2023-04-12T23:30:16+00:00 2022-05-31 346565596 ERNST AND YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 462045100 990 2021-06-01 611286361 Owensboro Health Inc OWEN 2704172000 1201 Pleasant Valley Road Owensboro KY 42303 Russ Ranallo Senior VP/CFO 2704172000 2023-04-12 true Russ Ranallo 999009999 Jennifer D Rhoderick P00395735 3176817000 2023-04-10 2021 2023-04-26 12:10:37Z Russ Ranallo 1201 Pleasant Valley Road Owensboro KY 42303 1040756310 false X WWW.OWENSBOROHEALTH.ORG X 1995 KY OWENSBORO HEALTH, INC. EXISTS TO HEAL THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. 13 12 4265 195 10833 0 9185381 13347934 658550434 704645862 35940565 17971222 6228613 7839994 709904993 743805012 2571406 2277130 0 0 236660821 271351469 0 0 320328112 361482347 559560339 635110946 150344654 108694066 1685340581 1736352747 866054999 848187239 819285582 888165508 OWENSBORO HEALTH, INC. EXISTS TO HEAL THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. false false 490643195 2277130 706904019 OWENSBORO HEALTH, INC. (OH) IS THE PARENT ORGANIZATION OF A DIVERSIFIED SYSTEM OF HEALTH CARE ORGANIZATIONS THAT PROVIDES A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES AND OTHER COMPLEMENTARY HEALTH CARE SERVICES. OH EMPLOYS HEALTHCARE PROFESSIONALS, INCLUDING PHYSICIANS, NURSES, ADVANCE PRACTICE REGISTERED NURSES, PHYSICIAN ASSISTANTS AND OTHER LICENSED PROFESSIONALS WHO PROVIDE DIRECT PATIENT CARE IN THE ORGANIZATION'S MAIN HOSPITAL, OWENSBORO HEALTH REGIONAL HOSPITAL. IN ADDITION, THE ORGANIZATION OPERATES SEVERAL WHOLLY OWNED AND CONTROLLED SUBSIDIARIES, INCLUDING OH MUHLENBERG, LLC (OHMCH), OH TWIN LAKES MEDICAL CENTER (OHTLMC), OWENSBORO HEALTH MEDICAL GROUP, INC., OWENSBORO HEALTH FOUNDATION, INC., ONE HEALTH NETWORK, LLC, ONE HEALTH SOLUTIONS, LLC, COMMONWEALTH MEDICAL MANAGEMENT, LLC , THE HEALTH NETWORK OF WESTERN KENTUCKY, LLC and OWENSBORO HEALTH PROPERTIES HOLDING INC. OH'S PRIMARY ACTIVITY CONSISTS OF PROVIDING MEDICAL AND PATIENT CARE SERVICES IN ITS MAIN HOSPITAL, OWENSBORO HEALTH REGIONAL HOSPITAL, SERVING 14 COUNTIES IN WESTERN KENTUCKY AND SOUTHERN INDIANA. OUR MEDICAL SERVICES ARE DELIVERED BY HIGHLY SKILLED PHYSICIANS ALONG WITH A CARING AND COMPASSIONATE NURSING STAFF. OH SUPPORTS OUR CARE TEAMS WITH STATE-OF-THE ART EQUIPMENT TO PROVIDE OUR PATIENTS WITH ADVANCED MEDICAL TREATMENTS AND PROCEDURES. IN THE FISCAL YEAR ENDED MAY 31, 2022, OHRH AND OHMCH HAD TOTAL ADMISSIONS OF 16,711, PATIENT DAYS OF 101,879 AND TOTAL ER VISITS OF 76,038. COST OF PARTICIPATING IN GOVERNMENT PROGRAMS: OH 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, OH 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 OH INCURS TO SERVE PROGRAM BENEFICIARIES. UNCOMPENSATED CARE AND FINANCIAL ASSISTANCE: OH PROVIDES MEDICAL CARE WITHOUT CHARGE, OR AT REDUCED COST, TO RESIDENTS OF THE COMMUNITIES THAT IT SERVES. OH'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. DURING THE REPORTING PERIOD, OH PROVIDED $10,019,299 IN FINANCIAL ASSISTANCE TO LOW-INCOME AND/OR UNINSURED PATIENTS. OH DOES NOT INCLUDE IN THAT AMOUNT $29,971,747 OF BAD DEBT EXPENSE, WHICH ARE AMOUNTS WRITTEN OFF FOR PROVIDING SERVICES TO PERSONS WHO MAY BE ABLE, BUT ARE UNWILLING, TO PAY FOR THE SERVICES THEY RECEIVE. AS DESCRIBED ELSEWHERE, OH BELIEVES A PORTION OF ITS BAD DEBT EXPENSE DERIVES FROM PATIENTS WHO MIGHT HAVE QUALIFIED FOR FINANCIAL ASSISTANCE HAD THEY SUBMITTED ASSISTANCE APPLICATIONS. OH IS COMMITTED TO EXPANDING ITS PROGRAMS TO IMPROVE ACCESS TO HEALTH CARE IN ITS PRIMARY AND SECONDARY SERVICE AREAS, WHICH INCLUDE RURAL AND ECONOMICALLY DEPRESSED AREAS AND AREAS THAT LACK ADEQUATE NUMBERS OF PRIMARY CARE AND SPECIALTY PROVIDERS. 490643195 true true false true false false false false false true false false false true true false true false false false false false false false false true true true true true true false false false false false false false false true false false false false false true true true true false false true 229 0 true 4265 true true true false false false false false false false false false true false X 13 12 false false false false false true true true true false false false true true true true true true true true true KY X Russ Ranallo 2704172000 1201 Pleasant Valley Road Owensboro KY 42303 ANGELA THOMPSON BOARD VICE-CHAIRPERSON 3.0 1.0 X X 0 0 0 GAVIN ROBERTS BOARD CHAIRPERSON (START 10/21) 3.0 4.0 X X 0 0 0 JEFF CARPENTER CHAIR (THRU 10/21) 3.0 4.0 X X 0 0 0 ROBERT FARMER BOARD MEMBER, VICE-CHAIRPERSON 3.0 3.0 X X 0 0 0 SUZANNE HARRIS BOARD MEMBER (THRU 10/21) 3.0 0 X X 0 0 0 VICKI STOGSDILL BOARD SECRETARY 3.0 1.0 X X 0 0 0 WILLIAM HARRISON MD SECRETARY (THRU 10/21) 3.0 0 X X 0 0 0 ANTHONY MCBRIDE MD BOARD MEMBER 3.0 47.0 X 0 863145 32151 CANDANCE CASTLEN BRAKE BOARD MEMBER 3.0 0 X 0 0 0 CHRIS LOVE BOARD MEMBER 3.0 0 X 0 0 0 DAVE ROBERTS BOARD MEMBER 3.0 2.0 X 0 0 0 JASON MILLS MD BOARD MEMBER 3.0 0 X 0 0 0 LAURA CHAPMAN BOARD MEMBER 3.0 0 X 0 0 0 MICHAEL YEISER MD BOARD MEMBER 3.0 0 X 0 0 0 NICK HETMAN BOARD MEMBER 3.0 0 X 0 0 0 PHIL RINEY BOARD MEMBER 3.0 2.0 X 0 0 0 GREG STRAHAN PRESIDENT AND CEO (THRU 08/21) 38.0 12.0 X 1068089 0 46317 JEFFREY THOMAS CHIEF FINANCIAL OFFICER (START 08/21) 38.0 12.0 X 163601 0 9496 JOHN HACKBARTH CHIEF FINANCIAL OFFICER (THRU 08/21) 38.0 10.0 X 594153 0 42608 MARK MARSH PRESIDENT AND CEO (START 06/21) 38.0 12.0 X 578107 0 33647 ASHLEY HERRINGTON CEO - OHTLMC 5.0 45.0 X 0 293734 41499 BILL J BRYANT MD VP QUALITY AND PATIENT SAFETY 40.0 10.0 X 512763 0 37306 CATHERINE CLEMONS VP OF OPERATIONS - OHTLMC 5.0 45.0 X 0 178858 19282 CATHY STEWART VP PATIENT CARE SVCS AND CNO - OHTLMC 5.0 45.0 X 0 164698 33617 DAVID E DANHAUER VP CMIO 40.0 10.0 X 481450 0 48899 DEBORAH K BOSTIC CHIEF OPERATING OFFICER-OHRH 40.0 10.0 X 1032226 0 15313 EDWARD L HEATH JR CEO - OHMCH 5.0 45.0 X 407909 0 60566 ERNEST E BEGLEY II CHIEF LEGAL OFFICER 40.0 10.0 X 572970 0 61660 FRANCIS J DUFRAYNE MD CHIEF MEDICAL OFFICER 20.0 30.0 X 636268 41372 19912 JAMES E TIDWELL III MD VP POPULATION HEALTH SERVICES 40.0 10.0 X 490408 0 46229 JASON C FIELD CHIEF OPERATING OFFICER-OHMG (THRU 06/21) 5.0 45.0 X 0 441363 19276 JOAN M SIMS VP PATIENT CARE SVCS AND CNO - OHRH 40.0 10.0 X 265549 0 28487 LISA K JONES VP ANCILLARY SERVICES OHRH 40.0 10.0 X 376370 0 50957 MIA M SUTER CHIEF ADMINISTRATIVE OFFICER 40.0 10.0 X 626629 0 34881 MICHAEL B KELLEY VP MEDICAL AFFAIRS, OHRH 40.0 10.0 X 554461 110724 46683 RUBY J JACILDO VP ACCOUNTING AND CONTROLLER 40.0 10.0 X 305120 0 57764 RUSSELL S RANALLO VP FINANCE (THRU 6/22), CHIEF FINANCIAL OFFICER (EFFECTIVE 06/22) 40.0 10.0 X 436088 0 61620 STEPHEN M JOHNSON VP GOVT AND COMMUNITY AFFAIRS 40.0 10.0 X 317217 0 58059 TIMOTHY L BELEC VP CIO 40.0 10.0 X 446754 0 47682 TRINA DAVES VP PT CARE SVCS AND CNO-TL (THRU 10/21) 5.0 45.0 X 0 201195 12401 BILLY-CLYDE CHILDRESS DIRECTOR OF PHARMACY, RETAIL PHARMACY 40.0 10.0 X 197405 0 34803 JASON B COLLINS EXECUTIVE DIRECTOR OF PHARMACY 40.0 10.0 X 218290 0 27332 JOSEPH W TAYLOR EXECUTIVE DIRECTOR OF FACILITIES 40.0 10.0 X 186729 0 47772 SCOTT A ALDER DIRECTOR OF NURSING 40.0 10.0 X 218290 0 26856 TERESA A RASCOE EXECUTIVE DIRECTOR OF HUMAN RESOURCES 40.0 10.0 X 202902 0 18477 10889748 2295089 1121552 354 false true false NORTHSTAR ANESTHESIA OF KY LLC 6225 N STATE HWY 161 SUITE 200 IRVING TX 75038 ANESTHESIA SERVICES 6263269 MORRISON HEALTHCARE FOOD SVC PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES 6185839 QUALIVIS LLC DEPT 3847 PO BOX 123847 DALLAS TX 753123847 HEALTHCARE STAFFING RESOURCE 4858140 LOUISVILLE RAD IMAGING CNSLTS 71 WEST 156TH STREET SUITE 110 HARVEY IL 60426 RADIOLOGY SERVICES 3542500 UNIVERSITY OF LOUISVILLE KORNHAUSER LIBRARY HEALTH SCIENCE CAMPUS LOUISVILLE KY 40202 PHYSICIAN SERVICES , NURSING PROGRAM AND RESIDENCY PROGRAM 1797978 72 228263 13119640 31 13347934 MEDICARE/MEDICAID 622110 342251621 342251621 PATIENT REVENUE-OTHER INS 622110 311020622 311020622 DSH/MEDICAID/UPL 622110 49648261 49648261 REVENUE-OASF 621493 1403627 1403627 REVENUE-OCHN 622110 -7657 -7657 329388 329388 0 0 704645862 6315358 10833 6304525 3418094 715468 2702626 0 2702626 2702626 307377964 3236 295725337 11652627 3236 11655864 11655864 767154 510493 256661 256661 CAFETERIA AND VENDING 722514 2622550 2622550 CALL CENTER 622110 533692 533692 VENDOR REBATES 900099 351000 351000 1373465 1373465 0 0 4880707 743805012 706904019 10833 23542226 2063711 2063711 213419 213419 0 0 7526718 7526718 397083 156366 240717 208212529 180918776 27293753 16312499 11420602 4891897 23227941 16245251 6982690 15674699 13433950 2240749 5150000 3958385 1191615 1719747 4312 1715435 225392 17500 207892 150663 150663 498608 498608 59671135 49971109 9700026 0 2198182 54094 2144088 11148266 6090305 5057961 15986561 12925183 3061378 455746 253192 202554 11924195 5277257 6646938 948568 713923 234645 153511 111046 42465 26419925 26419925 32424764 32424764 2631130 2631130 MEDICAL SUPPLIES 138698016 138253600 444416 BAD DEBT 29971747 29971747 PROVIDER TAX 14950932 14950932 DIETARY PATIENT SUPPLIES 2957465 2957465 3197794 681070 2516724 0 635110946 490643195 144467751 0 37480656 17333966 5492530 5527400 729419697 811035773 0 0 0 0 14955412 16778144 31523542 35889385 985075765 495041030 482726798 490034735 321566506 299662477 0 29043552 28510271 9531692 7714950 23600196 23865646 1685340581 1736352747 89623112 104289669 2510605 352204 567097860 555567309 0 0 206823422 187978057 866054999 848187239 X 819285582 888165508 819285582 888165508 1685340581 1736352747 108694066 -39814140 0 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 114262 false true 36401 150663 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY SCHEDULE C, PART II-B, LINE 1G IRS INSUBSTANTIAL LOBBYING WITHIN THE CONTEXT OF GOVERNMENTAL, COMMUNITY AND LEGISLATIVE AFFAIRS, OH HAS ONE EMPLOYEE THAT ENGAGES IN LOBBYING ACTIVITIES OR ATTEMPTS TO INFLUENCE LEGISLATION. HOWEVER, UNDER NO CIRCUMSTANCES IS THERE ANY ENGAGEMENT IN POLITICAL ACTIVITIES. LOBBYING ACTIVITIES INCLUDE BOTH DIRECT LOBBYING AND GRASS ROOTS LOBBYING. FROM A DIRECT LOBBYING PERSPECTIVE, THE VICE PRESIDENT OF GOVERNMENTAL, COMMUNITY AND LEGISLATIVE AFFAIRS ENGAGES IN LOBBYING ACTIVITIES AT THE FEDERAL, STATE AND LOCAL LEVELS. THE VP OF GOVT AND COMMUNITY AFFARIS DOES MEET WITH MEMBERS OF CONGRESS ON OCCASION DURING THE YEAR EITHER IN WASHINGTON OR IN OWENSBORO. AT THE STATE LEVEL, THE VP OF GOVT AND COMMUNITY AFFAIRS IS REGISTERED AS A LEGISLATIVE AGENT WITH THE KENTUCKY GENERAL ASSEMBLY. LOBBYING EFFORTS ARE GENERALLY LIMITED TO THAT PERIOD OF TIME IN WHICH THE GENERAL ASSEMBLY IS IN SESSION. THIS PERIOD INCLUDES A 30-DAY LEGISLATIVE SESSION IN ODD NUMBERED YEARS AND A 60-DAY LEGISLATIVE SESSION IN EVEN NUMBERED YEARS. IN ADDITION, LOBBYING AT THE LOCAL LEVEL IS GENERALLY CONFINED TO REGULATORY MATTERS AND IS NOT ONGOING. FROM A GRASS ROOTS LOBBYING PERSPECTIVE, THE VP OF GOVT AND COMMUNITY AFFAIRS OVERSEES THE HEALTH IN ACTION NETWORK. HEALTH IN ACTION IS AN ELECTRONIC EMAIL SYSTEM THAT PROVIDES OH EMPLOYEES WITH UPDATES ON LEGISLATION AND 'CALLS TO ACTION' WHEN APPROPRIATE. JOINING THE NETWORK AND CHOOSING TO RESPOND ARE VOLUNTARY. THIS NETWORK IS ONLY ACTIVATED WHEN ISSUES OF CONCERN ARE BEING CONSIDERED AT THE FEDERAL AND STATE LEVELS. IT IS ESTIMATED THAT DURING THE FISCAL YEAR ENDING MAY 31, 2022, ALL LOBBYING ACTIVITY BY THE VP OF