OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER INC (EIN 85-3033915)
Tax period: 2022-06-01 to 2023-05-31
Filed: 2024-03-22
IRS object ID: 202420829349300072
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-03-22T09:53:32+00:00	ReturnTs
Tax Period End	2023-05-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	462045100	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-06-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	853033915	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Owensboro Health Twin Lakes Regional Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	OWEN	BusinessNameControlTxt
Phone	2702599400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1201 Pleasant Valley Road	AddressLine1Txt
City	Owensboro	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	42303	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Russ Ranallo	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2704172000	PhoneNum
Signature	2024-03-22	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Russ	PersonFirstNm
Person Last	Ranallo	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Jennifer D Rhoderick	PreparerPersonNm
PTIN	P00395735	PTIN
Phone	3176817000	PhoneNum
Preparation	2024-03-21	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Owensboro Health Twin Lakes Medical Center	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Russ Ranallo	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1201 Pleasant Valley Road	AddressLine1Txt
City	Owensboro	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	42303	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$63,065,522	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.OWENSBOROHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2020	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER EXISTS TO HEAL THE SICK AND TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	470	TotalEmployeeCnt
Total Volunteers	37	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$115,000	PYContributionsGrantsAmt
CY Contributions Grants	$3,158,026	CYContributionsGrantsAmt
PY Program Service Revenue	$54,769,840	PYProgramServiceRevenueAmt
CY Program Service Revenue	$58,857,610	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$1,500	CYInvestmentIncomeAmt
PY Other Revenue	$1,394,092	PYOtherRevenueAmt
CY Other Revenue	$1,048,386	CYOtherRevenueAmt
PY Total Revenue	$56,278,932	PYTotalRevenueAmt
CY Total Revenue	$63,065,522	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$23,100,962	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$23,174,557	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$25,329,388	PYOtherExpensesAmt
CY Other Expenses	$27,138,316	CYOtherExpensesAmt
PY Total Expenses	$48,430,350	PYTotalExpensesAmt
CY Total Expenses	$50,312,873	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,848,582	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$12,752,649	CYRevenuesLessExpensesAmt
Total Assets BOY	$55,501,629	TotalAssetsBOYAmt
Total Assets EOY	$83,782,092	TotalAssetsEOYAmt
Total Liabilities BOY	$47,287,962	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$62,817,995	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$8,213,667	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$20,964,097	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER EXISTS TO HEAL THE SICK AND TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	Yes (true)	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$43,625,719	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$59,717,323	RevenueAmt
Desc	OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER ("OHTLMC") IS A 75 BED HOSPITAL BASED IN LEITCHFIELD, KY, ABOUT 65 MILES SOUTHEAST OF OWENSBORO. THE SERVICE AREA COMPRISES 115,000 PEOPLE FROM SIX COUNTIES: GRAYSON (PRIMARY), BRECKINRIDGE, OHIO, BUTLER, EDMONSON, HART, AND HARDIN. OWENSBORO HEALTH, INC. ("OH") WHOLLY OWNS AND CONTROLS OHTLMC AND IS NOT A MEMBER OF THE OBLIGATED GROUP. OHTLMC'S PRIMARY ACTIVITY CONSISTS OF PROVIDING MEDICAL AND PATIENT CARE SERVICES IN ITS MAIN HOSPITAL, SERVING SIX COUNTIES, IN SUPPORT OF OH. THE SOLE MEMBER OF OHTLMC IS OH. OUR MEDICAL SERVICES ARE DELIVERED BY HIGHLY SKILLED PHYSICIANS ALONG WITH A CARING AND COMPASSIONATE NURSING STAFF. FOR THE FISCAL YEAR 2023, OHTLMC HAD TOTAL ADMISSIONS OF 1,599, PATIENT DAYS OF 4,967 AND TOTAL ER VISITS OF 19,158. COST OF PARTICIPATING IN GOVERNMENT PROGRAMS: OHTLMC IS COMMITTED TO SERVING ALL PERSONS IN NEED, REGARDLESS OF RACE, CREED, SEX, NATIONALITY, RELIGION, DISABILITY, AGE OR ABILITY TO PAY. TO PROMOTE ACCESS TO CARE, OHTLMC PARTICIPATES IN THE FOLLOWING PUBLIC HEALTH PROGRAMS: MEDICAID, MEDICARE, TRICARE AND LOCAL HEALTH DEPARTMENTS. IN GENERAL, PAYMENTS FROM THESE PROGRAMS FREQUENTLY DO NOT COVER THE COSTS OHTLMC INCURS TO SERVE PROGRAM BENEFICIARIES. UNCOMPENSATED CARE AND FINANCIAL ASSISTANCE: OHTLMC PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COST TO RESIDENTS OF THE COMMUNITIES THAT IT SERVES. OHTLMC'S FINANCIAL ASSISTANCE PROGRAM WAS ESTABLISHED TO ASSIST PATIENTS WHO DO NOT QUALIFY FOR MEDICAL ASSISTANCE PROGRAMS, LIKE MEDICAID, AND WHOSE ANNUAL INCOMES ARE AT OR BELOW CERTAIN PERCENTAGES OF THE FEDERAL POVERTY GUIDELINES. OHTLMC IS COMMITTED TO EXPANDING ITS PROGRAMS TO IMPROVE ACCESS TO HEALTH CARE IN THE AREAS IT SERVES, WHICH INCLUDE RURAL AND ECONOMICALLY DEPRESSED AREAS AND AREAS THAT LACK ADEQUATE NUMBERS OF PRIMARY CARE AND SPECIALTY PROVIDERS. IN MAY 2023, OHTLMC OPENED ITS NEW INPATIENT 12-BED GERIATRIC BEHAVIORAL HEALTH UNIT. THE UNIT IS SPECIFICALLY DESIGNED TO PROVIDE MENTAL HEALTH SERVICES FOR THE AGING POPULATION. THE GOAL IS TO HELP OLDER ADULTS EXPERIENCE LESS DISRUPTIVE BEHAVIORS AND SLOW THEIR RATE OF COGNITIVE DECLINE.	Desc
Total Program Service Expenses	$43,625,719	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	51	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	470	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Russ Ranallo	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2704172000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1201 Pleasant Valley Road	AddressLine1Txt
City	Owensboro	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	42303	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JEFFREY THOMAS
BOARD TREASURER, CFO (ENDED 06/13/2022)	2.0	48.0	Yes (X)	Yes (X)	$0	$455,714	$15,732
MARK MARSH
PRESIDENT AND CEO	2.0	48.0	Yes (X)	Yes (X)	$0	$1,091,008	$52,916
ROBERT FARMER
BOARD CHAIRPERSON	1.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
RUSSELL S RANALLO
BOARD TREASURER, CHIEF FINANCIAL OFFICER (EFFECTIVE 06/2022)	2.0	48.0	Yes (X)	Yes (X)	$0	$609,738	$48,534
VICKI STOGSDILL
BOARD SECRETARY	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
CHRIS LOVE
BOARD MEMBER (EFFECTIVE 10/31/2022)	1.0	3.0	Yes (X)		$0	$0	$0
DENNIS FENTRESS
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
GAVIN ROBERTS
BOARD MEMBER (ENDED 10/31/2022)	1.0	6.0	Yes (X)		$0	$0	$0
GLENNA BLACK
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
LARRY BRETT ABNEY OD
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
RYAN BRATCHER
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
ASHLEY HERRINGTON
CEO - OHTLMC	45.0	5.0		Yes (X)	$340,978	$0	$45,583
CATHERINE CLEMONS
VP OF OPERATIONS - OHTLMC	45.0	5.0			$215,033	$0	$21,038	Yes (X)
CATHY STEWART
VP PATIENT CARE SVCS AND CNO - OHTLMC	45.0	5.0			$201,581	$0	$29,467	Yes (X)
ANGELA M GIBSON
DIRECTOR OF PHARMACY	50.0	0			$177,381	$0	$16,050		Yes (X)
BRITTANY N CLEMONS
DIR OF NURSG AND QLTY-PT SFTY	50.0	0			$133,761	$0	$24,195		Yes (X)
CATHERINE EARLEY
Registered Nurse - BSN	45.0	0			$130,539	$0	$4,723		Yes (X)
CHLOE ADAMS
CLINICAL PHARMACIST	50.0	0			$120,120	$0	$34,618		Yes (X)
JEREMY NEWTON
CLINICAL PHARMACIST	50.0	0			$122,252	$0	$22,561		Yes (X)
GREG STRAHAN
FORMER PRESIDENT AND CEO (ENDED 08/06/21)	0.0	0.0			$0	$1,117,560	$0			Yes (X)
JOHN HACKBARTH
FORMER BOARD SECRETARY, CFO (ENDED 08/06/2021)	0.0	0.0			$0	$450,474	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,441,645	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,724,494	TotReportableCompRltdOrgAmt
Total Other Compensation	$315,417	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	16	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
CONOLOWAY ANESTHESIA PLLC
PO BOX 12	LEITCHFIELD	KY	42755	ANESTHESIA SERVICES	$924,954
