2012-10-15T14:13:03-05:00 2012-05-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2011-06-01 611197638 COOPERATIVE HEALTH SERVICES INC % JOHN HACKBARTH COOP 2706882000 811 E PARRISH AVE OWENSBORO KY 42303 John Hackbarth 2012-10-12 3176817000 2011 2016-02-24 21:20:13Z Dr Jeff Barber 811 PARRISH AVE OWENSBORO KY 42303 43532826 false X www.omhs.org X 1993 KY COOPERATIVE HEALTH SERVICES EXISTS TO HEAL THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITY. 6 3 546 47 0 188403 244054 31667917 33885785 5944 5059 6314617 7192669 38176881 41327567 236000 242000 0 0 32869519 38185158 0 0 0 14176002 15654441 47281521 54081599 -9104640 -12754032 40530375 38982832 35601003 47724058 4929372 -8741226 Cooperative Health Services exists to heal the sick and improve the HEALTH OF THE COMMUNITY. false false 50766294 242000 40612378 Cooperative 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. 50766294 true true false false false false false false false true false false false true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true true true false false true X 39 0 true 546 true false false false false false false false false false false X 6 3 false false false false true true true true true false false false true true true true true false true false KY X JOHN HACKBARTH 2706918214 811 PARRISH AVE OWENSBORO KY 42303 Poynter Gerald 3.0 X X Strahan Greg 3.0 X 0 540040 50224 Hackbarth John 3.0 X X 0 402161 40277 ROSHAN MATTHEW as of 12012 40.0 X 1102988 0 85686 Yeiser Adrian MD as of 12012 3.0 X 0 0 SMITH G TED 3.0 X X 0 0 0 BARBER JEFFREY 3.0 X 0 852947 75425 Heath Ed 40.0 X 226941 0 32036 Mulligan Jr John S 40.0 X 639652 0 63546 Scarbrough Todd J 40.0 X 648739 0 59660 MERCER ALBERT B 40.0 X 918631 0 69728 HAVELDA CHRISTOPHER J 40.0 X 746601 0 57575 GARIMELLA SATYA V 40.0 X 708723 0 67303 4992275 1795148 601460 60 false true false VIP IMAGING PSC 2342 INDIAN LAKE DRIVE EVANSVILLE IN 47725 MEDICAL IMAGING SVC 559687 SANTA FE RADIATION ONCOLOGY 2207 CALLE CACIQUE SANTA FA NM 87505 PHYSICIAN SERVICE 486628 THE LIVINGSTON GROUP 1425 TRIPLETT STREET OWENSBORO KY 42303 JANITORIAL SERVICE 485656 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 PHYSICIAN SERVICE 354334 COMPHEALTH PO BOX 972651 DALLAS TX 75397 PHYSICIAN SERVICE 730972 7 244054 244054 Patient Service Revenue 621111 33885785 33885785 33885785 4459 4459 0 0 3308587 2156584 1152003 1152003 704169 447834 600 0 600 600 600 0 0 66917 48675 18242 18242 Membership Revenue 611420 2893868 2893868 RELATED COLLECTION FEES 623990 1991976 1991976 HEALTH FAIR REVENUE 900099 96184 96184 1040396 1040396 6022424 41327567 40612378 471135 242000 242000 0 0 0 258976 258976 0 31567893 29652905 1914988 0 4718069 4244055 474014 1640220 1490093 150127 2135608 2007213 128395 0 0 0 0 0 2782031 2586347 195684 191414 191306 108 631678 601589 30089 53977 53977 0 2231941 2161552 70389 153386 134324 19062 0 0 12321 12321 0 1538480 1521777 16703 221501 221501 MEDICAL SUPPLIES 3168690 3168690 BAD DEBT 2300683 2300683 License Fees 58563 44529 14034 DUES 47367 44014 3353 126801 87418 39383 54081599 50766294 3315305 0 1083769 795250 2865203 3682714 0 0 3467160 3552069 0 0 0 0 0 0 98849 123559 71276 87447 58136769 27790025 31621877 30346744 0 0 0 0 -145851 -1062418 1401402 1397830 66690 59637 40530375 38982832 1506285 1141065 0 0 158040 187632 0 0 0 0 0 0 0 0 0 0 33936678 46395361 35601003 47724058 X 4929372 -8741226 0 0 0 0 4929372 -8741226 40530375 38982832 X -12754032 -916566 X false true true X false X 327962 259616 187918 188403 244054 1207953 19571551 25202738 29200897 37290980 39908209 151174375 148834 72184 78897 80123 66917 446955 20048347 25534538 29467712 37559506 40219180 152829283 152829283 