TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Blazar Suzanne Northern...................................................................... Board Member	3.0 ................. 0.0	X		0	0	0
(2) Yeiser Michael MD...................................................................... Board Member	3.0 ................. 2.0	X		0	0	0
(3) Farmer Robert...................................................................... Board Member	3.0 ................. 2.0	X		0	0	0
(4) Harris Susanne...................................................................... Board Member	3.0 ................. 0.0	X		0	0	0
(5) Burshears Bridget MD...................................................................... Board Member	3.0 ................. 0.0	X		0	0	0
(6) Nunley-Winters Deborah...................................................................... Board Member	3.0 ................. 2.0	X		0	0	0
(7) Roberts Gavin...................................................................... Board Member	3.0 ................. 3.0	X		0	0	0
(8) Thompson Angela...................................................................... Board Member	3.0 ................. 1.0	X		0	0	0
(9) Woodward Terry...................................................................... Board Member (thru 10/2018)	3.0 ................. 0.0	X		0	0	0
(10) Stogsdill Vicki...................................................................... Board Member	3.0 ................. 0.0	X		0	0	0
(11) Riney Phil...................................................................... Board Member	3.0 ................. 0.0	X		0	0	0
(12) Millsap Mark MD...................................................................... Board Member (Thru 10/2018)	3.0 ................. 0.0	X		0	0	0
(13) Harrison William MD...................................................................... Board Secretary	3.0 ................. 0.0	X	X	0	0	0
(14) Wells Jack...................................................................... BOARD VICE CHAIRPERSON	3.0 ................. 2.0	X	X	0	0	0
(15) Carpenter Jeff...................................................................... Board Chairperson	3.0 ................. 3.0	X	X	0	0	0
(16) Mcbride Anthony...................................................................... Board Member	3.0 ................. 45.0	X		0	871,557	27,090
(17) Hackbarth John...................................................................... Chief Financial Officer	40.0 ................. 10.0		X	658,466	0	47,843

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Heath Jr Edward L........................................................................ COO-OHMCH	45.0 .......................5.0	X			353,965	0	54,279
(19) Strahan Greg........................................................................ PRESIDENT AND CEO	40.0 .......................10.0	X			1,112,635	0	50,021
(20) Dufrayne Francis........................................................................ Chief Medical Officer	40.0 .......................10.0		X		193,899	464,490	31,216
(21) Begley II Ernest E........................................................................ Chief Legal Officer	40.0 .......................10.0		X		488,341	0	55,133
(22) Jones Lisa........................................................................ VP ANCILLARY SERVICES	40.0 .......................10.0		X		334,899	0	48,153
(23) Field Jason........................................................................ Chief Operating Officer OHMG	5.0 .......................45.0		X		0	270,358	34,792
(24) Scherm Michael J MD........................................................................ CHIEF MED OFFICER (Thru 07/18)	40.0 .......................10.0		X		428,201	0	41,955
(25) Belec Timothy........................................................................ VP CIO	40.0 .......................10.0		X		369,522	0	17,182
(26) Myer Mitchell Kathleen K........................................................................ VP Pt Care Svcs and CNO-MCH	45.0 .......................5.0		X		185,976	0	20,907
(27) Medley Jr Richard W MD........................................................................ Chief Medical Officer	40.0 .......................10.0		X		523,569	0	36,568
(28) Ranallo Russell........................................................................ VP FINANCE	40.0 .......................10.0		X		389,019	0	50,457
(29) Bostic Deborah K........................................................................ COO-OHRH	40.0 .......................10.0		X		497,787	0	21,201
(30) Johnson Stephen M........................................................................ VP GOVT AND COMMUNITY AFFAIRS	40.0 .......................10.0		X		263,816	0	51,384
(31) Suter Mia........................................................................ Chief Administrative Officer	40.0 .......................10.0		X		534,363	0	35,464
(32) Danhauer David E MD........................................................................ VP CMIO	40.0 .......................10.0		X		425,451	0	52,688
(33) Jacildo Ruby........................................................................ VP Accounting/Controller	40.0 .......................10.0		X		251,033	0	50,364
(34) Bryant MD Bill........................................................................ VP QUALITY AND PATIENT SAFETY	40.0 .......................10.0		X		433,055	0	30,936
(35) Cordini Rosalind........................................................................ VP LEGAL SRVC & CCO(THRU 9/18)	40.0 .......................10.0		X		250,044	0	20,346
(36) Sims Joan M........................................................................ VP Patient Care SVCS and CNO	40.0 .......................10.0		X		214,860	0	23,973
(37) Stroops Laura L........................................................................ Director of EPIC Applications	40.0 .......................10.0			X	189,910	0	17,843
(38) Haynes Heather........................................................................ Director of Pharmacy	45.0 .......................5.0			X	219,802	0	29,497
(39) Taylor Joseph W........................................................................ Executive Director, Facilities	40.0 .......................10.0			X	194,125	0	42,418
(40) Montaven Simone J........................................................................ Exec Dir of Human Resources	40.0 .......................10.0			X	184,159	0	34,804
(41) Roberts Kenneth W........................................................................ DIR. OF COMPLIANCE & CONTRACT	40.0 .......................10.0			X	188,502	0	35,967

(A) Name and business address	(B) Description of services	(C) Compensation
MORRISON MGMT SPECIALISTS, PO BOX 102289 ATLANTA,GA30368	FOOD SERVICES	6,039,796
NORTHSTAR ANESTHESIA OF KY LLC, 6225 N STATE HWY 161 SUITE 200 IRVING,TX75038	ANESTHESIA SERVICES	5,365,868
LOUISVILLE RAD IMAGING CNSLTS, 71 WEST 156TH STREET SUITE 110 HARVEY,IL60426	RADIOLOGY SERVICES	2,118,831
WYATT TARRANT COMBS LLP, 500 WEST JEFFERSON STREET SUITE 28 LOUISVILLE,KY40202	LEGAL SERVICES	1,487,006
CROTHALL HEALTHCARE, 13028 COLLECTION CENTER DRIVE CHICAGO,IL60693	HOUSEKEEPING SERVICE	1,450,677
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 67

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

Owensboro Health Inc

Employer identification number

61-1286361

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

Owensboro Health Inc

Employer identification number

61-1286361

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization Owensboro Health Inc

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization Owensboro Health Inc		Employer identification number 61-1286361

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization Owensboro Health Inc			Employer identification number 61-1286361
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Owensboro Health Inc

Employer identification number

61-1286361

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

103,686

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

36,199

Total. Add lines 1c through 1i ....................................................................................................

139,885

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B, LINE 1I	POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES PERCENTAGE OF LOBBYING ACTIVITIES FROM KENTUCKY HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION DUES.
SCHEDULE C, PART II-B, LINE 1G	IRS INSUBSTANTIAL LOBBYING WITHIN THE CONTEXT OF GOVERNMENTAL, COMMUNITY AND LEGISLATIVE AFFAIRS, OH HAS ONE EMPLOYEE THAT ENGAGES IN LOBBYING ACTIVITIES OR ATTEMPTS TO INFLUENCE LEGISLATION. HOWEVER, UNDER NO CIRCUMSTANCES IS THERE ANY ENGAGEMENT IN POLITICAL ACTIVITIES. LOBBYING ACTIVITIES INCLUDE BOTH DIRECT LOBBYING AND GRASS ROOTS LOBBYING. FROM A DIRECT LOBBYING PERSPECTIVE, THE EXECUTIVE DIRECTOR OF GOVERNMENTAL, COMMUNITY AND LEGISLATIVE AFFAIRS ENGAGES IN LOBBYING ACTIVITIES AT THE FEDERAL, STATE AND LOCAL LEVELS. THE EXECUTIVE DIRECTOR DOES MEET WITH MEMBERS OF CONGRESS ON OCCASION DURING THE YEAR EITHER IN WASHINGTON OR IN OWENSBORO. AT THE STATE LEVEL, THE EXECUTIVE DIRECTOR IS REGISTERED AS A LEGISLATIVE AGENT WITH THE KENTUCKY GENERAL ASSEMBLY. LOBBYING EFFORTS ARE GENERALLY LIMITED TO THAT PERIOD OF TIME IN WHICH THE GENERAL ASSEMBLY IS IN SESSION. THIS PERIOD INCLUDES A 30-DAY LEGISLATIVE SESSION IN ODD NUMBERED YEARS AND A 60-DAY LEGISLATIVE SESSION IN EVEN NUMBERED YEARS. IN ADDITION, LOBBYING AT THE LOCAL LEVEL IS GENERALLY CONFINED TO REGULATORY MATTERS AND IS NOT ONGOING. FROM A GRASS ROOTS LOBBYING PERSPECTIVE, THE EXECUTIVE DIRECTOR OVERSEES THE HEALTH IN ACTION NETWORK. HEALTH IN ACTION IS AN ELECTRONIC EMAIL SYSTEM THAT PROVIDES OH EMPLOYEES WITH UPDATES ON LEGISLATION AND 'CALLS TO ACTION' WHEN APPROPRIATE. JOINING THE NETWORK AND CHOOSING TO RESPOND ARE VOLUNTARY. THIS NETWORK IS ONLY ACTIVATED WHEN ISSUES OF CONCERN ARE BEING CONSIDERED AT THE FEDERAL AND STATE LEVELS. IT IS ESTIMATED THAT DURING THE FISCAL YEAR ENDING MAY 31, 2019, ALL LOBBYING ACTIVITY BY THE EXECUTIVE DIRECTOR DID NOT EXCEED 30% OF TOTAL WORK-RELATED DUTIES AND RESPONSIBILITIES.

Return Reference

Explanation

SCHEDULE C, PART II-B, LINE 1I

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

SCHEDULE C, PART II-B, LINE 1G

IRS INSUBSTANTIAL LOBBYING WITHIN THE CONTEXT OF GOVERNMENTAL, COMMUNITY AND LEGISLATIVE AFFAIRS, OH HAS ONE EMPLOYEE THAT ENGAGES IN LOBBYING ACTIVITIES OR ATTEMPTS TO INFLUENCE LEGISLATION. HOWEVER, UNDER NO CIRCUMSTANCES IS THERE ANY ENGAGEMENT IN POLITICAL ACTIVITIES. LOBBYING ACTIVITIES INCLUDE BOTH DIRECT LOBBYING AND GRASS ROOTS LOBBYING. FROM A DIRECT LOBBYING PERSPECTIVE, THE EXECUTIVE DIRECTOR OF GOVERNMENTAL, COMMUNITY AND LEGISLATIVE AFFAIRS ENGAGES IN LOBBYING ACTIVITIES AT THE FEDERAL, STATE AND LOCAL LEVELS. THE EXECUTIVE DIRECTOR DOES MEET WITH MEMBERS OF CONGRESS ON OCCASION DURING THE YEAR EITHER IN WASHINGTON OR IN OWENSBORO. AT THE STATE LEVEL, THE EXECUTIVE DIRECTOR IS REGISTERED AS A LEGISLATIVE AGENT WITH THE KENTUCKY GENERAL ASSEMBLY. LOBBYING EFFORTS ARE GENERALLY LIMITED TO THAT PERIOD OF TIME IN WHICH THE GENERAL ASSEMBLY IS IN SESSION. THIS PERIOD INCLUDES A 30-DAY LEGISLATIVE SESSION IN ODD NUMBERED YEARS AND A 60-DAY LEGISLATIVE SESSION IN EVEN NUMBERED YEARS. IN ADDITION, LOBBYING AT THE LOCAL LEVEL IS GENERALLY CONFINED TO REGULATORY MATTERS AND IS NOT ONGOING. FROM A GRASS ROOTS LOBBYING PERSPECTIVE, THE EXECUTIVE DIRECTOR OVERSEES THE HEALTH IN ACTION NETWORK. HEALTH IN ACTION IS AN ELECTRONIC EMAIL SYSTEM THAT PROVIDES OH EMPLOYEES WITH UPDATES ON LEGISLATION AND 'CALLS TO ACTION' WHEN APPROPRIATE. JOINING THE NETWORK AND CHOOSING TO RESPOND ARE VOLUNTARY. THIS NETWORK IS ONLY ACTIVATED WHEN ISSUES OF CONCERN ARE BEING CONSIDERED AT THE FEDERAL AND STATE LEVELS. IT IS ESTIMATED THAT DURING THE FISCAL YEAR ENDING MAY 31, 2019, ALL LOBBYING ACTIVITY BY THE EXECUTIVE DIRECTOR DID NOT EXCEED 30% OF TOTAL WORK-RELATED DUTIES AND RESPONSIBILITIES.

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Owensboro Health Inc

Employer identification number

61-1286361

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	15,465,893		15,465,893
b	Buildings ....	563,046,505	136,672,579	426,373,926
c	Leasehold improvements
d	Equipment ....	296,791,703	263,348,937	33,442,766
e	Other .....	9,505,694		9,505,694
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				484,788,279

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
DUE TO THIRD PARTY PAYORS	25,138,861
ACCRUED PENSION	54,102,674
WORKMAN'S COMP RESERVE	4,950,372
MALPRACTICE RESERVE	10,942,511
OHMCH LEASE OBLIGATION	2,026,190
INTERCOMPANY A/P	29,480,987
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	126,641,595
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

FIN 48(ASC 740) Footnote

FORM 990, SCHEDULE D, PART X, LINE 2 The System applies FASB ASC Topic 740, Accounting for Uncertainty in Income Taxes. ASC Topic 740 provides guidance on when tax positions are recognized in an entity's financial statements and how the values of these positions are determined. There is currently no impact on the System's consolidated financial statements as a result of the application of ASC 740.

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Owensboro Health Inc

Employer identification number

61-1286361

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 300 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 400 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			4,948,145		4,948,145	0.970 %
b	Medicaid (from Worksheet 3, column a) . . . . .			100,300,912	80,456,356	19,844,556	3.880 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			105,249,057	80,456,356	24,792,701	4.850 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	607	11,789	538,161	7,732	530,429	0.110 %
f	Health professions education (from Worksheet 5) . . .	51	377	516,641	0	516,641	0.100 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	240	13,307	1,038,859		1,038,859	0.200 %
j	Total. Other Benefits . .	898	25,473	2,093,661	7,732	2,085,929	0.410 %
k	Total. Add lines 7d and 7j .	898	25,473	107,342,718	80,464,088	26,878,630	5.260 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	2		94,560	94,560	0 %
3	Community support
4	Environmental improvements
5	Leadership development and training for community members	3	20	519	519	0 %
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	5	20	95,079	95,079	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

31,367,776

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

15,683,888

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

160,749,926

Enter Medicare allowable costs of care relating to payments on line 5.....

