OWENSBORO HEALTH REGIONAL HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
OWENSBORO HEALTH REGIONAL HOSPITAL (EIN 61-1286361)
Tax period
2010-06-01 to 2011-05-31
Filed
2011-10-14
IRS object ID
201112879349301406
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-10-14T15:34:19-04:00Timestamp
Tax Period End Date2011-05-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1SUITE 2400 400 WEST MARKET STREETAddressLine1
CityLOUISVILLECity
StateKYState
ZIP Code40202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN611286361EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OWENSBORO MEDICAL HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOWENNameControl
Phone2706882000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1811 E Parrish AvenueAddressLine1
CityOwensboroCity
StateKYState
ZIP Code42303ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN HACKBARTHName
TitleCFOTitle
Date Signed2011-10-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone5025851400Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1811 East Parrish AvenueAddressLine1
CityOwensboroCity
StateKYState
ZIP Code42303ZIPCode
FieldValueIRS element (for citing)
Gross Receipts477256517GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.omhs.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionOWENSBORO MEDICAL HEALTH SYSTEM EXISTS TO HEAL THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees3391TotalNbrEmployees
Total Nbr Volunteers284TotalNbrVolunteers
Total Gross UBI2477850TotalGrossUBI
Net Unrelated Business Txbl Income-2572538NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year225261ContributionsGrantsPriorYear
Contributions Grants Current Year18069ContributionsGrantsCurrentYear
Program Service Revenue Prior Year370153200ProgramServiceRevenuePriorYear
Program Service Revenue CY388435524ProgramServiceRevenueCY
Investment Income Prior Year9229618InvestmentIncomePriorYear
Investment Income Current Year6952797InvestmentIncomeCurrentYear
Other Revenue Prior Year8572457OtherRevenuePriorYear
Other Revenue Current Year20946908OtherRevenueCurrentYear
Total Revenue Prior Year388180536TotalRevenuePriorYear
Total Revenue Current Year416353298TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1914978GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1868461GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year147773821SalariesEtcPriorYear
Salaries Etc Current Year156814404SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year184106371OtherExpensePriorYear
Other Expenses Current Year193296246OtherExpensesCurrentYear
Total Expenses Prior Year333795170TotalExpensesPriorYear
Total Expenses Current Year351979111TotalExpensesCurrentYear
Revenues Less Expenses Prior Year54385366RevenuesLessExpensesPriorYear
Revenues Less Expenses CY64374187RevenuesLessExpensesCY
Total Assets BOY923430789TotalAssetsBOY
Total Assets EOY1011764539TotalAssetsEOY
Total Liabilities BOY646303966TotalLiabilitiesBOY
Total Liabilities EOY657633260TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY277126823NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY354131279NetAssetsOrFundBalancesEOY
Mission DescriptionOWENSBORO MEDICAL HEALTH SYSTEM EXISTS TO HEAL THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense250440045Expense
Grants1868461Grants
Revenue389268097Revenue
DescriptionOWENSBORO 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, 2011, OMHS HAD TOTAL ADMISSIONS OF 18,349, PATIENT DAYS OF 85,967, AND ER VISITS OF 63,043.Description
Total Program Service Expense250440045TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096115NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3391NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJohn HackbarthNamePerson
Telephone Number2706918214TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1811 E Parrish AvenueAddressLine1
CityOwensboroCity
StateKYState
ZIP Code42303ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
BEA MD CHARLES
BOARD MEMBER3.0X000
BRADEN ALAN
VICE CHAIRMAN3.0X000X
CHANDLER BILLY H
BOARD MEMBER3.0X000
HENDERSON JR GEORGE
BOARD MEMBER3.0X000
KINCHELOE ANN MURPHY
SECRETARY3.0X000X
KNIGHT MD ROBERT
BOARD MEMBER3.0X000
MADDOX MD TOM
BOARD MEMBER3.0X000
MILES BILLY JOE
CHAIRMAN3.0X000X
NUNLEY DEBORAH
BOARD MEMBER3.0X000
PAYNE RON
BOARD MEMBER3.0X000
POYNTER GERALD
BOARD MEMBER3.0X000
SCHELL MD ROBERT
BOARD MEMBER3.0X000
SMITH G TED
BOARD MEMBER3.0X000
WOODWARD TERRY
BOARD MEMBER3.0X000
BUCHANAN MD BERNARD
BOARD MEMBER (PARTIAL YEAR)3.0X000
IRACANE JOSEPH
BOARD MEMBER (PARTIAL YEAR)3.0X000
BARBER JEFFREY
PRESIDENT / CEO50.0745570064124X
BEGLEY II EARNEST E
