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        <Identifier>SUPPLEMENTAL SCHEDULE C INFORMATION</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1I</ReturnReference>
        <Explanation>PERCENTAGE 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>
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    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
        <OtherCostOrOtherBasis>13293533</OtherCostOrOtherBasis>
        <BookValue>13293533</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>98881642</OtherCostOrOtherBasis>
        <Depreciation>50863874</Depreciation>
        <BookValue>48017768</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>67977337</OtherCostOrOtherBasis>
        <Depreciation>43816208</Depreciation>
        <BookValue>24161129</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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        <Depreciation>116693528</Depreciation>
        <BookValue>51395016</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>160866885</OtherCostOrOtherBasis>
        <Depreciation>0</Depreciation>
        <BookValue>160866885</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>297734331</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Cost of Issuance Series A 2010</Description>
        <BookValue>2392999</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Cost of Issuance Series B 2010</Description>
        <BookValue>268536</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>LTD Use Assets from Series A&amp;B</Description>
        <BookValue>341999050</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Key Executive Plan</Description>
        <BookValue>419027</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>345079613</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>Due to Third Party Payors</Description>
        <Amount>24716548</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Health Improvement Reserve</Description>
        <Amount>20619</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Accrued Pension</Description>
        <Amount>35764091</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Workman's Comp Reserve</Description>
        <Amount>5371887</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Malpractice Reserve</Description>
        <Amount>6470498</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>LT RETAINAGE-HOSPITAL CONSTRUCTION</Description>
        <Amount>2515538</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>74859181</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES</Identifier>
        <ReturnReference>FORM 990, PART X, LINE 2</ReturnReference>
        <Explanation>THE SYSTEM APPLIES FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC TOPIC 740 (TOPIC 740), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS AND PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE HAS BEEN NO IMPACT ON THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS AS A RESULT OF TOPIC 740.</Explanation>
      </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>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>5792000</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1643000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4149000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01280</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>44012693</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>33393000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>10619693</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03270</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>0</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>49804693</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>35036000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>14768693</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04550</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>825347</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1487</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>823860</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00250</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>1300840</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>315003</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>985837</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00300</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>0</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <TotalCommunityBenefitExpense>449122</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>449122</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00140</PercentOfTotalExpense>
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      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>633779</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>633779</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00200</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>3209088</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>316490</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2892598</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00890</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>53013781</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>35352490</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>17661291</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05440</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </PhysicalImprovementsAndHousing>
      <EconomicDevelopment>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <PersonsServed>100</PersonsServed>
        <TotalCommunityBuildingExpense>30000</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>30000</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>9</NumberOfActivitiesOrPrograms>
        <PersonsServed>60200</PersonsServed>