2829729 3065838 3096569 3026371 3313046 15331553 2829729 3065838 3096569 3026371 3313046 15331553 22878076 28600376 32564281 40585877 43532226 168160836 0.90883 0.89561 0.09117 0.10439 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 797115 797115 0 49232761 22127522 27105239 0 7956333 5662503 2293830 0 150560 150560 30346744 0 Intercompany Payables 46219124 Security Deposit - MOB 20245 CAPITAL LEASE - CT SCANNER 155992 46395361 Fin 48 (ASC 740) Footnote FORM 990, SCHEDULE D, PART X, Line 2 THE 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. true DAVIESS CO BOARD OF EDUCATION P O BOX 21510 OWENSBORO KY 42304 616001338 501 (c) (3) 142000 Funding for Nurses for local schools Funding for Nurses for local schools OWENSBORO PUBLIC SCHOOLS P O BOX 249 OWENSBORO KY 42302 616001339 501 (c) (3) 100000 FUND NURSES FOR LOCAL SCHOOLS 2 Description of Organization's Procedures for Monitoring the Use of Grants FORM 990, SCHEDULE I, PART I, LINE 2 COMMUNITY 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. false true false false false false false true false Mulligan Jr John S 638306 0 0 0 1346 0 51081 0 12465 0 703198 0 0 0 Strahan Greg 0 377595 0 110192 0 52253 0 40239 0 9985 0 590264 0 0 Hackbarth John 0 293474 0 89163 0 19524 0 26577 0 13700 0 442438 0 0 Heath Ed 174265 0 51299 0 1377 0 18414 0 13622 0 258977 0 0 0 Scarbrough Todd J 648253 0 0 0 486 0 50482 0 9178 0 708399 0 0 0 ROSHAN MATTHEW as of 12012 848660 0 253788 0 540 0 72011 0 13675 0 1188674 0 0 0 MERCER ALBERT B 754531 0 161778 0 2322 0 59910 0 9818 0 988359 0 0 0 HAVELDA CHRISTOPHER J 733318 0 9719 0 3564 0 48651 0 8924 0 804176 0 0 0 GARIMELLA SATYA V 474525 0 230634 0 3564 0 54550 0 12753 0 776026 0 0 0 BARBER JEFFREY 0 566567 0 169541 0 116839 0 60552 0 14873 0 928372 0 0 Supplemental Compensation Information Form 990, Schedule J, Part I, Line 3 COOPERATIVE RELIES ON THE COMPENSATION PRACTICES OF A RELATED ORGANIZATION TO DETERMINE TOP MANAGEMENT OFFICIAL'S COMPENSATION. Supplemental Compensation Information FORM 990, SCHEDULE J, PART I, LINE 4B COOPERATIVE 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. VOLUNTEERS FORM 990, PART I, QUESTION 6 Volunteer Services support the mission and goals of Cooperative Health Services by providing additional clerical work when needed. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS Form 990, Part VI, Question 6 THE SOLE MEMBER OF COOPERATIVE HEALTH SERVICES, INC. IS OWENSBORO MEDICAL HEALTH SYSTEM, INC. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A OWENSBORO 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 VOTING FORM 990, PART VI, QUESTION 7B THE 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 990 FORM 990, PART VI, QUESTION 11B THE 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 BEGUN FORM 990, PART VI, QUESTIONS 15B TOTAL 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 & FIN STATEMENTS TO GENERAL PUBLIC Form 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 BALANCE FORM 990, PART XI, QUESTION 5 LOSS/GAIN AFFILIATES OMCL - LOSS $ (916,566) OWENSBORO MEDICAL HEALTH SYSTEM 811 EAST PARRISH AVENUE OWENSBORO KY 42303 611286361 HEALTHCARE KY 501(C)(3) 3 NA false FOUNDATION FOR HEALTH INC 811 EAST PARRISH AVENUE OWENSBORO KY 42303 611251763 HEALTHCARE KY 501(C)(3) 7 OMHS true Owensboro AM SR Fac 75-2184992 1000 BRKRG OWENSBORO KY 42303 752184992 SURGERY CENTER KY NA N/A 0 0 false false 0.00000 OWENSBORO MEDICAL CENTER LABORATORY INC 811 EAST PARRISH AVENUE OWENSBORO KY 42303 610999592 MED LABORATOR KY NA C CORP 3875076 878464 1.00000 false false true false false false false false false true false false false false false true true false Foundation for Health Inc C 244054 CASH