OWENSBORO HEALTH REGIONAL HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: OWENSBORO HEALTH REGIONAL HOSPITAL (EIN 61-1286361)
Tax period: 2014-06-01 to 2015-05-31
Filed: 2016-04-06
IRS object ID: 201640979349300424
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-04-06T13:51:17-05:00	ReturnTs
Tax Period End	2015-05-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE SUITE 4000	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-06-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	611286361	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Owensboro Health Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JOHN HACKBARTH	InCareOfNm
Business Name Control	OWEN	BusinessNameControlTxt
Phone	2704172000	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN HACKBARTH	PersonNm
Person Title	VP/CFO	PersonTitleTxt
Signature	2016-04-06	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JENNIFER D RHODERICK	PreparerPersonNm
PTIN	P00395735	PTIN
Phone	3176817000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PHILIP A PATTERSON	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$475,917,434	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.owensborohealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1995	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	OWENSBORO HEALTH, INC. EXISTS TO HEAL THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	3127	TotalEmployeeCnt
Total Volunteers	126	TotalVolunteersCnt
Total Gross UBI	$419,962	TotalGrossUBIAmt
PY Contributions Grants	$105,407	PYContributionsGrantsAmt
CY Contributions Grants	$1,033,944	CYContributionsGrantsAmt
PY Program Service Revenue	$414,101,992	PYProgramServiceRevenueAmt
CY Program Service Revenue	$456,545,029	CYProgramServiceRevenueAmt
PY Investment Income	$24,233,240	PYInvestmentIncomeAmt
CY Investment Income	$7,519,025	CYInvestmentIncomeAmt
PY Other Revenue	$11,918,509	PYOtherRevenueAmt
CY Other Revenue	$9,884,041	CYOtherRevenueAmt
PY Total Revenue	$450,359,148	PYTotalRevenueAmt
CY Total Revenue	$474,982,039	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,311,854	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,385,430	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$169,293,816	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$173,919,135	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$275,382,926	PYOtherExpensesAmt
CY Other Expenses	$273,580,431	CYOtherExpensesAmt
PY Total Expenses	$445,988,596	PYTotalExpensesAmt
CY Total Expenses	$448,884,996	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,370,552	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$26,097,043	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,039,815,614	TotalAssetsBOYAmt
Total Assets EOY	$1,077,985,694	TotalAssetsEOYAmt
Total Liabilities BOY	$623,487,254	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$646,064,052	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$416,328,360	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$431,921,642	NetAssetsOrFundBalancesEOYAmt
Mission	OWENSBORO HEALTH, INC. EXISTS TO HEAL THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$278,293,757	ExpenseAmt
Grant	$1,385,430	GrantAmt
Revenue	$461,567,508	RevenueAmt
Desc	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 others 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 Owensboro Health Medical Group, Inc., Foundation for Health, Inc., One Health Network, LLC, One Health Solutions, LLC, and The Health Network of Western Kentucky, LLC. OH's primary activity consists of providing medical and patient care services in its main hospital, Owensboro Health Regional Hospital, serving 11 counties in western Kentucky and southern Indiana. Our medical services are delivered by highly skilled physicians along with a caring and compassionate nursing staff. 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, 2015, OH had total admissions of 16,914, patient days of 81,252, and total ER visits of 68,718. 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 $3,581,125 in financial assistance to low-income and/or uninsured patients. OH does not include in that amount $23,271,246 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.	Desc
Total Program Service Expenses	$278,293,757	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	125	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3127	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JOHN HACKBARTH	PersonNm
Phone	2704174814	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Knight Robert MD
Board Member	3.0	0.0	Yes (X)	$0	$0	$0
Nunley Deborah
Chairman	3.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
Presser Ron
Board Member	3.0	0.0	Yes (X)	$0	$0	$0
Rice Jeff
Board Member (thru 10/2014)	3.0	0.0	Yes (X)	$0	$0	$0
Scherm Janice
Board Member	3.0	0.0	Yes (X)	$0	$0	$0
Woodward Terry
Board Member	3.0	0.0	Yes (X)	$0	$0	$0
Meyer Tom
Board Member	3.0	0.0	Yes (X)	$0	$0	$0
Carpenter Jeff
Board Member / Secretary	3.0	3.0	Yes (X)	$0	$0	$0	Yes (X)
Harris Suzanne
Board Member	3.0	0.0	Yes (X)	$0	$0	$0
Millsap Mark
Board Member	3.0	0.0	Yes (X)	$0	$0	$0
Wells Jack
Board Member, Vice Chair	3.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
Yeiser Michael
Board Member	3.0	0.0	Yes (X)	$0	$0	$0
Farmer Bob
Board Member (as of 11/2014)	3.0	0.0	Yes (X)	$0	$0	$0
Harrison William
Board Member (as of 11/2014)	3.0	0.0	Yes (X)	$0	$0	$0
Bea Charles MD thru 102014
Board Member, Secretary	3.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Blazar Suzanne Northern
Board Member	3.0	0.0	Yes (X)	$0	$0	$0
Patterson Philip
President / CEO	40.0	10.0		$849,347	$0	$83,347	Yes (X)
Hackbarth Jr John
Chief Financial Officer	40.0	10.0		$498,884	$0	$59,935	Yes (X)
Scherm Michael J MD
Chief Surgical Officer	40.0	10.0		$401,917	$0	$48,568		Yes (X)
Begley II Ernest E
Chief Legal Officer	40.0	10.0		$432,474	$0	$55,420		Yes (X)
Jones Lisa
Vice President of Clinical Svc	40.0	10.0		$296,939	$0	$49,126		Yes (X)
Medley Jr Richard W
Chief Medical Officer	40.0	10.0		$483,791	$0	$39,936		Yes (X)
Mills Michael
Vice President - Ancillary Svc	40.0	10.0		$295,643	$0	$41,132		Yes (X)
Ranallo Russell
Vice President - Financial Svc	40.0	10.0		$343,931	$0	$49,570		Yes (X)
Stogsdill Vicki
Vice President of Nursing Svc	40.0	10.0		$434,583	$0	$51,881		Yes (X)
Strahan Greg
Chief Operations Officer	40.0	10.0		$640,823	$0	$64,227		Yes (X)
Elley Michael E
Chief Information Officer	40.0	10.0		$264,148	$0	$40,249		Yes (X)
Johnson Stephen M
VP of Govt and Community	40.0	10.0		$165,258	$0	$34,545		Yes (X)
Suter Mia
Chief Development Officer	40.0	10.0		$449,457	$0	$37,690		Yes (X)
Chapman William
Psychiatrist	40.0	0.0		$270,365	$0	$39,872			Yes (X)
Danhauer David E
Chief Medical Info Officer	40.0	10.0		$323,847	$0	$46,366			Yes (X)
Taylor Joseph W
Executive Director, Facilities	40.0	10.0		$189,712	$0	$35,286			Yes (X)
Jacildo Ruby
Controller	40.0	10.0		$185,869	$0	$22,827			Yes (X)
Haynes Heather
Director of Pharmacy	45.0	5.0		$197,591	$0	$17,737			Yes (X)
Barber Jeffrey
former officer	0.0	0.0		$466,890	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,191,469	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$817,714	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	114	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WYATT TARRANT COMBS LLP
500 WEST JEFFERSON ST SUITE 2800	LOUISVILLE	KY	40202	LEGAL SERVICES	$1,587,527
OBHG KENTUCKY PSC
10 CENTIMETERS DRIVE	MAULDIN	SC	29662	OB SERVICES	$1,460,722
CROTHALL LAUNDRY SERVICES
13028 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	LAUNDRY SVC & HK SVC	$2,278,078
EXECUTIVE HEALTH RESOURCES INC
PO BOX 822688	PHILADELPHIA	PA	191822688	COMPLIANCE SERVICE	$1,130,695
GE healthcare
PO box 96483	CHICAGO	IL	60693	RADIOLOGY SERVICES	$1,010,945

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	61	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$1,033,399	RelatedOrganizationsAmt
All Other Contributions	$545	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$1,033,944	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT REVENUE-OTHER INSURANCE	621110	$240,186,425	$240,186,425	$0	$0
MEDICARE/MEDICAID PAYMENT	621110	$215,890,752	$215,890,752	$0	$0
REVENUE - OASF	621110	$877,635	$877,635	$0	$0
REVENUE - OCHN	621110	$10,934	$10,934	$0	$0
REVENUE - CANCER RESEARCH	621110	-$404,280	-$404,280	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$16,437	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$16,437	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$456,545,029	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,854,760	TotalRevenueColumnAmt
Exclusion	$3,854,760	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,232,330	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$504,256	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,728,074	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,728,074	TotalRevenueColumnAmt
Exclusion	$1,728,074	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,664,265	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,664,265	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,664,265	TotalRevenueColumnAmt
