OWENSBORO HEALTH REGIONAL HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: OWENSBORO HEALTH REGIONAL HOSPITAL (EIN 61-1286361)
Tax period: 2019-06-01 to 2020-05-31
Filed: 2020-10-15
IRS object ID: 202032899349302458
Schema version: 2019v5.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-10-15T15:36:53-05:00	ReturnTs
Tax Period End	2020-05-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIR STE 4000	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-06-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	611286361	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Owensboro Health Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JOHN HACKBARTH	InCareOfNm
Business Name Control	OWEN	BusinessNameControlTxt
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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN HACKBARTH	PersonNm
Person Title	SENIOR VP/CFO	PersonTitleTxt
Phone	2704172000	PhoneNum
Signature	2020-10-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JENNIFER D RHODERICK	PreparerPersonNm
PTIN	P00395735	PTIN
Phone	3176817000	PhoneNum
Preparation	2020-10-15	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	181.229.13.154	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	61033020202895000114	FederalOriginalSubmissionId
Federal Original Submission Id	2020-10-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	E0FDEA513E906B7C29D3D48A84AEE23F2DD03DA6	AtSubmissionCreationDeviceId
At Submission Filing Device Id	F34A415471C63761DEA1823D940B30A5AA3FBE3D	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	GREG STRAHAN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	SAMES AS C ABOVE	AddressLine1Txt
City	OWENSBORO	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	42303	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$961,553,706	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	1995	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	OWENSBORO HEALTH, INC. EXISTS TO HEAL THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	4000	TotalEmployeeCnt
Total Volunteers	160	TotalVolunteersCnt
Total Gross UBI	$3,442	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,350,185	PYContributionsGrantsAmt
CY Contributions Grants	$16,891,700	CYContributionsGrantsAmt
PY Program Service Revenue	$602,970,678	PYProgramServiceRevenueAmt
CY Program Service Revenue	$612,821,033	CYProgramServiceRevenueAmt
PY Investment Income	$9,439,335	PYInvestmentIncomeAmt
CY Investment Income	$4,283,922	CYInvestmentIncomeAmt
PY Other Revenue	$6,118,442	PYOtherRevenueAmt
CY Other Revenue	$6,085,028	CYOtherRevenueAmt
PY Total Revenue	$619,878,640	PYTotalRevenueAmt
CY Total Revenue	$640,081,683	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,139,113	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,997,634	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$238,478,259	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$262,398,027	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$301,699,695	PYOtherExpensesAmt
CY Other Expenses	$302,182,887	CYOtherExpensesAmt
PY Total Expenses	$542,317,067	PYTotalExpensesAmt
CY Total Expenses	$566,578,548	CYTotalExpensesAmt
PY Revenues Less Expenses	$77,561,573	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$73,503,135	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,369,224,739	TotalAssetsBOYAmt
Total Assets EOY	$1,531,261,789	TotalAssetsEOYAmt
Total Liabilities BOY	$789,039,650	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$872,968,281	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$580,185,089	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$658,293,508	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OWENSBORO HEALTH, INC. EXISTS TO HEAL THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$427,836,081	ExpenseAmt
Grant	$1,977,634	GrantAmt
Revenue	$614,093,129	RevenueAmt
Desc	OWENSBORO HEALTH, INC. ("OH") IS THE PARENT ORGANIZATION OF A DIVERSIFIED SYSTEM OF HEALTH CARE ORGANIZATIONS THAT PROVIDES A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES AND OTHER COMPLEMENTARY HEALTH CARE SERVICES. OH EMPLOYS HEALTHCARE PROFESSIONALS, INCLUDING PHYSICIANS, NURSES, ADVANCE PRACTICE REGISTERED NURSES, PHYSICIAN ASSISTANTS AND OTHER LICENSED PROFESSIONALS WHO PROVIDE DIRECT PATIENT CARE IN THE ORGANIZATION'S MAIN HOSPITAL, OWENSBORO HEALTH REGIONAL HOSPITAL. IN ADDITION, THE ORGANIZATION OPERATES SEVERAL WHOLLY OWNED AND CONTROLLED SUBSIDIARIES, INCLUDING OH MUHLENBERG, LLC (OHMCH), OWENSBORO HEALTH MEDICAL GROUP, INC., OWENSBORO HEALTH FOUNDATION, INC., ONE HEALTH NETWORK, LLC, ONE HEALTH SOLUTIONS, LLC, COMMONWEALTH MEDICAL MANAGEMENT, LLC AND THE HEALTH NETWORK OF WESTERN KENTUCKY, LLC. OH'S PRIMARY ACTIVITY CONSISTS OF PROVIDING MEDICAL AND PATIENT CARE SERVICES IN ITS MAIN HOSPITAL, OWENSBORO HEALTH REGIONAL HOSPITAL, SERVING 14 COUNTIES IN WESTERN KENTUCKY AND SOUTHERN INDIANA. OUR MEDICAL SERVICES ARE DELIVERED BY HIGHLY SKILLED PHYSICIANS ALONG WITH A CARING AND COMPASSIONATE NURSING STAFF. OH SUPPORTS OUR CARE TEAMS WITH STATE-OF-THE ART EQUIPMENT TO PROVIDE OUR PATIENTS WITH ADVANCED MEDICAL TREATMENTS AND PROCEDURES. IN THE FISCAL YEAR ENDED MAY 31, 2020, OHRH AND OHMCH HAD TOTAL ADMISSIONS OF 16,847, PATIENT DAYS OF 92,177, AND TOTAL ER VISITS OF 77,126. COST OF PARTICIPATING IN GOVERNMENT PROGRAMS: OH 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, OH 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 OH INCURS TO SERVE PROGRAM BENEFICIARIES. UNCOMPENSATED CARE AND FINANCIAL ASSISTANCE: OH PROVIDES MEDICAL CARE WITHOUT CHARGE, OR AT REDUCED COST, TO RESIDENTS OF THE COMMUNITIES THAT IT SERVES. OH'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. DURING THE REPORTING PERIOD, OH PROVIDED $14,956,231 IN FINANCIAL ASSISTANCE TO LOW-INCOME AND/OR UNINSURED PATIENTS. OH DOES NOT INCLUDE IN THAT AMOUNT $29,995,742 OF BAD DEBT EXPENSE, WHICH ARE AMOUNTS WRITTEN OFF FOR PROVIDING SERVICES TO PERSONS WHO MAY BE ABLE, BUT ARE UNWILLING, TO PAY FOR THE SERVICES THEY RECEIVE. AS DESCRIBED ELSEWHERE, OH BELIEVES A PORTION OF ITS BAD DEBT EXPENSE DERIVES FROM PATIENTS WHO MIGHT HAVE QUALIFIED FOR FINANCIAL ASSISTANCE HAD THEY SUBMITTED ASSISTANCE APPLICATIONS. OH IS COMMITTED TO EXPANDING ITS PROGRAMS TO IMPROVE ACCESS TO HEALTH CARE IN ITS PRIMARY AND SECONDARY SERVICE AREAS, WHICH INCLUDE RURAL AND ECONOMICALLY DEPRESSED AREAS AND AREAS THAT LACK ADEQUATE NUMBERS OF PRIMARY CARE AND SPECIALTY PROVIDERS.	Desc
Total Program Service Expenses	$427,836,081	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
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	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
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	Yes (true)	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	Yes (true)	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	224	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4000	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
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	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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	false	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JOHN HACKBARTH	PersonNm
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 (44 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Strahan Greg
PRESIDENT AND CEO	40.0	10.0	Yes (X)	$1,249,174	$0	$51,234
Mcbride Anthony
Board Member	3.0	45.0		$0	$1,030,043	$29,880	Yes (X)
Dufrayne Francis
Chief Medical Officer	30.0	20.0		$569,878	$206,319	$40,587		Yes (X)
Hackbarth John
Chief Financial Officer	40.0	10.0	Yes (X)	$720,254	$0	$51,234
Suter Mia
Chief Administrative Officer	40.0	10.0		$579,839	$0	$36,722		Yes (X)
Begley II Ernest E
Chief Legal Officer	40.0	10.0		$532,560	$0	$60,160		Yes (X)
Bostic Deborah K
COO-OHRH	40.0	10.0		$525,835	$0	$21,328		Yes (X)
Danhauer David E MD
VP CMIO	40.0	10.0		$437,093	$0	$55,985		Yes (X)
Medley Jr Richard W
CHIEF MED OFFICER (THRU 7/19)	40.0	10.0		$449,269	$0	$34,731		Yes (X)
Bryant MD Bill
VP QUALITY AND PATIENT SAFETY	40.0	10.0		$445,506	$0	$33,538		Yes (X)
Belec Timothy
VP CIO	40.0	10.0		$444,648	$0	$33,422		Yes (X)
Ranallo Russell
VP FINANCE	40.0	10.0		$402,534	$0	$58,231		Yes (X)
Heath Jr Edward L
COO-OHMCH	45.0	5.0	Yes (X)	$372,513	$0	$57,926
Jones Lisa
VP ANCILLARY SERVICES	40.0	10.0		$345,921	$0	$51,048		Yes (X)
Tidwell III James E
VP Population Health	40.0	10.0		$324,773	$0	$32,679		Yes (X)
Field Jason
Chief Operating Officer OHMG	5.0	45.0		$0	$291,359	$39,083		Yes (X)
Johnson Stephen M
VP GOVT AND COMMUNITY AFFAIRS	40.0	10.0		$267,435	$0	$54,711		Yes (X)
Jacildo Ruby
VP Accounting/Controller	40.0	10.0		$262,618	$0	$53,440		Yes (X)
Kelley Michael
VP MEDICAL AFFAIRS	40.0	10.0		$249,714	$0	$25,388		Yes (X)
Sims Joan M
VP Patient Care SVCS and CNO	40.0	10.0		$247,114	$0	$27,796		Yes (X)
Myer Mitchell Kathl
VP Pt Care Svcs and CNO-OHMCH	45.0	5.0		$209,301	$0	$27,801		Yes (X)
Scherm Michael J MD
Former Chief Medical Officer	0.0	0.0		$231,966	$0	$0			Yes (X)
Taylor Joseph W
Executive Director, Facilities	40.0	10.0		$187,383	$0	$43,302				Yes (X)
Montaven Simone J
Exec Dir of Human Resources	40.0	10.0		$192,298	$0	$38,083				Yes (X)
Roberts Kenneth W
DIR OF COMPLIANCE AND CONTRACT	40.0	10.0		$180,189	$0	$43,560				Yes (X)
Collins Jason
DIRECTOR OF PHARMACY	45.0	5.0		$194,313	$0	$26,107				Yes (X)
Walker Jr John P
EXEC DIR OF MATERIALS MGMT	40.0	10.0		$178,918	$0	$35,264				Yes (X)
Hieneman Ramona C
VP COMPLIANCE AND PRIVACY	40.0	10.0		$133,342	$0	$8,729		Yes (X)
Harris Susanne
Board Member	3.0	0.0		$0	$0	$0	Yes (X)
Burshears Bridget MD
Board Member	3.0	0.0		$0	$0	$0	Yes (X)
Roberts Gavin
Board Member	3.0	3.0		$0	$0	$0	Yes (X)
Thompson Angela
Board Member	3.0	1.0		$0	$0	$0	Yes (X)
Stogsdill Vicki
Board Member	3.0	0.0		$0	$0	$0	Yes (X)
Riney Phil
Board Member	3.0	2.0		$0	$0	$0	Yes (X)
Harrison William MD
Board Secretary	3.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Carpenter Jeff
Board Chairperson	3.0	3.0	Yes (X)	$0	$0	$0	Yes (X)
Brake Candance
Board Member	3.0	0.0		$0	$0	$0	Yes (X)
Hetman Nick
Board Member	3.0	0.0		$0	$0	$0	Yes (X)
Roberts David
Board Member	3.0	1.0		$0	$0	$0	Yes (X)
Yeiser Michael MD
Board Member	3.0	0.0		$0	$0	$0	Yes (X)
Farmer Robert
Board Vice Chair	3.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
Blazar Suzanne Northe
Board Member THRU 10/2019	3.0	0.0		$0	$0	$0	Yes (X)
Nunley-Winters Debora
Board Member THRU 10/2019	3.0	2.0		$0	$0	$0	Yes (X)
Wells Jack
Board Vice Chair THRU 10/2019	3.0	2.0	Yes (X)	$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,427,815	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,527,721	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,001,869	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	207	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MORRISON MGMT SPECIALISTS
PO BOX 102289	ATLANTA	GA	30368	FOOD SERVICES	$6,689,668
NORTHSTAR ANESTHESIA OF KY LLC
6225 N STATE HWY 161 SUITE 200	IRVING	TX	75038	ANESTHESIA SERVICES	$3,997,037
LOUISVILLE RAD IMAGING CNSLTS
71 WEST 156TH STREET SUITE 110	HARVEY	IL	60426	RADIOLOGY SERVICES	$2,261,667
OBHG KENTUCKY PSC
10 CENTIMETERS DRIVE	MAULDIN	SC	29662	OB SERVICES	$1,576,886
CROTHALL HEALTHCARE
