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            <City>HARVEY</City>
            <State>IL</State>
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            <State>CA</State>
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      <OtherExpenses>
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      <TotalDirectLobbying />
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      <GrassrootsNontaxableAmount />
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      <DirectContactLegislators>true</DirectContactLegislators>
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      <RalliesDemonstrations>false</RalliesDemonstrations>
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      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>Schedule C Part II B, Line 1f</Identifier>
        <Explanation>Percentage of lobbying activities from Kentucky Hospital Association dues, AHA dues, and Cornerstone Government Affairs.</Explanation>
      </Form990ScheduleCPartIV>
      <Form990ScheduleCPartIV>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
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        <Description>Cost of Issuance Series A 2010</Description>
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      </OtherAssets>
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        <Description>Cost of Issuance Series B 2010</Description>
        <BookValue>267637</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>LTD Use Assets from Series A&amp;B</Description>
        <BookValue>437485026</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Key Executive Plan</Description>
        <BookValue>284301</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>440454871</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>Due to Third Party Payors</Description>
        <Amount>21502326</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Health Improvement Reserve</Description>
        <Amount>50290</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Accrued Pension</Description>
        <Amount>38461358</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Workman's Comp Reserve</Description>
        <Amount>4868487</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Malpractice Reserve</Description>
        <Amount>8077099</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>72959560</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <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>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <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>false</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>16226701</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2086000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>14140701</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04580</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>35405014</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>30489000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4916014</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01590</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>51631715</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>32575000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>19056715</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06170</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>608</NumberOfActivitiesOrPrograms>
        <PersonsServed>192009</PersonsServed>
        <TotalCommunityBenefitExpense>874823</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>8291</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>866532</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00280</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>60</NumberOfActivitiesOrPrograms>
        <PersonsServed>496</PersonsServed>
        <TotalCommunityBenefitExpense>1774472</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>315003</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1459469</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00570</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <Research>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>379475</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>379475</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>160</NumberOfActivitiesOrPrograms>
        <PersonsServed>480741</PersonsServed>
        <TotalCommunityBenefitExpense>755222</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>59</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>755163</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00240</PercentOfTotalExpense>
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      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>829</NumberOfActivitiesOrPrograms>
        <PersonsServed>673246</PersonsServed>
        <TotalCommunityBenefitExpense>3783992</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>323353</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3460639</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01210</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>829</NumberOfActivitiesOrPrograms>
        <PersonsServed>673246</PersonsServed>
        <TotalCommunityBenefitExpense>55415707</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>32898353</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>22517354</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07380</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <EconomicDevelopment>
        <NumberOfActivitiesOrPrograms>8</NumberOfActivitiesOrPrograms>
        <PersonsServed>200</PersonsServed>
        <TotalCommunityBuildingExpense>73060</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>73060</NetCommunityBuildingExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>19</NumberOfActivitiesOrPrograms>
        <PersonsServed>73047</PersonsServed>
        <TotalCommunityBuildingExpense>76814</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>1273</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>75541</NetCommunityBuildingExpense>
      </CommunitySupport>
      <CoalitionBuilding>
        <NumberOfActivitiesOrPrograms>4</NumberOfActivitiesOrPrograms>
        <PersonsServed>2500</PersonsServed>
        <TotalCommunityBuildingExpense>2072</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>2072</NetCommunityBuildingExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>591</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>591</NetCommunityBuildingExpense>
      </HealthImprovementAdvocacy>
      <WorkforceDevelopment>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>149305</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>149305</NetCommunityBuildingExpense>
      </WorkforceDevelopment>
      <Total>
        <NumberOfActivitiesOrPrograms>36</NumberOfActivitiesOrPrograms>
        <PersonsServed>75747</PersonsServed>
        <TotalCommunityBuildingExpense>301842</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>1273</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>300569</NetCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>10384000</BadDebtExpenseAmount>
      <AmountAttributableTo>5192000</AmountAttributableTo>