Exclusion	$3,664,265	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$577,008	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$431,139	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$145,869	TotalRevenueColumnAmt
Exclusion	$145,869	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA & VENDING REV	721110	$2,567,657	$0	$0	$2,567,657
PHARMACY 340B	900099	$1,372,062	$1,372,062	$0	$0
LAUNDRY, CATERING & 990T	812300	$419,962	$0	$419,962	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,650,417	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,650,417	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$8,010,098	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$474,982,039	TotalRevenueColumnAmt
Related Or Exempt Func Income	$461,567,508	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$419,962	UnrelatedBusinessRevenueAmt
Exclusion	$11,960,625	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,345,768	TotalAmt
Program Services	$1,345,768	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$39,662	TotalAmt
Program Services	$39,662	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,612,636	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$6,612,636	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$289,676	TotalAmt
Program Services	$206,068	ProgramServicesAmt
Management And General	$83,608	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$130,999,670	TotalAmt
Program Services	$104,602,497	ProgramServicesAmt
Management And General	$26,397,173	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$10,729,687	TotalAmt
Program Services	$8,047,265	ProgramServicesAmt
Management And General	$2,682,422	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,181,485	TotalAmt
Program Services	$11,333,778	ProgramServicesAmt
Management And General	$3,847,707	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,105,981	TotalAmt
Program Services	$7,503,530	ProgramServicesAmt
Management And General	$2,602,451	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$10,162,384	TotalAmt
Program Services	$5,452,455	ProgramServicesAmt
Management And General	$4,709,929	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,810,114	TotalAmt
Management And General	$1,810,114	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$260,459	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$260,459	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$79,629	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$79,629	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$561,352	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$561,352	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$34,368,489	TotalAmt
Program Services	$23,919,858	ProgramServicesAmt
Management And General	$10,448,631	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,628,041	TotalAmt
Program Services	$5,406	ProgramServicesAmt
Management And General	$2,622,635	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,655,432	TotalAmt
Program Services	$2,285,764	ProgramServicesAmt
Management And General	$4,369,668	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,525,845	TotalAmt
Program Services	$1,063,245	ProgramServicesAmt
Management And General	$7,462,600	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$143,961	TotalAmt
Program Services	$91,430	ProgramServicesAmt
Management And General	$52,531	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,000,429	TotalAmt
Program Services	$4,095,239	ProgramServicesAmt
Management And General	$1,905,190	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,059,108	TotalAmt
Program Services	$310,749	ProgramServicesAmt
Management And General	$748,359	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$235,634	TotalAmt
Program Services	$86,518	ProgramServicesAmt
Management And General	$149,116	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$32,322,596	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$32,322,596	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$49,949,640	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$49,949,640	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,429,501	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$5,429,501	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$78,373,493	$78,238,167	$135,326	$0
BAD DEBT EXPENSE	$23,271,246	$23,271,246	$0	$0
PROVIDER TAX	$3,698,463	$3,698,463	$0	$0
DIETARY	$2,988,729	$2,555,739	$432,990	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,055,886	TotalAmt
Program Services	$140,910	ProgramServicesAmt
Management And General	$4,914,976	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$448,884,996	TotalAmt
Program Services	$278,293,757	ProgramServicesAmt
Management And General	$170,591,239	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,853	BOYAmt
EOY	$10,775	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$23,428,281	BOYAmt
EOY	$19,276,270	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$139,622,912	BOYAmt
EOY	$196,344,418	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$118,782	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,485,782	BOYAmt
EOY	$9,554,707	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,985,581	BOYAmt
EOY	$11,989,769	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$821,216,203	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$250,602,147	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$600,355,506	BOYAmt
EOY	$570,614,056	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$163,778,364	BOYAmt
EOY	$170,983,102	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$24,822,801	BOYAmt
EOY	$25,253,286	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,328,434	BOYAmt
EOY	$11,328,434	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$56,878,318	BOYAmt
EOY	$62,630,877	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,039,815,614	BOYAmt
EOY	$1,077,985,694	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$50,668,480	BOYAmt
EOY	$56,018,998	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$6,167,162	BOYAmt
EOY	$7,670,673	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$496,175,636	BOYAmt
EOY	$496,615,157	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$70,475,976	BOYAmt
EOY	$85,759,224	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$623,487,254	BOYAmt
EOY	$646,064,052	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$416,328,360	BOYAmt
EOY	$431,921,642	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$416,328,360	BOYAmt
EOY	$431,921,642	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,039,815,614	BOYAmt
EOY	$1,077,985,694	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$26,097,043	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$145,778	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$10,357,983	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$59,493	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$20,136	OtherActivitiesAmt
Total Lobbying Expenditures	$79,629	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE C, PART II-B, LINE 1I

POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES PERCENTAGE OF LOBBYING ACTIVITIES FROM KENTUCKY HOSPITAL ASSOCIATION DUES.

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 EXECUTIVE DIRECTOR OF GOVERNMENTAL, COMMUNITY AND LEGISLATIVE AFFAIRS ENGAGES IN LOBBYING ACTIVITIES AT THE FEDERAL, STATE AND LOCAL LEVELS. THE EXECUTIVE DIRECTOR DOES MEET WITH MEMBERS OF CONGRESS ON OCCASION DURING THE YEAR EITHER IN WASHINGTON OR IN OWENSBORO. AT THE STATE LEVEL, THE EXECUTIVE DIRECTOR IS REGISTERED AS A LEGISLATIVE AGENT WITH THE KENTUCKY GENERAL ASSEMBLY. LOBBYING EFFORTS ARE GENERALLY LIMITED TO THAT PERIOD OF TIME IN WHICH THE GENERAL ASSEMBLY IS IN SESSION. THIS PERIOD INCLUDES A 30-DAY LEGISLATIVE SESSION IN ODD NUMBERED YEARS AND A 60-DAY LEGISLATIVE SESSION IN EVEN 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 EXECUTIVE DIRECTOR 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, 2015, ALL LOBBYING ACTIVITY BY THE EXECUTIVE DIRECTOR DID NOT EXCEED 30% OF TOTAL WORK-RELATED DUTIES AND RESPONSIBILITIES.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,172,069	OtherCostOrOtherBasisAmt
Book Value	$15,172,069	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$553,728,378	OtherCostOrOtherBasisAmt
Depreciation	$77,806,533	DepreciationAmt
Book Value	$475,921,845	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$248,660,484	OtherCostOrOtherBasisAmt
Depreciation	$172,795,614	DepreciationAmt
Book Value	$75,864,870	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,655,272	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$3,655,272	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$570,614,056	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
COST OF ISSUANCE SERIES A 2010	$2,296,522
COST OF ISSUANCE SERIES B 2010	$237,614
LTD USE ASSETS FROM SERIES A&B	$60,059,789
COST OF ISSUANCE SERIES A 2015	$36,952

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$62,630,877	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYORS	$20,926,029
