OWENSBORO HEALTH REGIONAL HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: OWENSBORO HEALTH REGIONAL HOSPITAL (EIN 61-1286361)
Tax period: 2009-06-01 to 2010-05-31
Filed: 2011-01-12
IRS object ID: 201100129349301700
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-01-12T13:21:52-06:00	Timestamp
Tax Period End Date	2010-05-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE SUITE 2600	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	46204	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-06-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	611286361	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	OWENSBORO MEDICAL HEALTH SYSTEM INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	OWEN	NameControl
Phone	2706882000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	811 E Parrish Avenue	AddressLine1
City	Owensboro	City
State	KY	State
ZIP Code	42303	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JOHN HACKBARTH	Name
Title	CFO	Title
Date Signed	2011-01-04	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3176817000	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Dr Jeff Barber	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	811 East Parrish Avenue	AddressLine1
City	Owensboro	City
State	KY	State
ZIP Code	42303	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	754133630	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.omhs.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1995	YearFormation
State Legal Domicile	KY	StateLegalDomicile
Activity Or Mission Description	Owensboro Medical Health System exists to heal the sick and improve the health of the community.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	3527	TotalNbrEmployees
Total Nbr Volunteers	316	TotalNbrVolunteers
Total Gross UBI	5311686	TotalGrossUBI
Contributions Grants Prior Year	231246	ContributionsGrantsPriorYear
Contributions Grants Current Year	225261	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	335608101	ProgramServiceRevenuePriorYear
Program Service Revenue CY	370153200	ProgramServiceRevenueCY
Investment Income Prior Year	2353489	InvestmentIncomePriorYear
Investment Income Current Year	9229618	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4415758	OtherRevenuePriorYear
Other Revenue Current Year	8572457	OtherRevenueCurrentYear
Total Revenue Prior Year	342608594	TotalRevenuePriorYear
Total Revenue Current Year	388180536	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1462710	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1914978	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	140859812	SalariesEtcPriorYear
Salaries Etc Current Year	147773821	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	183661989	OtherExpensePriorYear
Other Expenses Current Year	184106371	OtherExpensesCurrentYear
Total Expenses Prior Year	325984511	TotalExpensesPriorYear
Total Expenses Current Year	333795170	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16624083	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	54385366	RevenuesLessExpensesCY
Total Assets BOY	504954397	TotalAssetsBOY
Total Assets EOY	923430789	TotalAssetsEOY
Total Liabilities BOY	289629905	TotalLiabilitiesBOY
Total Liabilities EOY	646303966	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	215324492	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	277126823	NetAssetsOrFundBalancesEOY
Mission Description	Owensboro Medical Health System exists to heal the sick and improve the health of the community.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	237689613	Expense
Grants	1914978	Grants
Revenue	371057922	Revenue
Description	Owensboro Medical Health System 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, 2010, OMHS had total admissions of 18,343, patient days of 81,830, and ER vists of 63,592.	Description
Total Program Service Expense	237689613	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	true	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	108	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	3527	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	KY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	John Hackbarth	NamePerson
Telephone Number	2706918214	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	811 E Parrish Avenue	AddressLine1
City	Owensboro	City
State	KY	State
ZIP Code	42303	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Braden Alan
Vice Chairman	3.0	X	0	0	0
Carper Bob
Board Member	3.0	X	0	0	0
Henderson Jr George
Board Member	3.0	X	0	0	0
Buchanan MD Bernard
Board Member	3.0	X	0	0	0
Kincheloe Ann Murphy
Secretary	3.0	X	0	0	0
Maddox MD Tom
Board Member	3.0	X	0	0	0
Knight MD Robert
Board Member	3.0	X	0	0	0
Miles Billy Joe
Chairman	3.0	X	0	0	0
Schell MD Robert
Board Member	3.0	X	0	0	0
Poynter Gerald
Board Member	3.0	X	0	0	0
Woodward Terry
Board Member	3.0	X	0	0	0
Chandler Billy H Ed D
Board Member	3.0	X	0	0	0
Smith G Ted
Board Member	3.0	X	0	0	0
Iracane Joseph
Board Member	3.0	X	0	0	0
Barber Jeffrey
President / CEO	50.0		746474	0	49129	X
Begley II Earnest E
Chief Legal Officer	50.0		317670	0	29585	X
Hackbarth Jr John
Chief Financial Officer	50.0		356175	0	30796	X
Medley Jr Richard W
Chief Medical Officer	50.0		221683	0	17167	X
Strahan Greg
Chief Operations Officer	50.0		457271	0	36955	X
Suter Mia
Chief Development Officer	50.0		283956	0	15805	X
Tyler MD Terry W
Chief Outpat Imaging Officer	50.0		448305	0	32958	X
Jones Lisa
VP of Clinical Services	50.0		223115	0	23706		X
Mills Michael
VP of Ancillary Services	50.0		220075	0	21373		X
Ranallo Russell
VP of Financial Services	50.0		233789	0	26184		X
Stogsdill Vicki
VP of Nursing Services	50.0		362839	0	29166		X
Padgett Patrick
Physician	40.0		645449	0	13256			X
Filbeck Jeffrey
Physician	40.0		622978	0	19855			X
Mulligan John
Physician	40.0		613643	0	20690			X
Ravi Lingamurthy
Physician	40.0		600931	0	9815			X
Uragoda Lalith
Physician	40.0		593245	0	24195			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6947598	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	400635	TotalOtherCompensation
Number Individuals GT100 K	108	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Louisville Radiology Imaging Consul
71 West 156th Street	HARVEY	IL	60426	In-Patient Radiology	5425668
Morrison Management Specialists
4721 Morrison Dr Suite 300	MOBILE	AL	36609	Food Services	4886741
Owensboro Anesthesia Services PLLC
815 E Parrish Avenue	OWENSBORO	KY	42303	Anesthesia Services	2665023
EA Health Corporation
440 Stevens Ave Suite 150	SOLANO BEACH	CA	92075	Physician Call Svcs	2741836
Wyatt Tarratn Combs LLC
Suite 2800 500 W Jefferson Street	LOUISEVILLE	KY	40202	Legal Services	1768585