QUALIVIS LLC
DEPT 3847	DALLAS	TX	753123847	CONTRACT LABOR FOR NURSING, LAB, RESPIRATORY AND MEDICAL IMAGING	$780,321	PO BOX 123847
CLINICAL MANAGEMENT SOLUTIONS
PO BOX 6890	EVANSVILLE	IN	47719	OCC. AND PT SERVICES	$694,327
CONCORD COMPANY OF TENNESSEE
1602 AVENUE Q	LUBBOCK	TX	794014732	ER COVERAGE	$626,213
HEALOGICS WOUND CARE & HYPERBARIC SERVICES INC
28525 NETWORK PLACE	CHICAGO	IL	606731285	HYPERBARIC AND WOUND CARE SERVICES	$327,618

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	9	CntrctRcvdGreaterThan100KCnt
Government Grants	$3,140,013	GovernmentGrantsAmt
All Other Contributions	$18,013	AllOtherContributionsAmt
Noncash Contributions	$15,445	NoncashContributionsAmt
Total Contributions	$3,158,026	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PAYMENT	622110	$27,430,261	$27,430,261
PATIENT REVENUE - OTHER INCOME	622110	$20,604,465	$20,604,465
UPPER PAYMENT LIMIT	622110	$10,456,961	$10,456,961
PROPERTY/OFFICE RENT	531120	$253,175	$253,175

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$112,748	TotalRevenueColumnAmt
Related Or Exempt Func Income	$112,748	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$58,857,610	TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,500	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,500	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,500	TotalRevenueColumnAmt
Exclusion	$1,500	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA AND VENDING	722514	$188,673	$188,673
OTHER OPERATING REVENUE	900099	$659,228		$659,228
ALL OTHER REVENUE	900099	$200,485		$200,485

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,048,386	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$63,065,522	TotalRevenueColumnAmt
Related Or Exempt Func Income	$59,717,323	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$190,173	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$853,680	TotalAmt
Program Services	$326,983	ProgramServicesAmt
Management And General	$526,697	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$17,215,784	TotalAmt
Program Services	$15,733,589	ProgramServicesAmt
Management And General	$1,482,195	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$415,009	TotalAmt
Program Services	$353,179	ProgramServicesAmt
Management And General	$61,830	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,401,240	TotalAmt
Program Services	$2,725,248	ProgramServicesAmt
Management And General	$675,992	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,288,844	TotalAmt
Program Services	$1,161,548	ProgramServicesAmt
Management And General	$127,296	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$272,562	TotalAmt
Program Services	$242,598	ProgramServicesAmt
Management And General	$29,964	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$30,535	TotalAmt
Management And General	$30,535	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,811,453	TotalAmt
Program Services	$7,170,510	ProgramServicesAmt
Management And General	$640,943	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$95,897	TotalAmt
Program Services	$2,849	ProgramServicesAmt
Management And General	$93,048	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,436,475	TotalAmt
Program Services	$2,118,984	ProgramServicesAmt
Management And General	$317,491	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$417,977	TotalAmt
Program Services	$301,012	ProgramServicesAmt
Management And General	$116,965	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$30,894	TotalAmt
Program Services	$34,004	ProgramServicesAmt
Management And General	-$3,110	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,002,010	TotalAmt
Program Services	$703,309	ProgramServicesAmt
Management And General	$298,701	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$20,316	TotalAmt
Program Services	$16,582	ProgramServicesAmt
Management And General	$3,734	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$665	TotalAmt
Program Services	$678	ProgramServicesAmt
Management And General	-$13	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,275	TotalAmt
Program Services	$4,275	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,273,999	TotalAmt
Program Services	$164,407	ProgramServicesAmt
Management And General	$2,109,592	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$7,012,251	$6,975,079	$37,172
BAD DEBT	$3,243,764	$3,243,764
PROVIDER TAX	$2,058,702	$2,058,702
DIETARY SUPPLIES	$315,564	$255,956	$59,608

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$110,977	TotalAmt
Program Services	$32,463	ProgramServicesAmt
Management And General	$78,514	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$50,312,873	TotalAmt
Program Services	$43,625,719	ProgramServicesAmt
Management And General	$6,687,154	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$14,697,316	BOYAmt
EOY	-$295,032	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,280,392	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,573,204	BOYAmt
EOY	$6,699,516	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,258,816	BOYAmt
EOY	$2,238,321	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,414,450	BOYAmt
EOY	$5,986,616	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$37,502,264	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$5,118,097	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$29,208,880	BOYAmt
EOY	$32,384,167	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$348,963	BOYAmt
EOY	$220,325	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$35,267,787	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$55,501,629	BOYAmt
EOY	$83,782,092	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,893,523	BOYAmt
EOY	$1,969,668	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$81,646	BOYAmt
EOY	$53,053	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$44,312,793	BOYAmt
EOY	$60,795,274	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$47,287,962	BOYAmt
EOY	$62,817,995	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,213,667	BOYAmt
EOY	$20,964,097	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,213,667	BOYAmt
EOY	$20,964,097	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$55,501,629	BOYAmt
EOY	$83,782,092	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$12,752,649	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$2,219	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,509,738	OtherCostOrOtherBasisAmt
Book Value	$2,509,738	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,443,913	OtherCostOrOtherBasisAmt
Depreciation	$2,695,116	DepreciationAmt
Book Value	$19,748,797	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,244,108	OtherCostOrOtherBasisAmt
Depreciation	$2,422,981	DepreciationAmt
Book Value	$5,821,127	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,304,505	OtherCostOrOtherBasisAmt
Book Value	$4,304,505	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$32,384,167	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	INTERCOMPANY RECEIVABLES	Desc
Book Value	$35,267,787	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$35,267,787	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO MEDICARE AND MEDICAID COST REPORT	$1,142,271
DUE TO MEDICARE FOR ACCELERATED PAY
INTERCOMPANY AP	$59,653,003

Field	Value	IRS element (for citing)
Total Liability	$60,795,274	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	THE SYSTEM APPLIES FASB ASC 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ASC 740 PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIALS STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS CURRENTLY NO IMPACT ON THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC 740.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$164,708	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$164,708	NetCommunityBenefitExpnsAmt
Total Expense	0.0035	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,772,783	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,054,085	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$15,937,491	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,054,085	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$164,708	NetCommunityBenefitExpnsAmt
Total Expense	0.0035	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	64	ActivitiesOrProgramsCnt
Persons Served	6339	PersonsServedCnt
