OWENSBORO HEALTH REGIONAL HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OWENSBORO HEALTH REGIONAL HOSPITAL (EIN 61-1286361)
Tax period
2012-06-01 to 2013-05-31
Filed
2013-10-15
IRS object ID
201342889349300749
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-10-15T12:24:55-05:00Timestamp
Tax Period End Date2013-05-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN611286361EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OWENSBORO HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% John HackbarthInCareOfName
Name ControlOWENNameControl
Phone2704172000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 Pleasant Valley RoadAddressLine1
Address Line2SuiteAddressLine2
CityOwensboroCity
StateKYState
ZIP Code42303ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJohn HackbarthName
TitleVP/CFOTitle
Date Signed2013-10-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonDr Jeff BarberNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11201 Pleasant Valley RoadAddressLine1
CityOwensboroCity
StateKYState
ZIP Code42303ZIPCode
FieldValueIRS element (for citing)
Gross Receipts536250533GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.owensborohealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionOWENSBORO HEALTH, INC. EXISTS TO HEAL THE SICK AND IMPROVE the health OF THE COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees3834TotalNbrEmployees
Total Nbr Volunteers172TotalNbrVolunteers
Total Gross UBI6383684TotalGrossUBI
Net Unrelated Business Txbl Income-2129310NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year141493ContributionsGrantsPriorYear
Contributions Grants Current Year1671151ContributionsGrantsCurrentYear
Program Service Revenue Prior Year397604297ProgramServiceRevenuePriorYear
Program Service Revenue CY397276673ProgramServiceRevenueCY
Investment Income Prior Year5006912InvestmentIncomePriorYear
Investment Income Current Year7844109InvestmentIncomeCurrentYear
Other Revenue Prior Year7995060OtherRevenuePriorYear
Other Revenue Current Year13333625OtherRevenueCurrentYear
Total Revenue Prior Year410747762TotalRevenuePriorYear
Total Revenue Current Year420125558TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1573213GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2136463GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year162147279SalariesEtcPriorYear
Salaries Etc Current Year169245382SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year205111194OtherExpensePriorYear
Other Expenses Current Year245749931OtherExpensesCurrentYear
Total Expenses Prior Year368831686TotalExpensesPriorYear
Total Expenses Current Year417131776TotalExpensesCurrentYear
Revenues Less Expenses Prior Year41916076RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2993782RevenuesLessExpensesCY
Total Assets BOY1044932854TotalAssetsBOY
Total Assets EOY1059315250TotalAssetsEOY
Total Liabilities BOY672552946TotalLiabilitiesBOY
Total Liabilities EOY660527864TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY372379908NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY398787386NetAssetsOrFundBalancesEOY
Mission DescriptionOwensboro Health, inc. exists to heal the sick and improve THE HEALTH OF THE COMMUNITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense255619249Expense
Grants2136463Grants
Revenue401311263Revenue
DescriptionOwensboro Health, inc. ("OH") provides a broad range of general acute care services, including surgical, cardiac, oncology and emergency services to meet the healthcare needs of our regional community, serving 11 counties in western Kentucky and southern Indiana. Our medical services are delivered by highly skilled physicians along with a caring and compassionate nursing staff. OMHS 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, 2013, OH had total admissions of 17,419, patient days of 81,123, and ER visits of 63,671.Description
Total Program Service Expense255619249TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096129NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3834NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJohn HackbarthNamePerson
Telephone Number2704174814TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11201 Pleasant Valley RoadAddressLine1
CityOwensboroCity
StateKYState
ZIP Code42303ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Bea Charles MD
Board Member3.00.0X
Blazar Suzanne Northern
Board Member3.00.0X
Carpenter Jeff
Board Member (as of 11/1/12)3.01.0X
Harris Susanne
Board Member (as of 11/1/12)3.00.0X
Henderson George
Vice Chairman3.01.0XX000
Knight Robert MD
Board Member3.00.0X
Millsap Mark MD
Board Member (as of 11/1/12)3.00.0X
Nunley Deborah
Chairman3.01.0XX
Presser Ron
Board Member3.00.0X
Rice Jeff
Board Member3.00.0X
Scherm Janice
Secretary3.00.0XX
Woodward Terry
Board Member3.00.0X
Wells Jack
Board Member (as of 11/1/12)3.01.0X
Yeiser Michael MD
Board Member (as of 11/1/12)3.00.0X00
Poynter Gerald
Board Member (until 10/31/12)3.00.0X
Schell Robert MD
Board Member (until 10/31/12)3.00.0X
Smith Ted G
Vice Chairman (until 10/31/12)3.03.0XX
BRADEN ALAN
CHAIRMAN (until 10/31/2012)3.00.0XX
maddox tom MD
board member (until 10/31/12)3.00.0X
Barber Jeffrey
President / CEO46.04.0X912715080813
Begley II Earnest E
Chief Legal Officer40.010.034198144316X
Hackbarth Jr John
Chief Financial Officer47.03.042342344068X
Jones Lisa
Vice President of Clinical Svc40.010.026990537539X
Medley Jr Richard W
Chief Medical Officer40.010.030458128921X
Mills Michael
Vice President - Ancillary Svc40.010.025178133232X
Ranallo Russell
Vice President - Financial Svc40.010.030894642492X
Stogsdill Vicki
Vice President of Nursing Svc40.010.041300843833X
Strahan Greg
Chief Operations Officer47.03.056289853450X
Suter Mia
Chief Development Officer40.010.039010332206X
Tyler MD Terry W
Chief Outpatient Imag Officer30.020.033343132990X
Chapman William
Staff Psychiatrist40.00.026615737050X
Danhauer David E
Chief Medical Info Offier40.010.025648753025X
Vaughn Rex C
Executive Director - Info syst40.010.019739233655X
Besier James L
Director of Pharmacy40.010.018185326005X
Taylor Joseph W
Executive Director, Facilities40.010.017086037141X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5585521TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation660736TotalOtherCompensation
Number Individuals GT100 K96NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Morrison Management Specialists
PO Box 102289ATLANTAGA30368Food Services5312382
Louisville Radiology Imaging Consul
71 West 156th Street Suite 110HARVEYIL60426In-patient Radiology5235660
Owensboro Anesthesia Services PLLC
815 E Parrish AvenueOWENSBOROKY42303Anesthesia Services3212693
EA Health
440 Stevens AvenueSOLANA BEACHCA92075er call coverage1901205
Wyatt Tarrant and Combs
500 West Jefferson St Suite 2800LOUISEVILLEKY40202Legal Services1583899
FieldValueIRS element (for citing)
Number Of Contractors GT100 K66NumberOfContractorsGT100K
Related Organizations1663951RelatedOrganizations
All Other Contributions7200AllOtherContributions
Total Contributions1671151TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Other Insurance Payments622110220051513220051513
Medicare/Medicaid Payments622110178766275178766275
REVENUE - OWENSBORO AMBULATORY SURGICAL62211010013901001390
REVENUE - OWENSBORO CANCER RESEARCH622110-902561-902561
REVENUE - OWENSBORO MEDICAL CENTER LAB622110-1639944-1639944
FieldValueIRS element (for citing)
Total Program Service Revenue397276673TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3870375TotalRevenueColumn
Exclusion$3,870,375ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real261218Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real261218Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column261218TotalRevenueColumn
Exclusion$261,218ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities119886447Securities