ACCRUED PENSION	$48,390,763
WORKMAN'S COMP RESERVE	$5,377,560
MALPRACTICE RESERVE	$11,064,872

Field	Value	IRS element (for citing)
Total Liability	$85,759,224	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE D, PART X, LINE 2 THE SYSTEM APPLIES FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC TOPIC 740 (TOPIC 740), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS AND PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE HAS BEEN NO IMPACT ON THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS AS A RESULT OF TOPIC 740.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	375.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,581,125	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,581,125	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,821,723	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,077,320	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,744,403	NetCommunityBenefitExpnsAmt
Total Expense	0.02760	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,402,848	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,077,320	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,325,528	NetCommunityBenefitExpnsAmt
Total Expense	0.03600	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,173,651	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,173,651	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$126,782	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$125,782	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$298,784	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$298,784	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$724,386	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$724,386	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,323,603	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,322,603	NetCommunityBenefitExpnsAmt
Total Expense	0.00550	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,726,451	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,078,320	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,648,131	NetCommunityBenefitExpnsAmt
Total Expense	0.04150	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	500	PersonsServedCnt
Total Community Benefit Expns	$42,822	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$42,822	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$525	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$525	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$15,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	111	PersonsServedCnt
Total Community Benefit Expns	$61,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$61,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	611	PersonsServedCnt
Total Community Benefit Expns	$119,347	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$119,347	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$23,271,246	BadDebtExpenseAmt
Bad Debt Expense Attributable	$11,635,623	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$129,990,390	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$156,768,959	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$26,778,569	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	OWENSBORO CHN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	PROVIDER NETWORK	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.50000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OWENSBORO HEALTH INC	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Website Address	www.owensborohealth.org	WebsiteAddressTxt
State License	100092	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	OWENSBORO HEALTH INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.OWENSBOROHEALTH.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Section C	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	375.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.owensborohealth.org	FAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Lowest Negotiated Rates	Yes (X)	LowestNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE H, PART V, SECTION B, Line 5	CHNA community Input OWENSBORO HEALTH COLLABORATED WITH PUBLIC HEALTH DURING THE ENTIRE CHNA intake PROCESS. IN 2011 THE GREEN RIVER DISTRICT HEALTH DEPARTMENT (GRDHD), WHICH INCLUDES THE COUNTIES OF DAVIESS, HANCOCK, HENDERSON, MCLEAN, OHIO, UNION, AND WEBSTER, BEGAN A COMMUNITY-WIDE PROCESS TO ANALYZE COMMUNITY HEALTH NEEDS AND IDENTIFY THE HEALTH PRIORITIES FOR THE REGION. THE COMMUNITY HEALTH ASSESSMENT, IS A FEDERAL REQUISITE FOR OBTAINING PUBLIC HEALTH ACCREDITATION. GRDHD UTILIZED THE STRATEGIC PLANNING FRAMEWORK KNOWN AS MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS, OR MAPP, DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY & CITY HEALTH OFFICIALS (NACCHO). FOR ADDITIONAL INFORMATION GO TO HTTP://WWW.HEALTHDEPARTMENT.ORG/ THE ASSESSMENTS AND INFORMATION COLLECTED BY THE GRDHD INCLUDED A SECONDARY DATA ASSESSMENT, AN ON-LINE AND IN-PERSON SURVEY, AND COMMUNITY FORUMS TO OBTAIN INFORMATION AND COLLABORATE WITH STAKEHOLDERS, ALL OF WHICH INFORMED THE IDENTIFICATION OF KEY COMMUNITY HEALTH ISSUES. A COMMUNITY PERCEPTION SURVEY ASSESSMENT WAS MADE AVAILABLE ONLINE AND IN-PERSON AT EACH OF THE SEVEN HEALTH CLINICS THROUGHOUT THE REGION. APPROXIMATELY 500 PEOPLE COMPLETED THE SURVEY, AND THOSE INVOLVED WITH THE DATA COLLECTION AND ANALYSIS SAID THAT THE SURVEY TARGETED THE UNDERSERVED POPULATION. ADDITIONALLY, THE GRDHD FACILITATED TWO COMMUNITY FORUMS HELD IN THE FIRST HALF OF 2012 TO ENGAGE WITH COMMUNITY STAKEHOLDERS AND COLLECT THEIR INPUT. THE COMMUNITY FORUMS WERE ATTENDED BY BETWEEN 75 AND 100 COMMUNITY MEMBERS REPRESENTING A DIVERSE GROUP OF NON-GOVERNMENTAL ORGANIZATIONS, BUSINESSES, HEALTHCARE INSURERS AND PROVIDERS, AND GOVERNMENT AGENCIES. THE FIRST FORUM, the community health forum, WAS DESIGNED TO IDENTIFY HEALTH NEEDS AS WELL AS IDENTIFY ALL RESOURCES CURRENTLY AVAILABLE TO MEET THOSE NEEDS. PARTICIPANTS WERE ASKED, "WHAT DO YOU THINK ARE THE PROBLEMS IN DAVIESS COUNTY?" AT THE SECOND COMMUNITY FORUM, STAKEHOLDERS WERE PRESENTED COMPLETE RESULTS OF THE SECONDARY DATA ANALYSIS, THE COMMUNITY SURVEY, AND THE STAKEHOLDER INPUT FROM THE COMMUNITY HEALTH FORUM. THEY WERE ASKED TO DISCUSS AND PRIORITIZE BY DOT METHOD THE GREATEST COMMUNITY HEALTH ISSUES BASED ON THE ANALYSIS, COMMUNITY PERCEPTION SURVEY, AND STAKEHOLDER INPUT. OTHER ORGANIZATIONS and community members THAT WERE CONSULTED INCLUDED: A NEW BEGINNING AUDUBON AREA COMMUNITY SERVICES BAPTIST HEALTH MADISONVILLE BICYCLE OWENSBORO CARENET CONSUMERS DAVIESS COUNTY DIABETES COALITION DAVIESS COUNTY JUDGE EXECUTIVE DAVIESS COUNTY PUBLIC SCHOOL SYSTEM DAVIESS COUNTY PARKS AND RECREATION DAVIESS COUNTY SHERRIFF OFFICE ELIZABETH MUNDAY SENIOR ACTIVITY CENTER GIRLS INCORPORATED GREATER OWENSBORO ECONOMIC DEVELOPMENT CORPORATION GREEN RIVER DISTRICT HEALTH DEPARTMENT/DAVIESS COUNTY HEALTH CENTER GREEN RIVER AREA DEVELOPMENT DISTRICT HEARTLAND HOMEOWNERS ASSOCIATION H.L. NEBLETT COMMUNITY CENTER HAGER FOUNDATION HEALTHPARK HEALTHY HORIZONS INTERNATIONAL CENTER KENTUCKY CANCER PROGRAM KENTUCKY DEPARTMENT FOR ENVIRONMENTAL PROTECTION KENTUCKY DEPARTMENT OF PUBLIC HEALTH KENTUCKY DIABETES PREVENTION AND CONTROL PROGRAM (KDPCP) KENTUCKY WESLEYAN COLLEGE MCCAULEY CLINIC MEDICAL RESERVE CORPS OWENSBORO COMMUNITY AND TECHNICAL COLLEGE OWENSBORO MEDICAL HEALTH SYSTEM OWENSBORO PARKS & RECREATION OWENSBORO PRIMARY CARE OWENSBORO ROTARY OWENSBORO YMCA PLANNED PARENTHOOD PUBLIC LIFE FOUNDATION OF OWENSBORO RIVER VALLEY BEHAVIORAL HEALTH SENIOR SERVICE CORP ST. BENEDICTS SHELTER SUSAN G. KOMEN FOUNDATION UNITED WAY OF THE OHIO VALLEY UNIVERSITY OF KENTUCKY EXTENSION, DAVIESS COUNTY UNIVERSITY OF LOUISVILLE WAX WORKS WELLCARE WENDELL FOSTER CAMPUS WESTERN KENTUCKY UNIVERSITY-OWENSBORO WILLIAM G. BARRON ENT., INC. FOLLOWING THIS PROCESS, OWENSBORO HEALTH ENGAGED THE HEALTHY COMMUNITIES INSTITUTE TO CONDUCT A MORE DETAILED DATA ANALYSIS. BOTH PRIMARY AND SECONDARY DATA WAS USED IN THIS ANALYSIS. THE SECONDARY DATA WAS DERIVED FROM OWENSBORO HEALTH'S HCI-CHNA SYSTEM, HTTP://WWW.OWENSBOROHEALTH.ORG/COMMUNITY-WELLNESS/HEALTH-NEEDS-ASSESSMENT/ THE SYSTEM INCLUDES THE MOST UP-TO-DATE PUBLICLY AVAILABLE DATA FOR APPROXIMATELY 140 COMMUNITY INDICATORS FROM OVER 20 SOURCES, COVERING OVER 20 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. ADDITIONAL PRIMARY DATA CONSISTED OF IN-DEPTH PHONE INTERVIEWS WITH NINE COMMUNITY INFORMANTS INCLUDING A PUBLIC HEALTH EXPERT, PHYSICIANs and PUBLIC SERVANTs. interviews with HEALTHCARE AND SOCIAL SERVICE PROVIDERS WITH EXPERTISE AND SPECIAL KNOWLEDGE REGARDING THE NEEDS IN THE COMMUNITY Were SOUGHT ONCE THE COMMUNITY PRIORITY AREAS WERE NAMED IN AN EFFORT TO PROVIDE AN EVEN DEEPER UNDERSTANDING OF THE HEALTH NEEDS IN THE COMMUNITY. THE ADDITIONAL DATA COLLECTION REVEALED ADDITIONAL COMMUNITY NEEDS FROM THE ANALYSIS THAT WHILE NOT SELECTED AS PRIORITY HEALTH NEEDS WERE SO CLOSELY INTERREALTED AND INFLUENTIAL TO THE NAMED PRIORITY AREAS THOSE NEEDS WERE OFFERED AS ADDITIONAL AREAS OF CONCERN.