13028 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	HOUSEKEEPING SERVICE	$1,453,199

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	75	CntrctRcvdGreaterThan100KCnt
Related Organizations	$114,822	RelatedOrganizationsAmt
Government Grants	$16,721,241	GovernmentGrantsAmt
All Other Contributions	$55,637	AllOtherContributionsAmt
Total Contributions	$16,891,700	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MEDICARE/MEDICAID PAYMENT	622110	$309,437,128	$309,437,128	$0	$0
PATIENT REVENUE-OTHER INS	622110	$291,509,605	$291,509,605	$0	$0
DSH/MEDICAID	622110	$10,002,880	$10,002,880	$0	$0
REVENUE-OASF	621493	$968,399	$968,399	$0	$0
REVENUE-OCHN	622110	-$74,505	-$74,505	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$977,526	TotalRevenueColumnAmt
Related Or Exempt Func Income	$977,526	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$612,821,033	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,514,501	TotalRevenueColumnAmt
Exclusion	$5,514,501	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,369	TotalRevenueColumnAmt
Exclusion	$29,369	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,463,405	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$622,495	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,840,910	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,840,910	TotalRevenueColumnAmt
Exclusion	$1,840,910	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$318,767,299	SecuritiesAmt
Other	$250,732	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$319,917,629	SecuritiesAmt
Other	$360,350	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,150,330	SecuritiesAmt
Other	-$109,618	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,259,948	TotalRevenueColumnAmt
Exclusion	-$1,259,948	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$762,225	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$571,549	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$190,676	TotalRevenueColumnAmt
Exclusion	$190,676	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA & VENDING	722514	$2,723,867	$0	$0	$2,723,867
CALL CENTER REVENUE	622110	$457,448	$457,448	$0	$0
CATERING & 990T	812300	$3,442	$0	$3,442	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$868,685	TotalRevenueColumnAmt
Related Or Exempt Func Income	$814,648	RelatedOrExemptFuncIncomeAmt
Exclusion	$54,037	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,053,442	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$640,081,683	TotalRevenueColumnAmt
Related Or Exempt Func Income	$614,093,129	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,442	UnrelatedBusinessRevenueAmt
Exclusion	$9,093,412	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,722,911	TotalAmt
Program Services	$1,722,911	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$274,723	TotalAmt
Program Services	$274,723	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

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	$6,910,207	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$6,910,207	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$456,136	TotalAmt
Program Services	$235,333	ProgramServicesAmt
Management And General	$220,803	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$179,205,740	TotalAmt
Program Services	$155,019,158	ProgramServicesAmt
Management And General	$24,186,582	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$15,741,706	TotalAmt
Program Services	$11,021,064	ProgramServicesAmt
Management And General	$4,720,642	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$46,800,928	TotalAmt
Program Services	$32,925,982	ProgramServicesAmt
Management And General	$13,874,946	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,283,310	TotalAmt
Program Services	$11,348,962	ProgramServicesAmt
Management And General	$1,934,348	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,392,014	TotalAmt
Program Services	$2,478,167	ProgramServicesAmt
Management And General	$913,847	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,678,565	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,678,565	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$283,979	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$283,979	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$137,150	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$137,150	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$533,448	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$533,448	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$46,357,501	TotalAmt
Program Services	$38,701,547	ProgramServicesAmt
Management And General	$7,655,954	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,753,239	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,753,239	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,171,187	TotalAmt
Program Services	$6,584,720	ProgramServicesAmt
Management And General	$4,586,467	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,993,663	TotalAmt
Program Services	$9,468,851	ProgramServicesAmt
Management And General	$2,524,812	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$259,192	TotalAmt
Program Services	$235,313	ProgramServicesAmt
Management And General	$23,879	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,080,692	TotalAmt
Program Services	$4,989,796	ProgramServicesAmt
Management And General	$5,090,896	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$857,155	TotalAmt
Program Services	$642,348	ProgramServicesAmt
Management And General	$214,807	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$218,715	TotalAmt
Program Services	$124,111	ProgramServicesAmt
Management And General	$94,604	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$27,377,877	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$27,377,877	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$29,648,476	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$29,648,476	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,564,802	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,564,802	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$111,647,561	$111,482,901	$164,660	$0
BAD DEBT	$29,995,742	$29,995,742	$0	$0
PROVIDER TAX	$7,485,645	$7,485,645	$0	$0
DIETARY PATIENT SUPPLIES	$2,712,187	$2,712,187	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,034,097	TotalAmt
Program Services	$386,620	ProgramServicesAmt
Management And General	$1,647,477	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$566,578,548	TotalAmt
Program Services	$427,836,081	ProgramServicesAmt
Management And General	$138,742,467	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$12,131,208	BOYAmt
EOY	$80,080,832	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,350,182	BOYAmt
EOY	$5,442,061	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$538,633,073	BOYAmt
EOY	$619,124,765	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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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	$13,261,442	BOYAmt
EOY	$14,303,744	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$22,322,018	BOYAmt
EOY	$25,656,691	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$920,004,581	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$431,782,984	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$484,788,279	BOYAmt
EOY	$488,221,597	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$226,186,040	BOYAmt
EOY	$235,065,653	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$28,979,108	BOYAmt
EOY	$28,670,927	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,348,434	BOYAmt
EOY	$11,348,434	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$26,224,955	BOYAmt
EOY	$23,347,085	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,369,224,739	BOYAmt
EOY	$1,531,261,789	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$72,311,575	BOYAmt
EOY	$75,695,141	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,235,688	BOYAmt
EOY	$811,659	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$588,850,792	BOYAmt
EOY	$578,246,994	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$126,641,595	BOYAmt
EOY	$218,214,487	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$789,039,650	BOYAmt
EOY	$872,968,281	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	$580,185,089	BOYAmt
EOY	$658,293,508	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$580,185,089	BOYAmt
EOY	$658,293,508	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,369,224,739	BOYAmt
EOY	$1,531,261,789	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$73,503,135	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,605,284	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$103,878	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$33,272	OtherActivitiesAmt
Total Lobbying Expenditures	$137,150	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE C, PART II-B, LINE 1I

POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES PERCENTAGE OF LOBBYING ACTIVITIES FROM KENTUCKY HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION DUES.

SCHEDULE C, PART II-B, LINE 1G

IRS INSUBSTANTIAL LOBBYING WITHIN THE CONTEXT OF GOVERNMENTAL, COMMUNITY AND LEGISLATIVE AFFAIRS, OH HAS ONE EMPLOYEE THAT ENGAGES IN LOBBYING ACTIVITIES OR ATTEMPTS TO INFLUENCE LEGISLATION. HOWEVER, UNDER NO CIRCUMSTANCES IS THERE ANY ENGAGEMENT IN POLITICAL ACTIVITIES. LOBBYING ACTIVITIES INCLUDE BOTH DIRECT LOBBYING AND GRASS ROOTS LOBBYING. FROM A DIRECT LOBBYING PERSPECTIVE, THE VICE PRESIDENT OF GOVERNMENTAL, COMMUNITY AND LEGISLATIVE AFFAIRS ENGAGES IN LOBBYING ACTIVITIES AT THE FEDERAL, STATE AND LOCAL LEVELS. THE VP OF GOVT AND COMMUNITY AFFARIS DOES MEET WITH MEMBERS OF CONGRESS ON OCCASION DURING THE YEAR EITHER IN WASHINGTON OR IN OWENSBORO. AT THE STATE LEVEL, THE VP OF GOVT AND COMMUNITY AFFAIRS IS REGISTERED AS A LEGISLATIVE AGENT WITH THE KENTUCKY GENERAL ASSEMBLY. LOBBYING EFFORTS ARE GENERALLY LIMITED TO THAT PERIOD OF TIME IN WHICH THE GENERAL ASSEMBLY IS IN SESSION. THIS PERIOD INCLUDES A 30-DAY LEGISLATIVE SESSION IN ODD NUMBERED YEARS AND A 60-DAY LEGISLATIVE SESSION IN EVEN NUMBERED YEARS. IN ADDITION, LOBBYING AT THE LOCAL LEVEL IS GENERALLY CONFINED TO REGULATORY MATTERS AND IS NOT ONGOING. FROM A GRASS ROOTS LOBBYING PERSPECTIVE, THE VP OF GOVT AND COMMUNITY AFFAIRS OVERSEES THE HEALTH IN ACTION NETWORK. HEALTH IN ACTION IS AN ELECTRONIC EMAIL SYSTEM THAT PROVIDES OH EMPLOYEES WITH UPDATES ON LEGISLATION AND 'CALLS TO ACTION' WHEN APPROPRIATE. JOINING THE NETWORK AND CHOOSING TO RESPOND ARE VOLUNTARY. THIS NETWORK IS ONLY ACTIVATED WHEN ISSUES OF CONCERN ARE BEING CONSIDERED AT THE FEDERAL AND STATE LEVELS. IT IS ESTIMATED THAT DURING THE FISCAL YEAR ENDING MAY 31, 2020, ALL LOBBYING ACTIVITY BY THE VP OF GOVT AND COMMUNITY AFFAIRS DID NOT EXCEED 30% OF TOTAL WORK-RELATED DUTIES AND RESPONSIBILITIES.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,105,543	OtherCostOrOtherBasisAmt
Book Value	$15,105,543	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$565,403,987	OtherCostOrOtherBasisAmt
Depreciation	$151,570,796	DepreciationAmt
Book Value	$413,833,191	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$311,572,388	OtherCostOrOtherBasisAmt
Depreciation	$280,212,188	DepreciationAmt