Other10672Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities115923385Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3963062Securities
Other10672Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3973734TotalRevenueColumn
Exclusion$3,973,734ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory395824GrossSalesOfInventory
Cost Of Goods Sold201590CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column194234TotalRevenueColumn
Exclusion$194,234ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Kentucky Bio Processing54170059906935990693
CAFETERIA & VENDING MACHINE REVENUE7222102459899$2,459,899
LAUNDRY & CATERING & OTHER 990T812300392991392991

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column4034590TotalRevenueColumn
Related Or Exempt Function Income4034590RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue12878173TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column420125558TotalRevenueColumn
Related Or Exempt Function Income401311263RelatedOrExemptFunctionIncome
Unrelated Business Revenue6383684UnrelatedBusinessRevenue
Exclusion$10,759,460ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1948112Total
Program Services1948112ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total188351Total
Program Services188351ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5041632Total
Management And General5041632ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total328754Total
Program Services328754ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total120764717Total
Program Services93011436ProgramServices
Management And General27753281ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total11778410Total
Program Services11717592ProgramServices
Management And General60818ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total22363885Total
Program Services16541947ProgramServices
Management And General5821938ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8967984Total
Program Services4995014ProgramServices
Management And General3972970ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total8947409Total
Program Services4582218ProgramServices
Management And General4365191ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1934009Total
Program Services2219ProgramServices
Management And General1931790ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total175638Total
Management And General175638ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total85821Total
Program Services85821ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total317506Total
Management And General317506ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total30228077Total
Program Services19421532ProgramServices
Management And General10806545ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3612991Total
Program Services6665ProgramServices
Management And General3606326ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7786754Total
Program Services2661054ProgramServices
Management And General5125700ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8519264Total
Program Services927145ProgramServices
Management And General7592119ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total148872Total
Program Services50675ProgramServices
Management And General98197ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6785325Total
Program Services738487ProgramServices
Management And General6046838ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1153252Total
Program Services272382ProgramServices
Management And General880870ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total320127Total
Program Services64737ProgramServices
Management And General255390ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4765640Total
Management And General4765640ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total62542265Total
Management And General62542265ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3891123Total
Program Services4257ProgramServices
Management And General3886866ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES6518898164968256220725
BAD DEBT EXPENSE3096878430968784
KENTUCKY PROVIDER TAX38385443838544
DIETARY29630212072475890546

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1576528Total
Program Services61336ProgramServices
Management And General1515192ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total417131776Total
Program Services255619249ProgramServices
Management And General161512527ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10499BOY
EOY10101EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY106717969BOY
EOY54532284EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY104014817BOY
EOY119108948EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY208805BOY
EOY138131EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY158255BOY
EOY114504EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7761188BOY
EOY9278834EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9783322BOY
EOY11532671EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis908698168LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec305052346LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY471767555BOY
EOY603645822EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY138513956BOY
EOY160144343EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY28130469BOY
EOY25576897EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY12559681BOY
EOY12431777EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY165306338BOY
EOY62800938EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1044932854BOY
EOY1059315250EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY56308551BOY
EOY62432494EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY5365936BOY
EOY6253420EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY507225368BOY
EOY507370881EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY9099330BOY
EOY3095888EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY94553761BOY
EOY81375181EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY672552946BOY
EOY660527864EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY372379908BOY
EOY398787386EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY372379908BOY
EOY398787386EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1044932854BOY
EOY1059315250EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2993782ReconcilationRevenueExpenses
Reconciliation Unrealized Invest12600345ReconciliationUnrealizedInvest
Reconcilation Other Changes10813351ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$56,164DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$29,657OtherActivitiesAmount
Total Lobbying Expenditures IIB85821TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationPERCENTAGE OF LOBBYING ACTIVITIES FROM KENTUCKY HOSPITAL ASSOCIATION DUES and AHA DUES. SUPPLEMENTAL INFORMATION 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 NUMBER YEARS. IN ADDITION, LOBBYING AT THE LOCAL LEVEL IS GENERALLY CONFINED TO REGULATORY MATTERS AND IS NOT ONGOING. FROM A GRASSROOTS 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, 2013, ALL LOBBYING ACTIVITY BY THE EXECUTIVE DIRECTOR DID NOT EXCEED 30% OF TOTAL WORK-RELATED DUTIES AND RESPONSIBILITIES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis13293533OtherCostOrOtherBasis
Book Value13293533BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis99218120OtherCostOrOtherBasis
Depreciation97382991Depreciation
Book Value1835129BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis69407421OtherCostOrOtherBasis
Depreciation49831458Depreciation
Book Value19575963BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis230019915OtherCostOrOtherBasis
Depreciation157837897Depreciation
Book Value72182018BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis496759179OtherCostOrOtherBasis
