OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER INC (EIN 85-3033915)
Tax period: 2023-06-01 to 2024-05-31
Filed: 2024-10-12
IRS object ID: 202442869349300214
Schema version: 2023v5.1
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	2024-10-12T12:59:50+00:00	ReturnTs
Tax Period End	2024-05-31	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	2023-06-01	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	2024-10-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

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	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	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	$73,294,481	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	476	TotalEmployeeCnt
Total Volunteers	40	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,158,026	PYContributionsGrantsAmt
CY Contributions Grants	$25,344	CYContributionsGrantsAmt
PY Program Service Revenue	$58,857,610	PYProgramServiceRevenueAmt
CY Program Service Revenue	$72,840,513	CYProgramServiceRevenueAmt
PY Investment Income	$1,500	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$1,048,386	PYOtherRevenueAmt
CY Other Revenue	$428,624	CYOtherRevenueAmt
PY Total Revenue	$63,065,522	PYTotalRevenueAmt
CY Total Revenue	$73,294,481	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	$23,174,557	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$24,446,966	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$27,138,316	PYOtherExpensesAmt
CY Other Expenses	$34,192,140	CYOtherExpensesAmt
PY Total Expenses	$50,312,873	PYTotalExpensesAmt
CY Total Expenses	$58,639,106	CYTotalExpensesAmt
PY Revenues Less Expenses	$12,752,649	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$14,655,375	CYRevenuesLessExpensesAmt
Total Assets BOY	$83,782,092	TotalAssetsBOYAmt
Total Assets EOY	$140,520,348	TotalAssetsEOYAmt
Total Liabilities BOY	$62,817,995	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$104,900,876	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$20,964,097	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$35,619,472	NetAssetsOrFundBalancesEOYAmt
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	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$51,001,753	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$73,060,037	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 2024, OHTLMC HAD TOTAL ADMISSIONS OF 1,611, PATIENT DAYS OF 5,782 AND TOTAL ER VISITS OF 20,166. 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	$51,001,753	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	55	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	476	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 (22 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
GLENNA BLACK
SECRETARY	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
LAURA CHAPMAN
BOARD CHAIRPERSON (EFFECTIVE 11/31/2023)	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
MARK MARSH
PRESIDENT AND CEO	2.0	48.0	Yes (X)	Yes (X)	$0	$1,233,951	$54,815
ROBERT FARMER
FORMER BOARD CHAIRPERSON (ENDED 11/1/2023)	1.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
RUSSELL S RANALLO
BOARD TREASURER, CHIEF FINANCIAL OFFICER	2.0	48.0	Yes (X)	Yes (X)	$0	$615,428	$84,036
VICKI STOGSDILL
BOARD SECRETARY (ENDED 10/31/2023)	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
CHRIS LOVE
BOARD MEMBER	1.0	3.0	Yes (X)		$0	$0	$0
dennis fentress
BOARD MEMBER (ENDED 10/31/2023)	1.0	0	Yes (X)		$0	$0	$0
DONNA VANMETER
BOARD MEMBER (EFFECTIVE 11/1/2023)	1.0	0	Yes (X)		$0	$0	$0
LARRY BRETT ABNEY OD
BOARD MEMBER (ENDED 11/27/2023)	1.0	0	Yes (X)		$0	$0	$0
MATT HAYES
BOARD MEMBER (EFFECTIVE 11/27/2023)	1.0	0	Yes (X)		$0	$0	$0
RYAN BRATCHER
BOARD MEMBER (ENDED 10/31/2023)	1.0	0	Yes (X)		$0	$0	$0
SCOTT MAJORS
BOARD MEMBER (EFFECTIVE 11/1/2023)	1.0	0	Yes (X)		$0	$0	$0
TISH OSBORNE
BOARD MEMBER (EFFECTIVE 11/1/2023)	1.0	0	Yes (X)		$0	$0	$0
ASHLEY HERRINGTON
CEO - OHTLMC	45.0	5.0		Yes (X)	$368,999	$0	$49,183