Book Value	$31,360,200	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,922,663	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$27,922,663	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$488,221,597	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYORS	$91,069,236
ACCRUED PENSION	$69,924,499
WORKMAN'S COMP RESERVE	$4,727,391
MALPRACTICE RESERVE	$10,139,901
OHMCH LEASE OBLIGATION	$1,369,047
INTRACOMPANY A/P	$34,267,679
OTHERS	$6,716,734

Field	Value	IRS element (for citing)
Total Liability	$218,214,487	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FIN 48(ASC 740) Footnote	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE D, PART X, LINE 2 THE SYSTEM APPLIES FASB ASC TOPIC 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ASC TOPIC 740 PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL 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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	400.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
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	$4,649,920	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,649,920	NetCommunityBenefitExpnsAmt
Total Expense	0.00870	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$102,123,233	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$115,805,561	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$13,682,328	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,773,153	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$115,805,561	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$9,032,408	NetCommunityBenefitExpnsAmt
Total Expense	0.00870	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	511	ActivitiesOrProgramsCnt
Persons Served	157772	PersonsServedCnt
Total Community Benefit Expns	$994,363	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$535	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$993,828	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	37	ActivitiesOrProgramsCnt
Persons Served	71	PersonsServedCnt
Total Community Benefit Expns	$295,665	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$295,665	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	231	ActivitiesOrProgramsCnt
Persons Served	305687	PersonsServedCnt
Total Community Benefit Expns	$1,145,157	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,145,157	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	779	ActivitiesOrProgramsCnt
Persons Served	463530	PersonsServedCnt
Total Community Benefit Expns	$2,435,185	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$535	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,434,650	NetCommunityBenefitExpnsAmt
Total Expense	0.00460	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	779	ActivitiesOrProgramsCnt
Persons Served	463530	PersonsServedCnt
Total Community Benefit Expns	$109,208,338	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$115,806,096	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$6,597,758	NetCommunityBenefitExpnsAmt
Total Expense	0.01330	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$10,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,000	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$10,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,000	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$29,995,742	BadDebtExpenseAmt
Bad Debt Expense Attributable	$5,999,148	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$144,255,300	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$173,016,570	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$28,761,270	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	OWENSBORO CHN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	PROVIDER NETWORK	PrimaryActivitiesTxt
Org Profit Or Ownership	0.5	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.5	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd
OWENSBORO HEALTH INC
1	1201 PLEASANT VALLEY RD	OWENSBORO	KY	42303	www.owensborohealth.org	100092	Yes (X)	Yes (X)	Yes (X)
OH MUHLENBERG LLC
2	1201 PLEASANT VALLEY ROAD	OWENSBORO	KY	42303	WWW.OWENSBOROHEALTH.ORG	100344	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Other Actions TakenOtherActionsTakenInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back MedicareLookBackMedicareInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt
OWENSBORO HEALTH INC
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	false	Yes (true)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	19	Yes (true)	See Part V, Section C	false	Yes (true)	Yes (X)	300.	400.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	www.owensborohealth.org	Yes (X)	www.owensborohealth.org	Yes (X)	www.owensborohealth.org	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
OH MUHLENBERG LLC
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	false	Yes (true)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	18	Yes (true)	SEE PART V, SECTION C	false	Yes (true)	Yes (X)	300.	400.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	www.owensborohealth.org	Yes (X)	www.owensborohealth.org	Yes (X)	www.owensborohealth.org	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	Yes (X)	SEE PART V, SECTION C

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 3E	OWENSBORO HEALTH & OH MUHLENBERG THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN OWENSBORO HEALTH AND OH MUHLENBERG'S CHNA ARE PRESENTED AS PRIORITIZED DESCRIPTIONS. FORM 990, SCHEDULE H, PART V, SECTION B, LINES 5 AND 6B OWENSBORO HEALTH CHNA COMMUNITY INPUT THE OWENSBORO HEALTH REGIONAL HOSPITAL (OHRH) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY INCORPORATING THE WORK OF THE GREEN RIVER DISTRICT HEALTH DEPARTMENT (GRDHD) WHOSE CATCHMENT AREA INCLUDES, IN ADDITION TO DAVIESS, THE COUNTIES OF HANCOCK, HENDERSON, MCLEAN, OHIO, UNION AND WEBSTER AND FURTHER DEVELOPED BY THE COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY (CEDIK). OHRH BEGAN ITS CHNA PROCESS IN 2018 AND COMPLETED AND APPROVED IT IN MAY 2019. THIS ASSESSMENT INCLUDED A COMMUNITY-WIDE PROCESS TO ANALYZE COMMUNITY HEALTH NEEDS AND IDENTIFY THE HEALTH PRIORITIES FOR THE REGION. THE METHODOLOGY USED FOR THE 2018 GRDHD COMMUNITY HEALTH ASSESSMENT WAS MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO). THIS INTERACTIVE, COMMUNITY-DRIVEN STRATEGIC PLANNING PROCESS WAS SELECTED AS IT WAS SUCCESSFULLY UTILIZED IN THE PREVIOUS CYCLES (2012-2015) AND (2015-2018). THE MAPP FRAMEWORK ASSESSES THE CAPACITY OF THE PUBLIC HEALTH SYSTEM IN MEETING THE SPECIFIC HEALTH STATUS NEEDS OF A COMMUNITY. MAPP USES FOUR UNIQUE ASSESSMENTS TO IDENTIFY ISSUES INFLUENCING PUBLIC HEALTH AND THE RESOURCES TO ADDRESS THEM. THE ASSESSMENTS USED IN THE MAPP PROCESS INCLUDE: COMMUNITY HEALTH STATUS ASSESSMENT, COMMUNITY THEMES AND STRENGTHS ASSESSMENT, FORCES OF CHANGE ASSESSMENT AND THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT. GRDHD UTILIZED A VARIETY OF METHODS TO INFORM THE MAPP ASSESSMENTS. THE SUMMARIES AND FINDINGS FROM THESE ASSESSMENTS ARE THEN PRESENTED TO EACH COUNTY VIA A COMMUNITY FORUM. THIS INFORMATION IS USED TO GUIDE COUNTIES IN CHOOSING THEIR STRATEGIC INITIATIVE FOCUS AREAS FOR THEIR COMMUNITY. THE ASSESSMENT IS ALSO INCORPORATED IN THE OHRH CHNA. CEDIK FACILITATED THE PROCESS OF PRIMARY DATA COLLECTION THROUGH FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. THROUGHOUT THE PROCESS, CEDIK, AS DID THE GREEN RIVER DISTRICT HEALTH DEPARTMENT, MADE IT A PRIORITY TO GET INPUT FROM POPULATIONS THAT ARE OFTEN NOT ENGAGED IN CONVERSATIONS ABOUT THEIR HEALTH NEEDS OR GAPS IN SERVICE. CEDIK CONDUCTED THIRTEEN KEY INFORMANT INTERVIEWS TO PROBE MORE DEEPLY INTO HEALTH AND QUALITY OF LIFE THEMES WITHIN THE COUNTY. POTENTIAL BARRIERS TO ACCESSING COMMUNITY RESOURCES WERE ALSO IDENTIFIED IN THESE INTERVIEWS. THE OHRH CHNA REPORT SYNTHESIZES COMMUNITY HEALTH NEEDS SURVEY DATA, FOCUS GROUPS WITH VULNERABLE POPULATIONS, AND KEY INFORMANT INTERVIEW DATA WITH SOCIAL AND ECONOMIC DATA AS WELL AS HEALTH OUTCOMES DATA COLLECTED FROM SECONDARY SOURCES TO HELP PROVIDE CONTEXT FOR THE COMMUNITY. CEDIK CONDUCTED FOCUS GROUPS IN DAVIESS COUNTY TO EXPLORE THEIR VISION OF A VIBRANT HEALTHY DAVIESS COUNTY AND TO DISCUSS HEALTH NEEDS OF POPULATIONS WITH UNMET HEALTH NEEDS AND TO DEEPEN THE UNDERSTANDING OF THE HEALTH CHALLENGES THEY FACE. FOCUS GROUP DISCUSSIONS REVEALED UNMET NEEDS ACROSS VULNERABLE POPULATIONS. CEDIK ORGANIZED THE DATA INTO STRENGTHS, BARRIERS AND OPPORTUNITIES FOR CHANGE FOR DAVIESS COUNTY. COMMENTS AND FEEDBACK ON THE CHNA ARE ENCOURAGED/INVITED AS REFLECTED ON THE OHRH WEBPAGE. A PHONE NUMBER AND EMAIL ADDRESS IS POSTED ON THE WEBSITE SHOULD SOMEONE HAVE QUESTIONS OR COMMENTS. FORM 990, SCHEDULE H, PART V, SECTION B, LINES 5 AND 6B OH MUHLENBERG CHNA COMMUNITY INPUT OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL PARTNERED WITH THE MUHLENBERG COUNTY HEALTH DEPARTMENT (CATHY BETHEL, MSN, MBA, DIRECTOR AND BETTY HENDRIX, RN, BSN, NURSING SUPERVISOR) TO COMPLETE THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT. IN ADDITION TO PARTICIPATING IN THE PREPARATION AND PLANNING FOR THE CHNA, THE HEALTH DEPARTMENT WAS INVOLVED ON THE CHNA STEERING COMMITTEE AND DISTRIBUTED CHNA SURVEYS AT THEIR FACILITY. - OTHER MEMBERS OF THE STEERING COMMITTEE INCLUDED: - VICKI YONTS - FELIX E. MARTIN JR. FOUNDATION - CARLA EMBRY- MUHLENBERG COUNTY BOARD OF EDUCATION - MARY BETH RILEY- UK COOPERATIVE EXTENSION OFFICE - CHRIS SPARKS- PENNYROYAL MENTAL HEALTH CENTER - TAMMY PIPER- CENTRAL CITY CONVENTION CENTER - CINDY STOVALL- MUHLENBERG COUNTY HEAD START - GREENVILLE - TONIA STOVALL- MUHLENBERG COUNTY HEAD START - CENTRAL CITY - DOROTHY WALKER- GREATER MUHLENBERG CHAMBER OF COMMERCE - SCOTT CASEBIER- HOPE2ALL FOOD BANK - CHERYL SPAIN- MUHLENBERG COUNTY SENIOR CITIZENS CENTER - ASHLEY MEFFORD- COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY - TROY WALKER- OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL EMS - BONNIE GIBSON- MUHLENBERG COUNTY COMMUNITY SERVICE CENTER - SUE MCBRIDE- DEPARTMENT OF COMMUNITY BASED SERVICES - BRYAN EADES- EADES FAMILY DENTISTRY - BETTY HENDRIX- MUHLENBERG COUNTY HEALTH DEPARTMENT - JESSICA BROWNING- OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL CEDIK FACILITATED THE PROCESS OF PRIMARY DATA COLLECTION THROUGH COMMUNITY SURVEYS, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS TO CREATE AN IMPLEMENTATION PLAN TO ADDRESS IDENTIFIED HEALTH NEEDS. IN ADDITION, COUNTY SPECIFIC SECONDARY DATA WAS GATHERED TO HELP EXAMINE THE SOCIAL DETERMINANTS OF HEALTH. THROUGHOUT THE PROCESS, CEDIK AND THE COMMUNITY STEERING COMMITTEE MADE IT A PRIORITY TO GET INPUT FROM POPULATIONS THAT ARE OFTEN NOT ENGAGED IN CONVERSATIONS ABOUT THEIR HEALTH NEEDS OR GAPS IN SERVICE. CEDIK CONDUCTED SIX KEY INFORMANT INTERVIEWS TO PROBE MORE DEEPLY INTO HEALTH AND QUALITY OF LIFE THEMES WITHIN THE COUNTY. CURRENT COMMUNITY RESOURCES AND POTENTIAL BARRIERS TO ACCESSING RESOURCES WERE ALSO IDENTIFIED IN THESE INTERVIEWS. - KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH THE FOLLOWING EXPERTS: - DIANA ANDERSON, PATHWAY OF HOPE, PREGNANCY CRISIS CENTER IN MUHLENBERG COUNTY - ASHLEY BOZE, PENNYROYAL CENTER, DIRECTOR OF SUBSTANCE ABUSE SERVICES - ROBBY DAVIS, MUHLENBERG COUNTY SCHOOLS, SUPERINTENDENT - KEELY DENNIS, MUHLENBERG COUNTY SCHOOLS, H.S. SENIOR - TIM DUKES, A NEW START - MEDICATION ASSISTED TREATMENT FOR OPIOID ADDICTION - JERRY EADES, MUHLENBERG COUNTY BAPTIST ASSOCIATION, DIRECTOR OF MISSIONS OHMCH COLLABORATED WITH THE MUHLENBERG COUNTY HEALTH DEPARTMENT AND CONTRACTED WITH THE COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY TO CONDUCT THIS CHNA.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A:	OWENSBORO HEALTH - LINK TO CHNA: WWW.OWENSBOROHEALTH.ORG/HEALTH-RESOURCES/HEALTH-NEEDS-ASSESSMENT/ FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A: OWENSBORO HEALTH - LINK TO IMPLEMENTATION STRATEGY: HTTPS://WWW.OWENSBOROHEALTH.ORG/HEALTH-RESOURCES/HEALTH-NEEDS-ASSESSMENT/ FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A: OH MUHLENBERG (OHMCH) - LINK TO CHNA: https://www.owensborohealth.org/app/files/public/22315/ohmch-community-hea lth-needs-assessment.pdf FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7B: OH MUHLENBERG (OHMCH) - OTHER WEBSITE: http://www.muhlenbergcountyhealthdepartment.com/2018/wp-content/uploads/20 18/07/Final_MCHD-CHNA-1.pdf FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A: OH MUHLENBERG (OHMCH) - LINK TO IMPLEMENTATION STRATEGY: HTTPS://WWW.OWENSBOROHEALTH.ORG/APP/FILES/PUBLIC/22324/OHMCH-CHNA-IMPLEMEN TATION-STRATEGY-2018.PDF