Total Community Benefit Expns	$7,098	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,098	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	105	ActivitiesOrProgramsCnt
Persons Served	349	PersonsServedCnt
Total Community Benefit Expns	$172,590	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$172,590	NetCommunityBenefitExpnsAmt
Total Expense	0.0037	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	103	ActivitiesOrProgramsCnt
Persons Served	8277	PersonsServedCnt
Total Community Benefit Expns	$7,143	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,143	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	272	ActivitiesOrProgramsCnt
Persons Served	14965	PersonsServedCnt
Total Community Benefit Expns	$186,831	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$186,831	NetCommunityBenefitExpnsAmt
Total Expense	0.0040	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	272	ActivitiesOrProgramsCnt
Persons Served	14965	PersonsServedCnt
Total Community Benefit Expns	$16,124,322	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,054,085	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$351,539	NetCommunityBenefitExpnsAmt
Total Expense	0.0075	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	1376	PersonsServedCnt
Total Community Benefit Expns	$1,997	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,997	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	15	PersonsServedCnt
Total Community Benefit Expns	$237	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$237	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	1391	PersonsServedCnt
Total Community Benefit Expns	$2,234	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,234	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$3,243,764	BadDebtExpenseAmt
Bad Debt Expense Attributable	$259,501	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$8,351,882	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$8,772,654	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$420,772	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1201 PLEASANT VALLEY ROAD	AddressLine1Txt
City	OWENSBORO	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	42303	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.OWENSBOROHEALTH.ORG	WebsiteAddressTxt
State License	100151	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.owensborohealth.org/health-resources/health-needs-assessment	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.owensborohealth.org/health-resources/health-needs-assessment	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.OWENSBOROHEALTH.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.OWENSBOROHEALTH.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.OWENSBOROHEALTH.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE PRIORITY HEALTH AREAS FOR OHTLMC IN TAX YEARS 2021 - 2024 ARE: MENTAL HEALTH, SUBSTANCE ABUSE, CHRONIC HEALTH CONDITIONS, AND OBESITY/PHYSICAL INACTIVITY.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER. In its most recent Community Health Needs Assessment (CHNA), Owensboro Health Twin Lakes Medical Center (OHTLMC) and its population health committee with the Community and Economic Initiative of Kentucky (CEDIK) developed a survey to gather health information and -perceptions of Grayson County residents 18. The survey was conducted in January and February of 2022 using an online tool and distributing printed copies in various locations throughout the community. The online survey was promoted through local media, emails, and its Facebook page. Emails with a link to the survey were sent to Grayson County Chamber of Commerce members, local industries, and employees of the Grayson County school system and the hospital. Printed copies were delivered to an assisted living facility, the Grayson County Alliance food bank, the Grayson County Health Department, Big Clifty Medical Complex, and the Caneyville Family Practice. Surveys were also conducted at the community Covid-19 vaccine clinic. 1109 Grayson County residents participated in the survey. The survey questions were in three primary categories: Demographics, personal health information, and perceived health needs of the community. CEDIK tabulated the results and supplemented them with health statistics and demographic information. OHTLMC then invited representatives from various backgrounds to participate in focus groups. These focus groups comprised community citizens, community leaders, and healthcare groups. Organizations represented included the county extension office; Grayson County Schools; the Grayson County Health Department; OHTLMC employees; local industry/manufacturing; Grayson County Healthcare Foundation; Catholic Outreach; Tri-County CASA; banks and businesses; OHRH; United Way of Central Kentucky; the Grayson County Alliance. Lastly, four key informant interviews were done with involved community members. After carefully considering the results of the Community Health Survey, the most recent health and demographic information available input from the Community Health committee, and the key informant interviews, the following needs were identified by the OHTLMC population health committee and approved by the hospital leadership and the Board of directors. The priority health areas for OHTLMC in tax years 2021 - 2024 are: Mental Health, Substance Abuse, Chronic Health Conditions, and Obesity/Physical Inactivity.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER. AS PREVIOUSLY NOTED, THE OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER (OHTLMC) CHNA WAS CONDUCTED WITH COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY (CEDIK). CEDIK ENGAGED MULTIPLE COMMUNITY PARTNERS, INDIVIDUAL CITIZENS, ELECTED OFFICIALS, COALITIONS AND SUBJECT MATTER EXPERTS IN CONDUCTING THE CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER. Owensboro Health Twin Lakes Medical Center created a Community Health Committee. The group is guided by the identified priority health needs named in its most recent CHNA identifying areas of focus to improve the health of our community and the hospital implementation strategy. The Community Health Committee is made up of internal team members and external community members. Owensboro Health Twin Lakes Medical Center CEO chairs the committee. The Community Health Committee meets monthly to discuss implementation of the implementation strategy to improve the community's health. OHTLMC intends that the contents of this report be used to create awareness by informing Grayson County residents of the prioritized health issues identified by the community. Also, as a strategy, OHTLMC uses the CHNA report as a foundation to build lasting relationships between OHTLMC, community partners, and residents of Grayson County. OHTLMC has engaged vital internal and community partners to address the prioritized needs. The strategies used to impact the priority health areas include, but are not limited to, modifying policies, public and private; providing support, information, and incentives; improving access; enhancing skills, and changing consequences. Follow-up surveys will measure each initiative's success and give the hospital's following areas of focus. Owensboro Health Twin Lakes Medical Center has developed strategies to address each of the named priority issues in its most recent community health needs assessment (CHNA). There are no identified priority health needs for which we are not addressing. Priority Needs in most recent CHNA: Mental Health, Substance Abuse, Chronic Health Conditions, Obesity/Physical Inactivity OHTLMC is working collaboratively with community partners to address the identified priority areas. Now a part of the Owensboro Health system, the population health committee is accessing supplemental data, resource information, and additional partners to better understand the priority health issues and possible strategies. OHTLMC began screening all patients admitted as an inpatient for social determinants of health on January 23, 2023. This is being utilized in 94% of admissions system-wide and allows our case management/social services team members to identify better opportunities to link patients with resources related to mental health needs to provide a better quality of life. As identified priority health issues are correlated to social determinants of health, namely poverty, transportation, education, and