2018-10-11T14:10:12-05:00 2018-05-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2017-06-01 611286361 Owensboro Health Inc % JOHN HACKBARTH OWEN 2704172000 1201 Pleasant Valley Road Owensboro KY 42303 JOHN HACKBARTH SVP/CFO 2704172000 2018-10-11 true JENNIFER D RHODERICK P00395735 3176817000 2018-10-11 164.57.159.253 61033020182845000011 2018-10-11 P 11870BD6DE377C8E8EB09F859DD42E9C06F7E8D3 792E0AAC5A27EF8E692221D1D01611EA294E7B56 2017 2019-02-21 02:37:17Z GREG STRAHAN 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 694934778 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 12 4050 177 432809 0 245326 1007524 560676118 574258544 5611493 11320934 9178567 6911771 575711504 593498773 2359905 2064470 0 0 219684838 222629345 0 0 0 379771932 282972411 601816675 507666226 -26105171 85832547 1234473746 1302588540 809561214 791643793 424912532 510944747 X OWENSBORO HEALTH, INC. EXISTS TO HEAL THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. false false 370692294 2064470 575384125 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, 2018, OH AND OHMCH HAD TOTAL ADMISSIONS OF 17,187, PATIENT DAYS OF 93,383, AND TOTAL ER VISITS OF 86,911. 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 $13,259,530 IN FINANCIAL ASSISTANCE TO LOW-INCOME AND/OR UNINSURED PATIENTS. OH DOES NOT INCLUDE IN THAT AMOUNT $25,629,363 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. 370692294 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 161 0 true 4050 true true true false false false false false false false false false X 14 12 true 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 Millsap Mark MD Board Member 3.0 0.0 X 0 0 0 Wells Jack VICE CHAIR 3.0 2.0 X X 0 0 0 Yeiser Michael MD Board Member 3.0 2.0 X 0 0 0 Harrison William MD Secretary 3.0 0.0 X X 0 0 0 Blazar Suzanne Northern Board Member 3.0 0.0 X 0 0 0 Farmer Robert Board Member 3.0 5.0 X 0 0 0 Stogsdill Vicki Board Member 3.0 0.0 X 0 0 0 Harris Susanne Board Member 3.0 0.0 X 0 0 0 Burshears Bridget MD Board Member (Beg 10/2017) 3.0 0.0 X 0 0 0 Nunley-Winters Deborah Board Member 3.0 2.0 X 0 0 0 Presser Ron Board Member (Thru 10/2017) 3.0 0.0 X 0 0 0 Knight Robert MD Board Member (Thru 10/2017) 3.0 0.0 X 0 0 0 Roberts Gavin Board Member (Beg 10/2017) 3.0 1.0 X 0 0 0 Thompson Angela Board Member (Beg 10/2017) 3.0 0.0 X 0 0 0 Scherm Janice Board Member (Thru 10/2017) 3.0 0.0 X 0 0 0 Woodward Terry Board Member 3.0 0.0 X 0 0 0 Carpenter Jeff Board Chair 3.0 3.0 X X 0 0 0 Hackbarth Jr John Chief Financial Officer 40.0 10.0 X 505398 0 44009 Heath Jr Edward L COO - OHMCH 45.0 5.0 X 309344 0 49243 Strahan Greg PRESIDENT AND CEO 40.0 10.0 X 924144 0 49396 Scherm Michael J MD CHIEF MEDICAL OFFICER 40.0 10.0 X 430403 0 46999 Begley II Ernest E Chief Legal Officer 40.0 10.0 X 396390 0 51569 Jones Lisa VP ANCILLARY SERVICES 40.0 10.0 X 300425 0 43907 Medley Jr Richard W MD Chief Medical Officer 40.0 10.0 X 470090 0 33575 Ranallo Russell VP FINANCE 40.0 10.0 X 351548 0 46941 Johnson Stephen M VP GOVT AND COMMUNITY AFFAIRS 40.0 10.0 X 195206 0 42172 Suter Mia Chief Administrative Officer 40.0 10.0 X 422777 0 32986 Danhauer David E MD VP CMIO 40.0 10.0 X 384439 0 47313 Jacildo Ruby VP Accounting/Controller 40.0 10.0 X 225247 0 44907 Bryant MD Bill VP QUALITY AND PATIENT SAFETY 40.0 10.0 X 375736 0 26153 Cordini Rosalind VP LEGAL SERVICES AND CCO 40.0 10.0 X 233349 0 16352 Bostic Deborah K COO-OHRH 40.0 10.0 X 447137 0 20678 Myer Mitchell Kathleen K VP Pt Care Svcs and CNO-MCH 45.0 5.0 X 154367 0 11341 Looney Luara L Director of EPIC Applications 40.0 10.0 X 170373 0 12893 Haynes Heather Director of Pharmacy 40.0 5.0 X 183682 0 19476 Taylor Joseph W Executive Director, Facilities 40.0 10.0 X 184191 0 39945 Montaven Simone J Exec Dir of Human Resources 40.0 10.0 X 174738 0 29912 Roberts Kenneth W DIR OF COMPLIANCE AND CONTRACT 40.0 10.0 X 169010 0 32621 Patterson Philip Former President/CEO 0.0 0.0 X 798200 0 0 7806194 0 742388 180 true true false CROTHALL LAUNDRY SERVICES 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 LAUNDRY SVC & HK SVC 2417656 MAYO COLLABORATIVE SVCS INC PO BOX 9146 MINNEAPOLIS MN 554809146 LABORATORY SERVICES 1736549 OBHG KENTUCKY PSC 10 CENTIMETERS DRIVE MAULDIN SC 29662 OBSTETRICS SERVICES 1386855 GE HEALTHCARE PO BOX 96483 CHICAGO IL 60693 RADIOLOGY SERVICES 1257804 RENAL TREATMENT CTR PO BOX 781607 PHILADELPHIA PA 191781607 RENAL SERVICES 1105325 59 0 205010 792213 10301 0 1007524 MEDICARE/MEDICAID PAYMENT 622110 282815487 282815487 0 0 PATIENT REVENUE-OTHER INS 622110 290107909 290107909 0 0 REVENUE - OASF 621493 1384381 1384381 0 0 REVENUE - CANCER RESEARCH 622110 -511 -511 0 0 REVENUE - OCHN 622110 -48722 -48722 0 0 574258544 3406902 3406902 0 0 3012371 588189 2424182 0 2424182 2424182 108299809 100368181 17596 7931628 -17596 7914032 -17596 7931628 0 0 0 0 0 0 678540 462039 216501 216501 CAFETERIA & VENDING REV 722514 2695102 0 0 2695102 LAUNDRY, CATERING & 990T 812300 425144 0 425144 0 CALL CENTER REVENUE 622110 150517 150517 0 0 1000325 992660 7665 4271088 593498773 575384125 432809 16674315 1838362 1838362 226108 226108 0 0 0 0 6720695 0 6720695 0 845162 353962 491200 0 165948006 143507041 22440965 0 16847675 12642013 4205662 0 19830439 12214217 7616222 0 12437368 10554078 1883290 0 3949810 2564060 1385750 0 1407917 0 1407917 0 253556 0 253556 0 126646 0 126646 0 0 0 365505 365505 0 41844362 33055113 8789249 0 1639791 77170 1562621 0 7429017 3152292 4276725 0 9501957 7616462 1885495 0 170275 93351 76924 0 11491550 4695629 6795921 0 762616 559463 203153 0 0 0 0 0 162365 93137 69228 0 27160496 0 27160496 0 0 0 0 0 36322321 0 36322321 0 912409 0 912409 0 MEDICAL SUPPLIES 103980977 103843915 137062 0 BAD DEBT 25629363 25629363 0 0 PROVIDER TAX 5008972 5008972 0 0 DiETARY PATIENT SUPPLIES 2405308 2405308 0 0 2447198 562278 1884920 507666226 370692294 136973932 0 0 13546 13626 44021961 48883535 0 0 332294748 470555208 0 0 0 0 0 0 12468753 13914208 18659458 18775144 867496010 368950587 561320235 498545423 168903053 180348256 0 0 23306238 29030306 11348434 11348434 62137320 31174400 1234473746 1302588540 60687718 59945796 0 0 10407967 12460573 607213990 598924579 0 0 0 0 0 0 0 0 131251539 120312845 809561214 791643793 X 424912532 510944747 0 0 0 0 424912532 510944747 1234473746 1302588540 85832547 199668 0 0 0 X false true X true false X false false false 0 false 0 false 0 false 0 true 81015 false 0 true 45631 126646 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 EXECUTIVE DIRECTOR OF GOVERNMENTAL, COMMUNITY AND LEGISLATIVE AFFAIRS ENGAGES IN LOBBYING ACTIVITIES AT THE FEDERAL, STATE AND LOCAL LEVELS. THE EXECUTIVE DIRECTOR DOES MEET WITH MEMBERS OF CONGRESS ON OCCASION DURING THE YEAR EITHER IN WASHINGTON OR IN OWENSBORO. AT THE STATE LEVEL, THE EXECUTIVE DIRECTOR 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 EXECUTIVE DIRECTOR 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, 2018, ALL LOBBYING ACTIVITY BY THE EXECUTIVE DIRECTOR DID NOT EXCEED 30% OF TOTAL WORK-RELATED DUTIES AND RESPONSIBILITIES. 