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OWENSBORO HEALTH MEDICAL GROUP INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
OWENSBORO HEALTH MEDICAL GROUP INC (EIN 61-1197638)
Tax period
2011-06-01 to 2012-05-31
Filed
2012-10-15
IRS object ID
201202899349300645
Schema version
2011v1.3
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-10-15T14:13:03-05:00Timestamp
Tax Period End Date2012-05-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN611197638EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COOPERATIVE HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JOHN HACKBARTHInCareOfName
Name ControlCOOPNameControl
Phone2706882000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1811 E PARRISH AVEAddressLine1
CityOWENSBOROCity
StateKYState
ZIP Code42303ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJohn HackbarthName
TitleCP/CFPTitle
Date Signed2012-10-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDr Jeff BarberNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1811 PARRISH AVEAddressLine1
CityOWENSBOROCity
StateKYState
ZIP Code42303ZIPCode
FieldValueIRS element (for citing)
Gross Receipts43532826GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.omhs.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionCOOPERATIVE HEALTH SERVICES EXISTS TO HEAL THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees546TotalNbrEmployees
Total Nbr Volunteers47TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year188403ContributionsGrantsPriorYear
Contributions Grants Current Year244054ContributionsGrantsCurrentYear
Program Service Revenue Prior Year31667917ProgramServiceRevenuePriorYear
Program Service Revenue CY33885785ProgramServiceRevenueCY
Investment Income Prior Year5944InvestmentIncomePriorYear
Investment Income Current Year5059InvestmentIncomeCurrentYear
Other Revenue Prior Year6314617OtherRevenuePriorYear
Other Revenue Current Year7192669OtherRevenueCurrentYear
Total Revenue Prior Year38176881TotalRevenuePriorYear
Total Revenue Current Year41327567TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year236000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY242000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year32869519SalariesEtcPriorYear
Salaries Etc Current Year38185158SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year14176002OtherExpensePriorYear
Other Expenses Current Year15654441OtherExpensesCurrentYear
Total Expenses Prior Year47281521TotalExpensesPriorYear
Total Expenses Current Year54081599TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-9104640RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-12754032RevenuesLessExpensesCY
Total Assets BOY40530375TotalAssetsBOY
Total Assets EOY38982832TotalAssetsEOY
Total Liabilities BOY35601003TotalLiabilitiesBOY
Total Liabilities EOY47724058TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4929372NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-8741226NetAssetsOrFundBalancesEOY
Mission DescriptionCooperative Health Services exists to heal the sick and improve the HEALTH OF THE COMMUNITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense50766294Expense
Grants242000Grants
Revenue40612378Revenue
DescriptionCooperative Health Services ("COOP") provides outpatient medical services TO MEET THE HEALTHCARE NEEDS OF OUR REGIONAL COMMUNITY, 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. COOP SUPPORTS OUR CARE TEAMS WITH STATE-OF-THE ART EQUIPMENT TO PROVIDE OUR PATIENTS WITH ADVANCED MEDICAL TREATMENT.Description
Total Program Service Expense50766294TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With109639NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees546NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN HACKBARTHNamePerson
Telephone Number2706918214TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1811 PARRISH AVEAddressLine1
CityOWENSBOROCity
StateKYState
ZIP Code42303ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Poynter Gerald
Vice Chair3.0XX
Strahan Greg
Board member3.0X054004050224
Hackbarth John
Secretary/Treasurer3.0XX040216140277
ROSHAN MATTHEW as of 12012
Physician, Bd Member40.0X1102988085686
Yeiser Adrian MD as of 12012
BOARD MEMBER3.0X00
SMITH G TED
CHAIRPERSON3.0XX000
BARBER JEFFREY
PRESIDENT/CEO OF OMHS SYSTEM3.0X085294775425
Heath Ed
VP OF BUSINESS DEVELOPMENT40.0226941032036X
Mulligan Jr John S
Physician40.0639652063546X
Scarbrough Todd J
Physician40.0648739059660X
MERCER ALBERT B
PHYSICIAN40.0918631069728X
HAVELDA CHRISTOPHER J
PHYSICIAN40.0746601057575X
GARIMELLA SATYA V
PHYSICIAN40.0708723067303X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4992275TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1795148TotalReportableCompFrmRltdOrgs
Total Other Compensation601460TotalOtherCompensation
Number Individuals GT100 K60NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
VIP IMAGING PSC
2342 INDIAN LAKE DRIVEEVANSVILLEIN47725MEDICAL IMAGING SVC559687
SANTA FE RADIATION ONCOLOGY
2207 CALLE CACIQUESANTA FANM87505PHYSICIAN SERVICE486628
THE LIVINGSTON GROUP
1425 TRIPLETT STREETOWENSBOROKY42303JANITORIAL SERVICE485656
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397PHYSICIAN SERVICE354334
COMPHEALTH
PO BOX 972651DALLASTX75397PHYSICIAN SERVICE730972
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Related Organizations244054RelatedOrganizations
Total Contributions244054TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient Service RevenueDescription
Business Code621111BusinessCode
Total Revenue Column33885785TotalRevenueColumn
Related Or Exempt Function Income33885785RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue33885785TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4459TotalRevenueColumn
Exclusion$4,459ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3308587Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2156584Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1152003Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1152003TotalRevenueColumn