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	31	NumberOfContractorsGT100K
Related Organizations	91651	RelatedOrganizations
Government Grants	119643	GovernmentGrants
All Other Contributions	13967	AllOtherContributions
Total Contributions	225261	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REV - INSURANCE	622110	194201155	194201155
PATIENT REV - MEDICARE/MEDICAID	622110	175241439	175241439
INCOME FROM OASF	622110	855518	855518
INCOME FROM OCRP	622110	-144912	-144912

Field	Value	IRS element (for citing)
Total Program Service Revenue	370153200	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6433231	TotalRevenueColumn
Exclusion	$6,433,231	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	116418	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	116418	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	116418	TotalRevenueColumn
Exclusion	$116,418	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	368417458	Securities
Other	707	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	365614778	Securities
Other	7000	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2802680	Securities
Other	-6293	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2796387	TotalRevenueColumn
Exclusion	$2,796,387	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	406516	GrossSalesOfInventory
Cost Of Goods Sold	331316	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	75200	TotalRevenueColumn
Exclusion	$75,200	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Kentucky Bio Processing	541700	4992598	4992598
Laundry & Catering & Other 990T	812300	319088	319088
Cafeteria & Vending Machine Revenue	722212	2164431		$2,164,431

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	904722	TotalRevenueColumn
Related Or Exempt Function Income	904722	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	8380839	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	388180536	TotalRevenueColumn
Related Or Exempt Function Income	371057922	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	5311686	UnrelatedBusinessRevenue
Exclusion	$11,585,667	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1408468	Total
Program Services	1408468	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	506510	Total
Program Services	506510	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4184175	Total
Program Services	0	ProgramServices
Management And General	4184175	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	108047403	Total
Program Services	86238325	ProgramServices
Management And General	21809078	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8917838	Total
Program Services	7263922	ProgramServices
Management And General	1653916	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	18627467	Total
Program Services	14891359	ProgramServices
Management And General	3736108	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7996938	Total
Program Services	6257224	ProgramServices
Management And General	1739714	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	8449480	Total
Program Services	4949417	ProgramServices
Management And General	3500063	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1733314	Total
Program Services	0	ProgramServices
Management And General	1733314	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	199509	Total
Program Services	0	ProgramServices
Management And General	199509	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	189912	Total
Program Services	189912	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total
Fundraising	0	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	425085	Total
Program Services	0	ProgramServices
Management And General	425085	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	22910197	Total
Program Services	13658743	ProgramServices
Management And General	9251454	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1704689	Total
Program Services	8314	ProgramServices
Management And General	1696375	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	74849757	Total
Program Services	70052867	ProgramServices
Management And General	4796890	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	5427769	Total
Program Services	932936	ProgramServices
Management And General	4494833	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	264265	Total
Program Services	46066	ProgramServices
Management And General	218199	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5161794	Total
Program Services	693357	ProgramServices
Management And General	4468437	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	982066	Total
Program Services	313637	ProgramServices
Management And General	668429	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	173595	Total
Program Services	66244	ProgramServices
Management And General	107351	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	5480575	Total
Program Services	0	ProgramServices
Management And General	5480575	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	20740293	Total
Program Services	5104	ProgramServices
Management And General	20735189	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2937800	Total
Program Services	28071	ProgramServices
Management And General	2909729	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Bad Debt	25027450	25027450	0
KY Provider Tax	3550538	3550538	0
Recruiting	1163366	1292	1162074
Dues	304616	45478	259138
Dietary	1882590	1506072	376518

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	547710	Total
Program Services	48307	ProgramServices
Management And General	499404	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	333795170	Total
Program Services	237689613	ProgramServices
Management And General	96105557	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	24252	BOY
EOY	7222	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	25054221	BOY
EOY	69954743	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	62013575	BOY
EOY	69450280	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	383154	BOY
EOY	334895	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	308312	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	48423	BOY
EOY	441255	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6146846	BOY
EOY	7407360	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3191521	BOY
EOY	7826402	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	351494849	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	191361363	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	144692981	BOY
EOY	160133486	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	211955218	BOY
EOY	124286750	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	27990517	BOY
EOY	28111367	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	16682379	BOY
EOY	14713846	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	6771310	BOY
EOY	440454871	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	504954397	BOY
EOY	923430789	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	32592244	BOY
EOY	42043503	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	90388	BOY
EOY	13848055	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	173675000	BOY
EOY	507109025	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	10449711	BOY
EOY	9831049	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
EOY	512774	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	72822562	BOY
EOY	72959560	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	289629905	BOY
EOY	646303966	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	215324492	BOY
EOY	277126823	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	215324492	BOY
EOY	277126823	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	504954397	BOY
EOY	923430789	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$139,317	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$50,595	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	189912	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifier

ExplanationExplanation

Schedule C Part II B, Line 1f

Percentage of lobbying activities from Kentucky Hospital Association dues, AHA dues, and Cornerstone Government Affairs.

