Program Services | $240,803 | ProgramServicesAmt |
| Management And General | $108,821 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,358 | TotalAmt |
| Program Services | $20,570 | ProgramServicesAmt |
| Management And General | $14,788 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,128,605 | TotalAmt |
| Program Services | $743,127 | ProgramServicesAmt |
| Management And General | $385,478 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,593 | TotalAmt |
| Program Services | $20,728 | ProgramServicesAmt |
| Management And General | $3,865 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,362 | TotalAmt |
| Program Services | $1,997 | ProgramServicesAmt |
| Management And General | $365 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $917 | TotalAmt |
| Program Services | $917 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,121,073 | TotalAmt |
| Management And General | $1,121,073 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,798 | TotalAmt |
| Program Services | $3,798 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $6,358,403 | $6,358,403 | |
| BAD DEBT | $2,710,309 | $2,710,309 | |
| PROVIDER TAX | $1,748,978 | $1,748,978 | |
| DIETARY PATIENT SUPPLIES | $218,312 | $216,004 | $2,308 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,601 | TotalAmt |
| Program Services | $18,403 | ProgramServicesAmt |
| Management And General | $152,198 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,430,350 | TotalAmt |
| Program Services | $42,581,305 | ProgramServicesAmt |
| Management And General | $5,849,045 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,658,943 | BOYAmt |
| EOY | $14,697,316 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,406,057 | BOYAmt |
| EOY | $6,573,204 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,816,686 | BOYAmt |
| EOY | $2,258,816 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,803,541 | BOYAmt |
| EOY | $2,414,450 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $32,050,471 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,841,591 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,351,117 | BOYAmt |
| EOY | $29,208,880 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $347,977 | BOYAmt |
| EOY | $348,963 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,384,321 | BOYAmt |
| EOY | $55,501,629 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,604,470 | BOYAmt |
| EOY | $2,893,523 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,604 | BOYAmt |
| EOY | $81,646 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,184,162 | BOYAmt |
| EOY | $44,312,793 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,019,236 | BOYAmt |
| EOY | $47,287,962 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $365,085 | BOYAmt |
| EOY | $8,213,667 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $365,085 | BOYAmt |
| EOY | $8,213,667 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,384,321 | BOYAmt |
| EOY | $55,501,629 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $7,848,582 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,230,751 | OtherCostOrOtherBasisAmt |
| Book Value | $2,230,751 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,815,022 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,532,788 | DepreciationAmt |
| Book Value | $20,282,234 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,050,789 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,308,803 | DepreciationAmt |
| Book Value | $5,741,986 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $953,909 | OtherCostOrOtherBasisAmt |
| Book Value | $953,909 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $29,208,880 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO MEDICARE AND MEDICAID COST REPORT | $3,361,502 |
| DUE TO MEDICARE FOR ACCELERATED PAY | $1,432,938 |
| INTERCOMPANY AP | $39,518,353 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $44,312,793 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | THE SYSTEM APPLIES FASB ASC 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ASC 740 PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIALS STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS CURRENTLY NO IMPACT ON THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC 740. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $84,934 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $84,934 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0019 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,987,962 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,189,703 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $13,072,896 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,189,703 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $84,934 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0019 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 50 | ActivitiesOrProgramsCnt |
| Persons Served | 1377 | PersonsServedCnt |
| Total Community Benefit Expns | $15,179 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $162 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,017 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0003 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 89 | ActivitiesOrProgramsCnt |
| Persons Served | 8 | PersonsServedCnt |