Book Value496759179BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings603645822TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Cost of Issuance Series A 20102360361
Cost of Issuance Series B 2010264910
LTD Use Assets from Series A&B59825126
Key Executive Plan350541
FieldValueIRS element (for citing)
Total Book Value Other Assets62800938TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Due to Third Party Payors$21,194,826
Accrued Pension$46,009,814
Workman's Comp Reserve$5,378,854
Malpractice Reserve$8,791,687
FieldValueIRS element (for citing)
Total Of Amounts81375181TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierACCOUNTING FOR UNCERTAINTY IN INCOME TAXESIdentifier
Return ReferenceFORM 990, PART X, LINE 2ReturnReference
ExplanationThe system APPLIES FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC TOPIC 740 (TOPIC 740), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS AND PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE HAS BEEN NO IMPACT ON the system'S CONSOLIDATED FINANCIAL STATEMENTS AS A RESULT OF TOPIC 740.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage225.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage375.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense22151518TotalCommunityBenefitExpense
Direct Offsetting Revenue1950632DirectOffsettingRevenue
Net Community Benefit Expense20200886NetCommunityBenefitExpense
Percent Of Total Expense0.05230PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense49180115TotalCommunityBenefitExpense
Direct Offsetting Revenue33523543DirectOffsettingRevenue
Net Community Benefit Expense15656572NetCommunityBenefitExpense
Percent Of Total Expense0.04050PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense71331633TotalCommunityBenefitExpense
Direct Offsetting Revenue35474175DirectOffsettingRevenue
Net Community Benefit Expense35857458NetCommunityBenefitExpense
Percent Of Total Expense0.09280PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs637NumberOfActivitiesOrPrograms
Persons Served498962PersonsServed
Total Community Benefit Expense2103826TotalCommunityBenefitExpense
Direct Offsetting Revenue5761DirectOffsettingRevenue
Net Community Benefit Expense2098065NetCommunityBenefitExpense
Percent Of Total Expense0.00540PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs45NumberOfActivitiesOrPrograms
Persons Served166PersonsServed
Total Community Benefit Expense355941TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense355941NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense798631TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense798631NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs235NumberOfActivitiesOrPrograms
Persons Served166302PersonsServed
Total Community Benefit Expense1073680TotalCommunityBenefitExpense
Direct Offsetting Revenue212DirectOffsettingRevenue
Net Community Benefit Expense1073468NetCommunityBenefitExpense
Percent Of Total Expense0.00280PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs918NumberOfActivitiesOrPrograms
Persons Served665430PersonsServed
Total Community Benefit Expense4332078TotalCommunityBenefitExpense
Direct Offsetting Revenue5973DirectOffsettingRevenue
Net Community Benefit Expense4326105NetCommunityBenefitExpense
Percent Of Total Expense0.01120PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs918NumberOfActivitiesOrPrograms
Persons Served665430PersonsServed
Total Community Benefit Expense75663711TotalCommunityBenefitExpense
Direct Offsetting Revenue35480148DirectOffsettingRevenue
Net Community Benefit Expense40183563NetCommunityBenefitExpense
Percent Of Total Expense0.10400PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served200PersonsServed
Total Community Building Expense726TotalCommunityBuildingExpense
Net Community Building Expense726NetCommunityBuildingExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served450PersonsServed
Total Community Building Expense12900TotalCommunityBuildingExpense
Net Community Building Expense12900NetCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs11NumberOfActivitiesOrPrograms
Persons Served107366PersonsServed
Total Community Building Expense115750TotalCommunityBuildingExpense
Net Community Building Expense115750NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served30PersonsServed
Total Community Building Expense28000TotalCommunityBuildingExpense
Net Community Building Expense28000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served108046PersonsServed
Total Community Building Expense157376TotalCommunityBuildingExpense
Net Community Building Expense157376NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$30,968,784BadDebtExpenseAmount
Amount Attributable To15484392AmountAttributableTo
Amount Reimbursed By Medicare121039273AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare143931823CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-22892550MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1OWENSBORO CHNBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityPROVIDER NETWORKDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.50000OrganizationProfitOrOwnership
Physicans Profit Or Ownership0.44000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1owensboro health incBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11201 Pleasant Valley RoadAddressLine1
CityowensboroCity
StateKYState
ZIP Code42303ZIPCode
FieldValueIRS element (for citing)
Website Addresswww.owensborohealth.orgWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1owensboro health incBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Prioritize Health NeedsXPrioritizeHealthNeeds
Other Needs AddressedXOtherNeedsAddressed
All Needs AddressedtrueAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent225.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent375.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Lowest Negotiated RatesXLowestNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1Owensboro Ambulatory Surgical FacilityBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11201 Pleasant Valley RoadAddressLine1
CityOwensboroCity
StateKYState
ZIP Code42303ZIPCode
FieldValueIRS element (for citing)
Facility TypeMulti-specialty surgery centerFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (2 entries)

IdentifierIdentifierExplanationExplanation
SUPPLEMENTAL INFORMATION1. PART I, LINE 7 WHEN CALCULATING THE COMMUNITY BENEFIT PERCENTAGES IN PART I, LINE 7, BAD DEBT EXPENSE OF $30,968,784 WAS EXCLUDED. 1. PART III, LINE 4 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. 1. PART III, LINE 8 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. 1. PART III, LINE 9B 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. 1. PART V, SECTION B, LINE 13 THE HOSPITAL HAS FINANCIAL AID APPLICATIONS AVAILABLE AT REGISTRATION AREAS, VIA THE INTERNET, VIA PHONE, VIA REQUEST OF PATIENT 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 AS WELL AS MEDICAID OR DISABILITY ELIGIBILITY. THE PATIENT IS RESPONSIBLE FOR COMPLETING THE FINANCIAL AID APPLICATION AND RETURNING IT TO THE HOSPITAL. IF THE PATIENT NEEDS ASSISTANCE COMPLETING THE APPLICATION, THERE ARE FINANCIAL COUNSELORS AVAILABLE TO HELP THE PATient COMPLETE THE FORMS. THE FINANCIAL COUNSELORS REVIEW THE APPLICATIONS AND WORK WITH THE PATIENT TO MAKE SURE THE APPLICATIONS ARE COMPLETE. ONCE COMPLETED, THE APPLICATIONS ARE REVIEWED AND DETERMINATION IS MADE IF THE PATIENT QUALIFIES FOR ANY LEVEL OF ASSISTANCE. THE DECISION IS THEN COMMUNICATED TO THE PATIENT. 1. PART V, SECTION B, LINE 14G IN ADDITION TO THE OTHER METHODS LISTED, OWENSBORO HEALTH, inc. PUBLISHES AN ARTICLE ANNUALLY IN A REGIONAL HEALTH MAGAZINE THAT DESCRIBES AND PROVIDES INFORMATION ON HOW TO APPLY FOR THE FINANCIAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE. THE MAGAZINE IS DISTRIBUTED TO 100,000 HOMES IN THE REGION WE SERVE.
