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        <ReturnReference>SCHEDULE C, PART II-B, LINE 1I</ReturnReference>
        <Explanation>PERCENTAGE 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>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
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      <HeldWorksOfArtAmts />
      <CurrentYearMinus3Years />
      <CurrentYearMinus4Years />
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        <BookValue>13293533</BookValue>
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      <Buildings>
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        <Depreciation>97382991</Depreciation>
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      <OtherLandBuildings>
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        <BookValue>496759179</BookValue>
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        <Description>Cost of Issuance Series A 2010</Description>
        <BookValue>2360361</BookValue>
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      <OtherAssets>
        <Description>Cost of Issuance Series B 2010</Description>
        <BookValue>264910</BookValue>
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      <OtherAssets>
        <Description>LTD Use Assets from Series A&amp;B</Description>
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      <OtherAssets>
        <Description>Key Executive Plan</Description>
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      <TotalBookValueOtherAssets>62800938</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>Due to Third Party Payors</Description>
        <Amount>21194826</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Accrued Pension</Description>
        <Amount>46009814</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Workman's Comp Reserve</Description>
        <Amount>5378854</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Malpractice Reserve</Description>
        <Amount>8791687</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>81375181</TotalOfAmounts>
      <Form990ScheduleDPartXIII>
        <Identifier>ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES</Identifier>
        <ReturnReference>FORM 990, PART X, LINE 2</ReturnReference>
        <Explanation>The 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>
      </Form990ScheduleDPartXIII>
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      <WrittenPolicy>true</WrittenPolicy>
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      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <OtherPercentage>
        <Other>X</Other>
        <FreeOtherPercentage>225.</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <DiscountedOther>
        <Other>X</Other>
        <DiscountedOtherPercentage>375.</DiscountedOtherPercentage>
      </DiscountedOther>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
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        <DirectOffsettingRevenue>1950632</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>20200886</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05230</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
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        <DirectOffsettingRevenue>33523543</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>15656572</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04050</PercentOfTotalExpense>
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        <PersonsServed>166</PersonsServed>
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        <NetCommunityBenefitExpense>355941</NetCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>4326105</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01120</PercentOfTotalExpense>
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      <TotalCommunityBenefits>
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        <TotalCommunityBenefitExpense>75663711</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>35480148</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>40183563</NetCommunityBenefitExpense>
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      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
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        <PersonsServed>200</PersonsServed>
        <TotalCommunityBuildingExpense>726</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>726</NetCommunityBuildingExpense>
      </PhysicalImprovementsAndHousing>
      <EconomicDevelopment>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <PersonsServed>450</PersonsServed>
        <TotalCommunityBuildingExpense>12900</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>12900</NetCommunityBuildingExpense>
      </EconomicDevelopment>
      <CommunitySupport>
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        <PersonsServed>107366</PersonsServed>
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        <NetCommunityBuildingExpense>115750</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </CommunitySupport>
      <WorkforceDevelopment>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>30</PersonsServed>
        <TotalCommunityBuildingExpense>28000</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>28000</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Total>
        <NumberOfActivitiesOrPrograms>16</NumberOfActivitiesOrPrograms>
        <PersonsServed>108046</PersonsServed>
        <TotalCommunityBuildingExpense>157376</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>157376</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>30968784</BadDebtExpenseAmount>
      <AmountAttributableTo>15484392</AmountAttributableTo>
      <AmountReimbursedByMedicare>121039273</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>143931823</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-22892550</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
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          <BusinessNameLine1>OWENSBORO CHN</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>PROVIDER NETWORK</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.50000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.44000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
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      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>owensboro health inc</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1201 Pleasant Valley Road</AddressLine1>
          <City>owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </Address>
        <WebsiteAddress>www.owensborohealth.org</WebsiteAddress>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
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        <HospitalFacilityName>
          <BusinessNameLine1>owensboro health inc</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>true</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>false</OtherFacilities>
        <CHNAWidelyAvailable>true</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <DevelopCommunityPlan>X</DevelopCommunityPlan>