CHIEF LEGAL OFFICER50.0317168040363X
HACKBARTH JR JOHN
CHIEF FINANCIAL OFFICER50.0364126037793X
MEDLEY JR RICHARD W
CHIEF MEDICAL OFFICER50.0300909024383X
STRAHAN GREG
CHIEF OPERATIONS OFFICER50.0469144046518X
SUTER MIA
CHIEF DEVELOPMENT OFFICER50.0295693025083X
TYLER MD TERRY W
CHIEF OUTPATIENT IMAG OFFICER50.0553710051148X
JONES LISA
VICE PRESIDENT OF CLINICAL SVC50.0224649031780X
MILLS MICHAEL
VICE PRESIDENT - ANCILLARY SVC50.0226124027324X
RANALLO RUSSELL
VICE PRESIDENT - FINANCIAL SVC50.0241684034730X
STOGSDILL VICKI
VICE PRESIDENT OF NURSING SVC50.0361071039542X
ADAMS R D
PHYSICIAN40.0518202055737X
KHANNA SOHIT
PHYSICIAN40.0512116054684X
Chapman William
Staff Psychiatrist40.0220169028326X
Bland Shanda
ADMIN Director of Onechart60.0184651025307X
Vaughn Rex
EXEC DIR OF INFORMATION SYSTEM60.0180842020628X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5715828TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation607470TotalOtherCompensation
Number Individuals GT100 K66NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Louisville Radiology Imaging Consul
71 West 156th StreetHARVEYIL60426In-Patient Radiology5310660
Morrison Management Specialists
4721 Morrison Dr Suite 300MOBILEAL36609Food Services5052953
Owensboro Anesthesia Services PLLC
815 E Parrish AvenueOWENSBOROKY42303Anesthesia Services2867641
EA Health Corporation
440 Stevens Avenue Suite 150SOLANO BEACHCA92075Physician Call SVC2297429
Wyatt Tarrant Combs LLC
500 West Jeffereson Street Suite 28LOUISEVILLEKY402022898Legal Services1102415
FieldValueIRS element (for citing)
Number Of Contractors GT100 K37NumberOfContractorsGT100K
Related Organizations13069RelatedOrganizations
All Other Contributions5000AllOtherContributions
Total Contributions18069TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Rev - Insurance622110210533982210533982
Patient Rev - Medicare/Medicaid622110176943851176943851
REVENUE - OWENSBORO AMBULATORY SURGICAL62211011122751112275
REVENUE - OWENSBORO CANCER RESEARCH622110-154584-154584
FieldValueIRS element (for citing)
Total Program Service Revenue388435524TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3586121TotalRevenueColumn
Exclusion$3,586,121ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real92428Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real92428Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column92428TotalRevenueColumn
Exclusion$92,428ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities63976315Securities
Other7525Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities60617164Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3359151Securities
Other7525Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3366676TotalRevenueColumn
Exclusion$3,366,676ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory427088GrossSalesOfInventory
Cost Of Goods Sold286055CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column141033TotalRevenueColumn
Exclusion$141,033ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Kentucky Bio Processing541700173162372187720$15,128,517
Laundry & Catering & Other 990T812300290130290130
Cafeteria & Vending Machine Revenue7222122274507$2,274,507

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column832573TotalRevenueColumn
Related Or Exempt Function Income832573RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue20713447TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column416353298TotalRevenueColumn
Related Or Exempt Function Income389268097RelatedOrExemptFunctionIncome
Unrelated Business Revenue2477850UnrelatedBusinessRevenue
Exclusion$24,589,282ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1487660Total
Program Services1487660ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total380801Total
Program Services380801ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4523237Total
Management And General4523237ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total114377827Total
Program Services91344861ProgramServices
Management And General23032966ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10509641Total
Program Services10458843ProgramServices
Management And General50799ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total19036848Total
Program Services14494264ProgramServices
Management And General4542584ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8366851Total
Program Services6547505ProgramServices
Management And General1819346ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total10040966Total
Program Services4612299ProgramServices
Management And General5428666ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1575006Total