FORM 990, SCHEDULE H, PART V, SECTION B, Line 10a	Link to Implementation strategy http://assets.thehcn.net/content/sites/omhs/Implementation_Strategy_FINAL. pdf
FORM 990, SCHEDULE H, PART V, SECTION B, Line 11	How the hospital is Addressing Significant needs IN ADDITION TO THE CHNA, AND IN ACCORDANCE WITH REQUIREMENTS CONTAINED IN THE AFFORDABLE CARE ACT, OWENSBORO HEALTH ALSO ADOPTED AN IMPLEMENTATION PLAN WHICH DESCRIBES HOW OWENSBORO HEALTH PLANS TO ADDRESS THE IDENTIFIED HEALTH NEEDs CONTAINED WITHIN THE CHNA. SUBSEQUENTLY, OH FORMED AN INTERNAL IMPLEMENTATION STRATEGY TEAM COMPRISED OF STAFF MEMBERS FROM ACROSS THE ORGANIZATION INCLUDING REPRESENTATIVES OF: ADMINISTRATION; CANCER SERVICES; CARDIAC CARE; RESPIRATORY CARE; PHYSICIAN RECRUITING; COMMUNITY HEALTH AND WELLNESS; BEHAVIORAL HEALTH; NURSING; QUALITY; INFORMATION SYSTEMS; MEDICAL STAFF; FINANCE; STRATEGIC PLANNING; THE OH HEALTHPARK; GOVERNMENTAL, COMMUNITY AND LEGISLATIVE AFFAIRS; AND, COMMUNITY BENEFIT AND OUTREACH. Implementation Strategy Purposes: STRATEGY ONE - IDENTIFICATION AND INVENTORY OF EXISTING ACTIVITIES AND PROGRAMS, ADDRESSING TARGETED INDICATORS STRATEGY TWO - IDENTIFICATION OF GAPS IN ACTIVITIES AND PROGRAMS ADDRESSING TARGETED INDICATORS STRATEGY THREE - DEVELOPMENT OF A WRITTEN ACTION PLAN FOR ADDRESSING TARGETED INDICATORS STRATEGY FOUR - ONGOING EVALUATION, DEVELOPMENT AND REFINEMENT THE OWENSBORO HEALTH TAX YEAR 2014 IMPLEMENTATION STRATEGY UPDATE, AS MANDATED IN THE AFFORDABLE CARE ACT, REPRESENTS HOW THE OWENSBORO HEALTH REGIONAL HOSPITAL ALONG WITH ITS SYSTEM ENTITIES AND FACILITIES ARE WORKING COLLECTIVELY TO ADDRESS THE NAMED PRIORITY HEALTH INDICATORS. THE INTENT WITH OUR FIRST IMPLEMENTATION PLAN UNDER STRATEGIES ONE, TWO AND THREE, WAS TO OUTLINE A PLAN FROM WHICH ADDITIONAL PLANNING AND DECISION MAKING COULD TAKE PLACE ACROSS THE ORGANIZATION. A SIGNIFICANT COMPONENT OF THE PLAN WAS TO PINPOINT EXISTING ACTIVITIES THAT ADDRESSED TARGETED INDICATORS IDENTIFIED IN THE OWENSBORO HEALTH CHNA that was APPROVED BY THE OWENSBORO HEALTH BOARD OF DIRECTORS ON JANUARY 28, 2013. A PROJECT TO IDENTIFY ACTIONS AND ACTIVITIES ACROSS THE ORGANIZATION SPECIFICALLY TARGETED TO CHNA INDICATORS HAD NEVER BEEN UNDERTAKEN. OWENSBORO HEALTH COMMUNITY RELATIONS STAFF UTILIZED NUMEROUS SOURCES OF INFORMATION INCLUDING BUT NOT LIMITED TO INTERVIEWS, SURVEYS AND OWENSBORO HEALTH'S INTERNAL MECHANISM FOR TRACKING COMMUNITY BENEFIT. WHILE WE UTILIZE CB TRACKER, A SOFTWARE SYSTEM TO TRACK COMMUNITY BENEFIT ACTIVITIES FOR OWENSBORO HEALTH, THE UNDERSTANDING OF WHAT CONSTITUTES COMMUNITY BENEFIT REMAINS AN ONGOING EDUCATIONAL CHALLENGE FOR THE 3500 MEMBERS OF OUR ORGANIZATION. NUMEROUS STRATEGIES THAT ADDRESS COMMUNITY HEALTH NEEDS HAVE BEEN DEVELOPED AND IMPLEMENTED OVER THE YEARS. HOWEVER, MANY LEADERS IN THE ORGANIZATION ENGAGED IN THESE ACTIVITIES HAVING NEVER CONSIDERED THESE COMMUNITY HEALTH OUTREACH EFFORTS AS BEING CLASSIFIED UNDER THE TERM "COMMUNITY BENEFIT" AS IT RELATES IRS 990 REPORTING. THEREFORE NOT ONLY DOES THIS RESULT IN CONSERVATIVE REPORTING, IT DOES NOT ALLOW FOR A FULL PICTURE OF WORK BEING DONE. THEREFORE, ASCERTAINING THE VOLUME OF ACTIVITIES ADDRESSING CERTAIN INDICATORS UNDER THE FRAMEWORK OF AN ADOPTED CHNA AND DEFINED IMPLEMENTATION PLAN SPREAD ACROSS THE ORGANIZATION HAS PROVEN TO BE AN ENLIGHTENING, CHALLENGING AND BENEFICIAL EXERCISE. THE EXAMINATION AND DEVELOPMENT OF STRATEGIC PLANNING EFFORTS TO ADDRESS COMMUNITY HEALTH NEEDS BOTH WITHIN OWENSBORO HEALTH AND IN COLLABORATION WITH THE ENTIRE SYSTEM, HAS PROVEN TO BE ONE OF THE MOST VALUABLE ASSETS OF THE CHNA PROCESS. THE compilation of information INCLUDED IN THIS UPDATE REFLECTS MANY OF THE HIGHLIGHTED PROGRAMS AND STRATEGIES OWENSBORO HEALTH IS USING TO ADDRESS THOSE NEEDS. THIS Information HOWEVER, IS A WORK IN PROGRESS WITH MUCH WORK YET TO BE DONE. MORE SPECIFICALLY, DECISION MAKING AND IMPLEMENTATION PROCESSES ARE TO BE IDENTIFIED, AND GAPS IDENTIFIED, WHEREBY FUNDS CAN BE ALLOCATED AND OTHER RESOURCES, POLICIES AND EFFORTS CAN BE EXAMINED. WITH ONGOING EFFORTS TOWARDS FINALIZATION OF AN INVENTORY, OWENSBORO WILL MOVE NEXT TOWARDS MAPPING OUT AGREED UPON STRATEGIES UNDER EACH PRIORITY AREA, TAKING INTO CONSIDERATION CHOSEN METRICS AND DESIRED MEASURABLE OUTCOMES. THIS REVIEW AND EXAMINATION WILL BE APPROVED BY SENIOR LEADERSHIP AND THE OWENSBORO HEALTH BOARD OF DIRECTORS. STRATEGY FOUR, ONGOING EVALUATION, DEVELOPMENT AND REFINEMENT WILL TAKE PLACE FOLLOWING PLAN FINALIZATION AND APPROVAL. IMPLEMENTATION PLAN 3 YEAR HIGHLIGHTS AND UPDATES (REVISED FOR TAX YEAR ENDING MAY 31, 2015): - THE OWENSBORO HEALTH GIVES COMMUNITY BENEFIT GRANT PROGRAM WAS CHANGED TO ONLY CONSIDER PROPOSALS WHICH SOUGHT TO IMPACT THE NAMED PRIORITY HEALTH NEEDS. - IN FY15, Owensboro health GRANT SUPPORT AND IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS, OVER $700,000 IN GRANT FUNDS WERE PROVIDED TO IMPACT PRIORITY HEALTH NEEDS. - AS A RESULT OF THE CHNA, NEW PARTNERSHIPS RESULTING IN NEW PROGRAMS AND INITIATIVES TO ADDRESS PRIORITY HEALTH NEEDS HAVE BEEN FORMED. ADDITIONAL PARTNERSHIPS TO SUPPORT DECISIONS MADE AS A RESULT OF THIS PLAN ARE ONGOING AND WILL CONTINUE. - OWENSBORO HEALTH CONTINUES TO SUPPORT, BOTH FINANCIALLY AND WITH STAFF TECHNICAL ASSISTANCE, THE STRATEGIC REGIONAL HEALTH COUNCIL INFRASTRUCTURE AND EFFORTS IMPACTING THE LOCAL COUNTY HEALTH COUNCIL AND ITS GOALS FOR WHICH OUR DEFINED COMMUNITY RESIDES. THE ACTION TEAMS MENTIONED IN THE PREVIOUS SUMMARIES ARE A DIRECT RESULT OF THE STRATEGIC EFFORTS AS A RESULT OF THE CHNA. PRIORITY HEALTH ISSUES NAMED IN OWENSBORO HEALTH's CHNA AND HIGHLIGHTS FROM INVENTORIED ACTIVITIES SINCE the FIRST CHNA AND ADDITIONAL ACTIVITIES SINCE THAT TIME WITHIN FISCAL YEAR 15: SUBSTANCE ABUSE (ATOD) - TOBACCO: TOBACCO FREE ON ALL CAMPUSES O COOPER-CLAYTON METHOD SMOKING CESSATION PROGRAMS O INTERNAL POLICY CHANGES TO PROMOTE SMOKING CESSATION O PARTNERED IN FY15 WITH GREEN RIVER TOBACCO COALITION TO ENHANCE THEIR ABILITY TO MARKET THE QUIT NOW KENTUCKY PROGRAM AS IT IS INDICATED ITS STRONG USE IN OTHER AREAS OF THE STATE ARE PROVING