2020-10-15T15:36:53-05:00 2020-05-31 ERNST & YOUNG US LLP 111 MONUMENT CIR STE 4000 INDIANAPOLIS IN 46204 990 2019-06-01 611286361 Owensboro Health Inc % JOHN HACKBARTH OWEN 2704172000 1201 Pleasant Valley Road Owensboro KY 42303 JOHN HACKBARTH SENIOR VP/CFO 2704172000 2020-10-15 true JENNIFER D RHODERICK P00395735 3176817000 2020-10-15 181.229.13.154 61033020202895000114 2020-10-15 P E0FDEA513E906B7C29D3D48A84AEE23F2DD03DA6 F34A415471C63761DEA1823D940B30A5AA3FBE3D 2019 2021-01-29 14:40:06Z GREG STRAHAN SAMES AS C ABOVE OWENSBORO KY 42303 961553706 false X www.owensborohealth.org X 1995 KY OWENSBORO HEALTH, INC. EXISTS TO HEAL THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. 14 13 4000 160 3442 0 1350185 16891700 602970678 612821033 9439335 4283922 6118442 6085028 619878640 640081683 2139113 1997634 0 0 238478259 262398027 0 0 0 301699695 302182887 542317067 566578548 77561573 73503135 1369224739 1531261789 789039650 872968281 580185089 658293508 X OWENSBORO HEALTH, INC. EXISTS TO HEAL THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. false false 427836081 1977634 614093129 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. 427836081 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true true true true false false false false false false false false true false false false false false true true true true false false true 224 0 true 4000 true true true false false false false false false false false false true false X 14 13 false false false false false true true true true false false false true true true true true true true true true KY X JOHN HACKBARTH 2704172000 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 Strahan Greg PRESIDENT AND CEO 40.0 10.0 X 1249174 0 51234 Mcbride Anthony Board Member 3.0 45.0 X 0 1030043 29880 Dufrayne Francis Chief Medical Officer 30.0 20.0 X 569878 206319 40587 Hackbarth John Chief Financial Officer 40.0 10.0 X 720254 0 51234 Suter Mia Chief Administrative Officer 40.0 10.0 X 579839 0 36722 Begley II Ernest E Chief Legal Officer 40.0 10.0 X 532560 0 60160 Bostic Deborah K COO-OHRH 40.0 10.0 X 525835 0 21328 Danhauer David E MD VP CMIO 40.0 10.0 X 437093 0 55985 Medley Jr Richard W CHIEF MED OFFICER (THRU 7/19) 40.0 10.0 X 449269 0 34731 Bryant MD Bill VP QUALITY AND PATIENT SAFETY 40.0 10.0 X 445506 0 33538 Belec Timothy VP CIO 40.0 10.0 X 444648 0 33422 Ranallo Russell VP FINANCE 40.0 10.0 X 402534 0 58231 Heath Jr Edward L COO-OHMCH 45.0 5.0 X 372513 0 57926 Jones Lisa VP ANCILLARY SERVICES 40.0 10.0 X 345921 0 51048 Tidwell III James E VP Population Health 40.0 10.0 X 324773 0 32679 Field Jason Chief Operating Officer OHMG 5.0 45.0 X 0 291359 39083 Johnson Stephen M VP GOVT AND COMMUNITY AFFAIRS 40.0 10.0 X 267435 0 54711 Jacildo Ruby VP Accounting/Controller 40.0 10.0 X 262618 0 53440 Kelley Michael VP MEDICAL AFFAIRS 40.0 10.0 X 249714 0 25388 Sims Joan M VP Patient Care SVCS and CNO 40.0 10.0 X 247114 0 27796 Myer Mitchell Kathl VP Pt Care Svcs and CNO-OHMCH 45.0 5.0 X 209301 0 27801 Scherm Michael J MD Former Chief Medical Officer 0.0 0.0 X 231966 0 0 Taylor Joseph W Executive Director, Facilities 40.0 10.0 X 187383 0 43302 Montaven Simone J Exec Dir of Human Resources 40.0 