182,672,527

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-21,922,601

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1OWENSBORO CHN	PROVIDER NETWORK	50 %	50 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	OWENSBORO HEALTH INC 1201 PLEASANT VALLEY RD OWENSBORO,KY42303 www.owensborohealth.org 100092	X	X	X
2	OH MUHLENBERG LLC 1201 PLEASANT VALLEY ROAD OWENSBORO,KY42303 WWW.OWENSBOROHEALTH.ORG 100344	X	X	X

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	OWENSBORO HEALTH INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): See Part V, Section C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	OWENSBORO HEALTH INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.% and FPG family income limit for eligibility for discounted care of 400.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

www.owensborohealth.org

The FAP application form was widely available on a website (list url):

www.owensborohealth.org

A plain language summary of the FAP was widely available on a website (list url):
www.owensborohealth.org

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	OWENSBORO HEALTH INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	OWENSBORO HEALTH INC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	OH MUHLENBERG LLC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url): SEE PART V, SECTION C

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	OH MUHLENBERG LLC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.% and FPG family income limit for eligibility for discounted care of 400.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

www.owensborohealth.org

The FAP application form was widely available on a website (list url):

www.owensborohealth.org

A plain language summary of the FAP was widely available on a website (list url):
www.owensborohealth.org

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	OH MUHLENBERG LLC
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	OH MUHLENBERG LLC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 3E	OWENSBORO HEALTH & OH MUHLENBERG THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN OWENSBORO HEALTH AND OH MUHLENBERG'S CHNA ARE PRESENTED AS PRIORITIZED DESCRIPTIONS. FORM 990, SCHEDULE H, PART V, SECTION B, LINES 5 AND 6B OWENSBORO HEALTH CHNA COMMUNITY INPUT THE OWENSBORO HEALTH REGIONAL HOSPITAL (OHRH) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY INCORPORATING THE WORK OF THE GREEN RIVER DISTRICT HEALTH DEPARTMENT (GRDHD) WHOSE CATCHMENT AREA INCLUDES, IN ADDITION TO DAVIESS, THE COUNTIES OF HANCOCK, HENDERSON, MCLEAN, OHIO, UNION AND WEBSTER AND FURTHER DEVELOPED BY THE COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY (CEDIK). OHRH BEGAN ITS CHNA PROCESS IN 2018 AND COMPLETED AND APPROVED IT IN MAY 2019. THIS ASSESSMENT INCLUDED A COMMUNITY-WIDE PROCESS TO ANALYZE COMMUNITY HEALTH NEEDS AND IDENTIFY THE HEALTH PRIORITIES FOR THE REGION. THE METHODOLOGY USED FOR THE 2018 GRDHD COMMUNITY HEALTH ASSESSMENT WAS MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO). THIS INTERACTIVE, COMMUNITY-DRIVEN STRATEGIC PLANNING PROCESS WAS SELECTED AS IT WAS SUCCESSFULLY UTILIZED IN THE PREVIOUS CYCLES (2012-2015) AND (2015-2018). THE MAPP FRAMEWORK ASSESSES THE CAPACITY OF THE PUBLIC HEALTH SYSTEM IN MEETING THE SPECIFIC HEALTH STATUS NEEDS OF A COMMUNITY. MAPP USES FOUR UNIQUE ASSESSMENTS TO IDENTIFY ISSUES INFLUENCING PUBLIC HEALTH AND THE RESOURCES TO ADDRESS THEM. THE ASSESSMENTS USED IN THE MAPP PROCESS INCLUDE: COMMUNITY HEALTH STATUS ASSESSMENT, COMMUNITY THEMES AND STRENGTHS ASSESSMENT, FORCES OF CHANGE ASSESSMENT AND THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT. GRDHD UTILIZED A VARIETY OF METHODS TO INFORM THE MAPP ASSESSMENTS. THE SUMMARIES AND FINDINGS FROM THESE ASSESSMENTS ARE THEN PRESENTED TO EACH COUNTY VIA A COMMUNITY FORUM. THIS INFORMATION IS USED TO GUIDE COUNTIES IN CHOOSING THEIR STRATEGIC INITIATIVE FOCUS AREAS FOR THEIR COMMUNITY. THE ASSESSMENT IS ALSO INCORPORATED IN THE OHRH CHNA. CEDIK FACILITATED THE PROCESS OF PRIMARY DATA COLLECTION THROUGH FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. THROUGHOUT THE PROCESS, CEDIK, AS DID THE GREEN RIVER DISTRICT HEALTH DEPARTMENT, MADE IT A PRIORITY TO GET INPUT FROM POPULATIONS THAT ARE OFTEN NOT ENGAGED IN CONVERSATIONS ABOUT THEIR HEALTH NEEDS OR GAPS IN SERVICE. CEDIK CONDUCTED THIRTEEN KEY INFORMANT INTERVIEWS TO PROBE MORE DEEPLY INTO HEALTH AND QUALITY OF LIFE THEMES WITHIN THE COUNTY. POTENTIAL BARRIERS TO ACCESSING COMMUNITY RESOURCES WERE ALSO IDENTIFIED IN THESE INTERVIEWS. THE OHRH CHNA REPORT SYNTHESIZES COMMUNITY HEALTH NEEDS SURVEY DATA, FOCUS GROUPS WITH VULNERABLE POPULATIONS, AND KEY INFORMANT INTERVIEW DATA WITH SOCIAL AND ECONOMIC DATA AS WELL AS HEALTH OUTCOMES DATA COLLECTED FROM SECONDARY SOURCES TO HELP PROVIDE CONTEXT FOR THE COMMUNITY. CEDIK CONDUCTED FOCUS GROUPS IN DAVIESS COUNTY TO EXPLORE THEIR VISION OF A VIBRANT HEALTHY DAVIESS COUNTY AND TO DISCUSS HEALTH NEEDS OF POPULATIONS WITH UNMET HEALTH NEEDS AND TO DEEPEN THE UNDERSTANDING OF THE HEALTH CHALLENGES THEY FACE. FOCUS GROUP DISCUSSIONS REVEALED UNMET NEEDS ACROSS VULNERABLE POPULATIONS. CEDIK ORGANIZED THE DATA INTO STRENGTHS, BARRIERS AND OPPORTUNITIES FOR CHANGE FOR DAVIESS COUNTY. COMMENTS AND FEEDBACK ON THE CHNA ARE ENCOURAGED/INVITED AS REFLECTED ON THE OHRH WEBPAGE. A PHONE NUMBER AND EMAIL ADDRESS IS POSTED ON THE WEBSITE SHOULD SOMEONE HAVE QUESTIONS OR COMMENTS. FORM 990, SCHEDULE H, PART V, SECTION B, LINES 5 AND 6B OH MUHLENBERG CHNA COMMUNITY INPUT OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL PARTNERED WITH THE MUHLENBERG COUNTY HEALTH DEPARTMENT (CATHY BETHEL, MSN, MBA, DIRECTOR AND BETTY HENDRIX, RN, BSN, NURSING SUPERVISOR) TO COMPLETE THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT. IN ADDITION TO PARTICIPATING IN THE PREPARATION AND PLANNING FOR THE CHNA, THE HEALTH DEPARTMENT WAS INVOLVED ON THE CHNA STEERING COMMITTEE AND DISTRIBUTED CHNA SURVEYS AT THEIR FACILITY. - OTHER MEMBERS OF THE STEERING COMMITTEE INCLUDED: - VICKI YONTS - FELIX E. MARTIN JR. FOUNDATION - CARLA EMBRY- MUHLENBERG COUNTY BOARD OF EDUCATION - MARY BETH RILEY- UK COOPERATIVE EXTENSION OFFICE - CHRIS SPARKS- PENNYROYAL MENTAL HEALTH CENTER - TAMMY PIPER- CENTRAL CITY CONVENTION CENTER - CINDY STOVALL- MUHLENBERG COUNTY HEAD START - GREENVILLE - TONIA STOVALL- MUHLENBERG COUNTY HEAD START - CENTRAL CITY - DOROTHY WALKER- GREATER MUHLENBERG CHAMBER OF COMMERCE - SCOTT CASEBIER- HOPE2ALL FOOD BANK - CHERYL SPAIN- MUHLENBERG COUNTY SENIOR CITIZENS CENTER - ASHLEY MEFFORD- COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY - TROY WALKER- OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL EMS - BONNIE GIBSON- MUHLENBERG COUNTY COMMUNITY SERVICE CENTER - SUE MCBRIDE- DEPARTMENT OF COMMUNITY BASED SERVICES - BRYAN EADES- EADES FAMILY DENTISTRY - BETTY HENDRIX- MUHLENBERG COUNTY HEALTH DEPARTMENT - JESSICA BROWNING- OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL CEDIK FACILITATED THE PROCESS OF PRIMARY DATA COLLECTION THROUGH COMMUNITY SURVEYS, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS TO CREATE AN IMPLEMENTATION PLAN TO ADDRESS IDENTIFIED HEALTH NEEDS. IN ADDITION, COUNTY SPECIFIC SECONDARY DATA WAS GATHERED TO HELP EXAMINE THE SOCIAL DETERMINANTS OF HEALTH. THROUGHOUT THE PROCESS, CEDIK AND THE COMMUNITY STEERING COMMITTEE MADE IT A PRIORITY TO GET INPUT FROM POPULATIONS THAT ARE OFTEN NOT ENGAGED IN CONVERSATIONS ABOUT THEIR HEALTH NEEDS OR GAPS IN SERVICE. CEDIK CONDUCTED SIX KEY INFORMANT INTERVIEWS TO PROBE MORE DEEPLY INTO HEALTH AND QUALITY OF LIFE THEMES WITHIN THE COUNTY. CURRENT COMMUNITY RESOURCES AND POTENTIAL BARRIERS TO ACCESSING RESOURCES WERE ALSO IDENTIFIED IN THESE INTERVIEWS. - KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH THE FOLLOWING EXPERTS: - DIANA ANDERSON, PATHWAY OF HOPE, PREGNANCY CRISIS CENTER IN MUHLENBERG COUNTY - ASHLEY BOZE, PENNYROYAL CENTER, DIRECTOR OF SUBSTANCE ABUSE SERVICES - ROBBY DAVIS, MUHLENBERG COUNTY SCHOOLS, SUPERINTENDENT - KEELY DENNIS, MUHLENBERG COUNTY SCHOOLS, H.S. SENIOR - TIM DUKES, A NEW START - MEDICATION ASSISTED TREATMENT FOR OPIOID ADDICTION - JERRY EADES, MUHLENBERG COUNTY BAPTIST ASSOCIATION, DIRECTOR OF MISSIONS OHMCH COLLABORATED WITH THE MUHLENBERG COUNTY HEALTH DEPARTMENT AND CONTRACTED WITH THE COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY TO CONDUCT THIS CHNA.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A:	OWENSBORO HEALTH - LINK TO CHNA: WWW.OWENSBOROHEALTH.ORG/HEALTH-RESOURCES/HEALTH-NEEDS-ASSESSMENT/ FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A: OWENSBORO HEALTH - LINK TO IMPLEMENTATION STRATEGY: HTTPS://WWW.OWENSBOROHEALTH.ORG/HEALTH-RESOURCES/HEALTH-NEEDS-ASSESSMENT/ FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A: OH MUHLENBERG (OHMCH) - LINK TO CHNA: https://www.owensborohealth.org/app/files/public/22315/ohmch-community-hea lth-needs-assessment.pdf FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7B: OH MUHLENBERG (OHMCH) - OTHER WEBSITE: www.muhlenbergcountyhealthdepartment.com/2018/ FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A: OH MUHLENBERG (OHMCH) - LINK TO IMPLEMENTATION STRATEGY: https://www.owensborohealth.org/app/files/public/22324/ohmch-chna-implemen tation-strategy-2018.pdf
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11	OWENSBORO HEALTH - HOW OHRH IS ADDRESSING SIGNIFICANT HEALTH NEEDS: BASED ON SURVEY RESULTS, FOCUS GROUP AND KEY INFORMANT INTERVIEW RESULTS, AS WELL AS KEY SECONDARY HEALTH DATA, THERE WERE FIVE PRIORITY AREAS IDENTIFIED. EXISTING LOCAL, STATE AND NATIONAL PRIORITIES WERE CONSIDERED. THE FOLLOWING PRIORITIES WERE IDENTIFIED AS AREAS OF NEED TO ADDRESS IN THE NEXT THREE YEARS: - HEALTHY BEHAVIORS - POOR EATING HABITS, ACCESS TO HEALTHY FOODS, LACK OF EXERCISE - OBESITY AND OBESITY-RELATED DISEASES - MENTAL HEALTH - DEPRESSION, COUNSELING AND TESTING FOR MENTAL HEALTH DISORDERS - SUBSTANCE USE - PRESCRIPTION, ILLEGAL AND ILLICIT SUBSTANCES - TOBACCO USE AND SMOKING TAX YEAR 2018-2021: - HEALTHY BEHAVIORS- POOR EATING HABITS, ACCESS TO HEALTHY FOODS, LACK OF EXERCISE - OBESITY AND OBESITY RELATED DISEASES * CONTINUE FINANCIAL AND IN-KIND SUPPORT TO ADDRESS SENIOR HUNGER VIA PARTNERSHIP WITH MORRISON'S FOOD SERVICES AND OWENSBORO SENIOR COMMUNITY CENTER. * ESTABLISH INTERNAL NURSING PODS AND NO LESS THAN ONE COMMUNITY NURSING POD TO PROMOTE BREASTFEEDING AS THE OPTIMAL SOURCE OF NUTRITION FOR BABIES REDUCING BARRIERS TO BREASTFEEDING WHILE VISITING OH CAMPUSES AND IN COMMUNITY SETTINGS. * CONDUCT ANNUAL HOLIDAY FOOD DRIVE FOR AREA FOOD PANTRIES. * ASSIST COMMUNITY PARTNER(S) IN FACILITATION OF REGIONAL MEETING TO DISCUSS FOOD INSECURITY AS A SIGNIFICANT SOCIAL DETERMINANT OF HEALTH. * CONTINUE TO SUPPORT OWENSBORO HEALTH HEALTHPARK AND ITS SCHOLARSHIP PROGRAM PROVIDING FINANCIAL ASSISTANCE, THE HEALTHPARK EDUCATIONAL PROGRAMMING, AND OUTREACH AND TARGETED EVIDENCED BASED PROGRAMMING. * FINANCIALLY SUPPORT AND ADVOCATE FOR COMMUNITY PROJECTS AND PROGRAMS WHICH FOCUS ON WORKING COLLABORATIVELY TO IMPROVE HEALTHY FOOD OPTIONS; APPROPRIATE TIME FOR PLAY AND EXERCISE; ART AND MUSIC OPPORTUNITIES AMONG OTHERS. * UTILIZE COMMUNITY DATA TO TARGET SPECIFIC AREAS OF COMMUNITY WHICH COULD MOST BENEFIT BY CHANGES