2. NEEDS ASSESSMENTSOwensboro health, Inc. ("OH") ENGAGED THE HEALTHY COMMUNITIES INSTITUTE (HCI) TO DEVELOP A COMMUNITY HEALTH INDICATORS DATA BASE IN FISCAL YEAR 2012. THIS DATA BASE INCLUDES MORE THAN 100 HEALTH INDICATORS FROM THE PRIMARY SERVICE AREA THAT IS AVAILABLE TO THE GENERAL PUBLIC VIA THE OH WEBSITE. WHILE OH FINANCED THE PROJECT, IT IS A COLLABORATIVE EFFORT WITH LOCAL ORGANIZATIONS. WORKING WITH THESE ORGANIZATIONS, THE HCI DATA, ALONG WITH FINDINGS FROM THE GREEN RIVER DISTRICT HEALTH DEPARTMENT AND OTHER FINDINGS FROM A SECONDARY ANALYSIS OF THE ALL INPUT DATA, WAS USED TO ASSESS OUR HEALTH NEEDS AS A COMMUNITY AND TO DEVELOP OUR IMPLEMENTATION STRATEGY. THE ASSESSMENT WAS COMPLETED AND APPROVED BY THE OH BOARD OF DIRECTIONS ON JANUARY 29, 2013 AND IS NOW PUBLISHED AND AVAILABLE ON THE OH WEBSITE. IN COMPLIANCE WITH THE IRS FORM 990 - SCHEDULE H, THE OH COMMUNITY NEEDS ASSESSMENT REPORT PROVIDES (1) A DESCRIPTION OF THE COMMUNITY AND DEMOGRAPHICS SERVED, (2) A DESCRIPTION OF HOW THE REPORT'S DATA WAS OBTAINED INCLUDING INFORMATION GAPS THAT LIMIT oh'S ABILITY TO ASSESS ALL OF THE COMMUNITY'S HEALTH NEEDS, (3) THE HEALTH NEEDS IN THE COMMUNITY, INCLUDING THE PRIMARY AND CHRONIC DISEASE NEEDS AND OTHER HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS, (4) THE PROCESS FOR IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS AND SERVICES TO MEET THE COMMUNITY HEALTH NEEDS, AND (5) A DESCRIPTION OF HOW THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED. THE FINDINGS IN THIS REPORT ARE MEANT TO COMPLEMENT AND EXPAND ON THE EXISTING COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT EFFORTS CURRENTLY UNDERWAY IN DAVIESS COUNTY AND THE SURROUNDING AREA. IN 2011 THE GREEN RIVER DISTRICT HEALTH DEPARTMENT (GRDHD), WHICH INCLUDES THE COUNTIES OF DAVIESS, HANCOCK, HENDERSON, MCLEAN, OHIO, UNION, AND WEBSTER, BEGAN A COMMUNITY-WIDE PROCESS TO ANALYZE COMMUNITY HEALTH NEEDS AND IDENTIFY THE HEALTH PRIORITIES FOR THE REGION. THE COMMUNITY HEALTH ASSESSMENT, OR CHA, IS A FEDERAL REQUISITE FOR OBTAINING PUBLIC HEALTH ACCREDITATION. GRDHD UTILIZED THE STRATEGIC PLANNING FRAMEWORK KNOWN AS MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS, OR MAPP, DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY & CITY HEALTH OFFICIALS (NACCHO). FOR ADDITIONAL INFORMATION GO TO HTTP://WWW.HEALTHDEPARTMENT.ORG/ THE INITIAL PLANNING PHASES OF THE MAPP PROCESS BEGAN IN LATE 2011 AND INITIATED IN JANUARY 2012. BY JUNE 2012 THE MAPP PROCESS HAD YIELDED THE THREE PRIORITY HEALTH ISSUES TO BE ADDRESSED BY THE GRDHD IN DAVIESS COUNTY. THE ASSESSMENTS AND INFORMATION COLLECTED BY THE GRDHD INCLUDED A SECONDARY DATA ASSESSMENT, AN ON-LINE AND IN-PERSON SURVEY, AND COMMUNITY FORUMS TO OBTAIN INFORMATION AND COLLABORATE WITH STAKEHOLDERS, ALL OF WHICH INFORMED THE IDENTIFICATION OF KEY COMMUNITY HEALTH ISSUES. THE SECONDARY DATA ASSESSMENT CONDUCTED BY THE GRDHD UTILIZED THE OH'S ONLINE COMMUNITY DASHBOARD (WWW.OWENSBOROHEALTH.ORG/HEALTHASSESSMENT). AFTER REVIEW OF THE SECONDARY DATA, THE GRDHD FOUND THAT IN DAVIESS COUNTY THERE WAS: - HIGH TEEN BIRTH RATE - HIGH PREVALENCE OF SMOKING - HIGH RATE OF LUNG CANCER DEATHS - HIGH RATE OF STD'S - CHLAMYDIA - HOSPITALIZATIONS & ER RATES DUE TO ALCOHOL ABUSE A COMMUNITY PERCEPTION SURVEY ASSESSMENT WAS MADE AVAILABLE ONLINE AND IN-PERSON AT EACH OF THE SEVEN HEALTH CLINICS THROUGHOUT THE REGION. APPROXIMATELY 500 PEOPLE COMPLETED THE SURVEY, AND THOSE INVOLVED WITH THE DATA COLLECTION AND ANALYSIS SAID THAT THE SURVEY TARGETED THE UNDERSERVED POPULATION. THE SURVEY RESULTS GROUPED BY QUESTION WERE: TOP ISSUES IDENTIFIED IN THE COMMUNITY PERCEPTION SURVEY: - OBESITY (24%) - ACCESS TO CARE (21%) - MENTAL HEALTH (18%) - DIABETES (17%) - HEART DISEASE (16%) - ALSO: CANCER, SMOKING, DRUG ABUSE, DENTAL HEALTH (4%) RISKS IDENTIFIED IN THE COMMUNITY PERCEPTION SURVEY: - LACK OF SERVICES FOR LOW INCOME POPULATION (40%) - LACK OF HEALTHCARE/AFFORDABLE FOOD (27%) - UNEMPLOYMENT (22%) - SUBSTANCE ABUSE (11%) HEALTH RELATED THREATS AS A RESULT OF CHANGES IN COMMUNITY IDENTIFIED IN THE COMMUNITY PERCEPTION SURVEY: - LOSS OF HEALTH INSURANCE/INCREASED INSURANCE COSTS (63%) - JOB LOSS (29%) - MOVING THE HOSPITAL - IMPACT ON ACCESS (5%) - CUTS IN FUNDING (3%) ADDITIONALLY, THE GRDHD FACILITATED TWO COMMUNITY FORUMS HELD IN THE FIRST HALF OF 2012 TO ENGAGE WITH COMMUNITY STAKEHOLDERS AND COLLECTEDTHEIR INPUT. THE COMMUNITY FORUMS WERE ATTENDED BY BETWEEN 75 AND 100 COMMUNITY MEMBERS REPRESENTING A DIVERSE GROUP OF NON-GOVERNMENTAL ORGANIZATIONS, BUSINESSES, HEALTHCARE INSURERS AND PROVIDERS, AND GOVERNMENT AGENCIES. THE FIRST FORUM WAS DESIGNED TO IDENTIFY HEALTH NEEDS AS WELL AS IDENTIFY ALL RESOURCES CURRENTLY AVAILABLE TO MEET THOSE NEEDS, AND WAS TITLED COMMUNITY HEALTH FORUM. PARTICIPANTS WERE ASKED, "WHAT DO YOU THINK ARE THE PROBLEMS IN DAVIESS COUNTY?" BASED ON STAKEHOLDER INPUT THE FOLLOWING INFORMATION WAS COLLECTED AT THE FIRST COMMUNITY FORUM: HEALTH