        <TotalCommunityBuildingExpense>99058</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>99058</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </CommunitySupport>
      <EnvironmentalImprovements>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </EnvironmentalImprovements>
      <LeadershipDevelopment>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </LeadershipDevelopment>
      <CoalitionBuilding>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>29</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>29</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <WorkforceDevelopment>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>100</PersonsServed>
        <TotalCommunityBuildingExpense>18809</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>18809</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Other>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </Other>
      <Total>
        <NumberOfActivitiesOrPrograms>13</NumberOfActivitiesOrPrograms>
        <PersonsServed>60400</PersonsServed>
        <TotalCommunityBuildingExpense>147896</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>147896</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>10898236</BadDebtExpenseAmount>
      <AmountAttributableTo>5449118</AmountAttributableTo>
      <AmountReimbursedByMedicare>123511260</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>123102007</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>409253</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>OWENSBORO AMB SURG</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>AMBULATORY SURGICAL FACILITY</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.55000</OrganizationProfitOrOwnership>
        <OfficersEtcProfitOrOwnership>0.00000</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.19000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>OWENSBORO CHN</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>PROVIDER NETWORK</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.50000</OrganizationProfitOrOwnership>
        <OfficersEtcProfitOrOwnership>0.00000</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.44000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <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>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Owensboro Medical Health System Inc</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>2</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Owensboro Ambulatory Surgical Facility</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>811 East Parrish Avenue</AddressLine1>
            <City>Owensboro</City>
            <State>KY</State>
            <ZIPCode>42303</ZIPCode>
          </Address>
          <FacilityType>Multi-specialty surgery center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>OMHS Cardiovascular LLC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>811 East Parrish Avenue</AddressLine1>
            <City>Owensboro</City>
            <State>KY</State>
            <ZIPCode>42303</ZIPCode>
          </Address>
          <FacilityType>Comprehensive cardiac services</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <Explanation>1. PART I, LINE 7 WHEN CALCULATING THE COMMUNITY BENEFIT PERCENTAGES IN PART I, LINE 7, BAD DEBT EXPENSE OF $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</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>STATE FILING OF COMMUNITY BENEFIT REPORT</Identifier>
        <ReturnReference>990 SCHEDULE H, PART VI</ReturnReference>
        <Explanation>KY,</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
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        <RecipientNameBusiness>
          <BusinessNameLine1>Messenger-Inquirer</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1401 Frederica Street</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>610301090</EINOfRecipient>
        <AmountOfCashGrant>6025</AmountOfCashGrant>
        <PurposeOfGrant>Community Benefit Grant Program</PurposeOfGrant>
      </RecipientTable>
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          <BusinessNameLine1>River Valley Behavioral Health</BusinessNameLine1>
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          <AddressLine1>1000 Industrial Drive</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>610668290</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>6500</AmountOfCashGrant>
        <PurposeOfGrant>BENEFIT GRANT PROGRAM</PurposeOfGrant>
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          <BusinessNameLine1>Owensboro Public Schools</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>P O Box 249</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42302</ZIPCode>
        </AddressUS>
        <EINOfRecipient>616001339</EINOfRecipient>
        <IRCSection>GOVERNMENTAL</IRCSection>
        <AmountOfCashGrant>7500</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY BENEFIT GRANT</PurposeOfGrant>
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          <BusinessNameLine1>Shelter for Women &amp; Children</BusinessNameLine1>
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          <AddressLine1>P O Box 1617</AddressLine1>
          <City>Henderson</City>
          <State>KY</State>
          <ZIPCode>42419</ZIPCode>
        </AddressUS>
        <EINOfRecipient>611335313</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>8000</AmountOfCashGrant>
        <PurposeOfGrant>BENEFIT GRANT PROGRAM</PurposeOfGrant>
      </RecipientTable>
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          <BusinessNameLine1>Owensboro Fire Dept</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>512 West Ninth Street</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>616001818</EINOfRecipient>
        <IRCSection>GOVERNMENTAL</IRCSection>
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        <PurposeOfGrant>BENEFIT GRANT PROGRAM</PurposeOfGrant>