OF POLICY, STRUCTURAL IMPROVEMENT, AND COMMUNITY ASSETS AND WORK IN PARTNERSHIP TO DEVELOP IMPROVEMENT PLANS. * SERVE ON LOCAL AND STATE TASK FORCES RELATED TO COMMUNITY DEVELOPMENT, CHAMBERS OF COMMERCE, WORKPLACE HEALTH, ECONOMIC DEVELOPMENT, HEALTH AND WELLNESS AND THE ARTS TO PROVIDE VOICE FOR COMMUNITY HEALTH IMPROVEMENT. * PROVIDE EXPERTISE FROM STAFF TO THE COMMUNITY FOR EDUCATION AND PROGRAM GUIDANCE. * CONTINUE THE DIABETES PREVENTION PROGRAM T2 - MENTAL HEALTH ACCORDING TO PRIMARY INTERVIEW DATA COLLECTED IN THE MOST RECENT CHNA, THERE IS A LACK OF PROVIDERS FOR THOSE FACING MENTAL HEALTH ISSUES; A STIGMA IN SEEKING THIS TYPE OF CARE; AND, A SIGNIFICANT INCREASE IN THE RATE OF SUICIDE. * OWENSBORO HEALTH WILL LAUNCH AND INTENSIVE OUTPATIENT PROGRAM USING AN EVIDENCE-BASED CURRICULUM FOCUSING ON MENTAL HEALTH PROBLEMS. EACH IOP GROUP WILL HAVE A MAXIMUM OF 10 PARTICIPANTS. GROUPS WILL BE 3 DAYS A WEEK, FOR 3 HOURS PER DAY. AS THE PROGRAM GROWS, WE HOPE TO ADD AN ADDITIONAL GROUP FOR MENTAL HEALTH COURT PARTICIPANTS, AND ANOTHER GROUP WITH A FOCUS ON CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS. * WE WILL INITIATE THE IOP BY HIRING ONE THERAPIST AND ADDING AN ADDITIONAL PART OR FULL-TIME THERAPIST AS THE PROGRAM GROWS. * OWENSBORO HEALTH WILL SERVE ON THE BOARD AND CLINICAL CARE TEAM FOR THE NEW MENTAL HEALTH COURT IN OWENSBORO DAVIESS COUNTY. * WE HAVE AND WILL CONTINUE TO HAVE REPRESENTATION ON EACH OF THE THREE COMMUNITY HEALTH ACTION TEAMS AS THEY SEEK TO ESTABLISH AND IMPLEMENT STRATEGIES TO ADDRESS PRIORITY AREAS. * OWENSBORO HEALTH REGIONAL HOSPITAL WILL CONTINUE TO FINANCIALLY SUPPORT THROUGH OUR GRANT PROGRAM PROJECTS AND PROPOSALS WHICH SEEK TO IMPACT EDUCATION AND BARRIERS TO ACCESS TO MENTAL HEALTH. * WE WILL CONTINUE TO PROVIDE EDUCATIONAL OPPORTUNITIES WITH EXPERTISE AND KNOWLEDGE IN THIS AREA AND SEEK TO ADVOCATE FOR POLICY WHERE MOST BENEFICIAL TO MEET THE IDENTIFIED NEEDS. * WE WILL MAINTAIN OUR PARTNERSHIPS AND OUTREACH WITH THE ARTS COMMUNITY AS A STRATEGY TO IMPACT MENTAL HEALTH AND WELLNESS AS SUPPORTED BY RESEARCH AND LITERATURE. - SUBSTANCE ABUSE- PRESCRIPTION, ILLEGAL AND ILLICIT SUBSTANCES THE NATIONAL INSTITUTE ON DRUG ABUSE RANKS KENTUCKY AMONG THE TOP 10 STATES WITH THE HIGHEST OPIOID-RELATED OVERDOSE DEATHS, AND KENTUCKY'S HOSPITALS ARE ON THE FRONTLINE IN THE FIGHT TO HELP THE STATE RECOVER. TO ASSIST THE STATE'S HOSPITALS IN THIS BATTLE, THE KENTUCKY HOSPITAL ASSOCIATION (KHA) IS PARTNERING WITH THE CABINET FOR HEALTH AND FAMILY SERVICES AS PART OF THE KENTUCKY OPIOID RESPONSE EFFORT (KORE) TO LAUNCH THE KENTUCKY STATEWIDE OPIOID STEWARDSHIP (KY SOS) PROGRAM. * AS A PARTICIPANT IN THIS INITIATIVE, OUR ORGANIZATION AGREES TO WORK TO IMPROVE PATIENT SAFETY IN THE AREA OF OPIOID STEWARDSHIP INCLUDING A SPECIFIC FOCUS ON: * DEVELOPMENT AND IMPLEMENATION OF POLICIES AND PROCEDURES TO PROMOTE OPIOD STEWARDSHIP INCLUDING: * INCREASING COMMUNITY OUTREACH AND EDUCATION REGARDING PAIN MANAGEMENT AND SAFE OPIOD USE; * PROVIDING NON-PHARMACOLOGIC ANALGESIS OPTIONS TO PATIENTS; * DEVELOPMENT OF AN OPIOID STEWARDSHIP COMMITTEE; * TRACKING AND REPORTING OF METRICS REGARDING OPIOID STEWARDSHIP; * DEVELOPING GUIDELINES FOR OPIOID USE IN THE INPATEINT, AMBULATORY, PERIOPERATIVE, AND EMERGENCY DEPARTMENT SETTINGS; AND * EDUCATING PROVIDERS, STAFF, PATIENTS, AND FAMILIES TO ENSURE SUCCESS. * COMMIT TO COLLABORATION, ALIGNMENT AND COORDINATION. * SHARE SUCCESS STORIES AND LESSONS LEARNED WITH OTHER KY SOS HOSPITALS VIA THE KY SOS LISTSERV, WEBINARS, AND IN-PERSON MEETINGS. * PARTICIPATE IN SITE VISITS WITH THE KY SOS ADVISORY TEAM AS REQUESTED, WHICH SHOULD INCLUDE THE APPROPRIATE REPRESENTATIVE(S) FROM OUR HOSPITAL'S SENIOR LEADERSHIP. * PILOT PROGRAM INTEGRATING THE HEALTH SYSTEM'S ELECTRONIC RECORD SYSTEM WITH KASPER DATA DRAMATICALLY EXPEDITES THE TIME IT TAKES TO ACCESS A KASPER REPORT AND ENABLES SIMPLIFIES ACCESS TO PRESCRIPTION REPORTING DATA. * CONTINUE WORK WITH LOCAL SUBSTANCE ABUSE COALITIONS AND COMMUNITY EFFORTS TO PROVIDE EDUCATION SPECIFIC TO OPIATE ABUSE AND HEROIN USE, METHAMPHETAMINE, ALCOHOL AND MARIJUANA. - METH CONTINUES TO RAVAGE INDIVIDUALS, FAMILIES AND OUR COMMUNITY. * SUPPORT INTERNAL POLICY AND PROCESSES TO EDUCATE PHYSICIANS AND OTHER PROVIDERS ON PREVENTION EFFORTS. * CONTINUE TO USE ANGEL VISITATION PROGRAM BRINGING PERSONS IN RECOVERY FROM COMMUNITY INTO HOSPITAL SETTING TO SHARE RECOVERY OPTIONS FOR THOSE IN NEED. * CONTINUE TO FINANCIALLY SUPPORT ORGANIZATIONS WHOSE MISSIONS AND ABILITIES AND PROJECTS ARE SPECIFIC TO PROVIDING SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY SERVICES, HOUSING, EDUCATION AND ASSISTANCE TO ADDRESS SUBSTANCE ABUSE THROUGH OUR GRANT PROGRAMS. * EXPLORE POTENTIAL COLLABORATIVE PARTNERSHIPS AND PROJECTS BETWEEN MOTHER/BABY AND NEONATAL SERVICES AND COMMUNITY ORGANIZATIONS FOCUSED ON PREVENTION OF SUBSTANCE USE DURING PREGNANCY. - TOBACCO USE AND SMOKING * CONTINUE TO ADVOCATE USE OF THE QUIT NOW KENTUCKY LINE THROUGH FINANCIAL SUPPORT OF GREEN RIVER DISTRICT HEALTH DEPARTMENT'S TOBACCO CONTROL COALITION'S MARKETING AND MEDIA MESSAGES TO INCREASE NUMBER OF PERSONS UTILIZING THE QUIT LINE. * 10 OH TEAM MEMBERS WILL BE TRAINED AS TOBACCO TREATMENT SPECIALISTS. * FINANCIALLY SUPPORT NICOTINE REPLACEMENT THERAPY PRODUCTS THROUGH THE GREEN RIVER DISTRICT HEALTH DEPARTMENT, NATIONAL JEWISH AND QUIT NOW KENTUCKY. * FINANCIALLY SUPPORT AND ASSIST IN EFFORTS TO HAVE ADDITIONAL PERSONS TRAINED IN AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING EVIDENCED BASED SMOKING CESSATION PROGRAM. * CONTINUE TO PROVIDE PATIENT, EMPLOYEE, AND COMMUNITY EDUCATION ON THESE RESOURCES. * MAINTAIN ADVOCACY OF LOCAL, REGIONAL AND STATE EFFORTS FOR APPROPRIATE POLICIES FOR TOBACCO USE, NICOTINE USE, VAPING AND SECOND HAND SMOKE REDUCTION. * STRENGTHEN CURRENT CAMPUS TOBACCO FREE POLICIES AND DEVELOP NEW SIGNAGE FOR CLARITY RELATED TO ELECTRONIC CIGARETTES AND VAPING. * MAINTAIN COMPREHENSIVE TOBACCO POLICY REQUIREMENT FOR ALL APPLICANTS IN THE OH COMMUNITY HEALTH INVESTMENTS GRANT PROGRAM. * CONTINUE TO EXPAND EARLY LUNG CANCER SCREENING AND PROVIDE SUPPORT TO INDIVIDUALS AT RISK FOR LUNG DISEASE. * EVALUATE TO DETERMINE IMPACT OF UNIVERSITY OF KENTUCKY COLLEGE OF NURSING K-CARE PROJECT, TRAINING COMMUNITY HEALTH WORKERS (CHWS) TO WORK WITH MINORITY POPULATIONS IN AN EFFORT TO EDUCATE ON LUNG CANCER, LUNG CANCER SCREENING, AND ENCOURAGING THOSE WHO ARE ELIGIBLE TO BE SCREENED AS EARLY AS POSSIBLE. * DEVELOP EDUCATIONAL INITIATIVE TO UNDERSTAND THE SYNERGISTIC EFFECTS OF RADON AND SMOKING AND RADON'S IMPACT ON LUNG DISEASE. * DEVELOP COMMUNITY OUTREACH EVENT TO BRING ABOUT AWARENESS OF COPD AND THE NEWLY LAUNCHED BETTER BREATHERS CLUB. * EDUCATE COMMUNITY; REDUCE STIGMA OF TOBACCO RELATED DISEASES. * EDUCATE OH TEAM MEMBERS ON VAPING, JUULS AND IMPACT OF ELECTRONIC CIGARETTES AND OTHER NON FDA APPROVED TOBACCO AND/OR NICOTINE PRODUCTS IN ACCORDANCE WITH CORRELATING COMMUNITY PLAN TO EDUCATE SCHOOLS, PARENTS AND COMMUNITY. POPULATION SPECIFIC EFFORTS, ADDRESSING SOCIAL DETERM
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11	OH MUHLENBERG - SIGNIFICANT NEEDS AREAS OF NEED IDENTIFIED BY COMMUNITY: OHMCH PROVIDES LEADERSHIP THROUGH IN-KIND STAFF TO SERVE AND ASSIST WITH THE DEVELOPMENT OF A MUHLENBERG COUNTY COMMUNITY HEALTH COALITION AND PROVIDE FINANCIAL SUPPORT THROUGH MINI-GRANTS AND SPONSORSHIPS TO ORGANIZATIONS WHO SEEK TO IMPACT PRIORITY HEALTH AREAS THROUGH THEIR PROJECTS AND PROGRAMMING. IN ADDITION TO THESE RESPONSES TO THE IDENTIFIED PRIORITY HEALTH NEEDS FROM OUR 2018 CHNA, BELOW ARE ADDITIONAL SPECIFIC WAYS OHMCH IS ADDRESSING EACH NEED: - RESIDENTS' (VULNERABLE POPULATIONS) LACK OF KNOWLEDGE ON AVAILABLE COMMUNITY AND HEALTH RESOURCES IN THE COUNTY * DISTRIBUTING LIFT MAGAZINE TO 10,000 HOUSEHOLDS ACROSS THE COUNTY WHICH CONTAINS INFORMATION ABOUT HEALTH ISSUES, ACTIVITIES AND RESOURCES AVAILABLE IN OUR COMMUNITY. * USING SOCIAL MEDIA TO MAKE CITIZENS AWARE OF PROGRAMS AND SERVICES OFFERED BY OUR ORGANIZATION (FLU SHOTS, SPORTS PHYSICALS, RESPIRATORY SCREENINGS, CESSATION CLASSES, NEW PROVIDERS, ETC.) * HOSTING COMMUNITY EDUCATION FORUMS ON PRIORITY HEALTH AREAS. - ADULT OBESITY * SUPPORTING AND PLANNING COMMUNITY/EMPLOYEE WALKS AND RUNS. (NOTE: OHMCH IS THE SECOND LARGEST EMPLOYER IN THE COUNTY. WITH A SMALL COUNTY POPULATION OUR EMPLOYEES REPRESENT A LARGE SEGMENT OF THE POPULATION SO SUPPORTING EFFORTS TO ADDRESS ADULT OBESITY WITH OUR EMPLOYEE BASE AND THEIR FAMILIES CAN HAVE AN IMPACT ON THE ENTIRE COMMUNITY.) * PROVIDING ALL MUHLENBERG COUNTY ELEMENTARY AND MIDDLE SCHOOL STUDENTS WITH A FREE SCHOOL HEALTH ASSESSMENT EVERY OTHER YEAR AND MAIL ADDITIONAL INFORMATION TO THEIR FAMILIES WITH THE STUDENT'S RESULTS AND EDUCATION ON HEALTHY FOOD AND BEVERAGE CHOICES AND PHYSICAL ACTIVITY. * MAKING REFERRALS AS APPROPRIATE TO NEW ACCESS POINT: OWENSBORO HEALTH SURGICAL WEIGHT LOSS CENTER. - MENTAL HEALTH - DEPRESSION, COUNSELING AND TESTING FOR MENTAL HEALTH DISORDERS * INCREASING DEPRESSION SCREENINGS FOR PATIENTS IN EMERGENCY ROOM, INPATIENT, AND LONG-TERM CARE. * INCREASED ACCESS TO INPATIENT SERVICES PROVIDED BY OWENSBORO HEALTH REGIONAL HOSPITAL. * WORKING TO INCREASE COLLABORATIVE PARTNERSHIP WITH PENNYROYAL MENTAL HEALTH CENTER. * EXPANDING ACCESS TO BEHAVIORAL HEALTH TELEHEALTH SERVICES WHEN IN-PERSON APPOINTMENTS ARE NOT AVAILABLE. * SUPPORTING EDUCATIONAL OFFERINGS REGARDING SUICIDE PREVENTION. * YOUTH HEALTH INDICATOR NEEDS* - TEEN BIRTH RATE, OBESITY, LACK OF PHYSICAL ACTIVITY, LACK OF OUT OF SCHOOL MEANINGFUL ACTIVITIES * PROVIDING FUNDING FOR SCHOOL NURSES AND HEALTH TECHNICIANS AT EACH SCHOOL IN MUHLENBERG COUNTY TO ADDRESS STUDENTS' HEALTH NEEDS AND PROVIDE PREVENTION AND EDUCATION ON PRIORITY HEALTH ISSUES. * PROVIDING FREE SCHOOL HEALTH ASSESSMENTS TO STUDENTS IN MUHLENBERG COUNTY ELEMENTARY AND MIDDLE SCHOOLS WITH FOLLOW-UP INFORMATION PROVIDED ABOUT HEALTH FOOD AND BEVERAGE CHOICES AND THE IMPORTANCE OF PHYSICAL ACTIVITY. * ASSISTING IN PROMOTION OF PHYSICAL ACTIVITY AND WELLNESS EVENTS AT LOCAL WALKING TRAILS, ATHLETIC CENTERS, LU-RAY PARK AND AMPHITHEATER. * PROVIDING FREE SPORTS PHYSICALS AND IMPACT CONCUSSION PROGRAM FOR STUDENT ATHLETES. * PARTNERING WITH COMMUNITY ORGANIZATIONS TO SUPPORT YOUTH EVENTS (EX. UK EXTENSION PLAYING IN THE PARK). - SUBSTANCE USE - PRESCRIPTION, ILLEGAL AND ILLICIT SUBSTANCES * MEDICAL STAFF FORMED AN OPIOID STEWARDSHIP COMMITTEE WHOSE CHARGE IS TO ENSURE SAFE OPIOID PRESCRIBING AND ASSIST IN THE DECREASE OF OPIOID ABUSE AND MISUSE BY PATIENTS IN OUR CARE. * CRITERIA FOR SCREENING AND ASSESSING/REASSESSING PAIN * ALGORITHMS FOR THE APPROPRIATE PRESCRIBING * PHARMACOLOGICAL THERAPIES * PATIENT EDUCATION PROVIDED TO REDUCE THE RISKS OF OPIOID USE * DISPOSAL BAGS FOR CONTROLLED SUBSTANCES AVAILABLE IN ER TO THE COMMUNITY * GRANT PROVIDED TO MCHS PROJECT PROM TO ENCOURAGE POSITIVE CHOICES AND LESSEN THE OPPORTUNITY TO ENGAGE IN HIGH-RISK ALCOHOL AND DRUG USE. * FREEDOM FROM SMOKING CLASSES OFFERED FOR FREE AT COAL MINERS' RESPIRATORY CLINIC AT OHMCH.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 20D	OH MUHLENBERG AND OWENSBORO HEALTH FOUR SERIES OF BILLING STATEMENTS ARE SENT TO THE PATIENT WITHIN 120 DAYS WHICH NOTIFIES PATIENTS OF AVAILABLE ELIGIBILITY.