GOVT AND COMMUNITY AFFAIRS DID NOT EXCEED 30% OF TOTAL WORK-RELATED DUTIES AND RESPONSIBILITIES. SCHEDULE C, PART II-B, LINE 1I POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES PERCENTAGE OF LOBBYING ACTIVITIES FROM KENTUCKY HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION DUES. 17248915 17248915 592430082 183803605 408626477 350346700 311237425 39109275 25050068 25050068 490034735 DUE TO THIRD PARTY PAYORS 62233809 ACCRUED PENSION 44896387 WORKMAN'S COMP RESERVE 4243533 MALPRACTICE RESERVE 13718947 OHMCH LEASE OBLIGATION 54761 INTRACOMPANY A/P 34993905 CURRENT PORTION OF CAPITAL LEASE 20673097 OTHERS 7163618 187978057 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM APPLIES FASB ASC TOPIC 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ASC TOPIC 740 PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL 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. true true X true X 300 true X true true true false true true 2974730 0 2974730 0.0049 126968191 142993647 0 0.0 0 0 0 0.0 0 0 129942921 142993647 2974730 0.0049 2183 549803 1527976 8964 1519012 0.0025 185 430 2786206 46087 2740119 0.0045 0 0 0 0.0 7 24 173683 0 173683 0.0003 511 262006 1105872 0 1105872 0.0018 2886 812263 5593737 55051 5538686 0.0092 2886 812263 135536658 143048698 8513416 0.0141 0 0.0 9 17064 17064 0.0000 3 631 631 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 12 0 17695 0 17695 0.0000 false 29971747 2397740 131648799 159899124 -28250325 X true true OWENSBORO CHN PROVIDER NETWORK 0.5 0.5 2 1 OWENSBORO HEALTH INC 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 WWW.OWENSBOROHEALTH.ORG 100092 X X X 2 OH MUHLENBERG LLC 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 WWW.OWENSBOROHEALTH.ORG 100344 X X X OWENSBORO HEALTH INC 1 false false true X X X X X X X X 21 true false true true X https://www.owensborohealth.org/sites/default/files/documents/ohrh-chna-full-report-2021.pdf X true 21 true https://www.owensborohealth.org/sites/default/files/documents/2021_owensboro_health_regional_hospita false true X 300.0 400.0 X X true true X X X true X WWW.OWENSBOROHEALTH.ORG X WWW.OWENSBOROHEALTH.ORG X WWW.OWENSBOROHEALTH.ORG X X X X X X true X false X X X X X true X false false OH MUHLENBERG LLC 2 false false true X X X X X X X X X 21 true false true true X https://www.owensborohealth.org/sites/default/files/inline/d0/ohmch-community-health-needs-assessmen X www.muhlenbergcountyhealthdepartment.com/2018/wp-content/uploads/2021/08/MCHD-CHNA-2021-Final.pdf X true 20 true https://www.owensborohealth.org/sites/default/files/documents/ohmch-implementation-strategy-2021.pdf false true X 300.0 400.0 X X true true X X X true X WWW.OWENSBOROHEALTH.ORG X WWW.OWENSBOROHEALTH.ORG X WWW.OWENSBOROHEALTH.ORG X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN OWENSBORO HEALTH AND OH MUHLENBERG'S CHNA ARE PRESENTED AS PRIORITIZED DESCRIPTIONS. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - OWENSBORO HEALTH, INC. THE OWENSBORO HEALTH COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) WERE CONDUCTED BY THE COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY. (CEDIK) OHRH BEGAN ITS CHNA PROCESS IN 2021, COMPLETED AND APPROVED IT IN MAY 2022 (TAX YEAR 2021). OHMCH BEGAN ITS CHNA PROCESS IN 2020, COMPLETED AND APPROVED IT IN MAY 2021 (TAX YEAR 2020). THE ASSESSMENTS INCLUDED A COMMUNITY-WIDE COLLABORATIVE PROCESS TO ANALYZE COMMUNITY HEALTH NEEDS AND IDENTIFY THE HEALTH PRIORITIES FOR THE REGION. CEDIK FACILITATED THE PROCESS OF PRIMARY DATA COLLECTION THROUGH FOCUS GROUPS, SURVEYS AND KEY INFORMANT INTERVIEWS. CEDIK CONDUCTED KEY INFORMANT INTERVIEWS TO PROBE MORE DEEPLY INTO HEALTH AND QUALITY OF LIFE THEMES WITHIN THE COUNTY. POTENTIAL BARRIERS TO ACCESSING COMMUNITY RESOURCES WERE ALSO IDENTIFIED IN THESE INTERVIEWS. THE CHNA REPORT SYNTHESIZES COMMUNITY HEALTH NEEDS SURVEY DATA, FOCUS GROUPS WITH VULNERABLE POPULATIONS, AND KEY INFORMANT INTERVIEW DATA WITH SOCIAL AND ECONOMIC DATA AS WELL AS HEALTH OUTCOMES DATA COLLECTED FROM SECONDARY SOURCES TO HELP PROVIDE CONTEXT FOR THE COMMUNITY. CEDIK CONDUCTED FOCUS GROUPS ASKING A SPECIFIC AND LIKE SET OF QUESTIONS EACH TIME TO EXPLORE PARTICIPANT'S VISION OF A VIBRANT HEALTHY COUNTY AND TO DISCUSS HEALTH NEEDS OF POPULATIONS WITH UNMET HEALTH NEEDS AND TO DEEPEN THE UNDERSTANDING OF THE HEALTH CHALLENGES THEY FACE. FOCUS GROUP DISCUSSIONS REVEALED UNMET NEEDS ACROSS VULNERABLE POPULATIONS. CEDIK ORGANIZED THE DATA INTO STRENGTHS, BARRIERS AND OPPORTUNITIES FOR CHANGE. COMMENTS AND FEEDBACK ON THE CHNA ARE ENCOURAGED/INVITED AS REFLECTED ON THE OWENSBORO HEALTH WEBPAGE. PHONE NUMBERS AND EMAIL ADDRESSES ARE POSTED ON THE WEBSITE SHOULD SOMEONE HAVE QUESTIONS OR COMMENTS. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - OWENSBORO HEALTH, INC. THE OWENSBORO HEALTH COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) WERE CONDUCTED WITH OWENSBORO HEALTH, INC AND OH MUHLENBERG, LLC. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - OWENSBORO HEALTH, INC. HOW OWENSBORO HEALTH IS ADDRESSING SIGNIFICANT HEALTH NEEDS: BASED ON SURVEY RESULTS, FOCUS GROUP AND KEY INFORMANT INTERVIEW RESULTS, AS WELL AS KEY SECONDARY HEALTH DATA, COMMUNITY PRIORITY AREAS WERE IDENTIFIED. EXISTING LOCAL, STATE AND NATIONAL PRIORITIES WERE CONSIDERED. THE FOLLOWING PRIORITIES WERE IDENTIFIED AS AREAS OF NEED TO ADDRESS: OHRH: OBESITY AND RELATED DISEASES, TOBACCO USE, SUBSTANCE USE. MENTAL HEALTH, HOUSING OWENSBORO HEALTH IN ALIGNMENT WITH THE SYSTEM'S STRATEGIC GOALS, CORE COMMITMENTS, STRATEGIC IMPERATIVES, COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGIES, PROVIDES IN-KIND TEAM MEMBERS TO LEAD AND SERVE ON LOCAL, REGIONAL AND STATE ORGANIZATIONS AND ENTITIES, PROVIDES FINANCIAL SUPPORT THROUGH COMMUNITY HEALTH INVESTMENT GRANTS AND SPONSORSHIPS TO ORGANIZATIONS WHO SEEK TO IMPACT PRIORITY HEALTH ISSUES AND SOCIAL DETERMINANTS OF HEALTH AND THROUGH INTENTIONAL OWENSBORO HEALTH STRATEGIC EFFORTS AT OUTLINED BELOW. OWENSBORO HEALTH WILL CONSIDER INTERNAL AND EXTERNAL EXPERTISE AND RESOURCES TO ADDRESS PRIORITIZED HEALTH AREAS AND SOCIAL DETERMINANTS OF HEALTH AS FOLLOWS: OWENSBORO HEALTH TAX YEAR 2021-2024 Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - OWENSBORO HEALTH, INC. OBESITY AND RELATED DISEASES * ESTABLISH AN OH OBESITY AND RELATED DISEASES CROSS-ORGANIZATIONAL PRIORITY TEAM. * OFFER WEIGHT MANAGEMENT AND NUTRITION PROGRAMS BOTH TO IDENTIFIED EMPLOYER GROUPS AND COMMUNITY POPULATIONS. * REINSTATE KIDS WEIGHT MANAGEMENT PROGRAM * EXPLORE POTENTIAL TO EXPAND MEDICAL FITNESS PROGRAMMING * EXPAND OUTPATIENT NUTRITION PROGRAM * INCREASE NUMBER OF COOKING CLASSES * WORK WITH LOCAL GROCERIES TO CONDUCT STORE/FOOD TOURS * PROMOTE HEALTHY FOOD OPTIONS FOR OWENSBORO HEALTH EMPLOYEES * IDENTIFY COMMUNITIES WITHIN DAVIESS COUNTY WITH LIMITED RESOURCES TO PARTICIPATE IN PHYSICAL ACTIVITY AND PARTNER TO PROVIDE EXERCISE CLASSES FACILITATED BY HEALTHPARK TEAM MEMBERS. - HOST CLASSES OFF-SITE WITHIN NEIGHBORHOODS AND COMMUNITIES WHEN FEASIBLE. - HOST CHILDREN'S RELAY/OBSTACLE COURSE FUN DAYS FOR CHILDREN. * ESTABLISH LIBRARY OF ONLINE EDUCATION TOPICS AND TIPS FOR COMMUNITY. * EXPLORE POTENTIAL TO PARTNER IN ESTABLISHMENT OF ADDITIONAL COMMUNITY GARDENS IN OWENSBORO-DAVIESS COUNTY. * EXPLORE PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS TO TEACH FOOD PRESERVATION, CANNING, FREEZING TO COMMUNITY MEMBERS AND NON-PROFIT ORGANIZATIONS ADDRESSING FOOD INSECURITY. * CONTINUE TO SUPPORT OWENSBORO HEALTH HEALTHPARK AND ITS SCHOLARSHIP PROGRAM PROVIDING FINANCIAL ASSISTANCE. * FINANCIALLY SUPPORT AND ADVOCATE FOR COMMUNITY PROJECTS AND PROGRAMS WHICH FOCUS ON WORKING COLLABORATIVELY TO IMPROVE HEALTHY FOOD OPTIONS; APPROPRIATE TIME FOR PLAY AND EXERCISE; ART AND MUSIC OPPORTUNITIES AMONG OTHERS. * UTILIZE COMMUNITY DATA TO TARGET SPECIFIC AREAS OF THE COMMUNITY WHICH COULD MOST BENEFIT BY CHANGES OF POLICY, STRUCTURAL IMPROVEMENT, AND COMMUNITY ASSETS AND WORK IN PARTNERSHIP TO DEVELOP IMPROVEMENT PLANS. * CONTINUE FINANCIAL AND IN-KIND SUPPORT TO ADDRESS SENIOR HUNGER VIA PARTNERSHIP WITH MORRISON'S FOOD SERVICES AND OWENSBORO SENIOR COMMUNITY CENTER. * ESTABLISH NO LESS THAN ONE COMMUNITY NURSING POD TO PROMOTE BREASTFEEDING AS THE OPTIMAL SOURCE OF NUTRITION FOR BABIES REDUCING BARRIERS TO BREASTFEEDING WHILE VISITING OH CAMPUSES AND IN COMMUNITY SETTINGS. * CONDUCT ANNUAL HOLIDAY FOOD DRIVE FOR AREA FOOD PANTRIES. - EXPLORE COLLECTION OF SPECIALTY ITEMS FOR SPECIFIC POPULATION NEEDS. - PARTNER WITH LOCAL SCHOOL SYSTEMS TO COMPLEMENT HOLIDAY/SUMMER FOOD * SERVE WITH COMMUNITY PARTNER(S) IN FACILITATION OF REGIONAL MEETING TO DISCUSS FOOD INSECURITY AS A SIGNIFICANT SOCIAL DETERMINANT OF HEALTH. - PARTNER TO PROVIDE COMPONENTS OF PLANS FOR SUSTAINABLE AND MEASURABLE IMPACT. * PROVIDE EXPERTISE FROM STAFF TO THE COMMUNITY FOR EDUCATION AND PROGRAM GUIDANCE. * CONTINUE THE DIABETES PREVENTION PROGRAM/MEDICARE DIABETES PREVENTION PROGRAM AND EXPLORE EXPANSION OPPORTUNITIES. * CONTINUE FACILITATION OF A SUPPORT GROUP FOR PATIENTS WHO HAVE PARTICIPATED IN SURGICAL WEIGHT LOSS AS IT IS UNDERSTOOD THIS IS A LIFELONG COMMITMENT TO WEIGHT LOSS AND IDENTIFY WAYS TO REDUCE BARRIERS TO PARTICIPATION WHEN SOCIAL DETERMINANTS OF HEALTH ARE FACTORS. Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - OWENSBORO HEALTH, INC. TOBACCO USE * REVIEW PLAN FOR TRAINING TEAM MEMBERS AS TOBACCO TREATMENT SPECIALISTS TO INCLUDE ALL OH SITES HAVE EXCEEDED PREVIOUS GOAL OF TRAINING 10 OH TEAM MEMBERS AS TOBACCO TREATMENT SPECIALISTS (TTS) IN BOTH INPATIENT AND OUTPATIENT SETTINGS. - A REFERRAL PROCESS WAS BUILT IN EPIC ON THE INPATIENT AND OUTPATIENT SIDES; CONTINUE TO MONITOR AND FOLLOW-UP. * FINANCIALLY SUPPORT NICOTINE REPLACEMENT THERAPY (NRT) PROGRAM WITH OH OUTPATIENT PHARMACY TO PROVIDE NRT PRODUCTS TO REDUCE ALL BARRIERS TO CESSATION RESOURCES. * CONTINUE TO PROVIDE PATIENT, EMPLOYEE, AND COMMUNITY EDUCATION ON THESE RESOURCES. - PROVIDE INFORMATION TO SCHOOLS, NEIGHBORHOOD ALLIANCES, ETC. * MAINTAIN ADVOCACY OF LOCAL, REGIONAL AND STATE EFFORTS FOR APPROPRIATE POLICIES FOR TOBACCO USE, NICOTINE USE, VAPING AND SECOND HAND SMOKE REDUCTION. * STRENGTHEN CURRENT CAMPUS TOBACCO FREE POLICIES AND DEVELOP NEW SIGNAGE FOR CLARITY RELATED TO ELECTRONIC CIGARETTES AND VAPING. * CONTINUE TO ADVOCATE USE OF THE QUIT NOW KENTUCKY LINE AND PUBLIC HEALTH'S TOBACCO CONTROL MARKETING AND MEDIA MESSAGES TO INCREASE NUMBER OF PERSONS UTILIZING THE QUIT LINE AND AVAILABLE RESOURCES. * MAINTAIN COMPREHENSIVE TOBACCO POLICY REQUIREMENT FOR ALL APPLICANTS IN THE OH COMMUNITY HEALTH INVESTMENTS GRANT PROGRAM. * CONTINUE TO EXPAND EARLY LUNG CANCER SCREENING AND PROVIDE SUPPORT TO INDIVIDUALS AT RISK FOR LUNG DISEASE. * EXPAND EDUCATIONAL INITIATIVE TO UNDERSTAND THE SYNERGISTIC EFFECTS OF RADON AND SMOKING AND RADON'S IMPACT ON LUNG DISEASE. * CONTINUE AND EXPAND AMERICAN LUNG ASSOCIATION'S BETTER BREATHERS CLUBS. * CONTINUE EDUCATIONAL OUTREACH TO EDUCATE COMMUNITY TO REDUCE STIGMA OF TOBACCO RELATED DISEASES. * CONTINUE TO PARTNER WITH PUBLIC HEALTH AND OTHER ORGANIZATIONS TO EDUCATE OH TEAM MEMBERS ON VAPING, JUULS AND IMPACT OF ELECTRONIC CIGARETTES AND OTHER NON FDA APPROVED TOBACCO AND/OR NICOTINE PRODUCTS IN ACCORDANCE WITH CORRELATING WITH A COMMUNITY PLAN TO EDUCATE SCHOOLS, PARENTS AND COMMUNITY. * DEVELOP PLAN AND PILOT YOUTH TOBACCO CESSATION PROGRAM. * CONTINUE TO PROVIDE FREEDOM FROM SMOKING CLASSES FOR COMMUNITY MEMBERS AND IDENTIFIED GROUPS, BUSINESSES AND INDUSTRY CLIENTS. Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - OWENSBORO HEALTH, INC. SUBSTANCE ABUSE THE NATIONAL INSTITUTE ON DRUG ABUSE RANKS KENTUCKY AMONG THE TOP 10 STATES WITH THE HIGHEST OPIOID-RELATED OVERDOSE DEATHS, AND KENTUCKY'S HOSPITALS ARE ON THE FRONTLINE IN THE FIGHT TO HELP THE STATE RECOVER. * TO ASSIST THE STATE'S HOSPITALS IN THIS BATTLE, THE KENTUCKY HOSPITAL ASSOCIATION (KHA) IS PARTNERING WITH THE CABINET FOR HEALTH AND FAMILY SERVICES AS PART OF THE KENTUCKY OPIOID RESPONSE EFFORT (KORE) AND LAUNCHED THE KENTUCKY STATEWIDE OPIOID STEWARDSHIP (KY SOS) PROGRAM. OWENSBORO HEALTH HOSPITALS EACH HAVE AN OPIOID STEWARDSHIP COMMITTEE. AS A PARTICIPANT IN THIS INITIATIVE AND UNDER THE GUIDANCE OF DR. FRAN DUFRAYNE, CHIEF MEDICAL OFFICER AND JASON COLLINS, PHARM D, OWENSBORO HEALTH HAS AGREED TO/ HAS INITIATED AND/OR CONTINUES TO WORK TO: * IMPROVE PATIENT SAFETY IN THE AREA OF OPIOID STEWARDSHIP INCLUDING A SPECIFIC FOCUS ON * DEVELOPMENT AND IMPLEMENTATION OF POLICIES AND PROCEDURES TO PROMOTE OPIOID STEWARDSHIP INCLUDING: * INCREASE COMMUNITY OUTREACH AND EDUCATION REGARDING PAIN MANAGEMENT AND SAFE OPIOID USE; * PROVIDE NON-PHARMACOLOGIC ANALGESIC OPTIONS TO PATIENTS; ALTO ORDER SETS ARE AVAILABLE IN EPIC WITH BPA REMINDERS. * TRACKING AND REPORTING OF METRICS REGARDING OPIOID STEWARDSHIP; DASHBOARDS ARE AVAILABLE IN EPIC FOR INDIVIDUAL PROVIDERS AND LEADERS. * GUIDELINES FOR OPIOID USE IN THE INPATIENT, AMBULATORY, PERIOPERATIVE, AND EMERGENCY DEPARTMENT SETTINGS * EDUCATE PROVIDERS, STAFF, PATIENTS, AND FAMILIES TO ENSURE SUCCESS. * COMMIT TO COLLABORATION, ALIGNMENT AND COORDINATION. * METH CONTINUES TO RAVAGE INDIVIDUALS, FAMILIES AND OUR COMMUNITY. ADVOCATE FOR AVAILABLE FEDERAL AND STATE DOLLARS TO ALSO BE USED TO TREAT METHAMPHETAMINE ADDICTION. * SUPPORT INTERNAL POLICY AND PROCESSES TO EDUCATE PHYSICIANS AND OTHER PROVIDERS ON PREVENTION EFFORTS. * RESURRECT THE ANGEL VISITATION PROGRAM BRINGING PERSONS IN RECOVERY FROM COMMUNITY INTO HOSPITAL SETTING TO SHARE RECOVERY OPTIONS FOR THOSE IN NEED. (NOTE: COVID PANDEMIC VISITOR RESTRICTIONS CEASED FACE TO FACE VISITS.) * CONTINUE TO FINANCIALLY SUPPORT ORGANIZATIONS WHOSE MISSIONS AND ABILITIES AND PROJECTS ARE SPECIFIC TO PROVIDING SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY SERVICES, HOUSING, EDUCATION AND ASSISTANCE TO ADDRESS SUBSTANCE ABUSE THROUGH OUR GRANT INVESTMENT PROGRAMS WHEN ELIGIBILITY CRITERIA ARE MET. * CONTINUE TO PROVIDE AWARENESS AND EDUCATION ON PERMANENT DRUG-TAKE BACK BIN LOCATED IN THE OWENSBORO HEALTH REGIONAL HOSPITAL OUTPATIENT PHARMACY. * EXPLORE POTENTIAL COLLABORATIVE PARTNERSHIPS AND PROJECTS BETWEEN MOTHER/BABY AND NEONATAL SERVICES AND COMMUNITY ORGANIZATIONS FOCUSED ON PREVENTION OF SUBSTANCE USE DURING PREGNANCY. - WORK HAS INITIATED WITH COMMUNITY STAKEHOLDERS TO CONSIDER PROGRAMS FOR PREGNANT MOTHERS AND CHILDREN. - EXPLORE SYSTEM EFFORTS FOR PREGNANT MOMS WITH SUBSTANCE USE DISORDER - OWENSBORO HEALTH EMBARKING ON RESEARCH TO STUDY: DIFFERENCES IN CURRENT TREATMENT AND OUTCOMES FOR INFANTS WITH NEONATAL OPIOID WITHDRAWAL SYNDROME ADMITTED TO REGIONAL VS. URBAN MEDICAL CENTERS IN WESTERN KENTUCKY. Schedule H, Part V, Section B, Line 11 Facility , 5 Facility , 5 - OWENSBORO HEALTH, INC. MENTAL HEALTH * OWENSBORO HEALTH, RIVERVALLEY BEHAVIORAL HEALTH AND THE OWENSBORO HEALTH FOUNDATION WILL PARTNER TO CONTINUE UTILIZING CREDIBLEMIND AS A POPULATION LEVEL INTERVENTION TO IMPACT COMMUNITY MENTAL HEALTH. * OWENSBORO HEALTH, RIVERVALLEY BEHAVIORAL HEALTH AND THE GREEN RIVER DISTRICT HEALTH DEPARTMENT PARTICIPATED IN THE FY 22 AMERICAN HOSPITAL ASSOCIATION'S HOSPITAL COMMUNITY LEARNING COLLABORATIVE IN COHORT TO FOCUS ON COMMUNITY MENTAL HEALTH AND WILL CONTINUE TO MEET TO: - DEVELOP NO LESS THAN ONE ACTIONABLE GOAL FROM LEARNING COLLABORATIVE. - EXPLORE A MENTAL HEALTH "COMMUNITY ASSESSMENT CENTER" * OWENSBORO HEALTH WILL CONTINUE IN ITS PARTNERSHIP WITH RIVERVALLEY BEHAVIORAL HEALTH TO PROVIDE MONTHLY MENTAL HEALTH FIRST AID TRAINING TO ALL OH TEAM MEMBERS AND ENCOURAGE COMMUNITY ORGANIZATIONS TO DO LIKEWISE. * INCREASE ACCESS FOR AGING COMMUNITY WITH THE ADDITION OF GERIATRIC PSYCHIATRY IN-PATIENT CARE AT OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER (OHTLMC). * EXPLORE POTENTIAL FOR EMBEDDING MENTAL HEALTH PROFESSIONALS IN PRIMARY CARE OFFICES. * EXPLORE POTENTIAL FOR EMBEDDING A CASE MANAGER/COMMUNITY HEALTH WORKER/ OR OTHER IN PRIMARY CARE OFFICES. * EXPAND PARTNERSHIP WITH ONE MIND AT WORK. * OWENSBORO HEALTH WILL CONTINUE INTENSIVE OUTPATIENT PROGRAM USING AN EVIDENCE BASED CURRICULUM FOCUSING ON MENTAL HEALTH. * OWENSBORO HEALTH WILL SERVE ON THE BOARD AND CLINICAL CARE TEAM FOR THE MENTAL HEALTH COURT IN OWENSBORO DAVIESS COUNTY. * WE HAVE AND WILL CONTINUE TO HAVE REPRESENTATION ON EACH OF THE THREE COMMUNITY HEALTH ACTION TEAMS AS THEY SEEK TO ESTABLISH AND IMPLEMENT STRATEGIES TO ADDRESS PRIORITY AREAS. * OWENSBORO HEALTH REGIONAL HOSPITAL WILL CONTINUE TO FINANCIALLY SUPPORT THROUGH OUR COMMUNITY HEALTH INVESTMENT GRANT PROGRAM PROJECTS AND PROPOSALS WHICH SEEK TO IMPACT EDUCATION AND ACCESS BARRIERS TO ACHIEVING OPTIMAL MENTAL HEALTH. * CONTINUE TO PROVIDE EDUCATIONAL OPPORTUNITIES WITH EXPERTISE AND KNOWLEDGE IN THIS AREA AND SEEK TO ADVOCATE FOR POLICY WHERE MOST BENEFICIAL TO MEET THE IDENTIFIED NEEDS. * STRENGTHEN PARTNERSHIPS AND OUTREACH WITH THE ARTS COMMUNITY AS A STRATEGY TO IMPACT MENTAL HEALTH AND WELLNESS AS SUPPORTED BY RESEARCH AND LITERATURE. Schedule H, Part V, Section B, Line 11 Facility , 6 Facility , 6 - OWENSBORO HEALTH, INC. HOUSING * OWENSBORO HEALTH IT DEPARTMENT, IN COLLABORATION WITH OTHER INTERNAL STAKEHOLDER WILL BUILD A SCREENING TOOL WITHIN EPIC TO SCREEN FOR SOCIAL DETERMINANTS OF HEALTH. (QUESTIONS REGARDING HOUSING WILL BE ASKED.) - A PLAN TO ADDRESS PATIENT NEEDS ACCORDING TO THEIR SDOH SCREENING WILL BE DEVELOPED IN PARTNERSHIP WITH COMMUNITY BASED ORGANIZATIONS. * OWENSBORO HEALTH WILL MEET WITH COMMUNITY ORGANIZATIONS AND ENTITIES TO GAIN UNDERSTANDING OF AFFORDABLE HOUSING CHALLENGES, HOMELESSNESS, CURRENT RESOURCES, CURRENT FINANCIAL NEED AND COSTS, GRANT PROGRAMS, INVESTMENTS, GOVERNMENT PLANS AND VISION TO ADDRESS HOUSING ISSUES IN THE COMMUNITY. * OWENSBORO HEALTH WILL USE THE COMMUNITY HEALTH INVESTMENT GRANT PROGRAM TO PROVIDE FINANCIAL SUPPORT TO PROGRAMS WITH SUSTAINABLE AND CREATIVE PLANS TO SYSTEMICALLY ADDRESS HOUSING AND RELATED ISSUES TO HOUSING. * EXPLORE TEAM MEMBER ENGAGEMENT OPPORTUNITIES FOR IMPROVING EXISTING HOUSING ISSUES RELATED TO MAINTENANCE AND REPAIR ISSUES. - CONSIDER USING CTTS TO HOST SMOKING CESSATION CLASSES THAT COORDINATE WITH FOOD DISTRIBUTION TIMES. - EXPLORE THE OPTION TO PROVIDE AN AREA IN OUR PARKING LOT TO OFFER FREE WIRELESS INTERNET FOR THOSE WHO ARE UNABLE TO ACCESS THE INTERNET FROM THEIR HOME. Schedule H, Part V, Section B, Line 11 Facility , 7 Facility , 7 - OWENSBORO HEALTH, INC. POPULATION SPECIFIC EFFORTS, ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND ACCESS TO CARE CONTINUED EFFORTS FROM PREVIOUS CHNA FINDINGS AND IMPLEMENTATION PLANS: - OH FOCUS ON: PRIMARY CARE, ACCESS POINTS, TRANSPORTATION, LANGUAGE AND CULTURAL BARRIERS, FINANCIAL SUPPORT FOR PRESCRIPTIONS, EQUIPMENT AND SUPPLIES, CARE COORDINATION, EDUCATION REGARDING BENEFIT ENROLLMENT, TEAM MEMBER ENGAGEMENT WITH COMMUNITY ACTION TEAMS AND EXTERNAL COMMUNITY BASED ORGANIZATIONS. - OWENSBORO HEALTH REGIONAL HOSPITAL (OHRH) BECAME A MEMBER OF NICHE (NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS) SEPTEMBER 2018. OVER 100 TEAM MEMBERS AT OHRH HAVE COMPLETED THE NICHE CURRICULUM TO ESTABLISH EXPERTISE AS GERIATRIC RESOURCE NURSES IN CARE OF OLDER ADULTS. THIS WORK IS UNDER CONSIDERATION FOR SYSTEM REPLICATION. - THE NICHE INITIATIVE AND RELATED ACTIVITIES LEND SUPPORT TO THE ORGANIZATION'S PARTICIPATION IN THE AGE-FRIENDLY HEALTH SYSTEMS NATIONAL MOVEMENT. * OHRH HAS INCORPORATED AGE-FRIENDLY HEALTH SYSTEMS PRIORITIES RELATED TO MENTATION (HOSPITAL-ASSOCIATED DELIRIUM PREVENTION, DETECTION AND TREATMENT), MEDICATIONS (REVIEW OF MEDICATION LISTS FOR INTERACTIONS AND UNWANTED SIDE EFFECTS), MOBILITY AND WHAT MATTERS TO CREATE A MORE AGE-FRIENDLY ACUTE HEALTH CARE EXPERIENCE FOR OLDER ADULT PATIENTS AND FAMILIES. * CONTINUE TO TRACK NUMBER OF FALLS AMONG AGING POPULATION AND WORK TO UTILIZE EVIDENCE BASED PRACTICES TO IMPACT AND REDUCE FALLS IN OUR COMMUNITIES. * AS A SYSTEM, CONTINUE WITH PRESENT AND FUTURE PROJECTS TO ADDRESS SHORTAGE OF PRIMARY CARE PHYSICIANS AND ACCESS POINTS TO PRIMARY AND SPECIALTY CARE, PARTICULARLY IN AREAS WITH VULNERABLE POPULATIONS. * CONTINUE OWENSBORO HEALTH/UOFL FAMILY MEDICINE RESIDENCY PROGRAM. * WORK TO PROVIDE OPPORTUNITIES FOR SERVICE LEARNING PROJECTS AND PROFESSIONAL EDUCATIONAL OPPORTUNITIES WHICH CAN WORK IN TANDEM WITH EFFORTS OF COMMUNITY OUTREACH TO UNDERSERVED POPULATIONS WITH HIGHEST RISK OF CHRONIC HEALTH DISEASE. - RESIDENTS ARE WORKING WITH THE VP OF POPULATION HEALTH MANAGEMENT AND THE GREEN RIVER DISTRICT HEALTH DEPARTMENT. - DEVELOP AND BEGIN NO LESS THAN THREE RESEARCH PROJECTS WHICH CAN WORK IN TANDEM WITH EFFORTS OF COMMUNITY OUTREACH TO UNDERSERVED POPULATIONS WITH HIGHEST RISK OF CHRONIC HEALTH DISEASE. - FAMILY MEDICINE RESIDENTS ARE ENGAGED IN THE FOLLOWING RESEARCH: STROKE THERAPY AND RECOVERY, STANDARDIZED ASSESSMENT FORMS, BALANCE AWARENESS AND STABILITY, MONITORING SYSTEMS, CARDIAC CARE, LIFESTYLE INTERVENTION, DELIRIUM, RESOURCE ALLOCATION, GOAL SETTING AND INDIVIDUALIZED THERAPY. * THE KENTUCKY GENERAL ASSEMBLY APPROVED $38 MILLION IN 2021 TO ESTABLISH THE COMMONWEALTH WEST HEALTHCARE WORKFORCE INNOVATION CENTER. THE INNOVATION CENTER WILL OFFER CLASSES AND PROGRAMS IN A WIDE RANGE OF HEALTHCARE CAREER FIELDS, INCLUDING NURSING, RESPIRATORY, RADIOLOGY, BEHAVIORAL HEALTH, AND COMMUNITY HEALTH. THE FACILITY WILL PROVIDE EXCITING, HANDS-ON LEARNING EXPERIENCES AND SIMULATE "REAL WORLD" HEALTHCARE ENVIRONMENTS. OWENSBORO HEALTH IS A PART OF A LARGER COALITION THAT WILL MANAGE AND OPERATE THE INNOVATION CENTER. THE COALITION INCLUDES NINE AREA COLLEGES AND UNIVERSITIES. * FINANCIALLY SUPPORT COMMUNITY ORGANIZATIONS, PROJECTS AND PROGRAMS WHICH SERVE TO REACH COMMUNITY MEMBERS WITH ACCESS TO PRESCRIPTION MEDICINES, SUPPLIES AND NEED EQUIPMENT. * FINANCIALLY SUPPORT ORGANIZATIONS THAT PROVIDE ASSISTANCE IN EASING LANGUAGE, CULTURAL, EDUCATIONAL, TRANSPORTATION OR OTHER BARRIERS TO HEALTH CARE SERVICES AND HEALTH IMPROVEMENT AS OWENSBORO HEALTH WORKS TO ENSURE HEALTH EQUITY. * WORK WITH COMMUNITY PARTNERSHIPS TO CONTINUALLY SEEK AREAS FOR IMPROVEMENT IN CARE COORDINATION AND COORDINATION OF COMMUNITY SUPPORT SYSTEMS TO KEEP CITIZENS HEALTHY AND IMPROVE QUALITY OF LIFE. * ENSURE FINANCIAL COUNSELORS, NAVIGATORS, AND CASE MANAGERS ARE AVAILABLE TO WORK WITH PATIENTS AND COMMUNITY MEMBERS IN UNDERSTANDING FINANCIAL ASSISTANCE; BENEFIT ENROLLMENT; AVAILABLE COMMUNITY RESOURCES TO PREVENT BARRIERS TO ACCESS; AND, UNDERSTANDING OF THE HEALTHCARE SYSTEM AND HOW TO ACCESS CARE. IN 2018 OWENSBORO HEALTH WORKED FROM ITS CHNA AND IMPLEMENTATION STRATEGIES TO FORMALIZE INTERNAL