housing, OHTLMC will be looking to expand upon internal and external strategies now used to address community health. Mental Health: In addition to partnering with the local mental health centers serving Grayson County and other providers, OHTLMC opened its new inpatient 12-bed Geriatric Behavioral Health Unit. The additional service increased access to mental health services for the aging population in and around Grayson County. In addition to the inpatient services, we offer outpatient behavioral health services to the community at large utilizing the Owensboro Health Regional Hospital inpatient behavioral health services, telehealth behavioral health interventions, and Intensive Outpatient Programs. We have also hired a behavioral health physician to provide outpatient services to our community. We will provide education and awareness to our community by hosting a community mental health awareness fair. To ensure our team members are equipped with the tools needed to provide a high standard of care for patients seeking mental health services, we have begun to offer mental health first aid to OHTLMC team members. As of May 2023, we have 9 team members certified in mental health first aid; additional classes are expected to come in the following year. Mental health issues among youth and adults are increasing and have been exacerbated by the worldwide pandemic. While this has made community education a challenge, OHTLMC will continue working with the population health committee to explore strategies to discover innovative solutions to combat this issue. From June 2022, to May 2023, OHTLMC promoted mental health awareness and the availability of the mental health virtual resource, CredibleMind, through traditional/social media channels and local community organizations. In addition, the hospital hosted its third Mental Health and Addition Awareness Fair open to the community. 105 community members attended this community service with 46 mental health vendor providing mental health resources. OHTLMC participated in the 1st annual Grayson County Poverty Coalition Summer Resource Fair in June 2022. The fair consisted of 36 vendors, 6 of which were Owensboro Health services, to provide community and basic need resources to 181 participants to link the community to available resources they may otherwise been unaware of. Substance Use: Since April 2019, OHTLMC has continued to be a member of the Kentucky Opioid Response Effort's Kentucky Statewide Opioid Stewardship Program (KY-SOS) to address inappropriate or excess opioid prescribing. The Opioid stewardship team at OHTLMC meets regularly and participates in data collection and reporting as required by KY-SOS. In addition, OHTLMC has an established opioid stewardship committee whose charge is to ensure safe opioid prescribing and decrease opioid abuse and misuse by patients in our care. Our pharmacy team is responsible for training local police departments. Treatment: OHTLMC offers medical detox from alcohol, opioids, and other addictive substances. As the body rids itself of toxins, withdrawal symptoms and cravings are safely managed under the 24-hour supervision of trained professionals. Non-addictive medications may be prescribed to lessen withdrawal symptoms, in addition to nutritional supplements and fluids. Pain will be managed through non-narcotic medications and other proven therapies. Patients are usually stabilized within a week. Maternal Opioid Medical Stabilization (MOMS) -Any expectant mother suffering from opioid use disorder may be considered for the OHTLMC MOMS program. A non-addictive medication is prescribed under the 24-hour supervision of caring and specially trained medical professionals. Studies show that, compared to untreated pregnant women with opioid addiction, expectant mothers receiving medication-assisted treatment gave birth to infants with a lower risk of a condition called Neonatal Abstinence Syndrome (NAS). Other benefits of MOMS include shorter treatment time for the baby, an increased likelihood of a full-term pregnancy, healthier birth weight, and a desirable head circumference at birth. The typical length of stay for the MOMS program is two to seven days, followed by an individualized treatment plan, including continued outpatient treatment and community-support services to meet the needs of the mother and her unborn baby. Medication-Assisted Treatment: In response to the nationwide opioid crisis, OHTLMC offers medication-assisted treatment options for opioid addiction. OHTLMC Addiction Services uses FDA-approved medications, such as Subutex, Suboxone, Sublocade, and Vivitrol, to relieve opioid-withdrawal symptoms and alcohol cravings to help the patient quit using addictive substances. OHTLMC Director of Addiction Services serves as a community conduit to provide education and information regarding this prevalence of substance use disorder and education, when possible, to the community regarding substance use prevention. This person serves on the Grayson County Substance Abuse Focused Education (SAFE) Coalition, hosts a monthly substance abuse provider's meeting, "Taking Back Kentucky, hosts an annual Mental Health and Addiction Resource Awareness Fair and an annual Summer Resource Fair. In March of 2023 OHTLMC began handing out self-help recovery workbooks to patients admitted for any of our addiction services program. These books will be utilized by patients over the 3-5 day period they are here with us to begin to work through addiction related trauma, relapse triggers, and many other key factors important for their recovery.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER. OHTLMC Director of Addiction Services serves as a community conduit to provide education and information regarding this prevalence of substance use disorder and education, when possible, to the community regarding substance use prevention. This person serves on the Grayson County Substance Abuse Focused Education (SAFE) Coalition, The GHM ASAP Coalition, hosts a monthly substance abuse provider's meeting, "Taking Back Kentucky, hosts an annual Mental Health and Addiction Resource Awareness Fair which was attended by 105 community members attending the event in 2023 and included 46 substance use /mental health vendors handing out resources. They also played a role in hosting an annual Summer Resource Fair which included 181 community members attending the event and 36 vendors providing resources to the community. The Addiction Services Director at OHTLMC also assisted in the development of a OH system wide substance abuse focus team that meet for the first time in April 2023. The vision for this team is OHI develops and supports a comprehensive plan to change the culture of care surrounding substance abuse disorder through our commitment across the system providing education, prevention and treatment to the communities we serve. OHTLMC is working with The Grayson County Schools to explore opportunities to bring evidence-based substance use education into the school system. We identified through the community health committee that there are some gaps in substance use education so we are hoping to collaborate to ensure that gap is filled. Obesity/Physical Inactivity OHTLMC has begun having conversations with local officials to develop a partnership with parks and recreation to sponsor local walking trails to encourage youth and young adults to get outside and physically move. We plan to explore partnerships with local agencies to offer monthly recipes via social media, offer health education classes, create a get active wellness campaign, increase engagement in exercise in the school district, and partner with the local aquatic center to provide free or low-cost water exercise classes. In addition, we are now able to provide telehealth appointments for lifestyle medicine physician visits. OHTLMC has assisted and participated in an OH system focus team regarding obesity and related diseases, since November 2022. This team aims to work together within the system to bring awareness to services offered and identify opportunities to be innovative as we address obesity and physical inactivity within our communities. OHTLMC promoted team members' wellness activities, increasing team member participation