CATHERINE CLEMONS
VP OF OPERATIONS - OHTLMC	45.0	5.0			$228,348	$0	$23,264	Yes (X)
CATHY STEWART
VP PATIENT CARE SVCS AND CNO - OHTLMC	45.0	5.0			$229,225	$0	$73,755	Yes (X)
ANGELA M GIBSON
DIRECTOR OF PHARMACY	50.0	0			$180,921	$0	$17,057		Yes (X)
CATHERINE EARLEY
REGISTERED NURSE - BSN	45.0	0			$133,319	$0	$5,478		Yes (X)
CHLOE ADAMS
CLINICAL PHARMACIST	50.0	0			$125,629	$0	$36,654		Yes (X)
FELICIA SHEPHARD
REGISTERED NURSE - BSN	45.0	0			$134,145	$0	$13,208		Yes (X)
PHIL GIFFORD
MEDICAL TECHNOLOGIST	45.0	0			$134,712	$0	$17,088		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,535,298	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,849,379	TotReportableCompRltdOrgAmt
Total Other Compensation	$374,538	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	23	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
SIGNET HEALTH CORP
9151 BLVD 26 STE 175A	NORTH RICHLAND HILLS	TX	76180	BEHAVIORAL HEALTH SERVICES	$1,703,356
OPTUM
PO BOX 84019	CHICAGO	IL	606894019	MGMT OF REV CYCLE AND INF TECH SRVCS	$1,648,465
QUALIVIS LLC
DEPT 3847	DALLAS	TX	753123847	CONTRACT LABOR FOR NURSING, LAB AND RADIOLOGY	$1,332,386	PO BOX 123847
CONCORD COMPANY OF TENNESSEE
1602 AVENUE Q	LUBBOCK	TX	794014732	ER COVERAGE	$739,437
CLINICAL MANAGEMENT SOLUTIONS
PO BOX 6890	EVANSVILLE	IN	47719	OCC. AND PT SERVICES	$737,388

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	18	CntrctRcvdGreaterThan100KCnt
Related Organizations	$24,064	RelatedOrganizationsAmt
Government Grants	$1,280	GovernmentGrantsAmt
Total Contributions	$25,344	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MEDICARE/MEDICAID PAYMENT	622110	$31,076,393	$31,076,393	$0	$0
PATIENT REVENUE - OTHER INCOME	622110	$24,524,381	$24,524,381	$0	$0
UPPER PAYMENT LIMIT	622110	$16,644,190	$16,644,190	$0	$0
PROPERTY/OFFICE RENT	531120	$436,131	$436,131
Gain on Affiliates		$159,418	$159,418

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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)
Total Program Service Revenue	$72,840,513	TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gain Or Loss GainOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA AND VENDING	722514	$209,100	$0	$0	$209,100
OTHER OPERATING REVENUE	900099	$189,665	$189,665	$0	$0
ALL OTHER REVENUE	900099	$29,859	$29,859	$0	$0

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	$428,624	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$73,294,481	TotalRevenueColumnAmt
Related Or Exempt Func Income	$73,060,037	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$209,100	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

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	$972,774	TotalAmt
Program Services	$388,214	ProgramServicesAmt
Management And General	$584,560	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$18,124,564	TotalAmt
Program Services	$17,127,417	ProgramServicesAmt
Management And General	$997,147	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$414,161	TotalAmt
Program Services	$411,200	ProgramServicesAmt
Management And General	$2,961	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,600,148	TotalAmt
Program Services	$3,244,178	ProgramServicesAmt
Management And General	$355,970	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,335,319	TotalAmt
Program Services	$1,248,505	ProgramServicesAmt
Management And General	$86,814	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,247,251	TotalAmt
Program Services	$558,813	ProgramServicesAmt
Management And General	$688,438	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$30,535	TotalAmt
Program Services	$535	ProgramServicesAmt
Management And General	$30,000	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,970,719	TotalAmt
Program Services	$8,112,940	ProgramServicesAmt
Management And General	$1,857,779	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$121,073	TotalAmt
Program Services	$4,579	ProgramServicesAmt
