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OWENSBORO HEALTH MEDICAL GROUP INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
OWENSBORO HEALTH MEDICAL GROUP INC (EIN 61-1197638)
Tax period
2010-06-01 to 2011-05-31
Filed
2011-10-14
IRS object ID
201132879349301303
Schema version
2010v3.4
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)
Timestamp2011-10-14T13:45:32-05:00Timestamp
Tax Period End Date2011-05-31TaxPeriodEndDate

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 Line1SUITE 2400 400 WEST MARKET STREETAddressLine1
CityLOUISVILLECity
StateKYState
ZIP Code40202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN611197638EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COOPERATIVE HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
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
TitleCFOTitle
Date Signed2011-10-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone5025851400Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts40586602GrossReceipts
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 Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees525TotalNbrEmployees
Total Nbr Volunteers45TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year187918ContributionsGrantsPriorYear
Contributions Grants Current Year188403ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24168212ProgramServiceRevenuePriorYear
Program Service Revenue CY31667917ProgramServiceRevenueCY
Investment Income Prior Year3390InvestmentIncomePriorYear
Investment Income Current Year5944InvestmentIncomeCurrentYear
Other Revenue Prior Year5765930OtherRevenuePriorYear
Other Revenue Current Year6314617OtherRevenueCurrentYear
Total Revenue Prior Year30125450TotalRevenuePriorYear
Total Revenue Current Year38176881TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year233790GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY236000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year24152903SalariesEtcPriorYear
Salaries Etc Current Year32869519SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11690399OtherExpensePriorYear
Other Expenses Current Year14176002OtherExpensesCurrentYear
Total Expenses Prior Year36077092TotalExpensesPriorYear
Total Expenses Current Year47281521TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5951642RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-9104640RevenuesLessExpensesCY
Total Assets BOY37421946TotalAssetsBOY
Total Assets EOY40530375TotalAssetsEOY
Total Liabilities BOY22989024TotalLiabilitiesBOY
Total Liabilities EOY35601003TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14432922NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4929372NetAssetsOrFundBalancesEOY
Mission DescriptionCOOPERATIVE HEALTH SERVICES EXISTS TO HEAL THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense44502295Expense
Grants236000Grants
Revenue37629888Revenue
DescriptionCOOPERATIVE HEALTH SERVICES 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 Expense44502295TotalProgramServiceExpense
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 FootnotefalseReportFin48Footnote
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
Number Forms Transmitted With109641NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees525NumberOfEmployees
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 Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
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 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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Ted Smith
Chair3.0XX000
Gerald Poynter
Vice Chair3.0XX000
Greg Strahan
Board member3.0X046914446518
John Hackbarth
Secretary3.0XX036412637793
Ed Heath
VP OF BUSINESS DEVELOPMENT40.0190349029436X
Filbeck Jeffrey
Physician40.0616280059231X
Padgett Patrick
Physician40.0582340051227X
Mulligan John
Physician40.0531963052302X
Scarbrough Todd
Physician40.0510667050504X
Ravi Lingamurthy
Physician40.0510431041398X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2942030TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs833270TotalReportableCompFrmRltdOrgs
Total Other Compensation368409TotalOtherCompensation
Number Individuals GT100 K53NumberIndividualsGT100K
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 SVC595300
SANTA FE RADIATION ONCOLOGY
2207 CALLE CACIQUESANTA FANM87505PHYSICIAN SERVICE447384
THE LIVINGSTON GROUP
1425 TRIPLETT STREETOWENSBOROKY42303JANITORIAL SERVICE453236
WEATHERBY LOCUMS INC
PO BOX 972633DALLASKY75397PHYSICIAN SERVICE324865
NITYANAND GUPTA MD
2730 TROTTERS LANEOWENSBOROKY42303PHYSICIAN SERVICE215545
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Related Organizations188403RelatedOrganizations
Total Contributions188403TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient Service RevenueDescription
Business Code621111BusinessCode
Total Revenue Column31667917TotalRevenueColumn
Related Or Exempt Function Income31667917RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue31667917TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6533TotalRevenueColumn
Exclusion$6,533ExclusionAmount