PRIORITY FOCUS TEAMS. FOUR TEAMS WERE FORMED, EACH WITH A PROJECT VISION, MISSION, A PHYSICIAN-LEAD AND OH TEAM MEMBERS. OWENSBORO HEALTH WILL EXPAND FROM FOUR SYSTEM FOCUS AREA TEAMS TO SEVEN IN THE COMING THREE YEARS TO ADDRESS THE IDENTIFIED COMMUNITY PRIORITY AREAS BUT IN ADDITION, REMAIN STRATEGICALLY FOCUSED IN ADDRESSING SPECIFIC POPULATIONS UTILIZING SERVICE LINE DEVELOPMENT, THE POWER OF THE ARTS IN HEALTH, WELLNESS, HEALING AND IMPROVING QUALITY OF LIFE. THE EXPANSION OF THE TEAMS WERE INCORPORATED INTO HOSPITAL IMPLEMENTATION STRATEGIES AS TARGET AREAS WILL BENEFIT BY THE FORMATION OF AN INTERNAL STRATEGIC TEAM. BASED ON FINDINGS FROM THE CHNA, POPULATION DATA, READMISSION FINDINGS, STRENGTHS OF COMMUNITY RESOURCES, AND REALIZATION OF TOOLS THAT COULD BE USED TO DIRECTLY IMPACT HEALTH, WELL-BEING AND HEALING BOTH IN THE HOSPITAL AND COMMUNITY SETTINGS, THE FOLLOWING SYSTEM FOCUS AREA TEAM HAVE BEEN FORMED: * OLDER ADULTS AND AGING * TOBACCO AND RELATED DISEASES * CHILDREN AND SCHOOL HEALTH (UNDER REVISION) * ARTS IN HEALING * OBESITY AND RELATED DISEASES (NEWLY FORMED) * TO BE FORMED: SUBSTANCE ABUSE * TO BE FORMED: MENTAL HEALTH IN ADDITION, TEAM MEMBERS ALSO SERVE ON, AND IN SOME CASES, CO-FACILITATE LOCAL COMMUNITY HEALTH COALITION SUBCOMMITTEES AND ORGANIZATIONS ADDRESSING HEALTH NEEDS AND SOCIAL DETERMINANTS OF HEALTH. BY SERVING ON STRATEGIC INTERNAL AND EXTERNAL TEAMS WORKING TO IMPACT IDENTIFIED COMMUNITY HEALTH AREAS, OWENSBORO HEALTH CAN BETTER IDENTIFY, IMPLEMENT, REFINE AND TRACK ITS POPULATION HEALTH EFFORTS TO TRULY IMPACT THE LIVES OF NOT ONLY THE MEMBERS OF THE COMMUNITY IN WHICH IT RESIDES BUT ALSO THE MULTIPLE COUNTIES AND REGION IT SERVES. OWENSBORO HEALTH REGIONAL HOSPITAL HAS DEVELOPED STRATEGIES TO ADDRESS EACH OF THE NAMED PRIORITY ISSUES IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THERE ARE NO IDENTIFIED PRIORITY HEALTH NEEDS FOR WHICH WE ARE NOT ADDRESSING. Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN OWENSBORO HEALTH AND OH MUHLENBERG'S CHNA ARE PRESENTED AS PRIORITIZED DESCRIPTIONS. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - OH MUHLENBERG, LLC. THE OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY THE COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY. (CEDIK) OHMCH BEGAN ITS CHNA PROCESS IN 2020, COMPLETED AND APPROVED IT IN MAY 2021 (TAX YEAR 2020). THE ASSESSMENTS INCLUDED A COMMUNITY-WIDE COLLABORATIVE PROCESS TO ANALYZE COMMUNITY HEALTH NEEDS AND IDENTIFY THE HEALTH PRIORITIES FOR THE REGION. CEDIK FACILITATED THE PROCESS OF PRIMARY DATA COLLECTION THROUGH FOCUS GROUPS, SURVEYS AND KEY INFORMANT INTERVIEWS. CEDIK CONDUCTED KEY INFORMANT INTERVIEWS TO PROBE MORE DEEPLY INTO HEALTH AND QUALITY OF LIFE THEMES WITHIN THE COUNTY. POTENTIAL BARRIERS TO ACCESSING COMMUNITY RESOURCES WERE ALSO IDENTIFIED IN THESE INTERVIEWS. THE CHNA REPORT SYNTHESIZES COMMUNITY HEALTH NEEDS SURVEY DATA, FOCUS GROUPS WITH VULNERABLE POPULATIONS, AND KEY INFORMANT INTERVIEW DATA WITH SOCIAL AND ECONOMIC DATA AS WELL AS HEALTH OUTCOMES DATA COLLECTED FROM SECONDARY SOURCES TO HELP PROVIDE CONTEXT FOR THE COMMUNITY. CEDIK CONDUCTED FOCUS GROUPS ASKING A SPECIFIC AND LIKE SET OF QUESTIONS EACH TIME TO EXPLORE PARTICIPANT'S VISION OF A VIBRANT HEALTHY COUNTY AND TO DISCUSS HEALTH NEEDS OF POPULATIONS WITH UNMET HEALTH NEEDS AND TO DEEPEN THE UNDERSTANDING OF THE HEALTH CHALLENGES THEY FACE. FOCUS GROUP DISCUSSIONS REVEALED UNMET NEEDS ACROSS VULNERABLE POPULATIONS. CEDIK ORGANIZED THE DATA INTO STRENGTHS, BARRIERS AND OPPORTUNITIES FOR CHANGE. COMMENTS AND FEEDBACK ON THE CHNA ARE ENCOURAGED/INVITED AS REFLECTED ON THE OWENSBORO HEALTH WEBPAGE. PHONE NUMBERS AND EMAIL ADDRESSES ARE POSTED ON THE WEBSITE SHOULD SOMEONE HAVE QUESTIONS OR COMMENTS. OHMCH BEGAN ITS CHNA PROCESS IN 2020, COMPLETED AND APPROVED IT IN MAY 2021 (TAX YEAR 2020). Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - OH MUHLENBERG, LLC. THE OWENSBORO HEALTH COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) WERE CONDUCTED WITH OWENSBORO HEALTH, INC AND OH MUHLENBERG, LLC. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - OH MUHLENBERG, LLC. BASED ON SURVEY RESULTS, FOCUS GROUP AND KEY INFORMANT INTERVIEW RESULTS, AS WELL AS KEY SECONDARY HEALTH DATA, COMMUNITY PRIORITY AREAS WERE IDENTIFIED. EXISTING LOCAL, STATE AND NATIONAL PRIORITIES WERE CONSIDERED. THE FOLLOWING PRIORITIES WERE IDENTIFIED AS AREAS OF NEED TO ADDRESS: OHMCH: MENTAL HEALTH (INCLUDING SUICIDE), SUBSTANCE USE (ALCOHOL, TOBACCO, ILLEGAL DRUGS, PRESCRIPTION DRUG MISUSE), CULTURE OF WELLNESS/PERSONAL RESPONSIBILITY, HOUSING AND HOMELESSNESS,OBESITY/OVERWEIGHT, ACCESS TO CARE/MAKING SERVICES AVAILABLE, TRANSPORTATION, CHILDREN BEING RAISED BY PEOPLE OTHER THAN PARENTS, POVERTY OHMCH PROVIDES IN-KIND STAFF TO LEAD AND SERVE ON THE MUHLENBERG COUNTY HEALTH COALITION, AND FINANCIAL SUPPORT THROUGH GRANTS AND SPONSORSHIPS TO ORGANIZATIONS WHO SEEK TO IMPACT PRIORITY HEALTH AREAS THROUGH THEIR PROJECTS AND PROGRAMMING. IN ADDITION, HERE ARE THE SPECIFIC WAYS OHMCH IS ADDRESSING OR PLANS TO ADDRESS EACH OF THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA: * MENTAL HEALTH (INCLUDING SUICIDE) - INCREASE MENTAL HEALTH TREATMENT SERVICES AVAILABLE IN MUHLENBERG COUNTY THROUGH A RECENTLY HIRED BEHAVIORAL HEALTH PHYSICIAN WHO IS AVAILABLE FOR BOTH TELEHEALTH AND IN-PERSON APPOINTMENTS AT THE OWENSBORO HEALTH MUHLENBERG HEALTHPLEX. - INCREASE THE USE OF TELEHEALTH PSYCHIATRIC CONSULTATIONS AVAILABLE THROUGH OWENSBORO HEALTH REGIONAL HOSPITAL (OHRH) FOR PATIENTS AT OHMCH (EMERGENCY DEPARTMENT AND INTENSIVE CARE UNIT). - EXPLORE POTENTIAL NEW PARTNERSHIPS TO INCREASE MENTAL HEALTH SERVICES AVAILABLE IN MUHLENBERG COUNTY. - PROMOTE THE AVAILABILITY OF A NEW MENTAL HEALTH VIRTUAL RESOURCE, CREDIBLEMIND, THROUGH TRADITIONAL/SOCIAL MEDIA CHANNELS AND LOCAL COMMUNITY ORGANIZATIONS. OWENSBORO HEALTH PARTNERED WITH RIVERVALLEY BEHAVIORAL HEALTH TO OFFER THE CREDIBLEMIND RESOURCE TO ANYONE IN OUR REGION WHO HAS INTERNET ACCESS VIA COMPUTER, TABLET, PHONE OR ANY OTHER DEVICE. A PERSON CAN VISIT HEALTHYMIND.CREDIBLEMIND.COM TO ACCESS LOCAL RESOURCES, ARTICLES AND ASSESSMENTS ON MENTAL HEALTH TOPICS. - INCREASE ACCESS FOR AGING COMMUNITY IN MUHLENBERG COUNTY (AND POTENTIALLY RESIDENTS OF OUR LONG-TERM CARE UNIT AT OHMCH) WITH THE ADDITION OF GERIATRIC PSYCHIATRY IN-PATIENT CARE AT OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER (OHTLMC). - CONTINUE TO ASSIST AND REFER PATIENTS TO APPROPRIATE BEHAVIORAL HEALTH SERVICES INCLUDING THE INTENSIVE OUTPATIENT PROGRAM AT OHRH. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - OH MUHLENBERG, LLC. * SUBSTANCE USE (ALCOHOL, TOBACCO, ILLEGAL DRUGS, PRESCRIPTION DRUG MISUSE) - MEDICAL STAFF AT OHMCH HAVE AN OPIOID STEWARDSHIP COMMITTEE WHOSE CHARGE IS TO ENSURE SAFE OPIOID PRESCRIBING AND ASSIST IN THE DECREASE OF OPIOID ABUSE AND MISUSE BY PATIENTS IN OUR CARE. - CRITERIA FOR SCREENING AND ASSESSING/REASSESSING PAIN - ALGORITHMS FOR THE APPROPRIATE PRESCRIBING - PHARMACOLOGICAL THERAPIES - PATIENT EDUCATION PROVIDED TO REDUCE THE RISKS OF OPIOID USE - TEAM MEMBERS ACTIVELY PARTICIPATE ON THE CHAMPIONS FOR A DRUG FREE MUHLENBERG COUNTY COMMITTEE. - OHMCH EMS PROVIDES THE NUMBER OF OVERDOSES RESPONDED TO IN ORDER TO RAISE AWARENESS AND EDUCATE (ADVERTISED ON SOCIAL MEDIA AND BILLBOARD IN THE COMMUNITY). - EVALUATE THE USE OF NARCAN KIT DISTRIBUTION FOR EMERGENCY DEPARTMENT PATIENT DISCHARGES. - EMS COORDINATES DISTRIBUTION OF NARCAN TO LOCAL FIRE AND POLICE DEPARTMENTS. - SHARE INFORMATION ABOUT HARM REDUCTION PROGRAM AT MUHLENBERG COUNTY HEALTH DEPARTMENT AND PROVIDE INFORMATION ABOUT OWENSBORO HEALTH SERVICE OPTIONS AVAILABLE. - CONTINUE TO ASSIST AND REFER PATIENTS TO APPROPRIATE MENTAL HEALTH AND SUBSTANCE USE SERVICES (OHRH INTENSIVE OUTPATIENT PROGRAM AND/OR OHTLMC MEDICATED ASSISTED THERAPY FOR PREGNANT MOTHERS). - TRAINED FOUR CERTIFIED TOBACCO TREATMENT SPECIALISTS (TTS) TO PROVIDE EFFECTIVE, EVIDENCE-BASED TREATMENTS AND EDUCATION ABOUT DEPENDENCE TREATMENTS. CONSIDER USING THESE TTS FOR INPATIENT REFERRALS TO HAVE INTERVENTION PRIOR TO A PATIENT'S DISCHARGE. * CULTURE OF WELLNESS/PERSONAL RESPONSIBILITY - OHMCH DIRECTOR OF EMS PARTICIPATES IN ALL PREPAREDNESS AND DISASTER PREPARATION MEETINGS IN MUHLENBERG COUNTY (SCHOOL SYSTEM, INDUSTRY AND CITY/COUNTY). OUR TEAMS ALSO TRAIN AND EXERCISE OUR EMERGENT RESPONSES WITH THESE GROUPS TO MAKE SURE WE ARE PREPARED IN CASE OF REAL-LIFE EVENTS. - OHMCH EMS PROVIDES STOP THE BLEED TRAINING FOR ALL MUHLENBERG COUNTY SCHOOL PERSONNEL. - EACH SCHOOL IN MUHLENBERG COUNTY HAS A SCHOOL NURSE OR HEALTH TECHNICIAN WHOSE SALARY IS FUNDED BY OHMCH. WE INTEND TO OFFER RESOURCES TO THESE SCHOOL NURSES AND HEALTH TECHNICIANS TO PROVIDE EDUCATION RELATED TO IDENTIFIED HEALTH NEEDS TO STUDENTS AND SCHOOL PERSONNEL. CONSIDER EXPANSION OF THIS PROGRAM IN THE FUTURE AS PARTICULAR NEEDS ARISE. - AS ONE OF THE LARGEST EMPLOYERS IN THE COMMUNITY, WELLNESS INITIATIVES OF OHMCH TEAM MEMBERS END UP HAVING AN EFFECT ON THE BROADER COMMUNITY. OUR ORGANIZATION HAS A WELLNESS PLATFORM AND WELLNESS CHAMPIONS THROUGHOUT EACH HOSPITAL DEPARTMENT. IN ADDITION, THE OWENSBORO HEALTH FOUNDATION IS WRITING A GRANT TO SUPPORT WORK RELATED TO HEALTH AND WELLNESS OF OUR TEAM MEMBERS. THESE INVESTMENTS IN THE HEALTH AND WELLBEING OF OUR TEAM ENSURES CONTINUED ACCESS TO CARE FOR OUR COMMUNITY. - EXPAND OUTREACH OF COAL MINERS' RESPIRATORY CLINIC (CMRC) TO ENHANCE PULMONARY SERVICES IN THE COMMUNITY BY BROADENING THE SCOPE OF SERVICES TO ADDRESS ADDITIONAL RESPIRATORY DISEASES. A DEDICATED CMRC DIRECTOR WAS HIRED IN SEPTEMBER 2021. UTILIZE THE CERTIFIED TOBACCO TREATMENT SPECIALISTS (CTTS) IN EXPANSION OF THIS CMRC OUTREACH FOR TOBACCO CESSATION PROGRAMS. Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - OH MUHLENBERG, LLC. * HOUSING AND HOMELESSNESS - OHMCH WILL DEVOTE TEAM MEMBERS' TIME TO THE LOCAL HEALTH COALITION TO EXPLORE EXISTING NEEDS FOR THOSE WHO ARE HOMELESS OR "PRECARIOUSLY HOUSED AND RESOURCES/SERVICES THAT ARE AVAILABLE TO THEM. - COORDINATE WITH LOCAL FOOD BANK, SCHOOL SYSTEM (AND SPECIFICALLY SCHOOL NURSES WHO MAY HAVE STUDENTS IDENTIFIED WITH HOUSING CHALLENGES), AND HOSPITAL DISCHARGE SUMMARIES FOR INDIVIDUALS WITHOUT A PERMANENT HOME AND CONSIDER HOW OUR HOSPITAL MAY ASSIST WITH THIS NEED IN THE FUTURE. - ENSURE THAT THE HEALTH NEEDS OF THE HOMELESS ARE ADDRESSED THROUGH WIDELY AVAILABLE PREVENTATIVE CARE LIKE COVID-19 AND FLU VACCINES, AND ACCESS TO EMERGENCY AND PRIMARY CARE SERVICES. - CONTINUE TO BUDGET ANNUALLY FOR OHMCH CASE MANAGEMENT TEAM TO OFFER SERVICES TO PATIENTS WITH CHALLENGES UPON DISCHARGE (HOUSING/HOTEL, CLOTHING, FOOD, BUS TICKETS). - ONGOING WORK WITH LOCAL FOOD PANTRY (SOME OF THEIR POPULATION IS LIKELY HOMELESS) TO OFFER HEALTH SERVICES ONSITE (VACCINES/HEALTH EDUCATION). CONSIDER USING CTTS TO HOST SMOKING CESSATION CLASSES THAT COORDINATE WITH FOOD DISTRIBUTION TIMES. - EXPLORE THE OPTION TO PROVIDE AN AREA IN OUR PARKING LOT TO OFFER FREE WIRELESS INTERNET FOR THOSE WHO ARE UNABLE TO ACCESS THE INTERNET FROM THEIR HOME. - PROVIDERS IN OUR RURAL HEALTH CLINIC AT OWENSBORO HEALTH MUHLENBERG HEALTHPLEX ASK POPULATION HEALTH QUESTIONS (INCLUDING HOUSING) DURING OFFICE VISITS AND DIRECT PATIENTS TO APPROPRIATE RESOURCES. * OBESITY/OVERWEIGHT - SPONSORSHIP OF COMMUNITY WALKING TRAILS (LU-RAY PARK AND AMPHITHEATER, GREATER MUHLENBERG PARKS AND RECREATION SYSTEM OUTDOOR WALKING TRACK), INDOOR RECREATION FACILITY, AND BIG TWIGS AT LAKE MALONE (HIKING DESTINATION ATTRACTION) TO ENCOURAGE YOUTH AND ADULTS TO GET OUTSIDE AND GET MOVING. - OWENSBORO HEALTH COMMUNITY HEALTH INVESTMENT GRANT AWARDED TO MUHLENBERG COUNTY LIBRARIES FOR STORY WALKS ALONG FIVE LOCAL WALKING TRAILS WITH NEW STORIES DISPLAYED BI-MONTHLY SO CHILDREN HAVE A REASON TO VISIT (AND GET ACTIVE) FREQUENTLY WITH THEIR FAMILIES. * ACCESS TO CARE/MAKING SERVICES AVAILABLE - CONSIDER EXPANSION OF LONG-TERM CARE UNIT AT OHMCH DUE TO PROJECTED DEMAND FOR LONG-TERM CARE SERVICES IN THIS COMMUNITY (CURRENT OCCUPANCY IS NEARLY 90%). - OHMCH CHIEF EXECUTIVE OFFICER IS INVOLVED IN THE MASTER PLAN FOR OWENSBORO HEALTH'S MUHLENBERG COUNTY FACILITIES. - POTENTIAL USE OF EMERGENCY MANAGEMENT MOBILE TRAILER FOR FUTURE USE FOR OUTREACH ACROSS COMMUNITY (FOR PREVENTATIVE RATHER THAN EMERGENCY CARE: HYGIENE KITS, VACCINATIONS, AND HEALTH SCREENINGS). Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - OH MUHLENBERG, LLC. - SECURED GRANT APPROVAL FOR A LARGE OHMCH MULTIPURPOSE TRAILER TO BRING HEALTHCARE ACCESS WHERE IT IS MOST NEEDED IN THE COMMUNITY FOR A VARIETY OF HEALTH OFFERINGS. THIS TRAILER IS 28 FEET LONG, WITH AN INTEGRATED POWER GENERATOR, THREE SEPARATE EXAM ROOMS AND A NURSE'S STATION THAT CAN ALL BE NEGATIVE PRESSURE, FULL-LENGTH COVERED PORCH THAT COULD SERVE AS A WAITING ROOM WITH A BUILT-IN 70 INCH TV TO USE FOR EDUCATIONAL PURPOSES WHILE PATIENTS WAIT. USES INCLUDE MOBILE ACCESS UNIT FOR PRIMARY CARE/RURAL HEALTH CLINIC, CMRC BLACK LUNG SCREENINGS AT OFFSITE LOCATIONS, COVID-19 AND/OR FLU VACCINES, AND A FIRST AID STATION AT LARGE COMMUNITY EVENTS. - SCHOOL NURSES/HEALTH TECHNICIANS AND THERAPY SERVICES AVAILABLE ON-SITE AT EACH MUHLENBERG COUNTY SCHOOL. - OHMCH AMBULANCE SERVICES PROVIDED AT MANY SCHOOL/COMMUNITY EVENTS WHEN THERE IS A LARGE NUMBER IN ATTENDANCE OR THE RISK IS HIGH FOR INJURY OR ILLNESS (FOOTBALL GAMES, EVENTS WITH HIGH TEMPERATURES, ETC.). - OWENSBORO HEALTH MUHLENBERG HEALTHPLEX OFFERS ACCESS TO PRIMARY CARE AND SPECIALISTS (WOMEN'S HEALTH, ORTHOPEDICS, AND BEHAVIORAL HEALTH). - MUHLENBERG COUNTY ATHLETES HAVE ACCESS TO A CERTIFIED ATHLETIC TRAINER WHOSE SERVICES ARE PROVIDED BY OHMCH AS WELL AS SPONSORSHIP OF ATHLETIC TEAMS TO ENCOURAGE EXERCISE AND EXTRACURRICULAR INVOLVEMENT TO BENEFIT MENTAL AND PHYSICAL HEALTH. * TRANSPORTATION - CONSIDER OPTIONS TO SUPPORT UBER-STYLE TRANSPORTATION WITH A POTENTIAL FOCUS FOR THOSE AGE 65+ TO USE FOR PROVIDER APPOINTMENTS, PHARMACY, GROCERY, ETC. EXPLORE THE POSSIBILITY TO OFFER TRANSPORTATION SERVICE JUST FOR HOSPITAL PATIENTS WHO HAVE DIFFICULTY GETTING A RIDE HOME/NURSING HOME. - MUHLENBERG COUNTY HEALTH COALITION SUPPORTS A VOUCHER SYSTEM THROUGH PENNYRILE ALLIED COMMUNITY SERVICES (PACS) THAT ALLOWS THOSE IN MUHLENBERG COUNTY TO ACCESS A LOWER FIXED RATE ($4 ROUND TRIP) FOR THOSE NEEDING A RIDE TO A MEDICAL APPOINTMENT, WORK OR SCHOOL. OHMCH HAS SUPPORTED THIS PROGRAM IN THE PAST WITH GRANT FUNDING. - OHMCH AMBULANCE SERVICE AVAILABLE COUNTY-WIDE FOR ALL MEDICAL TRANSPORT INCLUDING 24/7 911 COVERAGE AND ALSO NON-EMERGENT TRANSPORT OF PATIENTS WHO CANNOT SAFELY BE TRANSPORTED BY WHEELCHAIR. AMBULANCE SERVICE ALSO TRANSFERS ALL PATIENTS FROM OHMCH THAT REQUIRE A HIGHER LEVEL OF CARE. * CHILDREN BEING RAISED BY PEOPLE OTHER THAN PARENTS - OHMCH IS INVOLVED IN SCHOOL OUTREACH PROGRAMS INCLUDING SCHOOL HEALTH ASSESSMENTS (WHERE INFORMATION IS LATER SENT HOME TO FAMILIES ABOUT HEALTHY DIET/EXERCISE) AND SCHOOL NURSES WHO CAN PROVIDE HEALTH INFORMATION TO NOT ONLY THE STUDENT BUT ENTIRE HOUSEHOLD. - INVOLVEMENT IN COMMUNITY AND SCHOOL EVENTS PROVIDING EDUCATION TO THIS POPULATION. * POVERTY - PATIENT FINANCIAL ADVOCATES ASSIST OHMCH PATIENTS WHO MAY QUALIFY IN APPLYING FOR KENTUCKY MEDICAID AND ALSO UTILIZE AN ELIGIBILITY GRID TO OFFER FINANCIAL ASSISTANCE TO PATIENTS BASED ON INCOME AND HOUSEHOLD SIZE. - CASE MANAGEMENT TEAM UTILIZES DONATED FUNDS TO ASSIST PATIENTS STRUGGLING WITH ISSUES RELATED TO POVERTY (HOUSING, TRANSPORTATION, UTILITIES, ETC.). OWENSBORO HEALTH REGIONAL HOSPITAL HAS DEVELOPED STRATEGIES TO ADDRESS EACH OF THE NAMED PRIORITY ISSUES IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THERE ARE NO IDENTIFIED PRIORITY HEALTH NEEDS FOR WHICH WE ARE NOT ADDRESSING. 1 OWENSBORO AMBULATORY SURGICAL FACILITY 1000 BRECKENRIDGE OWENSBORO KY 42303 AMBULATORY SURGERY CENTER Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT THERE ARE NO REQUIREMENTS IN THE STATE OF KENTUCKY TO FILE A COMMUNITY BENEFIT REPORT AT THIS TIME. Schedule H, Part I, Line 7f Health Professions Education OWENSBORO HEALTH, INC. (OH) HAD AN AFFILIATION AGREEMENT WITH THE UNIVERSITY OF LOUISVILLE THROUGH ITS SCHOOL OF MEDICINE TO ESTABLISH A FULLY ACCREDITED RESIDENCY PROGRAMS IN FAMILY MEDICINE. IN FY 2022, OH HAD A TOTAL OF THIRTEEN (13) RESIDENTS. THE PROGRAM INCLUDES ADDITIONAL STAFF SUCH AS PROGRAM DIRECTOR, PROGRAM COORDINATOR AND STAFF REQUIRED TO OPERATE THE PROGRAM. Schedule H, Part I, Line 7b MEDICAID DURING THE FISCAL YEAR, OWENSBORO HEALTH, INC RECOGNIZED AN UPPER PAYMENT LIMIT (UPL) REIMBURSEMENT BEFORE TAXES AND ADMIN EXPENSES OF $44,887 MILLION COMPARED TO PREVIOUS YEAR'S $31,462 MILLION. IN FY 2021, KENTUCKY MEDICAID AND THE KENTUCKY HOSPITAL ASSOCIATION OBTAINED APPROVAL FROM CMS TO MOVE THE UPL TO THE COMMERCIAL PAYMENT LEVEL WHICH PROVIDED ADDITIONAL SUPPLEMENTAL PAYMENTS TO KENTUCKY HOSPITALS. THE ESTIMATED NET BENEFIT OF THE UPL CHANGE IN FY 2022 WAS $10,773 MILLION (AFTER TAXES/ADMIN EXPENSES). THE PROGRAM HAS TO BE APPROVED ANNUALLY BY CMS. THE STATEWIDE UPL NUMBERS WILL FLUCTUATE BASED UPON ACTUAL EXPERIENCE EACH YEAR. Schedule H, Part III, Line 8 COSTING METHODOLOGY USED THE COSTING METHODOLOGY USED IS THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 OF PART I OF SCHEDULE H OF THIS 990. THE CHARGES AND PAYMENTS ARE FROM THE MEDICARE PAID CLAIMS REPORTS. AS A MEDICARE DESIGNATED SOLE COMMUNITY HOSPITAL, WE ARE THE ONLY PROVIDER IN THE REGION TO PROVIDE LOWER REIMBURSED SERVICES SUCH AS PSYCH AND OB SERVICES. AS A MEDICARE SOLE COMMUNITY HOSPITAL WE ARE, BY DEFINITION, THE PRIMARY/ONLY SOURCE OF HEALTHCARE OF THE PATIENT POPULATION IN OUR AREA. OH RECOGNIZES THE RESPONSABILITY AND PROVIDES HEALTHCARE SERVICES IN ORDER TO MEET THE NEEDS OF OUR PATIENTS. SOME OF THOSE SERVICES HAVE CREATED A SHORTFALL FROM MEDICARE BUT OH STRONGLY BELIEVES ITS' IMPORTANCE TO THE HEALTH OF THE AREAS WE SERVE. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 29971747 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance WHEN CALCULATING THE COMMUNITY BENEFIT PERCENTAGES IN PART I, LINE 7, BAD DEBT EXPENSE OF $29,971,747, WAS EXCLUDED. Schedule H, Part II Community Building Activities In order to improve and promote the health of the communities we serve, Owensboro Health 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 the largest employer in the region Owensboro Health 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 grant program now referred to as the OHRH Community Health Investment Grant Program, Owensboro Health encourages our employees to volunteer for hundreds of 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 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 chambers 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 chambers 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. Our investment in the Kentucky Chamber of Commerce has assisted in the development and advocacy of a statewide workforce health improvement program. These organizations have also been initiators of coalition building and leadership development for our community members. 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 OH DOES NOT HAVE A MECHANISM TO DETERMINE THE PORTION OF BAD DEBT ATTRIBUTABLE TO THOSE PATIENTS POTENTIALLY ELIGIBLE FOR THE FAP BUT DO NOT COMPLETE THE APPLICATION. THE AMOUNT ENTERED IS AN ESTIMATE. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THERE IS NO FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE. THE COSTING METHODOLOGY USED IS THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 OF PART I OF SCHEDULE H OF THIS 990. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE POLICIES OF THE SYSTEM ATTEMPT TO ENSURE ALL UNINSURED PATIENTS OF THE SYSTEM HAVE OPPORTUNITY TO APPLY AND QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS. THE HOSPITAL HAS FINANCIAL AID APPLICATIONS AVAILABLE AT REGISTRATION AREAS, VIA THE INTERNET, VIA PHONE, AND ARE SENT ROUTINELY VIA MAIL TO PATIENTS OF THE HOSPITAL. THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS AND CONTRACTS WITH AN OUTSIDE FIRM TO ENSURE PATIENTS ARE EVALUATED FOR ELIGIBILITY IN THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. THE HOSPITAL DOES NOT CONTRACT PRIMARY COLLECTION AGENCIES. ALL SELF-PAY AND BALANCE AFTER INSURANCE ACCOUNTS ARE REVIEWED AND WORKED BY HOSPITAL STAFF TO ENSURE THAT THE PATIENT IS GIVEN EVERY OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE. SELF-PAY DISCOUNTS ARE AVAILABLE TO ALL UNINSURED PATIENTS AS LONG AS THEY COMPLETE THE AID APPLICATION. DISCOUNTS GIVEN ARE EQUIVALENT TO THE AVERAGE INSURANCE DISCOUNTS THE HOSPITAL CONTRACTS ALLOW. ADDITIONALLY, PATIENTS WITH BALANCE ARE PERMITTED TO ESTABLISH PAYMENT PLANS. THE HOSPITAL DOES NOT CHARGE INTEREST TO ITS' PATIENTS. Schedule H, Part V, Section B, Line 16a FAP website - OWENSBORO HEALTH, INC.: Line 16a URL: WWW.OWENSBOROHEALTH.ORG; - OH MUHLENBERG, LLC: Line 16a URL: WWW.OWENSBOROHEALTH.ORG; Schedule H, Part V, Section B, Line 16b FAP Application website - OWENSBORO HEALTH, INC.: Line 16b URL: WWW.OWENSBOROHEALTH.ORG; - OH MUHLENBERG, LLC: Line 16b URL: WWW.OWENSBOROHEALTH.ORG; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - OWENSBORO HEALTH, INC.: Line 16c URL: WWW.OWENSBOROHEALTH.ORG; - OH MUHLENBERG, LLC: Line 16c URL: WWW.OWENSBOROHEALTH.ORG; Schedule H, Part VI, Line 2 Needs assessment OH DETAILS OF THE HOSPITAL'S CHNA PROCESS ARE DETAILED IN FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5. OWENSBORO HEALTH'S CHNAS REPRESENT A COMMUNITY-WIDE PROCESS TO ANALYZE COMMUNITY HEALTH NEEDS AND IDENTIFY THE HEALTH PRIORITIES. THE HOSPITALS ALSO COLLABORATE WITH LOCAL HEALTH DEPARTMENTS AND MULTIPLE COMMUNITY BASED ORGANIZATIONS IN ASSISTING WITH HEALTH DEPARTMENT (AND OTHER) COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLANS. THE HEALTH DEPARTMENT CHNA PROCESS IS A FEDERAL REQUISITE FOR OBTAINING PUBLIC HEALTH DEPARTMENT ACCREDITATION. BEGINNING JANUARY 1, 2023 OWENSBORO HEALTH WILL BE SCREENING PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH. THIS PROCESS WILL ENABLE US TO DISCERN WHAT SDOH ARE MOST PREVALENT AND DEVELOP REFERRAL PROCESSES AND PARTNERSHIPS NEEDED TO ADDRESS SDOH IMPACTING OUR PATIENT POPULATION WHILE WORKING TO DEVELOP INTERNAL AND EXTERNAL PARTNERSHIPS TO SUPPORT EFFORTS TO MINIMIZE DEFINED SOCIAL DETERMINANTS COLLABORATIVELY FOR THE COMMUNITIES WE SERVE. OH WORKS WITH COMMUNITY PARTNERS ON AN ONGOING BASIS TO ADDRESS PRIORITY NEEDS. STRATEGIES AND ACTIVITIES IMPLEMENTED TO ADDRESS THOSE NEEDS ARE ANNUALLY ASSESSED AND AT TIMES, REVISITED WHEN NEEDED. OH IS A PARTNER