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?1
Name and address		Type of Facility (describe)
1	OWENSBORO AMBULATORY SURGICAL FACILITY 1000 BRECKENRIDGE OWENSBORO,KY42303	AMBULATORY SURGERY CENTER
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
FORM 990, SCHEDULE H, PART I, LINE 7	BAD DEBT EXPENSE WHEN CALCULATING THE COMMUNITY BENEFIT PERCENTAGES IN PART I, LINE 7, BAD DEBT EXPENSE OF $31,367,766, WAS EXCLUDED. FORM 990, SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES IN ORDER TO IMPROVE AND PROMOTE THE HEALTH OF THE COMMUNITY WE SERVE, OHRH PARTICIPATES IN COMMUNITY BUILDING ACTIVITIES SUPPORTING ECONOMIC DEVELOPMENT EFFORTS WHICH ARE NOT PART OF PART I CHARITY CARE OR OTHER COMMUNITY BENEFITS AND ARE NOT INCLUDED ELSEWHERE ON SCHEDULE H. AS THE LARGEST EMPLOYER IN THE REGION OHRH RECOGNIZES THE RESPONSIBILITY WE HAVE TO IMPROVE THE HEALTH OF OUR COMMUNITY THROUGH ACTIVITIES SUCH AS IMPROVEMENT OF ECONOMIC DEVELOPMENT STRATEGIES AND WORKFORCE DEVELOPMENT IRRESPECTIVE OF THE IRS DEFINED COMMUNITY BENEFIT CLASSIFICATION. OUR EFFORTS IN COMMUNITY BUILDING ADDRESS COMMUNITY ISSUES INCLUDING HEALTH IMPROVEMENT AND ADVOCACY, EDUCATION, POVERTY, WORKFORCE DEVELOPMENT AND ACCESS TO CARE. MORE SPECIFICALLY AND AS AN OUTGROWTH OF OUR GRANT PROGRAM NOW REFERRED TO AS THE OHRH COMMUNITY HEALTH INVESTMENT GRANT PROGRAM, OWENSBORO HEALTH ENCOURAGES OUR EMPLOYEES TO VOLUNTEER FOR HUNDREDS OF COMMUNITY AND SOCIAL SERVICE ORGANIZATIONS FROM AROUND THE REGION THAT ARE WORKING TO ADDRESS ROOT CAUSES OF HEALTH ISSUES AND/OR SOCIAL DETERMINANTS OF HEALTH THAT IMPACT THE HEALTH OF THE COMMUNITY AND ITS MEMBERS. OWENSBORO HEALTH ENGAGES WITH OUR GRANT PARTNERS AND OTHER COMMUNITY PARTNERS TO ASSIST IDENTIFYING COLLABORATIVE WAYS THAT WE CAN ADVANCE SOCIAL IMPACT AND IMPROVE THE HEALTH OF OUR POPULATION COLLECTIVELY. MOREOVER, OUR TEAM MEMBERS SERVE ON A MYRIAD OF COMMUNITY CHAMBERS OF COMMERCE, HEALTH, ARTS AND SOCIAL SERVICES BOARDS. TEAM MEMBERS ADVOCATE WHERE PERMISSIBLE ON KEY HEALTH ISSUES AND ADVOCACY PROGRAMS, LOCAL AND STATE POLICIES. OUR DUES, CONTRIBUTIONS, AND PARTICIPATION TO/WITH AREA CHAMBERS AND ECONOMIC DEVELOPMENT AGENCIES WILL ALLOW THOSE ORGANIZATIONS TO INVEST IN ECONOMIC DEVELOPMENT ACTIVITIES CREATING NEW EMPLOYMENT OPPORTUNITIES, WORKER TRAINING, AFFORDABLE HOUSING, TRANSPORTATION, AND OTHER AREAS OF HEALTH PROMOTION. WHILE DOWNSTREAM TO SOME, ADDRESSING SOCIAL DETERMINANTS OF HEALTH WHICH MAY OR MAY NOT FALL UNDER A COMMUNITY BENEFIT CATEGORY, OR IN THE SHORT TERM BE CONSIDERED A PRIORITY HEALTH NEED, MUST AND DOES DESERVE ATTENTION AND RESOURCES. OUR INVESTMENT IN THE KENTUCKY CHAMBER OF COMMERCE HAS ASSISTED IN THE DEVELOPMENT AND ADVOCACY OF A STATEWIDE WORKFORCE HEALTH IMPROVEMENT PROGRAM. THESE ORGANIZATIONS HAVE ALSO BEEN INITIATORS OF COALITION BUILDING AND LEADERSHIP DEVELOPMENT FOR OUR COMMUNITY MEMBERS.
FORM 990, SCHEDULE H, PART III, LINE 2	BAD DEBT ESTIMATE PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR BAD DEBTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES HISTORICAL COLLECTIONS AND WRITE-OFFS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR BAD DEBTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATION OF THE SUFFICIENCY OF THE ALLOWANCE FOR BAD DEBTS.
FORM 990, SCHEDULE H, PART III, LINE 3	BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FAP OH DOES NOT HAVE A MECHANISM TO DETERMINE THE PORTION OF BAD DEBT ATTRIBUTABLE TO THOSE PATIENTS POTENTIALLY ELIGIBLE FOR THE FAP BUT DO NOT COMPLETE THE APPLICATION. THE AMOUNT ENTERED IS AN ESTIMATE.
FORM 990, SCHEDULE H, PART III, LINE 4	TEXT OF BAD DEBT EXPENSE FOOTNOTE SEE AUDITED FINANCIAL STATEMENTS - FOOTNOTE 8, PAGE 19
FORM 990, SCHEDULE H, PART III, LINE 8	TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT THE COSTING METHODOLOGY USED IS THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 OF PART I OF SCHEDULE H OF THIS 990. THE CHARGES AND PAYMENTS ARE FROM THE MEDICARE PAID CLAIMS REPORTS. AS A MEDICARE DESIGNATED SOLE COMMUNITY HOSPITAL, WE ARE THE ONLY PROVIDER IN THE REGION TO PROVIDE CERTAIN SERVICES (PSYCH AND OB SERVICES, FOR EXAMPLE) TO MEDICAID PATIENTS AND THOSE COSTS ARE TYPICALLY NOT COVERED BY THE PAYMENTS RECEIVED. WE ARE ENSURING ACCESS TO SERVICES AND CARE FOR THE COUNTIES WE SERVE. THEREFORE, ALL OF THE SHORTFALL IS CONSIDERED COMMUNITY BENEFIT.
FORM 990, SCHEDULE H, PART III, LINE 9B	APPLICATON OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE THE POLICIES OF OWENSBORO HEALTH (OH) ATTEMPT TO ENSURE ALL UNINSURED PATIENTS OF OH HAVE THE OPPORTUNITY TO APPLY AND QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS. OH HAS FINANCIAL AID APPLICATIONS AVAILABLE AT REGISTRATION AREAS, VIA THE INTERNET, VIA PHONE, AND ARE SENT ROUTINELY VIA MAIL TO PATIENTS OF THE HOSPITAL. OH EMPLOYS PATIENT FINANCIAL ADVOCATES TO ENSURE PATIENTS ARE EVALUATED FOR ELIGIBILITY IN THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. OH DOES USE AN EARLY OUT COLLECTION AGENCY VENDOR THAT FUNCTIONS AS AN EXTENSION OF THE OH BUSINESS OFFICE. OH DOES NOT CONTRACT PRIMARY COLLECTION AGENCIES. ALL SELF-PAY AND BALANCE AFTER INSURANCE ACCOUNTS ARE REVIEWED BY HOSPITAL STAFF TO ENSURE THAT THE PATIENT IS GIVEN EVERY OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE. SELF-PAY DISCOUNTS ARE AVAILABLE TO ALL UNINSURED PATIENTS AS LONG AS THEY COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. DISCOUNTS GIVEN ARE EQUIVALENT TO THE AVERAGE GENERALLY BILLED TO MEDICARE. ADDITIONALLY, PATIENTS WITH A BALANCE ARE PERMITTED TO ESTABLISH PAYMENT PLANS. OH DOES NOT CHARGE INTEREST TO ITS PATIENTS.
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT - OWENSBORO HEALTH	OHRH PARTICIPATED IN AND COLLABORATED ON THE DEVELOPMENT OF THE GRDHD COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLANS. THE CHNA IS A COMMUNITY-WIDE PROCESS TO ANALYZE COMMUNITY HEALTH NEEDS AND IDENTIFY THE HEALTH PRIORITIES. THE HEALTH DEPARTMENT CHNA PROCESS IS A FEDERAL REQUISITE FOR OBTAINING PUBLIC HEALTH DEPARTMENT ACCREDITATION. DETAILS OF THE MAPP PROCESS, COMMUNITY FOCUS GROUPS, SURVEYS, PUBLIC FORUMS, FORUMS WITH DISPARATE POPULATION AND PRIMARY DATA COLLECTION WERE ALL COMPONENTS AND TOOLS OF THE CHNA AND ARE DETAILED IN FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 AND 6B. OH WORKS WITH COMMUNITY PARTNERS ON AN ONGOING BASIS TO ADDRESS PRIORITY NEEDS. STRATEGIES AND ACTIVITIES IMPLEMENTED TO ADDRESS THOSE NEEDS ARE ANNUALLY ASSESSED AND AT TIMES, REVISITED WHEN NEEDED. OH IS A PARTNER TO OTHER ORGANIZATIONS AND ENTITIES' ASSESSMENT PROCESSES AS WELL WHO ARE WORKING AS THEIR MISSIONS DIRECT THEM TO DO TO ADDRESS SPECIFIC PRIORITY AREAS AND SOCIAL DETERMINANTS OF HEALTH. THESE PARTNERSHIPS, COMMUNITY EFFORTS AND OH SPECIFIC STRATEGIES ARE ANNUALLY UPDATED ON SCHEDULE H. IN ADDITION, THOSE EFFORTS OUTSIDE THE CHNA, OH CONTINUALLY ASSESSES SERVICE LINES REGARDING OH/OH MEDICAL GROUP HEALTH-SPECIFIC INDICATORS SUCH AS CANCER, HEART DISEASES, STROKE AND DIABETES. LOOKING AT SPECIFIC POPULATIONS REPRESENTATIVE OF THE COMMUNITIES WE SERVE, COLLABORATIVE EFFORTS ARE BEING MADE TO ADDRESS PRIORITY HEALTH COMMUNITY ISSUES THROUGHOUT THE SYSTEM USING AVAILABLE RESOURCES TO IMPACT THOSE NEEDS.
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESMENT - OHMCH MUHLENBERG	IN ACCORDANCE WITH THE AFFORDABLE CARE ACT (ACA) AND SECTION 501(R) OF THE INTERNAL REVENUE CODE FOR NONPROFIT TAX-EXEMPT HOSPITALS, OHMCH CONDUCTED A CHNA IN MAY 2018 AND COMPLETED AN IMPLEMENTATION STRATEGY IN OCTOBER 2018. FOR THE CHNA, CEDIK FACILITATED THE PROCESS OF PRIMARY DATA COLLECTION THROUGH COMMUNITY SURVEYS, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS TO IDENTIFY HEALTH NEEDS. IN ADDITION, COUNTY SPECIFIC SECONDARY DATA WAS GATHERED TO HELP EXAMINE THE SOCIAL DETERMINANTS OF HEALTH. THROUGHOUT THE PROCESS, CEDIK AND THE COMMUNITY STEERING COMMITTEE MADE IT A PRIORITY TO GET INPUT FROM POPULATIONS THAT ARE OFTEN NOT ENGAGED IN CONVERSATIONS ABOUT THEIR HEALTH NEEDS OR GAPS IN SERVICE. CEDIK CONDUCTED SIX KEY INFORMANT INTERVIEWS TO PROBE MORE DEEPLY INTO HEALTH AND QUALITY OF LIFE THEMES WITHIN THE COUNTY. CURRENT COMMUNITY RESOURCES AND POTENTIAL BARRIERS TO ACCESSING RESOURCES WERE ALSO IDENTIFIED IN THESE INTERVIEWS.
SCHEDULE H, PART VI, LINE 3, PATIENT EDUCATION OF ELIGIBILITY FOR	ASSISTANCE OH EDUCATES ITS PATIENTS IN A VARIETY OF WAYS. OH HAS SIGNAGE AT ACCESS POINTS REGARDING FINANCIAL ASSISTANCE OFFERINGS. OH HAS FINANCIAL AID APPLICATIONS AVAILABLE AT REGISTRATION AREAS, VIA THE INTERNET AT THE HOSPITAL WEBSITE, VIA PHONE, AND SENT ROUTINELY VIA MAIL TO PATIENTS OF THE HOSPITAL. OH EMPLOYS PATIENT FINANCIAL ADVOCATES TO ENSURE PATIENTS ARE INTERVIEWED AND EVALUATED FOR ELIGIBILITY IN THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. ALL SELF-PAY AND BALANCE AFTER INSURANCE ACCOUNTS ARE REVIEWED BY HOSPITAL STAFF TO ENSURE THAT THE PATIENT IS GIVEN EVERY OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE. ADDITIONALLY INFORMATION ABOUT APPLYING FOR FINANCIAL ASSISTANCE IS INCLUDED ON THE PATIENT STATEMENTS, BILLS, AND LETTERS AND THE PATIENT GUIDE THEY MAY RECEIVE FROM OH. THE OH POLICY FOR FINANCIAL ASSISTANCE INCLUDES THE FOLLOWING: ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE, THE BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS, METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE, MEASURES TO WIDELY PUBLICIZE THE POLICY, WRITTEN POLICY REQUIRING THE ORGANIZATION TO PROVIDE CARE FOR EMERGENCY MEDICAL CONDITIONS WITHOUT DISCRIMINATION. AS DESCRIBED ABOVE THE ORGANIZATION DOES NOT CHARGE GROSS CHARGES TO PATIENTS AND LIMITS AMOUNTS CHARGED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE MEDICARE. THE ORGANIZATION DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIVITY BEFORE EFFORTS TO DETERMINE ELIGIBILITY FOR ASSISTANCE HAVE BEEN MADE.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION - OWENSBORO HEALTH	THE PRIMARY SERVICE AREA AND DEFINED COMMUNITY FOR THE CHNA IS DAVIESS COUNTY, KENTUCKY. OWENSBORO IS THE COUNTY SEAT OF DAVIESS COUNTY AND LIES ON THE SOUTHERN BANKS OF THE OHIO RIVER IN WESTERN KENTUCKY. OWENSBORO HEALTH REGIONAL HOSPITAL IS THE ONLY HOSPITAL LOCATED WITHIN ITS PRIMARY SERVICE AREA OF DAVIESS COUNTY. OWENSBORO IS LOCATED 39 MILES SOUTHEAST OF EVANSVILLE, INDIANA, 131 MILES NORTH OF NASHVILLE, TENNESSEE AND 111 MILES SOUTHWEST OF LOUISVILLE, KENTUCKY. ACCORDING TO US CENSUS DATA 2018 ESTIMATES, THE TOTAL POPULATION OF DAVIESS COUNTY IS 100,104. THE UNIVERSITY OF WISCONSIN COUNTY HEALTH RANKINGS INDICATE THE MEDIAN HOUSEHOLD INCOME FOR THE PRIMARY SERVICE AREA IS $44,379. OTHER KEY DEMOGRAPHIC AND HEALTH INDICATORS CAN BE FOUND ON THE OH WEBSITE WITHIN THE COMMUNITY HEALTH INDICATORS AND DASHBOARD AT: HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/APP/KENTUCKY/2013/RANKINGS/DAVIESS/ COUNTY/OUTCOMES/OVERALL/SNAPSHOT
SCHEDULE H, PART VI, LINE 4, COMMUNITY INFORMATION - OHMCH MUHLENBERG	FOR THE PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL AND MUHLENBERG COUNTY HEALTH DEPARTMENT DEFINED THE COMMUNITY AS ITS PRIMARY SERVICE AREA OF MUHLENBERG COUNTY, KENTUCKY. MUHLENBERG COUNTY SERVED AS THE UNIT OF ANALYSIS FOR THE CHNA AND HEALTH NEEDS DISCUSSED PERTAIN TO THE RESIDENTS OF MUHLENBERG COUNTY.
SCHEDULE H, PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH - OWENSBORO	HEALTH OH IS NOT JUST THE LARGEST EMPLOYER IN THE REGION, IT IS ALSO THE LARGEST PRIVATE EMPLOYER IN THE COMMONWEALTH OF KENTUCKY WEST OF LOUISVILLE. WE CONSIDER OUR RESPONSIBILITY TO SERVE AND STRENGTHEN OUR COMMUNITIES IN WAYS MUCH BROADER THAN PROVIDING DIRECT HEALTH SERVICES OR ADDRESSING ONLY IDENTIFIED PRIORITIZED HEALTH NEEDS. WE BELIEVE IN ORDER TO MEET THE SECOND HALF OF OUR MISSION "TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE" OFTEN INVOLVES SUPPORT OF COMMUNITY HEALTH IMPROVEMENTS IN AREAS OF ECONOMIC DEVELOPMENT, LEADERSHIP DEVELOPMENT, COMMUNITY HEALTH ADVOCACY, COMMUNITY SUPPORT FOR HOUSING, ENVIRONMENTAL CONCERNS (RADON, THE SECOND LEADING CAUSE OF LUNG CANCER) AND EXPLORING COLLABORATIVE EFFORTS TO ADDRESS COMMUNITY ISSUES SUCH AS BEDBUGS FOR EXAMPLE. WHILE SOME EFFORTS MAY BE CATEGORIZED BY THE IRS AS COMMUNITY BUILDING AND OTHERS COMMUNITY BENEFIT, WE BELIEVE THAT ALL STRATEGIES AND TACTICS WE ARE IMPLEMENTING AND EXPLORING TO IMPACT THE HEALTH OF THE COMMUNITY FURTHERS OWENSBORO HEALTH'S TAX EXEMPT PURPOSE. THE OHRH CASH AND IN-KIND ALLOCATIONS THROUGH OUR COMMUNITY HEALTH INVESTMENT GRANT PROGRAM REQUIRES OUTSIDE ORGANIZATIONS TO IDENTIFY PRIORITY AREAS THEY WILL ADDRESS AS A PART OF THEIR REQUEST OR THE ROOT CAUSES OF HEALTH PROBLEMS SO WE MAY WORK TOGETHER TO HAVE A GREATER IMPACT. THE GRANT PROGRAM REQUIRES POLICY CHANGES TO ENSURE GRANTEES HAVE 100% COMPREHENSIVE TOBACCO POLICIES SO WE MAY IN FACT IMPACT TOBACCO USE IN ORDER TO IMPACT OTHER CONTRIBUTING FACTORS TO MUCH OF THE DISEASES THAT PLAGUE OUR COMMUNITY AND COMMONWEALTH. BY DOING SO, THE ORGANIZATIONS TO WHICH MAY ALLOCATE RESOURCES TO OR PARTNER WITH ARE ALSO ABLE TO UNDERSTAND THAT WE ARE MAKING THESE INVESTMENTS TO STIMULATE SYSTEMIC, SUSTAINABLE CHANGE IN OUR COMMUNITIES THROUGH OUR COMMUNITY BENEFIT EFFORTS. ADDITIONALLY WE ARE OFTEN ASKED TO BE A FACILITATOR FOR COMMUNITY CONCEPTS TO ADVANCE ECONOMIC DEVELOPMENT PLANS, MEET URGENT NEEDS SUCH AS FOOD INSECURITY, OR CONVENE ORGANIZATIONS TO COLLABORATE IN WAYS THAT HAVE NOT BEEN DONE PREVIOUSLY. BE IT TECHNICAL ASSISTANCE, SPACE, FINANCIAL ASSISTANCE, NEW PROGRAMS OR NEW COMMUNITY/HOSPITAL PARTNERSHIPS SUCH AS PARTNERING TO DEVELOP A TRAUMA INFORMED COMMUNITY OR HELP DEVELOP A MENTAL HEALTH COURT IN OUR COMMUNITY, OWENSBORO HEALTH IS FILLING THAT ROLE. COMMUNITY APPOINTED MEMBERS WHO SERVE ON THE OWENSBORO HEALTH BOARD OF DIRECTORS AND THE COMMUNITY NEEDS AND STRATEGIC PLANNING COMMITTEE OVERSEE THE COMMUNITY BENEFIT WORK. THEY ARE ALSO WORKING TO ENSURE THAT STRATEGIC PLANNING FOR THE HOSPITAL WORKS IN CONJUNCTION WITH INTERNAL AND EXTERNAL EFFORTS AND ALIGNS WITH COMMUNITY ORGANIZATIONS TO ADDRESS PRIORITY HEALTH NEEDS, POPULATION HEALTH, AND RELIEVE THE BURDEN FROM LOCAL AND STATE GOVERNMENTS.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM - OWENSBORO	HEALTH AS REQUIRED OWENSBORO HEALTH REGIONAL HOSPITAL CONDUCTS A CHNA WITH THE VOICE AND INPUT FROM PUBLIC HEALTH AND MANY COMMUNITY PARTNERS. OHRH DEVELOPS AN IMPLEMENTATION STRATEGY STATING HOW IT WILL ADDRESS THE NAMED PRIORITY HEALTH ISSUES. AT PRESENT, IRS GUIDELINES ONLY ALLOW COMMUNITY BENEFIT WHICH IS CONDUCTED UNDER THE HOSPITAL TO BE QUANTIFIED AND REPORTED. HOWEVER THIS REPORTING FALLS FAR SHORT FROM TELLING THE STORY OF WHAT OWENSBORO HEALTH, THE SYSTEM AND ITS AFFILIATED ENTITIES ARE DOING COLLECTIVELY AND STRATEGICALLY TO ADDRESS PRIORITY HEALTH AREAS. BOTH THE OWENSBORO HEALTH MEDICAL GROUP (OHMG) AND THE OWENSBORO HEALTH FOUNDATION ARE CLOSELY ALIGNED WITH OHRH IN STRIVING TO MEET PRIORITY HEALTH NEEDS. AS WE FURTHER DEVELOP AND REFINE OUR SYSTEM STRATEGIC PLANNING PROCESS TO IMPACT, MANAGE AND CHANGE THE HEALTH OF THE POPULATIONS WE SERVE, WE WILL NEED ALL AVAILABLE RESOURCES WITHIN OUR SYSTEM TO MEET OUR MISSION AND IN FACT, IDENTIFY AND ADDRESS THE NEEDS OF VULNERABLE POPULATIONS, IMPROVE COMMUNITY HEALTH, AND CHANGE THE TRAJECTORY OF CHRONIC HEALTH DISEASE. OWENSBORO HEALTH REGIONAL HOSPITAL'S COMMUNITY INVESTMENT GRANT PROGRAM IS ONE TOOL WHICH AVERAGES OVER $700,000 IN DIRECT GRANT FUNDS TO ORGANIZATIONS WITH PROJECTS AND PROGRAMS FOCUSED ON ADDRESSING PRIORITY HEALTH AREAS. BUT ADDITIONAL PLANNING DOES AND WILL CONTINUE TO TAKE PLACE SO THAT SYSTEM POPULATION HEALTH GOALS AND COMMUNITY BENEFIT ACTIVITIES ARE ALIGNED SO THAT COMMUNITY PARTNERSHIPS AND WORK CONDUCTED INTERNALLY THROUGHOUT THE SYSTEM AND EXTERNALLY THROUGH INVESTMENT AND PARTNERSHIPS WILL HAVE THE MOST STRATEGIC, MEASURABLE AND MEANINGFUL IMPACT. WHILE OHRH MAY MAKE A DIRECT FINANCIAL CONTRIBUTION, OTHER SUPPORT IS GIVEN BY TEAM MEMBERS, DEPARTMENTS AND EFFORTS THROUGHOUT THE SYSTEM TO HAVE A MORE EFFECTIVE AND LASTING IMPACT TO A STRATEGIC GOAL. THE OWENSBORO HEALTH SYSTEM CONTINUES TO INVEST SIGNIFICANT DOLLARS AND HUMAN RESOURCES TO INCREASING COMMUNITY ACCESS POINTS, DEVELOP A RESIDENCY PROGRAM, RECRUIT NEEDED PRIMARY CARE AND SPECIALISTS TO MEET THE NEEDS OF THE POPULATION, ADD COMPONENTS TO ELECTRONIC MEDICAL RECORDS TIED TO COMMUNITY STRATEGIES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, AND UTILIZE EXPERTISE THROUGHOUT THE SYSTEM TO EDUCATE AND PROVIDE TECHNICAL ASSISTANCE TO NONPROFIT ORGANIZATIONS, LOCAL GOVERNMENT, PUBLIC HEALTH AND OTHERS TO COLLECTIVELY IMPACT COMMUNITY HEALTH. USE OF GRANT WRITING RESOURCES AT OWENSBORO HEALTH, FUNDS AND HUMAN CAPITAL HAVE BEEN INVESTED TO ASSIST IN CREATING A NEW ACCESS POINT TO SERVE THE HOMELESS AND APPLY AND BE AWARDED FUNDS TO ASSIST WITH THE DEVELOPMENT OF A COMMUNITY MENTAL HEALTH COURT. THE OWENSBORO HEALTH SYSTEM HAS ADDED COMPLEX CARE NAVIGATORS TO MANAGE THE HEALTH OF SPECIFIC PATIENT POPULATIONS WHILE INCREASING EFFORTS TO REACH ADDITIONAL TARGETED UNDERSERVED POPULATIONS IN THE COMMUNITY. THERE ARE DEDICATED STAFF UNDER THE MEDICAL GROUP WHO PLAY STRATEGIC PRIMARY OR SUPPORTIVE ROLES IN THE EXECUTION OF COMMUNITY BENEFIT STRATEGIES. THAT SUPPORT DRIVEN BY THE MEDICAL GROUP INITIATIVES ARE NOT ALLOWED TO BE COUNTED ON THE IRS 990 SCHEDULE H BUT WITHOUT THEM OWENSBORO HEALTH COULD NOT HAVE THE IMPACT IT STRIVES TO HAVE TO ADDRESS THE PRIORITY HEALTH ISSUES AND SOCIAL DETERMINANTS OF HEALTH CONTRIBUTING TO CHRONIC HEALTH DISEASE. IT IS OFTEN THE PROVIDERS, NURSES AND ADDITIONAL OWENSBORO HEALTH TEAM MEMBERS FROM THE MEDICAL FITNESS FACILITY AND COMMUNITY WELLNESS DEPARTMENT WHO PLAY INSTRUMENTAL ROLES IN CARRYING OUT THE WORK TO ENSURE WE ARE MEETING THE NEEDS OF THE UNDERSERVED AND PROVIDING NEEDED EDUCATION AND OUTREACH AT THE COMMUNITY LEVEL. SUCH AN EXAMPLE WOULD BE THE PROVISION OF TOBACCO CESSATION CLASSES AND MULTIPLE SCREENINGS AND EDUCATIONAL EFFORTS CONDUCTED BY SUCH DEPARTMENTS WITHIN THE MEDICAL GROUP. WE ARE FORCED TO ISOLATE THE VALUE OF THE INVESTMENTS WHICH ARE MADE BY OWENSBORO HEALTH REGIONAL HOSPITAL PER THE 501(R) GUIDELINES. IT IS OUR INTENTION BY PROVIDING ADDITIONAL INSIGHT AND INFORMATION IN THIS SECTION OF SCHEDULE H THERE IS SIGNIFICANT RECOGNITION OF THE CHALLENGE BEFORE US AND OTHER NONPROFIT HOSPITALS; THE TRUE MAGNITUDE OF OUR COMMUNITY BENEFIT WORK AS A HOSPITAL SYSTEM IS CRITICALLY IMPORTANT TO UNDERSTAND. THE STRATEGIC EFFORTS, THE MONETARY OUTLAY, THE EFFICIENT AND TRUE IMPACT OF THE BENEFITS MUST SPAN THE THROUGHOUT THE SYSTEM EVEN IF AT THIS TIME, ONLY THAT OF THE HOSPITAL ITSELF CAN BE QUANTIFIED AND REPORTED.
SCHEDULE H, PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT	THERE ARE NO REQUIREMENTS IN THE STATE OF KENTUCKY TO FILE A COMMUNITY BENEFIT REPORT AT THIS TIME.