Management And General	$116,494	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,088,321	TotalAmt
Program Services	$1,826,802	ProgramServicesAmt
Management And General	$261,519	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$111,180	TotalAmt
Program Services	$77,667	ProgramServicesAmt
Management And General	$33,513	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,017,526	TotalAmt
Program Services	$720,836	ProgramServicesAmt
Management And General	$296,690	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$21,190	TotalAmt
Program Services	$16,746	ProgramServicesAmt
Management And General	$4,444	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,064	TotalAmt
Program Services	$2,467	ProgramServicesAmt
Management And General	$597	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$733	TotalAmt
Program Services	$733	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,908,794	TotalAmt
Program Services	$791,760	ProgramServicesAmt
Management And General	$2,117,034	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$7,435,319	$7,378,614	$56,705	$0
BAD DEBT	$5,534,172	$5,534,172	$0	$0
PROVIDER TAX	$3,211,385	$3,211,385	$0	$0
DIETARY SUPPLIES	$353,734	$279,929	$73,805	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$137,144	TotalAmt
Program Services	$64,261	ProgramServicesAmt
Management And General	$72,883	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$58,639,106	TotalAmt
Program Services	$51,001,753	ProgramServicesAmt
Management And General	$7,637,353	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	-$295,032	BOYAmt
EOY	-$157,351	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,280,392	BOYAmt
EOY	$1,992,066	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	$6,699,516	BOYAmt
EOY	$7,996,520	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	$2,238,321	BOYAmt
EOY	$2,181,309	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,986,616	BOYAmt
EOY	$7,093,322	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$38,978,136	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$8,027,470	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$32,384,167	BOYAmt
EOY	$30,950,666	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	$220,325	BOYAmt
EOY	$212,460	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	$35,267,787	BOYAmt
EOY	$90,251,356	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$83,782,092	BOYAmt
EOY	$140,520,348	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,969,668	BOYAmt
EOY	$1,855,550	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	$53,053	BOYAmt
EOY	$0	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	$60,795,274	BOYAmt
EOY	$103,045,326	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$62,817,995	BOYAmt
EOY	$104,900,876	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	$20,964,097	BOYAmt
EOY	$35,619,472	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	$20,964,097	BOYAmt
EOY	$35,619,472	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$83,782,092	BOYAmt
EOY	$140,520,348	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$14,655,375	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	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	false	FederalGrantAuditRequiredInd

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	$26,403,862	OtherCostOrOtherBasisAmt
Depreciation	$4,179,593	DepreciationAmt
Book Value	$22,224,269	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$88,607	OtherCostOrOtherBasisAmt
Depreciation	$45,550	DepreciationAmt
Book Value	$43,057	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,975,929	OtherCostOrOtherBasisAmt
Depreciation	$3,802,327	DepreciationAmt
Book Value	$6,173,602	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$30,950,666	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	INTERCOMPANY RECEIVABLES	Desc
Book Value	$90,251,356	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$90,251,356	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO MEDICARE AND MEDICAID COST REPORT	$1,595,008