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11	OWENSBORO HEALTH - HOW OHRH IS ADDRESSING SIGNIFICANT HEALTH NEEDS: BASED ON SURVEY RESULTS, FOCUS GROUP AND KEY INFORMANT INTERVIEW RESULTS, AS WELL AS KEY SECONDARY HEALTH DATA, THERE WERE FIVE PRIORITY AREAS IDENTIFIED. EXISTING LOCAL, STATE AND NATIONAL PRIORITIES WERE CONSIDERED. THE FOLLOWING PRIORITIES WERE IDENTIFIED AS AREAS OF NEED TO ADDRESS IN THE NEXT THREE YEARS: - HEALTHY BEHAVIORS - POOR EATING HABITS, ACCESS TO HEALTHY FOODS, LACK OF EXERCISE - OBESITY AND OBESITY-RELATED DISEASES - MENTAL HEALTH - DEPRESSION, COUNSELING AND TESTING FOR MENTAL HEALTH DISORDERS - SUBSTANCE USE - PRESCRIPTION, ILLEGAL AND ILLICIT SUBSTANCES - TOBACCO USE AND SMOKING TAX YEAR 2018-2021: - HEALTHY BEHAVIORS- POOR EATING HABITS, ACCESS TO HEALTHY FOODS, LACK OF EXERCISE - OBESITY AND OBESITY RELATED DISEASES * CONTINUING FINANCIAL AND IN-KIND SUPPORT TO ADDRESS SENIOR HUNGER VIA PARTNERSHIP WITH MORRISON'S FOOD SERVICES AND SENIOR COMMUNITY CENTER OF OWENSOBRO-DAVIESS COUNTY. * EXPANDED THIS WORK TO REACH ADDITIONAL SENIORS IN NEED DURING THE COVID PANDEMIC. * ESTABLISHED TWO PRIVATE NURSING AREAS TO SUPPORT EMPLOYEE'S BREASTFEEDING AND/OR PUMPING WHILE AT WORK; WORK CONTINUES TO DEVELOP ONE COMMUNITY NURSING POD TO PROMOTE BREASTFEEDING AS THE OPTIMAL SOURCE OF NUTRITION FOR BABIES REDUCING BARRIERS TO BREASTFEEDING WHILE VISITING OH CAMPUSES AND IN COMMUNITY SETTINGS. * CONDUCT ANNUAL HOLIDAY FOOD DRIVE FOR AREA FOOD PANTRIES. * FINANCIALLY SUPPORTED TRISTATE FOOD BANK EXPANSION AND MOBILE FOOD EFFORTS. * ASSISTING AND PARTICIPATING IN COMMUNITY PARTNER(S) REGIONAL MEETINGS TO DISCUSS FOOD INSECURITY AS A SIGNIFICANT SOCIAL DETERMINANT OF HEALTH. * CONTINUING TO SUPPORT OWENSBORO HEALTH HEALTHPARK AND ITS SCHOLARSHIP PROGRAM PROVIDING FINANCIAL ASSISTANCE, THE HEALTHPARK EDUCATIONAL PROGRAMMING, AND OUTREACH AND TARGETED EVIDENCED BASED PROGRAMMING. * CONTINUING FINANCIAL SUPPORT AND ADVOCACY FOR COMMUNITY PROJECTS AND PROGRAMS WHICH FOCUS ON WORKING COLLABORATIVELY TO IMPROVE HEALTHY FOOD OPTIONS; APPROPRIATE TIME FOR PLAY AND EXERCISE; ART AND MUSIC OPPORTUNITIES AMONG OTHERS. * CONTINUED TO UTILIZE COMMUNITY DATA TO TARGET SPECIFIC AREAS OF COMMUNITY WHICH COULD MOST BENEFIT BY CHANGES OF POLICY, STRUCTURAL IMPROVEMENT, AND COMMUNITY ASSETS AND WORK IN PARTNERSHIP TO DEVELOP IMPROVEMENT PLANS. * TEAM MEMBERS SERVE ON LOCAL AND STATE TASK FORCES RELATED TO COMMUNITY DEVELOPMENT, CHAMBERS OF COMMERCE, WORKPLACE HEALTH, ECONOMIC DEVELOPMENT, HEALTH AND WELLNESS AND THE ARTS TO PROVIDE VOICE FOR COMMUNITY HEALTH IMPROVEMENT. * PROVIDE EXPERTISE FROM STAFF TO THE COMMUNITY FOR EDUCATION AND PROGRAM GUIDANCE. * CONTINUE THE DIABETES PREVENTION PROGRAM T2 * GOAL TO STRENGHTHEN SUPPORT GROUP FOR PATIENTS WHO HAVE PARTICIPATED IN SURGICAL WEIGHT LOSS AS IT IS UNDERSTOOD THIS IS A LIFELONG COMMITMENT TO WEIGHT LOSS AND IDENTIFY WAYS TO REDUCE BARRIERS TO PARTICIPATION WHEN SOCIAL DETERMINANTS OF HEALTH ARE FACTORS. - MENTAL HEALTH ACCORDING TO PRIMARY INTERVIEW DATA COLLECTED IN THE MOST RECENT CHNA, THERE IS A LACK OF PROVIDERS FOR THOSE FACING MENTAL HEALTH ISSUES; A STIGMA IN SEEKING THIS TYPE OF CARE; AND, A SIGNIFICANT INCREASE IN THE RATE OF SUICIDE. * OWENSBORO HEALTH HAS LAUNCHED AN INTENSIVE OUTPATIENT PROGRAM USING AN EVIDENCE-BASED CURRICULUM FOCUSING ON MENTAL HEALTH. * WE ARE CURRENTLY RUNNING TWO GROUPS, A MORNING AND AN AFTERNOON. DUE TO COVID RESTRICTIONS, EACH GROUP ONLY HAS A MAXIMUM OF 5 PARTICIPANTS. * WE ARE ABLE TO OFFER ADDITIONAL PARTICIPANTS, UP TO 10, TO ATTEND BY TELEHEALTH IF THEY HAVE THE CAPABILITY TO DO SO. * GOAL TO ADD CO-OCURRING DISORDER GROUP. * WE BEGAN THE IOP BY HIRING ONE THERAPIST AND WILL ADD AN ADDITIONAL PART OR FULL-TIME THERAPIST AS THE PROGRAM GROWS. * ONE LPN HAS BEEN ADDED. * OWENSBORO HEALTH WILL CONTINUE TO SERVE ON THE BOARD AND CLINICAL CARE TEAM FOR THE NEW MENTAL HEALTH COURT IN OWENSBORO DAVIESS COUNTY AND PROVIDES GRANT WRITING TECHNICAL ASSISTANCE. * WE HAVE AND WILL CONTINUE TO HAVE REPRESENTATION ON EACH OF THE THREE COMMUNITY HEALTH ACTION TEAMS AS THEY SEEK TO ESTABLISH AND IMPLEMENT STRATEGIES TO ADDRESS PRIORITY AREAS. * OWENSBORO HEALTH REGIONAL HOSPITAL WILL CONTINUE TO FINANCIALLY SUPPORT THROUGH OUR GRANT PROGRAM PROJECTS AND PROPOSALS WHICH SEEK TO IMPACT EDUCATION AND BARRIERS TO ACCESS TO MENTAL HEALTH. * WE WILL CONTINUE TO PROVIDE EDUCATIONAL OPPORTUNITIES WITH EXPERTISE AND KNOWLEDGE IN THIS AREA AND SEEK TO ADVOCATE FOR POLICY WHERE MOST BENEFICIAL TO MEET THE IDENTIFIED NEEDS. * IN SPRING OF 2020, INFORMED COMMUNITY OF FREE ONLINE RESOURCE, CREDIBLEMIND. * DISCUSSIONS WILL CONTINUE FOR POSSIBLE PILOT PROJECT. * WE WILL MAINTAIN OUR PARTNERSHIPS AND OUTREACH WITH THE ARTS COMMUNITY AS A STRATEGY TO IMPACT MENTAL HEALTH AND WELLNESS AS SUPPORTED BY RESEARCH AND LITERATURE. - SUBSTANCE ABUSE- PRESCRIPTION, ILLEGAL AND ILLICIT SUBSTANCES THE NATIONAL INSTITUTE ON DRUG ABUSE RANKS KENTUCKY AMONG THE TOP 10 STATES WITH THE HIGHEST OPIOID-RELATED OVERDOSE DEATHS, AND KENTUCKY'S HOSPITALS ARE ON THE FRONTLINE IN THE FIGHT TO HELP THE STATE RECOVER. TO ASSIST THE STATE'S HOSPITALS IN THIS BATTLE, THE KENTUCKY HOSPITAL ASSOCIATION (KHA) IS PARTNERING WITH THE CABINET FOR HEALTH AND FAMILY SERVICES AS PART OF THE KENTUCKY OPIOID RESPONSE EFFORT (KORE) TO LAUNCH THE KENTUCKY STATEWIDE OPIOID STEWARDSHIP (KY SOS) PROGRAM. * AS A PARTICIPANT IN THIS INITIATIVE, OUR ORGANIZATION AGREED TO/HAS INITIATED AND/OR CONTINUES TO WORK ON: * IMPROVE PATIENT SAFETY IN THE AREA OF OPIOID STEWARDSHIP INCLUDING A SPECIFIC FOCUS ON: * DEVELOPMENT AND IMPLEMENATION OF POLICIES AND PROCEDURES TO PROMOTE OPIOD STEWARDSHIP INCLUDING: * INCREASE COMMUNITY OUTREACH AND EDUCATION REGARDING PAIN MANAGEMENT AND SAFE OPIOD USE; * PROVIDE NON-PHARMACOLOGIC ANALGESIC OPTIONS TO PATIENTS; ALTO ORDER SETS ARE AVAILABLE IN EPIC WITH BPA REMINDERS. * ESTABLISHED AN OPIOID STEWARDSHIP COMMITTEE; THIS HAS BEEN DONE AND IS LED BY DR. FRAN DUFRAYNE. * TRACKING AND REPORTING OF METRICS REGARDING OPIOID STEWARDSHIP; DASHBOARDS ARE AVAILABLE IN EPIC FOR INDIVIDUAL PROVIDERS AND LEADERS. * GUIDELINES FOR OPIOID USE IN THE INPATEINT, AMBULATORY, PERIOPERATIVE, AND EMERGENCY DEPARTMENT SETTINGS; AND * EDUCATE PROVIDERS, STAFF, PATIENTS, AND FAMILIES TO ENSURE SUCCESS. * COMMIT TO COLLABORATION, ALIGNMENT AND COORDINATION. * SHARE SUCCESS STORIES AND LESSONS LEARNED WITH OTHER KY SOS HOSPITALS VIA THE KY SOS LISTSERV, WEBINARS, AND IN-PERSON MEETINGS. * PARTICIPATE IN SITE VISITS WITH THE KY SOS ADVISORY TEAM AS REQUESTED, WHICH SHOULD INCLUDE THE APPROPRIATE REPRESENTATIVE(S) FROM OUR HOSPITAL'S SENIOR LEADERSHIP. * PILOT PROGRAM INTEGRATING THE HEALTH SYSTEM'S ELECTRONIC RECORD SYSTEM WITH KASPER DATA DRAMATICALLY EXPEDITES THE TIME IT TAKES TO ACCESS A KASPER REPORT AND ENABLES SIMPLIFIES ACCESS TO PRESCRIPTION REPORTING DATA. THIS IS LIVE IN OUR EHR SYSTEM. TIME SPENT LOGGING INTO KASPER AND RESEARCHING PATIENTS HAS BEEN DRASTICALLY REDUCED AND TRACKING OF THE PDMP REVIEW IS NOW LOGGED IN OUR EHR. * CONTINUE WORK WITH LOCAL SUBSTANCE ABUSE COALITIONS AND COMMUNITY EFFORTS TO PROVIDE EDUCATION SPECIFIC TO OPIATE ABUSE AND HEROIN USE, METHAMPHETAMINE, ALCOHOL AND MARIJUANA. * METH CONTINUES TO RAVAGE INDIVIDUALS, FAMILIES AND OUR COMMUNITY. * ADVOCATE FOR FEDERAL DOLLARS TO ALSO BE USED TO TREAT METHAMPHETAMINE ADDICTION. * SUPPORT INTERNAL POLICY AND PROCESSES TO EDUCATE PHYSICIANS AND OTHER PROVIDERS ON PREVENTION EFFORTS. * CONTINUE TO USE ANGEL VISITATION PROGRAM BRINGING PERSONS IN RECOVERY FROM COMMUNITY INTO HOSPITAL SETTING TO SHARE RECOVERY OPTIONS FOR THOSE IN NEED. * CONTINUE TO FINANCIALLY SUPPORT ORGANIZATIONS WHOSE MISSIONS AND ABILITIES AND PROJECTS ARE SPECIFIC TO PROVIDING SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY SERVICES, HOUSING, EDUCATION AND ASSISTANCE TO ADDRESS SUBSTANCE ABUSE THROUGH OUR GRANT INVESTMENT PROGRAMS. * WORK TOWARD THE INSTALLATION OF A PERMANENT DRUG-TAKE BACK BIN LOCATED IN THE OWENSBORO HEALTH OUTPATIENT PHARMACY. * EXPLORE POTENTIAL COLLABORATIVE PARTNERSHIPS AND PROJECTS BETWEEN MOTHER/BABY AND NEONATAL SERVICES AND COMMUNITY ORGANIZATIONS FOCUSED ON PREVENTION OF SUBSTANCE USE DURING PREGNANCY. * WORK HAS INITIATED WITH COMMUNITY STAKEHOLDERS TO CONSIDER PROGRAMS FOR PREGNANT MOTHER AND CHILDREN. - TOBACCO USE AND SMOKING * CONTINUE TO ADVOCATE USE OF THE QUIT NOW KENTUCKY LINE THROUGH FINANCIAL SUPPORT OF GREEN RIVER DISTRICT HEALTH DEPARTMENT'S TOBACCO CONTROL COALITION'S MARKETING AND MEDIA MESSAGES TO INCREASE NUMBER OF PERSONS UTILIZING THE QUIT LINE. * 10 OH TEAM MEMBERS WILL BE TRAINED AS TOBACCO TREATMENT SPECIALISTS. WE HAVE NOW TRAINED SIX TTS. * FINANCIALLY SUPPORT NICOTINE REPLACEMENT THERAPY PRODUCTS THROUGH THE GREEN RIVER DISTRICT HEALTH DEPARTMENT, NATIONAL JEWISH AND QUIT NOW KENTUCKY. * FINANCIALLY SUPPORT AND ASSIST IN EFFORTS TO HAVE ADDITIONAL PERSONS TRAINED IN AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING EVIDENCED BASED SMOKING CESSATION