Schedule H (Form 990) 2018

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
Owensboro Health Inc

Employer identification number
61-1286361

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) HOSPICE & PALLIATIVE CARE OF WESTERN KY 3419 WATHENS CROSSING OWENSBORO,KY42301	31-1010160	501(c)(3)	75,500	COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT COMMUNITY SUPPORT
(2) MUHLENBERG COUNTY BOARD OF EDUCATION 510 W MAIN STREET POWDERLY,KY42367	61-6001286	501(c)(3)	68,500	COMMUNITY SUPPORT
(3) GREEN RIVER DISTRICT HLTH DEPT P O BOX 309 OWENSBORO,KY42302	61-1010686	501(c)(3)	61,638	COMMUNITY SUPPORT
(4) COMMUNITY DENTAL CLINIC 2811 NEW HARTFORD ROAD SUITE A OWENSBORO,KY42303	26-2343126	501(c)(3)	61,000	COMMUNITY SUPPORT
(5) UNITED WAY P O BOX 705 OWENSBORO,KY42302	61-0435444	501(c)(3)	47,848	COMMUNITY SUPPORT
(6) OWENSBORO PUBLIC SCHOOLS 450 GRIFFITH AVENUE OWENSBORO,KY42301	61-6001339	501(c)(3)	28,000	COMMUNITY SUPPORT
(7) GIRLS INCORPORATED P O BOX 1626 OWENSBORO,KY42302	61-0706477	501(c)(3)	26,000	COMMUNITY SUPPORT
(8) CASA OF OHIO VALLEY INC 415 ST ANN STREET OWENSBORO,KY42303	61-1303511	501(c)(3)	26,000	COMMUNITY SUPPORT
(9) OWENSBORO SYMPHONY ORCHESTRA 211 EAST 2ND STREET OWENSBORO,KY42303	61-6055984	501(c)(3)	25,880	COMMUNITY SUPPORT
(10) OWENSBORO DANCE THEATRE 2705 BRECKENRIDGE STREET OWENSBORO,KY42303	61-1040701	501(c)(3)	25,500	COMMUNITY SUPPORT
(11) THEATRE WORKSHOP OF OWENSBORO 407 W 5TH STREET OWENSBORO,KY42301	61-0968600	501(c)(3)	25,000	COMMUNITY SUPPORT
(12) HANCOCK COUNTY HIGH SCHOOL 80 STATE ROUTE 271 SOUTH LEWISPORT,KY42351	61-6001293	501(c)(3)	23,000	COMMUNITY SUPPORT
(13) TRI-STATE FOOD BANK INC 801 E MICHIGAN ST EVANSVILLE,IN47711	35-1539870	501(c)(3)	21,000	COMMUNITY SUPPORT
(14) NEW BEGINNINGS SEXUAL ASSAULT SUPPORT SERVICE 1716 SCHERM ROAD OWENSBORO,KY42301	61-1142453	501(c)(3)	20,500	COMMUNITY SUPPORT
(15) SUSAN G KOMEN FOUNDATION 4424 VOGEL ROAD SUITE 205 EVANSVILLE,IN47715	75-2844632	501(c)(3)	20,000	COMMUNITY SUPPORT
(16) OWENSBORO MUSEUM OF FINE ART 901 FREDERICA STREET OWENSBORO,KY42301	61-1297343	501(c)(3)	20,000	COMMUNITY SUPPORT
(17) LIGHT OF CHANCE INC PO BOX 1636 BOWLING GREEN,KY42102	84-1721551	501(c)(3)	20,000	COMMUNITY SUPPORT
(18) RIVERPARK CENTER 101 DAVIESS STREET OWENSBORO,KY42303	61-1147328	501(c)(3)	20,000	COMMUNITY SUPPORT
(19) SUPPLIES OVER SEAS 1500 ARLINGTON AVE LOUISVILLE,KY40206	27-2624272	501(c)(3)	20,000	COMMUNITY SUPPORT
(20) TOWN OF CHRISNEY PO BOX 26 CHRISNEY,IN47611	35-6006703	501(c)(3)	15,000	COMMUNITY SUPPORT
(21) MCLEAN COUNTY HIGH SCHOOL 496 FOSTER LANE SACRAMENTO,KY42372	61-6001255	501(c)(3)	15,000	COMMUNITY SUPPORT
(22) COMMUNITY HEALTH CHARITIES PO BOX 75153 BALTIMORE,MD21275	61-1202972	501(c)(3)	14,229	COMMUNITY SUPPORT
(23) OWENSBOBO MUSEUM OF SCIENCE & HISTORY 122 E 2ND ST OWENSBORO,KY42303	61-1164857	501(c)(3)	13,600	COMMUNITY SUPPORT
(24) SENIOR COMM CTR OF OWENSBORO 1650 W SECOND ST OWENSBORO,KY42301	31-1044915	501(c)(3)	13,120	COMMUNITY SUPPORT
(25) INTERNATIONAL BLUEGRASS MUSIC MUSEUM 311 WEST 2ND STREET OWENSBORO,KY42301	61-1229037	501(c)(3)	12,500	COMMUNITY SUPPORT
(26) HELPSOMEONE INC PO BOX 9510 OWENSBORO,KY42302	27-3426419	501(c)(3)	11,735	COMMUNITY SUPPORT
(27) CITY OF CENTRAL CITY 214 N 1ST STREET CENTRAL CITY,KY42330	61-6001800	501(c)(3)	11,250	COMMUNITY SUPPORT
(28) SALVATION ARMY 216 W CHESTNUT STREET LOUISVILLE,KY40202	58-0660607	501(c)(3)	11,000	COMMUNITY SUPPORT
(29) DAVIESS COUNTY PUBLIC SCHOOLS P O BOX 21510 OWENSBORO,KY42304	61-6001338	501(c)(3)	11,000	COMMUNITY SUPPORT
(30) ALSACST JUDE CHILDREN'S RESEARCH HOSPITAL 135 W MUHAMMAD ALI BLVD SUITE B LOUISVILLE,KY40202	35-1044585	501(c)(3)	10,292	COMMUNITY SUPPORT
(31) OWENSBORO REGIONAL FARMERS MARKET 4800 A NEW HARTFORD RD OWENSBORO,KY42303	37-1466003	501(c)(3)	10,000	COMMUNITY SUPPORT
(32) OWENSBORO REGIONAL SUICIDE PREVENTION 991 BELLEWOOD DRIVE HENDERSON,KY42420	26-1136007	501(c)(3)	7,500	COMMUNITY SUPPORT
(33) HOPKINS COUNTY FAMILY YMCA 150 YMCA DRIVE MADISONVILLE,KY42431	61-0904719	501(c)(3)	7,307	COMMUNITY SUPPORT
(34) PUZZLE PIECES INC 1512 FREDERICA STREET OWENSBORO,KY42301	45-3042804	501(c)(3)	7,000	COMMUNITY SUPPORT
(35) THE WAY OF ROCKPORT IN PO BOX 506 ROCKPORT,IN47635	52-2608343	501(c)(3)	6,000	COMMUNITY SUPPORT
(36) APOLLO HIGH SCHOOL 2280 TAMARACK ROAD OWENSBORO,KY42301	61-6001338	501(c)(3)	5,600	COMMUNITY SUPPORT
(37) FOUNDATION FOR EXCELLENCE 450 GRIFFITH AVENUE OWENSBORO,KY42301	61-1349137	501(c)(3)	5,500	COMMUNITY SUPPORT
(38) ALZHEIMER'S ASSOCIATION 701 N WEINBACH AVENUE EVANSVILLE,IN47711	13-3039601	501(c)(3)	5,223	COMMUNITY SUPPORT
(39) OWENSBORO HEALTH FOUNDATION 1201 PLEASANT VALLEY ROAD OWENSBORO,KY42303	61-1251763	501(c)(3)	758,168	COMMUNITY SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) TUITION ASSISTANCE	73	245,190	0
(2) PATIENT MEDICAL FUND	232	30,147	0
(3) CANCER CENTER MEDICAL FUND	7	10,571	0
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS

SCHEDULE I, PART I, LINE 2 SERVICES AND ACTIVITIES MUST SERVE INDIVIDUALS IN THE OWENSBORO HEALTH SERVICE AREA, INCLUDING DAVIESS, HANCOCK, OHIO, HENDERSON, HOPKINS, MCLEAN, MUHLENBERG, BRECKINRIDGE AND WEBSTER COUNTIES IN KENTUCKY AND SPENCER AND PERRY COUNTIES, INDIANA. APPLICATIONS MUST SPECIFICALLY DESCRIBE HOW THE ORGANIZATION'S SERVICES ADDRESS ROOT CAUSES OF HEALTH PROBLEMS AFFECTING THE HEALTH OF OUR COMMUNITY. ELIGIBLE GROUPS INCLUDE ECONOMIC, EDUCATIONAL, CIVIC, ARTS AND CULTURAL ORGANIZATIONS.

Schedule I (Form 990) 2018

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Owensboro Health Inc

Employer identification number

61-1286361

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Mcbride Anthony Board Member	(i) (ii)	0 ------------- 711,994	0 ------------- 157,183	0 ------------- 2,380	0 ------------- 13,750	0 ------------- 13,340	0 ------------- 898,647	0 ------------- 0
2Dufrayne Francis Chief Medical Officer	(i) (ii)	159,931 ------------- 312,684	19,000 ------------- 145,395	14,968 ------------- 6,411	0 ------------- 13,750	8,467 ------------- 8,999	202,366 ------------- 487,239	0 ------------- 0
3Hackbarth John Chief Financial Officer	(i) (ii)	442,472 ------------- 0	135,002 ------------- 0	80,992 ------------- 0	28,930 ------------- 0	18,913 ------------- 0	706,309 ------------- 0	0 ------------- 0
4Heath Jr Edward L COO-OHMCH	(i) (ii)	239,402 ------------- 0	74,194 ------------- 0	40,369 ------------- 0	28,501 ------------- 0	25,778 ------------- 0	408,244 ------------- 0	0 ------------- 0
5Strahan Greg PRESIDENT AND CEO	(i) (ii)	783,854 ------------- 0	231,005 ------------- 0	97,776 ------------- 0	28,930 ------------- 0	21,091 ------------- 0	1,162,656 ------------- 0	0 ------------- 0
6Begley II Ernest E Chief Legal Officer	(i) (ii)	332,331 ------------- 0	102,785 ------------- 0	53,225 ------------- 0	28,930 ------------- 0	26,203 ------------- 0	543,474 ------------- 0	0 ------------- 0
7Jones Lisa VP ANCILLARY SERVICES	(i) (ii)	216,861 ------------- 0	67,386 ------------- 0	50,652 ------------- 0	27,988 ------------- 0	20,165 ------------- 0	383,052 ------------- 0	0 ------------- 0
8Field Jason Chief Operating Officer OHMG	(i) (ii)	0 ------------- 199,338	0 ------------- 53,312	0 ------------- 17,708	0 ------------- 13,460	0 ------------- 21,332	0 ------------- 305,150	0 ------------- 0
9Scherm Michael J MD CHIEF MED OFFICER (Thru 07/18)	(i) (ii)	251,793 ------------- 0	123,540 ------------- 0	52,868 ------------- 0	28,930 ------------- 0	13,025 ------------- 0	470,156 ------------- 0	0 ------------- 0
10Belec Timothy VP CIO	(i) (ii)	302,118 ------------- 0	43,275 ------------- 0	24,129 ------------- 0	11,404 ------------- 0	5,778 ------------- 0	386,704 ------------- 0	0 ------------- 0
11Myer Mitchell Kathleen K VP Pt Care Svcs and CNO-MCH	(i) (ii)	143,023 ------------- 0	27,585 ------------- 0	15,368 ------------- 0	8,700 ------------- 0	12,207 ------------- 0	206,883 ------------- 0	0 ------------- 0
12Medley Jr Richard W MD Chief Medical Officer	(i) (ii)	351,347 ------------- 0	106,473 ------------- 0	65,749 ------------- 0	28,930 ------------- 0	7,638 ------------- 0	560,137 ------------- 0	0 ------------- 0
13Ranallo Russell VP FINANCE	(i) (ii)	261,196 ------------- 0	81,494 ------------- 0	46,329 ------------- 0	26,180 ------------- 0	24,277 ------------- 0	439,476 ------------- 0	0 ------------- 0
14Bostic Deborah K COO-OHRH	(i) (ii)	368,855 ------------- 0	110,167 ------------- 0	18,765 ------------- 0	13,750 ------------- 0	7,451 ------------- 0	518,988 ------------- 0	0 ------------- 0
15Johnson Stephen M VP GOVT AND COMMUNITY AFFAIRS	(i) (ii)	178,186 ------------- 0	56,616 ------------- 0	29,014 ------------- 0	27,429 ------------- 0	23,955 ------------- 0	315,200 ------------- 0	0 ------------- 0
16Suter Mia Chief Administrative Officer	(i) (ii)	371,779 ------------- 0	110,585 ------------- 0	51,999 ------------- 0	28,930 ------------- 0	6,534 ------------- 0	569,827 ------------- 0	0 ------------- 0
17Danhauer David E MD VP CMIO	(i) (ii)	307,780 ------------- 0	95,116 ------------- 0	22,555 ------------- 0	28,930 ------------- 0	23,758 ------------- 0	478,139 ------------- 0	0 ------------- 0
18Jacildo Ruby VP Accounting/Controller	(i) (ii)	178,379 ------------- 0	56,372 ------------- 0	16,282 ------------- 0	26,943 ------------- 0	23,421 ------------- 0	301,397 ------------- 0	0 ------------- 0
19Bryant MD Bill VP QUALITY AND PATIENT SAFETY	(i) (ii)	305,415 ------------- 0	92,102 ------------- 0	35,538 ------------- 0	13,750 ------------- 0	17,186 ------------- 0	463,991 ------------- 0	0 ------------- 0
20Cordini Rosalind VP LEGAL SRVC & CCO(THRU 9/18)	(i) (ii)	146,556 ------------- 0	57,377 ------------- 0	46,111 ------------- 0	8,513 ------------- 0	11,833 ------------- 0	270,390 ------------- 0	0 ------------- 0
21Sims Joan M VP Patient Care SVCS and CNO	(i) (ii)	167,934 ------------- 0	33,350 ------------- 0	13,576 ------------- 0	21,186 ------------- 0	2,787 ------------- 0	238,833 ------------- 0	0 ------------- 0
22Stroops Laura L Director of EPIC Applications	(i) (ii)	158,663 ------------- 0	24,504 ------------- 0	6,743 ------------- 0	9,652 ------------- 0	8,191 ------------- 0	207,753 ------------- 0	0 ------------- 0
23Haynes Heather Director of Pharmacy	(i) (ii)	97,570 ------------- 0	24,704 ------------- 0	97,528 ------------- 0	21,166 ------------- 0	8,331 ------------- 0	249,299 ------------- 0	0 ------------- 0
24Taylor Joseph W Executive Director, Facilities	(i) (ii)	155,890 ------------- 0	25,010 ------------- 0	13,225 ------------- 0	20,641 ------------- 0	21,777 ------------- 0	236,543 ------------- 0	0 ------------- 0
25Montaven Simone J Exec Dir of Human Resources	(i) (ii)	157,656 ------------- 0	24,745 ------------- 0	1,758 ------------- 0	19,349 ------------- 0	15,455 ------------- 0	218,963 ------------- 0	0 ------------- 0
26Roberts Kenneth W DIR. OF COMPLIANCE & CONTRACT	(i) (ii)	141,539 ------------- 0	22,171 ------------- 0	24,792 ------------- 0	16,242 ------------- 0	19,725 ------------- 0	224,469 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
FORM 990, SCHEDULE J, PART I, LINE 1A	TAX INDEMNIFICATION AND GROSS UP PAYMENTS THE ORGANIZATION PROVIDES A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN FOR CERTAIN EXECUTIVE EMPLOYEES. BECAUSE BENEFITS UNDER THE SUPPLEMENTAL PLAN MUST BE INCLUDED IN TAXABLE INCOME WHEN THEY BECOME VESTED, AND AS REQUIRED BY THE SUPPLEMENTAL PLAN'S TERMS, THE ORGANIZATION PROVIDES AN ADDITIONAL BENEFIT THAT COVERS THE TAX LIABILITY WHEN IT IS INCURRED. THE TAX LIABILITY PAYMENTS ARE THEMSELVES INCLUDED IN W-2 INCOME IN THE YEAR MADE TO THE EXECUTIVES, AND ARE INCLUDED IN THE FIGURES DISCLOSED ON SCHEDULE J, PART II. CLUB DUES DURING THE REPORTING PERIOD, THE ORGANIZATION PAID THE CEO AND COO'S MEMBERSHIP DUES IN A SOCIAL CLUB. THE CLUB MEMBERSHIP WAS USED FOR BUSINESS PURPOSES. ANY PERSONAL RELATED EXPENSES ARE TREATED AS TAXABLE WAGE INCOME AND FULLY INCLUDED ON THE RECIPIENT'S FORM W-2.
FORM 990, SCHEDULE J, PART I, LINE 4B	NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN OWENSBORO HEALTH PROVIDES A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN FOR CERTAIN EXECUTIVE EMPLOYEES. PARTICIPATION IN THE PLAN IS SUBJECT TO THE RECOMMENDATION OF THE CHIEF EXECUTIVE OFFICER AND THE APPROVAL OF THE BOARD OF DIRECTORS. AS OF DECEMBER 31, 2018 OWENSBORO HEALTH SHALL CREDIT THE PARTICIPANT'S ACCOUNT WITH AN EMPLOYER CONTRIBUTION. THE PARTICIPANT MUST BE EMPLOYED BY OWENSBORO HEALTH AT THE END OF THE PLAN YEAR IN ORDER TO RECEIVE AN EMPLOYER CONTRIBUTION FOR THAT PLAN YEAR. EMPLOYER CONTRIBUTIONS FOR EACH CONTRIBUTION CLASS YEAR SHALL BE 100% VESTED AS OF THE END OF THE PLAN YEAR WHICH IS FIVE YEARS AFTER THE DATE ON WHICH THE EMPLOYER CONTRIBUTION WAS MADE FOR SUCH CONTRIBUTION CLASS YEAR. 457F PLAN TO EXECUTIVES ERNEST E. BEGLEY $34,652; JOHN HACKBARTH $45,863; EDWARD HEATH $24,292; LISA JONES $31,835; RICHARD W. MEDLEY $40,685; RUSSELL RANALLO $30,734; GREG STRAHAN $58,587; MIA SUTER $36,110.
FORM 990, SCHEDULE J, PART I, LINE 7	SUCCESS SHARING PLAN THE SUCCESS SHARING PLAN IS A PROGRAM DESIGNED TO FOCUS ON THE ACCOUNTABILITY OF ALL EMPLOYEES TO INFLUENCE THE FINANCIAL, QUALITY, PATIENT SATISFACTION AND EMPLOYEE DEVELOPMENT GOALS, AND TO REINFORCE THE OH CORE COMMITMENTS (RESPECT, INTEGRITY, INNOVATION, SERVICE, EXCELLENCE AND TEAMWORK) WHILE WORKING TO ACHIEVE THESE GOALS. THE PLAN ACHIEVES THIS BY PROVIDING A DIRECT LINK BETWEEN ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES AND THE TOTAL COMPENSATION OF THOSE WHO'S DECISIONS AND ACTIONS ARE ACCOUNTABLE FOR THE OUTCOMES WHICH DRIVE THE ORGANIZATION'S SUCCESS. ELIGIBILITY IS BASED ON HOURS WORKED IN THE YEAR; STAFF EMPLOYEES ARE PAID A PRO-RATED AMOUNT OF A DOLLAR MAXIMUM AND MANAGEMENT IS PAID A FIXED PERCENTAGE OF ANNUAL SALARY BASED ON LEVEL OF MANAGEMENT. PAYMENT IS PREDICATED ON BOARD APPROVAL.