        <ParticipateCommunityPlan>X</ParticipateCommunityPlan>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <OtherNeedsAddressed>X</OtherNeedsAddressed>
        <AllNeedsAddressed>true</AllNeedsAddressed>
        <OrganizationIncurExciseTax>false</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>225.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>375.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <LowestNegotiatedRates>X</LowestNegotiatedRates>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>1</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Owensboro Ambulatory Surgical Facility</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1201 Pleasant Valley Road</AddressLine1>
            <City>Owensboro</City>
            <State>KY</State>
            <ZIPCode>42303</ZIPCode>
          </Address>
          <FacilityType>Multi-specialty surgery center</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <Explanation>1. 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>2. NEEDS ASSESSMENTS</Identifier>
        <Explanation>Owensboro 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 &amp; 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 &amp; 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</Explanation>
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          <AddressLine1>211 East 2nd St</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
        <EINOfRecipient>616055984</EINOfRecipient>
        <IRCSection>501c(3)</IRCSection>
        <AmountOfCashGrant>19000</AmountOfCashGrant>
        <PurposeOfGrant>community support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Puzzle Pieces Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 24</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42302</ZIPCode>
        </AddressUS>
        <EINOfRecipient>453042804</EINOfRecipient>
        <IRCSection>501c(3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>community support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>River Valley Behavioral Health</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1000 Industrial Drive</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>610668290</EINOfRecipient>
        <IRCSection>501c(3)</IRCSection>
        <AmountOfCashGrant>8295</AmountOfCashGrant>
        <PurposeOfGrant>community support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Riverpark Center</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>101 Daviess St</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
        <EINOfRecipient>611147328</EINOfRecipient>
        <IRCSection>501c(3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>community support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Susan G Komen Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4424 Vogel Rd Ste 205 evansville in</AddressLine1>
          <City>Evansville</City>
          <State>IN</State>
          <ZIPCode>47715</ZIPCode>
        </AddressUS>
        <EINOfRecipient>752844632</EINOfRecipient>
        <IRCSection>501c(3)</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>community support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Theatre Workshop of Owensboro</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>407 W Fifth St</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42302</ZIPCode>
        </AddressUS>
        <EINOfRecipient>610968600</EINOfRecipient>
        <IRCSection>501c(3)</IRCSection>
        <AmountOfCashGrant>11000</AmountOfCashGrant>
        <PurposeOfGrant>community support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>United Way of Ohio Valley</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>403 Park Plaza Drive</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>610675581</EINOfRecipient>
        <IRCSection>501c(3)</IRCSection>
        <AmountOfCashGrant>83321</AmountOfCashGrant>
        <PurposeOfGrant>community support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Western Kentucky University - 1906</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>College Hght 11022 Bowling green k</AddressLine1>
          <City>Bowling Green</City>
          <State>KY</State>
          <ZIPCode>42101</ZIPCode>
        </AddressUS>
        <EINOfRecipient>616055628</EINOfRecipient>
        <IRCSection>501c(3)</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>community support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Foundation for Health</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2211 Mayfair Ave ste 403 owensboro</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>611251763</EINOfRecipient>
        <IRCSection>501c(3)</IRCSection>
        <AmountOfCashGrant>997209</AmountOfCashGrant>
        <PurposeOfGrant>community support</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>37</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>1</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>tuition assistance</TypeOfGrant>
        <NumberOfRecipients>166</NumberOfRecipients>
        <AmountOfCashGrant>85753</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>cancer center medical fund</TypeOfGrant>
        <NumberOfRecipients>98</NumberOfRecipients>
        <AmountOfCashGrant>27887</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>patient medical fund</TypeOfGrant>
        <NumberOfRecipients>435</NumberOfRecipients>
        <AmountOfCashGrant>74711</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS</Identifier>
        <ReturnReference>SCHEDULE I, PART I, LINE 2</ReturnReference>
        <Explanation>SERVICES 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>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>false</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Barber Jeffrey</NamePerson>
        <Title>President / CEO</Title>
        <BaseCompensationFilingOrg>604913</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>178021</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>129781</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>64591</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>16222</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>993528</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Begley II Earnest E</NamePerson>
        <Title>Chief Legal Officer</Title>
        <BaseCompensationFilingOrg>251525</BaseCompensationFilingOrg>
        <BonusFilingOrg>75635</BonusFilingOrg>
        <OtherCompensationFilingOrg>14821</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>27584</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>16732</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>386297</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Hackbarth Jr John</NamePerson>
        <Title>Chief Financial Officer</Title>
        <BaseCompensationFilingOrg>310735</BaseCompensationFilingOrg>
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        <OtherCompensationFilingOrg>19955</OtherCompensationFilingOrg>