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11	OH MUHLENBERG - SIGNIFICANT NEEDS AREAS OF NEED IDENTIFIED BY COMMUNITY: OHMCH PROVIDES LEADERSHIP THROUGH IN-KIND STAFF TO SERVE AND ASSIST WITH THE DEVELOPMENT OF A MUHLENBERG COUNTY COMMUNITY HEALTH COALITION AND PROVIDE FINANCIAL SUPPORT THROUGH MINI-GRANTS AND SPONSORSHIPS TO ORGANIZATIONS WHO SEEK TO IMPACT PRIORITY HEALTH AREAS THROUGH THEIR PROJECTS AND PROGRAMMING. IN ADDITION TO THESE RESPONSES TO THE IDENTIFIED PRIORITY HEALTH NEEDS FROM OUR 2018 CHNA, BELOW ARE ADDITIONAL SPECIFIC WAYS OHMCH IS ADDRESSING EACH NEED: - RESIDENTS' (VULNERABLE POPULATIONS) LACK OF KNOWLEDGE ON AVAILABLE COMMUNITY AND HEALTH RESOURCES IN THE COUNTY. * WE DISTRIBUTE A COPY OF LIFT MAGAZINE TO 10,000 HOUSEHOLDS ACROSS THE COUNTY WHICH CONTAINS INFORMATION ABOUT HEALTH ISSUES, ACTIVITIES AND RESOURCES AVAILABLE IN OUR COMMUNITY. * OUR SOCIAL MEDIA FACEBOOK PAGE INFORMS CITIZENS OF PROGRAMS AND SERVICES OFFERED BY OUR ORGANIZATION (FLU SHOTS, SPORTS PHYSICALS, RESPIRATORY SCREENINGS, TOBACCO CESSATION CLASSES, NEW PROVIDERS, ETC.). * WE COLLABORATED WITH THE MUHLENBERG COUNTY HEALTH COALITION AND THE FELIX E. MARTIN JR. FOUNDATION TO FUND THE PRINTING OF 25,000 COPIES OF A MUHLENBERG COUNTY RESOURCE DIRECTORY AND COORDINATED DISTRIBUTION TO MANY LOCAL AGENCIES AND DEPARTMENTS WITHIN OHMCH. - ADULT OBESITY * WE SUPPORT AND PLAN COMMUNITY/EMPLOYEE WALKS AND RUNS. (NOTE: OHMCH IS THE SECOND LARGEST EMPLOYER IN THE COUNTY. WITH A SMALL COUNTY POPULATION OUR EMPLOYEES REPRESENT A LARGE SEGMENT OF THE POPULATION SO SUPPORTING EFFORTS TO ADDRESS ADULT OBESITY WITH OUR EMPLOYEE BASE AND THEIR FAMILIES CAN HAVE AN IMPACT ON THE ENTIRE COMMUNITY.) * WE COLLABORATE WITH THE OWENSBORO HEALTH HEALTHPARK TO PROVIDE ALL MUHLENBERG COUNTY ELEMENTARY AND MIDDLE SCHOOL STUDENTS WITH A FREE SCHOOL HEALTH ASSESSMENT EVERY OTHER YEAR AND MAIL ADDITIONAL INFORMATION TO THEIR FAMILIES WITH THE STUDENT'S RESULTS AND EDUCATION ON HEALTHY FOOD AND BEVERAGE CHOICES AND PHYSICAL ACTIVITY. * OUR PROVIDERS MAKE REFERRALS AS APPROPRIATE TO A NEW ACCESS POINT: OWENSBORO HEALTH SURGICAL WEIGHT LOSS CENTER. - MENTAL HEALTH - DEPRESSION, COUNSELING AND TESTING FOR MENTAL HEALTH DISORDERS * WE HAVE INCREASED DEPRESSION SCREENINGS FOR PATIENTS IN EMERGENCY ROOM, INPATIENT, AND LONG-TERM CARE. * OUR PATIENTS HAVE INCREASED ACCESS TO INPATIENT SERVICES PROVIDED BY OWENSBORO HEALTH REGIONAL HOSPITAL. * WE CONTINUE TO COLLABORATE AND PARTENR WITH PENNYROYAL MENTAL HEALTH CENTER. * ACCESS TO BEHAVIORAL HEALTH TELEHEALTH SERVICES WHEN IN-PERSON APPOINTMENTS ARE NOT AVAILABLE. * WE SUPPORT EDUCATIONAL OFFERINGS REGARDING SUICIDE PREVENTION. * YOUTH HEALTH INDICATOR NEEDS* - TEEN BIRTH RATE, OBESITY, LACK OF PHYSICAL ACTIVITY, LACK OF OUT OF SCHOOL MEANINGFUL ACTIVITIES * WE PROVIDE FUNDING FOR SCHOOL NURSES AND HEALTH TECHNICIANS AT EACH SCHOOL IN MUHLENBERG COUNTY TO ADDRESS STUDENTS' HEALTH NEEDS AND PROVIDE PREVENTION AND EDUCATION ON PRIORITY HEALTH ISSUES. * THIS YEAR, SINCE WE WERE UNABLE TO CONDUCT A LARGE FREE SPORTS PHYSICAL EVENT, WE PROVIDED REDUCED COST SPORTS PHYSICALS FOR LOCAL ATHLETES. * WE CONDUCTED FREE SCHOOL HEALTH ASSESMENTS TO STUDENTS IN MUHLENBERG COUNTY ELEMENTARY AND MIDDLE SCHOOLS WITH FOLLOW-UP INFORMATION PROVIDED ABOUT HEALTH FOOD AND BEVERAGE CHOICES AND THE IMPORTANCE OF PHYSICAL ACTIVITY. * WE ASSIST IN PROMOTION OF PHYSICAL ACTIVITY AND WELLNESS EVENTS AT LOCAL WALKING TRAILS, ATHLETIC CENTERS, LU-RAY PARK AND AMPHITHEATER. * WE PARTNER WITH COMMUNITY ORGANIZATIONS TO SUPPORT YOUTH ACTIVITIES AND EVENTS (EX. FOUND46 TEEN SERVICES). - SUBSTANCE USE - PRESCRIPTION, ILLEGAL AND ILLICIT SUBSTANCES * MEDICAL STAFF FORMED AN OPIOID STEWARDSHIP COMMITTEE WHOSE CHARGE IS TO ENSURE SAFE OPIOID PRESCRIBING AND ASSIST IN THE DECREASE OF OPIOID ABUSE AND MISUSE BY PATIENTS IN OUR CARE. * ENHANCED CRITERIA FOR SCREENING AND ASSESSING/REASSESSING PAIN * ALGORITHMS FOR THE APPROPRIATE PRESCRIBING * PHARMACOLOGICAL THERAPIES * WE PROVIDE EDUCATION TO REDUCE THE RISKS OF OPIOID USE * WE OFFER FREEDOM FROM SMOKING CLASSES AT NO COST AT OHMCH COAL MINERS' RESPIRATORY CLINIC.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

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Business Name Line1	OWENSBORO AMBULATORY SURGICAL FACILITY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 BRECKENRIDGE	AddressLine1Txt
City	OWENSBORO	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	42303	ZIPCd

Field	Value	IRS element (for citing)
Facility	AMBULATORY SURGERY CENTER	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE H, PART I, LINE 7	BAD DEBT EXPENSE WHEN CALCULATING THE COMMUNITY BENEFIT PERCENTAGES IN PART I, LINE 7, BAD DEBT EXPENSE OF $29,995,742, WAS EXCLUDED. FORM 990, SCHEDULE H, PART I, LINE 7B MEDICAID DURING THE FISCAL YEAR OWENSBORO HEALTH SETTLED A LONG STANDING RATE APPEAL AGAINST THE KENTUCKY DEPARTMENT FOR MEDICAID SERVICES. THE RATE APPEAL COVERED THE TIME PERIOD FROM OCTOBER 15, 2007 THROUGH SEPTEMBER 30, 2015. OWENSBORO HEALTH SETTLED THE APPEALS FOR $33,681,000 WHICH WAS RECOGNIZED AS REVENUE FOR FYE 5/31/20. THIS ONE-TIME ITEM CREATED A SURPLUS IN THE MEDICAID AND OTHER MEANS-TESTED GOVERNMENT HEALTH PROGRAMS OF $13,682,328 OR A NEGATIVE 2.55% OF TOTAL EXPENSES. WITHOUT THE SETTLEMENT THE NET COMMUNITY BENEFIT EXPENSE WOULD BE A SHORTFALL OF $19,998,675 OR A POSITIVE 3.73% OF TOTAL EXPENSES. FORM 990, SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES IN ORDER TO IMPROVE AND PROMOTE THE HEALTH OF THE COMMUNITY WE SERVE, OHRH PARTICIPATES IN COMMUNITY BUILDING ACTIVITIES SUPPORTING ECONOMIC DEVELOPMENT EFFORTS WHICH ARE NOT PART OF PART I CHARITY CARE OR OTHER COMMUNITY BENEFITS AND ARE NOT INCLUDED ELSEWHERE ON SCHEDULE H. AS THE LARGEST EMPLOYER IN THE REGION OHRH RECOGNIZES THE RESPONSIBILITY WE HAVE TO IMPROVE THE HEALTH OF OUR COMMUNITY THROUGH ACTIVITIES SUCH AS IMPROVEMENT OF ECONOMIC DEVELOPMENT STRATEGIES AND WORKFORCE DEVELOPMENT IRRESPECTIVE OF THE IRS DEFINED COMMUNITY BENEFIT CLASSIFICATION. OUR EFFORTS IN COMMUNITY BUILDING ADDRESS COMMUNITY ISSUES INCLUDING HEALTH IMPROVEMENT AND ADVOCACY, EDUCATION, POVERTY, WORKFORCE DEVELOPMENT AND ACCESS TO CARE. MORE SPECIFICALLY AND AS AN OUTGROWTH OF OUR GRANT PROGRAM NOW REFERRED TO AS THE OHRH COMMUNITY HEALTH INVESTMENT GRANT PROGRAM, OWENSBORO HEALTH ENCOURAGES OUR EMPLOYEES TO VOLUNTEER FOR HUNDREDS OF COMMUNITY AND SOCIAL SERVICE ORGANIZATIONS FROM AROUND THE REGION THAT ARE WORKING TO ADDRESS ROOT CAUSES OF HEALTH ISSUES AND/OR SOCIAL DETERMINANTS OF HEALTH THAT IMPACT THE HEALTH OF THE COMMUNITY AND ITS MEMBERS. OWENSBORO HEALTH ENGAGES WITH OUR GRANT PARTNERS AND OTHER COMMUNITY PARTNERS TO ASSIST IDENTIFYING COLLABORATIVE WAYS THAT WE CAN ADVANCE SOCIAL IMPACT AND IMPROVE THE HEALTH OF OUR POPULATION COLLECTIVELY. MOREOVER, OUR TEAM MEMBERS SERVE ON A MYRIAD OF COMMUNITY CHAMBERS OF COMMERCE, HEALTH, ARTS AND SOCIAL SERVICES BOARDS. TEAM MEMBERS ADVOCATE WHERE PERMISSIBLE ON KEY HEALTH ISSUES AND ADVOCACY PROGRAMS, LOCAL AND STATE POLICIES. OUR DUES, CONTRIBUTIONS, AND PARTICIPATION TO/WITH AREA CHAMBERS AND ECONOMIC DEVELOPMENT AGENCIES WILL ALLOW THOSE ORGANIZATIONS TO INVEST IN ECONOMIC DEVELOPMENT ACTIVITIES CREATING NEW EMPLOYMENT OPPORTUNITIES, WORKER TRAINING, AFFORDABLE HOUSING, TRANSPORTATION, AND OTHER AREAS OF HEALTH PROMOTION. WHILE DOWNSTREAM TO SOME, ADDRESSING SOCIAL DETERMINANTS OF HEALTH WHICH MAY OR MAY NOT FALL UNDER A COMMUNITY BENEFIT CATEGORY, OR IN THE SHORT TERM BE CONSIDERED A PRIORITY HEALTH NEED, MUST AND DOES DESERVE ATTENTION AND RESOURCES. OUR INVESTMENT IN THE KENTUCKY CHAMBER OF COMMERCE HAS ASSISTED IN THE DEVELOPMENT AND ADVOCACY OF A STATEWIDE WORKFORCE HEALTH IMPROVEMENT PROGRAM. THESE ORGANIZATIONS HAVE ALSO BEEN INITIATORS OF COALITION BUILDING AND LEADERSHIP DEVELOPMENT FOR OUR COMMUNITY MEMBERS.
FORM 990, SCHEDULE H, PART III, LINE 2	BAD DEBT ESTIMATE 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.
FORM 990, SCHEDULE H, PART III, LINE 3	BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FAP OH 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.
FORM 990, SCHEDULE H, PART III, LINE 4	TEXT OF BAD DEBT EXPENSE FOOTNOTE THERE IS NO FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE. THE COSTING METHODOLOGY USED IS THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 OF PART I OF SCHEDULE H OF THIS 990.
FORM 990, SCHEDULE H, PART III, LINE 8	TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT 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. AS A MEDICARE DESIGNATED SOLE COMMUNITY HOSPITAL, WE ARE THE ONLY PROVIDER IN THE REGION TO PROVIDE LOWER REIMBURSED SERVICES SUCH AS PSYCH AND OB SERVICES. AS A MEDICARE SOLE COMMUNITY HOSPITAL WE ARE, BY DEFINITION, THE PRIMARY/ONLY SOURCE OF HEALTHCARE OF THE PATIENT POPULATION IN OUR AREA. OH RECOGNIZES THE RESPONSABILITY AND PROVIDES HEALTHCARE SERVICES IN ORDER TO MEET THE NEEDS OF OUR PATIENTS. SOME OF THOSE SERVICES HAVE CREATED A SHORTFALL FROM MEDICARE BUT OH STRONGLY BELIEVES ITS' IMPORTANCE TO THE HEALTH OF THE AREAS WE SERVE.
FORM 990, SCHEDULE H, PART III, LINE 9B	APPLICATON OF COLLECTION PRACTICES TO THOSE QUALIFYING 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 AND CONTRACTS WITH AN OUTSIDE FIRM TO ENSURE PATIENTS ARE EVALUATED FOR ELIGIBILITY IN THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. THE HOSPITAL DOES NOT CONTRACT PRIMARY COLLECTION AGENCIES. 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 VI, LINE 2 NEEDS ASSESSMENT - OWENSBORO HEALTH	OHRH PARTICIPATED IN AND COLLABORATED ON THE DEVELOPMENT OF THE GRDHD COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLANS. THE CHNA IS A COMMUNITY-WIDE PROCESS TO ANALYZE COMMUNITY HEALTH NEEDS AND IDENTIFY THE HEALTH PRIORITIES. THE HEALTH DEPARTMENT CHNA PROCESS IS A FEDERAL REQUISITE FOR OBTAINING PUBLIC HEALTH DEPARTMENT ACCREDITATION. DETAILS OF THE MAPP PROCESS, COMMUNITY FOCUS GROUPS, SURVEYS, PUBLIC FORUMS, FORUMS WITH DISPARATE POPULATION AND PRIMARY DATA COLLECTION WERE ALL COMPONENTS AND TOOLS OF THE CHNA AND ARE DETAILED IN FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 AND 6B. OH WORKS WITH COMMUNITY PARTNERS ON AN ONGOING BASIS TO ADDRESS PRIORITY NEEDS. STRATEGIES AND ACTIVITIES IMPLEMENTED TO ADDRESS THOSE NEEDS ARE ANNUALLY ASSESSED AND AT TIMES, REVISITED WHEN NEEDED. OH IS A PARTNER TO OTHER ORGANIZATIONS AND ENTITIES' ASSESSMENT PROCESSES AS WELL WHO ARE WORKING AS THEIR MISSIONS DIRECT THEM TO DO TO ADDRESS SPECIFIC PRIORITY AREAS AND SOCIAL DETERMINANTS OF HEALTH. THESE PARTNERSHIPS, COMMUNITY EFFORTS AND OH SPECIFIC STRATEGIES ARE ANNUALLY UPDATED ON SCHEDULE H. IN ADDITION, THOSE EFFORTS OUTSIDE THE CHNA, OH CONTINUALLY ASSESSES SERVICE LINES REGARDING OH/OH MEDICAL GROUP HEALTH-SPECIFIC INDICATORS SUCH AS CANCER, HEART DISEASES, STROKE AND DIABETES. LOOKING AT SPECIFIC POPULATIONS REPRESENTATIVE OF THE COMMUNITIES WE SERVE, COLLABORATIVE EFFORTS ARE BEING MADE TO ADDRESS PRIORITY HEALTH COMMUNITY ISSUES THROUGHOUT THE SYSTEM USING AVAILABLE RESOURCES TO IMPACT THOSE NEEDS.
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESMENT - OHMCH MUHLENBERG	IN ACCORDANCE WITH THE AFFORDABLE CARE ACT (ACA) AND SECTION 501(R) OF THE INTERNAL REVENUE CODE FOR NONPROFIT TAX-EXEMPT HOSPITALS, OHMCH CONDUCTED A CHNA IN MAY 2018 AND COMPLETED AN IMPLEMENTATION STRATEGY IN OCTOBER 2018. FOR THE CHNA, CEDIK FACILITATED THE PROCESS OF PRIMARY DATA COLLECTION THROUGH COMMUNITY SURVEYS, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS TO IDENTIFY HEALTH NEEDS. IN ADDITION, COUNTY SPECIFIC SECONDARY DATA WAS GATHERED TO HELP EXAMINE THE SOCIAL DETERMINANTS OF HEALTH. THROUGHOUT THE PROCESS, CEDIK AND THE COMMUNITY STEERING COMMITTEE MADE IT A PRIORITY TO GET INPUT FROM POPULATIONS THAT ARE OFTEN NOT ENGAGED IN CONVERSATIONS ABOUT THEIR HEALTH NEEDS OR GAPS IN SERVICE. CEDIK CONDUCTED SIX KEY INFORMANT INTERVIEWS TO PROBE MORE DEEPLY INTO HEALTH AND QUALITY OF LIFE THEMES WITHIN THE COUNTY. CURRENT COMMUNITY RESOURCES AND POTENTIAL BARRIERS TO ACCESSING RESOURCES WERE ALSO IDENTIFIED IN THESE INTERVIEWS.