Schedule J (Form 990) 2018

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
Owensboro Health Inc

Employer identification number
61-1286361

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY	61-0600439	49126KKF7	05-17-2017	501,226,816	SEE PART VI		X		X		X
B	KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY	61-0600439	49126KHT1	08-13-2015	97,567,179	SEE PART VI		X		X		X
C	KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY	61-0600439	49126KGX3	03-03-2010	512,772,595	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0		0		453,810,000
2 Amount of bonds legally defeased ..............	0		0		0
3 Total proceeds of issue ..................	0		98,593,104		522,526,166
4 Gross proceeds in reserve funds .............	0		3,454,908		0
5 Capitalized interest from proceeds .............	0		0		71,314,017
6 Proceeds in refunding escrows ...............	0		26,757,740		0
7 Issuance costs from proceeds ...............	4,780,485		1,765,964		0
8 Credit enhancement from proceeds .............	6,163,038		0		8,204,303
9 Working capital expenditures from proceeds .............	0		420,083		0
10 Capital expenditures from proceeds .............	0		65,588,567		346,058,405
11 Other spent proceeds .............	490,283,293		0		58,975,719
12 Other unspent proceeds .............	0		0		0
13 Year of substantial completion .............	2017		2018		2013
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X	X		X
15 Were the bonds issued as part of an advance refunding issue? .....	X			X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X			X
b Exception to rebate? ........		X		X		X
c No rebate due? .........		X		X	X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........	0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X
b Name of provider ..........	0		0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
SCHEDULE K, PART I, 2017 BOND	PROCEEDS WERE USED TO 1) PARTIALLY ADVANCE REFUND THE SERIES 2010A BONDS (ISSUED 3/3/2010), 2) FULLY ADVANCE REFUND THE SERIES 2010B BONDS (ISSUED 3/3/2010), (3) PAY REMAINING PORTION FOR THE SURETY BOND TO FUND THE DEBT SERVICE RESERVE REQUIREMENT (4)PAY PREMIUM FOR THE POLICY INSURING PAYMENT AND CERTAIN EXPENSES IN CONNECTION WITH THE ISSUANCE.
SCHEDULE K, PART I, 2015 BOND	PROCEEDS FINANCED 1) A 9-STORY REPLACEMENT ACUTE CARE HOSPITAL, 2) A 4-STORY SUPPORT SERVICES BLDG, 3) A ONE AND A HALF STORY CENTRAL ENERGY PLANT, 4) PARKING LOT. IN ADDITION, PROCEEDS REFUNDED A PORTION OF THE SERIES 2001 BONDS (ISSUED 6/13/01) AND FUNDED A PORTION OF THE DEBT SERVICE RESERVE FUND.
SCHEDULE K, PART I, 2010 BOND	PROCEEDS FINANCED 1) A 9-STORY REPLACEMENT ACUTE CARE HOSPITAL, 2) A 4-STORY SUPPORT SERVICES BLDG, 3) A ONE AND A HALF STORY CENTRAL ENERGY PLANT, 4) PARKING LOT. IN ADDITION, PROCEEDS REFUNDED A PORTION OF THE SERIES 2001 BONDS (ISSUED 6/13/01) AND FUNDED A PORTION OF THE DEBT SERVICE RESERVE FUND.
2010 AND 2015 BOND	SCHEDULE K, PART II, LINE 3, BOND A, B AND C THE DIFFERENCE IN THE ISSUE PRICE REPORTED ON SCHEDULE K RESULTED FROM INVESTMENT EARNINGS.
SCHEDULE K, PART IV, LINE 2C, BOND C	3/3/2015

Schedule K (Form 990) 2018

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Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Owensboro Health Inc

Employer identification number

61-1286361

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2018

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) BEST DANIEL	SON IN LAW OF DAVID DANHAUER	53,900	EMPLOYEE COMPENSATION		No
(2) DUFRAYNE POLINA	WIFE OF FRANCIS DUFRAYNE	40,718	EMPLOYEE COMPENSATION		No
(3) RANALLO JENNIFER	WIFE OF RUSSELL RANALLO	43,855	EMPLOYEE COMPENSATION		No
(4) SCHEPERS CHRISTINE	SISTER OF DAVID DANHAUER	86,022	EMPLOYEE COMPENSATION		No
(5) SIMS MEGHAN	DAUGHTER OF JONI SIMS	40,875	EMPLOYEE COMPENSATION		No
(6) STRAHAN GREGORY	SON OF GREG STRAHAN	58,682	EMPLOYEE COMPENSATION		No
(7) STRAHAN HILLARY	DIL OF GREG STRAHAN	130,599	EMPLOYEE COMPENSATION		No
(8) STRAHAN WILLIAM	SON OF GREG STRAHAN	99,373	EMPLOYEE COMPENSATION		No
(9) EMERY JESSICA	DAUGHTER OF WILLIAM HARRISON	13,715	EMPLOYEE COMPENSATION		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2018

Additional Data

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Software Version:

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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

Owensboro Health Inc

Employer identification number

61-1286361

Return Reference	Explanation
FORM 990, PART I, LINE 6	VOLUNTEERS VOLUNTEER SERVICES SUPPORT THE MISSION AND GOALS OF OWENSBORO HEALTH, INC. ("OH"). THEY STAFF THE PATIENT INFORMATION DESK, DELIVER FLOWERS, AND PLAY A CRUCIAL ROLE AS LIAISON BETWEEN FAMILIES AND PHYSICIANS IN THE SURGERY WAITING AREAS. VOLUNTEERS ARE AN ESSENTIAL PART OF THE CARE AND COMFORT OH PROVIDES.
FORM 990, PART VI, LINE 7A	POWER TO ELECT OR APPOINT MEMBERS OH IS GOVERNED BY A FOURTEEN-MEMBER BOARD OF DIRECTORS PURSUANT TO THE CORPORATION'S BYLAWS. THREE (3) DIRECTORS ARE APPOINTED BY THE COUNTY JUDGE/EXECUTIVE OF DAVIESS COUNTY ('COUNTY JUDGE') WITH THE CONSENT OF THE DAVIESS COUNTY FISCAL COURT, THREE (3) DIRECTORS ARE APPOINTED BY THE MAYOR OF THE CITY OF OWENSBORO ('MAYOR') WITH THE CONSENT OF THE BOARD OF THE OWENSBORO CITY COMMISSION, ONE (1) DIRECTOR IS APPOINTED JOINTLY BY THE COUNTY JUDGE AND THE MAYOR, THREE (3) DIRECTOR POSITIONS ARE RESERVED FOR PHYSICIANS WHO ARE MEMBERS OF THE OH ACTIVE MEDICAL STAFF, AND FOUR(4) DIRECTORS ARE ELECTED OR APPOINTED BY THE BOARD OF DIRECTORS FROM THE COMMUNITY. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR OVERSEEING THE MANAGEMENT AND OPERATION OF OH. THE BOARD MEMBERS SERVE THREE-YEAR TERMS, AND CAN SERVE NO MORE THAN THREE (3) CONSECUTIVE TERMS, BUT ARE ELIGIBLE FOR REAPPOINTMENT TO THE BOARD AFTER HAVING BEEN OFF OF THE BOARD FOR AT LEAST ONE (1) YEAR. THE BOARD HAS REGULARLY SCHEDULED MONTHLY MEETINGS.
FORM 990, PART VI, LINE 7B	DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS THE FOLLOWING CORPORATE ACTIONS SHALL REQUIRE THE AFFIRMATIVE ACT OF THE FISCAL COURT OF DAVIESS COUNTY ('COUNTY') AND THE COMMISSIONERS OF THE CITY OF OWENSBORO ('CITY') FOLLOWING A RECOMMENDATION BY THE BOARD OF DIRECTORS: (1) THE ADMISSION OF ANY MEMBER TO THE CORPORATION,(2) THE TRANSFER OF ALL, OR SUBSTANTIALLY ALL, OF THE MANAGEMENT RESPONSIBILITY FOR THE CORPORATION TO A NONRELATED PERSON, (3) A MERGER, CONSOLIDATION OR OTHER SIMILAR ACTION THAT IS DILUTIVE OF THE ASSETS OF THE CORPORATION OR THAT ADVERSELY AFFECTS ANY RIGHTS OF THE COUNTY OR CITY PROVIDED FOR IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE BYLAWS, (4) ANY AMENDMENTS TO ARTICLES 4,5,7,8 AND 10 OF THE ARTICLES OF INCORPORATION; OR ANY AMENDMENT TO SECTION VII OF THE BYLAWS, (5) THE DISSOLUTION OF THE CORPORATION, (6) ANY CHANGE OF THE NAME OF THE CORPORATION, AND (7) THE TRANSFER (IN ONE OR MORE RELATED TRANSACTIONS) DURING ANY TWELVE MONTH PERIOD OF 5% OR MORE OF THE TOTAL ASSETS OF THE CORPORATION TO AN UNAFFILIATED PERSON(S). 'TOTAL ASSETS' SHALL MEAN THE AGGREGATE ASSETS FROM THE MOST RECENT FINANCIAL STATEMENTS OF THE CORPORATION.
FORM 990, PART VI, LINE 11B	FORM 990 REVIEW THE FORM 990 IS REVIEWED BY THE INTERNAL FINANCE TEAM AND FORWARDED TO THE CFO FOR FINAL REVIEW AND APPROVAL BEFORE FILING.
FORM 990, PART VI, LINE 12C	MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY UNDER OUR CONFLICT OF INTEREST POLICY (#100-214), EACH BOARD DIRECTOR, OFFICER, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWER, AND KEY EMPLOYEE IS REQUIRED ANNUALLY TO COMPLETE THE FOLLOWING: (1) CONFIDENTIALITY STATEMENT, (2) DISCLOSURE CERTIFICATE, AND (3) INDEPENDENCE AND RELATED PARTY QUESTIONNAIRE. THESE DISCLOSURES ARE REVIEWED AND RETAINED BY THE CHIEF LEGAL OFFICER, WHO IS ALSO IN THE APPROVAL CHAIN FOR ALL OH CONTRACTS. ALL COMPLETED CONTRACTS ARE MAINTAINED BY THE LEGAL OFFICE IN A SEARCHABLE DATABASE (THROUGH COMPLIANCE 360). THESE WILL BE REVIEWED AND MAINTAINED BY THE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER ALSO HAS ACCESS TO THE CONTRACT'S DATABASE AND COMPLETES AN OIG SANCTION CHECK FOR NEW CONTRACTS. ONCE THE CONFLICT OF INTEREST DATA HAS BEEN COLLECTED, NEW CONTRACTS WILL BE SCREENED FOR POTENTIAL CONFLICTS OF INTEREST. IN ADDITION, OH MAINTAINS A COMPLIANCE HOTLINE THROUGH WHICH ANYONE WITH KNOWLEDGE OF A CONFLICT OF INTEREST OR IMPROPER VENDOR RELATIONSHIP CAN ANONYMOUSLY REPORT SUSPECTED VIOLATIONS OF THE OH POLICY. OF THOSE INDIVIDUALS FOUND TO HAVE A CONFLICT OF INTEREST, EMPHASIS IS MADE THAT THEY MAINTAIN IN CONFIDENCE ANY INFORMATION, KNOWLEDGE, OR DOCUMENTS ACQUIRED AS THE RESULT OF THEIR POSITION OR ATTENDANCE.
FORM 990, PART VI, LINE 15A	OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN TOTAL COMPENSATION IS THE SUM OF EACH EXECUTIVES BASE SALARY, INCENTIVE OPPORTUNITY, BENEFITS, AND PERQUISITES. -OUR TOTAL COMPENSATION PHILOSOPHY WILL APPLY TO THE CEO OF THE ORGANIZATION. -CASH COMPENSATION AND BENEFIT PLANS PROVISIONS WILL BE BASED ON MARKET DATA, COMPETITIVE WITH THOSE HEALTHCARE ORGANIZATIONS WITHIN WHICH WE COMPETE FOR EXECUTIVE TALENT. OUR LABOR MARKET IS DEFINED AS SUCCESSFUL AND COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A NATIONAL LEVEL. SUCCESS IS MEASURED IN TERMS OF FINANCIAL AND OPERATIONAL PERFORMANCE AND MARKET LEADERSHIP. -COMPETITIVE POSITIONING OF BASE SALARIES, AS REFLECTED BY THE SALARY RANGE MIDPOINTS, WILL BE AT THE 50TH PERCENTILE. THE CEO MAY BE PLACED ABOVE OR BELOW THE SALARY RANGE BASED ON THE: CEO'S KNOWLEDGE, COMPETENCIES, AND EXPERIENCE; PERFORMANCE OF THE CEO; THE CEO'S CONTRIBUTION TO THE ORGANIZATION'S OVERALL PERFORMANCE; INTERNAL EQUITY CONSIDERATIONS; THE FINANCIAL RESOURCES AVAILABLE; AND, CEO'S BASE SALARY INCREASES PROVIDED IN THE COMPETITIVE MARKET. -ANNUAL MERIT INCREASE IS BASED ON JOB PERFORMANCE, REVIEWED BY THE FINANCE COMMITTEE, AND THEN APPROVED BY THE BOARD OF DIRECTORS. -ANNUAL INCENTIVE OPPORTUNITIES WILL BE POSITIONED BETWEEN THE 50TH AND 75TH PERCENTILE DEPENDING ON THE DEGREE TO WHICH PERFORMANCE GOALS ARE MET OR EXCEEDED. TOTAL CASH COMPENSATION, AS REFLECTED BY BASE SALARIES AND ANNUAL INCENTIVES, WILL ALSO BE POSITIONED BETWEEN THE 50TH AND 75TH PERCENTILES AND WILL BE INFLUENCED BY PERFORMANCE RESULTS AS MEASURED AGAINST ESTABLISHED GOALS. THE INCENTIVE COMPENSATION PLAN IS REVIEWED BY THE FINANCE COMMITTEE AND THEN APPROVED BY THE BOARD OF DIRECTORS. -THE ORGANIZATION WILL PROVIDE APPROPRIATE AND COMPETITIVE SUPPLEMENTAL BENEFITS AND PERQUISITES DELIVERED IN A FLEXIBLE STRUCTURE TO ALLOW FOR INDIVIDUAL CHOICE AND BASED ON THE ORGANIZATION'S MISSION AND BUSINESS NEEDS. -OUR EXECUTIVE TOTAL COMPENSATION PLAN WILL BE DESIGNED, MANAGED AND MAINTAINED IN A MANNER THAT WILL: SUPPORT AND COMPLEMENT OUR MISSION, MANAGEMENT PHILOSOPHY, SHORT- AND LONG-TERM BUSINESS STRATEGIES, AND EMPLOYEE RELATIONS GOALS; ATTRACT AND RETAIN EXECUTIVES WITH THE RIGHT SKILLS, ABILITIES AND MOTIVATION TO ACHIEVE OUR BUSINESS OBJECTIVE; AND ENSURE THE EXECUTIVE TOTAL COMPENSATION IS REASONABLE AND COMPETITIVE. -OUR CASH COMPENSATION AND BENEFIT PLANS WILL BE REVIEWED BY A HR CONSULTING FIRM AND ADJUSTED PERIODICALLY TO MEET THE CHANGING BUSINESS AND ORGANIZATIONAL CHARACTERISTICS OF OUR ORGANIZATION AND ITS EXECUTIVE STAFF AS DIRECTED BY THE FINANCE COMMITTEE.
FORM 990, PART VI, LINE 15B	OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN TOTAL COMPENSATION IS THE SUM OF EACH EXECUTIVES BASE SALARY, INCENTIVE OPPORTUNITY, BENEFITS, AND PERQUISITES. -OUR TOTAL COMPENSATION PHILOSOPHY WILL APPLY TO ALL EXECUTIVES OF THE ORGANIZATION. -CASH COMPENSATION AND BENEFIT PLANS PROVISIONS WILL BE, ON AVERAGE, COMPETITIVE WITH THOSE HEALTHCARE ORGANIZATIONS WITHIN WHICH WE COMPETE FOR EXECUTIVE TALENT. OUR LABOR MARKET IS DEFINED AS SUCCESSFUL AND COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A NATIONAL LEVEL. SUCCESS IS MEASURED IN TERMS OF FINANCIAL AND OPERATIONAL PERFORMANCE AND MARKET LEADERSHIP. -COMPETITIVE POSITIONING OF BASE SALARIES, AS REFLECTED BY THE SALARY RANGE MIDPOINTS, WILL BE AT THE 50TH PERCENTILE. EXECUTIVES MAY BE PLACED ABOVE OR BELOW THE SALARY RANGE BASED ON THE: EXECUTIVE'S KNOWLEDGE, COMPETENCIES, AND EXPERIENCE; PERFORMANCE OF THE EXECUTIVE'S AREA OF RESPONSIBILITY; THE EXECUTIVE'S CONTRIBUTION TO THE ORGANIZATION'S OVERALL PERFORMANCE; INTERNAL EQUITY CONSIDERATIONS; THE FINANCIAL RESOURCES AVAILABLE; AND, EXECUTIVE BASE SALARY INCREASES PROVIDED IN THE COMPETITIVE MARKET. -ANNUAL INCENTIVE OPPORTUNITIES WILL BE POSITIONED BETWEEN THE 50TH AND 75TH PERCENTILE DEPENDING ON THE DEGREE TO WHICH PERFORMANCE GOALS ARE MET OR EXCEEDED. TOTAL CASH COMPENSATION, AS REFLECTED BY BASE SALARIES AND ANNUAL INCENTIVES, WILL ALSO BE POSITIONED BETWEEN THE 50TH AND 75TH PERCENTILES AND WILL BE INFLUENCED BY PERFORMANCE RESULTS AS MEASURED AGAINST ESTABLISHED GOALS. -THE ORGANIZATION WILL PROVIDE APPROPRIATE AND COMPETITIVE SUPPLEMENTAL BENEFITS AND PERQUISITES DELIVERED IN A FLEXIBLE STRUCTURE TO ALLOW FOR INDIVIDUAL CHOICE AND BASED ON THE ORGANIZATION'S MISSION AND BUSINESS NEEDS. -OUR EXECUTIVE COMPENSATION PLAN WILL BE DESIGNED, MANAGED AND MAINTAINED IN A MANNER THAT WILL: SUPPORT AND COMPLEMENT OUR MISSION, MANAGEMENT PHILOSOPHY, SHORT- AND LONG-TERM BUSINESS STRATEGIES, AND EMPLOYEE RELATION'S GOALS; ATTRACT AND RETAIN EXECUTIVES WITH THE RIGHT SKILLS, ABILITIES AND MOTIVATION TO ACHIEVE OUR BUSINESS OBJECTIVE; AND ENSURE THE EXECUTIVE TOTAL COMPENSATION IS REASONABLE AND COMPETITIVE. -OUR CASH COMPENSATION AND BENEFIT PLANS WILL BE REVIEWED AND ADJUSTED PERIODICALLY TO MEET THE CHANGING BUSINESS AND ORGANIZATIONAL CHARACTERISTICS OF OUR ORGANIZATION AND ITS EXECUTIVE STAFF. THE COMPENSATION OF EACH INDIVIDUAL EXECUTIVE WILL BE REVIEWED AND APPROVED IN A MANNER CONSISTENT WITH THE INTERMEDIATE SANCTION TAX REGULATIONS. THE LAST COMPENSATION REVIEW PROCESS WAS COMPLETED IN 2017.
FORM 990, PART VI, LINE 19	AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINSTMTS TO GENERAL PUBLIC THE ORGANIZATION'S FORM 1023 AND FORM 990 ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE ON GUIDESTAR'S DATABASE AVAILABLE AT WWW.GUIDESTAR.ORG. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE KENTUCKY SECRETARY OF STATE'S WEBSITE AT HTTPS://APP.SOS.KY.GOV/FTSEARCH/. OTHERWISE, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. A COPY OF THE ORGANIZATION'S FINANCIAL STATEMENTS IS ATTACHED TO ITS 990 IN COMPLIANCE WITH THE REQUIREMENTS OF THE AFFORDABLE CARE ACT.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Owensboro Health Inc