INTERCOMPANY AP	$101,450,318

Field	Value	IRS element (for citing)
Total Liability	$103,045,326	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	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$243,731	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$243,731	NetCommunityBenefitExpnsAmt
Total Expense	0.0046	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,764,677	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,571,224	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	$18,008,408	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,571,224	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$243,731	NetCommunityBenefitExpnsAmt
Total Expense	0.0046	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	41	ActivitiesOrProgramsCnt
Persons Served	536	PersonsServedCnt
Total Community Benefit Expns	$1,513	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,513	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	327	ActivitiesOrProgramsCnt
Persons Served	957	PersonsServedCnt
Total Community Benefit Expns	$251,422	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$251,422	NetCommunityBenefitExpnsAmt
Total Expense	0.0047	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

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	224	ActivitiesOrProgramsCnt
Persons Served	243110	PersonsServedCnt
Total Community Benefit Expns	$29,281	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,281	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	592	ActivitiesOrProgramsCnt
Persons Served	244603	PersonsServedCnt
Total Community Benefit Expns	$282,216	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$282,216	NetCommunityBenefitExpnsAmt
Total Expense	0.0053	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	592	ActivitiesOrProgramsCnt
Persons Served	244603	PersonsServedCnt
Total Community Benefit Expns	$18,290,624	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,571,224	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$525,947	NetCommunityBenefitExpnsAmt
Total Expense	0.0099	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	2	ActivitiesOrProgramsCnt
Persons Served	50	PersonsServedCnt
Total Community Benefit Expns	$2,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	50	PersonsServedCnt
Total Community Benefit Expns	$144	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$144	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	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)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$86	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$86	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	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	5	ActivitiesOrProgramsCnt
Persons Served	200	PersonsServedCnt
Total Community Benefit Expns	$2,230	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,230	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$5,334,172	BadDebtExpenseAmt
Bad Debt Expense Attributable	$442,734	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$7,849,781	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$8,398,849	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$549,068	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	https://www.owensborohealth.org/patient-visitor/billing/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.owensborohealth.org/patient-visitor/billing/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.owensborohealth.org/patient-visitor/billing/financial-assistance	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 YEARS OF AGE AND OLDER. 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. 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 COMMUNITY 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 SYSTEM-WIDE AND ALLOWS OUR CASE MANAGEMENT/QUALITY/COMMUNITY ENGAGEMENT AND POPULATION HEALTH 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 CONTINUES TO OPERATE ITS NEW INPATIENT 12-BED GERIATRIC BEHAVIORAL HEALTH UNIT AVERAGING A DAILY CENSUS OF 6 PATIENTS. 