      <AmountReimbursedByMedicare>126201895</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>121554193</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>4647702</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Owensboro Medical Health System Inc</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>811 East Parrish Avenue</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <PercentOfTotalExpenseExpln>When calculating the community benefit percentages in Part I, Line 7, bad debt expenses of $25,026,611 was excluded.</PercentOfTotalExpenseExpln>
        <BadDebtFootnote>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>
        <ShortfallAsCommunityBenefit>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>
        <DebtCollectionPolicy>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>
        <NeedsAssessment>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>
        <PatientEducationAssistance>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>
        <CommunityInformation>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>
        <CommunityBuildingActivities>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>
        <OtherInformation>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>
        <ReportsFiledWithStates>KY</ReportsFiledWithStates>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Foundation for Health</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>811 East Parrish Avenue</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
        <EINOfRecipient>611251763</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>433918</AmountOfCashGrant>
        <PurposeOfGrant>contributions to Fdn</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Owensboro Community and Technical College</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4800 New Hartford Road</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
        <EINOfRecipient>616001218</EINOfRecipient>
        <IRCSection>501 (c) (3)</IRCSection>
        <AmountOfCashGrant>201357</AmountOfCashGrant>
        <PurposeOfGrant>Nursing program scholarship and Surgical Tech grant</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>United Way</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 705</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42302</ZIPCode>
        </AddressUS>
        <EINOfRecipient>610846061</EINOfRecipient>
        <IRCSection>501 (c) (3)</IRCSection>
        <AmountOfCashGrant>83557</AmountOfCashGrant>
        <PurposeOfGrant>Support United Way fundaising activities</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Greater Owensboro Chamber</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>200 East 3rd St</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42302</ZIPCode>
        </AddressUS>
        <EINOfRecipient>610299925</EINOfRecipient>
        <IRCSection>501 (c) (3)</IRCSection>
        <AmountOfCashGrant>71250</AmountOfCashGrant>
        <PurposeOfGrant>Support EDC operations and business research</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>University of L'ville Res Foun School of Nursing</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3019K-Wing</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40292</ZIPCode>
        </AddressUS>
        <EINOfRecipient>611029626</EINOfRecipient>
        <IRCSection>governmental</IRCSection>
        <AmountOfCashGrant>65110</AmountOfCashGrant>
        <PurposeOfGrant>School of Nursing expenditures</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Western KY Botanical Garden</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 22562</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42304</ZIPCode>
        </AddressUS>
        <EINOfRecipient>611251188</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>37561</AmountOfCashGrant>
        <PurposeOfGrant>Community Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Advisory Board</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 79461</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21279</ZIPCode>
        </AddressUS>
        <EINOfRecipient>521468699</EINOfRecipient>
        <AmountOfCashGrant>33533</AmountOfCashGrant>
        <PurposeOfGrant>Clinical Tech Assessment and Marketing and Planning Leadership Council</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Hancock County Public Schools</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>330 Frank Lutrell Road</AddressLine1>
          <City>Lewisport</City>
          <State>KY</State>
          <ZIPCode>42351</ZIPCode>
        </AddressUS>
        <EINOfRecipient>626001295</EINOfRecipient>
        <IRCSection>governmental</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>Community Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Lighthouse Recovery Services</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>226 Walnut Street</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>020570995</EINOfRecipient>
        <IRCSection>501 (c) (3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>Community Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Owensboro Museum of Fine Arts</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>901 Frederica Street</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>611297343</EINOfRecipient>
        <IRCSection>501 (c) (3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>Community Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Wendell Foster's Campus</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>815 Triplett St</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
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        <IRCSection>501 (c) (3)</IRCSection>
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          <AddressLine1>101 Daviess St</AddressLine1>
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        <EINOfRecipient>611147328</EINOfRecipient>
        <IRCSection>501 (c) (3)</IRCSection>
        <AmountOfCashGrant>20248</AmountOfCashGrant>
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        <NamePerson>Strahan Greg</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>Tyler MD Terry W</NamePerson>
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        <NamePerson>Padgett Patrick</NamePerson>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Filbeck Jeffrey</NamePerson>
        <BaseCompensationFilingOrg>622855</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <BaseCompensationFilingOrg>613359</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Ravi Lingamurthy</NamePerson>
        <BaseCompensationFilingOrg>432937</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Uragoda Lalith</NamePerson>
        <BaseCompensationFilingOrg>514522</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>77433</BonusFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information Schedule J Part I, 1a</Identifier>
        <Explanation>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).</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Schedule J, Part I, Line 4b</Identifier>
        <Explanation>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;</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <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 O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>515124501</TotalProceeds>
        <AmountInReserveFund>37912800</AmountInReserveFund>