15465893 15465893 562761159 121908283 440852876 285837351 247042304 38795047 3431607 3431607 498545423 0 DUE TO THIRD PARTY PAYORS 20940998 ACCRUED PENSION 55524689 WORKMAN'S COMP RESERVE 4675119 MALPRACTICE RESERVE 11711502 OHMCH LEASE OBLIGATION 2683333 INTRACOMPANY A/P 24777204 120312845 X FIN 48(ASC740) Footnote FORM 990, SCHEDULE D, PART X, LINE 2 The System applies Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) Topic 740 (Topic 740), Accounting for Uncertainty in Income Taxes. Topic 740 provides guidance on when tax positions are recognized in an entitys financial statements and how the values of these positions are determined. There is currently no impact on the Systems consolidated financial statements as a result of the application of Topic 740. true true X true X 225. true X 375. true true false true true 3881557 3881557 0.00810 97342868 77227174 20115694 0.04170 101224425 77227174 23997251 0.04980 583 506706 610407 29564 580843 0.00120 66 234 215887 0 215887 0.00040 358 410850 1085012 1085012 0.00230 1007 917790 1911306 29564 1881742 0.00390 1007 917790 103135731 77256738 25878993 0.05370 24 69739 144 69595 0.00010 5 290 538 538 0.00000 4 70 733 733 0.00000 3 61 61 0.00000 2 28 218 218 0.00000 23 751 1916 1916 0.00000 61 1139 73205 144 73061 0.00020 false 25629363 12814612 151948936 175773928 -23824992 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 15 true false false true X SEE PART V, SECTION C X true 16 true See Part V, Section C false true X 225. 375. 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 true X false false OH MUHLENBERG LLC 2 false false true X X X X X X X X X 17 true false false true X SEE PART V, SECTION C X true 18 true SEE PART V, SECTION C false true X 225. 375. 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 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, LINE 5 OWENSBORO HEALTH CHNA COMMUNITY INPUT FOR DEVELOPMENT OF THE SECOND CHNA, OWENSBORO HEALTH COLLABORATED WITH 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. THIS ASSESSMENT INCLUDED A COMMUNITY-WIDE PROCESS TO ANALYZE COMMUNITY HEALTH NEEDS AND IDENTIFY THE HEALTH PRIORITIES FOR THE REGION. THIS COMMUNITY HEALTH ASSESSMENT IS A REQUISITE FOR OBTAINING PUBLIC HEALTH ACCREDITATION. GRDHD UTILIZED THE STRATEGIC PLANNING FRAMEWORK KNOWN AS MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP), DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY & CITY HEALTH OFFICIALS (NACCHO). OWENSBORO HEALTH STARTED THE CHNA IN 2015 AND IT WAS COMPLETED IN MAY 2016. FOR ADDITIONAL INFORMATION GO TO HTTP://WWW.HEALTHDEPARTMENT.ORG/ THE ASSESSMENTS AND INFORMATION COLLECTED BY THE GRDHD INCLUDED COLLECTION OF QUANTITATIVE DATE THROUGH AN ASSESSMENT OF SECONDARY DATA, A CDC SURVEY TOOL (CASPER), FOCUS GROUPS AND COMMUNITY FORUMS TO OBTAIN INFORMATION AND COLLABORATE WITH STAKEHOLDERS. THESE TOOLS AND STAKEHOLDERS WORKED TO IDENTIFY KEY COMMUNITY HEALTH ISSUES. THE CASPER ASSESSMENT IS A TOOL AND METHODOLOGY PROMOTED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION FOR CONDUCTING A POST-DISASTER RAPID NEEDS AND HEALTH ASSESSMENT. THE GRDHD CONDUCTED THE CASPER ASSESSMENT OVER 4 DAYS IN SEVEN COUNTIES; DAVIESS, HANCOCK, HENDERSON, MCLEAN, OHIO, UNION, AND WEBSTER. OVER THE FOUR DAYS OF SAMPLING, INTERVIEWS WERE COMPLETED AT 235 HOUSEHOLDS FOR A COMPLETION RATE OF 85.5% (235/275). FOR THE OWENSBORO HEALTH CHNA AND IN COMMUNITY MEETINGS FOCUSED ON DAVIESS COUNTY, FINDINGS FROM DAVIESS COUNTY CASPER RESULTS WERE UTILIZED. FOR MORE INFORMATION ON THE ASSESSMENT PROCESS REFER TO: HTTP://WWW.HEALTHDEPARTMENT.ORG/CHA_CHIP/CASPER%20DATA%20SHEET.FINAL.PDF ALTHOUGH THE COMMUNITY SURVEY CAPTURED OPINIONS FROM A REPRESENTATIVE SAMPLE, THE NEEDS OF DISPARATE POPULATIONS MAY NOT HAVE BEEN ADEQUATELY COVERED. THEREFORE FOCUS GROUPS WERE HELD IN DAVIESS COUNTY TO ELICIT INPUT FROM LOW INCOME, TRANSIENT AND MINORITY POPULATIONS. ADDITIONALLY, THE GRDHD FACILITATED TWO COMMUNITY FORUMS HELD IN THE FIRST HALF OF 2015 TO ENGAGE WITH COMMUNITY STAKEHOLDERS AND COLLECT THEIR INPUT. THE COMMUNITY FORUMS WERE ATTENDED BY BETWEEN 75 AND 100 COMMUNITY MEMBERS REPRESENTING A DIVERSE GROUP OF NON-GOVERNMENTAL ORGANIZATIONS; NOT-FOR-PROFIT HUMAN SERVICE AND ARTS ORGANIZATIONS; BUSINESSES, CITIZENS; HEALTHCARE INSURERS AND PROVIDERS; AND, GOVERNMENT AGENCIES. IN MAY 2015 A SUMMARY OF THE VISIONING, ASSESSMENTS AND PERSPECTIVES WAS PRESENTED AT A COMMUNITY HEALTH IMPROVEMENT PLAN FORUM WITH PRIORITY ISSUES ESTABLISHED. THE FORUM ALSO FEATURED LIVE AUDIENCE VOTING THAT FACILITATED DIALOGUE AND FINAL SELECTION OF THE STRATEGIC INITIATIVES. FOLLOWING THIS PROCESS, OWENSBORO HEALTH ENGAGED XEROX HEALTHY SOLUTIONS (FORMERLY KNOWN AS HEALTHY COMMUNITIES INSTITUTE AND NOW KNOWN AS CONDUENT) TO CONDUCT ADDITIONAL PRIMARY DATA COLLECTION. WHILE GRDHD'S MAPP ASSESSMENT AND PLANNING PROCESS PRODUCED MANY FINDINGS ON COMMUNITY HEALTH IN DAVIESS COUNTY, ADDITIONAL INSIGHTS INTO THE COUNTY'S HEALTH NEEDS AND STRENGTHS WERE COLLECTED TO PROVIDE A BETTER UNDERSTANDING OF THE LOCAL CONTEXT. XEROX COMMUNITY HEALTH SOLUTIONS A.K.A. CONDUENT CONDUCTED EIGHT KEY INFORMANT INTERVIEWS TO PROBE MORE DEEPLY INTO HEALTH AND QUALITY OF LIFE THEMES WITHIN THE COUNTY. COMMUNITY RESOURCES WERE ALSO IDENTIFIED IN THESE INTERVIEWS. COMMENTS AND FEEDBACK ON THE CHNA ARE ENCOURAGED/INVITED AS REFLECTED ON OUR CHNA WEBPAGE. A PHONE NUMBER AND EMAIL ADDRESS IS POSTED TO THE WEBSITE SHOULD SOMEONE HAVE QUESTIONS OR COMMENTS. OWENSBORO HEALTH HAS NOT RECEIVED COMMENTS. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 OH MUHLENBERG CHNA COMMUNITY INPUT Owensboro Health Muhlenberg Community Hospital partnered with the Muhlenberg County Health Department (Director and 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 representatives from: - Felix E. Martin Jr. Foundation - Muhlenberg County Board of Education - UK Cooperative Extension Office - Pennyroyal Mental Health Center - Central City Convention Center - Muhlenberg County Head Start - Greenville - Muhlenberg County Head Start Central City - Greater Muhlenberg Chamber of Commerce - Hope2All Food Bank - Muhlenberg County Senior Citizens Center - Community Health Centers of Western Kentucky - Owensboro Health Muhlenberg Community Hospital EMS - Muhlenberg County Community Service Center - Department of Community Based Services - Eades Family Dentistry - Muhlenberg County Health Department - Owensboro Health Muhlenberg Community Hospital - Community and Economic Development Initiative of Kentucky (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: - Pathway of Hope, Pregnancy Crisis Center in Muhlenberg County - Pennyroyal Center, Director of Substance Abuse Services - Muhlenberg County Schools, Superintendent - Muhlenberg County Schools, H.S. Senior - A New Start Medication Assisted Treatment for Opioid Addiction - Muhlenberg County Baptist Association, Director of Missions The steering committee met for the first time on February 19, 2018, focus groups were held, surveys were distributed, and the steering committee reconvened on March 26, 2018 for the final meeting to choose the priority health areas. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A AND LINE 10A FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A: OWENSBORO HEALTH - LINK TO CHNA https://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/health-resources/health-needs-assessment/ FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A: OH MUHLENBERG (OHMCH) - LINK TO IMPLEMENTATION STRATEGY: https://www.owensborohealth.org/health-resources/health-needs-assessment/ FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 OWENSBORO HEALTH - HOW THE HOSPITAL IS ADDRESSING SIGNIFICANT NEEDS AREAS OF NEED IDENTIFIED BY COMMUNITY: THE OWENSBORO/DAVIESS COUNTY COMMUNITY, THROUGH A COLLABORATIVE EFFORT BETWEEN THE GREEN RIVER DISTRICT HEALTH DEPARTMENT, OWENSBORO HEALTH, AND NUMEROUS OTHER COMMUNITY STAKEHOLDERS, SELECTED THREE PRIORITY HEALTH AREAS TO ADDRESS IN ITS MOST RECENT COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THIS CHIP WAS THE CULMINATION OF THE HEALTH DEPARTMENT'S MAPP PROCESS (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS). THE FOLLOWING THREE PRIORITY HEALTH AREAS CONTAINED IN THE CHIP WERE INCORPORATED INTO OWENSBORO HEALTH'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA): 1. SUBSTANCE ABUSE (ATOD: ALCOHOL, TOBACCO AND OTHER DRUGS) 2. OBESITY 3. ACCESS TO CARE OWENSBORO HEALTH STAFF MEMBERS ARE SERVING ON, AND IN SOME CASES, CO-FACILITATING LOCAL COMMUNITY AND STATE HEALTH COUNCIL'S SUBCOMMITTEES THAT WERE FORMED FROM THE COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS EACH OF THE THREE NAMED PRIORITY AREAS. ADDITIONAL AREAS OF IDENTIFIED NEED: TWO ADDITIONAL COMMUNITY HEALTH AREAS OF NEED, MENTAL HEALTH AND ORAL HEALTH, WERE IDENTIFIED IN THE ASSESSMENT PROCESS AND IT WAS DECIDED BY THIS COMMUNITY TO INCORPORATE THOSE ISSUES INTO EXISTING COMMUNITY ACTIONS PLANS TO INCLUDE STRATEGIES ADDRESSING MENTAL AND ORAL HEALTH IN EACH EXISTING PLAN ADDRESSING THE THREE PRIORITY AREAS. OHRH is addressing all needs identified in its most recent CHNA through hospital or collaborative strategies. STRATEGIES: SUBSTANCE ABUSE INCLUDING TOBACCO USE AND CESSATION: * Established internal cross organizational team to address tobacco and other related diseases across the system. * Established BPA (Best Practice Alert) for Low Dose CT screening. Primary care physicians can now submit orders; shared decision making on form. * Working to educate physicians and community. * Process put in place to refer to Smoking Cessation program, Freedom from Smoking via EPIC electronic medical records system to Wellness team. - Classes have been full; 12 have quit and remain "quit". Some are completing class again. * COPD materials under review that would be distributed to patients system wide containing language to empower self-management. * Consideration of adding Tobacco Intervention Specialists to inpatient and community wellness settings. * Hospital representation and participation on the Kentucky Health Collaborative work team focused on tobacco and smoking cessation. Allocated funds to be used for the Smoke Free Tomorrow initiative of the Foundation for a Healthy Kentucky. * Owensboro Health Community Health Investments Grant Program: - Since 2014, Owensboro Health Regional Hospital (OHRH) has provided financial support to the Green River District Health Department to promote the Quit Now Kentucky phone coaching line. In 2017 OHRH granted the GRDHD request to begin filling the gap for those needing access to Nicotine Replacement Therapy (NRT). The 2017 (fy18) allocation specifically was $22,762.00 - To date, 2014-2018 OHRH has provided financial support specific to the GRDHD for Quit Now Kentucky and NRT in the amount of $116,335.50. o Quit now calls in the Green River Region have increased from a total of 3 calls in 2014 to the 2018 report of 324 calls! - In addition, in 2017, (fy18) the following investments were made from the OHRH Community Health Investments grant program: o $3,789. Cliff Hagan Boys and Girls Club-tobacco prevention and e-cigarette education o $10,000. Owensboro Regional Recovery-smoking cessation education and financial incentives to residents who quit smoking o $59,895. University of Kentucky Research Foundation- Socially Responsible Marketing Campaign to Increase Lung Cancer Screening Awareness o $20,800 Mentor Kids Kentucky to develop a tobacco prevention education and guidance