| Total Community Benefit Expns | $78,322 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $78,322 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0017 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 114 | ActivitiesOrProgramsCnt |
| Persons Served | 1463 | PersonsServedCnt |
| Total Community Benefit Expns | $6,781 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,781 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 253 | ActivitiesOrProgramsCnt |
| Persons Served | 2848 | PersonsServedCnt |
| Total Community Benefit Expns | $100,282 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $162 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $100,120 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0022 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 253 | ActivitiesOrProgramsCnt |
| Persons Served | 2848 | PersonsServedCnt |
| Total Community Benefit Expns | $13,173,178 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,189,865 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $185,054 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0040 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $226 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $226 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $226 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $226 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,710,309 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $216,825 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $8,823,400 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,439,808 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$616,408 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 PLEASANT VALLEY ROAD | AddressLine1Txt |
| City | OWENSBORO | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42303 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.OWENSBOROHEALTH.ORG | WebsiteAddressTxt |
| State License | 100151 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (true) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.owensborohealth.org/sites/default/files/documents/ohtlmc-chna-full-report-2021.pdf | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.owensborohealth.org/sites/default/files/documents/2021_owensboro_health_twin_lakes_medic | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.OWENSBOROHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.OWENSBOROHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.OWENSBOROHEALTH.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 2 | OWENSBORO HEALTH ACQUIRED TWIN LAKES REGIONAL MEDICAL CENTER ON JANUARY 1, 2021 AND IS THE THIRD HOSPITAL IN THE OWENSBORO HEALTH SYSTEM. THE HOSPITAL WAS RENAMED OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER ("OHTLMC"). OHTLMC IS A 75 BED HOSPITAL BASED IN LEITCHFIELD, KY, ABOUT 65 MILES SOUTHEAST OF OWENSBORO. THEIR SERVICE AREA COMPRISES 115,000 PEOPLE FROM SIX COUNTIES: GRAYSON (PRIMARY), BRECKINRIDGE, OHIO, BUTLER, EDMONSON, HART, AND HARDIN. OHTLMC IS NOT A MEMBER OF THE OBLIGATED GROUP. |
| Schedule H, Part V, Section B, Line 3E | THE PRIORITY HEALTH AREAS FOR OHTLMC IN TAX YEARS 2021 - 2024 ARE: MENTAL HEALTH, SUBSTANCE ABUSE, CHRONIC HEALTH CONDITIONS, AND OBESITY/PHYSICAL INACTIVITY. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER. IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER (OHTLMC) AND ITS POPULATION HEALTH COMMITTEE WITH THE COMMUNITY AND ECONOMIC INITIATIVE OF KENTUCKY (CEDIK) DEVELOPED A SURVEY TO GATHER HEALTH INFORMATION AND -PERCEPTIONS OF GRAYSON COUNTY RESIDENTS 18. THE SURVEY WAS CONDUCTED IN JANUARY AND FEBRUARY OF 2022 USING AN ONLINE TOOL AND DISTRIBUTING PRINTED COPIES IN VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. THE ONLINE SURVEY WAS PROMOTED THROUGH LOCAL MEDIA, EMAILS, AND ITS FACEBOOK PAGE. EMAILS WITH A LINK TO THE SURVEY WERE SENT TO GRAYSON COUNTY CHAMBER OF COMMERCE MEMBERS, LOCAL INDUSTRIES, AND EMPLOYEES OF THE GRAYSON COUNTY SCHOOL SYSTEM AND THE HOSPITAL. PRINTED COPIES WERE DELIVERED TO AN ASSISTED LIVING FACILITY, THE GRAYSON COUNTY ALLIANCE FOOD BANK, THE GRAYSON COUNTY HEALTH DEPARTMENT, BIG CLIFTY MEDICAL COMPLEX, AND THE CANEYVILLE FAMILY PRACTICE. SURVEYS WERE ALSO CONDUCTED AT THE COMMUNITY COVID-19 VACCINE CLINIC. 1109 GRAYSON COUNTY RESIDENTS PARTICIPATED IN THE SURVEY. THE SURVEY QUESTIONS WERE IN THREE PRIMARY CATEGORIES: DEMOGRAPHICS, PERSONAL HEALTH INFORMATION, AND PERCEIVED HEALTH NEEDS OF THE COMMUNITY. CEDIK TABULATED THE RESULTS AND SUPPLEMENTED THEM WITH HEALTH STATISTICS AND DEMOGRAPHIC INFORMATION. OHTLMC THEN INVITED REPRESENTATIVES FROM VARIOUS BACKGROUNDS TO PARTICIPATE IN FOCUS GROUPS. THESE FOCUS GROUPS COMPRISED COMMUNITY CITIZENS, COMMUNITY LEADERS, AND HEALTHCARE GROUPS. ORGANIZATIONS REPRESENTED INCLUDED THE COUNTY EXTENSION OFFICE; GRAYSON COUNTY SCHOOLS; THE GRAYSON COUNTY HEALTH DEPARTMENT; OHTLMC EMPLOYEES; LOCAL INDUSTRY/MANUFACTURING; GRAYSON COUNTY HEALTHCARE FOUNDATION; CATHOLIC OUTREACH; TRI-COUNTY CASA; BANKS AND BUSINESSES; OHRH; UNITED WAY OF CENTRAL KENTUCKY; THE GRAYSON COUNTY ALLIANCE. LASTLY, FOUR KEY INFORMANT INTERVIEWS WERE DONE WITH INVOLVED COMMUNITY MEMBERS. AFTER CAREFULLY CONSIDERING THE RESULTS OF THE COMMUNITY HEALTH SURVEY, THE MOST RECENT HEALTH AND DEMOGRAPHIC INFORMATION AVAILABLE INPUT FROM THE COMMUNITY HEALTH COMMITTEE, AND THE KEY INFORMANT INTERVIEWS, THE FOLLOWING NEEDS WERE IDENTIFIED BY THE OHTLMC POPULATION HEALTH COMMITTEE AND APPROVED BY THE HOSPITAL LEADERSHIP AND THE BOARD OF DIRECTORS. THE PRIORITY HEALTH AREAS FOR OHTLMC IN TAX YEARS 2021 - 2024 ARE: MENTAL HEALTH, SUBSTANCE ABUSE, CHRONIC HEALTH CONDITIONS, AND OBESITY/PHYSICAL INACTIVITY. |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER. AS PREVIOUSLY NOTED, THE OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER (OHTLMC) CHNA WAS CONDUCTED WITH COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY (CEDIK). CEDIK ENGAGED MULTIPLE COMMUNITY PARTNERS, INDIVIDUAL CITIZENS, ELECTED OFFICIALS, COALITIONS AND SUBJECT MATTER EXPERTS IN CONDUCTING THE CHNA. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER. OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER CREATED A COMMUNITY HEALTH COMMITTEE. THE GROUP IS GUIDED BY THE IDENTIFIED PRIORITY HEALTH NEEDS NAMED IN ITS MOST RECENT CHNA IDENTIFYING AREAS OF FOCUS TO IMPROVE THE HEALTH OF OUR COMMUNITY AND THE HOSPITAL IMPLEMENTATION STRATEGY. THE COMMUNITY HEALTH COMMITTEE IS MADE UP OF INTERNAL TEAM MEMBERS AND EXTERNAL COMMUNITY MEMBERS. OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER CEO CHAIRS THE COMMITTEE. THE COMMUNITY HEALTH COMMITTEE MEETS MONTHLY TO DISCUSS IMPLEMENTATION OF THE IMPLEMENTATION STRATEGY TO IMPROVE THE COMMUNITY'S HEALTH. OHTLMC INTENDS THAT THE CONTENTS OF THIS REPORT BE USED TO CREATE AWARENESS BY INFORMING GRAYSON COUNTY RESIDENTS OF THE PRIORITIZED HEALTH ISSUES IDENTIFIED BY THE COMMUNITY. ALSO, AS A STRATEGY, OHTLMC USES THE CHNA REPORT AS A FOUNDATION TO BUILD LASTING RELATIONSHIPS BETWEEN OHTLMC, COMMUNITY PARTNERS, AND RESIDENTS OF GRAYSON COUNTY. OHTLMC HAS ENGAGED VITAL INTERNAL AND COMMUNITY PARTNERS TO ADDRESS THE PRIORITIZED NEEDS. THE STRATEGIES USED TO IMPACT THE PRIORITY HEALTH AREAS INCLUDE, BUT ARE NOT LIMITED TO, MODIFYING POLICIES, PUBLIC AND PRIVATE; PROVIDING SUPPORT, INFORMATION, AND INCENTIVES; IMPROVING ACCESS; ENHANCING SKILLS, AND CHANGING CONSEQUENCES. FOLLOW-UP SURVEYS WILL MEASURE EACH INITIATIVE'S SUCCESS AND GIVE THE HOSPITAL'S FOLLOWING AREAS OF FOCUS. PRIORITY NEEDS IN MOST RECENT CHNA: MENTAL HEALTH, SUBSTANCE ABUSE, CHRONIC HEALTH CONDITIONS, OBESITY/PHYSICAL INACTIVITY OHTLMC IS WORKING COLLABORATIVELY WITH COMMUNITY PARTNERS TO ADDRESS THE IDENTIFIED PRIORITY AREAS. NOW A PART OF THE OWENSBORO HEALTH SYSTEM, THE POPULATION HEALTH COMMITTEE IS ACCESSING SUPPLEMENTAL DATA, RESOURCE INFORMATION, AND ADDITIONAL PARTNERS TO BETTER UNDERSTAND THE PRIORITY HEALTH ISSUES AND POSSIBLE STRATEGIES. AS THESE HEALTH ISSUES ARE CORRELATED TO SOCIAL DETERMINANTS OF HEALTH, NAMELY POVERTY, TRANSPORTATION, EDUCATION, AND HOUSING, OHTLMC WILL BE LOOKING TO EXPAND UPON INTERNAL AND EXTERNAL STRATEGIES NOW USED TO ADDRESS COMMUNITY HEALTH. MENTAL HEALTH: IN ADDITION TO PARTNERING WITH THE LOCAL MENTAL HEALTH CENTERS SERVING GRAYSON COUNTY AND OTHER PROVIDERS, OHTLMC IS OPENING A NEW SERVICE LINE FOR GERIATRIC BEHAVIORAL HEALTH, UTILIZING THE OWENSBORO HEALTH REGIONAL HOSPITAL INPATIENT BEHAVIORAL HEALTH SERVICES, TELEHEALTH BEHAVIORAL HEALTH INTERVENTIONS, AND INTENSIVE OUTPATIENT PROGRAMS AND WILL ENGAGE WITH ADDITIONAL MENTAL HEALTH RESOURCES AVAILABLE TO THE COMMUNITY AT LARGE. WE HAVE ALSO HIRED A BEHAVIORAL HEALTH PHYSICIAN TO PROVIDE OUTPATIENT SERVICES TO OUR COMMUNITY. WE WILL PROVIDE EDUCATION AND AWARENESS TO OUR COMMUNITY BY HOSTING A COMMUNITY MENTAL HEALTH AWARENESS FAIR. WE WILL PROVIDE MENTAL HEALTH FIRST AID TO OUR TEAM MEMBERS AND PARTICIPATE IN THE GRAYSON COUNTY POVERTY COALITION'S SUMMER RESOURCE FAIR. MENTAL HEALTH ISSUES AMONG YOUTH AND ADULTS ARE INCREASING AND HAVE BEEN EXACERBATED BY THE WORLDWIDE PANDEMIC. WHILE THIS HAS MADE COMMUNITY EDUCATION A CHALLENGE, OHTLMC WILL CONTINUE WORKING WITH THE POPULATION HEALTH COMMITTEE TO EXPLORE STRATEGIES TO DISCOVER INNOVATIVE SOLUTIONS TO COMBAT THIS ISSUE. SUBSTANCE USE: SINCE APRIL 2019, OHTLMC HAS CONTINUED TO BE A MEMBER OF THE KENTUCKY OPIOID RESPONSE EFFORT'S KENTUCKY STATEWIDE OPIOID STEWARDSHIP PROGRAM (KY-SOS) TO ADDRESS INAPPROPRIATE OR EXCESS OPIOID PRESCRIBING. THE OPIOID STEWARDSHIP TEAM AT OHTLMC MEETS REGULARLY AND PARTICIPATES IN DATA COLLECTION AND REPORTING AS REQUIRED BY KY-SOS. IN ADDITION, OHTLMC HAS AN ESTABLISHED OPIOID STEWARDSHIP COMMITTEE WHOSE CHARGE IS TO ENSURE SAFE OPIOID PRESCRIBING AND DECREASE OPIOID ABUSE AND MISUSE BY PATIENTS IN OUR CARE. OUR PHARMACY TEAM IS RESPONSIBLE FOR TRAINING LOCAL POLICE DEPARTMENTS. TREATMENT: OHTLMC OFFERS MEDICAL DETOX FROM ALCOHOL, OPIOIDS, AND OTHER ADDICTIVE SUBSTANCES. AS THE BODY RIDS ITSELF OF TOXINS, WITHDRAWAL SYMPTOMS AND CRAVINGS ARE SAFELY MANAGED UNDER THE 24-HOUR SUPERVISION OF TRAINED PROFESSIONALS. NON-ADDICTIVE MEDICATIONS MAY BE PRESCRIBED TO LESSEN WITHDRAWAL SYMPTOMS, IN ADDITION TO NUTRITIONAL SUPPLEMENTS AND FLUIDS. PAIN WILL BE MANAGED THROUGH NON-NARCOTIC MEDICATIONS AND OTHER PROVEN THERAPIES. PATIENTS ARE USUALLY STABILIZED WITHIN A WEEK. MATERNAL OPIOID MEDICAL STABILIZATION (MOMS) -ANY EXPECTANT MOTHER SUFFERING FROM OPIOID USE DISORDER MAY BE CONSIDERED FOR THE OHTLMC MOMS PROGRAM. A NON-ADDICTIVE MEDICATION IS PRESCRIBED UNDER THE 24-HOUR SUPERVISION OF CARING AND SPECIALLY TRAINED MEDICAL PROFESSIONALS. STUDIES SHOW THAT, COMPARED TO UNTREATED PREGNANT WOMEN WITH OPIOID ADDICTION, EXPECTANT MOTHERS RECEIVING MEDICATION-ASSISTED