STATUS CONCERNS - SMOKING/TOBACCO - OVERWEIGHT/OBESITY/NO PHYSICAL ACTIVITY - TEEN PREGNANCY - CRIME/SUBSTANCE ABUSE - STROKE/HYPERTENSION COMMUNITY RISKS - LACK OF SERVICES (HEALTHCARE, MENTAL HEALTH, HEALTHY FOOD) - UNEMPLOYMENT - BUILT ENVIRONMENT ISSUES - LIGHTS AT GREENBELT, SIDEWALKS,BIKE, fRIENDLY STREETS - LIFESTYLE CHOICES - EATING HABITS, SUBSTANCE ABUSE, ALCOHOL USE, TOBACCO USE COMMUNITY THREATS - UNKNOWN IMPACT OF MEDICAID MANAGED CARE AND HEALTHCARE LEGISLATION - IMPACT OF FUNDING CUTS ON SERVICES AND UNEMPLOYMENT ON ACCESS - LIFESTYLE CHANGES - IMPACT ON HEALTH AND FAMILY AT THE SECOND COMMUNITY FORUM, STAKEHOLDERS WERE PRESENTED COMPLETE RESULTS OF THE SECONDARY DATA ANALYSIS, THE COMMUNITY SURVEY, AND THE STAKEHOLDER INPUT FROMTHE COMMUNITY HEALTH FORUM. THEY WERE ASKED TO DISCUSS AND PRIORITIZE BY DOT METHOD THE GREATEST COMMUNITY HEALTH ISSUES BASED ON THE ANALYSIS, COMMUNITY PERCEPTION SURVEY, AND STAKEHOLDER INPUT. THE OUTCOME OF THIS MEETING WAS THE SELECTION OF THE TOP THREE HEALTH ISSUES IN DAVIESS COUNTY: - SUBSTANCE ABUSE (ATOD: ALCOHOL, TOBACCO, AND OTHER DRUGS) - OBESITY - ACCESS TO HEALTH SERVICES OH WAS A PARTICIPANT THROUGHOUT THE MAPP PROCESS, AND SUPPORTS THE OUTCOMES OF THE CHA CONDUCTED BY THE GRDHD. BOTH PRIMARY AND SECONDARY DATA WAS USED IN THIS ANALYSIS. THE SECONDARY DATA WAS DERIVED FROM OH'S HCI-CHNA SYSTEM, WWW.OWENSBORO HEALTH.ORG/HEALTHASSESSMENT. THE SYSTEM INCLUDES THE MOST UP-TO-DATE PUBLICLY AVAILABLE DATA FOR APPROXIMATELY 140 COMMUNITY INDICATORS FROM OVER 20 SOURCES, COVERING OVER 20 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. ADDITIONAL PRIMARY DATA CONSISTED OF IN-DEPTH PHONE INTERVIEWS WITH NINE COMMUNITY INFORMANTS INCLUDING A PUBLIC HEALTH EXPERT, PHYSICIAN, PUBLIC SERVANT, AND HEALTHCARE AND SOCIAL SERVICE PROVIDERS WITH EXPERTISE AND SPECIAL KNOWLEDGE REGARDING THE NEEDS IN THE COMMUNITY WAS SOUGHT ONCE THE COMMUNITY PRIORITY AREAS WERE NAMED IN AN EFFORT TO PROVIDE AN EVEN DEEPER UNDERSTANDING OF THE HEALTH NEEDS IN THE COMMUNITY. THE ADDITIONAL DATA COLLECTION REVEALED ADDITIONAL COMMUNITY NEEDS FROM THE ANALYSIS THAT WHILE NOT SELECTED AS PRIORITY HEALTH NEEDS WERE SO CLOSELY INTERREALTED AND INFLUENTIAL TO THE NAMED PRIORITY AREAS THOSE NEEDS WERE OFFERED AS ADDITIONAL AREAS OF CONCERN: CANCER, HEART DISEASE, IMMUNIZATION AND INFECTIOUS DISEASES, MATERNAL, FETAL AND INFANT HEALTH/FAMILY PLANNING, MENTAL HEALTH AND MENTAL DISORDERS, OLDER ADULTS AND AGING, PREVENTION AND SAFETY, RESPIRATORY DISEASES, ECONOMOY:POVERTY AND PUBLIC SAFETY. IN ADDITION TO THE COMMUNITY NEEDS ASSESSMENT PROCESS, THROUGH OUR COMMUNITY BENEFIT GRANT PROGRAM, OH ADDRESSES THE HEALTH NEEDS OF OUR COMMUNITY THOUGH PARTNERSHIP WITH MORE THAN A HUNDRED COMMUNITY AND SOCIAL SERVICE ORGANIZATIONS FROM AROUND THE REGION. TO BE ELIGIBLE FOR FUNDING, POTENTIAL GRANTEES MUST SUBMIT PROPOSALS FOR SPECIFIC PROGRAMS AND SERVICES THAT ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS SUCH AS THAT CONTAINED IN THE OH CHNA OR THAT ADDRESS ROOT CAUSES OF HEALTH PROBLEMS THAT IMPACT THE HEALTH OF OUR COMMUNITY. TO QUALIFY, ACTIVITIES MUST REFERENCE THE IDENTIFIED HEALTH NEEDS FROM EXISTING NEEDS ASSESSMENTS AND MUST SEEK TO MAKE MEASURABLE IMPROVEMENT IN HEALTH STATUS, ACCESS, OR USE OF HEALTHCARE RESOURCES. PROGRAMS OR PROJECTS MUST ALSO SERVE INDIVIDUALS IN THE OH SERVICE AREA. BY VIRTUE OF ONGOING PARTNERSHIPS WITH THESE ORGANIZATIONS, OH GAINS FIRSTHAND KNOWLEDGE OF THE HEALTH NEEDS OF OUR REGION AND HOW WE CAN WORK COLLABORATIVELY WITH OTHER ORGANIZATIONS TO ADDRESS THESE NEEDS. OH ALSO USES BUSINESS MODELING PRODUCTS FROM THOMSON REUTERS AND THE KENTUCKY HOSPITAL ASSOCIATION FOR ASSESSMENT PURPOSES. MARKET EXPERT: INPATIENT AND OUTPATIENT FORECASTER IS USED TO ACCESS RELIABLE DATA TO MAKE DECISIONS THAT SUPPORT BOTH THE FINANCIAL HEALTH OF OH AND THE HEALTH OF OUR COMMUNITY. THIS INCLUDES DATA HEALTH STATUS DATA AND CONSUMER CHARACTERISTICS. OUTPATIENT PROFILES: IN AD

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (38 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
American Cancer Society
319 W 10th St Suite 101OwensboroKY42301131788491501c(3)12000Community 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 Community Support Community Support In Kind Tuition Assistance Cancer Center Medical Fund Patient Medical Fund Community Support
American Red Cross
416 W 3rd St 1BOwensboroKY42302610944834501c(3)15170BENEFIT GRANT PROGRAM
Aubrey's Song Foundation
PO Box 184PhilpotKY42366204285398501c(3)16000COMMUNITY BENEFIT GRANT
Audubon Area Community Service
1650 W Second StOwensboroKY42301237364935501c(3)7500community support
Bicycle Owensboro
8610 KY 405MaceoKY42355273132659501c(3)8000COMMUNITY SUPPORT
Care Net Pregnancy Center
PO Box 9525OwensboroKY42302200736119501c(3)6000COMMUNITY SUPPORT
Casa Of Ohio Valley Inc
415 St Ann StOwensboroKY42303611303511501c(3)15750COMMUNITY SUPPORT
City of Owensboro
PO Box 10003OwensboroKY42302616001888governmental17500COMMUNITY SUPPORT