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. 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 2024, 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 WERE EXACERBATED BY THE WORLDWIDE PANDEMIC. WHILE THIS MADE COMMUNITY EDUCATION A CHALLENGE, OHTLMC CONTINUES TO WORK WITH THE COMMUNITY HEALTH COMMITTEE TO EXPLORE STRATEGIES TO DISCOVER INNOVATIVE SOLUTIONS FOR EDUCATIONAL OUTREACH. FROM JUNE 2023 TO MAY 2024, OHTLMC PROMOTED, THROUGH TRADITIONAL/SOCIAL MEDIA CHANNELS AND LOCAL COMMUNITY ORGANIZATIONS THE AVAILABILITY OF A POPULATION LEVEL MENTAL HEALTH INTERVENTION, A VETTED VIRTUAL RESOURCE, CREDIBLEMIND. IN ADDITION, THE HOSPITAL HOSTED ITS FOURTH ANNUAL MENTAL HEALTH AND ADDITION AWARENESS FAIR OPEN TO THE COMMUNITY. 100 COMMUNITY MEMBERS ATTENDED THIS COMMUNITY SERVICE WITH 56 MENTAL HEALTH VENDOR PROVIDING MENTAL HEALTH RESOURCES. OHTLMC PARTICIPATED IN THE 2ND ANNUAL GRAYSON COUNTY POVERTY COALITION SUMMER RESOURCE FAIR IN JUNE 2023. THE FAIR CONSISTED OF 60 VENDORS, 8 OF WHICH WERE OWENSBORO HEALTH SERVICES, TO PROVIDE COMMUNITY AND BASIC NEED RESOURCES TO 350 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 COMMUNITY ENGAGEMENT COORDINATOR 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 100 COMMUNITY MEMBERS ATTENDING THE EVENT IN 2024 AND INCLUDED 56 SUBSTANCE USE /MENTAL HEALTH VENDORS HANDING OUT RESOURCES. THEY ALSO PLAYED A ROLE IN HOSTING AN ANNUAL SUMMER RESOURCE FAIR WHICH INCLUDED 350 COMMUNITY MEMBERS ATTENDING THE EVENT AND 60 VENDORS PROVIDING RESOURCES TO THE COMMUNITY. 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. THE COMMUNITY ENGAGEMENT COORDINATOR 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 THAT 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. SINCE THE DEVELOPMENT OF THIS TEAM, SEVERAL INITIATIVES HAVE COME TO LIGHT. THIS TEAM HAS CONNECTED PROVIDERS ACROSS THE SYSTEM TO BE AWARE OF ADDICTION SERVICES PROVIDED AT OHTLMC FOR REFERRAL OPPORTUNITIES, THEY HAVE STARTED THE WORK TO CREATE A RESOURCE WEBPAGE FOR PATIENTS, VISITORS AND THE COMMUNITY AT LARGE TO UTILIZE WHEN SEEKING SUBSTANCE USE RESOURCES, THEY HAVE WORKED WITH COMMUNITY PARTNERS TO IDENTIFY A NEED FOR NARCAN DISPENSING WITHIN THE COMMUNITIES AND THEY ARE WORKING ON PLANS TO HAVE NARCAN EASILY ACCESSIBLE FOR EVERYONE. OHTLMC WORKED WITH THE GRAYSON COUNTY SCHOOLS TO EXPLORE OPPORTUNITIES TO BRING EVIDENCE-BASED SUBSTANCE USE EDUCATION INTO THE SCHOOL SYSTEM. THIS IS STILL A WORK IN PROGRESS, BUT THEY WERE ABLE TO HOST A RED RIBBON WEEK CELEBRATION WITHIN THE COMMUNITY IN OCTOBER OF 2023. THIS CELEBRATION CONSISTED OF A SERIES OF ACTIVITIES TO INCLUDE, A BUSINESS DECORATING CONTEST AMONG LOCAL BUSINESSES, ENCOURAGING THE COMMUNITY AT LARGE TO WEAR RED RIBBONS, A CLASSROOM DOOR DECORATING CONTEST AMONG ALL LOCAL ELEMENTARY SCHOOLS, AND A SUBSTANCE USE SPEAKER FOR ALL GRADES AT THE GRAYSON COUNTY MIDDLE SCHOOL. 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. OHTLMC WAS ABLE TO GET ONE TEAM MEMBER CERTIFIED AS A TOBACCO TREATMENT SPECIALIST IN AUGUST OF 2023. THIS TEAM MEMBER IS NOW DOING CONSULTS ON INPATIENT ADMISSIONS, CONNECTING THEM WITH NICOTINE REPLACEMENT THERAPY AND REFERRING THEM FOR FOLLOW UP CARE. 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. PLANS ARE BEING MADE TO DISPLAY SIGNS ON LOCAL WALKING TRAILS EDUCATING COMMUNITY MEMBERS ON DIFFERENT HEALTH TOPICS ASSOCIATED WITH PHYSICAL ACTIVITY. 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. 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. 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. FROM JUNE 2023- MAY 2024, OHTLMC LAUNCHED THEIR FITNESS INITIATIVE WITH GREAT SUCCESS. ATTENDING OVER 6 EVENTS AND TRACKING A TOTAL OF 374 MILES WALKED BY OVER 243 COMMUNITY MEMBERS THROUGH GIVE A WAYS AND INITIATIVES. WE ALSO PARTNERED WITH GRAYSON COUNTY SCHOOLS TO DO EDUCATION ON FITNESS AND NUTRITION IN ALL FOUR ELEMENTARY SCHOOLS. EACH STUDENT ALSO RECEIVED A WRIST PEDOMETER AND WAS ENCOURAGED TO TRACK THEIR STEPS IN EXCHANGE FOR PRIZES. 