to 64% from 48%. From January to May of 2023, the OHTLMC community health committee began the foundational work to develop a community walking initiative to raise awareness of Grayson County residents' personal fitness and activity levels. The planning work outlined goals to educate and engage all ages and demographics of Grayson County residents by providing and promoting local resources to improve health and fitness for individuals, promoting and educating the benefits of movement with health facts and statistics, and developing partnerships within the community that will provide increased opportunities for physical activity. For this project, the committee secured partnerships with the City of Leitchfield, Leitchfield Parks and Rec, The City of Clarkson, Grayson County Public Trails Association, and Grayson County High School. These partnerships started the local resource list, and a Grayson County senior created the program's brand image between March and May 2023. Owensboro Health Twin Lakes Medical Center and the committee are continuing to develop the program's community launch in the next year. Chronic Diseases OHTLMC participated in the summer resource fair hosted by the Grayson County Poverty Coalition, where we provided information to community members on primary care and preventative services. We are currently working on having three certified tobacco treatment specialists, offering chronic disease education days, wellness campaigns, hosting a community health fair, hosting diabetes support groups/classes, and increasing the number of patients who receive discharge follow-up referrals within seven days of discharge. OHTLMC has 2 team members identified to begin training to become certified tobacco treatment specialist and we are looking at opportunities to utilize these skills for inpatient admissions. During this calendar year OHTLMC performed several preventative services within the community at a provider open house as well as at The Grayson County Thrive Summer Resource Fair. These preventative services included: blood pressure checks, BMI checks, height and weight checks, glucose monitoring, ultrasound services, EKG tests. OHTLMC has begun utilizing COPD and CHF patient education booklets and has recently performed a GAP analysis to identify additional interventions needed when treating patients suffering from COPD and CHF. We have also began utilizing the medical care unit secretary to follow up with patients on discharge to ensure patients are being scheduled follow up appointments with primary care providers in a timely manner. OHTLMC continues to work with system team members to secure grant funding to assist in providing weight scales, o2 monitors and blood pressure monitors to the appropriate patients upon discharge. OHTLMC participated in the summer resource fair hosted by Grayson County Thrive. This event reached 181 attendees present and 36 vendors providing resources to the community. OH had several vendors present to educate on chronic disease including: primary care providers, addiction services, nutrition services, stroke screenings and education, lung screenings, tobacco treatment and trauma services.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7b MEDICAID	OHTLMC RECEIVED AN ADDITIONAL MEDICAID SUPPLEMENTAL PAYMENT FROM THE HOSPITAL RATE IMPROVEMENT PROGRAM OR "UPL" WHICH WAS ENACTED IN JULY OF 2019. EFFECTIVE JULY 2020, KENTUCKY MEDICAID PAYS THE UPL TO THE AVERAGE COMMERCIAL INPATIENT PAYMENT LEVEL. IN ADDITION TO THE INPATIENT UPL, THE KENTUCKY MEDICAID OBTAINED APPROVAL TO EXPAND THE UPL PROGRAM TO INCLUDE OUTPATIENT MEDICAID MANAGED CARE ORGANIZATION (MCO) CLAIMS TO BE PAID AT THE AVERAGE OUTPATIENT COMMERCIAL RATE EFFECTIVE JANUARY 1, 2023. AS A RESULT, OHTLMC RECOGNIZED AN UPPER PAYMENT LIMIT (UPL) REIMBURSEMENT BEFORE TAXES AND ADMIN EXPENSES OF $10.457 MILLION AND $8.357 MILLION IN PREVIOUS YEAR. THE NET BENEFIT OF THE UPL FOR OHTLMC WAS $9.095 MILLION FOR FY 2023 AND $7.305 MILLION FOR FY 2022 (AFTER TAXES/ADMIN EXPENSES). THE PROGRAM HAS TO BE APPROVED ANNUALLY BY CMS AND THE STATEWIDE UPL NUMBERS WILL FLUCTUATE BASED UPON ACTUAL EXPERIENCE EACH YEAR.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	KENTUCKY DOES NOT REQUIRE A COMMUNITY BENEFIT REPORT.
Schedule H, Part III, Line 8 COSTING METHODOLOGY USED	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 HOSPITAL IS DESIGNATED AS A CMS LOW-VOLUME HOSPITAL (LVH). THIS IS A DESIGNATION FOR HOSPITALS WITH FEWER THAN 3,800 PATIENT DISCHARGES IN THE PREVIOUS YEAR WHICH ARE MORE THAN 15 MILES FROM THE NEAREST IPPS ACUTE CARE HOSPITAL.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	3243764
Schedule H, Part II Community Building Activities	In order to improve and promote the health of the communities we serve, Owensboro Health Twin Lakes Medical Center participates in community building activities supporting economic development efforts which are not part of Part I Charity Care or other community benefits and are not included elsewhere on Schedule H. As one of the largest employer's in the county Owensboro Health Twin Lakes Medical Center recognizes the responsibility we have to improve the health of our communities through activities such as improvement of economic development strategies and workforce development irrespective of the IRS defined community benefit classification. By doing so, the economic viability of the community in addition to addressing severe healthcare workforce shortages, made worse by the COVID 19 pandemic, can be addressed and collaborative solutions may be developed. Our efforts in community building address community issues including health improvement and advocacy, education, poverty, workforce development and access to care. More specifically and as an outgrowth of our system grant program now referred to as the OHRH Community Health Investment Grant Program, Owensboro Health Twin Lakes Medical Center encourages our employees to volunteer for many different community and social service organizations from around the region that are working to address root causes of health issues and/or social determinants of health that impact the health of the community and its members. Owensboro Health Twin Lakes Medical Center engages with our grant partners and other community partners to assist identifying collaborative ways that we can advance social impact and improve the health of our population collectively. Moreover, our team members serve on a myriad of community chamber of commerce, health, arts and social services boards. Team members advocate where permissible on key health issues and advocacy programs, local and state policies. Our dues, contributions, and participation to/with area chamber and economic development agencies will allow those organizations to invest in economic development activities creating new employment opportunities, worker training, affordable housing, transportation, and other areas of health promotion. While downstream to some, addressing social determinants of health which may or may not fall under a community benefit category, or in the short term be considered a priority health need, must and does deserve attention and resources.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR BAD DEBTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES HISTORICAL COLLECTIONS AND WRITE-OFFS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR BAD DEBTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATION OF THE SUFFICIENCY OF THE ALLOWANCE FOR BAD DEBTS.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FAP OHTLMC DOES NOT HAVE A MECHANISM TO DETERMINE THE PORTION OF BAD DEBT ATTRIBUTABLE TO THOSE PATIENTS POTENTIALLY ELIGIBLE FOR THE FAP BUT DO NOT COMPLETE THE APPLICATION. THE AMOUNT ENTERED IS AN ESTIMATE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	There is no footnote to the organization's financial statements that describes bad debt expense. The costing methodology used is the cost to charge ratio calculated in worksheet 2 of Part I of Schedule H of this 990.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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 TO ENSURE PATIENTS ARE 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. 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.