handbook for the mentors and mentees in their program. - In 2017, (fy18) OHRH required all school systems that were planning to submit a grant application to show evidence of a 100% Tobacco Free District policy. Further, it was announced that within one year, all applicants would be required to do the same: in 2018, (fy19) this requirement would be in place for all applicants to the large grant program at OHRH. MAINTAINED ADVOCACY OF LOCAL, REGIONAL AND STATE EFFORTS FOR APPROPRIATE POLICIES FOR TOBACCO USE AND SECOND HAND SMOKE REDUCTION. * MAINTAIN COMMITMENT TO CAMPUS TOBACCO FREE POLICIES. ALCOHOL AND OTHER DRUGS: * CONTINUED WORK WITH LOCAL SUBSTANCE ABUSE COALITIONS AND COMMUNITY EFFORTS TO PROVIDE EDUCATION SPECIFIC TO OPIATE ABUSE AND HEROIN USE. * SUPPORTED INTERNAL POLICY AND PROCESSES TO EDUCATE PHYSICIANS AND OTHER PROVIDERS ON PREVENTION EFFORTS. * CONTINUED TO USE ANGEL VISITATION PROGRAM BRINGING PERSONS IN RECOVERY FROM COMMUNITY INTO HOSPITAL SETTING TO SHARE RECOVERY OPTIONS FOR THOSE IN NEED. (Over 150 Angel Visits have taken place since its beginning in 2015). * continued 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 PROGRAMS PER GRANT GUIDELINES. * CONTINUED TO HOST IN PARTNERSHIP WITH LOCAL AND STATE ORGANIZATIONS FORUMS ON OPIATE PRESCRIBING, ISSUES OF ABUSE, PREVENTION AND EDUCATION. CONTINUED TO EXPLORE POTENTIAL COLLABORATIVE PARTNERSHIPS AND PROJECTS BETWEEN MOTHER/BABY AND NEONATAL SERVICES AND COMMUNITY ORGANIZATIONS FOCUSED ON PREVENTION OF SUBSTANCE USE DURING PREGNANCY, LOCAL EFFORTS TO UNDERSTANDING THE ADVERSE CHILDHOOD EXPERIENCES (ACES) TO BECOME A TRAUMA INFORMED COMMUNITY. PROVIDED SUPPORT TO TWO COMMUNITY COALITIONS STARTED TO ADDRESS ACES RESEARCH AND COMMUNITY STRATEGIES; HAVE MADE INVESTMENTS IN BOTH FINANCIAL SUPPORT AND HUMAN CAPITAL TO ASSIST THESE CROSS-SECTOR COMMUNITY EFFORTS. OBESITY NUTRITION, WEIGHT MANAGEMENT, FITNESS AND OBESITY RELATED DISEASES * CONTINUED TO CONDUCT AND EVALUATE SCHOOL HEALTH ASSESSMENTS. * CONTINUED TO SUPPORT OWENSBORO HEALTH HEALTHPARK AND ITS SCHOLARSHIP PROGRAM PROVIDING FINANCIAL ASSISTANCE, THE HEALTHPARK EDUCATIONAL PROGRAMMING, AND OUTREACH AND TARGETED EVIDENCED BASED PROGRAMMING. * FINANCIALLY SUPPORTED AND ADVOCATED 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. * UTILIZED 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. * SERVED 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. * PROVIDED EXPERTISE FROM STAFF TO THE COMMUNITY FOR EDUCATION AND PROGRAM GUIDANCE. * PLANNING FOR BARIATRIC SURGERY CENTER AT OWENSBORO HEALTH ACCESS TO CARE PRIMARY CARE, ACCESS POINTS, TRANSPORTATION, LANGUAGE AND CULTURAL BARRIERS, FINANCIAL SUPPORT FOR PRESCRIPTIONS, EQUIPMENT AND SUPPLIES, CARE COORDINATION, EDUCATION REGARDING BENEFIT ENROLLMENT, STAFF ENGAGEMENT WITH COMMUNITY ACTION TEAM TO ADDRESS ACCESS TO CARE. * OPENED THREE NEW HEALTHPLEXES TO ADDRESS SHORTAGE OF PRIMARY CARE PHYSICIANS AND ACCESS POINTS TO PRIMARY AND SPECIALTY CARE AND ANCILLARY SERVICES. * CONTINUED EFFORTS TO PURSUE PRIMARY CARE RESIDENCY PROGRAM. * WORKED TO PROVIDE OPPORTUNITIES FOR SERVICE LEARNING PROJECTS AND PROFESSIONAL EDUCATIONAL OPPORTUNITIES WHICH CAN WORK IN TANDEM WITH EFFORTS OF COMMUNITY OUTREACH TO UNDERSERVED POPULATIONS WITH HIGHEST RISK OF CHRONIC HEALTH DISEASE. * TARGET POPULATIONS AND AREAS OF COMMUNITY WITH HIGHEST INCIDENCE OF DIABETES AND WORKED IN COLLABORATION TO PROVIDE EDUCATION AND RESOURCES. * FINANCIALLY SUPPORT COMMUNITY ORGANIZATIONS, PROJECTS AND PROGRAMS WHICH SERVE TO REACH COMMUNITY MEMBERS WITH ACCESS TO PRESCRIPTION MEDICINES, SUPPLIES AND NEED EQUIPMENT. * FINANCIALLY SUPPORTED ORGANIZATIONS THAT PROVIDE ASSISTANCE IN EASING LANGUAGE, CULTURAL, EDUCATIONAL, TRANSPORTATION OR OTHER BARRIERS TO HEALTH CARE SERVICES AND HEALTH IMPROVEMENT. * WORKED WITH COMMUNITY PARTNERSHIPS TO CONTINUALLY SEEK AREAS FOR IMPROVEMENT IN CARE COORDINATION AND COORDINATION OF COMMUNITY SUPPORT SYSTEMS TO KEEP CITIZENS HEALTHY AND IMPROVE QUALITY OF LIFE. * CONTINUED WITH DEDICATED FINANCIAL COUNSELORS, NAVIGATORS, AND CASE MANAGERS ARE AVAILABLE TO WORK WITH PATIENTS AND COMMUNITY MEMBERS IN UNDERSTANDING FINANCIAL ASSISTANCE; BENEFIT ENROLLMENT; AVAILABLE COMMUNITY RESOURCES TO PREVENT BARRIERS TO ACCESS; AND, UNDERSTANDING OF THE HEALTHCARE SYSTEM AND HOW TO ACCESS CARE. * CONTINUED PARTNERSHIP WITH AUDUBON COMMUNITY CARE CLINIC WITH WHOM WE PARTNERED TO PROVIDE GRANT APPLICATION ASSISTANCE FOR THIS CLINIC TO REACH HOMELESS AND REFUGEE POPULATIONS. * BASED ON DATA FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 OH MUHLENBERG - SIGNIFICANT NEEDS AREAS OF NEED IDENTIFIED BY COMMUNITY: Our Community Health Needs Assessment was completed and approved in May 2018, and our implementation strategy in October 2018. Identified priority health needs from this CHNA are: * Residents (vulnerable populations) lack of knowledge on available community and health resources in the county * Adult obesity * Mental health depression, counseling and testing for mental health disorders * Youth health indicator needs* teen birth rate, obesity, lack of physical activity, lack of out of school meaningful activities * Substance use prescription, illegal and illicit substances HOW OH MUHLENBERG IS ADDRESSING SIGNIFICANT IDENTIFIED NEEDS: OHMCH internal Implementation Strategy team has developed strategies for each of the identified priority areas named in the CHNA (see below for priority areas as listed on page 26 of the OHMCH CHNA and strategy descriptions found in the implementation plan). OHMCH will address each named prioritized area through hospital strategies or in collaboration or partnerships with community partners. The full implementation strategy was approved in October 2018 and posted on the hospital website thereafter as required. Updates will be provided annually in 990 Schedule H report. OHMCH STRATEGIES TO IMPACT PRIORITY HEALTH NEEDS AS IDENTIFIED IN THE CHNA: * Provide leadership through in-kind staff to serve and assist with the development of a Muhlenberg County community health coalition. * Provide financial support through mini-grants and sponsorships to organizations who seek to impact priority health areas through their projects and programming. 