Community Dental Clinic
2315 Mayfair Dr Ste 32 OwensboroOwensboroKY42301262343126501c(3)50000COMMUNITY SUPPORT
Daviess Co Diabetes Coalition
1501 Breckenridge StOwensboroKY42303611328046501c(3)15000COMMUNITY SUPPORT
Daviess County Public Schools
PO Box 21510OwensboroKY42304616001338governmental55154COMMUNITY SUPPORT
Dream Riders of Kentucky
PO Box 172PhilpotKY42366010802025501c(3)12000COMMUNITY SUPPORT
East Hartford Baptist Church
PO Box 48HartfordKY42347610219040501c(3)10600COMMUNITY SUPPORT
Emergency Shelter for Women & Children
530 Klutley Pk Plaza Dr henderson kHendersonKY42419611335313501c(3)14000COMMUNITY SUPPORT
Greater Owensboro Chamber of Commerce
PO Box 825OwensboroKY42302610299925501c(3)10000COMMUNITY SUPPORT
Green River District Health Department
PO Box 309OwensboroKY42302611010686GOVERNMENTAL25000COMMUNITY SUPPORT
GRADD
300 Gradd WayOwensboroKY42301610706096501c(3)15000COMMUNITY SUPPORT
GRADSA
PO Box 2301OwensboroKY42302611312541501c(3)12000COMMUNITY SUPPORT
Hopkins County Community Clinic
435 N Kentucky Ave madisonville kyMadisonvilleKY42431061710391501c(3)25000COMMUNITY SUPPORT
Hopkins County School System
861 Pride AvenueMadisonvilleKY42431616001319governmental6300COMMUNITY SUPPORT
International Bluegrass Music Museum
207 East 2nd StOwensboroKY42303611229037501c(3)20000COMMUNITY SUPPORT
Madisonville Lions Club
PO Box 39MadisonvilleKY42431616039247501c(4)12250COMMUNITY SUPPORT
Mentorkids Kentucky
1700 Frederica StOwensboroKY42301611222299501c(3)10400COMMUNITY SUPPORT
New Horizons
320 Clay StOwensboroKY42303452520952501c(3)5250COMMUNITY SUPPORT
Owensboro Community & Technical College
1501 Frederica StOwensboroKY42303616001218governmental128244COMMUNITY SUPPORT
Owensboro Dance Theater
2705 Breckenridge StOwensboroKY42303611040701501c(3)20000community support
Owensboro Museum of Fine Art
901 Frederica StOwensboroKY42301611297343501c(3)45000COMMUNITY SUPPORT
Owensboro Museum of Science and History
122 East 2nd StOwensboroKY42303611164857501c(3)33000community support
Owensboro Public Schools
PO Box 249OwensboroKY42302616001339GOVERNMENTAL17428community support
Owensboro Symphony Orchestra
211 East 2nd StOwensboroKY42303616055984501c(3)19000community support
Puzzle Pieces Inc
PO Box 24OwensboroKY42302453042804501c(3)50000community support
River Valley Behavioral Health
1000 Industrial DriveOwensboroKY42301610668290501c(3)8295community support
Riverpark Center
101 Daviess StOwensboroKY42303611147328501c(3)20000community support
Susan G Komen Foundation
4424 Vogel Rd Ste 205 evansville inEvansvilleIN47715752844632501c(3)15000community support
Theatre Workshop of Owensboro
407 W Fifth StOwensboroKY42302610968600501c(3)11000community support
United Way of Ohio Valley
403 Park Plaza DriveOwensboroKY42301610675581501c(3)83321community support
Western Kentucky University - 1906
College Hght 11022 Bowling green kBowling GreenKY42101616055628501c(3)15000community support
Foundation for Health
2211 Mayfair Ave ste 403 owensboroOwensboroKY42301611251763501c(3)997209community support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants37TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
tuition assistance16685753
cancer center medical fund9827887
patient medical fund43574711

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationSERVICES AND ACTIVITIES MUST SERVE INDIVIDUALS IN THE OMHS SERVICE AREA, INCLUDING DAVIESS, HANCOCK, OHIO, HENDERSON, HOPKINS, MCLEAN, MUHLENBERG, BRECKINRIDGE AND WEBSTER COUNTIES IN KENTUCKY OR 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Barber Jeffrey
President / CEO604913017802101297810645910162220993528000
Begley II Earnest E
Chief Legal Officer25152575635148212758416732386297
Hackbarth Jr John
Chief Financial Officer31073592733199552798216086467491
Jones Lisa
Vice President of Clinical Svc19029156603230112175015789307444
Medley Jr Richard W
Chief Medical Officer229091666018889233945527333502
Mills Michael
Vice President - Ancillary Svc1890475658461492038412848285013
Ranallo Russell
Vice President - Financial Svc21856866993233862517417318351438
Stogsdill Vicki
Vice President of Nursing Svc27839778300563123142112412456841
Strahan Greg
Chief Operations Officer391289114598570124182211628616348
Suter Mia
Chief Development Officer2716627881739623302481958422309
Tyler MD Terry W
Chief Outpatient Imag Officer2265599150315369258797110366420
Chapman William
Staff Psychiatrist214314512555882538311667303207
Danhauer David E
Chief Medical Info Offier2424251269313694153711488309512
Vaughn Rex C
Executive Director - Info syst171466256712552342810227231047
Besier James L
Director of Pharmacy1578142289811421209713908207858
Taylor Joseph W
Executive Director, Facilities1470012277610832095616184208000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanation
Supplemental Compensation InformationPREVIOUSLY, THE HEALTH CLUB DUES WERE TAXABLE BENEFITS FOR ADMINISTRATION. THIS BENEFIT WAS PHASED OUT FOUR YEARS AGO AND ONLY ONE REMAINS (GRANDFATHERED).