Schedule H, Part V, Section B, Line 16a FAP website	- OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER: Line 16a URL: WWW.OWENSBOROHEALTH.ORG;
Schedule H, Part V, Section B, Line 16b FAP Application website	- OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER: Line 16b URL: WWW.OWENSBOROHEALTH.ORG;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER: Line 16c URL: WWW.OWENSBOROHEALTH.ORG;
Schedule H, Part VI, Line 2 Needs assessment	As described in Form 990, Schedule H, Part V, Section B Lines 3e, 5, 6b OHTLMC assesses the health of its defined community through its CHNA conducted with CEDIK and multiple community partners guided by the population health committee. This is accomplished by surveying residents and organizations and conducting focus groups but not limited to that data. Additionally, secondary data analysis is reviewed, and other assessments, such as the Grayson County Extension community assessment and other data points, are considered. Moving forward, as a part of Owensboro Health, OHTLMC additional resources will be utilized to assess the community's health.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	OHTLMC REACHES OUT TO EDUCATE PATIENTS ABOUT THE PATIENT FINANCIAL ASSISTANCE PROGRAM. A BROCHURE IS AVAILABLE AT SEVERAL LOCATIONS THROUGHOUT THE HOSPITAL INCLUDING THE BUSINESS OFFICE AND REGISTRATION AREA. A VERSION OF THE BROCHURE AND ADDITIONAL INFORMATION IS ON THE HOSPITAL WEBSITE. INFORMATION CAN ALSO BE FOUND ON THE HOSPITAL'S FACEBOOK PAGE AND HAS BEEN PUBLISHED IN LOCAL NEWSPAPERS. WHEN SELF-PAY PATIENTS PRESENT THEMSELVES TO THE HOSPITAL FOR SERVICES, THE REGISTRAR DIRECTS THE PATIENTS TO THE FINANCIAL COUNSELOR FOR ASSISTANCE ON MEDICAID/COMMERCIAL PLANS AVAILABLE THROUGH THE ACA. ALSO AT THAT TIME, THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM IS APPLIED TO THE PATIENT'S PERSONAL SITUATION.
Schedule H, Part VI, Line 4 Community information	THE PRIMARY SERVICE FOR OHTLMC IS GRAYSON COUNTY, KY (POPULATION 26,524) LOCATED 75 MILES SOUTHWEST OF LOUISVILLE, KY. THE HOSPITAL'S SECONDARY SERVICE AREA INCLUDES PARTS OF 6 SURROUNDING COUNTIES. THE ESTIMATED PERCENTAGE OF PEOPLE LIVING BELOW THE POVERTY LEVEL, AS DETERMINED BY THE US CENSUS BUREAU, IS 17.4% FOR THE PRIMARY SERVICE AREA. THE AREA IS MOSTLY RURAL WITH A HIGHER PERCENTAGE OF PERSONS OVER THE AGE OF 65 AND A SIGNIFICANTLY LOWER MEDIAN HOUSEHOLD INCOME COMPARED TO THE STATE OF KENTUCKY. THE UNEMPLOYMENT RATE FOR GRAYSON COUNTY IS 4.7%.
Schedule H, Part VI, Line 5 Promotion of community health	In addition to the health promotion strategies and concepts previously described, OHTLMC works closely with its local Chambers of Commerce, the local department of public health, local and state elected officials, and community leaders to educate on the priority health issues, discuss other existing related needs and work together to develop solutions and tactics to address them. OHTLMC proves to be a driving force in change by educating the community on health & wellness issues, recognizing community needs, and working to fulfill those needs.
Schedule H, Part VI, Line 6 Affiliated health care system	AS AN AFFILIATE HOSPITAL AND IN SUPPORT OF OWENSBORO HEALTH INC., OHTLMC WILL BE ONE OF THREE NOT-FOR-PROFIT HOSPITALS IN THE SYSTEM WHOSE MISSION IS TO HEAL THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. UTILIZING THE RICH ACCESS TO RESOURCES, PROGRAMS, AND SERVICES WILL BENEFIT THIS WESTERN KENTUCKY REGION AND EXPAND THE ABILITY TO ADDRESS THE PRIORITY HEALTH AREAS OF OUR COMMUNITIES AND DIRECTLY ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, THE NATURAL BARRIERS TO POSITIVE HEALTH OUTCOMES THAT PLAGUE OUR COMMONWEALTH. REPLICATION OF EVIDENCE-BASED PROGRAMS WILL ALLOW GREATER SHARING OF KNOWLEDGE, EXPERTISE, AND PROGRAMMING FOR TARGETED IMPACT ON THE POPULATIONS WHICH NEED THEM THE MOST. WE WILL USE INVESTMENT DOLLARS IN A POPULATION HEALTH APPROACH TO ENGAGE IN INNOVATIVE STRATEGIES THE AFFILIATED HOSPITALS AND THEIR DIFFERENT ENTITIES MAY EMPLOY WITH A GUIDING POPULATION HEALTH STRATEGY AND APPROACH TO HAVE THE MOST SIGNIFICANT IMPACT ON THE HOSPITALS' INDIVIDUAL AND COLLECTIVE IDENTIFIED AND PRIORITIZED HEALTH NEEDS AND SOCIAL DETERMINANTS OF HEALTH.
Schedule H, Part VI, Line 7 State filing of community benefit report	KY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN HACKBARTH
FORMER BOARD SECRETARY, CFO (ENDED 08/06/2021)	$0	-$1	$0	$0	$0	$450,475	$0	$0	$0	$0	$0	$450,474	$0	$0
GREG STRAHAN
FORMER PRESIDENT AND CEO (ENDED 08/06/21)	$0	$0	$0	$0	$0	$1,117,560	$0	$0	$0	$0	$0	$1,117,560	$0	$0
MARK MARSH
PRESIDENT AND CEO	$0	$762,911	$0	$189,809	$0	$138,288	$0	$15,250	$0	$37,666	$0	$1,143,924	$0	$0
RUSSELL S RANALLO
BOARD TREASURER, CHIEF FINANCIAL OFFICER (EFFECTIVE 06/2022)	$0	$337,195	$0	$171,728	$0	$100,815	$0	$12,048	$0	$36,486	$0	$658,272	$0	$0
JEFFREY THOMAS
BOARD TREASURER, CFO (ENDED 06/13/2022)	$0	$157,603	$0	$78,750	$0	$219,361	$0	$6,676	$0	$9,056	$0	$471,446	$0	$0
ASHLEY HERRINGTON
CEO - OHTLMC	$249,891	$0	$76,247	$0	$14,840	$0	$12,810	$0	$32,773	$0	$386,561	$0	$0	$0
CATHERINE CLEMONS
VP OF OPERATIONS - OHTLMC	$146,121	$0	$45,889	$0	$23,023	$0	$7,710	$0	$13,328	$0	$236,071	$0	$0	$0
CATHY STEWART
VP PATIENT CARE SVCS AND CNO - OHTLMC	$153,365	$0	$29,511	$0	$18,705	$0	$6,941	$0	$22,526	$0	$231,048	$0	$0	$0
CHLOE ADAMS
CLINICAL PHARMACIST	$118,909	$0	$1,000	$0	$211	$0	$4,467	$0	$30,151	$0	$154,738	$0	$0	$0
BRITTANY N CLEMONS
DIR OF NURSG AND QLTY-PT SFTY	$115,795	$0	$17,784	$0	$182	$0	$5,976	$0	$18,219	$0	$157,956	$0	$0	$0
ANGELA M GIBSON
DIRECTOR OF PHARMACY	$153,326	$0	$23,191	$0	$864	$0	$5,669	$0	$10,381	$0	$193,431	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	THE ORGANIZATION PROVIDES A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN FOR CERTAIN EXECUTIVE EMPLOYEES. BECAUSE BENEFITS UNDER THE SUPPLEMENTAL PLAN MUST BE INCLUDED IN TAXABLE INCOME WHEN THEY BECOME VESTED, AND AS REQUIRED BY THE SUPPLEMENTAL PLAN'S TERMS, THE ORGANIZATION PROVIDES AN ADDITIONAL BENEFIT THAT COVERS THE TAX LIABILITY WHEN IT IS INCURRED. THE TAX LIABILITY PAYMENTS ARE THEMSELVES INCLUDED IN W-2 INCOME IN THE YEAR MADE TO THE EXECUTIVES AND ARE INCLUDED IN THE FIGURES DISCLOSED ON SCHEDULE J, PART II.