Related Or Exempt Function Income704169RelatedOrExemptFunctionIncome
Exclusion$447,834ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other600Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other600Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column600TotalRevenueColumn
Exclusion$600ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory66917GrossSalesOfInventory
Cost Of Goods Sold48675CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column18242TotalRevenueColumn
Exclusion$18,242ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Membership Revenue61142028938682893868
RELATED COLLECTION FEES62399019919761991976
HEALTH FAIR REVENUE9000999618496184

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1040396TotalRevenueColumn
Related Or Exempt Function Income1040396RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue6022424TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column41327567TotalRevenueColumn
Related Or Exempt Function Income40612378RelatedOrExemptFunctionIncome
Exclusion$471,135ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total242000Total
Program Services242000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total258976Total
Management And General258976ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total31567893Total
Program Services29652905ProgramServices
Management And General1914988ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4718069Total
Program Services4244055ProgramServices
Management And General474014ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1640220Total
Program Services1490093ProgramServices
Management And General150127ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2135608Total
Program Services2007213ProgramServices
Management And General128395ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2782031Total
Program Services2586347ProgramServices
Management And General195684ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total191414Total
Program Services191306ProgramServices
Management And General108ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total631678Total
Program Services601589ProgramServices
Management And General30089ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total53977Total
Program Services53977ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2231941Total
Program Services2161552ProgramServices
Management And General70389ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total153386Total
Program Services134324ProgramServices
Management And General19062ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total12321Total
Program Services12321ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1538480Total
Program Services1521777ProgramServices
Management And General16703ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total221501Total
Program Services221501ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES31686903168690
BAD DEBT23006832300683
License Fees585634452914034
DUES47367440143353

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total126801Total
Program Services87418ProgramServices
Management And General39383ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total54081599Total
Program Services50766294ProgramServices
Management And General3315305ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1083769BOY
EOY795250EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2865203BOY
EOY3682714EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3467160BOY
EOY3552069EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY98849BOY
EOY123559EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY71276BOY
EOY87447EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis58136769LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec27790025LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY31621877BOY
EOY30346744EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY-145851BOY
EOY-1062418EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1401402BOY
EOY1397830EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY66690BOY
EOY59637EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY40530375BOY
EOY38982832EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1506285BOY
EOY1141065EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY158040BOY
EOY187632EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY33936678BOY
EOY46395361EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY35601003BOY
EOY47724058EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4929372BOY
EOY-8741226EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4929372BOY
EOY-8741226EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY40530375BOY
EOY38982832EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-12754032ReconcilationRevenueExpenses
Reconcilation Other Changes-916566ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years327962CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years259616CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years187918CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year188403CurrentTaxYearMinus1Year
Current Tax Year244054CurrentTaxYear
Total1207953Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19571551CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25202738CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29200897CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37290980CurrentTaxYearMinus1Year
Current Tax Year39908209CurrentTaxYear
Total151174375Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years148834CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years72184CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years78897CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year80123CurrentTaxYearMinus1Year
Current Tax Year66917CurrentTaxYear