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          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
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        <EINOfRecipient>610458375</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>8100</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
      </RecipientTable>
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          <BusinessNameLine1>American Cancer Society</BusinessNameLine1>
        </RecipientNameBusiness>
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          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42301</ZIPCode>
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        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
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          <BusinessNameLine1>American Red Cross</BusinessNameLine1>
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          <AddressLine1>P O Box 1745</AddressLine1>
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          <ZIPCode>42302</ZIPCode>
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        <EINOfRecipient>610944834</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
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          <BusinessNameLine1>Brescia University</BusinessNameLine1>
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          <AddressLine1>717 Frederica St</AddressLine1>
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          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
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        <EINOfRecipient>610660795</EINOfRecipient>
        <IRCSection>GOVERNMENTAL</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
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          <BusinessNameLine1>Green River District Health Dept</BusinessNameLine1>
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          <AddressLine1>P O Box 309</AddressLine1>
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          <State>KY</State>
          <ZIPCode>42302</ZIPCode>
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        <EINOfRecipient>611010686</EINOfRecipient>
        <IRCSection>GOVERNMENTAL</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
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          <BusinessNameLine1>DAVIESS COUNTY EMERGENCY MGMT</BusinessNameLine1>
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          <AddressLine1>212 St Ann St Suite 205</AddressLine1>
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          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
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          <BusinessNameLine1>Owensboro Family YMCA</BusinessNameLine1>
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          <AddressLine1>900 Kentucky Parkway</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42301</ZIPCode>
        </AddressUS>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10740</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
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          <BusinessNameLine1>Dream Riders of Kentucky Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>P O Box 172</AddressLine1>
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          <ZIPCode>42366</ZIPCode>
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        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
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          <BusinessNameLine1>Care Net Pregnancy CntrOwensboro</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>P O Box 9525</AddressLine1>
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          <State>KY</State>
          <ZIPCode>42302</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>12000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
      </RecipientTable>
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          <BusinessNameLine1>Owensboro Dance Theatre</BusinessNameLine1>
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          <AddressLine1>2705 Breckenridge St</AddressLine1>
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          <ZIPCode>42303</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
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        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
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          <AddressLine1>122 East 2nd St</AddressLine1>
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          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>30700</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
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          <BusinessNameLine1>Junior Achievement of Kentucky</BusinessNameLine1>
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          <AddressLine1>1195 Wing Avenue</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
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        <EINOfRecipient>610564988</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
      </RecipientTable>
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          <BusinessNameLine1>Kentucky Wesleyan College</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>3000 Frederica St</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>610466713</EINOfRecipient>
        <IRCSection>GOVERNMENTAL</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
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          <BusinessNameLine1>SUSAN G KOMEN FOR THE CURE</BusinessNameLine1>
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          <AddressLine1>4424 Vogel Rd Suite 205</AddressLine1>
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          <State>IN</State>
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        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