TO OTHER ORGANIZATIONS AND ENTITIES' ASSESSMENT PROCESSES AS WELL WHO ARE WORKING AS THEIR MISSIONS DIRECT THEM TO DO TO ADDRESS SPECIFIC PRIORITY AREAS AND SOCIAL DETERMINANTS OF HEALTH. THESE PARTNERSHIPS, COMMUNITY EFFORTS AND OH SPECIFIC STRATEGIES ARE ANNUALLY UPDATED ON SCHEDULE H. IN ADDITION, THOSE EFFORTS OUTSIDE THE CHNA, OH CONTINUALLY ASSESSES SERVICE LINES REGARDING OH/OH MEDICAL GROUP HEALTH-SPECIFIC INDICATORS SUCH AS CANCER, HEART DISEASES, STROKE AND DIABETES. LOOKING AT SPECIFIC POPULATIONS REPRESENTATIVE OF THE COMMUNITIES WE SERVE, COLLABORATIVE EFFORTS ARE BEING MADE TO ADDRESS PRIORITY HEALTH COMMUNITY ISSUES THROUGHOUT THE SYSTEM USING AVAILABLE RESOURCES TO IMPACT THOSE NEEDS. OHMCH IN ACCORDANCE WITH THE AFFORDABLE CARE ACT (ACA) AND SECTION 501(R) OF THE INTERNAL REVENUE CODE FOR NONPROFIT TAX-EXEMPT HOSPITALS, OHMCH CONDUCTED A CHNA IN MAY 2021 AND COMPLETED AN IMPLEMENTATION STRATEGY IN SEPTEMBER 2021. FOR THE CHNA, CEDIK FACILITATED THE PROCESS OF PRIMARY DATA COLLECTION THROUGH COMMUNITY SURVEYS, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS TO IDENTIFY HEALTH NEEDS. IN ADDITION, COUNTY SPECIFIC SECONDARY DATA WAS GATHERED TO HELP EXAMINE THE SOCIAL DETERMINANTS OF HEALTH. THROUGHOUT THE PROCESS, CEDIK AND THE COMMUNITY STEERING COMMITTEE MADE IT A PRIORITY TO GET INPUT FROM POPULATIONS THAT ARE OFTEN NOT ENGAGED IN CONVERSATIONS ABOUT THEIR HEALTH NEEDS OR GAPS IN SERVICE. CEDIK CONDUCTED ELEVEN KEY INFORMANT INTERVIEWS TO PROBE MORE DEEPLY INTO HEALTH AND QUALITY OF LIFE THEMES WITHIN THE COUNTY. IN ADDITION TO COMPLETING THE REQUIRED CHNA EVERY THREE YEARS, OHMCH ALSO ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH PARTICIPATION IN THE MUHLENBERG COUNTY HEALTH COALITION AND HEARING FROM OTHER HEALTH-RELATED AGENCIES ABOUT THE NEEDS OF THEIR CLIENTS AND PATIENTS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL EDUCATES THE PATIENTS IN A VARIETY OF WAYS. THE HOSPITAL HAS SIGNAGE AT ACCESS POINTS REGARDING FINANCIAL ASSISTANCE OFFERINGS. THE HOSPITAL HAS FINANCIAL AID APPLICATIONS AVAILABLE AT REGISTRATION AREAS, VIA THE INTERNET AT THE HOSPITAL WEBSITE, VIA PHONE, AND SENT ROUTINELY VIA MAIL TO PATIENTS OF THE HOSPITAL. THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS AND CONTRACTS WITH AN OUTSIDE FIRM TO ENSURE PATIENTS ARE INTERVIEWED AND EVALUATED FOR ELIGIBILITY IN THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. ALL SELF-PAY AND BALANCE AFTER INSURANCE ACCOUNTS ARE REVIEWED AND WORKED BY HOSPITAL STAFF TO ENSURE THAT THE PATIENT IS GIVEN EVERY OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE. ADDITIONALLY INFORMATION ABOUT APPLYING FINANCIAL ASSISTANCE IS INCLUDED ON THE PATIENT STATEMENTS, BILLS, AND LETTERS AND THE PATIENT GUIDE THEY MAY RECEIVE FROM THE HOSPITAL. THE HOSPITAL POLICY FOR FINANCIAL ASSISTANCE INCLUDES THE FOLLOWING: ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE, THE BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS, METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE, MEASURES TO WIDELY PUBLICIZE THE POLICY, WRITTEN POLICY REQUIRING ORGANIZATION TO PROVIDE CARE FOR EMERGENCY MEDICAL CONDITIONS WITHOUT DISCRIMINATION. AS DESCRIBED ABOVE THE ORGANIZATION DOES NOT CHARGE GROSS CHARGES TO PATIENTS AND LIMITS AMOUNTS CHARGED TO PATIENTSELIGIBLE FOR FINANCIAL ASSISTANCE TO AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE RECEIVING SUCH CARE. THE ORGANIZATION DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIVITY BEFORE EFFORTS TO DETERMINE ELIGIBILITY FOR ASSISTANCE HAVE BEEN MADE. Schedule H, Part VI, Line 4 Community information OH OWENSBORO HEALTH SERVES 18 COUNTIES, 12 IN WESTERN KENTUCKY AND 2 IN SOUTHERN INDIANA. THE PRIMARY SERVICE AREA AND DEFINED COMMUNITY FOR THE OHRH CHNA IS DAVIESS COUNTY, KENTUCKY. THE POPULATION ESTIMATE AS OF JULY 1, 2021 WAS 103,063 WITH A MEDIAN HOUSEHOLD INCOME OF $54,881 AND A SMALL AREA INCOME AND POVERTY RATE OF 13.4%. U.S. CENSUS BUREAU QUICKFACTS: UNITED STATES OHMCH FOR THE PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL AND MUHLENBERG COUNTY HEALTH DEPARTMENT DEFINED THE COMMUNITY AS ITS PRIMARY SERVICE AREA OF MUHLENBERG COUNTY, KENTUCKY. MUHLENBERG COUNTY SERVED AS THE UNIT OF ANALYSIS FOR THE CHNA AND HEALTH NEEDS DISCUSSED PERTAIN TO THE RESIDENTS OF MUHLENBERG COUNTY. THE POPULATION ESTIMATE AS OF JULY 1, 2021 WAS 30,694 WITH A MEDIAN HOUSEHOLD INCOME OF $45,937 AND A SMALL AREA INCOME AND POVERTY RATE OF 16.9%. U.S. CENSUS BUREAU QUICKFACTS: UNITED STATES Schedule H, Part VI, Line 5 Promotion of community health OH IS NOT JUST THE LARGEST EMPLOYER IN THE REGION, IT IS ALSO THE LARGEST PRIVATE EMPLOYER IN THE COMMONWEALTH OF KENTUCKY WEST OF LOUISVILLE. WE CONSIDER OUR RESPONSIBILITY TO SERVE AND STRENGTHEN OUR COMMUNITIES IN WAYS MUCH BROADER THAN ONLY PROVIDING DIRECT HEALTH SERVICES OR ADDRESSING IDENTIFIED PRIORITIZED HEALTH NEEDS AND SOCIAL DETERMINANTS OF HEALTH. WE BELIEVE IN ORDER TO MEET THE SECOND HALF OF OUR MISSION "TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE" OFTEN INVOLVES SUPPORT OF COMMUNITY HEALTH IMPROVEMENTS IN AREAS OF ECONOMIC DEVELOPMENT, LEADERSHIP DEVELOPMENT, COMMUNITY HEALTH ADVOCACY, ENGAGING IN AND WITH OUR COMMUNITIES, SUPPORT FOR ENVIRONMENTAL CONCERNS (RADON, THE SECOND LEADING CAUSE OF LUNG CANCER) AND EXPLORING COLLABORATIVE EFFORTS TO ADDRESS ISSUES FACING OUR COMMUNITY WHICH IMPACT QUALITY OF LIFE AND A VIBRANT AND VIABLE ECONOMY. WHILE SOME EFFORTS MAY BE CATEGORIZED BY THE IRS AS COMMUNITY BUILDING AND OTHERS COMMUNITY BENEFIT, WE BELIEVE THAT ALL STRATEGIES AND TACTICS WE ARE IMPLEMENTING AND EXPLORING TO IMPACT THE HEALTH OF THE COMMUNITY FURTHERS OWENSBORO HEALTH'S TAX EXEMPT PURPOSE. THE OHRH CASH AND IN-KIND ALLOCATIONS THROUGH OUR COMMUNITY HEALTH INVESTMENT GRANT PROGRAM REQUIRES OUTSIDE ORGANIZATIONS TO IDENTIFY PRIORITY AREAS THEY WILL ADDRESS AS A PART OF THEIR REQUEST OR THE ROOT CAUSES OF HEALTH PROBLEMS SO WE MAY WORK TOGETHER TO HAVE A GREATER IMPACT. THE GRANT PROGRAM REQUIRES POLICY CHANGES TO ENSURE GRANTEES HAVE 100% COMPREHENSIVE TOBACCO POLICIES SO WE MAY IN FACT IMPACT TOBACCO USE IN ORDER TO IMPACT OTHER CONTRIBUTING FACTORS TO MUCH OF THE DISEASES THAT PLAGUE OUR COMMUNITY AND COMMONWEALTH. BY DOING SO, THE ORGANIZATIONS TO WHICH MAY ALLOCATE RESOURCES TO OR PARTNER WITH ARE ALSO ABLE TO UNDERSTAND THAT WE ARE MAKING THESE INVESTMENTS TO STIMULATE SYSTEMIC, SUSTAINABLE CHANGE IN OUR COMMUNITIES THROUGH OUR COMMUNITY BENEFIT EFFORTS. ADDITIONALLY WE ARE OFTEN ASKED TO BE A FACILITATOR OR KEY PARTNER FOR COMMUNITY CONCEPTS TO ADVANCE ECONOMIC DEVELOPMENT PLANS, MEET URGENT NEEDS SUCH AS FOOD INSECURITY OR EMERGENCY PLANNING AS MOST RECENTLY WITH THE WORLDWIDE PANDEMIC, OR CONVENE ORGANIZATIONS TO COLLABORATE IN WAYS THAT HAVE NOT BEEN DONE PREVIOUSLY. BE IT TECHNICAL ASSISTANCE, SPACE, FINANCIAL ASSISTANCE, NEW PROGRAMS OR NEW COMMUNITY/HOSPITAL PARTNERSHIPS SUCH AS PARTNERING TO DEVELOP A TRAUMA INFORMED COMMUNITY OR HELP DEVELOP A MENTAL HEALTH COURT IN OUR COMMUNITY, OWENSBORO HEALTH OFTEN A CATALYST AND HONORED TO FILL THAT ROLE. COMMUNITY APPOINTED MEMBERS WHO SERVE ON THE OWENSBORO HEALTH BOARD OF DIRECTORS AND THE COMMUNITY NEEDS AND ACCOUNTABILITY AND STRATEGIC PLANNING COMMITTEES OVERSEE THE COMMUNITY BENEFIT WORK. THE COMMUNITY MEMBERS WHO SERVE ON THE OWENSBORO HEALTH BOARD BELIEVES SO STRONGLY IN OUR MISSION HAS APPROVED "PARTNERING WITH OUR COMMUNITIES" AS A STRATEGIC PILLAR OF THE HEALTH SYSTEM. THEY ARE ALSO WORKING TO ENSURE ACCOUNTABILITY IN THAT STRATEGIC PLANNING FOR THE HOSPITAL WORKS IN CONJUNCTION WITH INTERNAL AND EXTERNAL EFFORTS AND ALIGNS WITH BOTH OWENSBORO HEALTH ENTITIES AND COMMUNITY ORGANIZATIONS TO ADDRESS PRIORITY HEALTH NEEDS, POPULATION HEALTH, AND RELIEVE THE BURDEN FROM LOCAL AND STATE GOVERNMENTS. Schedule H, Part VI, Line 6 Affiliated health care system AS REQUIRED OWENSBORO HEALTH HOSPITALS CONDUCT A CHNA WITH THE VOICE AND INPUT FROM PUBLIC HEALTH AND MANY COMMUNITY PARTNERS. HOSPITALS DEVELOPS IMPLEMENTATION STRATEGIES STATING HOW IT WILL ADDRESS THE NAMED PRIORITY HEALTH ISSUES. AT PRESENT, IRS GUIDELINES ONLY ALLOW COMMUNITY BENEFIT WHICH IS CONDUCTED UNDER THE HOSPITAL TO BE QUANTIFIED AND REPORTED. HOWEVER THIS REPORTING FALLS FAR SHORT FROM TELLING THE STORY OF WHAT OWENSBORO HEALTH, THE SYSTEM AND ITS AFFILIATED ENTITIES ARE DOING COLLECTIVELY AND STRATEGICALLY TO ADDRESS PRIORITY HEALTH AREAS. BOTH THE OWENSBORO HEALTH MEDICAL GROUP (OHMG) AND THE OWENSBORO HEALTH FOUNDATION ARE CLOSELY ALIGNED WITH OWENSBORO HEALTH HOSPITALS IN STRIVING TO ADDRESS PRIORITY HEALTH NEEDS AND SOCIAL DETERMINANTS OF HEALTH. AS WE FURTHER DEVELOP AND REFINE OUR SYSTEM STRATEGIC PLANNING PROCESS TO IMPACT, MANAGE AND CHANGE THE HEALTH OF THE POPULATIONS WE SERVE, WE WILL NEED ALL AVAILABLE RESOURCES WITHIN OUR SYSTEM TO MEET OUR MISSION AND IN FACT, IDENTIFY AND ADDRESS THE NEEDS OF VULNERABLE POPULATIONS, IMPROVE COMMUNITY HEALTH, AND CHANGE THE TRAJECTORY OF CHRONIC HEALTH DISEASE. OWENSBORO HEALTH REGIONAL HOSPITAL'S COMMUNITY INVESTMENT GRANT PROGRAM IS ONE TOOL USED WHICH PROVIDES DIRECT GRANT FUNDS TO ORGANIZATIONS WITH PROJECTS AND PROGRAMS FOCUSED ON ADDRESSING PRIORITY HEALTH AREAS. BUT ADDITIONAL PLANNING DOES AND WILL CONTINUE TO TAKE PLACE SO THAT SYSTEM POPULATION HEALTH GOALS AND COMMUNITY BENEFIT ACTIVITIES ARE ALIGNED SO THAT COMMUNITY PARTNERSHIPS AND WORK CONDUCTED INTERNALLY THROUGHOUT THE SYSTEM AND EXTERNALLY THROUGH INVESTMENT AND PARTNERSHIPS WILL HAVE THE MOST STRATEGIC, MEASURABLE AND MEANINGFUL IMPACT. WHILE ONE HOSPITAL ENTITY MAY MAKE A DIRECT FINANCIAL CONTRIBUTION, OTHER SUPPORT IS GIVEN BY TEAM MEMBERS, DEPARTMENTS AND EFFORTS THROUGHOUT THE SYSTEM TO HAVE A MORE EFFECTIVE AND SUSTAINING IMPACT TO A STRATEGIC GOAL. THE OWENSBORO HEALTH SYSTEM CONTINUES TO INVEST SIGNIFICANT DOLLARS AND HUMAN RESOURCES TO INCREASING COMMUNITY ACCESS POINTS, SUPPORT A RESIDENCY PROGRAM, BUILDING AN INNOVATION CENTER, RECRUIT NEEDED PRIMARY CARE AND SPECIALISTS TO MEET THE NEEDS OF THE POPULATION, ADD COMPONENTS TO ELECTRONIC MEDICAL RECORDS TIED TO COMMUNITY STRATEGIES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, AND UTILIZE EXPERTISE THROUGHOUT THE SYSTEM TO EDUCATE AND PROVIDE TECHNICAL ASSISTANCE TO NONPROFIT ORGANIZATIONS, LOCAL GOVERNMENT, PUBLIC HEALTH AND OTHERS TO COLLECTIVELY IMPACT COMMUNITY HEALTH. USE OF GRANT WRITING RESOURCES AT OWENSBORO HEALTH, FUNDS AND HUMAN CAPITAL HAVE BEEN INVESTED TO ASSIST IN CREATING A NEW ACCESS POINT TO SERVE THE HOMELESS, APPLY AND BE AWARDED FUNDS TO ASSIST WITH THE DEVELOPMENT OF A COMMUNITY MENTAL HEALTH COURT AND EXPAND TELEHEALTH SERVICES SO WE MAY MEET HEALTHCARE NEEDS WHEN ACCESS IS A BARRIER DUE TO TRANSPORTATION AND OTHER ISSUES. THE OWENSBORO HEALTH SYSTEM HAS ADDED COMPLEX CARE NAVIGATORS TO MANAGE THE HEALTH OF SPECIFIC PATIENT POPULATIONS WHILE INCREASING EFFORTS TO REACH ADDITIONAL TARGETED UNDERSERVED POPULATIONS IN THE COMMUNITY. THERE ARE DEDICATED STAFF UNDER THE MEDICAL GROUP WHO PLAY STRATEGIC PRIMARY OR SUPPORTIVE ROLES IN THE EXECUTION OF COMMUNITY BENEFIT STRATEGIES. THAT SUPPORT DRIVEN BY THE MEDICAL GROUP INITIATIVES ARE NOT ALLOWED TO BE COUNTED ON THE IRS 990 SCHEDULE H BUT WITHOUT THEM OWENSBORO HEALTH COULD NOT HAVE THE IMPACT IT STRIVES TO HAVE