SCHEDULE H, PART VI, LINE 3, PATIENT EDUCATION OF ELIGIBILITY FOR	ASSISTANCE THE HOSPITAL EDUCATES THE PATIENTS IN A VARIETY OF WAYS. THE HOSPITAL HAS SIGNAGE AT ACCESS POINTS REGARDING FINANCIAL ASSISTANCE OFFERINGS. THE HOSPITAL HAS FINANCIAL AID APPLICATIONS AVAILABLE AT REGISTRATION AREAS, VIA THE INTERNET AT THE HOSPITAL WEBSITE, VIA PHONE, AND SENT ROUTINELY VIA MAIL TO PATIENTS OF THE HOSPITAL. THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS AND CONTRACTS WITH AN OUTSIDE FIRM TO ENSURE PATIENTS ARE INTERVIEWED AND 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. ADDITIONALLY INFORMATION ABOUT APPLYING FINANCIAL ASSISTANCE IS INCLUDED ON THE PATIENT STATEMENTS, BILLS, AND LETTERS AND THE PATIENT GUIDE THEY MAY RECEIVE FROM THE HOSPITAL. THE HOSPITAL POLICY FOR FINANCIAL ASSISTANCE INCLUDES THE FOLLOWING: ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE, THE BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS, METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE, MEASURES TO WIDELY PUBLICIZE THE POLICY, WRITTEN POLICY REQUIRING ORGANIZATION TO PROVIDE CARE FOR EMERGENCY MEDICAL CONDITIONS WITHOUT DISCRIMINATION. AS DESCRIBED ABOVE THE ORGANIZATION DOES NOT CHARGE GROSS CHARGES TO PATIENTS AND LIMITS AMOUNTS CHARGED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE RECEIVING SUCH CARE. THE ORGANIZATION DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIVITY BEFORE EFFORTS TO DETERMINE ELIGIBILITY FOR ASSISTANCE HAVE BEEN MADE.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION - OWENSBORO HEALTH	THE PRIMARY SERVICE AREA AND DEFINED COMMUNITY FOR THE CHNA IS DAVIESS COUNTY, KENTUCKY. OWENSBORO IS THE COUNTY SEAT OF DAVIESS COUNTY AND LIES ON THE SOUTHERN BANKS OF THE OHIO RIVER IN WESTERN KENTUCKY. OWENSBORO HEALTH REGIONAL HOSPITAL IS THE ONLY HOSPITAL LOCATED WITHIN ITS PRIMARY SERVICE AREA OF DAVIESS COUNTY. OWENSBORO IS LOCATED 39 MILES SOUTHEAST OF EVANSVILLE, INDIANA, 131 MILES NORTH OF NASHVILLE, TENNESSEE AND 111 MILES SOUTHWEST OF LOUISVILLE, KENTUCKY. ACCORDING TO US CENSUS DATA POPULATION ESTIMATES, JULY 1, 2019 OWENSBORO-DAVIESS COUNTY HAD 101,511 RESIDENTS. THE MEDIAN HOUSEHOLD INCOME (IN 2018 DOLLARS, 2014-2018) WAS $49,836. HTTPS://WWW.CENSUS.GOV/QUICKFACTS/FACT/TABLE/DAVIESSCOUNTYKENTUCKY,US
SCHEDULE H, PART VI, LINE 4, COMMUNITY INFORMATION - OHMCH MUHLENBERG	FOR THE PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL AND MUHLENBERG COUNTY HEALTH DEPARTMENT DEFINED THE COMMUNITY AS ITS PRIMARY SERVICE AREA OF MUHLENBERG COUNTY, KENTUCKY. MUHLENBERG COUNTY SERVED AS THE UNIT OF ANALYSIS FOR THE CHNA AND HEALTH NEEDS DISCUSSED PERTAIN TO THE RESIDENTS OF MUHLENBERG COUNTY.
SCHEDULE H, PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH - OWENSBORO	HEALTH OH IS NOT JUST THE LARGEST EMPLOYER IN THE REGION, IT IS ALSO THE LARGEST PRIVATE EMPLOYER IN THE COMMONWEALTH OF KENTUCKY WEST OF LOUISVILLE. WE CONSIDER OUR RESPONSIBILITY TO SERVE AND STRENGTHEN OUR COMMUNITIES IN WAYS MUCH BROADER THAN PROVIDING DIRECT HEALTH SERVICES OR ADDRESSING ONLY IDENTIFIED PRIORITIZED HEALTH NEEDS. WE BELIEVE IN ORDER TO MEET THE SECOND HALF OF OUR MISSION "TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE" OFTEN INVOLVES SUPPORT OF COMMUNITY HEALTH IMPROVEMENTS IN AREAS OF ECONOMIC DEVELOPMENT, LEADERSHIP DEVELOPMENT, COMMUNITY HEALTH ADVOCACY, COMMUNITY SUPPORT FOR HOUSING, ENVIRONMENTAL CONCERNS (RADON, THE SECOND LEADING CAUSE OF LUNG CANCER) AND EXPLORING COLLABORATIVE EFFORTS TO ADDRESS COMMUNITY ISSUES SUCH AS BEDBUGS FOR EXAMPLE. WHILE SOME EFFORTS MAY BE CATEGORIZED BY THE IRS AS COMMUNITY BUILDING AND OTHERS COMMUNITY BENEFIT, WE BELIEVE THAT ALL STRATEGIES AND TACTICS WE ARE IMPLEMENTING AND EXPLORING TO IMPACT THE HEALTH OF THE COMMUNITY FURTHERS OWENSBORO HEALTH'S TAX EXEMPT PURPOSE. THE OHRH CASH AND IN-KIND ALLOCATIONS THROUGH OUR COMMUNITY HEALTH INVESTMENT GRANT PROGRAM REQUIRES OUTSIDE ORGANIZATIONS TO IDENTIFY PRIORITY AREAS THEY WILL ADDRESS AS A PART OF THEIR REQUEST OR THE ROOT CAUSES OF HEALTH PROBLEMS SO WE MAY WORK TOGETHER TO HAVE A GREATER IMPACT. THE GRANT PROGRAM REQUIRES POLICY CHANGES TO ENSURE GRANTEES HAVE 100% COMPREHENSIVE TOBACCO POLICIES SO WE MAY IN FACT IMPACT TOBACCO USE IN ORDER TO IMPACT OTHER CONTRIBUTING FACTORS TO MUCH OF THE DISEASES THAT PLAGUE OUR COMMUNITY AND COMMONWEALTH. BY DOING SO, THE ORGANIZATIONS TO WHICH MAY ALLOCATE RESOURCES TO OR PARTNER WITH ARE ALSO ABLE TO UNDERSTAND THAT WE ARE MAKING THESE INVESTMENTS TO STIMULATE SYSTEMIC, SUSTAINABLE CHANGE IN OUR COMMUNITIES THROUGH OUR COMMUNITY BENEFIT EFFORTS. ADDITIONALLY WE ARE OFTEN ASKED TO BE A FACILITATOR FOR COMMUNITY CONCEPTS TO ADVANCE ECONOMIC DEVELOPMENT PLANS, MEET URGENT NEEDS SUCH AS FOOD INSECURITY, OR CONVENE ORGANIZATIONS TO COLLABORATE IN WAYS THAT HAVE NOT BEEN DONE PREVIOUSLY. BE IT TECHNICAL ASSISTANCE, SPACE, FINANCIAL ASSISTANCE, NEW PROGRAMS OR NEW COMMUNITY/HOSPITAL PARTNERSHIPS SUCH AS PARTNERING TO DEVELOP A TRAUMA INFORMED COMMUNITY OR HELP DEVELOP A MENTAL HEALTH COURT IN OUR COMMUNITY, OWENSBORO HEALTH IS FILLING THAT ROLE. COMMUNITY APPOINTED MEMBERS WHO SERVE ON THE OWENSBORO HEALTH BOARD OF DIRECTORS AND THE COMMUNITY NEEDS AND STRATEGIC PLANNING COMMITTEE OVERSEE THE COMMUNITY BENEFIT WORK. THEY ARE ALSO WORKING TO ENSURE THAT STRATEGIC PLANNING FOR THE HOSPITAL WORKS IN CONJUNCTION WITH INTERNAL AND EXTERNAL EFFORTS AND ALIGNS WITH COMMUNITY ORGANIZATIONS TO ADDRESS PRIORITY HEALTH NEEDS, POPULATION HEALTH, AND RELIEVE THE BURDEN FROM LOCAL AND STATE GOVERNMENTS.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM - OWENSBORO	HEALTH AS REQUIRED OWENSBORO HEALTH REGIONAL HOSPITAL CONDUCTS A CHNA WITH THE VOICE AND INPUT FROM PUBLIC HEALTH AND MANY COMMUNITY PARTNERS. OHRH DEVELOPS AN IMPLEMENTATION STRATEGY STATING HOW IT WILL ADDRESS THE NAMED PRIORITY HEALTH ISSUES. AT PRESENT, IRS GUIDELINES ONLY ALLOW COMMUNITY BENEFIT WHICH IS CONDUCTED UNDER THE HOSPITAL TO BE QUANTIFIED AND REPORTED. HOWEVER THIS REPORTING FALLS FAR SHORT FROM TELLING THE STORY OF WHAT OWENSBORO HEALTH, THE SYSTEM AND ITS AFFILIATED ENTITIES ARE DOING COLLECTIVELY AND STRATEGICALLY TO ADDRESS PRIORITY HEALTH AREAS. BOTH THE OWENSBORO HEALTH MEDICAL GROUP (OHMG) AND THE OWENSBORO HEALTH FOUNDATION ARE CLOSELY ALIGNED WITH OHRH IN STRIVING TO MEET PRIORITY HEALTH NEEDS. AS WE FURTHER DEVELOP AND REFINE OUR SYSTEM STRATEGIC PLANNING PROCESS TO IMPACT, MANAGE AND CHANGE THE HEALTH OF THE POPULATIONS WE SERVE, WE WILL NEED ALL AVAILABLE RESOURCES WITHIN OUR SYSTEM TO MEET OUR MISSION AND IN FACT, IDENTIFY AND ADDRESS THE NEEDS OF VULNERABLE POPULATIONS, IMPROVE COMMUNITY HEALTH, AND CHANGE THE TRAJECTORY OF CHRONIC HEALTH DISEASE. OWENSBORO HEALTH REGIONAL HOSPITAL'S COMMUNITY INVESTMENT GRANT PROGRAM IS ONE TOOL WHICH AVERAGES OVER $700,000 IN DIRECT GRANT FUNDS TO ORGANIZATIONS WITH PROJECTS AND PROGRAMS FOCUSED ON ADDRESSING PRIORITY HEALTH AREAS. BUT ADDITIONAL PLANNING DOES AND WILL CONTINUE TO TAKE PLACE SO THAT SYSTEM POPULATION HEALTH GOALS AND COMMUNITY BENEFIT ACTIVITIES ARE ALIGNED SO THAT COMMUNITY PARTNERSHIPS AND WORK CONDUCTED INTERNALLY THROUGHOUT THE SYSTEM AND EXTERNALLY THROUGH INVESTMENT AND PARTNERSHIPS WILL HAVE THE MOST STRATEGIC, MEASURABLE AND MEANINGFUL IMPACT. WHILE OHRH MAY MAKE A DIRECT FINANCIAL CONTRIBUTION, OTHER SUPPORT IS GIVEN BY TEAM MEMBERS, DEPARTMENTS AND EFFORTS THROUGHOUT THE SYSTEM TO HAVE A MORE EFFECTIVE AND LASTING IMPACT TO A STRATEGIC GOAL. THE OWENSBORO HEALTH SYSTEM CONTINUES TO INVEST SIGNIFICANT DOLLARS AND HUMAN RESOURCES TO INCREASING COMMUNITY ACCESS POINTS, SUPPORT A RESIDENCY PROGRAM, RECRUIT NEEDED PRIMARY CARE AND SPECIALISTS TO MEET THE NEEDS OF THE POPULATION, ADD COMPONENTS TO ELECTRONIC MEDICAL RECORDS TIED TO COMMUNITY STRATEGIES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, AND UTILIZE EXPERTISE THROUGHOUT THE SYSTEM TO EDUCATE AND PROVIDE TECHNICAL ASSISTANCE TO NONPROFIT ORGANIZATIONS, LOCAL GOVERNMENT, PUBLIC HEALTH AND OTHERS TO COLLECTIVELY IMPACT COMMUNITY HEALTH. USE OF GRANT WRITING RESOURCES AT OWENSBORO HEALTH, FUNDS AND HUMAN CAPITAL HAVE BEEN INVESTED TO ASSIST IN CREATING A NEW ACCESS POINT TO SERVE THE HOMELESS, APPLY AND BE AWARDED FUNDS TO ASSIST WITH THE DEVELOPMENT OF A COMMUNITY MENTAL HEALTH COURT AND EXPAND TELEHEALTH SERVICES SO WE MAY MEET HEALTHCARE NEEDS WHEN ACCESS IS A BARRIER DUE TO TRANSPORTATION AND OTHER ISSUES. THE OWENSBORO HEALTH SYSTEM HAS ADDED COMPLEX CARE NAVIGATORS TO MANAGE THE HEALTH OF SPECIFIC PATIENT POPULATIONS WHILE INCREASING EFFORTS TO REACH ADDITIONAL TARGETED UNDERSERVED POPULATIONS IN THE COMMUNITY. THERE ARE DEDICATED STAFF UNDER THE MEDICAL GROUP WHO PLAY STRATEGIC PRIMARY OR SUPPORTIVE ROLES IN THE EXECUTION OF COMMUNITY BENEFIT STRATEGIES. THAT SUPPORT DRIVEN BY THE MEDICAL GROUP INITIATIVES ARE NOT ALLOWED TO BE COUNTED ON THE IRS 990 SCHEDULE H BUT WITHOUT THEM OWENSBORO HEALTH COULD NOT HAVE THE IMPACT IT STRIVES TO HAVE TO ADDRESS THE PRIORITY HEALTH ISSUES AND SOCIAL DETERMINANTS OF HEALTH CONTRIBUTING TO CHRONIC HEALTH DISEASE. IT IS OFTEN THE PROVIDERS, NURSES AND ADDITIONAL OWENSBORO HEALTH TEAM MEMBERS FROM THE MEDICAL FITNESS FACILITY AND COMMUNITY WELLNESS DEPARTMENT WHO PLAY INSTRUMENTAL ROLES IN CARRYING OUT THE WORK TO ENSURE WE ARE MEETING THE NEEDS OF THE UNDERSERVED AND PROVIDING NEEDED EDUCATION AND OUTREACH AT THE COMMUNITY LEVEL. SUCH AN EXAMPLE WOULD BE THE PROVISION OF TOBACCO CESSATION CLASSES AND MULTIPLE SCREENINGS AND EDUCATIONAL EFFORTS CONDUCTED BY SUCH DEPARTMENTS WITHIN THE MEDICAL GROUP. WE ARE FORCED TO ISOLATE THE VALUE OF THE INVESTMENTS WHICH ARE MADE BY OWENSBORO HEALTH REGIONAL HOSPITAL PER THE 501(R) GUIDELINES. IT IS OUR INTENTION BY PROVIDING ADDITIONAL INSIGHT AND INFORMATION IN THIS SECTION OF SCHEDULE H THERE IS SIGNIFICANT RECOGNITION OF THE CHALLENGE BEFORE US AND OTHER NONPROFIT HOSPITALS; THE TRUE MAGNITUDE OF OUR COMMUNITY BENEFIT WORK AS A HOSPITAL SYSTEM IS CRITICALLY IMPORTANT TO UNDERSTAND. THE STRATEGIC EFFORTS, THE MONETARY OUTLAY, THE EFFICIENT AND TRUE IMPACT OF THE BENEFITS MUST SPAN THE THROUGHOUT THE SYSTEM EVEN IF AT THIS TIME, ONLY THAT OF THE HOSPITAL ITSELF CAN BE QUANTIFIED AND REPORTED.