TREATMENT GAVE BIRTH TO INFANTS WITH A LOWER RISK OF A CONDITION CALLED NEONATAL ABSTINENCE SYNDROME (NAS). OTHER BENEFITS OF MOMS INCLUDE SHORTER TREATMENT TIME FOR THE BABY, AN INCREASED LIKELIHOOD OF A FULL-TERM PREGNANCY, HEALTHIER BIRTH WEIGHT, AND A DESIRABLE HEAD CIRCUMFERENCE AT BIRTH. THE TYPICAL LENGTH OF STAY FOR THE MOMS PROGRAM IS TWO TO SEVEN DAYS, FOLLOWED BY AN INDIVIDUALIZED TREATMENT PLAN, INCLUDING CONTINUED OUTPATIENT TREATMENT AND COMMUNITY-SUPPORT SERVICES TO MEET THE NEEDS OF THE MOTHER AND HER UNBORN BABY. MEDICATION-ASSISTED TREATMENT: IN RESPONSE TO THE NATIONWIDE OPIOID CRISIS, OHTLMC OFFERS MEDICATION-ASSISTED TREATMENT OPTIONS FOR OPIOID ADDICTION. OHTLMC ADDICTION SERVICES USES FDA-APPROVED MEDICATIONS, SUCH AS SUBUTEX, SUBOXONE, SUBLOCADE, AND VIVITROL, TO RELIEVE OPIOID-WITHDRAWAL SYMPTOMS AND ALCOHOL CRAVINGS TO HELP THE PATIENT QUIT USING ADDICTIVE SUBSTANCES. OHTLMC DIRECTOR OF ADDICTION SERVICES SERVES AS A COMMUNITY CONDUIT TO PROVIDE EDUCATION AND INFORMATION REGARDING THIS PREVALENCE OF SUBSTANCE USE DISORDER AND EDUCATION, WHEN POSSIBLE, TO THE COMMUNITY REGARDING SUBSTANCE USE PREVENTION. THIS PERSON SERVES ON THE GRAYSON COUNTY SUBSTANCE ABUSE FOCUSED EDUCATION (SAFE) COALITION, HOSTS A MONTHLY SUBSTANCE ABUSE PROVIDER'S MEETING, "TAKING BACK KENTUCKY, AND HOSTS AN ANNUAL MENTAL HEALTH AND ADDICTION RESOURCE AWARENESS FAIR AND AN ANNUAL SUMMER RESOURCE FAIR. OBESITY/PHYSICAL INACTIVITY OHTLMC HAS BEGUN HAVING CONVERSATIONS WITH LOCAL OFFICIALS TO DEVELOP A PARTNERSHIP WITH PARKS AND RECREATION TO SPONSOR LOCAL WALKING TRAILS TO ENCOURAGE YOUTH AND YOUNG ADULTS TO GET OUTSIDE AND PHYSICALLY MOVE. WE PLAN TO EXPLORE PARTNERSHIPS WITH LOCAL AGENCIES TO OFFER MONTHLY RECIPES VIA SOCIAL MEDIA, OFFER HEALTH EDUCATION CLASSES, CREATE A GET ACTIVE WELLNESS CAMPAIGN, INCREASE ENGAGEMENT IN EXERCISE IN THE SCHOOL DISTRICT, AND PARTNER WITH THE LOCAL AQUATIC CENTER TO PROVIDE FREE OR LOW-COST WATER EXERCISE CLASSES. IN ADDITION, WE ARE NOW ABLE TO PROVIDE TELEHEALTH APPOINTMENTS FOR LIFESTYLE MEDICINE PHYSICIAN VISITS. CHRONIC DISEASES OHTLMC PARTICIPATED IN THE SUMMER RESOURCE FAIR HOSTED BY THE GRAYSON COUNTY POVERTY COALITION, WHERE WE PROVIDED INFORMATION TO COMMUNITY MEMBERS ON PRIMARY CARE AND PREVENTATIVE SERVICES. WE ARE CURRENTLY WORKING ON HAVING THREE CERTIFIED TOBACCO TREATMENT SPECIALISTS, OFFERING CHRONIC DISEASE EDUCATION DAYS, WELLNESS CAMPAIGNS, HOSTING A COMMUNITY HEALTH FAIR, HOSTING DIABETES SUPPORT GROUPS/CLASSES, AND INCREASING THE NUMBER OF PATIENTS WHO RECEIVE DISCHARGE FOLLOW-UP REFERRALS WITHIN SEVEN DAYS OF DISCHARGE. OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER HAS DEVELOPED STRATEGIES TO ADDRESS EACH OF THE NAMED PRIORITY ISSUES IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THERE ARE NO IDENTIFIED PRIORITY HEALTH NEEDS FOR WHICH WE ARE NOT ADDRESSING. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7b MEDICAID | DURING THE FISCAL YEAR, OHTLMC RECOGNIZED AN UPPER PAYMENT LIMIT (UPL) REIMBURSEMENT BEFORE TAXES AND ADMIN EXPENSES OF $8.357 MILLION AND $1.552 MILLION IN PREVIOUS YEAR. TWO FISCAL YEAR AGO, THE INPATIENT UPL FOR KENTUCKY HOSPITALS WAS THE MEDICARE PAYMENT RATE. IN FISCAL YEAR 2021, KENTUCKY MEDICAID AND THE KENTUCKY HOSPITAL ASSOCIATION OBTAINED APPROVAL FROM CMS TO MOVE THE UPL TO THE COMMERCIAL PAYMENT LEVEL WHICH PROVIDED ADDITIONAL SUPPLEMENTAL PAYMENTS TO KENTUCKY HOSPITALS. THE NET BENEFIT OF THE UPL FOR OHTLMC WAS $7.305 MILLION FOR FY 2022 AND $1.153 MILLION FOR FY 2021 (AFTER TAXES/ADMIN EXPENSES). OH ACQUIRED OHTLMC IN JANUARY OF 2021 (5 MONTHS OF FY 2021). THE PROGRAM HAS TO BE APPROVED ANNUALLY BY CMS AND THE STATEWIDE UPL NUMBERS WILL FLUCTUATE BASED UPON ACTUAL EXPERIENCE EACH YEAR. |
| Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT | KENTUCKY DOES NOT REQUIRE A COMMUNITY BENEFIT REPORT. |
| Schedule H, Part III, Line 8 COSTING METHODOLOGY USED | THE COSTING METHODOLOGY USED IS THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 OF PART I OF SCHEDULE H OF THIS 990. THE CHARGES AND PAYMENTS ARE FROM THE MEDICARE PAID CLAIMS REPORTS. THE HOSPITAL IS DESIGNATED AS A CMS LOW-VOLUME HOSPITAL (LVH). THIS IS A DESIGNATION FOR HOSPITALS WITH FEWER THAN 3,800 PATIENT DISCHARGES IN THE PREVIOUS YEAR WHICH ARE MORE THAN 15 MILES FROM THE NEAREST IPPS ACUTE CARE HOSPITAL. |
| Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation | 2710309 |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR BAD DEBTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES HISTORICAL COLLECTIONS AND WRITE-OFFS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR BAD DEBTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATION OF THE SUFFICIENCY OF THE ALLOWANCE FOR BAD DEBTS. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FAP OHTLMC DOES NOT HAVE A MECHANISM TO DETERMINE THE PORTION OF BAD DEBT ATTRIBUTABLE TO THOSE PATIENTS POTENTIALLY ELIGIBLE FOR THE FAP BUT DO NOT COMPLETE THE APPLICATION. THE AMOUNT ENTERED IS AN ESTIMATE. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | THE POLICIES OF THE SYSTEM ATTEMPT TO ENSURE ALL UNINSURED PATIENTS OF THE SYSTEM HAVE OPPORTUNITY TO APPLY AND QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS. THE HOSPITAL HAS FINANCIAL AID APPLICATIONS AVAILABLE AT REGISTRATION AREAS, VIA THE INTERNET, VIA PHONE, AND ARE SENT ROUTINELY VIA MAIL TO PATIENTS OF THE HOSPITAL. THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS TO ENSURE PATIENTS ARE EVALUATED FOR ELIGIBILITY IN THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. ALL SELF-PAY AND BALANCE AFTER INSURANCE ACCOUNTS ARE REVIEWED AND WORKED BY HOSPITAL STAFF TO ENSURE THAT THE PATIENT IS GIVEN EVERY OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE. SELF-PAY DISCOUNTS ARE AVAILABLE TO ALL UNINSURED PATIENTS AS LONG AS THEY COMPLETE THE AID APPLICATION. DISCOUNTS GIVEN ARE EQUIVALENT TO THE AVERAGE INSURANCE DISCOUNTS THE HOSPITAL CONTRACTS ALLOW. ADDITIONALLY, PATIENTS WITH BALANCE ARE PERMITTED TO ESTABLISH PAYMENT PLANS. THE HOSPITAL DOES NOT CHARGE INTEREST TO ITS PATIENTS. |