Management And General1575006ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total145542Total
Management And General145542ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total169324Total
Program Services169324ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total285449Total
Management And General285449ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total25509399Total
Program Services15960688ProgramServices
Management And General9548711ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1565908Total
Program Services21518ProgramServices
Management And General1544390ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total75449514Total
Program Services69234417ProgramServices
Management And General6215097ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5664890Total
Program Services960333ProgramServices
Management And General4704557ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total290284Total
Program Services66054ProgramServices
Management And General224229ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5778671Total
Program Services707791ProgramServices
Management And General5070880ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1222577Total
Program Services287118ProgramServices
Management And General935459ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total200184Total
Program Services45984ProgramServices
Management And General154200ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5016605Total
Management And General5016605ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21976061Total
Program Services3603ProgramServices
Management And General21972458ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2724166Total
Management And General2724166ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT275935372754690346634
KY Provider Tax41483904148390
Recruiting6986391223697416
Dues40320045789357411
Dietary27605571929457831099

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total77377Total
Program Services-14780ProgramServices
Management And General92158ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total351979111Total
Program Services250440045ProgramServices
Management And General101539065ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7222BOY
EOY10046EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY69954743BOY
EOY81781787EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY69450280BOY
EOY89918820EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY334895BOY
EOY273444EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY308312BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY441255BOY
EOY214639EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7407360BOY
EOY7634030EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7826402BOY
EOY8521317EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis509107941LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec211373610LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY160133486BOY
EOY297734331EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY124286750BOY
EOY139657530EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY28111367BOY
EOY28193670EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY14713846BOY
EOY12745312EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY440454871BOY
EOY345079613EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY923430789BOY
EOY1011764539EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY42043503BOY
EOY61266959EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY13848055BOY
EOY4666658EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY507109025BOY
EOY507097672EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY9831049BOY
EOY9480270EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY512774BOY
EOY262520EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY72959560BOY
EOY74859181EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY646303966BOY
EOY657633260EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY277126823BOY
EOY354131279EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY277126823BOY
EOY354131279EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY923430789BOY
EOY1011764539EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses64374187ReconcilationRevenueExpenses
Reconcilation Other Changes12630269ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$47,681DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$121,643OtherActivitiesAmount