SCHEDULE H, PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT	THERE ARE NO REQUIREMENTS IN THE STATE OF KENTUCKY TO FILE A COMMUNITY BENEFIT REPORT AT THIS TIME.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (44 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Owensboro Health Foundation
1201 Pleasant Valley Rd	Owensboro	KY	42303	611251763	501(C)(3)	$559,677	COMMUNITY SUPPORT
Muhlenberg County Board of Education
510 W Main Street	Powderly	KY	42367	616001286	GOVERNMENT	$192,433	Community Support
Daviess County Public Schools
PO Box 21510	Owensboro	KY	423041510	616001338	GOVERNMENT	$130,000	Community Support
University of Kentucky
750 Morton Blvd	Hazard	KY	41701	616001218	501(C)(3)	$73,319	Community Support
Community Dental Clinic
2811 New Hartford Rd	Owensboro	KY	42303	262343126	501(C)(3)	$65,500	Community Support	Suite A
Green River District Health Dept
PO Box 309	Owensboro	KY	423020309	611010686	GOVERNMENT	$51,000	Community Support
Mary Kendall Campus
193 Phillips Court	Owensboro	KY	42303	610458375	501(C)(3)	$45,850	Community Support
Hospice & Palliative Care of Western Ky
3419 Wathens Crossing	Owensboro	KY	42301	311010160	501(C)(3)	$42,400	Community Support
The Community Hospital Inc
440 Hopkinsville St	Greenville	KY	42345	610445841	501(C)(3)	$39,780	Community Support
United Way
PO Box 705	Owensboro	KY	423020705	610435444	501(C)(3)	$36,297	Community Support
Owensboro Dance Theater
2705 Breckenridge St	Owensboro	KY	42303	611040701	501(C)(3)	$29,000	Community Support
Riverpark Center
101 Daviess Street	Owensboro	KY	423034263	611147328	501(C)(3)	$26,000	Community Support
Owensboro Symphony Orchestra
211 East Second Street	Owensboro	KY	42303	616055984	501(C)(3)	$25,500	Community Support
Casa of Ohio Valley Inc
415 St Ann Street	Owensboro	KY	42303	611303511	501(C)(3)	$25,000	Community Support
Daviess Co Diabetes Coalition
1501 Breckenridge St	Owensboro	KY	42303	611328046	501(C)(3)	$23,000	Community Support
International Bluegrass Music Museum
311 West 2nd Street	Owensboro	KY	42301	611229037	501(C)(3)	$21,000	Community Support
Susan G Komen Foundation
4424 Vogel Rd Ste 205	Evansville	IN	47715	752844632	501(C)(3)	$20,500	Community Support
AlsacSt Jude Children's
304 Whittington Pkwy	Louisville	KY	40222	351044585	501(C)(3)	$20,258	Community Support	Ste 102
Supplies Over Seas
1500 Arlington Ave	Louisville	KY	40206	272624272	501(C)(3)	$20,000	Community Support
International Center
2818 New Hartford Road	Owensboro	KY	42303	610994341	501(C)(3)	$20,000	Community Support
Cliff Hagan Boys & Girls Club
3415 Buckland Square	Owensboro	KY	42301	610663746	501(C)(3)	$18,000	Community Support
H L Neblett Community Center
801 West 5th Street	Owensboro	KY	42301	610523292	501(C)(3)	$17,500	Community Support
United Way of Ohio Valley
403 Park Plaza Drive	Owensboro	KY	42301	610846061	501(C)(3)	$15,000	Community Support
Theatre Workshop of Owensboro
407 W 5th Street	Owensboro	KY	42301	610968600	501(C)(3)	$15,000	Community Support
Light of Chance Inc
PO Box 1636	Bowling Green	KY	42102	841721551	501(C)(3)	$15,000	Community Support
Owensboro Public Schools
450 Griffith Avenue	Owensboro	KY	42301	616001339	GOVERNMENT	$13,936	Community Support
Owensboro Museum of Fine Art
901 Frederica Street	Owensboro	KY	42301	611297343	501(C)(3)	$13,200	Community Support
Wendell Foster's Campus
815 Triplett Street	Owensboro	KY	42303	610490868	501(C)(3)	$11,000	Community Support
Senior Community Center of Owensboro
1650 W Second Street	Owensboro	KY	42301	311044915	501(C)(3)	$10,783	Community Support
Foundation for Excellence
450 Griffith Avenue	Owensboro	KY	42301	611349137	501(C)(3)	$10,500	Community Support
Success Through Mentoring Inc
499 Jefferson Street	Rockport	IN	47635	832549976	501(C)(3)	$10,500	Community Support
Brescia University
717 Frederica Street	Owensboro	KY	42301	610660795	501(C)(3)	$10,000	Community Support
Salvation Army
216 W Chestnut Street	Owensboro	KY	40202	580660607	501(C)(3)	$10,000	Community Support
Greater Muhlenberg Park
PO Box 169	Greenville	KY	42345	454595535	501(C)(3)	$10,000	Community Support
Greater Owensboro Economic Development Corp
PO Box 782	Owensboro	KY	42302	611254984	501(C)(6)	$10,000	Community Support
The Help Office of Hancock County
PO Box 455	Hawesville	KY	42348	611047163	501(C)(3)	$8,076	Community Support
Alzheimer's Association
701 N Weinbach Avenue	Evansville	IN	47711	133039601	501(C)(3)	$7,961	Community Support
Girls Incorporated
PO Box 1626	Owensboro	KY	42302	610706477	501(C)(3)	$7,340	Community Support
Owensboro Regional Suicide Prevention
991 Bellewood Drive	Henderson	KY	42420	261136007	501(C)(3)	$7,000	Community Support
Daviess County Public Library
2020 Frederica Street	Owensboro	KY	42301	611289675	GOVERNMENT	$6,600	Community Support
The Way of Rockport IN
PO Box 506	Rockport	IN	47635	522608343	501(C)(3)	$6,500	Community Support
Hope 2 All
307 Mose Rager Blvd	Drakesboro	KY	42337	208274332	501(C)(3)	$6,500	Community Support
American Cancer Society
1640 Lyndon Farm Court	Louisville	KY	40223	131788491	501(C)(3)	$5,501	Community Support	Ste 104
New Beginnings Sexual Assault Support Svcs
1716 Scherm Road	Owensboro	KY	42301	611142453	501(C)(3)	$5,500	Community Support

Field	Value	IRS element (for citing)
Total501c3 Org	43	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
Tuition Assistance	73	$214,747
Patient Medical Fund	233	$41,466
Cancer Center Meidcal Fund	2	$18,510

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS	FormAndLineReferenceDesc
Explanation	SCHEDULE I, PART I, LINE 2 SERVICES AND ACTIVITIES MUST SERVE INDIVIDUALS IN THE OWENSBORO HEALTH SERVICE AREA, INCLUDING DAVIESS, HANCOCK, OHIO, HENDERSON, HOPKINS, MCLEAN, MUHLENBERG, BRECKINRIDGE AND WEBSTER COUNTIES IN KENTUCKY AND SPENCER AND PERRY COUNTIES, INDIANA. APPLICATIONS MUST SPECIFICALLY DESCRIBE HOW THE ORGANIZATION'S SERVICES ADDRESS ROOT CAUSES OF HEALTH PROBLEMS AFFECTING THE HEALTH OF OUR COMMUNITY. ELIGIBLE GROUPS INCLUDE ECONOMIC, EDUCATIONAL, CIVIC, ARTS AND CULTURAL ORGANIZATIONS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	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 (28 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
Kelley Michael
VP MEDICAL AFFAIRS	$195,725	$0	$45,236	$0	$8,753	$0	$10,984	$0	$14,404	$0	$275,102	$0	$0	$0
Mcbride Anthony
Board Member	$0	$766,558	$0	$261,105	$0	$2,380	$0	$14,000	$0	$15,880	$0	$1,059,923	$0	$0
Dufrayne Francis
Chief Medical Officer	$419,622	$0	$117,776	$206,319	$32,480	$0	$14,000	$0	$26,587	$0	$610,465	$206,319	$0	$0
Hackbarth John
Chief Financial Officer	$476,783	$0	$163,108	$0	$80,363	$0	$30,296	$0	$20,938	$0	$771,488	$0	$0	$0
Heath Jr Edward L
COO-OHMCH	$252,025	$0	$77,906	$0	$42,582	$0	$30,296	$0	$27,630	$0	$430,439	$0	$0	$0
Strahan Greg
PRESIDENT AND CEO	$849,043	$0	$300,502	$0	$99,629	$0	$30,296	$0	$20,938	$0	$1,300,408	$0	$0	$0
Begley II Ernest E
Chief Legal Officer	$353,745	$0	$123,957	$0	$54,858	$0	$30,296	$0	$29,864	$0	$592,720	$0	$0	$0
Jones Lisa
VP ANCILLARY SERVICES	$222,513	$0	$69,408	$0	$54,000	$0	$30,296	$0	$20,752	$0	$396,969	$0	$0	$0
Field Jason
Chief Operating Officer OHMG	$0	$210,930	$0	$66,156	$0	$14,273	$0	$14,000	$0	$25,083	$0	$330,442	$0	$0
Scherm Michael J MD
Former Chief Medical Officer	$0	$0	$0	$0	$231,966	$0	$0	$0	$0	$0	$231,966	$0	$0	$0
Belec Timothy
VP CIO	$309,523	$0	$112,714	$0	$22,411	$0	$14,000	$0	$19,422	$0	$478,070	$0	$0	$0
Myer Mitchell Kathleen K
VP Pt Care Svcs and CNO-OHMCH	$146,495	$0	$44,772	$0	$18,034	$0	$9,816	$0	$17,985	$0	$237,102	$0	$0	$0
Medley Jr Richard W MD
CHIEF MED OFFICER (THRU 7/19)	$217,407	$0	$106,473	$0	$125,389	$0	$30,296	$0	$4,435	$0	$484,000	$0	$0	$0
Ranallo Russell
VP FINANCE	$270,618	$0	$83,940	$0	$47,976	$0	$30,296	$0	$27,935	$0	$460,765	$0	$0	$0
Bostic Deborah K
COO-OHRH	$377,370	$0	$113,474	$0	$34,991	$0	$14,000	$0	$7,328	$0	$547,163	$0	$0	$0
Johnson Stephen M
VP GOVT AND COMMUNITY AFFAIRS	$189,386	$0	$59,448	$0	$18,601	$0	$28,649	$0	$26,062	$0	$322,146	$0	$0	$0
Suter Mia
Chief Administrative Officer	$393,907	$0	$132,225	$0	$53,707	$0	$30,296	$0	$6,426	$0	$616,561	$0	$0	$0
Danhauer David E MD
VP CMIO	$316,824	$0	$97,974	$0	$22,295	$0	$30,296	$0	$25,689	$0	$493,078	$0	$0	$0
Jacildo Ruby
VP Accounting/Controller	$184,286	$0	$58,069	$0	$20,263	$0	$27,821	$0	$25,619	$0	$316,058	$0	$0	$0
Bryant MD Bill
VP QUALITY AND PATIENT SAFETY	$315,150	$0	$94,867	$0	$35,489	$0	$14,000	$0	$19,538	$0	$479,044	$0	$0	$0
Sims Joan M
VP Patient Care SVCS and CNO	$176,350	$0	$52,541	$0	$18,223	$0	$24,816	$0	$2,980	$0	$274,910	$0	$0	$0
Collins Jason
DIRECTOR OF PHARMACY	$153,245	$0	$28,648	$0	$12,420	$0	$17,275	$0	$8,832	$0	$220,420	$0	$0	$0
Tidwell III James E
VP Population Health	$292,696	$0	$20,596	$0	$11,481	$0	$14,000	$0	$18,679	$0	$357,452	$0	$0	$0
Taylor Joseph W
Executive Director, Facilities	$160,724	$0	$25,010	$0	$1,649	$0	$21,276	$0	$22,026	$0	$230,685	$0	$0	$0
Montaven Simone J
Exec Dir of Human Resources	$161,741	$0	$25,487	$0	$5,070	$0	$21,684	$0	$16,399	$0	$230,381	$0	$0	$0
Hieneman Ramona C
VP COMPLIANCE AND PRIVACY	$119,734	$0	$10,000	$0	$3,608	$0	$5,912	$0	$2,817	$0	$142,071	$0	$0	$0
Roberts Kenneth W
DIR OF COMPLIANCE AND CONTRACT	$144,167	$0	$22,171	$0	$13,851	$0	$20,097	$0	$23,463	$0	$223,749	$0	$0	$0
Walker Jr John P
EXEC DIR OF MATERIALS MGMT	$148,127	$0	$23,119	$0	$7,672	$0	$20,000	$0	$15,264	$0	$214,182	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, 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. CLUB DUES DURING THE REPORTING PERIOD, THE ORGANIZATION PAID THE CEO AND COO'S 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.