Employer identification number

61-1286361

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) COMMONWEALTH MEDICAL MANAGEMENT LLC 1201 PLEASANT VALLEY ROAD OWENSBORO,KY42303 20-4796653	PHYS CLNC SRV	KY	0	0	OH
(2) THE HEALTH NETWORK OF WESTERN KY LLC 1201 PLEASANT VALLEY ROAD OWENSBORO,KY42303 46-5739460	MSSP ACO	KY	0	0	OH
(3) OH MUHLENBERG LLC 1201 PLEASANT VALLEY ROAD OWENSBORO,KY42303 47-3944197	HLTHCARE SVCS	KY	37,709,000	16,973,000	OH
(4) OH HEALTH SOLUTIONS LLC 1201 PLEASANT VALLEY ROAD OWENSBORO,KY42303 47-4106977	HLTHCARE SVCS	KY	0	0	OH
(5) OH HEALTH NETWORK LLC 1201 PLEASANT VALLEY ROAD OWENSBORO,KY42303 47-4114254	HLTHCARE SVCS	KY	0	938,000	OH

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)OWENSBORO HEALTH FOUNDATION INC 1201 PLEASANT VALLEY ROAD OWENSBORO,KY42303 61-1251763	HEALTHCARE	KY	501(c)(3)	7	OH	Yes
(2)OWENSBORO HEALTH MEDICAL GROUP INC 1201 PLEASANT VALLEY ROAD OWENSBORO,KY42303 61-1197638	HEALTHCARE	KY	501(c)(3)	10	OH	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) OWENSBORO AM SR FAC 75-2184992 1000 BRKRG OWENSBORO,KY42303 75-2184992	SURGERY CENTER KY	KY	NA	Related	1,594,632	6,192,468		No	0		No	65.700 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) OWENSBORO HEALTH MEDICAL GROUP INC	j	680,198	FMV
(2) OWENSBORO HEALTH MEDICAL GROUP INC	p	99,927,271	FMV
(3) OWENSBORO HEALTH MEDICAL GROUP INC	s	50,367,086	FMV
(4) OWENSBORO HEALTH MEDICAL GROUP INC	k	2,212,931	FMV
(5) OWENSBORO HEALTH FOUNDATION INC	b	758,168	FMV
(6) OWENSBORO HEALTH FOUNDATION INC	c	148,131	FMV

Schedule R (Form 990) 2018

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: OWENSBORO HEALTH, INC. EXISTS TO HEAL THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	4,383
6	Total number of volunteers (estimate if necessary) .............	6	204
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	9,640
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,007,524	1,350,185
9	Program service revenue (Part VIII, line 2g) .........	574,258,544	602,970,678
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	11,320,934	9,439,335
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	6,911,771	6,118,442
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	593,498,773	619,878,640
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,064,470	2,139,113
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	222,629,345	238,478,259
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	282,972,411	301,699,695
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	507,666,226	542,317,067
19	Revenue less expenses. Subtract line 18 from line 12.......	85,832,547	77,561,573
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,302,588,540	1,369,224,739
21	Total liabilities (Part X, line 26).............	791,643,793	789,039,650
22	Net assets or fund balances. Subtract line 21 from line 20.....	510,944,747	580,185,089

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 411,390,896 including grants of $ 2,139,113 ) (Revenue $ 604,388,430 )
	OWENSBORO HEALTH, INC. ("OH") IS THE PARENT ORGANIZATION OF A DIVERSIFIED SYSTEM OF HEALTH CARE ORGANIZATIONS THAT PROVIDES A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES AND OTHER COMPLEMENTARY HEALTH CARE SERVICES. OH EMPLOYS HEALTHCARE PROFESSIONALS, INCLUDING PHYSICIANS, NURSES, ADVANCE PRACTICE REGISTERED NURSES, PHYSICIAN ASSISTANTS AND OTHER LICENSED PROFESSIONALS WHO PROVIDE DIRECT PATIENT CARE IN THE ORGANIZATION'S MAIN HOSPITAL, OWENSBORO HEALTH REGIONAL HOSPITAL. IN ADDITION, THE ORGANIZATION OPERATES SEVERAL WHOLLY OWNED AND CONTROLLED SUBSIDIARIES, INCLUDING OH MUHLENBERG, LLC (OHMCH), OWENSBORO HEALTH MEDICAL GROUP, INC., OWENSBORO HEALTH FOUNDATION, INC., ONE HEALTH NETWORK, LLC, ONE HEALTH SOLUTIONS, LLC, COMMONWEALTH MEDICAL MANAGEMENT, LLC AND THE HEALTH NETWORK OF WESTERN KENTUCKY, LLC. OH'S PRIMARY ACTIVITY CONSISTS OF PROVIDING MEDICAL AND PATIENT CARE SERVICES IN ITS MAIN HOSPITAL, OWENSBORO HEALTH REGIONAL HOSPITAL, SERVING 14 COUNTIES IN WESTERN KENTUCKY AND SOUTHERN INDIANA. OUR MEDICAL SERVICES ARE DELIVERED BY HIGHLY SKILLED PHYSICIANS ALONG WITH A CARING AND COMPASSIONATE NURSING STAFF. OH SUPPORTS OUR CARE TEAMS WITH STATE-OF-THE ART EQUIPMENT TO PROVIDE OUR PATIENTS WITH ADVANCED MEDICAL TREATMENTS AND PROCEDURES. IN THE FISCAL YEAR ENDED MAY 31, 2019, OH AND OHMCH HAD TOTAL ADMISSIONS OF 17,221, PATIENT DAYS OF 93,598, AND TOTAL ER VISITS OF 84,075. COST OF PARTICIPATING IN GOVERNMENT PROGRAMS: OH IS COMMITTED TO SERVING ALL PERSONS IN NEED, REGARDLESS OF RACE, CREED, SEX, NATIONALITY, RELIGION, DISABILITY, AGE OR ABILITY TO PAY. TO PROMOTE ACCESS TO CARE, OH PARTICIPATES IN THE FOLLOWING PUBLIC HEALTH PROGRAMS: MEDICAID, MEDICARE, TRICARE AND LOCAL HEALTH DEPARTMENTS. IN GENERAL, PAYMENTS FROM THESE PROGRAMS FREQUENTLY DO NOT COVER THE COSTS OH INCURS TO SERVE PROGRAM BENEFICIARIES. UNCOMPENSATED CARE AND FINANCIAL ASSISTANCE: OH PROVIDES MEDICAL CARE WITHOUT CHARGE, OR AT REDUCED COST, TO RESIDENTS OF THE COMMUNITIES THAT IT SERVES. OH'S FINANCIAL ASSISTANCE PROGRAM WAS ESTABLISHED TO ASSIST PATIENTS WHO DO NOT QUALIFY FOR MEDICAL ASSISTANCE PROGRAMS, LIKE MEDICAID, AND WHOSE ANNUAL INCOMES ARE AT OR BELOW CERTAIN PERCENTAGES OF THE FEDERAL POVERTY GUIDELINES. DURING THE REPORTING PERIOD, OH PROVIDED $16,181,217 IN FINANCIAL ASSISTANCE TO LOW-INCOME AND/OR UNINSURED PATIENTS. OH DOES NOT INCLUDE IN THAT AMOUNT $31,367,766 OF BAD DEBT EXPENSE, WHICH ARE AMOUNTS WRITTEN OFF FOR PROVIDING SERVICES TO PERSONS WHO MAY BE ABLE, BUT ARE UNWILLING, TO PAY FOR THE SERVICES THEY RECEIVE. AS DESCRIBED ELSEWHERE, OH BELIEVES A PORTION OF ITS BAD DEBT EXPENSE DERIVES FROM PATIENTS WHO MIGHT HAVE QUALIFIED FOR FINANCIAL ASSISTANCE HAD THEY SUBMITTED ASSISTANCE APPLICATIONS. OH IS COMMITTED TO EXPANDING ITS PROGRAMS TO IMPROVE ACCESS TO HEALTH CARE IN ITS PRIMARY AND SECONDARY SERVICE AREAS, WHICH INCLUDE RURAL AND ECONOMICALLY DEPRESSED AREAS AND AREAS THAT LACK ADEQUATE NUMBERS OF PRIMARY CARE AND SPECIALTY PROVIDERS.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses411,390,896

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	8,885,399	1,606,405	962,481

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	148,131
e	Government grants (contributions)		1e	1,184,329

f	All other contributions, gifts, grants, and similar amounts not included above		1f	17,725

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		1,350,185

		Business Code
2a	PATIENT REVENUE-OTHER INS	622110	301,014,161	301,014,161	0	0
b	MEDICARE/MEDICAID PAYMENT	622110	290,537,753	290,537,753	0	0
c	DSH/MEDICAID	622110	8,668,495	8,668,495	0	0
d	REVENUE - OASF	621493	1,680,671	1,680,671	0	0
e	REVENUE - OCHN	622110	-36,316	-36,316	0	0
f	All other program service revenue.		1,105,914	1,105,914	0	0
g	Total. Add lines 2a–2f ....		602,970,678

3 Investment income (including dividends, interest, and othersimilar amounts) ......			4,916,710			4,916,710
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		2,242,884
b	Less: rental expenses		558,887
c	Rental income or (loss)	0	1,683,997
d	Net rental income or (loss)......			1,683,997			1,683,997
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		202,763,685
b	Less: cost or other basis and sales expenses	57,168	198,183,892
c	Gain or (loss)	-57,168	4,579,793
d	Net gain or (loss).....			4,522,625			4,522,625
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a		806,661
b	Less: cost of goods sold ..b		527,718
c	Net income or (loss) from sales of inventory..			278,943			278,943
Business Code			Miscellaneous Revenue
11a	CAFETERIA & VENDING REV		722514	2,657,953	0	0	2,657,953
b	CALL CENTER REVENUE		622110	427,844	427,844	0	0
c	CATERING & 990T		812300	9,640	0	9,640	0
d	All other revenue ....			1,060,065	989,908		70,157
e	Total. Add lines 11a–11d ......			4,155,502
12	Total revenue. See Instructions......			619,878,640	604,388,430	9,640	14,130,385

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	1,853,491	1,853,491
2	Grants and other assistance to domestic individuals. See Part IV, line 22	285,622	285,622
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	0	0
4	Benefits paid to or for members	0	0
5	Compensation of current officers, directors, trustees, and key employees ....	6,334,375	0	6,334,375	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	627,701	320,710	306,991	0
7	Other salaries and wages	172,070,977	149,652,485	22,418,492	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	16,578,317	11,606,255	4,972,062	0
9	Other employee benefits .......	30,158,299	21,222,325	8,935,974	0
10	Payroll taxes ...........	12,708,590	10,902,695	1,805,895	0
11	Fees for services (non-employees):
a	Management ......	4,037,894	2,811,795	1,226,099	0
b	Legal .........	1,793,209		1,793,209	0
c	Accounting ...........	256,337	0	256,337	0
d	Lobbying ...........	139,885	0	139,885	0
e	Professional fundraising services. See Part IV, line 17	0			0
f	Investment management fees ......	399,632	0	399,632	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	46,821,276	38,734,019	8,087,257	0
12	Advertising and promotion ....	1,803,415	71,135	1,732,280	0
13	Office expenses .......	9,168,311	5,253,178	3,915,133	0
14	Information technology ......	10,904,848	8,686,270	2,218,578	0
15	Royalties ..	261,645	223,289	38,356	0
16	Occupancy ...........	10,668,935	4,842,337	5,826,598	0
17	Travel ............	932,933	725,382	207,551	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0	0	0	0
19	Conferences, conventions, and meetings ....	289,263	211,173	78,090	0
20	Interest ...........	27,908,647	0	27,908,647	0
21	Payments to affiliates .......	0	0	0	0
22	Depreciation, depletion, and amortization ..	29,043,511		29,043,511	0
23	Insurance ...	1,423,329	0	1,423,329	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	113,307,049	113,113,623	193,426	0
b	BAD DEBT	31,367,776	31,367,776	0	0
c	PROVIDER TAX	6,446,741	6,446,741	0	0
d	DIETARY PATIENT SUPPLIES	2,631,306	2,631,306	0	0
e	All other expenses	2,093,753	429,289	1,664,464
25	Total functional expenses. Add lines 1 through 24e	542,317,067	411,390,896	130,926,171	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).	0

1	Cash–non-interest-bearing ........			13,626	1	12,131,208
2	Savings and temporary cash investments .........			48,883,535	2	5,350,182
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			470,555,208	4	538,633,073
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
				0	6	0
7	Notes and loans receivable, net ....			0	7	0
8	Inventories for sale or use ........			13,914,208	8	13,261,442
9	Prepaid expenses and deferred charges ......			18,775,144	9	22,322,018
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	884,809,795
b	Less: accumulated depreciation	10b	400,021,516	498,545,423	10c	484,788,279
11	Investments—publicly traded securities .			180,348,256	11	226,186,040
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			29,030,306	13	28,979,108
14	Intangible assets ...............			11,348,434	14	11,348,434
15	Other assets. See Part IV, line 11 ...........			31,174,400	15	26,224,955
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,302,588,540	16	1,369,224,739

17	Accounts payable and accrued expenses .....	59,945,796	17	72,311,575
18	Grants payable ...	0	18	0
19	Deferred revenue .........	12,460,573	19	1,235,688
20	Tax-exempt bond liabilities .........	598,924,579	20	588,850,792
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	120,312,845	25	126,641,595
26	Total liabilities. Add lines 17 through 25..	791,643,793	26	789,039,650

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	510,944,747	27	580,185,089
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	510,944,747	33	580,185,089
34	Total liabilities and net assets/fund balances ........	1,302,588,540	34	1,369,224,739