Total Lobbying Expenditures IIB169324TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL SCHEDULE C INFORMATIONIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationPERCENTAGE OF LOBBYING ACTIVITIES FROM KENTUCKY HOSPITAL ASSOCIATION DUES, AHA DUES, AND CORNERSTONE GOVERNMENT AFFAIRS. SUPPLEMENTAL INFORMATION IRS INSUBSTANTIAL LOBBYING 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, 2011, ALL LOBBYING ACTIVITY BY THE EXECUTIVE DIRECTOR DID NOT EXCEED 30% OF TOTAL WORK-RELATED DUTIES AND RESPONSIBILITIES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis98881642OtherCostOrOtherBasis
Depreciation50863874Depreciation
Book Value48017768BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis67977337OtherCostOrOtherBasis
Depreciation43816208Depreciation
Book Value24161129BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis168088544OtherCostOrOtherBasis
Depreciation116693528Depreciation
Book Value51395016BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis160866885OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value160866885BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings297734331TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Cost of Issuance Series A 20102392999
Cost of Issuance Series B 2010268536
LTD Use Assets from Series A&B341999050
Key Executive Plan419027
FieldValueIRS element (for citing)
Total Book Value Other Assets345079613TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
Due to Third Party Payors$24,716,548
Health Improvement Reserve$20,619
Accrued Pension$35,764,091
Workman's Comp Reserve$5,371,887
Malpractice Reserve$6,470,498
LT RETAINAGE-HOSPITAL CONSTRUCTION$2,515,538
FieldValueIRS element (for citing)
Total Of Amounts74859181TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

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

Discounted Other DiscountedOther

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense5792000TotalCommunityBenefitExpense
Direct Offsetting Revenue1643000DirectOffsettingRevenue
Net Community Benefit Expense4149000NetCommunityBenefitExpense
Percent Of Total Expense0.01280PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense44012693TotalCommunityBenefitExpense
Direct Offsetting Revenue33393000DirectOffsettingRevenue
Net Community Benefit Expense10619693NetCommunityBenefitExpense
Percent Of Total Expense0.03270PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense49804693TotalCommunityBenefitExpense
Direct Offsetting Revenue35036000DirectOffsettingRevenue
Net Community Benefit Expense14768693NetCommunityBenefitExpense
Percent Of Total Expense0.04550PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense825347TotalCommunityBenefitExpense
Direct Offsetting Revenue1487DirectOffsettingRevenue
Net Community Benefit Expense823860NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1300840TotalCommunityBenefitExpense
Direct Offsetting Revenue315003DirectOffsettingRevenue
Net Community Benefit Expense985837NetCommunityBenefitExpense
Percent Of Total Expense0.00300PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense449122TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense449122NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense633779TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense633779NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3209088TotalCommunityBenefitExpense
Direct Offsetting Revenue316490DirectOffsettingRevenue
Net Community Benefit Expense2892598NetCommunityBenefitExpense
Percent Of Total Expense0.00890PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense53013781TotalCommunityBenefitExpense
Direct Offsetting Revenue35352490DirectOffsettingRevenue
Net Community Benefit Expense17661291NetCommunityBenefitExpense
Percent Of Total Expense0.05440PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served100PersonsServed
Total Community Building Expense30000TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense30000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Persons Served60200PersonsServed
Total Community Building Expense99058TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense99058NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense29TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense29NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served100PersonsServed
Total Community Building Expense18809TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense18809NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs13NumberOfActivitiesOrPrograms
Persons Served60400PersonsServed
Total Community Building Expense147896TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense147896NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$10,898,236BadDebtExpenseAmount
Amount Attributable To5449118AmountAttributableTo