10.0 X 192298 0 38083 Roberts Kenneth W DIR OF COMPLIANCE AND CONTRACT 40.0 10.0 X 180189 0 43560 Collins Jason DIRECTOR OF PHARMACY 45.0 5.0 X 194313 0 26107 Walker Jr John P EXEC DIR OF MATERIALS MGMT 40.0 10.0 X 178918 0 35264 Hieneman Ramona C VP COMPLIANCE AND PRIVACY 40.0 10.0 X 133342 0 8729 Harris Susanne Board Member 3.0 0.0 X 0 0 0 Burshears Bridget MD Board Member 3.0 0.0 X 0 0 0 Roberts Gavin Board Member 3.0 3.0 X 0 0 0 Thompson Angela Board Member 3.0 1.0 X 0 0 0 Stogsdill Vicki Board Member 3.0 0.0 X 0 0 0 Riney Phil Board Member 3.0 2.0 X 0 0 0 Harrison William MD Board Secretary 3.0 0.0 X X 0 0 0 Carpenter Jeff Board Chairperson 3.0 3.0 X X 0 0 0 Brake Candance Board Member 3.0 0.0 X 0 0 0 Hetman Nick Board Member 3.0 0.0 X 0 0 0 Roberts David Board Member 3.0 1.0 X 0 0 0 Yeiser Michael MD Board Member 3.0 0.0 X 0 0 0 Farmer Robert Board Vice Chair 3.0 2.0 X X 0 0 0 Blazar Suzanne Northe Board Member THRU 10/2019 3.0 0.0 X 0 0 0 Nunley-Winters Debora Board Member THRU 10/2019 3.0 2.0 X 0 0 0 Wells Jack Board Vice Chair THRU 10/2019 3.0 2.0 X X 0 0 0 9427815 1527721 1001869 207 true true false MORRISON MGMT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES 6689668 NORTHSTAR ANESTHESIA OF KY LLC 6225 N STATE HWY 161 SUITE 200 IRVING TX 75038 ANESTHESIA SERVICES 3997037 LOUISVILLE RAD IMAGING CNSLTS 71 WEST 156TH STREET SUITE 110 HARVEY IL 60426 RADIOLOGY SERVICES 2261667 OBHG KENTUCKY PSC 10 CENTIMETERS DRIVE MAULDIN SC 29662 OB SERVICES 1576886 CROTHALL HEALTHCARE 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 HOUSEKEEPING SERVICE 1453199 75 114822 16721241 55637 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false false false 0 false 0 false 0 false 0 true 103878 false 0 true 33272 137150 false 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. 15105543 15105543 565403987 151570796 413833191 311572388 280212188 31360200 27922663 0 27922663 488221597 0 DUE TO THIRD PARTY PAYORS 91069236 ACCRUED PENSION 69924499 WORKMAN'S COMP RESERVE 4727391 MALPRACTICE RESERVE 10139901 OHMCH LEASE OBLIGATION 1369047 INTRACOMPANY A/P 34267679 OTHERS 6716734 218214487 X FIN 48(ASC 740) Footnote 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. true true X true X 300. true X 400. true true false true true 4649920 4649920 0.00870 102123233 115805561 -13682328 106773153 115805561 -9032408 0.00870 511 157772 994363 535 993828 0.00190 37 71 295665 295665 0.00060 231 305687 1145157 1145157 0.00210 779 463530 2435185 535 2434650 0.00460 779 463530 109208338 115806096 -6597758 0.01330 1 10000 10000 1 10000 10000 false 29995742 5999148 144255300 173016570 -28761270 X true true OWENSBORO CHN PROVIDER NETWORK 0.5 0.5 2 1 OWENSBORO HEALTH INC 1201 PLEASANT VALLEY RD OWENSBORO KY 42303 www.owensborohealth.org 100092 X X X 2 OH MUHLENBERG LLC 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 WWW.OWENSBOROHEALTH.ORG 100344 X X X OWENSBORO HEALTH INC 1 false false true X X X X X X X X X 18 true false true true X SEE PART V, SECTION C X true 19 true See Part V, Section C false true X 300. 