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)
Real3019838Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2357992Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real661846Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column661846TotalRevenueColumn
Related Or Exempt Function Income338908RelatedOrExemptFunctionIncome
Exclusion$322,938ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other725Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1314Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-589Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-589TotalRevenueColumn
Exclusion-$589ExclusionAmount

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 Inventory80123GrossSalesOfInventory
Cost Of Goods Sold50415CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column29708TotalRevenueColumn
Exclusion$29,708ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Membership Revenue62419027744412774441
RELATED COLLECTION FEES62419818904771890477
HEALTH FAIR REVENUE624110121895121895

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column836250TotalRevenueColumn
Related Or Exempt Function Income836250RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue5623063TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column38176881TotalRevenueColumn
Related Or Exempt Function Income37629888RelatedOrExemptFunctionIncome
Exclusion$358,590ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total236000Total
Program Services236000ProgramServices

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)
Total219786Total
Management And General219786ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total27083121Total
Program Services25487426ProgramServices
Management And General1595695ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4121356Total
Program Services3714545ProgramServices
Management And General406811ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1445256Total
Program Services1322350ProgramServices
Management And General122906ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2102878Total
Program Services2044881ProgramServices
Management And General57997ManagementAndGeneral

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)
Total2962946Total
Program Services2758961ProgramServices
Management And General203985ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total170116Total
Program Services168328ProgramServices
Management And General1788ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3857666Total
Program Services3803246ProgramServices
Management And General54420ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total40046Total
Program Services39640ProgramServices
Management And General406ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1844996Total
Program Services1785791ProgramServices
Management And General59205ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total145556Total
Program Services124604ProgramServices
Management And General20952ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total18312Total
Program Services18312ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1503334Total
Program Services1491626ProgramServices
Management And General11708ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total21822Total
Program Services21822ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt13455111345511
LICENSE FEES571414255714584
DUES42268398762392
Training/Education Materials20152167063446
ALL OTHER EXPENSES43258401133145

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total47281521Total
Program Services44502295ProgramServices
Management And General2779226ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY274063BOY
EOY1083769EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1677103BOY
EOY2865203EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2744397BOY
EOY3467160EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY68896BOY
EOY98849EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY79441BOY
EOY71276EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis56997055LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec25375178LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY32246328BOY
EOY31621877EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY253060BOY
EOY-145851EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY1401402EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY78658BOY
EOY66690EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY37421946BOY
EOY40530375EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY772345BOY
EOY1506285EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY162204BOY
EOY158040EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY22054475BOY
EOY33936678EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY22989024BOY
EOY35601003EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14432922BOY
EOY4929372EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14432922BOY
EOY4929372EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37421946BOY
EOY40530375EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-9104640ReconcilationRevenueExpenses
Reconcilation Other Changes-398910ReconcilationOtherChanges
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 Years2441451CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years327962CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years259616CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year187918CurrentTaxYearMinus1Year
Current Tax Year188403CurrentTaxYear
Total3405350Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10929879CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19571551CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25202738CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29200897CurrentTaxYearMinus1Year
Current Tax Year37290980CurrentTaxYear
Total122196045Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years664998CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years148834CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years72184CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year78897CurrentTaxYearMinus1Year
Current Tax Year80123CurrentTaxYear
Total1045036Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14036328CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20048347CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25534538CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29467712CurrentTaxYearMinus1Year
Current Tax Year37559506CurrentTaxYear
Total126646431Total
FieldValueIRS element (for citing)
Public Support Total509126646431PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2742988CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2829729CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3065838CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3096569CurrentTaxYearMinus1Year
Current Tax Year3026371CurrentTaxYear
Total14761495Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2742988CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2829729CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3065838CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3096569CurrentTaxYearMinus1Year
Current Tax Year3026371CurrentTaxYear
Total14761495Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16779316CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22878076CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28600376CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year32564281CurrentTaxYearMinus1Year
Current Tax Year40585877CurrentTaxYear
Total141407926Total
FieldValueIRS element (for citing)
Public Support Percentage5090.89561PublicSupportPercentage509
Prior Year Support Percentage0.85804PriorYearSupportPercentage
Investment Income Percentage0.10439InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.13128PriorYrInvestIncomePercentage
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis797116OtherCostOrOtherBasis
Book Value797116BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis48784420OtherCostOrOtherBasis
Depreciation20464607Depreciation
Book Value28319813BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7215365OtherCostOrOtherBasis
Depreciation4910571Depreciation
Book Value2304794BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis200154OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value200154BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings31621877TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Intercompany Payables$33,652,702
Security Deposit - MOB$20,245
CAPITAL LEASE PAYABLE$263,731
FieldValueIRS element (for citing)
Total Of Amounts33936678TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 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)138000Funding for Nurses for Local schools
OWENSBORO PUBLIC SCHOOLS
P O BOX 249OWENSBOROKY42302616001339501(c)(3)98000FUND NURSES FOR LOCAL SCHOOLS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