Schedule J, Part I, Line 1a Housing allowance or residence for personal use	THE ORGANIZATION PROVIDED HOUSING ALLOWANCE TO THE SYSTEM CEO. THIS BENEFIT WAS INCLUDED AS A TAXABLE INCOME IN THE YEAR RECEIVED AND FULLY INCLUDED ON THE RECIPIENT'S FORM W-2.
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	DURING THE REPORTING PERIOD, THE ORGANIZATION PAID THE SYSTEM CEO MEMBERSHIP DUES IN A SOCIAL CLUB. THE CLUB MEMBERSHIP WAS USED FOR BUSINESS PURPOSES. ANY PERSONAL RELATED EXPENSES ARE TREATED AS TAXABLE WAGE INCOME AND FULLY INCLUDED ON THE RECIPIENT'S FORM W-2.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	OWENSBORO HEALTH TWIN LAKE MEDICAL CENTER, INC. RELIES ON THE COMPENSATION PRACTICES OF A RELATED ORGANIZATION OWENSBORO HEALTH, INC. TO DETERMINE THE COMPENSATION OF TOP MANAGEMENT OFFICIALS.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	OWENSBORO HEALTH PROVIDES A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN FOR CERTAIN EXECUTIVE EMPLOYEES. PARTICIPATION IN THE PLAN IS SUBJECT TO THE RECOMMENDATION OF THE CHIEF EXECUTIVE OFFICER AND THE APPROVAL OF THE BOARD OF DIRECTORS. AS OF DECEMBER 31, 2020 OWENSBORO HEALTH SHALL CREDIT THE PARTICIPANT'S ACCOUNT WITH AN EMPLOYER CONTRIBUTION. THE PARTICIPANT MUST BE EMPLOYED BY OWENSBORO HEALTH AT THE END OF THE PLAN YEAR IN ORDER TO RECEIVE AN EMPLOYER CONTRIBUTION FOR THAT PLAN YEAR, AND PARTIAL YEAR CREDIT IS EARNED AFTER A PARTICIPANT REACHED NORMAL RETIREMENT AGE AS DEFINED BY THE PLAN. EMPLOYER CONTRIBUTIONS FOR EACH CONTRIBUTION CLASS YEAR SHALL BE 100% VESTED AS OF THE END OF THE PLAN YEAR WHICH IS FIVE YEARS AFTER THE DATE ON WHICH THE EMPLOYER CONTRIBUTION WAS MADE FOR SUCH CONTRIBUTION CLASS YEAR. FORMER CHIEF EXECUTIVE OFFICER, GREG STRAHAN, AND FORMER CHIEF FINANCIAL OFFICER, JOHN HACKBARTH, RETIRED ON AUGUST 6, 2021. AS REQUIRED BY THE PLAN DOCUMENT, THE FINAL FIVE YEARS OF CONTRIBUTIONS AND INVESTMENT EARNINGS WILL VEST AND PAYMENT IS MADE FOR THE FIVE YEARS CONCURRENTLY UPON RETIREMENT. 457F PLAN TO EXECUTIVES JOHN HACKBARTH $450,475 (RETIRED AUG 6, 2021); RUSS RANALLO ($39,663); GREG STRAHAN $1,117,560 (RETIRED AUG 6, 2021)
Schedule J, Part I, Line 7 Non-fixed payments	SUCCESS SHARING PLAN THE SUCCESS SHARING PLAN IS A PROGRAM DESIGNED TO FOCUS ON THE ACCOUNTABILITY OF ALL EMPLOYEES TO INFLUENCE THE FINANCIAL, QUALITY, PATIENT SATISFACTION AND EMPLOYEE DEVELOPMENT GOALS, AND TO REINFORCE THE OH CORE COMMITMENTS (RESPECT, INTEGRITY, INNOVATION, SERVICE, EXCELLENCE AND TEAMWORK) WHILE WORKING TO ACHIEVE THESE GOALS. THE PLAN ACHIEVES THIS BY PROVIDING A DIRECT LINK BETWEEN ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES AND THE TOTAL COMPENSATION OF THOSE WHO'S DECISIONS AND ACTIONS ARE ACCOUNTABLE FOR THE OUTCOMES WHICH DRIVE THE ORGANIZATION'S SUCCESS. ELIGIBILITY IS BASED ON HOURS WORKED IN THE YEAR; STAFF EMPLOYEES ARE PAID A PRO-RATED AMOUNT OF A DOLLAR MAXIMUM AND MANAGEMENT IS PAID A FIXED PERCENTAGE OF ANNUAL SALARY BASED ON LEVEL OF MANAGEMENT. PAYMENT IS PREDICATED ON BOARD APPROVAL.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 6 Volunteers	VOLUNTEERS SUPPORT THE MISSION AND GOALS OF OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER ("OHTLMC"). VOLUNTEERS STAFF THE VISITOR INFORMATION DESK, PROVIDE DIRECTION TO VISITORS, AND OPERATE THE HOSPITAL GIFT SHOP. VOLUNTEERS ARE AN ESSENTIAL PART OF THE CARE AND COMFORT OHTLMC PROVIDES. OHTLMC HAD 37 VOLUNTEERS.