400. X X true true X X X true X www.owensborohealth.org X www.owensborohealth.org X www.owensborohealth.org X X X X X X true X false X X X X X true X false false OH MUHLENBERG LLC 2 false false true X X X X X X X X X 18 true false true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 18 true SEE PART V, SECTION C false true X 300. 400. X X true true X X X true X www.owensborohealth.org X www.owensborohealth.org X www.owensborohealth.org X X X X X X true X false X X X X X true X false false 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. 1 OWENSBORO AMBULATORY SURGICAL FACILITY 1000 BRECKENRIDGE OWENSBORO KY 42303 AMBULATORY SURGERY CENTER 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. true Owensboro Health Foundation 1201 Pleasant Valley Rd Owensboro KY 42303 611251763 501(C)(3) 559677 COMMUNITY SUPPORT Muhlenberg County Board of Education 510 W Main Street Powderly KY 42367 616001286 GOVERNMENT 192433 Community Support Daviess County Public Schools PO Box 21510 Owensboro KY 423041510 616001338 GOVERNMENT 130000 Community Support University of Kentucky 750 Morton Blvd Hazard KY 41701 616001218 501(C)(3) 73319 Community Support Community Dental Clinic 2811 New Hartford Rd Suite A Owensboro KY 42303 262343126 501(C)(3) 65500 Community Support Green River District Health Dept PO Box 309 Owensboro KY 423020309 611010686 GOVERNMENT 51000 Community Support Mary Kendall Campus 193 Phillips Court Owensboro KY 42303 610458375 501(C)(3) 45850 Community Support Hospice & Palliative Care of Western Ky 3419 Wathens Crossing Owensboro KY 42301 311010160 501(C)(3) 42400 Community Support The Community Hospital Inc 440 Hopkinsville St Greenville KY 42345 610445841 501(C)(3) 39780 Community Support United Way PO Box 705 Owensboro KY 423020705 610435444 501(C)(3) 36297 Community Support Owensboro Dance Theater 2705 Breckenridge St Owensboro KY 42303 611040701 501(C)(3) 29000 Community Support Riverpark Center 101 Daviess Street Owensboro KY 423034263 611147328 501(C)(3) 26000 Community Support Owensboro Symphony Orchestra 211 East Second Street Owensboro KY 42303 616055984 501(C)(3) 25500 Community Support Casa of Ohio Valley Inc 415 St Ann Street Owensboro KY 42303 611303511 501(C)(3) 25000 Community Support Daviess Co Diabetes Coalition 1501 Breckenridge St Owensboro KY 42303 611328046 501(C)(3) 23000 Community Support International Bluegrass Music Museum 311 West 2nd Street Owensboro KY 42301 611229037 501(C)(3) 21000 Community Support Susan G Komen Foundation 4424 Vogel Rd Ste 205 Evansville IN 47715 752844632 501(C)(3) 20500 Community Support AlsacSt Jude Children's 304 Whittington Pkwy Ste 102 Louisville KY 40222 351044585 501(C)(3) 20258 Community Support Supplies Over Seas 1500 Arlington Ave Louisville KY 40206 272624272 501(C)(3) 20000 Community Support International Center 2818 New Hartford Road Owensboro KY 42303 610994341 501(C)(3) 20000 Community Support Cliff Hagan Boys & Girls Club 3415 Buckland Square Owensboro KY 42301 610663746 501(C)(3) 18000 Community Support H L Neblett Community Center 801 West 5th Street Owensboro KY 42301 610523292 501(C)(3) 17500 Community Support United Way of Ohio Valley 403 Park Plaza Drive Owensboro KY 42301 610846061 501(C)(3) 15000 Community Support Theatre Workshop of Owensboro 407 W 5th Street Owensboro KY 42301 610968600 