| Schedule H, Part V, Section B, Line 16a FAP website | - OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER: Line 16a URL: WWW.OWENSBOROHEALTH.ORG; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER: Line 16b URL: WWW.OWENSBOROHEALTH.ORG; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER: Line 16c URL: WWW.OWENSBOROHEALTH.ORG; |
| Schedule H, Part VI, Line 2 Needs assessment | AS DESCRIBED IN FORM 990, SCHEDULE H, PART V, SECTION B LINES 3E, 5, 6B OHTLMC ASSESSES THE HEALTH OF ITS DEFINED COMMUNITY THROUGH ITS CHNA CONDUCTED WITH CEDIK AND MULTIPLE COMMUNITY PARTNERS GUIDED BY THE POPULATION HEALTH COMMITTEE. THIS IS ACCOMPLISHED BY SURVEYING RESIDENTS AND ORGANIZATIONS AND CONDUCTING FOCUS GROUPS BUT NOT LIMITED TO THAT DATA. ADDITIONALLY, SECONDARY DATA ANALYSIS IS REVIEWED, AND OTHER ASSESSMENTS, SUCH AS THE GRAYSON COUNTY EXTENSION COMMUNITY ASSESSMENT AND OTHER DATA POINTS, ARE CONSIDERED. MOVING FORWARD, AS A PART OF OWENSBORO HEALTH, OHTLMC ADDITIONAL RESOURCES WILL BE UTILIZED TO ASSESS THE COMMUNITY'S HEALTH. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | OHTLMC REACHES OUT TO EDUCATE PATIENTS ABOUT THE PATIENT FINANCIAL ASSISTANCE PROGRAM. A BROCHURE IS AVAILABLE AT SEVERAL LOCATIONS THROUGHOUT THE HOSPITAL INCLUDING THE BUSINESS OFFICE AND REGISTRATION AREA. A VERSION OF THE BROCHURE AND ADDITIONAL INFORMATION IS ON THE HOSPITAL WEBSITE. INFORMATION CAN ALSO BE FOUND ON THE HOSPITAL'S FACEBOOK PAGE AND HAS BEEN PUBLISHED IN LOCAL NEWSPAPERS. WHEN SELF-PAY PATIENTS PRESENT THEMSELVES TO THE HOSPITAL FOR SERVICES, THE REGISTRAR DIRECTS THE PATIENTS TO THE FINANCIAL COUNSELOR FOR ASSISTANCE ON MEDICAID/COMMERCIAL PLANS AVAILABLE THROUGH THE ACA. ALSO AT THAT TIME, THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM IS APPLIED TO THE PATIENT'S PERSONAL SITUATION. |
| Schedule H, Part VI, Line 4 Community information | THE PRIMARY SERVICE LOCATION FOR OHTLMC IS GRAYSON COUNTY, KY (POPULATION 26,000) LOCATED 75 MILES SOUTHWEST OF LOUISVILLE, KY. THE HOSPITAL'S SECONDARY SERVICE AREA INCLUDES PARTS OF 6 SURROUNDING COUNTIES. THE ESTIMATED PERCENTAGE OF PEOPLE LIVING BELOW THE POVERTY LEVEL, AS DETERMINED BY THE US CENSUS BUREAU, IS 20.3% FOR THE PRIMARY SERVICE AREA. THE AREA IS MOSTLY RURAL WITH A HIGHER PERCENTAGE OF PERSONS OVER THE AGE OF 65 AND A SIGNIFICANTLY LOWER MEDIAN HOUSEHOLD INCOME COMPARED TO THE STATE OF KENTUCKY. THE UNEMPLOYMENT RATE FOR GRAYSON COUNTY IS 4.6%. |
| Schedule H, Part VI, Line 5 Promotion of community health | IN ADDITION TO THE HEALTH PROMOTION STRATEGIES AND CONCEPTS PREVIOUSLY DESCRIBED, OHTLMC WORKS CLOSELY WITH ITS LOCAL CHAMBERS OF COMMERCE, THE LOCAL DEPARTMENT OF PUBLIC HEALTH, LOCAL AND STATE ELECTED OFFICIALS, AND COMMUNITY LEADERS TO EDUCATE ON THE PRIORITY HEALTH ISSUES, DISCUSS OTHER EXISTING RELATED NEEDS AND WORK TOGETHER TO DEVELOP SOLUTIONS AND TACTICS TO ADDRESS THEM. OHTLMC PROVES TO BE A DRIVING FORCE IN CHANGE BY EDUCATING THE COMMUNITY ON HEALTH AND WELLNESS ISSUES, RECOGNIZING COMMUNITY NEEDS, AND WORKING TO FULFILL THOSE NEEDS. |
| Schedule H, Part VI, Line 6 Affiliated health care system | AS AN AFFILIATE HOSPITAL AND IN SUPPORT OF OWENSBORO HEALTH INC., OHTLMC WILL BE ONE OF THREE NOT-FOR-PROFIT HOSPITALS IN THE SYSTEM WHOSE MISSION IS TO HEAL THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. UTILIZING THE RICH ACCESS TO RESOURCES, PROGRAMS, AND SERVICES WILL BENEFIT THIS WESTERN KENTUCKY REGION AND EXPAND THE ABILITY TO ADDRESS THE PRIORITY HEALTH AREAS OF OUR COMMUNITIES AND DIRECTLY ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, THE NATURAL BARRIERS TO POSITIVE HEALTH OUTCOMES THAT PLAGUE OUR COMMONWEALTH. REPLICATION OF EVIDENCE-BASED PROGRAMS WILL ALLOW GREATER SHARING OF KNOWLEDGE, EXPERTISE, AND PROGRAMMING FOR TARGETED IMPACT ON THE POPULATIONS WHICH NEED THEM THE MOST. WE WILL USE INVESTMENT DOLLARS IN A POPULATION HEALTH APPROACH TO ENGAGE IN INNOVATIVE STRATEGIES THE AFFILIATED HOSPITALS AND THEIR DIFFERENT ENTITIES MAY EMPLOY WITH A GUIDING POPULATION HEALTH STRATEGY AND APPROACH TO HAVE THE MOST SIGNIFICANT IMPACT ON THE HOSPITALS' INDIVIDUAL AND COLLECTIVE IDENTIFIED AND PRIORITIZED HEALTH NEEDS AND SOCIAL DETERMINANTS OF HEALTH. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | KY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN HACKBARTH | ||||||||||||||
| BOARD SECRETARY, CFO (THRU 08/21) | $0 | $317,162 | $0 | $152,568 | $0 | $124,423 | $0 | $28,420 | $0 | $14,188 | $0 | $636,761 | $0 | $0 |
| MARK MARSH | ||||||||||||||
| PRESIDENT AND CEO (START 06/21) | $0 | $386,671 | $0 | $90,000 | $0 | $101,436 | $0 | $13,659 | $0 | $19,988 | $0 | $611,754 | $0 | $0 |