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. OHTLMC WAS ABLE TO GET ONE TEAM MEMBER CERTIFIED AS A TOBACCO TREATMENT SPECIALIST IN AUGUST OF 2023. THIS TEAM MEMBER IS NOW DOING CONSULTS ON INPATIENT ADMISSIONS, CONNECTING THEM WITH NICOTINE REPLACEMENT THERAPY AND REFERRING THEM FOR FOLLOW UP CARE. OHTLMC PERFORMED SEVERAL PREVENTATIVE SERVICES WITHIN THE COMMUNITY AT A PROVIDER OPEN HOUSE AS WELL AS AT THE GRAYSON COUNTY THRIVE SUMMER RESOURCE FAIR, THE LOVE YOUR LUNG EVENT AND THE INCREDIBLE COLON EVENT. 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. 84% OF ALL NURSES HAVE RECEIVED DISEASE EDUCATION ON COPD/CHF. COPD/CHF BOOKS WERE RECEIVED FROM A GRANT AND DISTRIBUTED TO ALL INPATIENT, OUTPATIENT AND OUTPATIENT PROVIDER AREAS. ORDER SETS HAVE BEEN CREATED AND APPROVED FOR BOTH COPD AND CHF. A DASHBOARD HAS BEEN CREATED BY OUR CNO TO MONITOR PERCENTAGE OF DOCUMENTED PATIENT EDUCATION FOR COPD/CHF PATIENT, CARDIOPULMONARY OR PULMONARY APPOINTMENT REFERRAL RATES, ORDER SET USAGE FOR BOTH DISEASES, TOBACCO TREATMENT SPECIALIST'S CONSULTS AND PATIENTS WHO AGREE TO NICOTINE REPLACEMENT THERAPY, CARDIAC REHAB REFERRALS, COMMUNITY OUTREACH PROJECTS AND FOLLOW UP DISCHARGE APPOINTMENTS WITHIN 7 DAYS. WE ARE STILL WAITING ON UPDATE FOR SCALES, 02 MONITORS AND BLOOD PRESSURE MONITORS GRANT. WE ARE REQUESTING ASSISTANCE OF A PHYSICIAN CHAMPION FOR ORDER SET USAGE. WE HAVE RECENTLY DEVELOPED A PROCESS FOR PATIENTS TO RECEIVE NICOTINE REPLACEMENT THERAPY PRIOR TO BEING DISCHARGE SO THEY DO NOT HAVE A GAP IN RECEIVING THEIR SUPPLY FROM OH OUTPATIENT PHARMACY VIA MAIL. BROCHURE RACKS WITH STOPLIGHT AND DISEASE MANAGEMENT EDUCATION PAMPHLETS ARE NOW IN THE MAIN LOBBY, THE MEDICAL CARE WAITING AREA AND SOON TO BE IN THE ED WAITING AREA. OHTLMC PARTICIPATED IN THE SUMMER RESOURCE FAIR HOSTED BY GRAYSON COUNTY THRIVE. THIS EVENT REACHED 350 ATTENDEES PRESENT AND 60 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 $14.990 MILLION AND $10.457 MILLION IN PREVIOUS YEAR. THE NET BENEFIT OF THE UPL FOR OHTLMC WAS $12.707 MILLION FOR FY 2024 AND $9.095 MILLION FOR FY 2023 (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 I, Line 7 Bad Debt Expense excluded from financial assistance calculation	5534172
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 8 Community benefit & methodology for determining medicare costs	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 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 PROVIDES FINANCIAL COUNSELORS AND CONTRACTS WITH AN OUTSIDE FIRM TO ENSURE PATIENTS ARE EVALUATED FOR ELIGIBILITY IN THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. THE HOSPITAL DOES NOT CONTRACT PRIMARY COLLECTION AGENCIES. ALL SELF-PAY AND BALANCE AFTER INSURANCE ACCOUNTS ARE REVIEWED AND WORKED BY HOSPITAL REPRESENTATIVES 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: https://www.owensborohealth.org/patient-visitor/billing/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER: Line 16b URL: https://www.owensborohealth.org/patient-visitor/billing/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER: Line 16c URL: https://www.owensborohealth.org/patient-visitor/billing/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	MUCH HAS BEEN SHARED ABOUT ASSESSING THE HEALTH OF THE COMMUNITIES WE SERVE. OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER (OHTLMC) ADDITIONALLY UTILIZES ALL NEEDS ASSESSMENTS CONDUCTED WITHIN THE COMMUNITY, INFORMATION FROM THE REQUIRED SDOH SCREENINGS FOR PATIENTS, AND OTHER STATE LEVEL DATA AND REPORTS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY.
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 26,000) 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 20.3% 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 4.6%.