Amount Reimbursed By Medicare123511260AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare123102007CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall409253MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
OWENSBORO AMB SURG
AMBULATORY SURGICAL FACILITY0.550000.000000.19000
OWENSBORO CHN
PROVIDER NETWORK0.500000.000000.44000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Owensboro Medical Health System IncBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1811 East Parrish AvenueAddressLine1
CityOwensboroCity
StateKYState
ZIP Code42303ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Owensboro Medical Health System IncBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Owensboro Ambulatory Surgical Facility
811 East Parrish AvenueOwensboroKY42303Multi-specialty surgery center
OMHS Cardiovascular LLC
811 East Parrish AvenueOwensboroKY42303Comprehensive cardiac services

Form990 Schedule H Part VI Form990ScheduleHPartVI (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SUPPLEMENTAL INFORMATION1. PART I, LINE 7 WHEN CALCULATING THE COMMUNITY BENEFIT PERCENTAGES IN PART I, LINE 7, BAD DEBT EXPENSE OF $27,593,537 WAS EXCLUDED. 1. PART III, LINE 4 THERE IS NO FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE. THE COSTING METHODOLOGY USED IS THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 OF PART I OF SCHEDULE H OF THIS 990. 1. PART III, LINE 8 THE COSTING METHODOLOGY USED IS THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 OF PART I OF SCHEDULE H OF THIS 990. THE CHARGES AND PAYMENTS ARE FROM THE MEDICARE PAID CLAIMS REPORTS. THE CALCULATION DOES NOT SHOW A SHORTFALL. 1. PART III, LINE 9B THE POLICIES OF THE SYSTEM ATTEMPT TO ENSURE ALL UNINSURED PATIENTS OF THE SYSTEM HAVE OPPORTUNITY TO APPLY AND QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS. THE HOSPITAL HAS FINANCIAL AID APPLICATIONS AVAILABLE AT REGISTRATION AREAS, VIA THE INTERNET, VIA PHONE, AND ARE SENT ROUTINELY VIA MAIL TO PATIENTS OF THE HOSPITAL. THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS AND CONTRACTS WITH AN OUTSIDE FIRM TO ENSURE PATIENTS ARE EVALUATED FOR ELIGIBILITY IN THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. THE HOSPITAL DOES NOT CONTRACT PRIMARY COLLECTION AGENCIES. ALL SELF-PAY AND BALANCE AFTER INSURANCE ACCOUNTS ARE REVIEWED AND WORKED BY HOSPITAL STAFF TO ENSURE THAT THE PATIENT IS GIVEN EVERY OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE. SELF-PAY DISCOUNTS ARE AVAILABLE TO ALL UNINSURED PATIENTS AS LONG AS THEY COMPLETE THE AID APPLICATION. DISCOUNTS GIVEN ARE EQUIVALENT TO THE AVERAGE INSURANCE DISCOUNTS THE HOSPITAL CONTRACTS ALLOW. ADDITIONALLY, PATIENTS WITH BALANCE ARE PERMITTED TO ESTABLISH PAYMENT PLANS. THE HOSPITAL DOES NOT CHARGE INTEREST TO ITS PATIENTS. 2. NEEDS ASSESSMENTS OMHS HAS ENGAGED THE HEALTHY COMMUNITIES INSTITUTE TO ASSIST IN THE DEVELOPMENT OF A COMMUNITY HEALTH INDICATORS DATA BASE. THIS DATA BASE INCLUDES MORE THAN 100 HEALTH INDICATORS FROM THE PRIMARY SERVICE AREA THAT WILL BE AVAILABLE TO THE GENERAL PUBLIC VIA THE OMHS WEBSITE. WHILE OMHS FINANCED THE PROJECT, IT IS A COLLABORATIVE EFFORT WITH LOCAL ORGANIZATIONS. WORKING WITH THESE ORGANIZATIONS, THE DATA WILL BE USED TO ASSESS OUR HEALTH NEEDS AS A COMMUNITY, AND TO DEVELOP OUR IMPLEMENTATION STRATEGY. THE ASSESSMENT WILL BE COMPLETED AND PUBLISHED ONLINE PRIOR TO MAY 31, 2012. IN ADVANCE OF THIS INFORMATION BEING AVAILABLE, OMHS CONTINUES TO UTILIZE 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 2020 (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-20E50AD7ED 3E}; 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 REGIONAL 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 EXISTS 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 THOMPSON 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 DATA 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. 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE HOSPITAL EDUCATES THE PATIENTS IN A VARIETY OF WAYS. THE HOSPITAL HAS SIGNAL 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 AND THE PATIENT GUIDE THEY MAY RECEIVE FROM THE HOSPITAL. THE HOSPITAL POLICY FOR FINANCIAL ASSISTANCE INCLUDES THE FOLLOWING: ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE, THE BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS, METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE, MEASURES TO WIDELY PUBLICIZE THE POLICY, WRITTEN POLICY REQUIRING ORGANIZATION TO PROVIDE CARE FOR EMERGENCY MEDICAL CONDITIONS WITHOUT DISCRIMINATION. AS DESCRIBED ABOVE THE ORGANIZATION DOES NOT CHARGE GROSS CHARGES TO PATIENTS AND LIMITS AMOUNTS CHARGED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE RECOVERING SUCH CARE. THE ORGANIZATION DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIVITY BEFORE EFFORTS TO DETERMINE ELIGIBILITY FOR ASSISTANCE HAVE BEEN MADE. 4. 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 96,350 ACCORDING TO 2011 CLARITAS DATA. MEDIAN HOUSEHOLD INCOME FOR THE PRIMARY SERVICE AREAS IS $41,999 WITH 3206 FAMILIES LIVING BELOW THE POVERTY LEVEL. 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 MISSI