1) Residents (vulnerable populations) lack of knowledge on available community and health resources in the county: a. Distribute Lift magazine to 10,000 households across the county which contains information about health issues, activities and resources available in our community. b. Use social media to make citizens aware of programs and services offered by our organization (flu shots, sports physicals, respiratory screenings, cessation classes, new providers, etc.) c. Host community education forums on priority health areas. 2) Adult Obesity: a. 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.) b. 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 students results and education on healthy food and beverage choices and physical activity. (these assessments can also impact adults in the family, see 4b.) c. Make referrals as appropriate to new access point: Owensboro Health Surgical Weight Loss Center. 3) Mental health, depression, counseling and testing for mental health disorders a. Increase depression screenings for patients in Emergency Room, Inpatient, and Long-Term Care. b. Increase services with addition of a behavioral health provider at Owensboro Health Healthplex. c. Increase access to inpatient services provided by Owensboro Health Regional Hospital. d. Work to increase collaborative partnership with Pennyroyal Mental Health Center. e. Expand access to behavioral health telehealth services when in-person appointments are not available. f. Support educational offerings regarding suicide prevention. 4) Youth health indicator needs-teen birth rate, obesity, lack of physical activity, lack of out of school meaningful activities a. 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. b. Provide free school health assessments 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. c. Assist in promotion of physical activity and wellness events at local walking trails, athletic centers, Lu-Ray Park and Amphitheater. d. Provide free sports physicals and IMPACT concussion program for student athletes. e. Partner with community organizations to support youth events (ex. UK Extension Playing in the Park). 5) Substance use-prescription, illegal and illicit substances: a. Medical staff at OHMCH have 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. i. Criteria for screening and assessing/reassessing pain ii. Algorithms for the appropriate prescribing iii. Pharmacological therapies iv. Patient education provided to reduce the risks of opioid use b. Disposal bags for controlled substances will be made available in ER to the community for their use. c. Grant provided to MCHS Project Prom to encourage positive choices and lessen the opportunity to engage in high-risk alcohol and drug use. d. Freedom from Smoking classes offered for free at Coal Miners Respiratory Clinic at OHMCH. e. Seek funding for opioid prevention education in school and community settings. OHMCH will address all needs identified in its most recent CHNA through hospital or collaborative strategies. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 20 OH MUHLENBERG AND OWENSBORO HEALTH FOUR SERIES OF BILLING STATEMENTS ARE SENT TO THE PATIENT WITHIN 120 DAYS WHICH NOTIFIES PATIENTS OF AVAILABLE ELIGIBILITY. 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 $25,629,363, WAS EXCLUDED. FORM 990, SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES IN ORDER TO PROMOTE THE HEALTH OF THE COMMUNITY WE SERVE, OWENSBORO HEALTH ("OH") PARTICIPATES IN NUMEROUS COMMUNITY BUILDING ACTIVITIES WHICH ARE NOT A PART OF PART I CHARITY CARE AND OTHER COMMUNITY BENEFITS, AND ARE NOT INCLUDED ELSEWHERE ON SCHEDULE H. AS THE LARGEST EMPLOYER IN THE REGION, OH RECOGNIZES THE RESPONSIBILITY WE HAVE TO IMPROVE THE HEALTH OF OUR COMMUNITY IRRESPECTIVE OF IRS COMMUNITY BENEFIT CLASSIFICATION. IN GENERAL, OUR EFFORTS IN COMMUNITY BUILDING ACTIVITIES ADDRESS COMMUNITY ISSUES INCLUDING HEALTH IMPROVEMENT, EDUCATION, POVERTY, WORKFORCE DEVELOPMENT AND ACCESS TO CARE. MORE SPECIFICALLY AND, AS AN OUTGROWTH OF OUR COMMUNITY BENEFIT GRANT PROGRAM NOW REFERRED TO AS THE COMMUNITY HEALTH INVESTMENT GRANT PROGRAM, OH ENCOURAGES OUR EMPLOYEES TO PARTNER WITH ANY OF OUR MORE THAN A HUNDRED COMMUNITY AND SOCIAL SERVICE ORGANIZATIONS FROM AROUND THE REGION THAT ARE WORKING TO ADDRESS ROOT CAUSES OF HEALTH PROBLEMS THAT IMPACT THE HEALTH OF OUR COMMUNITY. OWENSBORO HEALTH ENGAGES WITH OUR GRANT PARTNERS AND ASSISTS IN IDENTIFYING COLLABORATIVE WAYS THAT WE CAN ADVANCE SOCIAL IMPACT AND IMPROVE THE HEALTH OF OUR POPULATION COLLECTIVELY. MOREOVER, OUR EMPLOYEES SERVE ON A MYRIAD OF COMMUNITY, ARTS AND SOCIAL SERVICE BOARDS. THEY ADVOCATE ON KEY HEALTH ISSUES AND ADVOCACY PROGRAMS SUCH AS SMOKE-FREE KENTUCKY TO PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. ADVOCACY PROGRAMS SPECIFICALLY IDENTIFIED INCLUDE OUR EFFORTS WITH LOCAL CHAMBERS OF COMMERCE AND THE LIFE SCIENCES ACADEMY. OUR DUES AND CONTRIBUTIONS TO AREA CHAMBERS AND ECONOMIC DEVELOPMENT AGENCIES ALLOW THOSE ORGANIZATIONS TO INVEST IN ECONOMIC DEVELOPMENT ACTIVITIES CREATING NEW EMPLOYMENT OPPORTUNITIES, WORKER TRAINING AND WORKFORCE HEALTH PROMOTION. 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 ENGAGED IN 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 FAP FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS OR WITH BALANCES REMAINING AFTER THE THIRD-PARTY COVERAGE HAS ALREADY PAID, THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL COLLECTIONS, WHICH INDICATES THAT MANY PATIENTS DECLINE TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATE AND THE AMOUNTS COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS WRITTEN OFF AGAINST THE ALLOWANCE FOR BAD DEBTS. FORM 990, SCHEDULE H, PART III, LINE 4 TEXT OF BAD DEBT EXPENSE FOOTNOTE SEE AUDITED FINANCIAL STATEMENTS - FOOTNOTE 8, PAGE 19 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 CERTAIN SERVICES (PSYCH AND OB SERVICES, FOR EXAMPLE) TO MEDICARE PATIENTS AND THOSE COSTS ARE TYPICALLY NOT COVERED BY THE PAYMENTS RECEIVED. WE ARE ENSURING ACCESS TO SERVICES AND CARE FOR THE COUNTIES WE SERVE. THEREFORE, ALL OF