SUCCESSFUL IN REDUCING THE NUMBER OF TOBACCO USERS - OWENSBORO REGIONAL RECOVERY FAMILY RECOVERY PROGRAM O CONTINUATION OF SUPPORT IN FY 15 - BOULWARE MISSION O FY 15: PROVIDED SUPPORT FOR STAFF TO ATTEND KY SCHOOL FOR ALCOHOL AND DRUG STUDIES - GREATER OWENSBORO YOUNG LIFE (MENTORING TO YOUTH TO IMPACT HEALTHY LIFESTYLE CHOICES) - FRIENDS OF SINNERS (DRUG TESTING ENHANCEMENT; SUPPORT POLICY CHANGES) - SUPPORT PROVIDED FY 15 TO COURT APPOINTED SPECIAL ADVOCATES (CASA) AS CHILDREN COMING FROM FAMILIES WITH SUBSTANCE ABUSE ISSUES IS A REAL ISSUE IN THIS COMMUNITY. - LIGHTHOUSE RECOVERY PROGRAM FOR FY 15 PROVIDED MATCHING FUNDS TO HELP THIS ORGANIZATION BUILD A 12 BED WOMEN'S RECOVERY HOUSE. - PROVIDED SUPPORT TO LOCAL DOMESTIC VIOLENCE/SUBSTANCE ABUSE SHELTER TO FOCUS TARGETED PROGRAMMATIC EFFORTS FOR 40 PREGNANT, SUBSTANCE USING MOTHERS TO STOP THEIR USE DURING PREGNANCY, DELIVER DRUG FREE BABIES AND CONTINUE SUPPORT IN THEIR RECOVERY PROCESS. - PROVIDE SUPPORT TO INDIVIDUALS IN SUBSTANCE ABUSE RECOVERY PROGRAMs TO ALLOW THEM TO SEEK THEIR GED AND TESTING. OBESITY - PARTNERS ON COMMUNITY OBESITY ACTION TEAM O ACTIVELY WORKING TO SECURE POLICY CHANGES AND BETTER BITES PROGRAM TO COMMUNITY CONCESSION STANDS, SCHOOL AND OTHER VENDORS. - POWER UP KIDZ - SCHOOL HEALTH ASSESSMENTS IN DAVIESS COUNTY TO ALL STUDENTS IN K-8; REPORTS GIVEN TO SCHOOLS FOR USE IN THEIR SCHOOL HEALTH AND WELLNESS PLANNING. - GET MOVIN: OVER 200 COMMUNITY GROUPS, OVER 2 MILLION MINUTES LOGGED - OWENSBORO HEALTH HEALTHPARK IS A CERTIFIED MEDICAL FITNESS FACILITY BY THE MEDICAL FITNESS ASSOCIATION BECOMING THE FIRST FACILITY IN KENTUCKY TO EARN THE DESIGNATION. TO MEET THIS CERTIFICATION, CRITERIA SUCH AS RESULT- BASED PROGRAMMING, SAFETY AND TRAINING MUST BE MET. OWENSBORO HEALTH SUPPORTS MANY PROGRAMS, COMMUNITY ORGANIZATION EVENTS AND SUPPORT GROUPS IN PARTNERSHIP WITH OUR HEALTHPARK. - BOYS AND GIRLS CLUB: TRIPLE AIM SUPPORTING PREVENTION OF CHILDHOOD OBESITY O CONTINUATION OF NATIONAL EVIDENCE BASED PROGRAM TO ADDRESS CHILDHOOD OBESITY - GREEN RIVER DOWN SYNDROME ASSOCIATION: SPECIAL POPULATIONS FOCUSED ON NUTRITION/PHYSICAL FITNESS TO IMPACT PREVENTION OF CHRONIC DISEASE - PUZZLE PIECES: ADDRESSING LIFESTYLE CHOICES RELATED TO NUTRITION AND PHYSICAL FITNESS WITH THOSE PERSONS LIVING WITH DISABILITIES TO IMPACT PREVENTION OF CHRONIC DISEASE O CONTINUATION OF SUPPORT FOR A "GET UP AND MOVE PROGRAM AND LIFESKILLS CURRICULUM" FOR INDIVIDUALS WITH INTELLECTUAL ABILITIES, THE ONLY SUCH PROGRAM SPECIFIC TO THEM IN THE COMMUNITY. - FY 15 PROVIDED SUPPORT FOR THREE COUNTY SCHOOLS to initiate plans TO INCREASE PHYSICAL ACTIVITY FOR THEIR STUDENTS. - PROVIDED SUPPORT FOR 18 COUNTY PRESCHOOL CLASSES TO INCREASE ACTIVITY AND NUTRITIONAL KNOWLEDGE AMONG PRESCHOOLERS AND THEIR FAMILIES - INITIATED IN FY 15 IN PARTNERSHIP WITH PASSPORT HEALTH PLAN, created GONOODLE, AN INTERACTIVE WEB BASED PROGRAM FOR ELEMENTARY STUDENTS TO INCREASE THE NUMBER OF MINUTES SPENT IN PHYSICAL MOVEMENT AND ACTIVITY EACH WEEK. O PLANS TO EXPAND THIS WORK IN FY16 ACCESS TO CARE - COMMITMENT TO INCREASING A

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OWENSBORO AMBULATORY SURGICAL FACILITY	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Facility	AMBULATORY SURGERY CENTER	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE H, PART I, LINE 7	BAD DEBT EXPENSE WHEN CALCULATING THE COMMUNITY BENEFIT PERCENTAGES IN PART I, LINE 7, BAD DEBT EXPENSE OF $23,271,246, WAS EXCLUDED.
Form 990, Schedule H, Part II	community building activities IN ORDER TO PROMOTE THE HEALTH OF THE COMMUNITY WE SERVE, Owensboro health ("Oh") PARTICIPATES IN NUMEROUS COMMUNITY BUILDING ACTIVITIES WHICH ARE NOT A PART OF PART I CHARITY CARE AND OTHER COMMUNITY BENEFITS, AND ARE NOT INCLUDED ELSEWHERE ON SCHEDULE H. AS THE LARGEST EMPLOYER IN the REGION, OH RECOGNIZES THE RESPONSIBILITY WE HAVE TO IMPROVE THE HEALTH OF OUR COMMUNITY IRRESPECTIVE OF IRS COMMUNITY BENEFIT CLASSIFICATION. IN GENERAL, OUR EFFORTS IN COMMUNITY BUILDING activities ADDRESS COMMUNITY ISSUES INCLUDING HEALTH IMPROVEMENT, EDUCATION, POVERTY, WORKFORCE DEVELOPMENT AND ACCESS TO CARE. MORE SPECIFICALLY AND, AS AN OUTGROWTH OF OUR COMMUNITY BENEFIT GRANT PROGRAM, OH ENCOURAGES OUR EMPLOYEES TO PARTNER WITH ANY OF OUR MORE THAN A HUNDRED COMMUNITY AND SOCIAL SERVICE ORGANIZATIONS FROM AROUND THE REGION THAT ARE WORKING TO ADDRESS ROOT CAUSES OF HEALTH PROBLEMS THAT IMPACT THE HEALTH OF OUR COMMUNITY. OUR COMMUNITY OUTREACH MANaGER ENGAGES WITH OUR GRANTS PARTNERS AND ASSISTS IN IDENTIFYING COLLABORATIVE WAYS THAT WE CAN ADVANCE SOCIAL IMPACT AND IMPROVE THE HEALTH OUR POPULATION COLLECTIVELY. MOREOVER, OUR EMPLOYEES SERVE ON A MYRIAD OF COMMUNITY, ARTS AND SOCIAL SERVICE BOARDS. THEY ADVOCATE ON KEY HEALTH ISSUES AND ADVOCACY PROGRAMS SUCH AS SMOKE-FREE KENTUCKY TO PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. advocacy programs SPECIFICALLY IDENTIFIED INCLUDE OUR EFFORTS WITH LOCAL CHAMBERS AND THE LIFE SCIENCES ACADEMY. OUR DUES AND CONTRIBUTIONS TO AREA CHAMBERS AND ECONOMIC DEVELOPMENT AGENCIES ALLOW THOSE ORGANIZATIONS TO INVEST IN ECONOMIC DEVELOPMENT ACTIVITIES CREATING NEW EMPLOYMENT OPPORTUNITIES, WORKER TRAINING AND WORKFORCE HEALTH PROMOTION. 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 ENGAGED IN COLLATION BUILDING AND LEADERSHIP DEVELOPMENT FOR OUR COMMUNITY MEMBERS. ADDITIONALLY, OUR INVESTMENT IN THE "PROJECT LEAD THE WAY" LIFE SCIENCES ACADEMY IS AN INVESTMENT IN TOMMORROW'S HEALTHCARE WORKFORCE. THIS MODEL PROGRAM IS A COLLABORATIVE PARTNERSHIP WITH REGIONAL HIGH SCHOOLS WHEREBY STUDENTS THAT HAVE AN INTEREST IN THE LIFE SCIENCES ARE ABLE TO RECEIVE CONTENT SPECIFIC EDUCATION AND COLLEGE CREDIT. BY BEGINNING THE EDUCATIONAL PROCESS IN HIGH SCHOOL, STUDENTS ENTER THE PIPELINE INTO THE HEALTH PROFESSIONS FIELD WITH A HEAD START. THE DESIRED OUTCOME IS THAT MORE STUDENTS WILL CONTINUE THEIR EDUCATIOIN INTO A HEALTH PROFFESSION AND RETURN TO OUR REGION TO PRACTICE THEIR SKILLS. FORM 990, SCHEDULE H, PART III, LINE 2 BAD DEBT ESTIMATE 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.