SUPPLEMENTAL INFORMATION

Within the context of Governmental, Community and Legislative Affairs, OMHS 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. Federal activities are more limited based on contract services provided by Cornerstone Government Affairs, a Washington, DC based legislative agent. However, 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 OMHS 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, 2010, all lobbying activity by the Executive Director did not exceed 30% of total work-related duties and responsibilities.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13276918	OtherCostOrOtherBasis
Book Value	13276918	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	96977073	OtherCostOrOtherBasis
Depreciation	48190312	Depreciation
Book Value	48786761	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	66754179	OtherCostOrOtherBasis
Depreciation	40566519	Depreciation
Book Value	26187660	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	148306307	OtherCostOrOtherBasis
Depreciation	102604532	Depreciation
Book Value	45701775	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	26180372	OtherCostOrOtherBasis
Book Value	26180372	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	160133486	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
Cost of Issuance Series A 2010	2417908
Cost of Issuance Series B 2010	267637
LTD Use Assets from Series A&B	437485026
Key Executive Plan	284301

Field	Value	IRS element (for citing)
Total Book Value Other Assets	440454871	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
Due to Third Party Payors	$21,502,326
Health Improvement Reserve	$50,290
Accrued Pension	$38,461,358
Workman's Comp Reserve	$4,868,487
Malpractice Reserve	$8,077,099

Field	Value	IRS element (for citing)
Total Of Amounts	72959560	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Accounting for Uncertainty in Income Taxes	Identifier
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

