2024-03-22T09:53:32+00:00 2023-05-31 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE INDIANAPOLIS IN 462045100 990 2022-06-01 853033915 Owensboro Health Twin Lakes Regional Medical Center Inc OWEN 2702599400 1201 Pleasant Valley Road Owensboro KY 42303 Russ Ranallo CFO 2704172000 2024-03-22 true Russ Ranallo 999009999 Jennifer D Rhoderick P00395735 3176817000 2024-03-21 2022 2023-04-26 12:10:37Z Owensboro Health Twin Lakes Medical Center Russ Ranallo 1201 Pleasant Valley Road Owensboro KY 42303 63065522 false X WWW.OWENSBOROHEALTH.ORG X 2020 KY OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER EXISTS TO HEAL THE SICK AND TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. 9 7 470 37 0 0 115000 3158026 54769840 58857610 0 1500 1394092 1048386 56278932 63065522 0 0 0 0 23100962 23174557 0 0 0 25329388 27138316 48430350 50312873 7848582 12752649 55501629 83782092 47287962 62817995 8213667 20964097 X OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER EXISTS TO HEAL THE SICK AND TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. true false 43625719 0 59717323 OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER ("OHTLMC") IS A 75 BED HOSPITAL BASED IN LEITCHFIELD, KY, ABOUT 65 MILES SOUTHEAST OF OWENSBORO. THE SERVICE AREA COMPRISES 115,000 PEOPLE FROM SIX COUNTIES: GRAYSON (PRIMARY), BRECKINRIDGE, OHIO, BUTLER, EDMONSON, HART, AND HARDIN. OWENSBORO HEALTH, INC. ("OH") WHOLLY OWNS AND CONTROLS OHTLMC AND IS NOT A MEMBER OF THE OBLIGATED GROUP. OHTLMC'S PRIMARY ACTIVITY CONSISTS OF PROVIDING MEDICAL AND PATIENT CARE SERVICES IN ITS MAIN HOSPITAL, SERVING SIX COUNTIES, IN SUPPORT OF OH. THE SOLE MEMBER OF OHTLMC IS OH. OUR MEDICAL SERVICES ARE DELIVERED BY HIGHLY SKILLED PHYSICIANS ALONG WITH A CARING AND COMPASSIONATE NURSING STAFF. FOR THE FISCAL YEAR 2023, OHTLMC HAD TOTAL ADMISSIONS OF 1,599, PATIENT DAYS OF 4,967 AND TOTAL ER VISITS OF 19,158. COST OF PARTICIPATING IN GOVERNMENT PROGRAMS: OHTLMC 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, OHTLMC 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 OHTLMC INCURS TO SERVE PROGRAM BENEFICIARIES. UNCOMPENSATED CARE AND FINANCIAL ASSISTANCE: OHTLMC PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COST TO RESIDENTS OF THE COMMUNITIES THAT IT SERVES. OHTLMC'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. OHTLMC IS COMMITTED TO EXPANDING ITS PROGRAMS TO IMPROVE ACCESS TO HEALTH CARE IN THE AREAS IT SERVES, WHICH INCLUDE RURAL AND ECONOMICALLY DEPRESSED AREAS AND AREAS THAT LACK ADEQUATE NUMBERS OF PRIMARY CARE AND SPECIALTY PROVIDERS. IN MAY 2023, OHTLMC OPENED ITS NEW INPATIENT 12-BED GERIATRIC BEHAVIORAL HEALTH UNIT. THE UNIT IS SPECIFICALLY DESIGNED TO PROVIDE MENTAL HEALTH SERVICES FOR THE AGING POPULATION. THE GOAL IS TO HELP OLDER ADULTS EXPERIENCE LESS DISRUPTIVE BEHAVIORS AND SLOW THEIR RATE OF COGNITIVE DECLINE. 