THE SHORTFALL IS CONSIDERED COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 9B APPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE THE POLICIES OF OWENSBORO HEALTH (OH) ATTEMPT TO ENSURE ALL UNINSURED PATIENTS OF OH HAVE THE OPPORTUNITY TO APPLY AND QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS. OH HAS FINANCIAL AID APPLICATIONS AVAILABLE AT REGISTRATION AREAS, VIA THE INTERNET, VIA PHONE, AND ARE SENT ROUTINELY VIA MAIL TO PATIENTS OF THE HOSPITAL. OH EMPLOYS PATIENT FINANCIAL ADVOCATES TO ENSURE PATIENTS ARE EVALUATED FOR ELIGIBILITY IN THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. OH DOES USE AN EARLY OUT COLLECTION AGENCY VENDOR THAT FUNCTIONS AS AN EXTENSION OF THE OH BUSINESS OFFICE. OH DOES NOT CONTRACT PRIMARY COLLECTION AGENCIES. ALL SELF-PAY AND BALANCE AFTER INSURANCE ACCOUNTS ARE REVIEWED 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 FINANCIAL ASSISTANCE APPLICATION. DISCOUNTS GIVEN ARE EQUIVALENT TO THE AVERAGE GENERALLY BILLED TO MEDICARE. ADDITIONALLY, PATIENTS WITH A BALANCE ARE PERMITTED TO ESTABLISH PAYMENT PLANS. OH DOES NOT CHARGE INTEREST TO ITS PATIENTS. SCHEDULE H, PART VI, LINE 2, NEEDS ASSESSMENT OH COLLABORATED ON DEVELOPMENT OF ITS FIRST AND SECOND CHNA WITH THE GREEN RIVER DISTRICT HEALTH DEPARTMENT (GRDHD). THE CHNA IS A COMMUNITY-WIDE PROCESS TO ANALYZE COMMUNITY HEALTH NEEDS AND IDENTIFY THE HEALTH PRIORITIES. THE COMMUNITY HEALTH ASSESSMENT IS A FEDERAL REQUISITE FOR OBTAINING PUBLIC HEALTH DEPARTMENT ACCREDITATION. DETAILS OF THE MAPP PROCESS, COMMUNITY SURVEYS, PUBLIC FORUMS, DISPARATE POPULATION FOCUS GROUPS AND COLLECTION OF PRIMARY DATA WERE ALL COMPONENTS OF THE CHNA AND ARE DETAILED IN SCHEDULE H, PART V, SECTION C NARRATIVE FOR SCHEDULE H, PART V, SECTION B, LINE 5. 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, REVISED WHEN NEEDED. OH IS A PARTNER TO OTHER ORGANIZATIONS, AND ENTITIES' ASSESSMENT PROCESSES AS WELL, WHO ARE WORKING AS THEIR MISSIONS DIRECT 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 AND OH MEDICAL GROUP / SPECIFIC HEALTH INDICATORS SUCH AS CANCER, HEART DISEASE, STROKE AND DIABETES. LOOKING AT SPECIFIC POPULATIONS REPRESENTATIVE OF THE COMMUNITIES WE SERVE. COLLABORATIVE EFFORTS ARE BEING MADE TO ADDRESS PRIORITY COMMUNITY HEALTH ISSUES THROUGHOUT THE SYSTEM TO UTILIZE AVAILABLE OH RESOURCES TO IMPACT COMMUNITY HEALTH NEEDS. SCHEDULE H, PART VI, LINE 3, PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE OH EDUCATES ITS PATIENTS IN A VARIETY OF WAYS. OH HAS SIGNAGE AT ACCESS POINTS REGARDING FINANCIAL ASSISTANCE OFFERINGS. OH 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. OH EMPLOYS PATIENT FINANCIAL ADVOCATES 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 BY HOSPITAL STAFF TO ENSURE THAT THE PATIENT IS GIVEN EVERY OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE. ADDITIONALLY INFORMATION ABOUT APPLYING FOR FINANCIAL ASSISTANCE IS INCLUDED ON THE PATIENT STATEMENTS, BILLS, AND LETTERS AND THE PATIENT GUIDE THEY MAY RECEIVE FROM OH. THE OH 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 THE 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 MEDICARE. 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" FOR OH (AND THE DEFINED COMMUNITY FOR THE CHNA) IS DAVIESS COUNTY, KENTUCKY. OWENSBORO IS THE COUNTY SEAT OF DAVIESS COUNTY, KENTUCKY, 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. THE TOTAL POPULATION OF DAVIESS COUNTY IS 100,379 ACCORDING TO 2018 CLARITAS DATA. MEDIAN HOUSEHOLD INCOME FOR THE PRIMARY SERVICE AREA IS $52,378 WITH 2,829 (10.49%) FAMILIES LIVING BELOW THE POVERTY LEVEL. OTHER KEY DEMOGRAPHIC AND HEALTH INDICATORS CAN BE FOUND ON THE OH WEBSITE WITHIN THE COMMUNITY HEALTH INDICATORS AND DASHBOARD AT HTTPS://WWW.OWENSBOROHEALTH.ORG/HEALTH-RESOURCES/HEALTH-NEEDS-ASSESSMENT/? HCN=INDICATORS SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION - OH MUHLENBERG THE "PRIMARY SERVICE AREA" FOR OHMCH (AND THE DEFINED COMMUNITY FOR THE CHNA) IS MUHLENBERG COUNTY, KENTUCKY. GREENVILLE IS THE COUNTY SEAT OF MUHLENBERG COUNTY, LOCATED APPROXIMATELY 43 MILES SOUTH OF OWENSBORO AND 94 MILES NORTH-NORTHWEST OF NASHVILLE, TENNESSEE. THE TOTAL POPULATION OF MUHLENBERG COUNTY IS 30,884 ACCORDING TO 2018 CLARITAS DATA. MEDIAN HOUSEHOLD INCOME FOR THE PRIMARY SERVICE AREA IS $42,552 WITH 1,221 (14.61%) FAMILIES LIVING BELOW THE POVERTY LEVEL. OTHER KEY DEMOGRAPHIC AND HEALTH INDICATORS CAN BE FOUND ON THE OH WEBISTE WITHIN THE COMMUNITY HEALTH INDICATORS AND DASHBOARD AT HTTPS://WWW.OWENSBOROHEALTH.ORG/HEALTH-RESOURCES/HEALTH-NEEDS-ASSESSMENT/? HCN=INDICATORS SCHEDULE H, PART VI, LINE 5, PROMOTION OF community 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, AND THE 35TH LARGEST PRIVATE EMPLOYER IN THE STATE. AS SUCH, WE CONSIDER OUR RESPONSIBILITY TO SERVE AND STRENGTHEN OUR COMMUNITIES IN WAYS MUCH BROADER THAN PROVIDING DIRECT HEALTH SERVICES OR ADDRESSING ONLY "IDENTIFIED HEALTH NEEDS". WE BELIEVE THE SECOND PART OF OUR MISSION PROFESSING TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE OFTEN INVOLVES SUPPORT OF COMMUNITY BUILDING ACTIVITIES INVOLVING PHYSICAL IMPROVEMENTS IN HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, LEADERSHIP DEVELOPMENT FOR COMMUNITY MEMBERS, COALITION BUILDING, COMMUNITY HEALTH ADVOCACY AND WORKFORCE DEVELOPMENT. WE BELIEVE THESE IRS CATEGORIZED COMMUNITY BUILDING ACTIVITIES ARE EQUALLY AS IMPORTANT TO OUR CHARITABLE PURPOSES AS ARE OUR COMMUNITY BENEFIT ACTIVITIES. WHERE CASH AND IN-KIND ALLOCATIONS FROM OUR COMMUNITY BENEFIT GRANT PROGRAM ARE MADE FOR COMMUNITY BUILDING PROGRAMS AND ACTIVITIES, WE STILL REQUIRE THESE ORGANIZATIONS TO IDENTIFY ON THEIR REQUEST FOR FUNDING HOW THESE PROGRAMS AND ACTIVITIES ADDRESS ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH OF OUR COMMUNITY. IN THIS WAY, THESE ORGANIZATIONS ARE ALSO ABLE TO UNDERSTAND HOW IMPROVING THE HEALTH OF OUR COMMUNITY CAN BE ACCOMPLISHED IN MANY DIFFERENT WAYS IN PARTNERSHIP WITH ONE ANOTHER. ADDITIONALLY, WE ARE OFTEN ASKED TO BE A FACILITATOR FOR COMMUNITY CONCEPTS TO ADVANCE ECONOMIC DEVELOPMENT PLANS, MEET URGENT NEEDS SUCH AS FOOD INEQUITY OR BRING LIKE ORGANIZATIONS TOGETHER TO PLAN AND COLLABORATE IN WAYS THAT HAVE NOT BEEN DONE PREVIOUSLY. ASSISTING THE LOCAL FOOD BANK AND LIKE ORGANIZATIONS DEVELOPING A TRAUMA INFORMED COMMUNITY ARE SUCH EXAMPLES. 