STATE FILING OF COMMUNITY BENEFIT REPORTKY,990 SCHEDULE H, PART VI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (32 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantIRC SectionIRCSection
Messenger-Inquirer
1401 Frederica StreetOwensboroKY423016103010906025Community Benefit Grant Program
River Valley Behavioral Health
1000 Industrial DriveOwensboroKY423016106682906500BENEFIT GRANT PROGRAM501(c)(3)
Owensboro Public Schools
P O Box 249OwensboroKY423026160013397500COMMUNITY BENEFIT GRANTGOVERNMENTAL
Shelter for Women & Children
P O Box 1617HendersonKY424196113353138000BENEFIT GRANT PROGRAM501(c)(3)
Owensboro Fire Dept
512 West Ninth StreetOwensboroKY423016160018188000BENEFIT GRANT PROGRAMGOVERNMENTAL
Kentucky Methodist Homes
201 Phillips CourtOwensboroKY423036104583758100COMMUNITY SUPPORT501(c)(3)
American Cancer Society
319 West 10th St Ste 101OwensboroKY4230113178849110000COMMUNITY SUPPORT501(c)(3)
American Red Cross
P O Box 1745OwensboroKY4230261094483410000COMMUNITY SUPPORT501(c)(3)
Brescia University
717 Frederica StOwensboroKY4230361066079510000COMMUNITY SUPPORTGOVERNMENTAL
Green River District Health Dept
P O Box 309OwensboroKY4230261101068610000COMMUNITY SUPPORTGOVERNMENTAL
DAVIESS COUNTY EMERGENCY MGMT
212 St Ann St Suite 205OwensboroKY4230361600015520000COMMUNITY SUPPORT501(c)(3)
Owensboro Family YMCA
900 Kentucky ParkwayOwensboroKY4230161056134410740COMMUNITY SUPPORT501(c)(3)
Dream Riders of Kentucky Inc
P O Box 172PhilpotKY4236601080202512000COMMUNITY SUPPORT501(c)(3)
Care Net Pregnancy CntrOwensboro
P O Box 9525OwensboroKY4230220073611912000COMMUNITY SUPPORT501(c)(3)
Owensboro Dance Theatre
2705 Breckenridge StOwensboroKY4230361104070113000COMMUNITY SUPPORT501(c)(3)
Owensboro Area Museum of S&H
122 East 2nd StOwensboroKY4230361116485730700COMMUNITY SUPPORT501(c)(3)
Junior Achievement of Kentucky
1195 Wing AvenueOwensboroKY4230361056498815000COMMUNITY SUPPORT501(c)(3)
Kentucky Wesleyan College
3000 Frederica StOwensboroKY4230161046671315000COMMUNITY SUPPORTGOVERNMENTAL
SUSAN G KOMEN FOR THE CURE
4424 Vogel Rd Suite 205EvansvilleIN4771575284463215000COMMUNITY SUPPORT501(c)(3)
Casa of Ohio Valley Inc
P O Box 763OwensboroKY4230261130351120000COMMUNITY SUPPORT501(c)(3)
Community Dental Clinic
2315 Mayfair Dr Ste 32OwensboroKY4230126234312620000COMMUNITY SUPPORT501(c)(3)
Hugh Sandefur Training Center
815 Triplett StOwensboroKY4230361066922020000COMMUNITY SUPPORT501(c)(3)
Owensboro Symphony Orchestra
211 E 2nd StOwensboroKY4230361605598422000COMMUNITY SUPPORT501(c)(3)
Boulware Mission Inc
731 Hall StOwensboroKY4230361048696825000COMMUNITY SUPPORT501(c)(3)
Aubrey's Song Foundation
P O Box 184PhilpotKY4236620428539826800COMMUNITY SUPPORT501(c)(3)
Wendell Foster Ctr Foundation
815 Triplett StOwensboroKY4230340596119028370COMMUNITY SUPPORT501(c)(3)
RiverPark Center
101 Daviess StOwensboroKY4230361114732830000COMMUNITY SUPPORT501(c)(3)
Owensboro Museum of Fine Art
901 Frederica StOwensboroKY4230161129734355000COMMUNITY SUPPORT501(c)(3)
United Way
P O Box 705OwensboroKY4230261043544473027Support United Way Fundraising Activities501(c)(3)
Owensboro Community & Technical College
1501 Frederica StOwensboroKY42301616001218146054COMMUNITY SUPPORTGOVERNMENTAL
Foundation for Health
811 East Parrish AveOwensboroKY42303611251763702726Operating expenses501(c)(3)
Greater Owensboro Chamber of Commerce
P O Box 825OwensboroKY423026102999255833501(c)(6)
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants31TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
Tuition Assistance89292966
Cancer Center Medical Fund8037880
Patient Medical Fund31549955

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTSIdentifier
Return ReferenceFORM 990, SCHEDULE IReturnReference
ExplanationSERVICES AND ACTIVITIES MUST SERVE INDIVIDUALS IN THE OMHS SERVICE AREA, INCLUDING DAVIESS, HANCOCK, OHIO, HENDERSON, HOPKINS, MCLEAN, MUHLENBERG, BRECKINRIDGE AND WEBSTER COUNTIES IN KENTUCKY OR SPENCER AND PERRY COUNTIES, INDIANA. APPLICATIONS MUST SPECIFICALLY DESCRIBE HOW THE ORGANIZATION'S SERVICES ADDRESS ROOT CAUSES OF HEALTH PROBLEMS AFFECTING THE HEALTH OF OUR COMMUNITY. ELIGIBLE GROUPS INCLUDE ECONOMIC, EDUCATIONAL, CIVIC, ARTS AND CULTURAL ORGANIZATIONS.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BARBER JEFFREY