Schedule J, Part I, Line 4B457F PLAN TO EXECUTIVES (NONTAXABLE) JEFFREY BARBER $87,706; EARNEST BEGLEY $30,580; JOHN HACKBARTH $37,543; LISA JONES $22,885; RICHARD W. MEDLEY $35,903; MICHAEL MILLS $22,878; RUSS RANALLO $27,122; VICKI STOGSDILL $31,320; GREG STRAHAN $46,271; MIA SUTER $31,866; TERRY W. TYLER $21,116. SCHEDULE J, PART I, LINE 7 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 WHOSE 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, MANAGEMENT IS PAID A FIXED PERCENTAGE OF ANNUAL SALARY BASED ON LEVEL OF MANAGEMENT. PAYMENT IS PREDICATED ON BOARD APPROVAL.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Kentucky Economic Development Finance AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN610600439IssuerEIN
CUSIP Number49126KGX3CUSIPNumber
Date Issued2010-03-03DateIssued
Issue Price512772595IssuePrice
Description Of PurposeSee Schedule K, Part VDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds520344679TotalProceeds
Amount In Reserve Fund37912800AmountInReserveFund
Capitalized Interest71313996CapitalizedInterest
Refunding Escrow58975719RefundingEscrow
Issuance Costs From Proceeds8204303IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures343937861CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2013YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrsfalseNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YetfalseRebateNotDueYet
Exception To RebatefalseExceptionToRebate
No Rebate DuefalseNoRebateDue
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActionfalseProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierDescription of Bond ProceedsIdentifier
Return ReferenceSchedule K, Part IReturnReference
ExplanationProceeds 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 and funded a portion of the Debt Service Reserve Fund.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name Persondouglas r adamsNamePerson
Relationship With OrganizationphysicianRelationshipWithOrganization
Purpose Of Loanrecruitment loanPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$339,359OriginalPrincipalAmount
Balance Due138131BalanceDue
DefaultfalseDefault
Approved By BoardfalseApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due138131TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MOLLIE MILLS
DAUGHTER OF MICHAEL MILLS33984EMPLOYEE COMPENSATIONfalse
VIRGINIA Bradford
DAUGHTER OF MICHAEL MILLS76958EMPLOYEE COMPENSATIONfalse
Jeremy Bradford
SIL of Michael Mills139406EMPLOYEE COMPENSATIONfalse
JENNIFER RANALLO
WIFE OF RUSSELL RENALLO27078EMPLOYEE COMPENSATIONfalse
WILLIAM J STRAHAN
SON OF GREG STRAHAN51328EMPLOYEE COMPENSATIONfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
VOLUNTEERSFORM 990, PART I, QUESTION 6VOLUNTEER SERVICES SUPPORT THE MISSION AND GOALS OF OWENSBORO HEALTH, Inc. ("OH"). THEY STAFF THE PATIENT INFORMATION DESK, DELIVER FLOWERS, AND PLAY 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. SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS FORM 990, PART VI, QUESTION 4 EFFECTIVE JUNE 1, 2013 Owensboro Medical Health System, INC. CHANGED ITS NAME TO OWENSBORO HEALTH, INC. MEMBERS OF THE GOVERNING BODY FORM 990, PART VI, QUESTION 7A 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 (2), 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 OMHS. 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. DSCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B 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 THEREFORE 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 OF THE BYLAWS, (4) ANY AMENDMENTS TO ARTICLES 4,5,7,8 AND 10 OF THE ARTICLES OF INCORPORATION; OR ANY AMENDMENT TO SECTION ARTICLES VII OF THE BYLAWS (5) THE DISSOLUTION OF THE CORPORATION, (6) ANY CHANGE OF THE NAME OF THE CORPORATION, (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. DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11B THE RETURN IS REVIEWED BY JOHN HACKBARTH (CFO), RUBY JACILDO (CONTROLLER), AND RENEE ORANGE (ACCOUNTING MANAGER) BEFORE IT IS SIGNED. THE CFO INFORMS THE GOVERNING BODY THAT THE 990 IS FILED AND THAT A COPY IS AVAILABLE UPON REQUEST AND/OR GUIDESTAR WEBSITE.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, QUESTION 12C UNDER OUR CONFLICT OF INTEREST POLICY (#100-214), EACH BOARD DIRECTOR, OFFICER AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWER IS REQUIRED ANNUALLY TO COMPLETE THE FOLLOWING; (1) CONFIDENTIALITY STATEMENT, (2) DISCLOSURE CERTIFICATE, (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 OMHS CONTRACTS. ALL COMPLETED CONTRACTS ARE MAINTAINED BY THE LEGAL OFFICE IN A SEARCHABLE DATABASE (THROUGH MEDITRACT). 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 OH POLICY. ON 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. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A TOTAL COMPENSATION IS THE SUM OF EACH EXECUTIVE'S BASE SALARY, INCENTIVE OPPORTUNITY, BENEFITS, AND PERQUISITES. - OUR TOTAL COMPENSATION PHILOSOPHY WILL APPLY TO CEO OF THE ORGANIZATION. - CASH COMPENSATION AND BENEFITS 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. 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 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. INCENTIVE COMPENSATION PLAN REVIEWED BY FINANCE COMMITTEE, THEN APPROVED BY 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. ENSURE THE EXECUTIVE TOTAL COMPENSATION IS REASONABLE AND COMPETITIVE. - OUR CASH COMPENSATION AND BENEFITS PLANS WILL BE REVIEWED BY 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. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15B TOTAL COMPENSATION IS THE SUM OF EACH EXECUTIVE'S BASE SALARY, INCENTIVE OPPORTUNITY, BENEFITS, AND PERQUISITES. - OUR TOTAL COMPENSATION PHILOSOPHY WILL APPLY TO ALL EXECUTIVES OF THE ORGANIZATION. - CASH COMPENSATION AND BENEFITS PLANS PROVISIONS WILL BE, ON AVERAGE, COMPETITIVE WITH THOSE HEALTHCARE ORGANIZATIONS WITHIN WHICH WE COMPETE FOR EXECUTIVE TALENT. OUR LABOR MARKET IS DEFINED AS SUCCESSFUL AND COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A NATIONAL LEVEL. SUCCESS IS MEASURED IN TERMS OF FINANCIAL AND OPERATIONAL PERFORMANCE AND MARKET LEADERSHIP. - COMPETITIVE POSITIONING OF BASE SALARIES, AS REFLECTED BY THE SALARY RANGE MIDPOINTS, WILL BE AT THE 50TH PERCENTILE. EXECUTIVES MAY BE PLACED ABOVE OR BELOW THE SALARY RANGE BASED ON THE: EXECUTIVE'S KNOWLEDGE, COMPETENCIES, AND EXPERIENCE; PERFORMANCE OF THE EXECUTIVE'S AREA OF RESPONSIBILITY; THE EXECUTIVE'S CONTRIBUTION TO THE ORGANIZATION'S OVERALL PERFORMANCE; INTERNAL EQUITY CONSIDERATIONS; THE FINANCIAL RESOURCES AVAILABLE; AND, EXECUTIVE BASE SALARY INCREASES PROVIDED IN THE COMPETITIVE MARKET. - ANNUAL INCENTIVE OPPORTUNITIES WILL BE POSITIONED BETWEEN THE 50TH AND 75TH PERCENTILE DEPENDING ON THE DEGREE TO WHICH PERFORMANCE GOALS ARE MET OR EXCEEDED. TOTAL CASH COMPENSATION, AS REFLECTED BY BASE SALARIES AND ANNUAL INCENTIVES, WILL ALSO BE POSITIONED BETWEEN THE 50TH AND 75TH PERCENTILES AND WILL BE INFLUENCED BY PERFORMANCE RESULTS AS MEASURED AGAINST ESTABLISHED GOALS. - THE ORGANIZATION WILL PROVIDE APPROPRIATE AND COMPETITIVE SUPPLEMENTAL BENEFITS AND PERQUISITES DELIVERED IN A FLEXIBLE STRUCTURE TO ALLOW FOR INDIVIDUAL CHOICE AND BASED ON THE ORGANIZATION'S MISSION AND BUSINESS NEEDS. - OUR EXECUTIVE COMPENSATION PLAN WILL BE DESIGNED, MANAGED AND MAINTAINED IN A MANNER THAT WILL: SUPPORT AND COMPLEMENT OUR MISSION, MANAGEMENT PHILOSOPHY, SHORT- AND LONG-TERM BUSINESS STRATEGIES, AND EMPLOYEE RELATION'S GOALS. ATTRACT AND RETAIN EXECUTIVES WITH THE RIGHT SKILLS, ABILITIES AND MOTIVATION TO ACHIEVE OUR BUSINESS OBJECTIVE. ENSURE THE EXECUTIVE TOTAL COMPENSATION IS REASONABLE AND COMPETITIVE. - OUR CASH COMPENSATION AND BENEFITS PLANS WILL BE REVIEWED AND ADJUSTED PERIODICALLY TO MEET THE CHANGING BUSINESS AND ORGANIZATIONAL CHARACTERISTICS OF OUR ORGANIZATION AND ITS EXECUTIVE STAFF. THE COMPENSATION OF EACH INDIVIDUAL EXECUTIVE WILL BE REVIEWED AND APPROVED IN A MANNER CONSISTENT WITH THE INTERMEDIATE SANCTION TAX REGULATIONS. AVAILABILITY OF GOVERNMENT DOCUMENTS, CONFLICT OF INTEREST POLICY & FIN STATEMENTS TO GENERAL PUBLIC FORM 990, PART VI, QUESTION 19 DOCUMENTS AND POLICIES ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, QUESTION 9 RECONCILIATION OF NET ASSETS PENSION ADJUSTMENT $7,905,298, AQUIRED INVESTMENT IN OWENSBORO MEDICAL CENTER LAB tax ID 61-0999592 FROM owensboro health medical group, inc. OF -$1,062,417.97, TRANSFERRED INVESTMENT OF OH CARDIOVASCULAR,LLC tax ID 20-0800844 to owensboro health medical group, inc. OF $3,970,199.30, MISC ADJUSTMENT OF $271.45.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Total IncomeTotalIncome
OH Cardiovascular
1201 Pleasant Valley RoadOwensboroKY42303200800844Physician PrtKY18685234NA
Kentucky Bioprocessing LLC
3700 AIRPARK DRIVEOWENSBOROKY42301204545241Plant Bsd prtKY17297440NA5992928
Commonwealth Medical Management LLC
PO Box 20007OwensboroKY42304204796653Phys Clnc SrvKY30000NA

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Foundation for Health Inc
1201 Pleasant Valley RoadOwensboroKY42303611251763HealthcareKY501(C)(3)7ohtrue
owensboro health medical group inc
1201 Pleasant Valley RoadOwensboroKY42303611197638HealthcareKY501(c)(3)9ohtrue

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Owensboro Am Sr FacBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 Brkrg owensboro ky 42303AddressLine1
CityOwensboroCity
StateKYState
ZIP Code42303ZIPCode
FieldValueIRS element (for citing)
EIN752184992EIN
Primary ActivitySurgery CenterPrimaryActivity
Legal Domicile StateKYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeInvestment IncomePredominantIncomeType
Share Of Total Income1368496ShareOfTotalIncome
Share Of EOY Assets4969526ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnertrueGeneralOrManagingPartner
Percentage Ownership0.62750PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Owensboro Medical Center Laboratory IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11201 Pleasant Valley RoadAddressLine1
CityOwensboroCity
StateKYState
ZIP Code42303ZIPCode
FieldValueIRS element (for citing)
EIN610999592EIN
Primary ActivityMed LaboratoryPrimaryActivity
Legal Domicile StateKYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CorpTypeOfEntity
Share Of Total Income3270314ShareOfTotalIncome
Share Of EOY Assets439754ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
Controlled OrgtrueControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
OWENSBORO MEDICAL CENTER LAB
P3376977FMV
owensboro health medical group inc
P,K44259578FMV
owensboro health medical group inc
A,J774836FMV
owensboro health medical group inc
S27115675FMV
THE FOUNDATION FOR HEALTH INC
B997209FMV
THE FOUNDATION FOR HEALTH INC
C1663951FMV

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