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        <AddressUS>
          <AddressLine1>P O Box 763</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42302</ZIPCode>
        </AddressUS>
        <EINOfRecipient>611303511</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
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          <State>KY</State>
          <ZIPCode>42301</ZIPCode>
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        <EINOfRecipient>262343126</EINOfRecipient>
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        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
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          <BusinessNameLine1>Hugh Sandefur Training Center</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>815 Triplett St</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
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        <EINOfRecipient>610669220</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1>Owensboro Symphony Orchestra</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>211 E 2nd St</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>22000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
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          <BusinessNameLine1>Boulware Mission Inc</BusinessNameLine1>
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          <AddressLine1>731 Hall St</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>Aubrey's Song Foundation</BusinessNameLine1>
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          <AddressLine1>P O Box 184</AddressLine1>
          <City>Philpot</City>
          <State>KY</State>
          <ZIPCode>42366</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>26800</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Wendell Foster Ctr Foundation</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>815 Triplett St</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>28370</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
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      <RecipientTable>
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        <AddressUS>
          <AddressLine1>101 Daviess St</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
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        <EINOfRecipient>611147328</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>30000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Owensboro Museum of Fine Art</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>901 Frederica St</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>611297343</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>55000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>United Way</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>P O Box 705</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42302</ZIPCode>
        </AddressUS>
        <EINOfRecipient>610435444</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>73027</AmountOfCashGrant>
        <PurposeOfGrant>Support United Way Fundraising Activities</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Owensboro Community &amp; Technical College</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1501 Frederica St</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>616001218</EINOfRecipient>
        <IRCSection>GOVERNMENTAL</IRCSection>
        <AmountOfCashGrant>146054</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Foundation for Health</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>811 East Parrish Ave</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
        <EINOfRecipient>611251763</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>702726</AmountOfCashGrant>
        <PurposeOfGrant>Operating expenses</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Greater Owensboro Chamber of Commerce</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>P O Box 825</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42302</ZIPCode>
        </AddressUS>
        <EINOfRecipient>610299925</EINOfRecipient>
        <IRCSection>501(c)(6)</IRCSection>
        <AmountOfCashGrant>5833</AmountOfCashGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>31</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>1</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Tuition Assistance</TypeOfGrant>
        <NumberOfRecipients>89</NumberOfRecipients>
        <AmountOfCashGrant>292966</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Cancer Center Medical Fund</TypeOfGrant>
        <NumberOfRecipients>80</NumberOfRecipients>
        <AmountOfCashGrant>37880</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Patient Medical Fund</TypeOfGrant>
        <NumberOfRecipients>315</NumberOfRecipients>
        <AmountOfCashGrant>49955</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS</Identifier>
        <ReturnReference>FORM 990, SCHEDULE I</ReturnReference>
        <Explanation>SERVICES AND ACTIVITIES MUST SERVE INDIVIDUALS IN THE OMHS SERVICE AREA, INCLUDING DAVIESS, HANCOCK, OHIO, HENDERSON, HOPKINS, MCLEAN, MUHLENBERG, BRECKINRIDGE AND WEBSTER COUNTIES IN KENTUCKY OR SPENCER AND PERRY COUNTIES, INDIANA. APPLICATIONS MUST SPECIFICALLY DESCRIBE HOW THE ORGANIZATION'S SERVICES ADDRESS ROOT CAUSES OF HEALTH PROBLEMS AFFECTING THE HEALTH OF OUR COMMUNITY. ELIGIBLE GROUPS INCLUDE ECONOMIC, EDUCATIONAL, CIVIC, ARTS AND CULTURAL ORGANIZATIONS.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
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      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
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      <Form990ScheduleJPartII>