Form 990, Schedule H, Part III, Line 3	BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FAP FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS OR WITH BALANCES REMAINING AFTER THE THIRD-PARTY COVERAGE HAS ALREADY PAID, THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL COLLECTIONS, WHICH INDICATES THAT MANY PATIENTS DECLINE TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATE AND THE AMOUNTS COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS WRITTEN OFF AGAINST THE ALLOWANCE FOR BAD DEBTS. FORM 990, SCHEDULE H, PART III, LINE 4 TEXT OF BAD DEBT EXPENSE FOOTNOTE SEE AUDITED FINANCIAL STATEMENTS - FOOTNOTE 8 (PAGE 20)
Form 990, Schedule H, Part III, Line 8	Treatment of Medicare Shortfall as Community Benefit 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 certain services (psych and OB services, for example) to Medicaid patients and those costs are typically not covered by the payments received. We are ensuring access to services and care for the counties we serve. Therefore, all of the shortfall is considered community benefit.
Form 990, Schedule H, Part III, Line 9	APPLICATON OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE THE POLICIES OF OH ATTEMPT TO ENSURE ALL UNINSURED PATIENTS OF OH HAVE the OPPORTUNITY TO APPLY AND QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS. OH HAS FINANCIAL AID APPLICATIONS AVAILABLE AT REGISTRATION AREAS, VIA THE INTERNET, VIA PHONE, AND ARE SENT ROUTINELY VIA MAIL TO PATIENTS OF THE HOSPITAL. OH EMPLOYS FINANCIAL COUNSELORS AND CONTRACTS WITH AN OUTSIDE FIRM TO ENSURE PATIENTS ARE EVALUATED FOR ELIGIBILITY IN THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. OH DOES NOT CONTRACT PRIMARY COLLECTION AGENCIES. ALL SELF-PAY AND BALANCE AFTER INSURANCE ACCOUNTS ARE REVIEWED 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 financial assistance APPLICATION. DISCOUNTS GIVEN ARE EQUIVALENT TO THE AVERAGE INSURANCE DISCOUNTS THE HOSPITAL CONTRACTS ALLOW. ADDITIONALLY, PATIENTS WITH A BALANCE ARE PERMITTED TO ESTABLISH PAYMENT PLANS. OH DOES NOT CHARGE INTEREST TO ITS PATIENTS.
Schedule H, Part VI, Line 2, Needs assessment	OH collaborated with PUBLIC HEALTH DURING THE ENTIRE CHNA PROCESS. IN 2011 THE GREEN RIVER DISTRICT HEALTH DEPARTMENT (GRDHD), WHICH INCLUDES THE COUNTIES OF DAVIESS, HANCOCK, HENDERSON, MCLEAN, OHIO, UNION, AND WEBSTER, BEGAN A COMMUNITY-WIDE PROCESS TO ANALYZE COMMUNITY HEALTH NEEDS AND IDENTIFY THE HEALTH PRIORITIES FOR THE REGION. THE COMMUNITY HEALTH ASSESSMENT, IS A FEDERAL REQUISITE FOR OBTAINING PUBLIC HEALTH ACCREDITATION. For additional information on how OH assessed the health needs of the community see Schedule H, Part V, Section C narrative for SCHEDULE H, PART V, SECTION B, Line 5.
Schedule H, Part VI, Line 3, Patient education	Patient education of eligibility for assistance OH EDUCATES its PATIENTS IN A VARIETY OF WAYS. OH HAS SIGNAGE AT ACCESS POINTS REGARDING FINANCIAL ASSISTANCE OFFERINGS. OH 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. OH 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 BY HOSPITAL STAFF TO ENSURE THAT THE PATIENT IS GIVEN EVERY OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE. ADDITIONALLY INFORMATION ABOUT APPLYING FOR FINANCIAL ASSISTANCE IS INCLUDED ON THE PATIENT STATEMENTS, BILLS, AND LETTERS AND THE PATIENT GUIDE THEY MAY RECEIVE FROM OH. THE OH 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 the ORGANIZATION TO PROVIDE CARE FOR EMERGENCY MEDICAL CONDITIONS WITHOUT DISCRIMINATION. AS DESCRIBED ABOVE THE ORGANIZATION DOES NOT CHARGE GROSS CHARGES TO PATIENTS AND LIMITS AMOUNTS CHARGED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE RECOVERING SUCH CARE. THE ORGANIZATION DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIVITY BEFORE EFFORTS TO DETERMINE ELIGIBILITY FOR ASSISTANCE HAVE BEEN MADE.
Schedule H, Part VI, Line 4 Community information	THE "PRIMARY SERVICE AREA" FOR OH IS DAVIESS COUNTY, KENTUCKY, WHICH ACCOUNTS FOR APPROXIMATELY 67% OF THE HOSPITAL'S INPATIENT ADMISSIONS. OWENSBORO IS THE COUNTY SEAT OF DAVIESS COUNTY, KENTUCKY, AND LIES ON THE SOUTHERN BANKS OF THE OHIO RIVER IN WESTERN KENTUCKY. OH IS THE ONLY OWENSBORO Hospital WITHIN ITS PRIMARY SERVICE AREA OF DAVIESS COUNTY. OWENSBORO IS LOCATED 39 MILES SOUTHEAST OF EVANSVILLE, INDIANA, 131 MILES NORTH OF NASHVILLE, TENNESSEE, AND 111 MILES SOUTHWEST OF LOUISVILLE, KENTUCKY. THE TOTAL POPULATION OF DAVIESS COUNTY IS 98,931 ACCORDING TO 2015 CLARITAS DATA. MEDIAN HOUSEHOLD INCOME FOR THE PRIMARY SERVICE AREA IS $47,522 WITH 3,693 (13.96%) FAMILIES LIVING BELOW THE POVERTY LEVEL. OTHER KEY DEMOGRAPHIC AND HEALTH INDICATORS CAN BE FOUND ON THE OH WEBSITE WITHIN THE COMMUNITY HEALTH INDICATORS AND DASHBOARD REFERENCED UNDER THE COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION OF THIS FORM 990 SCHEDULE H.
Schedule H, Part VI, Line 5, Promotion of community	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, AND THE 35TH LARGEST IN THE STATE. AS SUCH, WE CONSIDER OUR RESPONSIBILITY TO SERVE AND STRENGTHEN OUR COMMUNITIES IN WAYS MUCH BROADER THAN PROVIDING DIRECT HEALTH SERVICE OR ADDRESSING ONLY "IDENTIFIED HEALTH NEEDS". WE BELIEVE THE SECOND PART OF OUR MISSION PROFESSING TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE OFTEN INVOLVES SUPPORT OF COMMUNITY BUILDING ACTIVITIES INVOLVING PHYSICAL IMPROVEMENTS IN HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, LEADERSHIP DEVELOPMENT FOR COMMUNITY MEMBERS, COALITION BUILDING, COMMUNITY HEALTH ADVOCACY AND WORKFORCE DEVELOPMENT. WE BELIEVE THESE IRS CATEGORIZED COMMUNITY BUILDING ACTIVITIES ARE EQUALLY AS IMPORTANT TO OUR CHARITABLE PURPOSES AS ARE OUR COMMUNITY BENEFIT ACTIVITIES. WHERE CASH AND IN-KIND ALLOCATIONS FROM OUR COMMUNITY BENEFIT GRANT PROGRAM ARE MADE FOR COMMUNITY BUILDING PROGRAMS AND ACTIVITIES, WE STILL REQUIRE THESE ORGANIZATIONS TO IDENTIFY ON THEIR PROPOSAL HOW THESE PROGRAMS AND ACTIVITIES ADDRESS ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH OF OUR COMMUNITY. IN THIS WAY, THEY ARE ALSO ABLE TO UNDERSTAND HOW IMPROVING THE HEALTH OF OUR COMMUNITY CAN BE ACCOMPLISHED IN MANY DIFFERENT WAYS.