52853001560000610400520880120360809694000
BEGLEY II EARNEST E
2326600703680141400251640151990357531000
HACKBARTH JR JOHN
2659100795910186250234570143360401919000
JONES LISA
170121052160023680180640137160256429000
MEDLEY JR RICHARD W
226988057196016725023028013550325292000
MILLS MICHAEL
170765051037043220161890111350253448000
RANALLO RUSSELL
184353055829015020195660151640276414000
STOGSDILL VICKI
2586620774360249730279010116410400613000
STRAHAN GREG
34995701009070182800347800117380515662000
SUTER MIA
219381062556013756023255018280320776000
TYLER MD TERRY W
37153201592440229340403220108260604858000
ADAMS R D
5173920008100408040149330573939000
KHANNA SOHIT
5115760005400397510149330566800000
Chapman William
17294604670705160141780141480248495000
Bland Shanda
16304202143101780148960104110209958000
Vaughn Rex
1570090236280205014756058720201470000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL COMPENSATION INFORMATIONIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 1AReturnReference
ExplanationPREVIOUSLY, THE HEALTH CLUB DUES WERE TAXABLE BENEFITS FOR ADMINISTRATION. THIS BENEFIT WAS PHASED OUT THREE YEARS AGO AND ONLY ONE REMAINS (GRANDFATHERED). SCHEDULE J, PART I, LINE 4B 457 F PLAN TO EXECUTIVES (NONTAXABLE) JEFFREY BARBER $79,788; EARNEST BEGLEY $28,450.44; JOHN HACKBARTH $32,886.14; EDWARD E. HEATH $18,551.49; LISA JONES $21,144.97; RICHARD W. MEDLEY $25,492.88; MICHAEL MILLS $20,689.65; RUSS RANALLO $23,060.81; VICKI STOGSDILL $30,974.32; GREG STRAHAN $41,797.53; MIA SUTER $26,318.68; TERRY W. TYLER $36,601.36. SCHEDULE J, PART I, LINE 7 BONUS PROGRAM DESIGNED TO FOCUS ON THE ACCOUNTABILITY OF ALL EMPLOYEES TO INFLUENCE THE FINANCIAL, QUALITY, PATIENT SATISFACTION AND EMPLOYEE DEVELOPMENT GOALS AND TO REINFORCE THE OMHS CORE COMMITMENTS.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

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

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds518257494TotalProceeds
Amount In Reserve Fund37912800AmountInReserveFund
Capitalized Interest35417172CapitalizedInterest
Refunding Escrow58975719RefundingEscrow
Issuance Costs From Proceeds8204303IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures91321364CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent286426136AmountUnspent
Year Of Subst Completion2013YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedfalseBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrsfalsePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF BOND PROCEEDSIdentifier
Return ReferenceSCHEDULE K, PART IReturnReference
ExplanationPROCEEDS ARE EXPECTED TO FINANCE 1) A 9-STORY REPLACEMENT ACUTE CARE HOSPITAL, 2) A 2-STORY SUPPORT SERVICES BLDG, 3) A ONE AND A HALF STORY CENTRAL ENERGY PLANT, 4) PARKING LOT. IN ADDITION, PROCEEDS WILL REFUND A PORTION OF THE SERIES 2001 BONDS AND FUND A PORTION OF THE DEBT SERVICE RESERVE FUND.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonDR DOUGLAS ADAMS 5NamePerson
Purpose Of LoanRECRUITMENT LOANPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$339,359OriginalPrincipalAmount
Balance Due273444BalanceDue
DefaultfalseDefault
Approved By BoardfalseApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due273444TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MOLLIE MILLS
DAUGHTER OF MICHAEL MILLS24906EMPLOYEE COMPENSATIONfalse
VIRGINIA WARD
DAUGHTER OF MICHAEL MILLS62048EMPLOYEE COMPENSATIONfalse
STEVE JOHNSON
SON -ANN MURPHY KINCHELOE132447EMPLOYEE COMPENSATIONfalse
JENNIFER RANALLO
WIFE OF RUSSELL RENALLO14841EMPLOYEE COMPENSATIONfalse
WILLIAM J STRAHAN
SON OF GREG STRAHAN42209EMPLOYEE COMPENSATIONfalse
DIANNE MILES
DIL - BILLY JO MILES21020EMPLOYEE COMPENSATIONfalse
EMERGENCY PHYSICIAN GROUP
ROBERT KNIGHT / PRESIDENT114679EMERGENCY HEALTHCARE SERVICESfalse
PAULA J PAYNE
SISTER - RON PAYNE49865EMPLOYEE COMPENSATIONfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