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	225.	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	375.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16226701	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2086000	DirectOffsettingRevenue
Net Community Benefit Expense	14140701	NetCommunityBenefitExpense
Percent Of Total Expense	0.04580	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	35405014	TotalCommunityBenefitExpense
Direct Offsetting Revenue	30489000	DirectOffsettingRevenue
Net Community Benefit Expense	4916014	NetCommunityBenefitExpense
Percent Of Total Expense	0.01590	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	51631715	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32575000	DirectOffsettingRevenue
Net Community Benefit Expense	19056715	NetCommunityBenefitExpense
Percent Of Total Expense	0.06170	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	608	NumberOfActivitiesOrPrograms
Persons Served	192009	PersonsServed
Total Community Benefit Expense	874823	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8291	DirectOffsettingRevenue
Net Community Benefit Expense	866532	NetCommunityBenefitExpense
Percent Of Total Expense	0.00280	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	60	NumberOfActivitiesOrPrograms
Persons Served	496	PersonsServed
Total Community Benefit Expense	1774472	TotalCommunityBenefitExpense
Direct Offsetting Revenue	315003	DirectOffsettingRevenue
Net Community Benefit Expense	1459469	NetCommunityBenefitExpense
Percent Of Total Expense	0.00570	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	379475	TotalCommunityBenefitExpense
Net Community Benefit Expense	379475	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	160	NumberOfActivitiesOrPrograms
Persons Served	480741	PersonsServed
Total Community Benefit Expense	755222	TotalCommunityBenefitExpense
Direct Offsetting Revenue	59	DirectOffsettingRevenue
Net Community Benefit Expense	755163	NetCommunityBenefitExpense
Percent Of Total Expense	0.00240	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	829	NumberOfActivitiesOrPrograms
Persons Served	673246	PersonsServed
Total Community Benefit Expense	3783992	TotalCommunityBenefitExpense
Direct Offsetting Revenue	323353	DirectOffsettingRevenue
Net Community Benefit Expense	3460639	NetCommunityBenefitExpense
Percent Of Total Expense	0.01210	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	829	NumberOfActivitiesOrPrograms
Persons Served	673246	PersonsServed
Total Community Benefit Expense	55415707	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32898353	DirectOffsettingRevenue
Net Community Benefit Expense	22517354	NetCommunityBenefitExpense
Percent Of Total Expense	0.07380	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	200	PersonsServed
Total Community Building Expense	73060	TotalCommunityBuildingExpense
Net Community Building Expense	73060	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	19	NumberOfActivitiesOrPrograms
Persons Served	73047	PersonsServed
Total Community Building Expense	76814	TotalCommunityBuildingExpense
Direct Offsetting Revenue	1273	DirectOffsettingRevenue
Net Community Building Expense	75541	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	2500	PersonsServed
Total Community Building Expense	2072	TotalCommunityBuildingExpense
Net Community Building Expense	2072	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Building Expense	591	TotalCommunityBuildingExpense
Net Community Building Expense	591	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	149305	TotalCommunityBuildingExpense
Net Community Building Expense	149305	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	36	NumberOfActivitiesOrPrograms
Persons Served	75747	PersonsServed
Total Community Building Expense	301842	TotalCommunityBuildingExpense
Direct Offsetting Revenue	1273	DirectOffsettingRevenue
Net Community Building Expense	300569	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$10,384,000	BadDebtExpenseAmount
Amount Attributable To	5192000	AmountAttributableTo
Amount Reimbursed By Medicare	126201895	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	121554193	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	4647702	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Owensboro Medical Health System Inc	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	811 East Parrish Avenue	AddressLine1
City	Owensboro	City
State	KY	State
ZIP Code	42303	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Percent Of Total Expense Expln	When calculating the community benefit percentages in Part I, Line 7, bad debt expenses of $25,026,611 was excluded.	PercentOfTotalExpenseExpln
Bad Debt Footnote	There is no footnote to the organization's financial statements that describes bad debt expense. The costing methodology used is the cost to charge ratio calculated in worksheet 2 of Part I of Schedule H of this 990.	BadDebtFootnote
Shortfall As Community Benefit	The costing methodology used is the cost to charge ratio calculated in worksheet 2 of Part I of Schedule H of this 990. The charges and payments are from the Medicare paid claims reports. The calculation does not show a shortfall.	ShortfallAsCommunityBenefit
Debt Collection Policy	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 out 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 collections 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 assisitance. 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 balances are permitted to establish payment plans. The hospital does not charge interest to its patients.	DebtCollectionPolicy
Needs Assessment	OMHS utilizes four primary methods in assessing the health care needs of our community. (1) OMHS partners with local healthcare organizations in assessing and addressing the healthcare needs of the region. Organizations include the Green River District Health Department, River Valley Behavioral Health, Green River Area Development District, Green River Regional Health Council, Daviess County Diabetes Coalition, Daviess County, Owensboro Catholic and Owensboro Public Schools and numerous other providers. Information and data sharing from each of our organizations is used to assess the health care needs of our community and develops collaborative approaches to address these needs. (2) OMHS draws on resources published from numerous sources within the OMHS primary and secondary service area to assess healthcare needs. Sources used by OMHS to identify community health needs for the OMHS service area are found in, but are not limited to, Healthy People 2010 (www.healthypeople.gov), The Health of Kentucky: A County Assessment (www.kyiom.org/assessment.html), Green River Regional Health Council Report Card (www.gradd.com/Aging_Pages/green_river_regional_health_council.html), United Way of the Ohio Valley Human Services Needs Assessment, United Way of Southwestern Indiana Regional Needs Assessment (www.unitedwayswi.org/publications.php?page=com_needs_assessment), reports from The Institute of Medicine http://www.iom.edu/Reports.aspx?topic1={BA4CD870-F567-46E3-88DE-20E50A D7ED3E}; and, the Robert Woods Johnson Foundation County Health Rankings Project http://www.countyhealthrankings.org/. OMHS is currently developing parameters, scope, and identifying other interested partners in conducting an additional community health needs assessment in the coming year. (3) Through our Community Benefit Grant Program, OMHS assesses 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 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 advocate measurable improvement in health status, access, or use of healthcare resources. Programs or projects must also serve individuals in the OMHS service area. By virtue of ongoing partnerships with these organizations, OMHS gains firsthand knowledge of the health needs of our region and how we can work collaboratively with other organizations to address these needs. (4) OMHS 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 OMHS and the health of our community. This includes health status data and consumer characteristics. Outpatient Profiles: In addition to accurately quantifying current outpatient volumes and determining sites of service, this product supports service line planning decisions; reinforces technology and resource allocations; assists in identifying community needs; and, supports physician collaboration. Kentucky Hospital Association Info Suite is an on-line data decision support system available to members for obtaining information from KHA's statewide inpatient and outpatient Limited Data Set. Each hospital in Kentucky submits data to KHA and in turn we are able to review our needs within our service area. KHA also have a reciprocal agreement which provides Indiana hospital information. This data allows OMHS to review inpatient and outpatient data and to extrapolate community health status and need.	NeedsAssessment
Patient Education Assistance	The hospital educates the patients in a variety of ways. The hospital has signage at access points regarding financial assistance offerings. The hospital has financial aid applications available at registration areas, via the Internet at the hospital website, via phone, and sent routinely via mail to patients of the hospital. The hospital employs financial counselors and contracts with an outside firm to ensure patients are interviewed and evaluated for eligibility in the financial assistance programs available. All self-pay and balance after insurance accounts are reviewed and worked by hospital staff to ensure that the patient is given every opportunity to apply for financial assistance. Additionally information about applying financial assistance is included on the patient statements, bills, and letters they may receive from the hospital.	PatientEducationAssistance
Community Information	Community Information Demographics The "Primary Service Area" for the OMHS System is Daviess County, Kentucky, which accounts for approximately 67% of the Hospital's inpatient admissions. Owensboro is the county seat of Daviess County, Kentucky, and lies on the southern banks of the Ohio River in western Kentucky. OMHS is the only hospital within its Primary Service Area of Daviess County. Owensboro is located 39 miles southeast of Evansville, Indiana, 131 miles north of Nashville, Tennessee, and 111 miles southwest of Louisville, Kentucky. The total population of Daviess County is 94,418 according to 2008 U.S. Census Data. Of these, 81% of those 25 or older have graduated from high school. Per capita personal income for the Primary Service Area is $27,473 compared to $27,625 for Kentucky and $33,689 for the U.S. Social and Behavioral Indicators Within the Primary Service Area 28% of adults are estimated to be obese, defined as having a Body Mass Index of 30.0 or higher; 63% of adults are estimated to be overweight defined as having a Body Mass Index of 25 or higher; 26% of adults smoke; and, 29% of adults are missing six or more permanent teeth because of tooth decay or gum disease. Health Outcomes Within the Primary Service Area the occurrence of infectious disease (AIDS, tuberculosis, and hepatitis) is 5.0 per 100,000 compared to 8.0 per 100,000 in Kentucky and 23.0 per 100,000 in the U.S. According to 2007 data, the incidence of motor vehicle deaths was 0.4 in the Primary Service Area compared to 2.1 in Kentucky and 1.5 in the U.S. The incidence of occupational fatalities was 5.1 per 100,000 in the Primary Service Areas compared to 8.0 in Kentucky and 5.0 per 100,000 nationwide. Years of potential life lost prior to age 75 was 6,500 years per 100,000 population compared to 9,111 in Kentucky. The total age adjusted rate of death (mortality) from all causes per year was 822.8 per 100,000 population compared to 906.8 in Kentucky. When asked, 19.7% of adults in the Primary Service Area reported that their health status was fair or poor. The death rate for all forms of cancer in the Primary Service Area stands at 192.8 per 100,000 compared to 237.0 in Kentucky and 202.0 nationwide. Within the Primary Service Area, the prevalence of diabetes in adults is 9% and 11% for Asthma. The age adjusted rate of death due to heart disease is 186.3 per 100,000 population compared to 224.0 for Kentucky and the age adjusted rate of death from stroke is 39.1 per 100,000 Access to Care Eighteen percent of adults under the age of 65 are uninsured according the Census Bureau data. In 2008, Twenty-one percent of individuals in the service area were enrolled in Medicaid according to the Kentucky Department of Medicaid Services. Within the Primary Service Area there exists .7 per 1000 primary care physicians; 1.4 per 1000 physician specialist; 12.2 per 1000 nurses; 1.1 per 1000 pharmacists and .6 per 1000 dentist. Regarding numbers of health care providers available, there exists 195 physicians including 63 primary care physicians and 132 specialists; 1,150 Registered Nurses; 76 nurse practitioners; 27 physician's assistants; 102 pharmacists; and, 55 dentists. Regarding Health Professional Shortage Areas (HPSA) in 2008, the Primary Service Area was not classified as such with respect to primary care and dental nor was it considered a Medically Underserved Area or Medically Underserved Population (MUA/Ps). It was, however, classified as a Mental Health HPSA. Among the population, 78% reported that there was one person they think of as their personal doctor or health care provider. The percent of adults who report that there was a time in the past year when they needed to see a doctor but could not because of cost was 9.1% compared to 16.7% in Kentucky. All information was obtained from a variety of data sources as published on kyhealthfacts.org.	CommunityInformation
Community Building Activities	OMHS is not just the largest employer in the region; it is also the largest private employer in the Commonwealth of Kentucky west of Louisville, and the 35th largest in the state. As such, we consider our responsibility to serve and strengthen our communities in ways much broader than providing direct health service or addressing only "identified health needs". We believe the second part of our mission professing to improve the health of the community requires us to support Community Building activities involving economic, educational, civic, arts, athletic and cultural organizations. We believe these IRS categorized Community Building activities are equally as important to our charitable purposes as are our Community Benefit activities. Where cash and in-kind allocations are made for Community Building programs and activities, we still require these organizations to identify on their proposal how these programs and activities address root causes of health problems and impact the health of our community. In this way, they are also able to understand how improving the health of our community can be accomplished in many different ways. Many of the non-profit organizations whose activities are classified as community building could not exist if it were not for the support OMHS and others give.	CommunityBuildingActivities
Other Information	Governance of OMHS is entrusted to members of the community based on the board make-up and appointment process. The OMHS bylaws set forth that three (3) members of the board be appointed by the publicly-elected Daviess County Judge Executive (County Mayor); three (3) members be appointed by the publicly-elected Mayor of Owensboro; one (1) member be appointed jointly by the Daviess County Judge Executive and the Mayor; and, four (4) members be elected or appointed by the community at large. The other three (3) members of the board are active physicians appointed by the medical staff. Each board member is passionate about their responsibility to further the OMHS mission to heal the sick and improve the health of THEIR community. Within the board organizational structure, their also exists the Community Needs and Accountability Committee (CNAC). This committee is charged with overseeing governance polices for the OMHS Community Benefit Program including the review and approval of Community Benefit Grant Program funding allocations tied to community health needs. The committee is also responsible for recommending and executing board policies in community engagements and for addressing board membership criteria, continuing education, board self assessment and development. The committee serves as a leadership arm and key advocate for community health needs and programs within the board. OMHS also established the Community Benefit Policy Committee consisting of senior leaders of the organization that make recommendations on Community Benefit polices and engagements prior to consideration by the OMHS Board. Another staff committee, the Community Benefit Grant Program Review Committee, is made up of a broad cross-section OMHS employees, including but not limited to pastoral care, case management, community health, nursing and medical staff. This committee reviews, scores and deliberates on all proposals for funding submitted by community organizations to OMHS to insure a focus on identified health needs and root causes of health problems. At the staff level, OMHS employs an Executive Director of Governmental and Community Affairs and a Community Outreach Manager. These two individuals oversee the OMHS Community Benefit program. They work with dozens of OMHS Community Benefit Program partners to monitor and evaluate OMHS supported projects and programs to insure professed health improvement goals are being realized. They provide information and reports to the community at large, the OMHS Board of Directors and the Community Needs and Accountability Committee on Community Benefit Program outcomes and overall community health. In accordance with its bylaws, OMHS publishes The OMHS Report to the Community each December. Within this annual report is detailed information and financial data about OMHS Community Benefit activities and outlays. Prior to making the report available on the Internet and through direct mail, OMHS hosts a community event and presentation with hospital leaders to unveil it. Though not required, OMHS voluntarily submitted a comprehensive Community Benefit Report to the Kentucky Hospital Association as part of a statewide demonstration project.	OtherInformation
Reports Filed With States	KY	ReportsFiledWithStates