501(C)(3) 15000 Community Support Light of Chance Inc PO Box 1636 Bowling Green KY 42102 841721551 501(C)(3) 15000 Community Support Owensboro Public Schools 450 Griffith Avenue Owensboro KY 42301 616001339 GOVERNMENT 13936 Community Support Owensboro Museum of Fine Art 901 Frederica Street Owensboro KY 42301 611297343 501(C)(3) 13200 Community Support Wendell Foster's Campus 815 Triplett Street Owensboro KY 42303 610490868 501(C)(3) 11000 Community Support Senior Community Center of Owensboro 1650 W Second Street Owensboro KY 42301 311044915 501(C)(3) 10783 Community Support Foundation for Excellence 450 Griffith Avenue Owensboro KY 42301 611349137 501(C)(3) 10500 Community Support Success Through Mentoring Inc 499 Jefferson Street Rockport IN 47635 832549976 501(C)(3) 10500 Community Support Brescia University 717 Frederica Street Owensboro KY 42301 610660795 501(C)(3) 10000 Community Support Salvation Army 216 W Chestnut Street Owensboro KY 40202 580660607 501(C)(3) 10000 Community Support Greater Muhlenberg Park PO Box 169 Greenville KY 42345 454595535 501(C)(3) 10000 Community Support Greater Owensboro Economic Development Corp PO Box 782 Owensboro KY 42302 611254984 501(C)(6) 10000 Community Support The Help Office of Hancock County PO Box 455 Hawesville KY 42348 611047163 501(C)(3) 8076 Community Support Alzheimer's Association 701 N Weinbach Avenue Evansville IN 47711 133039601 501(C)(3) 7961 Community Support Girls Incorporated PO Box 1626 Owensboro KY 42302 610706477 501(C)(3) 7340 Community Support Owensboro Regional Suicide Prevention 991 Bellewood Drive Henderson KY 42420 261136007 501(C)(3) 7000 Community Support Daviess County Public Library 2020 Frederica Street Owensboro KY 42301 611289675 GOVERNMENT 6600 Community Support The Way of Rockport IN PO Box 506 Rockport IN 47635 522608343 501(C)(3) 6500 Community Support Hope 2 All 307 Mose Rager Blvd Drakesboro KY 42337 208274332 501(C)(3) 6500 Community Support American Cancer Society 1640 Lyndon Farm Court Ste 104 Louisville KY 40223 131788491 501(C)(3) 5501 Community Support New Beginnings Sexual Assault Support Svcs 1716 Scherm Road Owensboro KY 42301 611142453 501(C)(3) 5500 Community Support 43 1 Tuition Assistance 73 214747 Patient Medical Fund 233 41466 Cancer Center Meidcal Fund 2 18510 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS 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. X X true true X X X X false true false false false false false true false Kelley Michael VP MEDICAL AFFAIRS 195725 0 45236 0 8753 0 10984 0 14404 0 275102 0 0 0 Mcbride Anthony Board Member 0 766558 0 261105 0 2380 0 14000 0 15880 0 1059923 0 0 Dufrayne Francis Chief Medical Officer 419622 0 117776 206319 32480 0 14000 0 26587 0 610465 206319 0 0 Hackbarth John Chief Financial Officer 476783 0 163108 0 80363 0 30296 0 20938 0 771488 0 0 0 Heath Jr Edward L COO-OHMCH 252025 0 77906 0 42582 0 30296 0 27630 0 430439 0 0 0 Strahan Greg PRESIDENT AND CEO 849043 0 300502 0 99629 0 30296 0 20938 0 1300408 0 0 0 Begley II Ernest E Chief Legal Officer 353745 0 123957 0 54858 0 30296 0 29864 0 592720 0 0 0 Jones Lisa VP ANCILLARY SERVICES 222513 0 69408 0 54000 0 30296 0 20752 0 396969 0 