        <AmountDefeased>58975719</AmountDefeased>
        <AmountUnspent>397775501</AmountUnspent>
        <IssuanceCostsFromProceeds>8204303</IssuanceCostsFromProceeds>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>12256178</CapitalExpenditures>
        <YearOfSubstCompletion>2013</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>false</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoanTable>
        <NamePerson>DR DOUGLAS ADAMS 5</NamePerson>
        <PurposeOfLoan>RECRUITMENT LOAN</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>339359</OriginalPrincipalAmount>
        <BalanceDue>334895</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>false</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>OASF 579</NamePerson>
        <PurposeOfLoan>REFINANCE</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>386744</OriginalPrincipalAmount>
        <BalanceDue>308312</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>643207</TotalBalanceDue>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MOLLIE MILLS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF MICHAEL MILLS</Relationship>
        <AmountOfTransaction>13917</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>VIRGINIA WARD</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF MICHAEL MILLS</Relationship>
        <AmountOfTransaction>52118</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>STEVE JOHNSON</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SON-ANN MURPHY KINCHELOE</Relationship>
        <AmountOfTransaction>126375</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>JENNIFER RANALLO</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>WIFE OF RUSSELL RENALLO</Relationship>
        <AmountOfTransaction>21436</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>DIANNE MILES</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DIL - BILLY JO MILES</Relationship>
        <AmountOfTransaction>24078</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 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Description of Classes of Persons and the Nature of Their Rights</Identifier>
        <ReturnReference>Form 990, Part VI, Question 7a</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Descr Classes of Persons Requiring Approval &amp; Type of Voting Rights</Identifier>
        <ReturnReference>Form 990, Part VI, Question 7b</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Describe the Process Used by Management &amp;/or Governing Body to Review 990</Identifier>
        <ReturnReference>Form 990, Part VI, Question 11A</ReturnReference>
        <Explanation>The return is reviewed by the CFO, Controller, and Accounting Manager before it is signed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Description of Process to Monitor Transactions for Conflicts of Interest</Identifier>
        <ReturnReference>Form 990, Part VI, Question 12c</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Offices &amp; Positions for Which Process was Used, &amp; Year Process was Begun</Identifier>
        <ReturnReference>Form 990, Part VI, Question 15a</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Offices &amp; Positions for Which Process was Used, &amp; Year Process was Begun</Identifier>
        <ReturnReference>Form 990, Part VI, Question 15b</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Avail of Gov Docs, Conflict of Interest Policy, &amp; Fin Stmts to Gen Public</Identifier>
        <ReturnReference>Form 990, Part VI, Question 19</ReturnReference>
        <Explanation>Documents and policies are made available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Bond Issue Description</Identifier>
        <ReturnReference>Form 990, Schedule K, Part I, Line A, Column (f)</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>OMHS Cardiovascular LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>811 East Parrish Avenue</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
        <EIN>200800844</EIN>
        <PrimaryActivities>Physician Prt</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <TotalIncome>894589</TotalIncome>
        <EOYAssets>320338</EOYAssets>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Kentucky Bioprocessing LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 20007</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
        <EIN>204545241</EIN>
        <PrimaryActivities>Plant Bsd Prt</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <TotalIncome>5044369</TotalIncome>
        <EOYAssets>21479649</EOYAssets>
      </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>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>30000</EOYAssets>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Foundation for Health Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>811 East Parrish Avenue</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>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Cooperative Health Services Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>811 E Parrish Avenue</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>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Owensboro Am Sr Fac</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 Brkrg</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
        <EIN>752184992</EIN>
        <PrimaryActivity>Surgery Center</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <PredominantIncomeType>Investment Income</PredominantIncomeType>
        <ShareOfTotalIncome>709781</ShareOfTotalIncome>
        <ShareOfEOYAssets>6383320</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Owensboro Medical Center Laboratory Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>811 E Parrish Avenue</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
        <EIN>610999592</EIN>
        <PrimaryActivity>Med Laboratory</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</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 Community Health Network Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>(O)</TransactionType>
        <AmountInvolved>365684</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Owensboro Medical Center Lab</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>(O)</TransactionType>
        <AmountInvolved>2326299</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Cooperative Health Services Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>(O)</TransactionType>
        <AmountInvolved>24230277</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Cooperative Health Services Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>(A)</TransactionType>
        <AmountInvolved>643572</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Cooperative Health Services Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>(R)</TransactionType>
        <AmountInvolved>17415414</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Foundation for Health Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>(C)</TransactionType>
        <AmountInvolved>91651</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Foundation for Health Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>(B)</TransactionType>
        <AmountInvolved>433918</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>