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (35 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Foundation for Health
811 East Parrish Avenue	Owensboro	KY	42303	611251763	501(c)(3)	433918	contributions to Fdn
Owensboro Community and Technical College
4800 New Hartford Road	Owensboro	KY	42303	616001218	501 (c) (3)	201357	Nursing program scholarship and Surgical Tech grant
United Way
PO Box 705	Owensboro	KY	42302	610846061	501 (c) (3)	83557	Support United Way fundaising activities
Greater Owensboro Chamber
200 East 3rd St	Owensboro	KY	42302	610299925	501 (c) (3)	71250	Support EDC operations and business research
University of L'ville Res Foun School of Nursing
3019K-Wing	Louisville	KY	40292	611029626	governmental	65110	School of Nursing expenditures
Western KY Botanical Garden
PO Box 22562	Owensboro	KY	42304	611251188	501(c)(3)	37561	Community Support
Advisory Board
PO Box 79461	Baltimore	MD	21279	521468699		33533	Clinical Tech Assessment and Marketing and Planning Leadership Council
Hancock County Public Schools
330 Frank Lutrell Road	Lewisport	KY	42351	626001295	governmental	25000	Community Support
Lighthouse Recovery Services
226 Walnut Street	Owensboro	KY	42301	020570995	501 (c) (3)	25000	Community Support
Owensboro Museum of Fine Arts
901 Frederica Street	Owensboro	KY	42301	611297343	501 (c) (3)	25000	Community Support
Wendell Foster's Campus
815 Triplett St	Owensboro	KY	42303	610490868	501 (c) (3)	25000	Community Support
Trophy House
511 Frederica Street	Owensboro	KY	42301	610675581		20287	Community Support
Riverpark Center
101 Daviess St	Owensboro	KY	42303	611147328	501 (c) (3)	20248	Membership & Sponsorship
H L Neblett Center
801 W 5th Street	Owensboro	KY	42301	610523292	501 (c) (3)	20000	Community Support
Owensboro Symphony Orchestra
211 East 2nd Street	Owensboro	KY	42303	616055984	501 (c) (3)	20000	Community Support
Boulware Mission Inc
731 Hall Street	Owensboro	KY	42303	610486968	501 (c) (3)	15000	Community Support
Komen for the Cure
P O Box 22505	Owensboro	KY	42304	752844632	501 (c) (3)	15000	Community Support
University of Kentucky
500 S Limestone	Lexington	KY	40508	616001218	501 (c) (3)	15000	Concert Master's Circle Sponsorship
Owensboro Area Museum of S&H
122 East 2nd Street	Owensboro	KY	42303	611164857	501 (c) (3)	14000	Community Support
Kentucky Hospital Research & Education Fdn
PO Box 436629	Louisvile	KY	40253	616052378	501 (c) (3)	13967	Workforce expansion initiatives
McLean Co Board of Education
245 Main Street	Calhoun	KY	42327	616001255	501 (c) (3)	13500	Community Support
Mentorkids Kentucky
1700 Frederica Ste 204	Owensboro	KY	42301	611222299	501 (c) (3)	13500	Community Support
Care Net Pregnancy Center
P O Box 9525	Owensboro	KY	42302	200736119	501 (c) (3)	12800	Community Support
Green River District Health Dept
PO Box 309	Owensboro	KY	423020309	611010686	501 (c) (3)	12470	Community Support
American Red Cross
P O Box 1745	Owensboro	KY	42302	610944834	501 (c) (3)	12207	Community Support
Owensboro Family YMCA
900 Kentucky Parkway	Owensboro	KY	42301	610561344	501 (c) (3)	12000	Community Support
Dream Riders of Kentucky
P O Box 172	Philpot	KY	42366	010802025	501 (c) (3)	12000	Community Support
Owensboro Dance Theatre
2705 Breckenridge St	Owensboro	KY	42303	611040701	501 (c) (3)	11000	Community Support
American Cancer Society
319 W 10th St Ste 101	Owensboro	KY	42301	131788491	501 (c) (3)	10000	Community Support
Brescia University
717 Frederica Street	Owensboro	KY	42303	610660795	501 (c) (3)	10000	Community Support
Kelly Autism Program
815 Tripplett Street	Owensboro	KY	42303	611251555	501 (c) (3)	10000	Community Support
Daviess County Emergency Mgmt
212 St Ann Street	Owensboro	KY	42303	616000155	501 (c) (3)	10000	Community Support
Junior Achievement of Kentucky
1195 Wing Avenue	Owensboro	KY	42303	610564988	501 (c) (3)	9000	Community Support
Alma Randolph Charitable
1735 Frederica Street	Owensboro	KY	42301	611245015	501 (c) (3)	6400	Community Support
Daniel Pitino Shelter
501 Walnut Street	Owensboro	KY	42301	611245271	501 (c) (3)	6000	Community Support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	33	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	2	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
OMHS Employee Tuition Assistance	146	456871
Cancer Center Medical Fund	240	20883
Patient Medical Fund	420	28756