VOLUNTEERSFORM 990, PART I, QUESTION 6VOLUNTEER SERVICES SUPPORT THE MISSION AND GOALS OF OWENSBORO MEDICAL HEALTH SYSTEM. THEY STAFF THE PATIENT INFORMATION DESK, DELIVER FLOWERS, AND PLAY CRUCIAL ROLE AS LIAISON BETWEEN FAMILIES AND PHYSICIANS IN THE SURGERY WAITING AREAS. VOLUNTEERS ARE AN ESSENTIAL PART OF THE CARE AND COMFORT OMHS PROVIDES. MEMBERS OF THE GOVERNING BODY 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 (2), AND FOUR (4) DIRECTORS ARE ELECTED OR APPOINTED BY THE BOARD OF DIRECTORS FROM THE COMMUNITY. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR OVERSEEING THE MANAGEMENT AND OPERATION OF OMHS. 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. DSCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B THE FOLLOWING CORPORATE ACTIONS SHALL REQUIRE THE AFFIRMATIVE ACT OF THE FISCAL COURT OF DAVIESS COUNTY ("COUNTY") AND THE COMMISSIONERS OF THE CITY OF OWENSBORO ("CITY") FOLLOWING A RECOMMENDATION THEREFORE BY THE BOARD OF DIRECTORS: (1) THE ADMISSION OF ANY MEMBER TO THE CORPORATION, (2) THE TRANSFER OF ALL, OR SUBSTANTIALLY ALL, OF THE MANAGEMENT RESPONSIBILITY FOR THE CORPORATION TO A NONRELATED PERSON, (3) A MERGER, CONSOLIDATION OR OTHER SIMILAR ACTION THAT IS DILUTIVE OF THE ASSETS OF THE CORPORATION OR THAT ADVERSELY AFFECTS ANY RIGHTS OF THE COUNTY OR CITY PROVIDED FOR IN THE CORPORATION'S ARTICLES OF INCORPORATION OF THE BYLAWS, (4) ANY AMENDMENTS TO ARTICLES 4,5,7,8 AND 10 OF THE ARTICLES OF INCORPORATION; OR ANY AMENDMENT TO SECTION ARTICLES VII OF THE BYLAWS (5) THE DISSOLUTION OF THE CORPORATION, (6) ANY CHANGE OF THE NAME OF THE CORPORATION, (7) THE TRANSFER (IN ONE OR MORE RELATED TRANSACTIONS) DURING ANY TWELVE MONTH PERIOD OF 5% OR MORE OF THE TOTAL ASSETS OF THE CORPORATION TO AN UNAFFILIATED PERSON(S), "TOTAL ASSETS" SHALL MEAN THE AGGREGATE ASSETS FROM THE MOST RECENT FINANCIAL STATEMENTS OF THE CORPORATION. DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11B THE RETURN IS REVIEWED BY JOHN HACKBARTH (CFO), RUBY JACILDO (CONTROLLER), AND RENEE ORANGE (ACCOUNTING MANAGER) BEFORE IT IS SIGNED. 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. ON THOSE INDIVIDUALS FOUND TO HAVE A CONFLICT OF INTEREST, EMPHASIS IS MADE THAT THEY MAINTAIN IN CONFIDENCE ANY INFORMATION, KNOWLEDGE, OR DOCUMENTS ACQUIRED AS THE RESULT OF THEIR POSITION OR ATTENDANCE. OMHS ENSURES THAT WE ARE COMPLIANT WITH EXCISE TAX UNDER IRC.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUNFORM 990, PART VI, QUESTION 15ATOTAL 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. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990, PART VII, COLUMN B - ESTIMATED AVERAGE HOURS PER WEEK FOR RELATED ORGANIZATION TED SMITH: 1 HOUR AS A BOARD MEMBER FOR FOUNDATION FOR HEALTH. 3 HOURS AS A BOARD MEMBER FOR COOPERATIVE HEALTH SERVICES, INC. GERALD POYNTER: 3 HOURS AS A BOARD MEMBER FOR COOPERATIVE HEALTH SERVICES, INC. JEFFREY BARBER: 3 HOURS AS A BOARD MEMBER FOR FOUNDATION FOR HEALTH. GREG STRAHAM: 3 HOURS AS A BOARD MEMBER FOR COOPERATIVE HEALTH SERVICES, INC. JOHN HACKBARTH: 3 HOURS AS A BOARD SECRETARY FOR COOPERATIVE HEALTH SERVICES, INC. RECONCILIATION OF NET ASSETS FORM 990, PART XI, QUESTION 5 TOTAL OF UNREALIZED GAINS $6,129,467, PENSION ADJUSTMENT $6,367,237, AND OCHN GAIN/LOSS $133,565.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
OMHS Cardiovascular LLC
811 East Parrish AvenueOwensboroKY42303200800844Physician PrtKY1010092514784NA
Kentucky Bioprocessing LLC
3700 AIRPARK DRIVEOwensboroKY42301204545241Plant Bsd PrtKY173610624742378NA
Commonwealth Medical Management LLC
PO Box 20007OwensboroKY42304204796653Phys Clnc SrvKY030000NA

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Foundation for Health Inc
811 East Parrish AvenueOwensboroKY42303611251763HealthcareKY501(C)(3)7OMHS
Cooperative Health Services Inc
811 East Parrish AvenueOwensboroKY42303611197638HealthcareKY501(c)(3)9OMHS

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 BrkrgAddressLine1
CityOwensboroCity
StateKYState
ZIP Code42303ZIPCode
FieldValueIRS element (for citing)
EIN752184992EIN
Primary ActivitySurgery CENTERPrimaryActivity
Legal Domicile StateKYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeINVESTMENT INCOMEPredominantIncomeType
Share Of Total Income1062640ShareOfTotalIncome
Share Of EOY Assets4876551ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnertrueGeneralOrManagingPartner
Percentage Ownership0.55219PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1811 E Parrish AvenueAddressLine1
CityOwensboroCity
StateKYState
ZIP Code42303ZIPCode
FieldValueIRS element (for citing)
EIN610999592EIN
Primary ActivityMed LaboratoryPrimaryActivity
Legal Domicile StateKYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CorpTypeOfEntity
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets
Percentage Ownership0.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Owensboro Medical Center Lab
(O)2811609
Cooperative Health Services Inc
(O)32947462
Cooperative Health Services Inc
(A)699418
Cooperative Health Services Inc
(R)23114336
The Foundation for Health Inc
(B)702726

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