43625719 true true false false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 51 0 true 470 true false false false false false false false false false false false false X 9 7 false false false false true true true true true false false false true true true true true true true true true KY X Russ Ranallo 2704172000 1201 Pleasant Valley Road Owensboro KY 42303 JEFFREY THOMAS BOARD TREASURER, CFO (ENDED 06/13/2022) 2.0 48.0 X X 0 455714 15732 MARK MARSH PRESIDENT AND CEO 2.0 48.0 X X 0 1091008 52916 ROBERT FARMER BOARD CHAIRPERSON 1.0 5.0 X X 0 0 0 RUSSELL S RANALLO BOARD TREASURER, CHIEF FINANCIAL OFFICER (EFFECTIVE 06/2022) 2.0 48.0 X X 0 609738 48534 VICKI STOGSDILL BOARD SECRETARY 1.0 3.0 X X 0 0 0 CHRIS LOVE BOARD MEMBER (EFFECTIVE 10/31/2022) 1.0 3.0 X 0 0 0 DENNIS FENTRESS BOARD MEMBER 1.0 0 X 0 0 0 GAVIN ROBERTS BOARD MEMBER (ENDED 10/31/2022) 1.0 6.0 X 0 0 0 GLENNA BLACK BOARD MEMBER 1.0 0 X 0 0 0 LARRY BRETT ABNEY OD BOARD MEMBER 1.0 0 X 0 0 0 RYAN BRATCHER BOARD MEMBER 1.0 0 X 0 0 0 ASHLEY HERRINGTON CEO - OHTLMC 45.0 5.0 X 340978 0 45583 CATHERINE CLEMONS VP OF OPERATIONS - OHTLMC 45.0 5.0 X 215033 0 21038 CATHY STEWART VP PATIENT CARE SVCS AND CNO - OHTLMC 45.0 5.0 X 201581 0 29467 ANGELA M GIBSON DIRECTOR OF PHARMACY 50.0 0 X 177381 0 16050 BRITTANY N CLEMONS DIR OF NURSG AND QLTY-PT SFTY 50.0 0 X 133761 0 24195 CATHERINE EARLEY Registered Nurse - BSN 45.0 0 X 130539 0 4723 CHLOE ADAMS CLINICAL PHARMACIST 50.0 0 X 120120 0 34618 JEREMY NEWTON CLINICAL PHARMACIST 50.0 0 X 122252 0 22561 GREG STRAHAN FORMER PRESIDENT AND CEO (ENDED 08/06/21) 0.0 0.0 X 0 1117560 0 JOHN HACKBARTH FORMER BOARD SECRETARY, CFO (ENDED 08/06/2021) 0.0 0.0 X 0 450474 0 1441645 3724494 315417 16 true true false CONOLOWAY ANESTHESIA PLLC PO BOX 12 LEITCHFIELD KY 42755 ANESTHESIA SERVICES 924954 QUALIVIS LLC DEPT 3847 PO BOX 123847 DALLAS TX 753123847 CONTRACT LABOR FOR NURSING, LAB, RESPIRATORY AND MEDICAL IMAGING 780321 CLINICAL MANAGEMENT SOLUTIONS PO BOX 6890 EVANSVILLE IN 47719 OCC. AND PT SERVICES 694327 CONCORD COMPANY OF TENNESSEE 1602 AVENUE Q LUBBOCK TX 794014732 ER COVERAGE 626213 HEALOGICS WOUND CARE & HYPERBARIC SERVICES INC 28525 NETWORK PLACE CHICAGO IL 606731285 HYPERBARIC AND WOUND CARE SERVICES 327618 9 3140013 18013 15445 3158026 MEDICARE/MEDICAID PAYMENT 622110 27430261 27430261 PATIENT REVENUE - OTHER INCOME 622110 20604465 20604465 UPPER PAYMENT LIMIT 622110 10456961 10456961 PROPERTY/OFFICE RENT 531120 253175 253175 112748 112748 0 0 58857610 0 0 1500 1500 0 1500 1500 CAFETERIA AND VENDING 722514 188673 188673 OTHER OPERATING REVENUE 900099 659228 659228 ALL OTHER REVENUE 900099 200485 200485 0 0 0 0 1048386 63065522 59717323 0 190173 X 0 0 853680 326983 526697 17215784 15733589 1482195 415009 353179 61830 3401240 2725248 675992 1288844 1161548 127296 272562 242598 29964 30535 30535 7811453 7170510 640943 0 95897 2849 93048 2436475 2118984 317491 417977 301012 116965 30894 34004 -3110 1002010 703309 298701 20316 16582 3734 665 678 -13 4275 4275 2273999 164407 2109592 MEDICAL SUPPLIES 7012251 6975079 37172 BAD DEBT 3243764 3243764 PROVIDER TAX 2058702 2058702 DIETARY SUPPLIES 315564 255956 59608 110977 32463 78514 0 50312873 43625719 6687154 0 14697316 -295032 0 1280392 0 0 6573204 6699516 0 0 0 0 0 0 2258816 2238321 2414450 5986616 37502264 5118097 29208880 32384167 0 0 0 348963 220325 0 0 0 35267787 55501629 83782092 2893523 1969668 0 0 81646 53053 0 0 0 0 0 0 0 0 0 0 44312793 60795274 47287962 62817995 X 8213667 20964097 0 0 0 0 0 0 0 0 8213667 20964097 55501629 83782092 X 12752649 -2219 