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Form 990, Schedule I	Identifier
Return Reference	Description of Organization's Procedures for Monitoring the Use of Grants	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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Barber Jeffrey
523323	0	156000	0	67151	0	37480	0	11649	0	795603	0	0	0
Begley II Earnest E
234639	0	68484	0	14547	0	16092	0	13493	0	347255	0	0	0
Hackbarth Jr John
260444	0	76529	0	19202	0	18172	0	12624	0	386971	0	0	0
Jones Lisa
170122	0	50394	0	2599	0	11454	0	12252	0	246821	0	0	0
Medley Jr Richard W
160453	0	40853	0	20377	0	11162	0	6005	0	238850	0	0	0
Mills Michael
173796	0	42466	0	3813	0	11235	0	10138	0	241448	0	0	0
Ranallo Russell
178969	0	53939	0	881	0	12164	0	14020	0	259973	0	0	0
Stogsdill Vicki
266873	0	77436	0	18530	0	18397	0	10769	0	392005	0	0	0
Strahan Greg
340725	0	97494	0	19052	0	23170	0	13785	0	494226	0	0	0
Suter Mia
210422	0	60147	0	13387	0	14198	0	1607	0	299761	0	0	0
Tyler MD Terry W
387508	0	43198	0	17599	0	22630	0	10328	0	481263	0	0	0
Padgett Patrick
645326	0	0	0	123	0	0	0	13256	0	658705	0	0	0
Filbeck Jeffrey
622855	0	0	0	123	0	8250	0	11605	0	642833	0	0	0
Mulligan John
613359	0	0	0	284	0	11000	0	9690	0	634333	0	0	0
Ravi Lingamurthy
432937	0	167489	0	505	0	7954	0	1861	0	610746	0	0	0
Uragoda Lalith
514522	0	77433	0	1290	0	9864	0	14331	0	617440	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier

ExplanationExplanation

Supplemental Compensation Information Schedule J Part I, 1a

Provided reduced rate fitness club membership, which is available to all employees. This is a qualifying employee benefit and is not includable in gross wages. This benefit was phased out and only one remains (grandfathered).

Schedule J, Part I, Line 4b

OMHS has a 457f deferred compensation plan that allows employees to contribute money on a pre-tax basis into investments that provide key employees with a retirement benefit. Payments into the plan are based on base annual pay (15% for the CEO and 12% for other executives), no bonuses or reimbursed expenses are taken into account when applying percentage. If the individual started in the middle of the year, payments are only made for the time that applies. Participants are vested after 5 years. The following executives made nontaxable contributions to plan: Jeffrey Barber $78,958.80; Earnest Begley $28,650.14; John Hackbarth $32,118.87; Lisa Jones $21,123.16; Richard W. Medley $19,433.69; Michael Mills $20,595.18; Russ Ranallo $22,608.87; Vicki Stogsdill $32,165.64; Greg Strahan $40,865; Mia Suter $25,243.69;

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Kentucky Economic Development Finance Authority	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	610600439	IssuerEIN
CUSIP Number	49126KGX3	CUSIPNumber
Date Issued	2010-03-03	DateIssued
Issue Price	512772595	IssuePrice
Description Of Purpose	See Schedule O	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	515124501	TotalProceeds
Amount In Reserve Fund	37912800	AmountInReserveFund
Amount Defeased	58975719	AmountDefeased
Amount Unspent	397775501	AmountUnspent
Issuance Costs From Proceeds	8204303	IssuanceCostsFromProceeds
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	12256178	CapitalExpenditures
Year Of Subst Completion	2013	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	false	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Bond Counsel Routinely Engaged	false	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	false	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	false	ExceptionToRebate

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
DR DOUGLAS ADAMS 5
RECRUITMENT LOAN	X	$339,359	334895	false	false	true
OASF 579
REFINANCE	X	$386,744	308312	false	true	true