0 0 Field Jason Chief Operating Officer OHMG 0 210930 0 66156 0 14273 0 14000 0 25083 0 330442 0 0 Scherm Michael J MD Former Chief Medical Officer 0 0 0 0 231966 0 0 0 0 0 231966 0 0 0 Belec Timothy VP CIO 309523 0 112714 0 22411 0 14000 0 19422 0 478070 0 0 0 Myer Mitchell Kathleen K VP Pt Care Svcs and CNO-OHMCH 146495 0 44772 0 18034 0 9816 0 17985 0 237102 0 0 0 Medley Jr Richard W MD CHIEF MED OFFICER (THRU 7/19) 217407 0 106473 0 125389 0 30296 0 4435 0 484000 0 0 0 Ranallo Russell VP FINANCE 270618 0 83940 0 47976 0 30296 0 27935 0 460765 0 0 0 Bostic Deborah K COO-OHRH 377370 0 113474 0 34991 0 14000 0 7328 0 547163 0 0 0 Johnson Stephen M VP GOVT AND COMMUNITY AFFAIRS 189386 0 59448 0 18601 0 28649 0 26062 0 322146 0 0 0 Suter Mia Chief Administrative Officer 393907 0 132225 0 53707 0 30296 0 6426 0 616561 0 0 0 Danhauer David E MD VP CMIO 316824 0 97974 0 22295 0 30296 0 25689 0 493078 0 0 0 Jacildo Ruby VP Accounting/Controller 184286 0 58069 0 20263 0 27821 0 25619 0 316058 0 0 0 Bryant MD Bill VP QUALITY AND PATIENT SAFETY 315150 0 94867 0 35489 0 14000 0 19538 0 479044 0 0 0 Sims Joan M VP Patient Care SVCS and CNO 176350 0 52541 0 18223 0 24816 0 2980 0 274910 0 0 0 Collins Jason DIRECTOR OF PHARMACY 153245 0 28648 0 12420 0 17275 0 8832 0 220420 0 0 0 Tidwell III James E VP Population Health 292696 0 20596 0 11481 0 14000 0 18679 0 357452 0 0 0 Taylor Joseph W Executive Director, Facilities 160724 0 25010 0 1649 0 21276 0 22026 0 230685 0 0 0 Montaven Simone J Exec Dir of Human Resources 161741 0 25487 0 5070 0 21684 0 16399 0 230381 0 0 0 Hieneman Ramona C VP COMPLIANCE AND PRIVACY 119734 0 10000 0 3608 0 5912 0 2817 0 142071 0 0 0 Roberts Kenneth W DIR OF COMPLIANCE AND CONTRACT 144167 0 22171 0 13851 0 20097 0 23463 0 223749 0 0 0 Walker Jr John P EXEC DIR OF MATERIALS MGMT 148127 0 23119 0 7672 0 20000 0 15264 0 214182 0 0 0 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. A KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY 610600439 49126KKF7 2017-05-17 501226816 SEE PART VI false false false B KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY 610600439 49126KHT1 2015-08-13 97567179 SEE PART VI false false false A 3315000 0 521604600 0 33578 0 4747304 6163038 0 0 510660680 0 2017 false true true true B 4990000 0 98346355 0 0 0 1346771 0 0 66627005 30372580 0 2018 true false true true A false false false 0 false false false true B false false false 0 false false false true A false true false false false false 0 false 0 false true B false true true false false false 0 false 0 false true A true B true 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. DUFRAYNE POLINA WIFE OF FRANCIS DUFRAYNE 21907 EMPLOYEE COMPENSATION false RANALLO JENNIFER WIFE OF RUSSELL RANALLO 47238 EMPLOYEE COMPENSATION false SCHEPERS CHRISTINE SISTER OF DAVID DANHAUER 89324 EMPLOYEE COMPENSATION false SIMS MEGHAN DAUGHTER OF JONI SIMS 27725 EMPLOYEE COMPENSATION false STRAHAN HILLARY DAUGTHER IN LAW OF GREG STRAHAN 152307 EMPLOYEE COMPENSATION false STRAHAN WILLIAM SON OF GREG STRAHAN 123532 EMPLOYEE COMPENSATION false 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. 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