TO ADDRESS THE PRIORITY HEALTH ISSUES AND SOCIAL DETERMINANTS OF HEALTH CONTRIBUTING TO CHRONIC HEALTH DISEASE. IT IS OFTEN THE PROVIDERS, NURSES AND ADDITIONAL OWENSBORO HEALTH TEAM MEMBERS FROM THE MEDICAL FITNESS FACILITY AND COMMUNITY WELLNESS DEPARTMENTS WHO PLAY INSTRUMENTAL AND OFTEN CRUCIAL ROLES IN CARRYING OUT THE WORK TO ENSURE WE ARE MEETING THE NEEDS OF THE UNDERSERVED AND PROVIDING NEEDED EDUCATION AND OUTREACH AT THE COMMUNITY LEVEL. SUCH AN EXAMPLE WOULD BE THE PROVISION OF TOBACCO CESSATION CLASSES AND MULTIPLE SCREENINGS AND EDUCATIONAL EFFORTS CONDUCTED BY SUCH DEPARTMENTS WITHIN THE MEDICAL GROUP. WE ARE FORCED TO ISOLATE THE VALUE OF THE INVESTMENTS WHICH ARE MADE BY OWENSBORO HEALTH HOSPITAL PER SECTION 501(R) OF THE INTERNAL REVENUE CODE COMMUNITY BENEFIT GUIDELINES. IT IS OUR INTENTION BY PROVIDING ADDITIONAL INSIGHT AND INFORMATION IN THIS SECTION OF SCHEDULE H THERE IS SIGNIFICANT RECOGNITION OF THE CHALLENGE BEFORE US AND OTHER NONPROFIT HOSPITALS; THE TRUE MAGNITUDE OF OUR COMMUNITY BENEFIT WORK AS A HOSPITAL SYSTEM IS CRITICALLY IMPORTANT TO UNDERSTAND. THE STRATEGIC EFFORTS, THE MONETARY OUTLAY, THE EFFICIENT AND TRUE IMPACT OF THE BENEFITS MUST SPAN THE THROUGHOUT THE SYSTEM EVEN IF AT THIS TIME, ONLY THAT OF THE HOSPITAL ITSELF CAN BE QUANTIFIED AND REPORTED. true MUHLENBERG COUNTY BOARD OF EDUCATION 510 W MAIN STREET POWDERLY KY 42367 616001286 GOVERNMENT 190650 COMMUNITY SUPPORT CITY OF GREENVILLE P O BOX 289 GREENVILLE KY 42345 616001834 GOVERNMENT 101391 COMMUNITY SUPPORT CENTER OF OWENSBORO-DAVIESS CO 608 FREDERICA STREET SUITE 100-B OWENSBORO KY 42301 842677326 501c3 67369 COMMUNITY SUPPORT COMMUNITY DENTAL CLINIC 2811 NEW HARTFORD ROAD SUITE A OWENSBORO KY 42303 262343126 501C3 61600 COMMUNITY SUPPORT GREEN RIVER DISTRICT HLTH DEPT P O BOX 309 OWENSBORO KY 423020309 611010686 GOVERNMENT 56698 COMMUNITY SUPPORT OWENSBORO DANCE THEATRE 2705 BRECKENRIDGE STREET OWENSBORO KY 42303 611040701 501C3 38250 COMMUNITY SUPPORT UNITED WAY P O BOX 705 OWENSBORO KY 423020705 610435444 501C3 31388 COMMUNITY SUPPORT MARY KENDALL CAMPUS 201 PHILLIPS COURT OWENSBORO KY 42303 610458375 501C3 30558 COMMUNITY SUPPORT H L NEBLETT COMMUNITY CENTER 801 WEST 5TH STREET OWENSBORO KY 42301 610523292 501C3 27018 COMMUNITY SUPPORT DAVIESS COUNTY PUBLIC SCHOOLS P O BOX 21510 OWENSBORO KY 423041510 616001338 GOVERNMENT 25000 COMMUNITY SUPPORT OWENSBORO SYMPHONY ORCHESTRA 211 EAST 2ND STREET OWENSBORO KY 42303 616055984 501C3 25000 COMMUNITY SUPPORT OWENSBORO COMMUNITY AND TECHNICAL COLLEGE 4800 NEW HARTFORD ROAD OWENSBORO KY 42303 611109704 501C3 23500 COMMUNITY SUPPORT TRI-STATE FOOD BANK INC 2504 LYNCH ROAD EVANSVILLE IN 47711 351539870 501C3 22756 COMMUNITY SUPPORT ALSAC ST JUDE CHILDREN'S 501 ST JUDE PLACE MEMPHIS TN 38105 351044585 501C3 20805 COMMUNITY SUPPORT SUPPLIES OVER SEAS 1500 ARLINGTON AVE LOUISVILLE KY 40206 272624272 501C3 20000 COMMUNITY SUPPORT NEW BEGINNINGS SEXUAL ASSAULT SUPPORT SERVICES 1716 SCHERM ROAD OWENSBORO KY 42301 611142453 501C3 19375 COMMUNITY SUPPORT KENTUCKY WESLEYAN COLLEGE 3000 FREDERICA STREET OWENSBORO KY 42301 610466713 501C3 19150 COMMUNITY SUPPORT INTERNATIONAL BLUEGRASS MUSIC MUSEUM 311 WEST 2ND STREET OWENSBORO KY 42301 611229037 501C3 19000 COMMUNITY SUPPORT SENIOR COMMUNITY CENTER OF OWENSBORO-DAVIESS COUNTY INC 1650 WEST SECOND STREET OWENSBORO KY 42301 311044915 501C3 17922 COMMUNITY SUPPORT INTERNATIONAL CENTER 2818 NEW HARTFORD ROAD OWENSBORO KY 42303 610994341 501C3 16140 COMMUNITY SUPPORT CASA OF OHIO VALLEY INC 415 ST ANN STREET OWENSBORO KY 42303 611303511 501C3 15000 COMMUNITY SUPPORT WENDELL FOSTER'S CAMPUS 815 TRIPLETT STREET OWENSBORO KY 42303 610490868 501C3 14479 COMMUNITY SUPPORT THEATRE WORKSHOP OF OWENSBORO 407 W 5TH STREET OWENSBORO KY 42301 610968600 501C3 12600 COMMUNITY SUPPORT THE FOUNDRY CENTER FOR THE ARTS INCORPORATED PO BOX 304 NEWBURGH IN 47630 821197950 501C3 12550 COMMUNITY SUPPORT PUZZLE PIECES INC 1512 FREDERICA STREET OWENSBORO KY 42301 453042804 501C3 12000 COMMUNITY SUPPORT RIVERPARK CENTER 101 DAVIESS STREET OWENSBORO KY 423034263 611147328 501C3 10000 COMMUNITY SUPPORT DANIEL PITINO SHELTER 501 WALNUT STREET OWENSBORO KY 42301 611245271 501C3 8656 COMMUNITY SUPPORT HOSPICE AND PALLIATIVE CARE OF WESTERN KENTUCKY 3419 WATHENS CROSSING OWENSBORO KY 423017009 311010160 501C3 8500 COMMUNITY SUPPORT OWENSBORO REGIONAL SUICIDE PREVENTION 991 BELLEWOOD DRIVE HENDERSON KY 42420 261136007 501C3 8000 COMMUNITY SUPPORT SOUTH CENTRAL KENTUCKY KIDS ON THE BLOCK 958 COLLETT AVENUE SUITE 100 BOWLING GREEN KY 42101 611164527 501C3 7143 COMMUNITY SUPPORT LIGHT OF CHANCE INC PO BOX 1636 BOWLING GREEN KY 42102 841721551 501C3 6817 COMMUNITY SUPPORT ALZHEIMER'S ASSOCIATION 701 N WEINBACH AVENUE EVANSVILLE IN 47711 133039601 501C3 6506 COMMUNITY SUPPORT THE WAY OF ROCKPORT IN PO BOX 506 ROCKPORT IN 47635 522608343 501C3 6500 COMMUNITY SUPPORT GIRLS INCORPORATED P O BOX 1626 OWENSBORO KY 42302 610706477 501C3 6430 COMMUNITY SUPPORT JUNIOR ACHIEVEMENT OF WEST KY 1195 WING AVENUE OWENSBORO KY 42303 610564988 501C3 6250 COMMUNITY SUPPORT CITY OF CENTRAL CITY 214 N 1ST STREET CENTRAL CITY KY 42330 616001800 GOVERNMENT 6000 COMMUNITY SUPPORT AMERICAN CANCER SOCIETY 1640 LYNDON FARM COURT STE 104 LOUISVILLE KY 40223 131788491 501C3 5263 COMMUNITY SUPPORT OWENSBORO HEALTH FOUNDATION 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 611251763 501C3 948028 COMMUNITY SUPPORT 38 0 TUITION ASSISTANCE 44 154163 PATIENT MEDICAL FUND 179 22304 CANCER CENTER MEDICAL FUND 115 36952 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. SERVICES AND ACTIVITIES MUST SERVE INDIVIDUALS IN THE OWENSBORO HEALTH SERVICE AREA, INCLUDING DAVIESS, HANCOCK, OHIO, HENDERSON, HOPKINS, MCLEAN, MUHLENBERG, BRECKINRIDGE AND WEBSTER COUNTIES IN KENTUCKY AND SPENCER AND PERRY COUNTIES, INDIANA. APPLICATIONS MUST SPECIFICALLY DESCRIBE HOW THE ORGANIZATION'S SERVICES ADDRESS ROOT CAUSES OF HEALTH PROBLEMS AFFECTING THE HEALTH OF OUR COMMUNITY. ELIGIBLE GROUPS INCLUDE ECONOMIC, EDUCATIONAL, CIVIC, ARTS AND CULTURAL ORGANIZATIONS. X X X true true X X X X true true false false false false false true false ANTHONY MCBRIDE MD BOARD MEMBER 0 856651 0 4114 0 2380 0 14500 0 17651 0 895296 0 0 JOHN HACKBARTH CHIEF FINANCIAL OFFICER (THRU 08/21) 317162 0 152568 0 124423 0 28420 0 14188 0 636761 0 0 0 MARK MARSH PRESIDENT AND CEO (START 06/21) 386671 0 90000 0 101436 0 13659 0 19988 0 611754 0 0 0 GREG STRAHAN PRESIDENT AND CEO (THRU 08/21) 552130 0 322348 0 193611 0 28420 0 17897 0 1114406 0 0 0 JEFFREY THOMAS CHIEF FINANCIAL OFFICER (START 08/21) 140146 0 10000 0 13455 0 3959 0 5537 0 173097 0 0 0 ERNEST E BEGLEY II CHIEF LEGAL OFFICER 378782 0 131164 0 63024 0 28420 0 33240 0 634630 0 0 0 TIMOTHY L BELEC VP CIO 328805 0 98367 0 19582 0 14500 0 33182 0 494436 0 0 0 DEBORAH K BOSTIC CHIEF OPERATING OFFICER-OHRH 285772 0 116881 0 629573 0 10150 0 5163 0 1047539 0 0 0 BILL J BRYANT MD VP QUALITY AND PATIENT SAFETY 341739 0 100651 0 70373 0 14500 0 22806 0 550069 0 0 0 CATHERINE CLEMONS VP OF OPERATIONS - OHTLMC 0 146000 0 16451 0 16407 0 7448 0 11834 0 198140 0 0 DAVID E DANHAUER VP CMIO 340100 0 103952 0 37398 0 28420 0 20479 0 530349 0 0 0 TRINA DAVES VP PT CARE SVCS AND CNO-TL (THRU 10/21) 0 100927 0 14527 0 85741 0 3950 0 8451 0 213596 0 67538 FRANCIS J DUFRAYNE MD CHIEF MEDICAL OFFICER 459074 0 150658 41372 26536 0 14500 0 5412 0 656180 41372 0 0 JASON C FIELD CHIEF OPERATING OFFICER-OHMG (THRU 06/21) 0 111163 0 70194 0 260006 0 4734 0 14542 0 460639 0 0 EDWARD L HEATH JR CEO - OHMCH 270037 0 82655 0 55217 0 28286 0 32280 0 468475 0 0 0 ASHLEY HERRINGTON CEO - OHTLMC 0 233988 0 46104 0 13642 0 11965 0 29534 0 335233 0 0 RUBY J JACILDO VP ACCOUNTING AND CONTROLLER 196864 0 61614 0 46642 0 27097 0 30667 0 362884 0 0 0 STEPHEN M JOHNSON VP GOVT AND COMMUNITY AFFAIRS 206137 0 64908 0 46172 0 27027 0 31032 0 375276 0 0 0 LISA K JONES VP ANCILLARY SERVICES OHRH 239542 0 73638 0 63190 0 27725 0 23232 0 427327 0 0 0 MICHAEL B KELLEY VP MEDICAL AFFAIRS, OHRH 373062 110724 114585 0 66814 0 14500 0 32183 0 601144 110724 0 0 RUSSELL S RANALLO VP FINANCE (THRU 6/22), CHIEF FINANCIAL OFFICER (EFFECTIVE 06/22) 290103 0 89057 0 56928 0 28420 0 33200 0 497708 0 0 0 JOAN M SIMS VP PATIENT CARE SVCS AND CNO - OHRH 188710 0 55748 0 21091 0 24156 0 4331 0 294036 0 0 0 CATHY STEWART VP PATIENT CARE SVCS AND CNO - OHTLMC 0 142164 0 21821 0 713 0 15136 0 18481 0 198315 0 0 MIA M SUTER CHIEF ADMINISTRATIVE OFFICER 421373 0 139975 0 65281 0 28420 0 6461 0 661510 0 0 0 JAMES E TIDWELL III MD VP POPULATION HEALTH SERVICES 363244 0 111396 0 15768 0 14500 0 31729 0 536637 0 0 0 SCOTT A ALDER DIRECTOR OF NURSING 168642 0 25231 0 24417 0 8556 0 18300 0 245146 0 0 0 BILLY-CLYDE CHILDRESS DIRECTOR OF PHARMACY, RETAIL PHARMACY 164953 0 25762 0 6690 0 6520 0 28283 0 232208 0 0 0 JASON B COLLINS EXECUTIVE DIRECTOR OF PHARMACY 178852 0 24495 0 14943 0 17090 0 10242 0 245622 0 0 0 TERESA A RASCOE EXECUTIVE DIRECTOR OF HUMAN RESOURCES 174976 0 23774 0 4152 0 17623 0 854 0 221379 0 0 0 JOSEPH W TAYLOR EXECUTIVE DIRECTOR OF FACILITIES 162492 0 23949 0 288 0 19446 0 28326 0 234501 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments THE ORGANIZATION PROVIDES A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN FOR CERTAIN EXECUTIVE EMPLOYEES. BECAUSE BENEFITS UNDER THE SUPPLEMENTAL PLAN MUST BE INCLUDED IN TAXABLE INCOME WHEN THEY BECOME VESTED, AND AS REQUIRED BY THE SUPPLEMENTAL PLAN'S TERMS, THE ORGANIZATION PROVIDES AN ADDITIONAL BENEFIT THAT COVERS THE TAX LIABILITY WHEN IT IS INCURRED. THE TAX LIABILITY PAYMENTS ARE THEMSELVES INCLUDED IN W-2 INCOME IN THE YEAR MADE TO THE EXECUTIVES, AND ARE INCLUDED IN THE FIGURES DISCLOSED ON SCHEDULE J, PART II. Schedule J, Part I, Line 1a Housing allowance or residence for personal use THE ORGANIZATION PROVIDED HOUSING ALLOWANCE TO THE CEO OF OHI. THIS BENEFIT WAS INCLUDED AS A TAXABLE INCOME IN THE YEAR RECEIVED AND FULLY INCLUDED ON THE RECIPIENT'S FORM W-2. Schedule J, Part I, Line 1a Health or social club dues or initiation fees DURING THE REPORTING PERIOD, THE ORGANIZATION PAID MEMBERSHIP DUES IN A SOCIAL CLUB FOR THE CEO AND CMO OF OHI. 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 4a Severance or change-of-control payment DEBBIE BOSTIC, OHRH COO, HAD $584,407 OF SEVERANCE PAYMENT IN FY 2022. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan OWENSBORO HEALTH PROVIDES A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN FOR CERTAIN EXECUTIVE EMPLOYEES. PARTICIPATION IN THE PLAN IS SUBJECT TO THE RECOMMENDATION OF THE CHIEF EXECUTIVE OFFICER AND THE APPROVAL OF THE BOARD OF DIRECTORS. AS OF DECEMBER 31, 2019 OWENSBORO HEALTH SHALL CREDIT THE PARTICIPANT'S ACCOUNT WITH AN EMPLOYER CONTRIBUTION. THE PARTICIPANT MUST BE EMPLOYED BY OWENSBORO HEALTH AT THE END OF THE PLAN YEAR IN ORDER TO RECEIVE AN EMPLOYER CONTRIBUTION FOR THAT PLAN YEAR. 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. 