Field	Value	IRS element (for citing)
Total Balance Due	643207	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
MOLLIE MILLS
DAUGHTER OF MICHAEL MILLS	13917	EMPLOYEE COMPENSATION	false
VIRGINIA WARD
DAUGHTER OF MICHAEL MILLS	52118	EMPLOYEE COMPENSATION	false
STEVE JOHNSON
SON-ANN MURPHY KINCHELOE	126375	EMPLOYEE COMPENSATION	false
JENNIFER RANALLO
WIFE OF RUSSELL RENALLO	21436	EMPLOYEE COMPENSATION	false
DIANNE MILES
DIL - BILLY JO MILES	24078	EMPLOYEE COMPENSATION	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Volunteers	Form 990, Part I, Question 6	Volunteer Services support the mission and goals of Owensboro Medical Health System. They staff the patient information desk, deliver flowers, and play a crucial role as liaison between families and physicians in the surgery waiting areas. Volunteers are an essential part of the care and comfort OMHS provides.
Description of Classes of Persons and the Nature of Their Rights	Form 990, Part VI, Question 7a	OMHS 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 OMHS active Medical Staff, and four (4) directors are elected or appointed by the Board of Directors from the community. The Board of Directors is responsible for overseeing the management and operation of OMHS. OMHS 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.
Descr Classes of Persons Requiring Approval & 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.
Describe the Process Used by Management &/or Governing Body to Review 990	Form 990, Part VI, Question 11A	The return is reviewed by the CFO, Controller, and Accounting Manager before it is signed.
Description of Process to Monitor Transactions for Conflicts of Interest	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). Similarly, as soon as we implement the additional revised policy addressing conflict of interest for employees, each Director, Manager or other employee with authority to influence decisions regarding the purchase of goods or services by OMHS, will be requested to complete a conflict of interest disclosure and certification form. 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 contract. Once the conflict of interest data has been collected, new contracts will be screened for potential conflicts of interest. In addition, OMHS maintains a Compliance Hotline through which anyone with knowledge of a conflict of interest or improper vendor relationship can anonymously report suspected violations of OMHS policy.
Offices & Positions for Which Process was Used, & Year Process was Begun	Form 990, Part VI, Question 15a	TOTAL COMPENSATION IS THE SUM OF CEO'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.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public	Form 990, Part VI, Question 19	Documents and policies are made available upon request.
Bond Issue Description	Form 990, Schedule K, Part I, Line A, Column (f)	The proceeds from the Series 2010A Bonds are expected to be used to finance or refinance the acquisition, construction and equipping of (a) a new 9-story replacement acute care hospital containing approximately 650,000 square feet of space (the "Replacement Hospital"), (b) a 2-story support services building containing approximately 55,000 square feet of space, (c) a one and one-half story central energy plant containing approximately 24,000 square feet of space, and (d) a 2,700 stall parking lot and related real and personal property (collectively, the "Project"). The Project will be situated on a 147-acre parcel that is located approximately 2.5 miles northeast of the Existing Hospital in Owensboro, Kentucky. The Replacement Hospital will feature 350 patient rooms, of which as many as 97 are expected to be configured to permit shared use.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets
OMHS Cardiovascular LLC
811 East Parrish Avenue	Owensboro	KY	42303	200800844	Physician Prt	KY	894589	320338
Kentucky Bioprocessing LLC
PO Box 20007	Owensboro	KY	42303	204545241	Plant Bsd Prt	KY	5044369	21479649
Commonwealth Medical Management LLC
PO Box 20007	Owensboro	KY	42304	204796653	Phys Clnc Srv	KY	0	30000

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus
Foundation for Health Inc
811 East Parrish Avenue	Owensboro	KY	42303	611251763	Healthcare	KY	501(c)(3)	7
Cooperative Health Services Inc
811 E Parrish Avenue	Owensboro	KY	42303	611197638	Healthcare	KY	501(c)(3)	9

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Owensboro Am Sr Fac	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1000 Brkrg	AddressLine1
City	Owensboro	City
State	KY	State
ZIP Code	42303	ZIPCode

Field	Value	IRS element (for citing)
EIN	752184992	EIN
Primary Activity	Surgery Center	PrimaryActivity
Legal Domicile State	KY	LegalDomicileState
Predominant Income Type	Investment Income	PredominantIncomeType
Share Of Total Income	709781	ShareOfTotalIncome
Share Of EOY Assets	6383320	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
General Or Managing Partner	true	GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Owensboro Medical Center Laboratory Inc	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	811 E Parrish Avenue	AddressLine1
City	Owensboro	City
State	KY	State
ZIP Code	42303	ZIPCode

Field	Value	IRS element (for citing)
EIN	610999592	EIN
Primary Activity	Med Laboratory	PrimaryActivity
Legal Domicile State	KY	LegalDomicileState
Type Of Entity	C Corp	TypeOfEntity

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
Owensboro Community Health Network Inc
(O)	365684
Owensboro Medical Center Lab
(O)	2326299
Cooperative Health Services Inc
(O)	24230277
Cooperative Health Services Inc
(A)	643572
Cooperative Health Services Inc
(R)	17415414
Foundation for Health Inc
(C)	91651
Foundation for Health Inc
(B)	433918