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 PROVIDE 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 (8 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
Greg Strahan
03499570100907018280034780011738051566200
John Hackbarth
0265910079591018625023457014336040191900
Ed Heath
14803104150808100143650150710219785000
Filbeck Jeffrey
6161570001230465810126500675511000
Padgett Patrick
5822210001190369920142350633567000
Mulligan John
5316790002840421300101720584265000
Scarbrough Todd
510348000319040561099430561171000
Ravi Lingamurthy
36744501425000486040028013700551829000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierFORM 990, SCHEDULE J, PART I, LINE 3Identifier
ExplanationCOOPERATIVE RELIES ON THE COMPENSATION PRACTICES OF A RELATED ORGANIZATION TO DETERMINE TOP MANAGEMENT OFFICIAL'S COMPENSATION. 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. 457 F PLAN TO EXECUTIVES (NONTAXABLE): JOHN HACKBARTH $32,886.14 ; GREG STRAHAN $41,797.53 ; EDWARD E. HEATH $18,551.49 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
IdentifierVOLUNTEERSIdentifier
Return ReferenceFORM 990, PART I, QUESTION 6ReturnReference
ExplanationVolunteer 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 RIGHTS 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. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C UNDER OUR CONFLICT OF INTEREST POLICY (#100-214), EACH BOARD DIRECTOR, OFFICER AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS 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 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 (CURRENTLY IN DRAFT), EACH DEPARTMENT 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 OFFICE ALSO HAS ACCESS TO THE CONTRACTS DATABASE AND COMPLETES AN OIG SANCTION CHECK FOR EACH NEW CONTRACT. ONCE THE CONFLICT OF INTEREST DATA HAS BEEN COLLECTED, NEW CONTRACTS WILL BE ALSO 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. 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 STRAHAM: 50 HOURS AS A COO FOR OWENSBORO MEDICAL HEALTH SYSTEM JOHN HACKBARTH: 50 HOURS AS A CFO FOR OWENSBORO MEDICAL HEALTH SYSTEM OTHER CHANGES IN NET ASSETS OR FUND BALANCE FORM 990, PART XI, QUESTION 5 LOSS/GAIN AFFILIATES OMCL - LOSS $(398,910)Explanation

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/BusinessNameLine1
OWENSBORO MEDICAL HEALTH SYSTEM
811 EAST PARRISH AVENUEOWENSBOROKY42303611286361HEALTHCAREKY501(C)(3)3NA
FOUNDATION FOR HEALTH INC
811 EAST PARRISH AVENUEOWENSBOROKY42303611251763HEALTHCAREKY501(C)(3)7OMHS

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1OWENSBORO AMBULATORY SURGICAL FACILITYBusinessNameLine1

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 Income3896217ShareOfTotalIncome
Share Of EOY Assets288888ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
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 (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Foundation for Health Inc
A27620
Foundation for Health Inc
C188361