Form 990, Part III, Line 2 New program services	The hospital added a 12 bed Geriatric Psychiatry department.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SOLE MEMBER IS OWENSBORO HEALTH, INC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE SOLE MEMBER OWENSBORO HEALTH, INC. APPOINTS THE MEMBERS OF THE BOARD. THE BOARD IS COMPOSED OF 9 MEMBERS DIVIDED INTO THREE CLASSES SERVING THREE YEAR TERMS (OTHER THAN THE INITIAL BOARD MEMBERS WHO HAVE TERMS EXPIRING IN OCTOBER 2021, 2022 AND 2023 RESPECTIVELY FOR EACH CLASS OF THREE DIRECTORS SO THAT THE TERMS ARE STAGGERED). TERM LIMIT OF THREE FULL THREE YEAR CONSECUTIVE TERMS WITH AT LEAST ONE YEAR OFF BEFORE ELIGIBLE TO SERVE AGAIN. AT LEAST FOUR OF THE BOARD MEMBERS MUST BE RESIDENTS OF GRAYSON COUNTY, KENTUCKY.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE FOLLOWING MATTERS SHALL REQUIRE THE APPROVAL OF THE SOLE MEMBER OF THE CORPORATION, OWENSBORO HEALTH, INC.: (A) ANY CHANGE IN THE MISSION OR PURPOSE OF THE CORPORATION; (B) ANY AMENDMENT TO THE ARTICLES OR BYLAWS OF THE CORPORATION; (C) ANY ADDITION OF NEW MEMBERS; (D) APPOINTMENT OR REMOVAL OF DIRECTORS OF THE CORPORATION IN ACCORDANCE WITH THE BOARD OF DIRECTORS; (E) ANY PURCHASE OR ACQUISITION, SALE, GIFT, LEASE, DISPOSITION OF, MORTGAGE OR OTHER ENCUMBRANCE OF ANY PROPERTY, REAL, PERSONAL, OR MIXED BY THE CORPORATION, EXCLUDING ROUTINE OR BUDGETED EXPENDITURES, THE VALUE OF WHICH IN THE AGGREGATE EXCEEDS $200,000; (F) SELLING, EXCHANGING, OR OTHERWISE DISPOSING OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; (G) ANY UNBUDGETED INCURRENCE OR GUARANTEE OF INDEBTEDNESS BY THE CORPORATION THAT IN THE AGGREGATE EXCEEDS $200,000; (H) ANY MERGER, ACQUISITION, OR CONSOLIDATION OF THE CORPORATION OR ENTERING INTO ANY JOINT BUSINESS VENTURE WITH ANY OTHER PERSON, CORPORATION OR OTHER LEGAL ENTITY; (I) ANY DISSOLUTION OF THE CORPORATION; (J) CREATION, ACQUISITION, OR DISPOSITION OF ANY SUBSIDIARY OR AFFILIATED ENTITY OF THE CORPORATION; AND (K) APPROVAL OF THE ANNUAL CAPITAL AND OPERATING BUDGETS FOR THE CORPORATION.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS REVIEWED BY THE INTERNAL FINANCE TEAM AND FORWARDED TO THE CFO FOR FINAL REVIEW AND APPROVAL BEFORE FILING.
Form 990, Part VI, Line 12c Conflict of interest policy	MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY UNDER OUR CONFLICT OF INTEREST POLICY (#100-214), EACH BOARD DIRECTOR, OFFICER, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWER, AND KEY EMPLOYEE IS REQUIRED ANNUALLY TO COMPLETE THE FOLLOWING: (1) CONFIDENTIALITY STATEMENT, (2) DISCLOSURE CERTIFICATE, AND (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 OH CONTRACTS. ALL COMPLETED CONTRACTS ARE MAINTAINED BY THE LEGAL OFFICE IN A SEARCHABLE DATABASE (THROUGH ICONTRACT). THESE WILL BE REVIEWED AND MAINTAINED BY THE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER ALSO HAS ACCESS TO THE CONTRACT'S DATABASE AND COMPLETES AN OIG SANCTION CHECK FOR NEW CONTRACTS. ONCE THE CONFLICT OF INTEREST DATA HAS BEEN COLLECTED, NEW CONTRACTS WILL BE SCREENED FOR POTENTIAL CONFLICTS OF INTEREST. IN ADDITION, OH MAINTAINS A COMPLIANCE HOTLINE THROUGH WHICH ANYONE WITH KNOWLEDGE OF A CONFLICT OF INTEREST OR IMPROPER VENDOR RELATIONSHIP CAN ANONYMOUSLY REPORT SUSPECTED VIOLATIONS OF THE OH POLICY. OF 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.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	OHTLMC FOLLOWS OH'S COMPENSATION PROCESS THAT COMPLIES WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS. OH'S COMPENSATION PROCESS IS AS FOLLOWS: - 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; AND 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. THE LAST COMPENSATION REVIEW PROCESS WAS COMPLETED IN 2022 BY SULLIVAN COTTER.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	OHTLMC FOLLOWS OH'S COMPENSATION PROCESS THAT COMPLIES WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS. OH'S COMPENSATION PROCESS IS AS FOLLOWS: - 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; AND 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. THE LAST COMPENSATION REVIEW PROCESS WAS COMPLETED IN 2022 BY SULLIVAN COTTER.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S FORM 1023 AND FORM 990 ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE ON GUIDESTAR'S DATABASE AVAILABLE AT WWW.GUIDESTAR.ORG. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE KENTUCKY SECRETARY OF STATE'S WEBSITE AT HTTPS://APP.SOS.KY.GOV/FTSEARCH/. OTHERWISE, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. A COPY OF THE ORGANIZATION'S FINANCIAL STATEMENTS IS ATTACHED TO ITS 990 IN COMPLIANCE WITH THE REQUIREMENTS OF THE AFFORDABLE CARE ACT.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Gain on Affiliates - Total Revenue: 112748, Related or Exempt Function Revenue: 112748, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	COLLECTION SERVICES - Total Expense: 59968, Program Service Expense: , Management and General Expenses: 59968, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 2194391, Program Service Expense: 1914492, Management and General Expenses: 279899, Fundraising Expenses: ; CONSULTING AND MISC PROFESSIONAL FEES - Total Expense: 22945, Program Service Expense: 14009, Management and General Expenses: 8936, Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 3616344, Program Service Expense: 3616344, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 690529, Program Service Expense: 606851, Management and General Expenses: 83678, Fundraising Expenses: ; R&M SERVICE CONTRACTS - Total Expense: 1227276, Program Service Expense: 1018814, Management and General Expenses: 208462, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	OTHERS - -2219;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
OWENSBORO HEALTH INC
1201 PLEASANT VALLEY ROAD	OWENSBORO	KY	42303	611286361	HEALTHCARE	KY	501(c)(3)	3	NA	false
OWENSBORO HEALTH FOUNDATION INC
1201 PLEASANT VALLEY ROAD	OWENSBORO	KY	42303	611251763	HEALTHCARE	KY	501(c)(3)	7	OH	Yes (true)
OWENSBORO HEALTH MEDICAL GROUP
1201 PLEASANT VALLEY ROAD	OWENSBORO	KY	42303	611197638	HEALTHCARE	KY	501(c)(3)	10	OH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt
OWENSBORO AM SR FAC
1000 BRKRG	OWENSBORO	KY	42303	752184992	SURGERY CENTER	KY	NA	Unrelated	false	false
TWIN LAKES REGIONAL PAIN MANAGEMENT
910 WALLACE AVE	LEITCHFIELD	KY	42754	472329929	PAIN MANAGEMENT	KY	NA	Related	false	false	$132,159	$165,546

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
OWENSBORO HEALTH MEDICAL GROUP INC
J	$193,785	FMV
OWENSBORO HEALTH MEDICAL GROUP INC
P	$1,766,496	FMV