FORM 990, SCHEDULE J, PART I, LINE 4B	NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN OWENSBORO HEALTH PROVIDES A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN FOR CERTAIN EXECUTIVE EMPLOYEES. PARTICIPATION IN THE PLAN IS SUBJECT TO THE RECOMMENDATION OF THE CHIEF EXECUTIVE OFFICER AND THE APPROVAL OF THE BOARD OF DIRECTORS. AS OF DECEMBER 31, 2019 OWENSBORO HEALTH SHALL CREDIT THE PARTICIPANT'S ACCOUNT WITH AN EMPLOYER CONTRIBUTION. THE PARTICIPANT MUST BE EMPLOYED BY OWENSBORO HEALTH AT THE END OF THE PLAN YEAR IN ORDER TO RECEIVE AN EMPLOYER CONTRIBUTION FOR THAT PLAN YEAR. EMPLOYER CONTRIBUTIONS FOR EACH CONTRIBUTION CLASS YEAR SHALL BE 100% VESTED AS OF THE END OF THE PLAN YEAR WHICH IS FIVE YEARS AFTER THE DATE ON WHICH THE EMPLOYER CONTRIBUTION WAS MADE FOR SUCH CONTRIBUTION CLASS YEAR. 457F PLAN TO EXECUTIVES ERNEST E. BEGLEY $36,297; JOHN HACKBARTH $44,821; EDWARD HEATH $25,445; LISA JONES $30,723; RICHARD W. MEDLEY $39,221; RUSSELL RANALLO $32,347; MICHAEL SCHERM $231,966; GREG STRAHAN $65,204; MIA SUTER $37,874.
FORM 990, SCHEDULE J, PART I, LINE 7	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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY
A	610600439	49126KKF7	2017-05-17	$501,226,816	SEE PART VI	false	false	false
KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY
B	610600439	49126KHT1	2015-08-13	$97,567,179	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$3,315,000	$0	$521,604,600	$0	$33,578	$0	$4,747,304	$6,163,038	$0	$0	$510,660,680	$0	2017	false	Yes (true)	Yes (true)	Yes (true)
B	$4,990,000	$0	$98,346,355	$0	$0	$0	$1,346,771	$0	$0	$66,627,005	$30,372,580	$0	2018	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	0	false	false	false	Yes (true)
B	false	false	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	Yes (true)	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, 2017 BOND	PROCEEDS WERE USED TO 1) PARTIALLY ADVANCE REFUND THE SERIES 2010A BONDS (ISSUED 3/3/2010), 2) FULLY ADVANCE REFUND THE SERIES 2010B BONDS (ISSUED 3/3/2010), (3) PAY REMAINING PORTION FOR THE SURETY BOND TO FUND THE DEBT SERVICE RESERVE REQUIREMENT (4)PAY PREMIUM FOR THE POLICY INSURING PAYMENT AND CERTAIN EXPENSES IN CONNECTION WITH THE ISSUANCE.
SCHEDULE K, PART I, 2015 BOND	PROCEEDS FINANCED 1) CONSTRUCTION OF HEALTHPLEXES TO IMPROVE ACCESS TO CARE IN THE SECONDARY SERVICE AREA 2) REFUNDED PORTION OF THE SERIES 2010B BONDS (ISSUED 3/3/2010) AND FUNDED PORTION OF THE DEBT SERVICE RESERVE FUND.
2015 AND 2017 BOND	SCHEDULE K, PART II, LINE 3, BOND A AND B THE DIFFERENCE IN THE ISSUE PRICE REPORTED ON SCHEDULE K RESULTED FROM INVESTMENT EARNINGS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DUFRAYNE POLINA
WIFE OF FRANCIS DUFRAYNE	$21,907	EMPLOYEE COMPENSATION	false
RANALLO JENNIFER
WIFE OF RUSSELL RANALLO	$47,238	EMPLOYEE COMPENSATION	false
SCHEPERS CHRISTINE
SISTER OF DAVID DANHAUER	$89,324	EMPLOYEE COMPENSATION	false
SIMS MEGHAN
DAUGHTER OF JONI SIMS	$27,725	EMPLOYEE COMPENSATION	false
STRAHAN HILLARY
DAUGTHER IN LAW OF GREG STRAHAN	$152,307	EMPLOYEE COMPENSATION	false
STRAHAN WILLIAM
SON OF GREG STRAHAN	$123,532	EMPLOYEE COMPENSATION	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 6	VOLUNTEERS VOLUNTEER SERVICES SUPPORT THE MISSION AND GOALS OF OWENSBORO HEALTH, INC. ("OH"). THEY STAFF THE PATIENT INFORMATION DESK, DELIVER FLOWERS, AND PLAY A CRUCIAL ROLE AS LIAISON BETWEEN FAMILIES AND PHYSICIANS IN THE SURGERY WAITING AREAS. VOLUNTEERS ARE AN ESSENTIAL PART OF THE CARE AND COMFORT OH PROVIDES.
FORM 990, PART VI, LINE 7A	POWER TO ELECT OR APPOINT MEMBERS OH IS GOVERNED BY A FOURTEEN-MEMBER BOARD OF DIRECTORS PURSUANT TO THE CORPORATION'S BYLAWS. THREE (3) DIRECTORS ARE APPOINTED BY THE COUNTY JUDGE/EXECUTIVE OF DAVIESS COUNTY ('COUNTY JUDGE') WITH THE CONSENT OF THE DAVIESS COUNTY FISCAL COURT, THREE (3) DIRECTORS ARE APPOINTED BY THE MAYOR OF THE CITY OF OWENSBORO ('MAYOR') WITH THE CONSENT OF THE BOARD OF THE OWENSBORO CITY COMMISSION, ONE (1) DIRECTOR IS APPOINTED JOINTLY BY THE COUNTY JUDGE AND THE MAYOR, THREE (3) DIRECTOR POSITIONS ARE RESERVED FOR PHYSICIANS WHO ARE MEMBERS OF THE OH ACTIVE MEDICAL STAFF, AND FOUR(4) DIRECTORS ARE ELECTED OR APPOINTED BY THE BOARD OF DIRECTORS FROM THE COMMUNITY. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR OVERSEEING THE MANAGEMENT AND OPERATION OF OH. THE BOARD MEMBERS SERVE THREE-YEAR TERMS, AND CAN SERVE NO MORE THAN THREE (3) CONSECUTIVE TERMS, BUT ARE ELIGIBLE FOR REAPPOINTMENT TO THE BOARD AFTER HAVING BEEN OFF OF THE BOARD FOR AT LEAST ONE (1) YEAR. THE BOARD HAS REGULARLY SCHEDULED MONTHLY MEETINGS.
FORM 990, PART VI, LINE 7B	DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS THE FOLLOWING CORPORATE ACTIONS SHALL REQUIRE THE AFFIRMATIVE ACT OF THE FISCAL COURT OF DAVIESS COUNTY ('COUNTY') AND THE COMMISSIONERS OF THE CITY OF OWENSBORO ('CITY') FOLLOWING A RECOMMENDATION BY THE BOARD OF DIRECTORS: (1) THE ADMISSION OF ANY MEMBER TO THE CORPORATION,(2) THE TRANSFER OF ALL, OR SUBSTANTIALLY ALL, OF THE MANAGEMENT RESPONSIBILITY FOR THE CORPORATION TO A NONRELATED PERSON, (3) A MERGER, CONSOLIDATION OR OTHER SIMILAR ACTION THAT IS DILUTIVE OF THE ASSETS OF THE CORPORATION OR THAT ADVERSELY AFFECTS ANY RIGHTS OF THE COUNTY OR CITY PROVIDED FOR IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE BYLAWS, (4) ANY AMENDMENTS TO ARTICLES 4,5,7,8 AND 10 OF THE ARTICLES OF INCORPORATION; OR ANY AMENDMENT TO SECTION VII OF THE BYLAWS, (5) THE DISSOLUTION OF THE CORPORATION, (6) ANY CHANGE OF THE NAME OF THE CORPORATION, AND (7) THE TRANSFER (IN ONE OR MORE RELATED TRANSACTIONS) DURING ANY TWELVE MONTH PERIOD OF 5% OR MORE OF THE TOTAL ASSETS OF THE CORPORATION TO AN UNAFFILIATED PERSON(S). 'TOTAL ASSETS' SHALL MEAN THE AGGREGATE ASSETS FROM THE MOST RECENT FINANCIAL STATEMENTS OF THE CORPORATION.
FORM 990, PART VI, LINE 11B	FORM 990 REVIEW 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	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 COMPLIANCE 360). 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	OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN TOTAL COMPENSATION IS THE SUM OF EACH EXECUTIVES BASE SALARY, INCENTIVE OPPORTUNITY, BENEFITS, AND PERQUISITES. -OUR TOTAL COMPENSATION PHILOSOPHY WILL APPLY TO THE CEO OF THE ORGANIZATION. -CASH COMPENSATION AND BENEFIT PLANS PROVISIONS WILL BE BASED ON MARKET DATA, 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. THE CEO MAY BE PLACED ABOVE OR BELOW THE SALARY RANGE BASED ON THE: CEO'S KNOWLEDGE, COMPETENCIES, AND EXPERIENCE; PERFORMANCE OF THE CEO; THE CEO'S CONTRIBUTION TO THE ORGANIZATION'S OVERALL PERFORMANCE; INTERNAL EQUITY CONSIDERATIONS; THE FINANCIAL RESOURCES AVAILABLE; AND, CEO'S BASE SALARY INCREASES PROVIDED IN THE COMPETITIVE MARKET. -ANNUAL MERIT INCREASE IS BASED ON JOB PERFORMANCE, REVIEWED BY THE FINANCE COMMITTEE, AND THEN APPROVED BY THE BOARD OF DIRECTORS. -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 INCENTIVE COMPENSATION PLAN IS REVIEWED BY THE FINANCE COMMITTEE AND THEN APPROVED BY THE BOARD OF DIRECTORS. -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 TOTAL 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 RELATIONS 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 BENEFIT PLANS WILL BE REVIEWED BY A HR CONSULTING FIRM AND ADJUSTED PERIODICALLY TO MEET THE CHANGING BUSINESS AND ORGANIZATIONAL CHARACTERISTICS OF OUR ORGANIZATION AND ITS EXECUTIVE STAFF AS DIRECTED BY THE FINANCE COMMITTEE.
FORM 990, PART VI, LINE 15B	OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN TOTAL COMPENSATION IS THE SUM OF EACH EXECUTIVES BASE SALARY, INCENTIVE OPPORTUNITY, BENEFITS, AND PERQUISITES. -OUR TOTAL COMPENSATION PHILOSOPHY WILL APPLY TO ALL EXECUTIVES OF THE ORGANIZATION. -CASH COMPENSATION AND BENEFIT 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 BENEFIT 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 2017.
FORM 990, PART VI, LINE 19	AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINSTMTS TO GENERAL 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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
COMMONWEALTH MEDICAL MANAGEMENT LLC
1201 PLEASANT VALLEY ROAD	OWENSBORO	KY	42303	204796653	PHYS CLNC SRV	KY	$0	$0	OH
THE HEALTH NETWORK OF WESTERN KY LLC
1201 PLEASANT VALLEY ROAD	OWENSBORO	KY	42303	465739460	MSSP ACO	KY	$0	$0	OH
OH MUHLENBERG LLC
1201 PLEASANT VALLEY ROAD	OWENSBORO	KY	42303	473944197	HLTHCARE SVCS	KY	$45,615,000	$29,442,000	OH
OH HEALTH SOLUTIONS LLC
1201 PLEASANT VALLEY ROAD	OWENSBORO	KY	42303	474106977	HLTHCARE SVCS	KY	$0	$0	OH
OH HEALTH NETWORK LLC
1201 PLEASANT VALLEY ROAD	OWENSBORO	KY	42303	474114254	HLTHCARE SVCS	KY	$0	$938,000	OH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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 FOUNDATION INC
1201 PLEASANT VALLEY ROAD	OWENSBORO	KY	42303	611251763	HEALTHCARE	KY	501(c)(3)	7	OH	Yes (true)
OWENSBORO HEALTH MEDICAL GROUP INC
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 KY	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	Related	PredominantIncomeTypeTxt
Share Of Total Income	$1,339,704	ShareOfTotalIncomeAmt
Share Of EOY Assets	$5,638,719	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.64820	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	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	Yes (true)	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	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
OWENSBORO HEALTH MEDICAL GROUP INC
j	$680,198	FMV
OWENSBORO HEALTH MEDICAL GROUP INC
p	$109,358,294	FMV
OWENSBORO HEALTH MEDICAL GROUP INC
s	$55,738,593	FMV
OWENSBORO HEALTH MEDICAL GROUP INC
k	$2,434,977	FMV
OWENSBORO HEALTH FOUNDATION INC
b	$559,677	FMV
OWENSBORO HEALTH FOUNDATION INC
c	$114,822	FMV