Total446955Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20048347CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25534538CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29467712CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37559506CurrentTaxYearMinus1Year
Current Tax Year40219180CurrentTaxYear
Total152829283Total
FieldValueIRS element (for citing)
Public Support Total509152829283PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2829729CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3065838CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3096569CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3026371CurrentTaxYearMinus1Year
Current Tax Year3313046CurrentTaxYear
Total15331553Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2829729CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3065838CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3096569CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3026371CurrentTaxYearMinus1Year
Current Tax Year3313046CurrentTaxYear
Total15331553Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22878076CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28600376CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32564281CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40585877CurrentTaxYearMinus1Year
Current Tax Year43532226CurrentTaxYear
Total168160836Total
FieldValueIRS element (for citing)
Public Support Percentage5090.90883PublicSupportPercentage509
Prior Year Support Percentage0.89561PriorYearSupportPercentage
Investment Income Percentage0.09117InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.10439PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis797115OtherCostOrOtherBasis
Book Value797115BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis49232761OtherCostOrOtherBasis
Depreciation22127522Depreciation
Book Value27105239BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis7956333OtherCostOrOtherBasis
Depreciation5662503Depreciation
Book Value2293830BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis150560OtherCostOrOtherBasis
Book Value150560BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings30346744TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Intercompany Payables$46,219,124
Security Deposit - MOB$20,245
CAPITAL LEASE - CT SCANNER$155,992
FieldValueIRS element (for citing)
Total Of Amounts46395361TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFin 48 (ASC 740) FootnoteIdentifier
Return ReferenceFORM 990, SCHEDULE D, PART X, Line 2ReturnReference
ExplanationTHE SYSTEM APPLIES FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740 (TOPIC 740), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS AND PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE HAS BEEN NO IMPACT ON THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS AS A RESULT OF TOPIC 740.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
DAVIESS CO BOARD OF EDUCATION
P O BOX 21510OWENSBOROKY42304616001338501 (c) (3)142000Funding for Nurses for local schools Funding for Nurses for local schools
OWENSBORO PUBLIC SCHOOLS
P O BOX 249OWENSBOROKY42302616001339501 (c) (3)100000FUND NURSES FOR LOCAL SCHOOLS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDescription of Organization's Procedures for Monitoring the Use of GrantsIdentifier
Return ReferenceFORM 990, SCHEDULE I, PART I, LINE 2ReturnReference
ExplanationCOMMUNITY SUPPORT SCHOOL NURSING PROGRAM AS PART OF COOPERATIVE'S COMMUNITY SUPPORT, NURSES ARE PROVIDED TO ASSURE THAT LOCAL SCHOOLS PROVIDE CARE NEEDED TO MAINTAIN A HEALTHY STUDENT POPULATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Mulligan Jr John S
63830600013460510810124650703198000
Strahan Greg
0377595011019205225304023909985059026400
Hackbarth John
0293474089163019524026577013700044243800
Heath Ed
174265051299013770184140136220258977000
Scarbrough Todd J
648253000486050482091780708399000
ROSHAN MATTHEW as of 12012
8486600253788054007201101367501188674000
MERCER ALBERT B
754531016177802322059910098180988359000
HAVELDA CHRISTOPHER J
7333180971903564048651089240804176000
GARIMELLA SATYA V
4745250230634035640545500127530776026000
BARBER JEFFREY
056656701695410116839060552014873092837200

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Supplemental Compensation InformationForm 990, Schedule J, Part I, Line 3COOPERATIVE RELIES ON THE COMPENSATION PRACTICES OF A RELATED ORGANIZATION TO DETERMINE TOP MANAGEMENT OFFICIAL'S COMPENSATION.
Supplemental Compensation InformationFORM 990, SCHEDULE J, PART I, LINE 4BCOOPERATIVE HEALTH SERVICES, INC. HAS A 457F DEFERRED COMPENSATION PLAN THAT ALLOWS EMPLOYEES TO CONTRIBUTE MONEY ON A PRE-TAX BASIS INTO INVESTMENTS THAT PROVIDE KEY EMPLOYEES WITH A RETIREMENT BENEFIT. PAYMENTS INTO THE PLAN ARE BASED ON BASE ANNUAL PAY (15% FOR THE CEO AND 12% FOR OTHER EXECUTIVES), NO BONUSES OR REIMBURSED EXPENSES ARE TAKEN INTO ACCOUNT WHEN APPLYING PERCENTAGE. IF THE INDIVIDUAL STARTED IN THE MIDDLE OF THE YEAR, PAYMENTS ARE ONLY MADE FOR THE TIME THAT APPLIES. PARTICIPANTS ARE VESTED AFTER 5 YEARS. 457F PLAN EMPLOYER CONTRIBUTIONS TO EXECUTIVES (NONTAXABLE): JOHN HACKBARTH $35,468.00 ; GREG STRAHAN $44,551.00 ; EDWARD E. HEATH $20,705.00 DESCRIPTION: BONUS PROGRAM DESIGNED TO FOCUS ON THE ACCOUNTABILITY OF ALL EMPLOYEES TO INFLUENCE THE FINANCIAL, QUALITY, PATIENT SATISFACTION AND EMPLOYEE DEVELOPMENT GOALS AND TO REINFORCE THE OMHS CORE COMMITMENTS.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
VOLUNTEERSFORM 990, PART I, QUESTION 6Volunteer Services support the mission and goals of Cooperative Health Services by providing additional clerical work when needed.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSForm 990, Part VI, Question 6THE SOLE MEMBER OF COOPERATIVE HEALTH SERVICES, INC. IS OWENSBORO MEDICAL HEALTH SYSTEM, INC.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, QUESTION 7AOWENSBORO MEDICAL HEALTH SYSTEM, INC., AS THE SOLE MEMBER, HAS THE RIGHT TO NOMINATE, APPOINT AND ELECT THE DIRECTORS OF COOPERATIVE HEALTH SERVICES, INC. IN ACCORDANCE WITH THE BY-LAWS.