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. CONSEQUENTLY, THEY ARE ALSO WORKING TO ENSURE THAT STRATEGIC PLANNING FOR THE HOSPITAL WORKS IN CONJUNCTION WITH INTERNAL AND EXTERNAL EFFORTS AND DEALINGS WITH COMMUNITY ORGANIZATIONS TO ADDRESS PRIORITY HEALTH NEEDS AND RELIEVE THE BURDEN FROM LOCAL AND STATE GOVERNMENTS. SCHEDULE H, PART VI, LINE 6, AFFILIATED HEALTH CARE SYSTEM OH, AS REQUIRED, CONDUCTS A CHNA IN PARTNERSHIP WITH PUBLIC HEALTH AND MANY COMMUNITY PARTNERS. OH DEVELOPS AN IMPLEMENTATION STRATEGY STATING HOW IT WILL ADDRESS NAMED PRIORITY HEALTH NEEDS. HOWEVER WHILE PRESENT IRS GUIDELINES ONLY ALLOW COMMUNITY BENEFIT WHICH IS CONDUCTED UNDER OH TO BE REPORTED, IT FAR FROM TELLS THE STORY OF WHAT OWENSBORO HEALTH, THE SYSTEM, IS DOING COLLECTIVELY TO ADDRESS PRIORITY HEALTH NEEDS. BOTH THE OWENSBORO HEALTH MEDICAL GROUP AND OWENSBORO HEALTH FOUNDATION ARE CLOSELY ALIGNED WITH OH IN STRIVING TO MEET PRIORITY HEALTH NEEDS. AS WE FURTHER DEVELOP AND REFINE OUR SYSTEM STRATEGIC PLANNING PROCESS TO IMPACT THE HEALTH OF THE POPULATION WE WILL NEED ALL AVAILABLE RESOURCES WITHIN OUR SYSTEM TO MEET OUR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. OWENSBORO HEALTH REGIONAL HOSPITALS COMMUNITY HEALTH INVESTMENTS GRANT PROGRAM AVERAGES OVER $700,000 IN DIRECT GRANT FUNDS TO ORGANIZATIONS WITH COMMUNITY PROGRAMS FOCUSED ON ADDRESSING PRIORITY HEALTH AREAS NAMED IN COMMUNITY HEALTH NEEDS ASSESSMENTS. PLANNING WILL TAKE PLACE SO THAT SYSTEM POPULATION HEALTH GOALS CAN BE SUPPORTED BY COMMUNITY PARTNERSHIPS AND FUNDING OF THOSE PARTNERSHIP PROJECTS IN THE COMMUNITY. THE GRANT DOLLARS COME FROM THE HOSPITAL, BUT SYSTEM-WIDE PLANNING AND ADDITIONAL SUPPORT IS OFTEN NEEDED TO ASSIST LOCAL NONPROFIT ORGANIZATIONS EFFORTS. THE OWENSBORO HEALTH SYSTEM CONTINUES TO INVEST SIGNIFICANT DOLLARS TO INCREASE COMMUNITY ACCESS POINTS AND THE NUMBER OF PROVIDERS IN RECOGNITION OF ACCESS TO CARE BEING A RECOGNIZED PRIORITY HEALTH ISSUE. THE OWENSBORO HEALTH SYSTEM HAS ADDED COMPLEX CARE NAVIGATORS TO MANAGE THE HEALTH OF SPECIFIC PATIENT POPULATIONS WHILE EFFORTS TO REACH ADDITIONAL TARGETED UNDERSERVED POPULATIONS IN THE COMMUNITY. THERE ARE DEDICATED STAFF UNDER THE MEDICAL GROUP WHO ALSO SUPPORT OH STRATEGIES, AND THOUGH NOT COUNTABLE ON THE IRS FROM 990 H, CERTAINLY MAKE SIGNIFICANT CONTRIBUTIONS TO THE IMPACT WE CAN HAVE TO ADDRESS CHRONIC HEALTH DISEASE AND PRIORITY HEALTH ISSUES. IN ASSISTING COMMUNITY EFFORTS TO INCREASE ACCESS POINTS, IT IS OFTEN THE PROVIDERS IN THE MEDICAL GROUP, NAVIGATORS AND AS WELL AS SPECIALISTS FROM THE MEDICAL FITNESS FACILITY WITHIN OUR SYSTEM WHO PLAY AN INSTRUMENTAL ROLE IN CARRYING OUT THE WORK TO ENSURE WE ARE MEETING THE NEEDS OF THE UNDERSERVED. THEY ALSO PROVIDE OUTREACH EFFORTS TO IMPACT COMMUNITY MEMBERS WHO ARE REPRESENTATIVE OF THE PRIORITY HEALTH ISSUES. WE ISOLATE THE INVESTMENTS WE MAKE PER 501(R) GUIDELINES WHILE RECOGNIZING THE CHALLENGE OF CAPTURING AND QUANTIFYING IN MONETARY TERMS THE TRUE MAGNITUDE OF OUR COMMUNITY BENEFIT EXPENDITURES. 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 COMMUNITY DENTAL CLINIC 2811 NEW HARTFORD ROAD OWENSBORO KY 42301 262343126 501(c)(3) 61000 COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT University of Kentucky Research Foundation 301 Peterson Service Building LEXINGTON KY 40506 616033693 501(c)(3) 59895 COMMUNITY SUPPORT UNITED WAY P O BOX 705 OWENSBORO KY 42302 610435444 501(c)(3) 57937 0 COMMUNITY SUPPORT GREEN RIVER DISTRICT HLTH DEPT PO BOX 309 OWENSBORO KY 42302 611010686 GOV 57762 0 COMMUNITY SUPPORT HOSPICE & PALLIATIVE CARE OF WESTERN KY 3419 WATHENS CROSSING OWENSBORO KY 42301 311010160 501(c)(3) 40900 0 COMMUNITY SUPPORT DAVIESS COUNTY PUBLIC SCHOOLS PO BOX 21510 OWENSBORO KY 42304 616001338 GOV 37000 0 COMMUNITY SUPPORT WKU RESEARCH FOUNDATION INC 1906 COLLEGE HEIGHTS BLVD 11016 BOWLING GREEN KY 42101 611358086 501(c)(3) 36827 0 COMMUNITY SUPPORT AMERICAN HEART ASSOCIATION PO BOX 2675 EVANSVILLE IN 47728 135613797 501(c)(3) 30500 0 COMMUNITY SUPPORT COMMUNITY HEALTH CHARITIES OF KY 310 WEST LIBERTY ST STE 714 LOUISVILLE KY 40202 611202972 501(c)(3) 27605 0 COMMUNITY SUPPORT CASA OF OHIO VALLEY INC 415 ST ANN STREET OWENSBORO KY 42303 611303511 501(c)(3) 25175 0 COMMUNITY SUPPORT PUZZLE PIECES INC 1512 FREDERICA STREET OWENSBORO KY 42301 453042804 501(c)(3) 25000 0 COMMUNITY SUPPORT OWENSBORO SYMPHONY ORCHESTRA 211 EAST 2ND STREET OWENSBORO KY 42303 616055984 501(c)(3) 22796 0 COMMUNITY SUPPORT BOULWARE MISSION INC 609 WING AVE OWENSBORO KY 42303 610486968 501(c)(3) 22300 0 COMMUNITY SUPPORT MENTORKIDS KENTUCKY 1700 FREDERICA ST STE 204 OWENSBORO KY 42301 611222299 501(c)(3) 21300 0 COMMUNITY SUPPORT OWENSBORO DANCE THEATRE 2705 BRECKENRIDGE STREET OWENSBORO KY 42303 611040701 501(c)(3) 21000 0 COMMUNITY SUPPORT OWENSBORO MUSEUM OF SCIENCE & HISTORY 122 E 2ND ST OWENSBORO KY 42303 611164857 501(c)(3) 21000 0 COMMUNITY SUPPORT RIVERPARK CENTER 101 DAVIESS STREET OWENSBORO KY 42303 611147328 501(c)(3) 20000 0 COMMUNITY SUPPORT OWENSBORO MUSEUM OF FINE ART 901 FREDERICA STREET OWENSBORO KY 42301 611297343 501(c)(3) 20000 0 COMMUNITY SUPPORT SUPPLIES OVER SEAS 1500 ARLINGTON AVE LOUISVILLE KY 40206 272624272 501(c)(3) 20000 0 COMMUNITY SUPPORT INTERNATIONAL BLUEGRASS MUSIC MUSEUM 207 EAST 2ND STREET OWENSBORO KY 42303 611229037 501(c)(3) 20000 0 COMMUNITY SUPPORT THEATRE WORKSHOP OF OWENSBORO 407 W 5TH STREET OWENSBORO KY 42301 610968600 501(c)(3) 18500 0 COMMUNITY SUPPORT OWENSBORO PUBLIC SCHOOLS 450 GRIFFITH AVENUE OWENSBORO KY 42301 616001339 GOV 18468 0 COMMUNITY SUPPORT APOLLO HIGH SCHOOL 2280 TAMARACK ROAD OWENSBORO KY 42301 616001338 GOV 16000 0 COMMUNITY SUPPORT AUDUBON AREA COMMUNITY SERVICE 1650 WEST SECOND STREET STE B OWENSBORO KY 42301 237364935 501(c)(3) 13000 0 COMMUNITY SUPPORT MUNDAY ACTIVITY CENTER INC 1650 W SECOND ST OWENSBORO KY 42301 311044915 501(c)(3) 12186 0 COMMUNITY SUPPORT GIRLS INCORPORATED P O BOX 1626 OWENSBORO KY 42302 610706477 501(c)(3) 10280 0 COMMUNITY SUPPORT PROJECT