457F PLAN TO EXECUTIVES ERNEST BEGLEY $45,564; BILL BRYANT $43,337; DAVID DANHAUER $16,810; JOHN HACKBARTH $60,851; EDWARD HEATH $35,834; RUBY JACILDO $14,088; STEPHEN JOHNSON $27,870; LISA JONES $43,215; RUSSELL RANALLO $40,748; GREG STRAHAN $102,719; MIA SUTER $47,709. Schedule J, Part I, Line 7 Non-fixed payments THE SUCCESS SHARING PLAN IS A PROGRAM DESIGNEDTO 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. A Kentucky Economic Development Finance Authority 610600439 49126KHT1 2015-08-13 97567179 SEE PART VI false false false B Kentucky Economic Development Finance Authority 610600439 49126KKF7 2017-05-17 501226816 Refund prior issue (3/3/10) - see part VI false false false A 7885000 0 98346355 0 0 0 1346771 0 0 66627005 30372580 0 2018 true false true true B 13805000 0 521604600 0 33578 0 4747304 6163038 0 0 510660680 0 2017 false true true true A false false false 0.0 false false true B false false false 0.0 false false true A false false true true false false false false true B false false false true false false false false true A true B true Schedule K, Part I, Column (f) 2017 BOND PROCEEDS WERE USED TO 1) PARTIALLY ADVANCE REFUND THE SERIES 2010A BONDS (ISSUED 3/3/2010), 2) FULLY ADVANCE REFUND THE SERIES 2010B BONDS (ISSUED 3/3/2010), (3) PAY REMAINING PORTION FOR THE SURETY BOND TO FUND THE DEBT SERVICE RESERVE REQUIREMENT (4)PAY PREMIUM FOR THE POLICY INSURING PAYMENT AND CERTAIN EXPENSES IN CONNECTION WITH THE ISSUANCE. Schedule K, Part I, Column (f) 2015 BOND PROCEEDS FINANCED 1) CONSTRUCTION OF HEALTHPLEXES TO IMPROVE ACCESS TO CARE IN THE SECONDARY SERVICE AREA 2) REFUNDED PORTION OF THE SERIES 2010B BONDS (ISSUED 3/3/2010) AND FUNDED PORTION OF THE DEBT SERVICE RESERVE FUND. Schedule K, Part II, Line 3 2015 AND 2017 BOND SCHEDULE K, PART II, LINE 3, BOND A AND B THE DIFFERENCE IN THE ISSUE PRICE REPORTED ON SCHEDULE K RESULTED FROM INVESTMENT EARNINGS. Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Kentucky Economic Development Finance Authority none Schedule K, Part IV, Line 2c COLUMN A Issuer name: Kentucky Economic Development Finance Authority The calculation for computing no rebate due was performed on 07/31/2020 Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Kentucky Economic Development Finance Authority None Schedule K, Part IV, Line 2c COLUMN B Issuer name: Kentucky Economic Development Finance Authority The calculation for computing no rebate due was performed on 06/01/2020 DUFRAYNE CHRISTOPHER BROTHER OF FRANCIS DUFRAYNE 92744 EMPLOYEE COMPENSATION false DUFRAYNE POLINA WIFE OF FRANCIS DUFRAYNE 13951 EMPLOYEE COMPENSATION false RANALLO JENNIFER L WIFE OF RUSSELL RANALLO 47893 EMPLOYEE COMPENSATION false SCHEPERS CHRISTINE SISTER OF DAVID DANHAUER 93517 EMPLOYEE COMPENSATION false STRAHAN HILLARY L DAUGHTER IN LAW OF GREG STRAHAN 158737 EMPLOYEE COMPENSATION false STRAHAN WILLIAM J SON OF GREG STRAHAN 133856 EMPLOYEE COMPENSATION false Form 990, Part I, Line 6 VOLUNTEERS VOLUNTEER SERVICES SUPPORT THE MISSION AND GOALS OF OWENSBORO HEALTH, INC. (OH). THEY STAFF THE PATIENT INFORMATION DESK, DELIVER FLOWERS, AND PLAY A CRUCIAL ROLE AS LIAISON BETWEEN FAMILIES AND PHYSICIANS IN THE SURGERY WAITING AREAS. VOLUNTEERS ARE AN ESSENTIAL PART OF THE CARE AND COMFORT OH PROVIDES. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body POWER TO ELECT OR APPOINT MEMBERS OH IS GOVERNED BY A FOURTEEN-MEMBER BOARD OF DIRECTORS PURSUANT TO THE CORPORATION'S BYLAWS. THREE (3) DIRECTORS ARE APPOINTED BY THE COUNTY JUDGE/EXECUTIVE OF DAVIESS COUNTY (COUNTY JUDGE) WITH THE CONSENT OF THE DAVIESS COUNTY FISCAL COURT, THREE (3) DIRECTORS ARE APPOINTED BY THE MAYOR OF THE CITY OF OWENSBORO (MAYOR) WITH THE CONSENT OF THE BOARD OF THE OWENSBORO CITY COMMISSION, ONE (1) DIRECTOR IS APPOINTED JOINTLY BY THE COUNTY JUDGE AND THE MAYOR, THREE (3) DIRECTOR POSITIONS ARE RESERVED FOR PHYSICIANS WHO ARE MEMBERS OF THE OH ACTIVE MEDICAL STAFF, AND FOUR(4) DIRECTORS ARE ELECTED OR APPOINTED BY THE BOARD OF DIRECTORS FROM THE COMMUNITY. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR OVERSEEING THE MANAGEMENT AND OPERATION OF OH. THE BOARD MEMBERS SERVE THREE YEAR TERMS, AND CAN SERVE NO MORE THAN THREE (3) CONSECUTIVE TERMS, BUT ARE ELIGIBLE FOR REAPPOINTMENT TO THE BOARD AFTER HAVING BEEN OFF OF THE BOARD FOR AT LEAST ONE (1) YEAR. THE BOARD HAS REGULARLY SCHEDULED MONTHLY MEETINGS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE FOLLOWING CORPORATE ACTIONS SHALL REQUIRE THE AFFIRMATIVE ACT OF THE FISCAL COURT OF DAVIESS COUNTY (COUNTY) AND THE COMMISSIONERS OF THE CITY OF OWENSBORO (CITY) FOLLOWING A RECOMMENDATION BY THE BOARD OF DIRECTORS: (1) THE ADMISSION OF ANY MEMBER TO THE CORPORATION,(2) THE TRANSFER OF ALL, OR SUBSTANTIALLY ALL, OF THE MANAGEMENT RESPONSIBILITY FOR THE CORPORATION TO A NONRELATED PERSON, (3) A MERGER, CONSOLIDATION OR OTHER SIMILAR ACTION THAT IS DILUTIVE OF THE ASSETS OF THE CORPORATION OR THAT ADVERSELY AFFECTS ANY RIGHTS OF THE COUNTY OR CITY PROVIDED FOR IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE BYLAWS, (4) ANY AMENDMENTS TO ARTICLES 4,5,7,8 AND 10 OF THE ARTICLES OF INCORPORATION; OR ANY AMENDMENT TO SECTION VII OF THE BYLAWS, (5) THE DISSOLUTION OF THE CORPORATION, (6) ANY CHANGE OF THE NAME OF THE CORPORATION, AND (7) THE TRANSFER (IN ONE OR MORE RELATED TRANSACTIONS) DURING ANY TWELVE MONTH PERIOD OF 5% OR MORE OF THE TOTAL ASSETS OF THE CORPORATION TO AN UNAFFILIATED PERSON(S). 'TOTAL ASSETS' SHALL MEAN THE AGGREGATE ASSETS FROM THE MOST RECENT FINANCIAL STATEMENTS OF THE CORPORATION. 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 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 COMPLIANCE 360). 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 TOTAL COMPENSATION IS THE SUM OF EACH EXECUTIVES BASE SALARY, INCENTIVE OPPORTUNITY, BENEFITS, AND PERQUISITES. -OUR TOTAL COMPENSATION PHILOSOPHY WILL APPLY TO THE CEO OF THE ORGANIZATION. -CASH COMPENSATION AND BENEFIT PLANS PROVISIONS WILL BE BASED ON MARKET DATA, COMPETITIVE WITH THOSE HEALTHCARE ORGANIZATIONS WITHIN WHICH WE COMPETE FOR EXECUTIVE TALENT. OUR LABOR MARKET IS DEFINED AS SUCCESSFUL AND COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A NATIONAL LEVEL. SUCCESS IS MEASURED IN TERMS OF FINANCIAL AND OPERATIONAL PERFORMANCE AND MARKET LEADERSHIP. -COMPETITIVE POSITIONING OF BASE SALARIES, AS REFLECTED BY THE SALARY RANGE MIDPOINTS, WILL BE AT THE 50TH PERCENTILE. THE CEO MAY BE PLACED ABOVE OR BELOW THE SALARY RANGE BASED ON THE: CEO'S KNOWLEDGE, COMPETENCIES, AND EXPERIENCE; PERFORMANCE OF THE CEO; THE CEO'S CONTRIBUTION TO THE ORGANIZATION'S OVERALL PERFORMANCE; INTERNAL EQUITY CONSIDERATIONS; THE FINANCIAL RESOURCES AVAILABLE; AND, CEO'S BASE SALARY INCREASES PROVIDED IN THE COMPETITIVE MARKET. -ANNUAL MERIT INCREASE IS BASED ON JOB PERFORMANCE, REVIEWED BY THE FINANCE COMMITTEE, AND THEN APPROVED BY THE BOARD OF DIRECTORS. -ANNUAL INCENTIVE OPPORTUNITIES WILL BE POSITIONED BETWEEN THE 50TH AND 75TH PERCENTILE DEPENDING ON THE DEGREE TO WHICH PERFORMANCE GOALS ARE MET OR EXCEEDED. TOTAL CASH COMPENSATION, AS REFLECTED BY BASE SALARIES AND ANNUAL INCENTIVES, WILL ALSO BE POSITIONED BETWEEN THE 50TH AND 75TH PERCENTILES AND WILL BE INFLUENCED BY PERFORMANCE RESULTS AS MEASURED AGAINST ESTABLISHED GOALS. THE INCENTIVE COMPENSATION PLAN IS REVIEWED BY THE FINANCE COMMITTEE AND THEN APPROVED BY THE BOARD OF DIRECTORS. -THE ORGANIZATION WILL PROVIDE APPROPRIATE AND COMPETITIVE SUPPLEMENTAL BENEFITS AND PERQUISITES DELIVERED IN A FLEXIBLE STRUCTURE TO ALLOW FOR INDIVIDUAL CHOICE AND BASED ON THE ORGANIZATION'S MISSION AND BUSINESS NEEDS. -OUR EXECUTIVE TOTAL COMPENSATION PLAN WILL BE DESIGNED, MANAGED AND MAINTAINED IN A MANNER THAT WILL: SUPPORT AND COMPLEMENT OUR MISSION, MANAGEMENT PHILOSOPHY, SHORT- AND LONG-TERM BUSINESS STRATEGIES, AND EMPLOYEE RELATIONS GOALS; ATTRACT AND RETAIN EXECUTIVES WITH THE RIGHT SKILLS, ABILITIES AND MOTIVATION TO ACHIEVE OUR BUSINESS OBJECTIVE; AND ENSURE THE EXECUTIVE TOTAL COMPENSATION IS REASONABLE AND COMPETITIVE. -OUR CASH COMPENSATION AND BENEFIT PLANS WILL BE REVIEWED BY A HR CONSULTING FIRM AND ADJUSTED PERIODICALLY TO MEET THE CHANGING BUSINESS AND ORGANIZATIONAL CHARACTERISTICS OF OUR ORGANIZATION AND ITS EXECUTIVE STAFF AS DIRECTED BY THE FINANCE COMMITTEE. Form 990, Part VI, Line 15b Process to establish compensation of other employees TOTAL COMPENSATION IS THE SUM OF EACH EXECUTIVES BASE SALARY, INCENTIVE OPPORTUNITY, BENEFITS, AND PERQUISITES. -OUR TOTAL COMPENSATION PHILOSOPHY WILL APPLY TO ALL EXECUTIVES OF THE ORGANIZATION. -CASH COMPENSATION AND BENEFIT 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 BENEFIT PLANS WILL BE REVIEWED AND ADJUSTED PERIODICALLY TO MEET THE CHANGING BUSINESS AND ORGANIZATIONAL CHARACTERISTICS OF OUR ORGANIZATION AND ITS EXECUTIVE STAFF. THE COMPENSATION OF EACH INDIVIDUAL EXECUTIVE WILL BE REVIEWED AND APPROVED IN A MANNER CONSISTENT WITH THE INTERMEDIATE SANCTION TAX REGULATIONS. THE LAST COMPENSATION REVIEW PROCESS WAS COMPLETED IN 2022 BY SULLIVAN COTTER. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S FORM 1023 AND FORM 990 ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE ON GUIDESTAR'S DATABASE AVAILABLE AT WWW.GUIDESTAR.ORG. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE KENTUCKY SECRETARY OF STATE'S WEBSITE AT HTTPS://APP.SOS.KY.GOV/FTSEARCH/. OTHERWISE, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. A COPY OF THE ORGANIZATION'S FINANCIAL STATEMENTS IS ATTACHED TO ITS 990 IN COMPLIANCE WITH THE REQUIREMENTS OF THE AFFORDABLE CARE ACT. Form 990, Part VIII, Line 2f Other Program Service Revenue - Total Revenue: 329388, Related or Exempt Function Revenue: 329388, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All Other REvenue - Total Revenue: 1373465, Related or Exempt Function Revenue: 1373465, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; COMMONWEALTH MEDICAL MANAGEMENT LLC 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 204796653 PHYS CLNC SRV KY 0 0 OH THE HEALTH NETWORK OF WESTERN KY LLC 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 465739460 MSSP ACP KY 0 938000 OH OH MUHLENBERG LLC 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 473944197 HEALTHCARE SE KY 54571000 26743000 OH OH HEALTH SOLUTIONS LLC 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 474106977 HEALTHCARE SE KY 2000 2000 OH OH HEALTH NETWORK LLC 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 474114254 HEALTHCARE SE KY 0 0 OH OH PROPERTIES HOLDING LLC 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 611286361 MED OFFICE BLDG KY 796000 20230000 OH OWENSBORO HEALTH TWIN LAKES MEDICAL CENT 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 853033915 HEALTHCARE KY 501(c)(3) 3 OH true OWENSBORO HEALTH FOUNDATION INC 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 611251763 HEALTHCARE KY 501(c)(3) 7 OH true OWENSBORO HEALTH MEDICAL GROUP 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 611197638 HEALTHCARE KY 501(c)(3) 10 OH true OWENSBORO AM SR FAC 1000 BRKRG OWENSBORO KY 42303 752184992 SURGERY CENTER KY NA Related 1813192 5840070 false 0 false 0.6482 false true true false false false false false false true true false false false false true false false true OWENSBORO HEALTH MEDICAL GROUP INC J 590286 FMV OWENSBORO HEALTH MEDICAL GROUP INC P 135911740 FMV OWENSBORO HEALTH MEDICAL GROUP INC S 62443145 FMV OWENSBORO HEALTH MEDICAL GROUP INC K 2456101 FMV OWENSBORO HEALTH FOUNDATION INC B 948028 FMV OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER P 23100912 FMV OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER S 45905643 FMV Owensboro Health Foundation Inc C 228263 FMV