DESCRIBE CLASSES OF PERSONS, Decisions Requiring Approval & TYPE OF VOTINGFORM 990, PART VI, QUESTION 7BTHE FOLLOWING ACTS REQUIRE THE APPROVAL OF THE SOLE MEMBER, OWENSBORO MEDICAL HEALTH SYSTEM, INC.: (1) THE ADMISSION OF ANY MEMBER TO THE CORPORATION; (2) A MERGER, CONSOLIDATION, CORPORATE RESTRUCTURES OR OTHER SIMILAR ACTION; (3) THE DISSOLUTION OF THE CORPORATION; (4) ANY CHANGE OF NAME OF THE CORPORATION; AND (5) ANY MATTER CONCERNING WHICH KENTUCKY STATUTES SPECIFICALLY ALLOW FOR MEMBERS WITH VOTING RIGHTS TO VOTE.
Process Used to Review 990FORM 990, PART VI, QUESTION 11BTHE RETURN IS REVIEWED BY THE CONTROLLER, ACCOUNTING MANAGER, AND BY THE CFO BEFORE IT'S SIGNED. FORM 990, PART VI, QUESTION 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST UNDER OUR CONFLICT OF INTEREST POLICY (#100-214), EACH BOARD DIRECTOR, OFFICER AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWER IS REQUIRED ANNUALLY TO COMPLETE THE FOLLOWING; (1) CONFIDENTIALITY STATEMENT, (2) DISCLOSURE CERTIFICATE, (3) INDEPENDENCE AND RELATED PARTY QUESTIONNAIRE. THESE DISCLOSURES ARE REVIEWED AND RETAINED BY THE CHIEF LEGAL OFFICER, WHO IS ALSO IN THE APPROVAL CHAIN FOR ALL OMHS CONTRACTS. ALL COMPLETED CONTRACTS ARE MAINTAINED BY THE LEGAL OFFICE IN A SEARCHABLE DATABASE (THROUGH MEDITRACT). SIMILARLY, AS SOON AS WE IMPLEMENT THE ADDITIONAL REVISED POLICY ADDRESSING CONFLICT OF INTEREST FOR EMPLOYEES, EACH DIRECTOR, MANAGER OR OTHER EMPLOYEE WITH AUTHORITY TO INFLUENCE DECISIONS REGARDING THE PURCHASE OF GOODS OR SERVICES BY OMHS, WILL BE REQUESTED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE AND CERTIFICATION FORM. THESE WILL BE REVIEWED AND MAINTAINED BY THE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER ALSO HAS ACCESS TO THE CONTRACT'S DATABASE AND COMPLETES AN OIG SANCTION CHECK FOR NEW CONTRACT. ONCE THE CONFLICT OF INTEREST DATA HAS BEEN COLLECTED, NEW CONTRACTS WILL BE SCREENED FOR POTENTIAL CONFLICTS OF INTEREST. IN ADDITION, OMHS MAINTAINS A COMPLIANCE HOTLINE THROUGH WHICH ANYONE WITH KNOWLEDGE OF A CONFLICT OF INTEREST OR IMPROPER VENDOR RELATIONSHIP CAN ANONYMOUSLY REPORT SUSPECTED VIOLATIONS OF OMHS POLICY. ON THOSE INDIVIDUALS FOUND TO HAVE A CONFLICT OF INTEREST, EMPHASIS IS MADE THAT THEY MAINTAIN IN CONFIDENCE ANY INFORMATION, KNOWLEDGE, OR DOCUMENTS ACQUIRED AS THE RESULT OF THEIR POSITION OR ATTENDANCE. OMHS ENSURES THAT WE ARE COMPLIANT WITH EXCISE TAX UNDER IRC.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUNFORM 990, PART VI, QUESTIONS 15BTOTAL COMPENSATION IS THE SUM OF EACH EXECUTIVE'S BASE SALARY, INCENTIVE OPPORTUNITY, BENEFITS, AND PERQUISITES. 1.OUR TOTAL COMPENSATION PHILOSOPHY WILL APPLY TO ALL EXECUTIVES OF THE ORGANIZATION. 2. CASH COMPENSATION AND BENEFITS PLANS PROVISIONS WILL BE, ON AVERAGE, COMPETITIVE WITH THOSE HEALTHCARE ORGANIZATIONS WITHIN WHICH WE COMPETE FOR EXECUTIVE TALENT. OUR LABOR MARKET IS DEFINED AS SUCCESSFUL AND COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A NATIONAL LEVEL. SUCCESS IS MEASURED IN TERMS OF FINANCIAL AND OPERATIONAL PERFORMANCE AND MARKET LEADERSHIP. 3. 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. 4. 