CAMP INC 1501 BURNLEY ROAD SCOTTSVILLE KY 42164 201789905 501(c)(3) 10000 0 COMMUNITY SUPPORT GREATER OWENSBORO YOUNG LIFE 2740 KELLER ROAD OWENSBORO KY 42301 840385934 501(c)(3) 9300 0 COMMUNITY SUPPORT FRIENDS OF SINNERS 320 CLAY STREET OWENSBORO KY 42303 270332382 501(c)(3) 8500 0 COMMUNITY SUPPORT OWENSBORO REGIONAL SUICIDE PREVENTION 991 BELLEWOOD DRIVE HENDERSON KY 42420 261136007 501(c)(3) 8500 0 COMMUNITY SUPPORT TRI-STATE FOOD BANK INC 801 E MICHIGAN ST EVANSVILLE IN 47711 351539870 501(c)(3) 6768 0 COMMUNITY SUPPORT STRATEGIC FUNDING GROUP 1040 WEST MARIETTA STREET ATLANTA GA 30318 611353377 6750 0 COMMUNITY SUPPORT THE WAY OF ROCKPORT IN PO BOX 506 ROCKPORT IN 47635 522608343 501(c)(3) 6000 0 COMMUNITY SUPPORT FATHER BRADLEY SHELTER FOR WOMEN 530 KLUTEY PARK PLAZA HENDERSON KY 42420 611335313 501(c)(3) 5916 0 COMMUNITY SUPPORT OWENSBORO HEALTH FOUNDATION 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 611251763 501(c)(3) 537194 0 COMMUNITY SUPPORT OWENSBORO COMMUNITY & TECHNICAL COLLEGE 4800 NEW HARTFORD ROAD OWENSBORO KY 42303 611109704 501(c)(3) 101000 COMMUNITY SUPPORT MUHLENBERG COUNTY BOARD OF EDUCATION 510 W MAIN STREET POWDERLY KY 42367 616001286 GOV 221963 COMMUNITY SUPPORT 36 1 TUITION ASSISTANCE 62 186560 0 PATIENT MEDICAL FUND 238 33204 0 CANCER CENTER MEDICAL FUND 27 6344 0 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 true true false false false false false true false Patterson Philip Former President/CEO 0 0 0 0 798200 0 0 0 0 0 798200 0 0 0 Hackbarth Jr John Chief Financial Officer 358631 0 68784 0 77983 0 27540 0 16469 0 549407 0 0 0 Heath Jr Edward L COO - OHMCH 225242 0 43707 0 40395 0 27540 0 21703 0 358587 0 0 0 Scherm Michael J MD CHIEF MEDICAL OFFICER 340767 0 65551 0 24085 0 27540 0 19459 0 477402 0 0 0 Begley II Ernest E Chief Legal Officer 287185 0 55832 0 53373 0 27540 0 24029 0 447959 0 0 0 Jones Lisa VP ANCILLARY SERVICES 212975 0 41289 0 46161 0 27438 0 16469 0 344332 0 0 0 Medley Jr Richard W MD Chief Medical Officer 349457 0 65239 0 55394 0 27540 0 6035 0 503665 0 0 0 Ranallo Russell VP FINANCE 256540 0 49932 0 45076 0 24840 0 22101 0 398489 0 0 0 Strahan Greg PRESIDENT AND CEO 715648 0 132988 0 75508 0 27540 0 21856 0 973540 0 0 0 Johnson Stephen M VP GOVT AND COMMUNITY AFFAIRS 147139 0 29164 0 18903 0 20059 0 22113 0 237378 0 0 0 Suter Mia Chief Administrative Officer 313952 0 58461 0 50364 0 27540 0 5446 0 455763 0 0 0 Danhauer David E MD VP CMIO 300503 0 58282 0 25654 0 27540 0 19773 0 431752 0 0 0 Jacildo Ruby VP Accounting/Controller 175172 0 34538 0 15537 0 23456 0 21451 0 270154 0 0 0 Bryant MD Bill VP QUALITY AND PATIENT SAFETY 284483 0 53999 0 37254 0 9450 0 16703 0 401889 0 0 0 Cordini Rosalind VP LEGAL SERVICES AND CCO 184684 0 35155 0 13510 0 7866 0 8486 0 249701 0 0 0 Looney Luara L Director of EPIC Applications 157519 0 11267 0 1587 0 6039 0 6854 0 183266 0 0 0 Haynes Heather Director of Pharmacy 167817 0 15448 0 417 0 18712 0 764 0 203158 0 0 0 Taylor Joseph W Executive Director, Facilities 159597 0 15640 0 8954 0 19436 0 20509 0 224136 0 0 0 Montaven Simone J Exec Dir of Human Resources 158157 0 15169 0 1412 0 18157 0 11755 0 204650 0 0 0 Roberts Kenneth W DIR OF COMPLIANCE AND CONTRACT 142509 0 13864 0 12637 0 14200 0 18421 0 201631 0 0 0 Bostic Deborah K COO-OHRH 360647 0 67501 0 18989 0 8224 0 12454 0 467815 0 0 0 Myer Mitchell Kathleen K VP Pt Care Svcs and CNO-MCH 140131 0 13324 0 912 0 5472 0 5869 0 165708 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 W2. FORM 990, SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENT PHILIP PATTERSON RECEIVED SEVERANCE PAYMENT OF $798,200. 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, 2017 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 $34,384; JOHN HACKBARTH $40,976; EDWARD HEATH $24,103; LISA JONES $28,114; RICHARD W. MEDLEY $30,036; RUSSELL RANALLO $29,465; GREG STRAHAN $51,863; MIA SUTER $34,448. 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 WHOS 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 49126KGX3 2010-03-03 512772595 SEE PART VI false false false B KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY 610600439 49126KHT1 2015-08-13 97567179 SEE PART VI false false false C KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY 610600439 49126KKF7 2017-05-17 501226816 SEE PART VI false false false A 453810000 0 522526166 37973722 71314017 0 8204303 0 0 346058405 58975719 0 2013 true false true true B 0 0 98490749 3454908 0 26757740 1765964 0 420083 66075422 0 0 2018 true false true true C 0 0 501226816 0 0 0 4780485 6163038 0 0 490283293 0 2017 false true true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false false false true false false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true FORM 990, SCHEDULE K, 2010 BOND PROCEEDS FINANCED 1) A 9-STORY REPLACEMENT ACUTE CARE HOSPITAL, 2) A 4-STORY SUPPORT SERVICES BLDG, 3) A ONE AND A HALF STORY CENTRAL ENERGY PLANT, 4) PARKING LOT. IN ADDITION, PROCEEDS REFUNDED A PORTION OF THE SERIES 2001 BONDS (ISSUED 6/13/01) AND FUNDED A PORTION OF THE DEBT SERVICE RESERVE FUND. 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. 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. 2010 AND 2015 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 K, PART IV, LINE 2C, BOND A 3/3/2015 BEST DANIEL SON IN LAW OF DAVID DANHAUER 55818 EMPLOYEE COMPENSATION false BEST JULIA DAUGHTER OF DAVID DANHAUER 12439 EMPLOYEE COMPENSATION false CANTEEN SERVICE COMPANY JACK WELLS/OWNER 142292 CANTEEN SERVICES false EMERY JESSICA L DAUGHTER OF WILLIAM HARRISON 48146 EMPLOYEE COMPENSATION false RANALLO JENNIFER WIFE OF RUSSELL RANALLO 46882 EMPLOYEE COMPENSATION false SCHEPERS CHRISTINE M SISTER OF DAVID DANHAUER 83836 EMPLOYEE COMPENSATION false STRAHAN GREGORY R SON OF GREG STRAHAN 33542 EMPLOYEE COMPENSATION false STRAHAN HILLARY L DAUGHTER IN LAW OF GREG STRAHAN 121191 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 2 FAMILY OR BUSINESS RELATIONSHIPS MICHAEL SCHERM, KEY EMPLOYEE OF OH, IS THE HUSBAND OF JANICE SCHERM AN OH BOARD MEMBER THROUGH OCTOBER 2017. 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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