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        <TotalCompensationFilingOrg>467491</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jones Lisa</NamePerson>
        <Title>Vice President of Clinical Svc</Title>
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        <OtherCompensationFilingOrg>23011</OtherCompensationFilingOrg>
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        <NontaxableBenefitsFilingOrg>15789</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>307444</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Medley Jr Richard W</NamePerson>
        <Title>Chief Medical Officer</Title>
        <BaseCompensationFilingOrg>229091</BaseCompensationFilingOrg>
        <BonusFilingOrg>66601</BonusFilingOrg>
        <OtherCompensationFilingOrg>8889</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>23394</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5527</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>333502</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mills Michael</NamePerson>
        <Title>Vice President - Ancillary Svc</Title>
        <BaseCompensationFilingOrg>189047</BaseCompensationFilingOrg>
        <BonusFilingOrg>56584</BonusFilingOrg>
        <OtherCompensationFilingOrg>6149</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>20384</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>12848</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>285013</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Ranallo Russell</NamePerson>
        <Title>Vice President - Financial Svc</Title>
        <BaseCompensationFilingOrg>218568</BaseCompensationFilingOrg>
        <BonusFilingOrg>66993</BonusFilingOrg>
        <OtherCompensationFilingOrg>23386</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>25174</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17318</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>351438</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Stogsdill Vicki</NamePerson>
        <Title>Vice President of Nursing Svc</Title>
        <BaseCompensationFilingOrg>278397</BaseCompensationFilingOrg>
        <BonusFilingOrg>78300</BonusFilingOrg>
        <OtherCompensationFilingOrg>56312</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>31421</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>12412</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>456841</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Strahan Greg</NamePerson>
        <Title>Chief Operations Officer</Title>
        <BaseCompensationFilingOrg>391289</BaseCompensationFilingOrg>
        <BonusFilingOrg>114598</BonusFilingOrg>
        <OtherCompensationFilingOrg>57012</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>41822</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11628</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>616348</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Suter Mia</NamePerson>
        <Title>Chief Development Officer</Title>
        <BaseCompensationFilingOrg>271662</BaseCompensationFilingOrg>
        <BonusFilingOrg>78817</BonusFilingOrg>
        <OtherCompensationFilingOrg>39623</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>30248</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>1958</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>422309</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Tyler MD Terry W</NamePerson>
        <Title>Chief Outpatient Imag Officer</Title>
        <BaseCompensationFilingOrg>226559</BaseCompensationFilingOrg>
        <BonusFilingOrg>91503</BonusFilingOrg>
        <OtherCompensationFilingOrg>15369</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>25879</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7110</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>366420</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Chapman William</NamePerson>
        <Title>Staff Psychiatrist</Title>
        <BaseCompensationFilingOrg>214314</BaseCompensationFilingOrg>
        <BonusFilingOrg>51255</BonusFilingOrg>
        <OtherCompensationFilingOrg>588</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>25383</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11667</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>303207</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Danhauer David E</NamePerson>
        <Title>Chief Medical Info Offier</Title>
        <BaseCompensationFilingOrg>242425</BaseCompensationFilingOrg>
        <BonusFilingOrg>12693</BonusFilingOrg>
        <OtherCompensationFilingOrg>1369</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>41537</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11488</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>309512</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Vaughn Rex C</NamePerson>
        <Title>Executive Director - Info syst</Title>
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        <BonusFilingOrg>25671</BonusFilingOrg>
        <OtherCompensationFilingOrg>255</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>23428</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>10227</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>231047</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Besier James L</NamePerson>
        <Title>Director of Pharmacy</Title>
        <BaseCompensationFilingOrg>157814</BaseCompensationFilingOrg>
        <BonusFilingOrg>22898</BonusFilingOrg>
        <OtherCompensationFilingOrg>1142</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>12097</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13908</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>207858</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Taylor Joseph W</NamePerson>
        <Title>Executive Director, Facilities</Title>
        <BaseCompensationFilingOrg>147001</BaseCompensationFilingOrg>
        <BonusFilingOrg>22776</BonusFilingOrg>
        <OtherCompensationFilingOrg>1083</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>20956</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>16184</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>208000</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <Explanation>PREVIOUSLY, THE HEALTH CLUB DUES WERE TAXABLE BENEFITS FOR ADMINISTRATION. THIS BENEFIT WAS PHASED OUT FOUR YEARS AGO AND ONLY ONE REMAINS (GRANDFATHERED).</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Schedule J, Part I, Line 4B</Identifier>
        <Explanation>457F 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>Kentucky Economic Development Finance Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>610600439</IssuerEIN>
        <CUSIPNumber>49126KGX3</CUSIPNumber>
        <DateIssued>2010-03-03</DateIssued>
        <IssuePrice>512772595</IssuePrice>
        <DescriptionOfPurpose>See Schedule K, Part V</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>520344679</TotalProceeds>
        <AmountInReserveFund>37912800</AmountInReserveFund>
        <CapitalizedInterest>71313996</CapitalizedInterest>
        <RefundingEscrow>58975719</RefundingEscrow>