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. 5. 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. 6. OUR EXECUTIVE COMPENSATION PLAN WILL BE DESIGNED, MANAGED AND MAINTAINED IN A MANNER THAT WILL: SUPPORT AND COMPLEMENT OUR MISSION, MANAGEMENT PHILOSOPHY, SHORT- AND LONG-TERM BUSINESS STRATEGIES, AND EMPLOYEE RELATION'S GOALS. ATTRACT AND RETAIN EXECUTIVES WITH THE RIGHT SKILLS, ABILITIES AND MOTIVATION TO ACHIEVE OUR BUSINESS OBJECTIVE. ENSURE THE EXECUTIVE TOTAL COMPENSATION IS REASONABLE AND COMPETITIVE. 7. OUR CASH COMPENSATION AND BENEFITS PLANS WILL BE REVIEWED AND ADJUSTED PERIODICALLY TO MEET THE CHANGING BUSINESS AND ORGANIZATIONAL CHARACTERISTICS OF OUR ORGANIZATION AND ITS EXECUTIVE STAFF. THE COMPENSATION OF EACH INDIVIDUAL EXECUTIVE WILL BE REVIEWED AND APPROVED IN A MANNER CONSISTENT WITH THE INTERMEDIATE SANCTION TAX REGULATIONS.
AVAILABILITY OF GOVERNMENT DOCUMENTS, CONFLICT OF INTEREST POLICY & FINSTATEMENTS TO GENERAL PUBLICForm 990, Part VI, Question 19 DOCUMENTS AND POLICIES ARE MADE AVAILABLE UPON REQUEST. Hours Devoted For Related Organization FORM 990, PART VII, COLUMN B - ESTIMATED AVERAGE HOURS PER WEEK FOR RELATED ORGANIZATION TED SMITH: 1 HOUR AS A BOARD MEMBER FOR FOUNDATION FOR HEALTH 3 HOURS AS A BOARD MEMBER FOR OWENSBORO MEDICAL HEALTH SYSTEM GERALD POYNTER: 3 HOURS AS A BOARD MEMBER FOR OWENSBORO MEDICAL HEALTH SYSTEM GREG STRAHAN: 47 HOURS AS A COO FOR OWENSBORO MEDICAL HEALTH SYSTEM JOHN HACKBARTH: 47 HOURS AS A CFO FOR OWENSBORO MEDICAL HEALTH SYSTEM JEFFREY BARBER: 46 HOURS AS A PRESIDENT/CEO FOR OWENSBORO MEDICAL HEALTH SYSTEM 1 HOURS AS A BOARD MEMBER FOR FOUNDATION FOR HEALTH.
OTHER CHANGES IN NET ASSETS OR FUND BALANCEFORM 990, PART XI, QUESTION 5 LOSS/GAIN AFFILIATESOMCL - LOSS $ (916,566)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
OWENSBORO MEDICAL HEALTH SYSTEM
811 EAST PARRISH AVENUEOWENSBOROKY42303611286361HEALTHCAREKY501(C)(3)3NAfalse
FOUNDATION FOR HEALTH INC
811 EAST PARRISH AVENUEOWENSBOROKY42303611251763HEALTHCAREKY501(C)(3)7OMHStrue

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Owensboro AM SR Fac 75-2184992BusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 BRKRGAddressLine1
CityOWENSBOROCity
StateKYState
ZIP Code42303ZIPCode
FieldValueIRS element (for citing)
EIN752184992EIN
Primary ActivitySURGERY CENTERPrimaryActivity
Legal Domicile StateKYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeType
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.00000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1OWENSBORO MEDICAL CENTER LABORATORY INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1811 EAST PARRISH AVENUEAddressLine1
CityOWENSBOROCity
StateKYState
ZIP Code42303ZIPCode
FieldValueIRS element (for citing)
EIN610999592EIN
Primary ActivityMED LABORATORPrimaryActivity
Legal Domicile StateKYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Share Of Total Income3875076ShareOfTotalIncome
Share Of EOY Assets878464ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Foundation for Health IncBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved244054AmountInvolved
Method Of Amt DeterminationCASHMethodOfAmtDetermination