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 HEALTH FOUNDATION, 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
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 (8 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
MARK MARSH
PRESIDENT AND CEO	$0	$934,730	$0	$228,111	$0	$71,110	$0	$16,500	$0	$38,315	$0	$1,288,766	$0	$0
RUSSELL S RANALLO
BOARD TREASURER, CHIEF FINANCIAL OFFICER	$0	$418,074	$0	$129,377	$0	$67,977	$0	$46,796	$0	$37,240	$0	$699,464	$0	$0
ASHLEY HERRINGTON
CEO - OHTLMC	$273,316	$0	$74,023	$0	$21,660	$0	$14,962	$0	$34,221	$0	$418,182	$0	$0	$0
CATHERINE CLEMONS
VP OF OPERATIONS - OHTLMC	$168,811	$0	$46,162	$0	$13,375	$0	$8,811	$0	$14,453	$0	$251,612	$0	$0	$0
CATHY STEWART
VP PATIENT CARE SVCS AND CNO - OHTLMC	$176,888	$0	$48,538	$0	$3,799	$0	$50,375	$0	$23,380	$0	$302,980	$0	$0	$0
CHLOE ADAMS
CLINICAL PHARMACIST	$124,310	$0	$1,100	$0	$219	$0	$6,626	$0	$30,028	$0	$162,283	$0	$0	$0
ANGELA M GIBSON
DIRECTOR OF PHARMACY	$157,798	$0	$22,005	$0	$1,118	$0	$6,644	$0	$10,413	$0	$197,978	$0	$0	$0
PHIL GIFFORD
MEDICAL TECHNOLOGIST	$131,274	$0	$1,100	$0	$2,338	$0	$6,762	$0	$10,326	$0	$151,800	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 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 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, INC ("OH") 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, OH SHALL CREDIT THE PARTICIPANT'S ACCOUNT WITH AN EMPLOYER CONTRIBUTION. THE PARTICIPANT MUST BE EMPLOYED BY OH 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 MADE FOR PLAN YEARS STARTING PRIOR TO 1/1/2022, THE 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. EMPLOYER CONTRIBUTIONS MADE FOR PLAN YEARS STARTING ON OR AFTER 1/1/2022, THE EMPLOYER CONTRIBUTIONS FOR EACH CONTRIBUTION CLASS YEAR SHALL BE 100% VESTED AS OF THE LATER OF THE JANUARY 1 THAT IS THREE YEARS FROM THE START OF THE CONTRIBUTION CLASS YEAR FOR WHICH THE CONTRIBUTION WAS MADE, OR THE JANUARY 1 COINCIDENT WITH OR FOLLOWING THE FIFTH ANNIVERSARY OF THE PARTICIPANT'S PARTICIPATION DATE. 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. 457F PLAN TO EXECUTIVES: RUSS RANALLO ($32,980)
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 (11 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 40 VOLUNTEERS.
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 2024 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 2024 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 11d Other Miscellaneous Revenue	- Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: , Related or Exempt Function Revenue: , 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: 29861, Program Service Expense: 0, Management and General Expenses: 29861, Fundraising Expenses: 0; CONTRACT LABOR - Total Expense: 4492663, Program Service Expense: 2805864, Management and General Expenses: 1686799, Fundraising Expenses: 0; CONSULTING AND MISC PROFESSIONAL FEES - Total Expense: 31214, Program Service Expense: 31045, Management and General Expenses: 169, Fundraising Expenses: 0; PHYSICIAN FEES - Total Expense: 3925231, Program Service Expense: 3925231, Management and General Expenses: 0, Fundraising Expenses: 0; PURCHASED SERVICES - Total Expense: 746865, Program Service Expense: 671882, Management and General Expenses: 74983, Fundraising Expenses: 0; R&M SERVICE CONTRACTS - Total Expense: 744885, Program Service Expense: 678918, Management and General Expenses: 65967, Fundraising Expenses: 0;

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	$116,364	$99,983

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	Yes (true)	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	$204,736	FMV
OWENSBORO HEALTH MEDICAL GROUP INC
P	$2,336,807	FMV