| GREG STRAHAN | ||||||||||||||
| PRESIDENT AND CEO (THRU 08/21) | $0 | $552,130 | $0 | $322,348 | $0 | $193,611 | $0 | $28,420 | $0 | $17,897 | $0 | $1,114,406 | $0 | $0 |
| JEFFREY THOMAS | ||||||||||||||
| BOARD TREASURER, CFO (START 08/21) | $0 | $140,146 | $0 | $10,000 | $0 | $13,455 | $0 | $3,959 | $0 | $5,537 | $0 | $173,097 | $0 | $0 |
| ASHLEY HERRINGTON | ||||||||||||||
| CEO - OHTLMC | $233,988 | $0 | $46,104 | $0 | $13,642 | $0 | $11,965 | $0 | $29,534 | $0 | $335,233 | $0 | $0 | $0 |
| CATHERINE CLEMONS | ||||||||||||||
| VP OF OPERATIONS - OHTLMC | $146,000 | $0 | $16,451 | $0 | $16,407 | $0 | $7,448 | $0 | $11,834 | $0 | $198,140 | $0 | $0 | $0 |
| TRINA DAVES | ||||||||||||||
| VP PT CARE SVCS AND CNO-TL (THRU 10/21) | $100,927 | $0 | $14,527 | $0 | $85,741 | $0 | $3,950 | $0 | $8,451 | $0 | $213,596 | $0 | $67,538 | $0 |
| CATHY STEWART | ||||||||||||||
| VP PATIENT CARE SVCS AND CNO - OHTLMC | $142,164 | $0 | $21,821 | $0 | $713 | $0 | $15,136 | $0 | $18,481 | $0 | $198,315 | $0 | $0 | $0 |
| ANGELA M GIBSON | ||||||||||||||
| DIRECTOR OF PHARMACY | $148,306 | $0 | $8,313 | $0 | $329 | $0 | $5,961 | $0 | $26,216 | $0 | $189,125 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Tax indemnification and gross-up payments | THE ORGANIZATION PROVIDES A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN FOR CERTAIN EXECUTIVE EMPLOYEES. BECAUSE BENEFITS UNDER THE SUPPLEMENTAL PLAN MUST BE INCLUDED IN TAXABLE INCOME WHEN THEY BECOME VESTED, AND AS REQUIRED BY THE SUPPLEMENTAL PLAN'S TERMS, THE ORGANIZATION PROVIDES AN ADDITIONAL BENEFIT THAT COVERS THE TAX LIABILITY WHEN IT IS INCURRED. THE TAX LIABILITY PAYMENTS ARE THEMSELVES INCLUDED IN W-2 INCOME IN THE YEAR MADE TO THE EXECUTIVES, AND ARE INCLUDED IN THE FIGURES DISCLOSED ON SCHEDULE J, PART II. |
| Schedule J, Part I, Line 1a Housing allowance or residence for personal use | THE ORGANIZATION PROVIDED HOUSING ALLOWANCE TO THE SYSTEM CEO. THIS BENEFIT WAS INCLUDED AS A TAXABLE INCOME IN THE YEAR RECEIVED AND FULLY INCLUDED ON THE RECIPIENT'S FORM W-2. |
| Schedule J, Part I, Line 1a Health or social club dues or initiation fees | DURING THE REPORTING PERIOD, THE ORGANIZATION PAID THE SYSTEM CEO MEMBERSHIP DUES IN A SOCIAL CLUB. THE CLUB MEMBERSHIP WAS USED FOR BUSINESS PURPOSES. ANY PERSONAL RELATED EXPENSES ARE TREATED AS TAXABLE WAGE INCOME AND FULLY INCLUDED ON THE RECIPIENT'S FORM W-2. |
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | OWENSBORO HEALTH TWIN LAKE MEDICAL CENTER, INC. RELIES ON THE COMPENSATION PRACTICES OF A RELATED ORGANIZATION OWENSBORO HEALTH, INC. TO DETERMINE THE COMPENSATION OF TOP MANAGEMENT OFFICIALS. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | TRINA DAVES, OHTLMC PT CARE SVCS AND CNO, HAD $67,538 OF SEVERANCE PAYMENT IN FY 2022. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | THE ORGANIZATION PROVIDES A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN FOR CERTAIN EXECUTIVE EMPLOYEES. THE TAX LIABILITY PAYMENTS WILL BE INCLUDED IN W-2 INCOME IN THE YEAR MADE TO THE EXECUTIVES, AND WILL BE INCLUDED IN THE FIGURES DISCLOSED ON SCHEDULE J, PART II. 457F PLAN TO EXECUTIVES JOHN HACKBARTH $60,851; GREG STRAHAN $102,719 |
| Schedule J, Part I, Line 7 Non-fixed payments | SUCCESS SHARING PLAN THE SUCCESS SHARING PLAN IS A PROGRAM DESIGNED TO FOCUS ON THE ACCOUNTABILITY OF ALL EMPLOYEES TO INFLUENCE THE FINANCIAL, QUALITY, PATIENT SATISFACTION AND EMPLOYEE DEVELOPMENT GOALS, AND TO REINFORCE THE OH CORE COMMITMENTS (RESPECT, INTEGRITY, INNOVATION, SERVICE, EXCELLENCE AND TEAMWORK) WHILE WORKING TO ACHIEVE THESE GOALS. THE PLAN ACHIEVES THIS BY PROVIDING A DIRECT LINK BETWEEN ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES AND THE TOTAL COMPENSATION OF THOSE WHO'S DECISIONS AND ACTIONS ARE ACCOUNTABLE FOR THE OUTCOMES WHICH DRIVE THE ORGANIZATION'S SUCCESS. ELIGIBILITY IS BASED ON HOURS WORKED IN THE YEAR; STAFF EMPLOYEES ARE PAID A PRO-RATED AMOUNT OF A DOLLAR MAXIMUM AND MANAGEMENT IS PAID A FIXED PERCENTAGE OF ANNUAL SALARY BASED ON LEVEL OF MANAGEMENT. PAYMENT IS PREDICATED ON BOARD APPROVAL. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part I, Line 6 Volunteers | VOLUNTEERS SUPPORT THE MISSION AND GOALS OF OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER ("OHTLMC"). VOLUNTEERS STAFF THE VISITOR INFORMATION DESK, PROVIDE DIRECTION TO VISITORS, AND OPERATE THE HOSPITAL GIFT SHOP. VOLUNTEERS ARE AN ESSENTIAL PART OF THE CARE AND COMFORT OHTLMC PROVIDES. OHTLMC HAD 28 VOLUNTEERS. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE SOLE MEMBER IS OWENSBORO HEALTH, INC. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE SOLE MEMBER OWENSBORO HEALTH, INC. APPOINTS THE MEMBERS OF THE BOARD. THE BOARD IS COMPOSED OF 9 MEMBERS DIVIDED INTO THREE CLASSES SERVING THREE YEAR TERMS (OTHER THAN THE INITIAL BOARD MEMBERS WHO HAVE TERMS EXPIRING IN OCTOBER 2021, 2022 AND 2023 RESPECTIVELY FOR EACH CLASS OF THREE DIRECTORS SO THAT THE TERMS ARE STAGGERED). TERM LIMIT OF THREE FULL THREE YEAR CONSECUTIVE TERMS WITH AT LEAST ONE YEAR OFF BEFORE ELIGIBLE TO SERVE AGAIN. AT LEAST FOUR OF THE BOARD MEMBERS MUST BE RESIDENTS OF GRAYSON COUNTY, KENTUCKY. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | THE FOLLOWING MATTERS SHALL REQUIRE THE APPROVAL OF THE SOLE MEMBER OF THE CORPORATION, OWENSBORO HEALTH, INC.: (A) ANY CHANGE IN THE MISSION OR PURPOSE OF THE CORPORATION; (B) ANY AMENDMENT TO THE ARTICLES OR BYLAWS OF THE CORPORATION; (C) ANY ADDITION OF NEW MEMBERS; (D) APPOINTMENT OR REMOVAL OF DIRECTORS OF THE CORPORATION IN ACCORDANCE WITH THE BOARD OF DIRECTORS; (E) ANY PURCHASE OR ACQUISITION, SALE, GIFT, LEASE, DISPOSITION OF, MORTGAGE OR OTHER ENCUMBRANCE OF ANY PROPERTY, REAL, PERSONAL, OR MIXED BY THE CORPORATION, EXCLUDING ROUTINE OR BUDGETED EXPENDITURES, THE VALUE OF WHICH IN THE AGGREGATE EXCEEDS $200,000; (F) SELLING, EXCHANGING, OR OTHERWISE DISPOSING OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; (G) ANY UNBUDGETED INCURRENCE OR GUARANTEE OF INDEBTEDNESS BY THE CORPORATION THAT IN THE AGGREGATE EXCEEDS $200,000; (H) ANY MERGER, ACQUISITION, OR CONSOLIDATION OF THE CORPORATION OR ENTERING INTO ANY JOINT BUSINESS VENTURE WITH ANY OTHER PERSON, CORPORATION OR OTHER LEGAL ENTITY; (I) ANY DISSOLUTION OF THE CORPORATION; (J) CREATION, ACQUISITION, OR DISPOSITION OF ANY SUBSIDIARY OR AFFILIATED ENTITY OF THE CORPORATION; AND (K) APPROVAL OF THE ANNUAL CAPITAL AND OPERATING BUDGETS FOR THE CORPORATION. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 IS REVIEWED BY THE INTERNAL FINANCE TEAM AND FORWARDED TO THE CFO FOR FINAL REVIEW AND APPROVAL BEFORE FILING. |
| Form 990, Part VI, Line 12c Conflict of interest policy | MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY UNDER OUR CONFLICT OF INTEREST POLICY (#100-214), EACH BOARD DIRECTOR, OFFICER, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWER, AND KEY EMPLOYEE IS REQUIRED ANNUALLY TO COMPLETE THE FOLLOWING: (1) CONFIDENTIALITY STATEMENT, (2) DISCLOSURE CERTIFICATE, AND (3) INDEPENDENCE AND RELATED PARTY QUESTIONNAIRE. THESE DISCLOSURES ARE REVIEWED AND RETAINED BY THE CHIEF LEGAL OFFICER, WHO IS ALSO IN THE APPROVAL CHAIN FOR ALL OH CONTRACTS. ALL COMPLETED CONTRACTS ARE MAINTAINED BY THE LEGAL OFFICE IN A SEARCHABLE DATABASE (THROUGH ICONTRACT). THESE WILL BE REVIEWED AND MAINTAINED BY THE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER ALSO HAS ACCESS TO THE CONTRACT'S DATABASE AND COMPLETES AN OIG SANCTION CHECK FOR NEW CONTRACTS. ONCE THE CONFLICT OF INTEREST DATA HAS BEEN COLLECTED, NEW CONTRACTS WILL BE SCREENED FOR POTENTIAL CONFLICTS OF INTEREST. IN ADDITION, OH MAINTAINS A COMPLIANCE HOTLINE THROUGH WHICH ANYONE WITH KNOWLEDGE OF A CONFLICT OF INTEREST OR IMPROPER VENDOR RELATIONSHIP CAN ANONYMOUSLY REPORT SUSPECTED VIOLATIONS OF THE OH POLICY. OF THOSE INDIVIDUALS FOUND TO HAVE A CONFLICT OF INTEREST, EMPHASIS IS MADE THAT THEY MAINTAIN IN CONFIDENCE ANY INFORMATION, KNOWLEDGE, OR DOCUMENTS ACQUIRED AS THE RESULT OF THEIR POSITION OR ATTENDANCE. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | OHTLMC FOLLOWS OH'S COMPENSATION PROCESS THAT COMPLIES WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS. OH'S COMPENSATION PROCESS IS AS FOLLOWS: - TOTAL COMPENSATION IS THE SUM OF EACH EXECUTIVE'S BASE SALARY, INCENTIVE OPPORTUNITY, BENEFITS, AND PERQUISITES. - OUR TOTAL COMPENSATION PHILOSOPHY WILL APPLY TO ALL EXECUTIVES OF THE ORGANIZATION. - CASH COMPENSATION AND BENEFITS PLANS PROVISIONS WILL BE, ON AVERAGE, COMPETITIVE WITH THOSE HEALTHCARE ORGANIZATIONS WITHIN WHICH WE COMPETE FOR EXECUTIVE TALENT. OUR LABOR MARKET IS DEFINED AS SUCCESSFUL AND COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A NATIONAL LEVEL. SUCCESS IS MEASURED IN TERMS OF FINANCIAL AND OPERATIONAL PERFORMANCE AND MARKET LEADERSHIP. - COMPETITIVE POSITIONING OF BASE SALARIES, AS REFLECTED BY THE SALARY RANGE MIDPOINTS, WILL BE AT THE 50TH PERCENTILE. EXECUTIVES MAY BE PLACED ABOVE OR BELOW THE SALARY RANGE BASED ON THE: EXECUTIVE'S KNOWLEDGE, COMPETENCIES, AND EXPERIENCE; PERFORMANCE OF THE EXECUTIVE'S AREA OF RESPONSIBILITY; THE EXECUTIVE'S CONTRIBUTION TO THE ORGANIZATION'S OVERALL PERFORMANCE; INTERNAL EQUITY CONSIDERATIONS; THE FINANCIAL RESOURCES AVAILABLE; AND, EXECUTIVE BASE SALARY INCREASES PROVIDED IN THE COMPETITIVE MARKET. - ANNUAL INCENTIVE OPPORTUNITIES WILL BE POSITIONED BETWEEN THE 50TH AND 75TH PERCENTILE DEPENDING ON THE DEGREE TO WHICH PERFORMANCE GOALS ARE MET OR EXCEEDED. TOTAL CASH COMPENSATION, AS REFLECTED BY BASE SALARIES AND ANNUAL INCENTIVES, WILL ALSO BE POSITIONED BETWEEN THE 50TH AND 75TH PERCENTILES AND WILL BE INFLUENCED BY PERFORMANCE RESULTS AS MEASURED AGAINST ESTABLISHED GOALS. - THE ORGANIZATION WILL PROVIDE APPROPRIATE AND COMPETITIVE SUPPLEMENTAL BENEFITS AND PERQUISITES DELIVERED IN A FLEXIBLE STRUCTURE TO ALLOW FOR INDIVIDUAL CHOICE AND BASED ON THE ORGANIZATION'S MISSION AND BUSINESS NEEDS. - OUR EXECUTIVE COMPENSATION PLAN WILL BE DESIGNED, MANAGED AND MAINTAINED IN A MANNER THAT WILL: SUPPORT AND COMPLEMENT OUR MISSION, MANAGEMENT PHILOSOPHY, SHORT- AND LONG-TERM BUSINESS STRATEGIES, AND EMPLOYEE RELATION'S GOALS; ATTRACT AND RETAIN EXECUTIVES WITH THE RIGHT SKILLS, ABILITIES AND MOTIVATION TO ACHIEVE OUR BUSINESS OBJECTIVE; AND ENSURE THE EXECUTIVE TOTAL COMPENSATION IS REASONABLE AND COMPETITIVE. OUR CASH COMPENSATION AND BENEFITS PLANS WILL BE REVIEWED AND ADJUSTED PERIODICALLY TO MEET THE CHANGING BUSINESS AND ORGANIZATIONAL CHARACTERISTICS OF OUR ORGANIZATION AND ITS EXECUTIVE STAFF. THE COMPENSATION OF EACH INDIVIDUAL EXECUTIVE WILL BE REVIEWED AND APPROVED IN A MANNER CONSISTENT WITH THE INTERMEDIATE SANCTION TAX REGULATIONS. THE LAST COMPENSATION REVIEW PROCESS WAS COMPLETED IN 2022 BY SULLIVAN COTTER. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | OHTLMC FOLLOWS OH'S COMPENSATION PROCESS THAT COMPLIES WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS. OH'S COMPENSATION PROCESS IS AS FOLLOWS: - TOTAL COMPENSATION IS THE SUM OF EACH EXECUTIVE'S BASE SALARY, INCENTIVE OPPORTUNITY, BENEFITS, AND PERQUISITES. - OUR TOTAL COMPENSATION PHILOSOPHY WILL APPLY TO ALL EXECUTIVES OF THE ORGANIZATION. - CASH COMPENSATION AND BENEFITS PLANS PROVISIONS WILL BE, ON AVERAGE, COMPETITIVE WITH THOSE HEALTHCARE ORGANIZATIONS WITHIN WHICH WE COMPETE FOR EXECUTIVE TALENT. OUR LABOR MARKET IS DEFINED AS SUCCESSFUL AND COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A NATIONAL LEVEL. SUCCESS IS MEASURED IN TERMS OF FINANCIAL AND OPERATIONAL PERFORMANCE AND MARKET LEADERSHIP. - COMPETITIVE POSITIONING OF BASE SALARIES, AS REFLECTED BY THE SALARY RANGE MIDPOINTS, WILL BE AT THE 50TH PERCENTILE. EXECUTIVES MAY BE PLACED ABOVE OR BELOW THE SALARY RANGE BASED ON THE: EXECUTIVE'S KNOWLEDGE, COMPETENCIES, AND EXPERIENCE; PERFORMANCE OF THE EXECUTIVE'S AREA OF RESPONSIBILITY; THE EXECUTIVE'S CONTRIBUTION TO THE ORGANIZATION'S OVERALL PERFORMANCE; INTERNAL EQUITY CONSIDERATIONS; THE FINANCIAL RESOURCES AVAILABLE; AND, EXECUTIVE BASE SALARY INCREASES PROVIDED IN THE COMPETITIVE MARKET. - ANNUAL INCENTIVE OPPORTUNITIES WILL BE POSITIONED BETWEEN THE 50TH AND 75TH PERCENTILE DEPENDING ON THE DEGREE TO WHICH PERFORMANCE GOALS ARE MET OR EXCEEDED. TOTAL CASH COMPENSATION, AS REFLECTED BY BASE SALARIES AND ANNUAL INCENTIVES, WILL ALSO BE POSITIONED BETWEEN THE 50TH AND 75TH PERCENTILES AND WILL BE INFLUENCED BY PERFORMANCE RESULTS AS MEASURED AGAINST ESTABLISHED GOALS. - THE ORGANIZATION WILL PROVIDE APPROPRIATE AND COMPETITIVE SUPPLEMENTAL BENEFITS AND PERQUISITES DELIVERED IN A FLEXIBLE STRUCTURE TO ALLOW FOR INDIVIDUAL CHOICE AND BASED ON THE ORGANIZATION'S MISSION AND BUSINESS NEEDS. - OUR EXECUTIVE COMPENSATION PLAN WILL BE DESIGNED, MANAGED AND MAINTAINED IN A MANNER THAT WILL: SUPPORT AND COMPLEMENT OUR MISSION, MANAGEMENT PHILOSOPHY, SHORT- AND LONG-TERM BUSINESS STRATEGIES, AND EMPLOYEE RELATION'S GOALS; ATTRACT AND RETAIN EXECUTIVES WITH THE RIGHT SKILLS, ABILITIES AND MOTIVATION TO ACHIEVE OUR BUSINESS OBJECTIVE; AND ENSURE THE EXECUTIVE TOTAL COMPENSATION IS REASONABLE AND COMPETITIVE. OUR CASH COMPENSATION AND BENEFITS PLANS WILL BE REVIEWED AND ADJUSTED PERIODICALLY TO MEET THE CHANGING BUSINESS AND ORGANIZATIONAL CHARACTERISTICS OF OUR ORGANIZATION AND ITS EXECUTIVE STAFF. THE COMPENSATION OF EACH INDIVIDUAL EXECUTIVE WILL BE REVIEWED AND APPROVED IN A MANNER CONSISTENT WITH THE INTERMEDIATE SANCTION TAX REGULATIONS. THE LAST COMPENSATION REVIEW PROCESS WAS COMPLETED IN 2022 BY SULLIVAN COTTER. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION'S FORM 1023 AND FORM 990 ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE ON GUIDESTAR'S DATABASE AVAILABLE AT WWW.GUIDESTAR.ORG. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE KENTUCKY SECRETARY OF STATE'S WEBSITE AT HTTPS://APP.SOS.KY.GOV/FTSEARCH/. OTHERWISE, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. A COPY OF THE ORGANIZATION'S FINANCIAL STATEMENTS IS ATTACHED TO ITS 990 IN COMPLIANCE WITH THE REQUIREMENTS OF THE AFFORDABLE CARE ACT. |
| Form 990, Part IX, Line 11g Other Fees | COLLECTION SERVICES - Total Expense: 160044, Program Service Expense: , Management and General Expenses: 160044, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 2445520, Program Service Expense: 2395666, Management and General Expenses: 49854, Fundraising Expenses: ; MISC PROFESSIONAL FEES - Total Expense: 8908, Program Service Expense: 4523, Management and General Expenses: 4385, Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 3668641, Program Service Expense: 3668641, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 843058, Program Service Expense: 744243, Management and General Expenses: 98815, Fundraising Expenses: ; RM SERVICE CONTRACTS - Total Expense: 1115762, Program Service Expense: 1007473, Management and General Expenses: 108289, Fundraising Expenses: ; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| OWENSBORO HEALTH INC | ||||||||||
| 1201 PLEASANT VALLEY ROAD | OWENSBORO | KY | 42303 | 611286361 | HEALTHCARE | KY | 501(c)(3) | 3 | NA | false |
| OWENSBORO HEALTH FOUNDATION INC | ||||||||||
| 1201 PLEASANT VALLEY ROAD | OWENSBORO | KY | 42303 | 611251763 | HEALTHCARE | KY | 501(c)(3) | 7 | OH | Yes (true) |
| OWENSBORO HEALTH MEDICAL GROUP | ||||||||||
| 1201 PLEASANT VALLEY ROAD | OWENSBORO | KY | 42303 | 611197638 | HEALTHCARE | KY | 501(c)(3) | 10 | OH | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OWENSBORO AM SR FAC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 BRKRG | AddressLine1Txt |
| City | OWENSBORO | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42303 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752184992 | EIN |
| Primary Activities | SURGERY CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | KY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Unrelated | PredominantIncomeTypeTxt |
| Share Of Total Income | $1,813,192 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $5,840,070 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
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