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      <Form990ScheduleJPartII>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>MILLS MICHAEL</NamePerson>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>STRAHAN GREG</NamePerson>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
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      <Form990ScheduleJPartII>
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        <BonusFilingOrg>21431</BonusFilingOrg>
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        <OtherCompensationFilingOrg>178</OtherCompensationFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Vaughn Rex</NamePerson>
        <BaseCompensationFilingOrg>157009</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>23628</BonusFilingOrg>
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        <OtherCompensationFilingOrg>205</OtherCompensationFilingOrg>
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      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL COMPENSATION INFORMATION</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 1A</ReturnReference>
        <Explanation>PREVIOUSLY, 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>
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        <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 PART V</DescriptionOfPurpose>
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        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
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        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>518257494</TotalProceeds>
        <AmountInReserveFund>37912800</AmountInReserveFund>
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        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>91321364</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>286426136</AmountUnspent>
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        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <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>
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        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
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      <Form990ScheduleKPartV>
        <Identifier>DESCRIPTION OF BOND PROCEEDS</Identifier>
        <ReturnReference>SCHEDULE K, PART I</ReturnReference>
        <Explanation>PROCEEDS 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>
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    </IRS990ScheduleK>
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        <NamePerson>DR DOUGLAS ADAMS 5</NamePerson>
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        <OriginalPrincipalAmount>339359</OriginalPrincipalAmount>
        <BalanceDue>273444</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>false</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
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          <NamePerson>MOLLIE MILLS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF MICHAEL MILLS</Relationship>
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        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
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          <NamePerson>VIRGINIA WARD</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF MICHAEL MILLS</Relationship>
        <AmountOfTransaction>62048</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
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          <NamePerson>STEVE JOHNSON</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SON -ANN MURPHY KINCHELOE</Relationship>
        <AmountOfTransaction>132447</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>JENNIFER RANALLO</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>WIFE OF RUSSELL RENALLO</Relationship>
        <AmountOfTransaction>14841</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>WILLIAM J STRAHAN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SON OF GREG STRAHAN</Relationship>
        <AmountOfTransaction>42209</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>DIANNE MILES</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DIL - BILLY JO MILES</Relationship>
        <AmountOfTransaction>21020</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>EMERGENCY PHYSICIAN GROUP</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>ROBERT KNIGHT / PRESIDENT</Relationship>
        <AmountOfTransaction>114679</AmountOfTransaction>
        <DescriptionOfTransaction>EMERGENCY HEALTHCARE SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>PAULA J PAYNE</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SISTER - RON PAYNE</Relationship>
        <AmountOfTransaction>49865</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 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 &amp; TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B THE FOLLOWING CORPORATE ACTIONS SHALL REQUIRE THE AFFIRMATIVE ACT OF THE FISCAL COURT OF DAVIESS COUNTY ("COUNTY") AND THE COMMISSIONERS OF THE CITY OF OWENSBORO ("CITY") FOLLOWING A RECOMMENDATION THEREFORE BY THE BOARD OF DIRECTORS: (1) THE ADMISSION OF ANY MEMBER TO THE CORPORATION, (2) THE TRANSFER OF ALL, OR SUBSTANTIALLY ALL, OF THE MANAGEMENT RESPONSIBILITY FOR THE CORPORATION TO A NONRELATED PERSON, (3) A MERGER, CONSOLIDATION OR OTHER SIMILAR ACTION THAT IS DILUTIVE OF THE ASSETS OF THE CORPORATION OR THAT ADVERSELY AFFECTS ANY RIGHTS OF THE COUNTY OR CITY PROVIDED FOR IN THE CORPORATION'S ARTICLES OF INCORPORATION OF THE BYLAWS, (4) ANY AMENDMENTS TO ARTICLES 4,5,7,8 AND 10 OF THE ARTICLES OF INCORPORATION; OR ANY AMENDMENT TO SECTION ARTICLES VII OF THE BYLAWS (5) THE DISSOLUTION OF THE CORPORATION, (6) ANY CHANGE OF THE NAME OF THE CORPORATION, (7) THE TRANSFER (IN ONE OR MORE RELATED TRANSACTIONS) DURING ANY TWELVE MONTH PERIOD OF 5% OR MORE OF THE TOTAL ASSETS OF THE CORPORATION TO AN UNAFFILIATED PERSON(S), "TOTAL ASSETS" SHALL MEAN THE AGGREGATE ASSETS FROM THE MOST RECENT FINANCIAL STATEMENTS OF THE CORPORATION. DSCR THE PROCESS USED BY MANAGEMENT &amp;/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11B THE RETURN IS REVIEWED BY JOHN HACKBARTH (CFO), RUBY JACILDO (CONTROLLER), AND RENEE ORANGE (ACCOUNTING MANAGER) BEFORE IT IS SIGNED. 