Schedule H, Part VI, Line 6, Affiliated health care system	N/a
Schedule H, Part VI, Line 7, State filing	Owensboro health is not required to file its community benefit report in any state.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
OHIO COUNTY FAMILY WELLNESS CENTER
301 WEST FREDERICA ST	HARTFORD	KY	42347	611322569	501(c)(3)	$5,175	$0	Community Support
OWENSBORO REGIONAL SUICIDE PREVENTION
991 BELLEWOOD DR	HENDERSON	KY	42420	261136007	501(c)(3)	$6,500	$0	Community Support
HOPKINS COUNTY SCHOOL SYSTEM
861 PRIDE AVENUE	MADISONVILLE	KY	42431	616001319	501(c)(3)	$7,900	$0	COMMUNITY SUPPORT
GREEN RIVER AREA DOWN SYNDROME ASSOCIATION
P O BOX 2031	OWENSBORO	KY	42302	611312541	501(c)(3)	$9,261	$0	Community Support
OWENSBORO SYMPHONY ORCHESTRA
211 EAST 2ND ST	OWENSBORO	KY	42303	616055984	501(c)(3)	$10,000	$0	Community Support
NEW BEGINNINGS SEXUAL ASSAULT SUPPORT SRVC
1716 SCHERM ROAD	OWENSBORO	KY	42301	611142453	501(c)(3)	$11,000	$0	COMMUNITY SUPPORT
YOUNG LIFE
418 WEST 3RD ST	OWENSBORO	KY	42301	840385934	501(c)(3)	$12,010	$0	COMMUNITY SUPPORT
CASA OF OHIO VALLEY INC
415 ST ANN ST	OWENSBORO	KY	42302	611303511	501(c)(3)	$12,150	$0	COMMUNITY SUPPORT
AUDUBON AREA COMMUNITY SERVICE
1650 WEST SECOND ST	OWENSBORO	KY	42301	237364935	501(c)(3)	$12,500	$0	COMMUNITY SUPPORT
THEATRE WORKSHOP OF OWENSBORO
P O BOX 644	OWENSBORO	KY	42302	610968600	501(c)(3)	$14,000	$0	COMMUNITY SUPPORT
PUZZLE PIECES INC
P O BOX 24	OWENSBORO	KY	42302	453042804	501(c)(3)	$14,291	$0	COMMUNITY SUPPORT
SUSAN G KOMEN FOUNDATION
4424 VOGEL RD STE 205	EVANSVILLE	IN	47715	752844632	501(c)(3)	$15,000	$0	COMMUNITY SUPPORT
OWENSBORO MUSEUM OF FINE ART
901 FREDERICA ST	OWENSBORO	KY	42301	611297343	501(c)(3)	$41,000	$0	COMMUNITY SUPPORT
LIGHTHOUSE RECOVERY SERVICES
731 HALL STREET	OWENSBORO	KY	42303	020570995	501(c)(3)	$20,000	$0	COMMUNITY SUPPORT
OWENSBORO MUSEUM OF SCIENCE AND HISTORY
122 EAST SECOND ST	OWENSBORO	KY	42303	611164857	501(c)(3)	$20,000	$0	COMMUNITY SUPPORT
DAVIESS CO DIABETES COALITION
1501 BRECKENRIDGE ST	OWENSBORO	KY	42303	611328046	501(c)(3)	$21,000	$0	COMMUNITY SUPPORT
INTERNATIONAL BLUEGRASS MUSIC MUSEUM
207 EAST 2ND ST	OWENSBORO	KY	42303	611229037	501(c)(3)	$25,000	$0	COMMUNITY SUPPORT
OWENSBORO DANCE THEATRE
2705 BRECKENRIDGE ST	OWENSBORO	KY	42303	611040701	501(c)(3)	$25,000	$0	COMMUNITY SUPPORT
RIVERPARK CENTER
101 DAVIESS ST	OWENSBORO	KY	42303	611147328	501(c)(3)	$25,000	$0	COMMUNITY SUPPORT
HOPKINS COUNTY COMMUNITY CLINIC
P O BOX 1794	MADISONVILLE	KY	42431	061710391	501(c)(3)	$26,000	$0	COMMUNITY SUPPORT
GREEN RIVER AREA DEVELOPMENT DIST
300 GRADD WAY	OWENSBORO	KY	42301	610706096	501(c)(3)	$33,825	$0	COMMUNITY SUPPORT
DAVIESS COUNTY PUBLIC SCHOOLS
P O BOX 21510	OWENSBORO	KY	42304	616001338	GOVT	$77,616	$0	COMMUNITY SUPPORT
OASIS
P O BOX 315	OWENSBORO	KY	42302	610995748	501(c)(3)	$40,000	$0	COMMUNITY SUPPORT
COMMUNITY DENTAL CLINIC
2315 MAYFAIR DR STE 32	OWENSBORO	KY	42301	262343126	501(c)(3)	$50,000	$0	COMMUNITY SUPPORT
OWENSBORO COMMUNITY & TECHNICAL COLLEGE
1501 FREDERICA ST	OWENSBORO	KY	42301	611320380	501(c)(3)	$53,000	$0	COMMUNITY SUPPORT
GREEN RIVER DISTRICT HEALTH DEPT
P O BOX 309	OWENSBORO	KY	42302	611010686	501(c)(3)	$53,850	$0	COMMUNITY SUPPORT
AMERICAN HEART ASSOCIATION
P O BOX 2675	EVANSVILLE	IN	47728	135613797	501(c)(3)	$75,000	$0	COMMUNITY SUPPORT
COMMUNITY HEALTH CHARITIES
P O BOX 759479	BALTIMORE	MD	21275	611202972	501(c)(3)	$28,799	$0	COMMUNITY SUPPORT
UNITED WAY
P O BOX 705	OWENSBORO	KY	42302	610435444	501(c)(3)	$53,945	$0	Community Support
CLIFF HAGAN BOYS & GIRLS CLUB
3415 BUCKLAND SQUARE	OWENSBORO	KY	42301	610663746	501(c)(3)	$8,425	$0	COMMUNITY SUPPORT
foundation for health
1201 Pleasant valley rd	Owensboro	KY	42303	611251763	501(c)(3)	$438,934		Community Support

Field	Value	IRS element (for citing)
Total501c3 Org	30	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
TUITION ASSISTANCE	15	$60,706
PATIENT MEDICAL FUND	436	$32,447
CANCER CENTER MEDICAL FUND	61	$7,215

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS	FormAndLineReferenceDesc
Explanation	SCHEDULE I, PART I, LINE 2 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Chapman William
Psychiatrist	$211,934	$0	$57,141	$0	$1,290	$0	$22,565	$0	$17,307	$0	$310,237	$0	$0	$0
Danhauer David E
Chief Medical Info Officer	$279,176	$0	$42,697	$0	$1,974	$0	$27,623	$0	$18,743	$0	$370,213	$0	$0	$0
Taylor Joseph W
Executive Director, Facilities	$156,988	$0	$31,687	$0	$1,037	$0	$16,698	$0	$18,588	$0	$224,998	$0	$0	$0
Jacildo Ruby
Controller	$161,541	$0	$23,980	$0	$348	$0	$15,567	$0	$7,260	$0	$208,696	$0	$0	$0
Scherm Michael J MD
Chief Surgical Officer	$298,677	$0	$83,716	$0	$19,524	$0	$32,742	$0	$15,826	$0	$450,485	$0	$0	$0
Patterson Philip
President / CEO	$689,018	$0	$113,712	$0	$46,617	$0	$62,779	$0	$20,568	$0	$932,694	$0	$0	$0
Begley II Ernest E
Chief Legal Officer	$300,543	$0	$81,413	$0	$50,518	$0	$34,846	$0	$20,574	$0	$487,894	$0	$0	$0
Hackbarth Jr John
Chief Financial Officer	$339,627	$0	$100,782	$0	$58,475	$0	$38,952	$0	$20,983	$0	$558,819	$0	$0	$0
Jones Lisa
Vice President of Clinical Svc	$201,307	$0	$60,927	$0	$34,705	$0	$25,619	$0	$23,507	$0	$346,065	$0	$0	$0
Medley Jr Richard W
Chief Medical Officer	$349,580	$0	$96,046	$0	$38,165	$0	$37,671	$0	$2,265	$0	$523,727	$0	$0	$0
Mills Michael
Vice President - Ancillary Svc	$201,267	$0	$60,909	$0	$33,467	$0	$24,995	$0	$16,137	$0	$336,775	$0	$0	$0
Ranallo Russell
Vice President - Financial Svc	$237,426	$0	$72,808	$0	$33,697	$0	$28,957	$0	$20,613	$0	$393,501	$0	$0	$0
Stogsdill Vicki
Vice President of Nursing Svc	$285,672	$0	$81,039	$0	$67,872	$0	$34,951	$0	$16,930	$0	$486,464	$0	$0	$0
Strahan Greg
Chief Operations Officer	$446,468	$0	$123,352	$0	$71,003	$0	$48,782	$0	$15,445	$0	$705,050	$0	$0	$0
Elley Michael E
Chief Information Officer	$203,828	$0	$28,385	$0	$31,935	$0	$21,194	$0	$19,055	$0	$304,397	$0	$0	$0
Johnson Stephen M
VP of Govt and Community	$136,930	$0	$21,363	$0	$6,965	$0	$14,990	$0	$19,555	$0	$199,803	$0	$0	$0
Haynes Heather
Director of Pharmacy	$166,055	$0	$31,298	$0	$238	$0	$16,762	$0	$975	$0	$215,328	$0	$0	$0
Barber Jeffrey
former officer	$0	$0	$0	$0	$466,890	$0	$0	$0	$0	$0	$466,890	$0	$0	$0
Suter Mia
Chief Development Officer	$318,709	$0	$85,245	$0	$45,503	$0	$35,314	$0	$2,376	$0	$487,147	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, 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. Club Dues During the reporting period, the organization paid the CEO and COO's membership dues in a social club. The club membership was used for business purposes. Any personal related expenses are treated as taxable wage income and fully included on the recipient's Form W2. During the reporting period, the organization also paid the CNO's membership dues in a health club. This benefit was phased out six years ago and only one remains. This amount was treated entirely as taxable wage income to Vicki Stogsdill and fully included on her 2014 Form W-2.
