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        <ManagementAndGeneral>54420</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
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        <ProgramServices>18312</ProgramServices>
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      <Form990ScheduleJPartIII>
        <Identifier>FORM 990, SCHEDULE J, PART I, LINE 3</Identifier>
        <Explanation>COOPERATIVE 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>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>VOLUNTEERS</Identifier>
        <ReturnReference>FORM 990, PART I, QUESTION 6</ReturnReference>
        <Explanation>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 &amp; 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 &amp; POSITIONS FOR WHICH PROCESS WAS USED, &amp; 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 &amp; 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>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>OWENSBORO MEDICAL HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>811 EAST PARRISH AVENUE</AddressLine1>
          <City>OWENSBORO</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
        <EIN>611286361</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FOUNDATION FOR HEALTH INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>811 EAST PARRISH AVENUE</AddressLine1>
          <City>OWENSBORO</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
        <EIN>611251763</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>OMHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>OWENSBORO AMBULATORY SURGICAL FACILITY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 BRKRG</AddressLine1>
          <City>OWENSBORO</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
        <EIN>752184992</EIN>
        <PrimaryActivity>SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>OWENSBORO MEDICAL CENTER LABORATORY INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>811 EAST PARRISH AVENUE</AddressLine1>
          <City>OWENSBORO</City>
          <State>KY</State>
          <ZIPCode>42303</ZIPCode>
        </AddressUS>
        <EIN>610999592</EIN>
        <PrimaryActivity>MED LABORATOR</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>3896217</ShareOfTotalIncome>
        <ShareOfEOYAssets>288888</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Foundation for Health Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>27620</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Foundation for Health Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>188361</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>