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.</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. OFFICES &amp; POSITIONS FOR WHICH PROCESS WAS USED, &amp; YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15B TOTAL COMPENSATION IS THE SUM OF EACH EXECUTIVE'S BASE SALARY, INCENTIVE OPPORTUNITY, BENEFITS, AND PERQUISITES. -OUR TOTAL COMPENSATION PHILOSOPHY WILL APPLY TO ALL EXECUTIVES OF THE ORGANIZATION. -CASH COMPENSATION AND BENEFITS PLANS PROVISIONS WILL BE, ON AVERAGE, COMPETITIVE WITH THOSE HEALTHCARE ORGANIZATIONS WITHIN WHICH WE COMPETE FOR EXECUTIVE TALENT. OUR LABOR MARKET IS DEFINED AS SUCCESSFUL AND COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A NATIONAL LEVEL. SUCCESS IS MEASURED IN TERMS OF FINANCIAL AND OPERATIONAL PERFORMANCE AND MARKET LEADERSHIP. -COMPETITIVE POSITIONING OF BASE SALARIES, AS REFLECTED BY THE SALARY RANGE MIDPOINTS, WILL BE AT THE 50TH PERCENTILE. EXECUTIVES MAY BE PLACED ABOVE OR BELOW THE SALARY RANGE BASED ON THE: EXECUTIVE'S KNOWLEDGE, COMPETENCIES, AND EXPERIENCE; PERFORMANCE OF THE EXECUTIVE'S AREA OF RESPONSIBILITY; THE EXECUTIVE'S CONTRIBUTION TO THE ORGANIZATION'S OVERALL PERFORMANCE; INTERNAL EQUITY CONSIDERATIONS; THE FINANCIAL RESOURCES AVAILABLE; AND, EXECUTIVE BASE SALARY INCREASES PROVIDED IN THE COMPETITIVE MARKET. -ANNUAL INCENTIVE OPPORTUNITIES WILL BE POSITIONED BETWEEN THE 50TH AND 75TH PERCENTILE DEPENDING ON THE DEGREE TO WHICH PERFORMANCE GOALS ARE MET OR EXCEEDED. TOTAL CASH COMPENSATION, AS REFLECTED BY BASE SALARIES AND ANNUAL INCENTIVES, WILL ALSO BE POSITIONED BETWEEN THE 50TH AND 75TH PERCENTILES AND WILL BE INFLUENCED BY PERFORMANCE RESULTS AS MEASURED AGAINST ESTABLISHED GOALS. -THE ORGANIZATION WILL PROVIDE APPROPRIATE AND COMPETITIVE SUPPLEMENTAL BENEFITS AND PERQUISITES DELIVERED IN A FLEXIBLE STRUCTURE TO ALLOW FOR INDIVIDUAL CHOICE AND BASED ON THE ORGANIZATION'S MISSION AND BUSINESS NEEDS. -OUR EXECUTIVE COMPENSATION PLAN WILL BE DESIGNED, MANAGED AND MAINTAINED IN A MANNER THAT WILL: SUPPORT AND COMPLEMENT OUR MISSION, MANAGEMENT PHILOSOPHY, SHORT- AND LONG-TERM BUSINESS STRATEGIES, AND EMPLOYEE RELATION'S GOALS. ATTRACT AND RETAIN EXECUTIVES WITH THE RIGHT SKILLS, ABILITIES AND MOTIVATION TO ACHIEVE OUR BUSINESS OBJECTIVE. ENSURE THE EXECUTIVE TOTAL COMPENSATION IS REASONABLE AND COMPETITIVE. -OUR CASH COMPENSATION AND BENEFITS PLANS WILL BE REVIEWED AND ADJUSTED PERIODICALLY TO MEET THE CHANGING BUSINESS AND ORGANIZATIONAL CHARACTERISTICS OF OUR ORGANIZATION AND ITS EXECUTIVE STAFF. THE COMPENSATION OF EACH INDIVIDUAL EXECUTIVE WILL BE REVIEWED AND APPROVED IN A MANNER CONSISTENT WITH THE INTERMEDIATE SANCTION TAX REGULATIONS. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY &amp; 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.</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>1010092</TotalIncome>
        <EOYAssets>514784</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Kentucky Bioprocessing LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3700 AIRPARK DRIVE</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42301</ZIPCode>
        </AddressUS>
        <EIN>204545241</EIN>
        <PrimaryActivities>Plant Bsd Prt</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <TotalIncome>17361062</TotalIncome>
        <EOYAssets>4742378</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Commonwealth Medical Management LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 20007</AddressLine1>
          <City>Owensboro</City>
          <State>KY</State>
          <ZIPCode>42304</ZIPCode>
        </AddressUS>
        <EIN>204796653</EIN>
        <PrimaryActivities>Phys Clnc Srv</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>30000</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </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>
        <DirectControllingEntityName>
          <BusinessNameLine1>OMHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Cooperative Health Services Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>811 East 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>
        <DirectControllingEntityName>
          <BusinessNameLine1>OMHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </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>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>INVESTMENT INCOME</PredominantIncomeType>
        <ShareOfTotalIncome>1062640</ShareOfTotalIncome>
        <ShareOfEOYAssets>4876551</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.55219</PercentageOwnership>
      </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>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Owensboro Medical Center Lab</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>(O)</TransactionType>
        <AmountInvolved>2811609</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Cooperative Health Services Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>(O)</TransactionType>
        <AmountInvolved>32947462</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Cooperative Health Services Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>(A)</TransactionType>
        <AmountInvolved>699418</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Cooperative Health Services Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>(R)</TransactionType>
        <AmountInvolved>23114336</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>The Foundation for Health Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>(B)</TransactionType>
        <AmountInvolved>702726</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>