FORM 990, SCHEDULE J, PART I, LINE 4B	457F PLAN TO EXECUTIVES JEFFREY BARBER $466,890; ERNEST E. BEGLEY $35,896; JOHN HACKBARTH $38,951; LISA JONES $26,509; RICHARD W. MEDLEY $24,024; MICHAEL MILLS $23,186; RUSSELL RANALLO $28,426; VICKI STOGSDILL $40,794; GREG STRAHAN $51,479; MIA SUTER $31,793.
FORM 990, SCHEDULE J, PART I, LINE 7	THE SUCCESS SHARING PLAN IS A PROGRAM DESIGNED TO FOCUS ON THE ACCOUNTABILITY OF ALL EMPLOYEES TO INFLUENCE THE FINANCIAL, QUALITY, PATIENT SATISFACTION AND EMPLOYEE DEVELOPMENT GOALS, AND TO REINFORCE THE OH CORE COMMITMENTS (RESPECT, INTEGRITY, INNOVATION, SERVICE, EXCELLENCE AND TEAMWORK) WHILE WORKING TO ACHIEVE THESE GOALS. THE PLAN ACHIEVES THIS BY PROVIDING A DIRECT LINK BETWEEN ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES AND THE TOTAL COMPENSATION OF THOSE WHOSE DECISIONS AND ACTIONS ARE ACCOUNTABLE FOR THE OUTCOMES WHICH DRIVE THE ORGANIZATION'S SUCCESS. ELIGIBILITY IS BASED ON HOURS WORKED IN THE YEAR; STAFF EMPLOYEES ARE PAID A PRO-RATED AMOUNT OF A DOLLAR MAXIMUM AND MANAGEMENT IS PAID A FIXED PERCENTAGE OF ANNUAL SALARY BASED ON LEVEL OF MANAGEMENT. PAYMENT IS PREDICATED ON BOARD APPROVAL.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Kentucky Economic Development Finance Authority	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	610600439	BondIssuerEIN
CUSIP	49126KGX3	CUSIPNum
Bond Issued	2010-03-03	BondIssuedDt
Issue Price	$512,772,595	IssuePriceAmt
Purpose	PROCEEDS FINANCED 1)A 9-STORY REPL	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$522,470,982	TotalProceedsAmt
In Reserve Fund	$37,912,800	InReserveFundAmt
Capitalized Interest	$70,464,179	CapitalizedInterestAmt
Refunding Escrow	$58,975,719	RefundingEscrowAmt
Issuance Costs From Proceeds	$8,204,303	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$346,058,404	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2013	SubstantialCompletionYr
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	false	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART I	FormAndLineReferenceDesc
Explanation	Proceeds financed 1) a 9-story replacement acute care hospital, 2) a 4-story support services bldg, 3) a one and a half story central energy plant, 4) parking lot. In addition, proceeds refunded a portion of the Series 2001 Bonds and funded a portion of the Debt Service Reserve Fund. Schedule K, Part II, LINE 3 The difference in the issue price reported on Schedule K, Part I is attributable to investment earnings. SCHEDULE K, PART V ALTHOUGH OWENSBORO HEALTH DOES NOT HAVE WRITTEN PROCEDURES, WE FOLLOW THE MASTer TRUST INDENTURE AS A GUIDELINE.	ExplanationTxt

Schedule L IRS990ScheduleL

Field	Value	IRS element (for citing)
Total Balance Due	$0	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
BRIAN E GRANT
SIL OF MICHAEL MILLS	$104,984	EMPLOYEE COMPENSATION	false
JENNIFER RANALLO
WIFE OF RUSSELL RANALLO	$32,125	EMPLOYEE COMPENSATION	false
JESSICA L HARRISON
DAUGHTER-WILLIAM HARRIson	$51,483	EMPLOYEE COMPENSATION	false
MOLLIE M RIDDLE
DAUGHTER OF MICHAEL MILLS	$45,653	EMPLOYEE COMPENSATION	false
WILLIAM J STRAHAN
SON OF GREG STRAHAN	$55,431	EMPLOYEE COMPENSATION	false
Michael Scherm
husband of J. Scherm	$401,917	employee compensation	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2	FAMILY OR BUSINESS RELATIONSHIPS MICHAEL SCHERM, KEY EMPLOYEE OF OH, IS THE HUSBAND OF JANICE SCHERM AN OH BOARD member.
FORM 990, PART VI, LINE 7A	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 RESERVED TO 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	The Form 990 is reviewed with the Board before filing. The Form 990 is also reviewed by the CFO, outside legal counsel, and by internal general counsel.
FORM 990, PART VI, LINE 12C	MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY UNDER OUR CONFLICT OF INTEREST POLICY (#100-214), EACH BOARD DIRECTOR, OFFICER, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWER, AND KEY EMPLOYEE IS REQUIRED ANNUALLY TO COMPLETE THE FOLLOWING: (1)CONFIDENTIALITY STATEMENT, (2) DISCLOSURE CERTIFICATE, AND (3) INDEPENDENCE AND RELATED PARTY QUESTIONNAIRE. THESE DISCLOSURES ARE REVIEWED AND RETAINED BY THE CHIEF LEGAL OFFICER, WHO IS ALSO IN THE APPROVAL CHAIN FOR ALL OH CONTRACTS. ALL COMPLETED CONTRACTS ARE MAINTAINED BY THE LEGAL OFFICE IN A SEARCHABLE DATABASE (THROUGH MEDITRACT). 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	OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN TOTAL COMPENSATION IS THE SUM OF EACH EXECUTIVE'S BASE SALARY, INCENTIVE OPPORTUNITY, BENEFITS, AND PERQUISITES. -OUR TOTAL COMPENSATION PHILOSOPHY WILL APPLY TO 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. 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 OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN TOTAL COMPENSATION IS THE SUM OF EACH EXECUTIVE'S BASE SALARY, INCENTIVE OPPORTUNITY, BENEFITS, AND PERQUISITES. -OUR TOTAL COMPENSATION PHILOSOPHY WILL APPLY TO ALL EXECUTIVES OF THE ORGANIZATION. -CASH COMPENSATION AND 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.
FORM 990, PART VI, LINE 19	AVAILABILITY OF GOVERNMENT DOCUMENTS, CONFLICT OF INTEREST POLICY & FIN STMTS TO GENERAL 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 XI, LINE 9	Other changes in net assets PENSION PLAN MARKET ADJUSTMENT - (10,357,983)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
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 ACO	KY	$0	$0	OH
OH Muhlenberg LLC
1201 Pleasant Valley Road	Owensboro	KY	42303	473944197	Hlthcare svcs	KY	$0	$0	OH
One Health Network LLC
1201 Pleasant Valley Road	Owensboro	KY	42303	474114254	hltcare svcs	KY	$0	$0	OH
One Health Solutions LLC
1201 Pleasant Valley Road	Owensboro	KY	42303	474106977	hltcare prov	KY	$0	$0	OH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
FOUNDATION FOR HEALTH INC
1201 PLEASANT VALLEY ROAD	OWENSBORO	KY	42303	611251763	HEALTHCARE	KY	501(c)(3)	7	OH	Yes (true)
OWENSBORO HEALTH MEDICAL GROUP INC
1201 PLEASANT VALLEY ROAD	OWENSBORO	KY	42303	611197638	HEALTHCARE	KY	501(c)(3)	9	OH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Owensboro Am Sr Fac	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 BRKRG	AddressLine1Txt
City	Owensboro	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	42303	ZIPCd

Field	Value	IRS element (for citing)
EIN	752184992	EIN
Primary Activities	Surgery Center	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeTypeTxt
Share Of Total Income	$886,371	ShareOfTotalIncomeAmt
Share Of EOY Assets	$5,312,579	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.66500	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	OWENSBORO MEDICAL CENTER LABORATORY INC	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	610999592	EIN
Primary Activities	MED LABORATORY	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C Corp	EntityTypeTxt
Share Of Total Income	$3,887,979	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,675,405	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
OWENSBORO HEALTH MEDICAL GROUP INC
j	$726,471	FMV
OWENSBORO HEALTH MEDICAL GROUP INC
p	$68,761,179	FMV
OWENSBORO HEALTH MEDICAL GROUP INC
s	$37,019,475	FMV
OWENSBORO MEDICAL CENTER LAB
p	$2,765,201	FMV
THE FOUNDATION FOR HEALTH INC
b	$438,934	FMV
THE FOUNDATION FOR HEALTH INC
c	$1,033,399	FMV
OWENSBORO HEALTH MEDICAL GROUP INC
k	$2,000,530	FMV