        <IssuanceCostsFromProceeds>8204303</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>343937861</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2013</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0</PrcntgePrvtBusinessUseByOthers>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <RemedialActionTaken>false</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>false</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
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        <RebateNotDueYet>false</RebateNotDueYet>
        <ExceptionToRebate>false</ExceptionToRebate>
        <NoRebateDue>false</NoRebateDue>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>false</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>false</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartVI>
        <Identifier>Description of Bond Proceeds</Identifier>
        <ReturnReference>Schedule K, Part I</ReturnReference>
        <Explanation>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 and funded a portion of the Debt Service Reserve Fund.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoanTable>
        <NamePerson>douglas r adams</NamePerson>
        <RelationshipWithOrganization>physician</RelationshipWithOrganization>
        <PurposeOfLoan>recruitment loan</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>339359</OriginalPrincipalAmount>
        <BalanceDue>138131</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>false</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>138131</TotalBalanceDue>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MOLLIE MILLS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF MICHAEL MILLS</Relationship>
        <AmountOfTransaction>33984</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>VIRGINIA Bradford</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF MICHAEL MILLS</Relationship>
        <AmountOfTransaction>76958</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Jeremy Bradford</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SIL of Michael Mills</Relationship>
        <AmountOfTransaction>139406</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>JENNIFER RANALLO</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>WIFE OF RUSSELL RENALLO</Relationship>
        <AmountOfTransaction>27078</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>WILLIAM J STRAHAN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SON OF GREG STRAHAN</Relationship>
        <AmountOfTransaction>51328</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>VOLUNTEERS</Identifier>
        <ReturnReference>FORM 990, PART I, QUESTION 6</ReturnReference>
        <Explanation>VOLUNTEER 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 &amp; 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 &amp;/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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST</Identifier>
        <Explanation>FORM 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 &amp; POSITIONS FOR WHICH PROCESS WAS USED, &amp; 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 &amp; POSITIONS FOR WHICH PROCESS WAS USED, &amp; 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 &amp; 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.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>OH Cardiovascular</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1201 Pleasant Valley Road</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
        <EIN>200800844</EIN>
        <PrimaryActivities>Physician Prt</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <EOYAssets>18685234</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Kentucky Bioprocessing LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3700 AIRPARK DRIVE</AddressLine1>
          <City>OWENSBORO</City>
          <State>KY</State>
          <ZIPCode>42301</ZIPCode>
        </AddressUS>
        <EIN>204545241</EIN>
        <PrimaryActivities>Plant Bsd prt</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <TotalIncome>5992928</TotalIncome>
        <EOYAssets>17297440</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Commonwealth Medical Management LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 20007</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42304</ZIPCode>
        </AddressUS>
        <EIN>204796653</EIN>
        <PrimaryActivities>Phys Clnc Srv</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <EOYAssets>30000</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Foundation for Health Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1201 Pleasant Valley Road</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
        <EIN>611251763</EIN>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>oh</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>owensboro health medical group inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1201 Pleasant Valley Road</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
        <EIN>611197638</EIN>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>oh</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Owensboro Am Sr Fac</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 Brkrg owensboro ky 42303</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
        <EIN>752184992</EIN>
        <PrimaryActivity>Surgery Center</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>Investment Income</PredominantIncomeType>
        <ShareOfTotalIncome>1368496</ShareOfTotalIncome>
        <ShareOfEOYAssets>4969526</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.62750</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Owensboro Medical Center Laboratory Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1201 Pleasant Valley Road</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
        <EIN>610999592</EIN>
        <PrimaryActivity>Med Laboratory</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>3270314</ShareOfTotalIncome>
        <ShareOfEOYAssets>439754</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>OWENSBORO MEDICAL CENTER LAB</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>3376977</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>owensboro health medical group inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P,K</TransactionType>
        <AmountInvolved>44259578</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>owensboro health medical group inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A,J</TransactionType>
        <AmountInvolved>774836</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>owensboro health medical group inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>S</TransactionType>
        <AmountInvolved>27115675</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>THE FOUNDATION FOR HEALTH INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>997209</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>THE FOUNDATION FOR HEALTH INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>1663951</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>