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2509738 2509738 22443913 2695116 19748797 8244108 2422981 5821127 4304505 4304505 32384167 INTERCOMPANY RECEIVABLES 35267787 35267787 DUE TO MEDICARE AND MEDICAID COST REPORT 1142271 DUE TO MEDICARE FOR ACCELERATED PAY INTERCOMPANY AP 59653003 60795274 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM APPLIES FASB ASC 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ASC 740 PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIALS 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. true true X true X 300 true X true true true false true true 164708 0 164708 0.0035 15772783 21054085 0 0.0 0 0 0 0.0 0 0 15937491 21054085 164708 0.0035 64 6339 7098 0 7098 0.0002 105 349 172590 0 172590 0.0037 0 0 0 0 0.0 0 0 0 0.0 103 8277 7143 0 7143 0.0002 272 14965 186831 0 186831 0.0040 272 14965 16124322 21054085 351539 0.0075 0 0.0 15 1376 1997 1997 0.0000 0 0.0 0 0.0 1 15 237 237 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 16 1391 2234 0 2234 0.0000 false 3243764 259501 8351882 8772654 -420772 X true true 1 1 OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 WWW.OWENSBOROHEALTH.ORG 100151 X X X OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER 1 false false true X X X X X X X X X 21 true false true true X https://www.owensborohealth.org/health-resources/health-needs-assessment X true 21 true https://www.owensborohealth.org/health-resources/health-needs-assessment false true X 300.0 400.0 X X true true X X X true X WWW.OWENSBOROHEALTH.ORG X WWW.OWENSBOROHEALTH.ORG X WWW.OWENSBOROHEALTH.ORG X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE PRIORITY HEALTH AREAS FOR OHTLMC IN TAX YEARS 2021 - 2024 ARE: MENTAL HEALTH, SUBSTANCE ABUSE, CHRONIC HEALTH CONDITIONS, AND OBESITY/PHYSICAL INACTIVITY. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER. In its most recent Community Health Needs Assessment (CHNA), Owensboro Health Twin Lakes Medical Center (OHTLMC) and its population health committee with the Community and Economic Initiative of Kentucky (CEDIK) developed a survey to gather health information and -perceptions of Grayson County residents 18. The survey was conducted in January and February of 2022 using an online tool and distributing printed copies in various locations throughout the community. The online survey was promoted through local media, emails, and its Facebook page. Emails with a link to the survey were sent to Grayson County Chamber of Commerce members, local industries, and employees of the Grayson County school system and the hospital. Printed copies were delivered to an assisted living facility, the Grayson County Alliance food bank, the Grayson County Health Department, Big Clifty Medical Complex, and the Caneyville Family Practice. Surveys were also conducted at the community Covid-19 vaccine clinic. 1109 Grayson County residents participated in the survey. The survey questions were in three primary categories: Demographics, personal health information, and perceived health needs of the community. CEDIK tabulated the results and supplemented them with health statistics and demographic information. OHTLMC then invited representatives from various backgrounds to participate in focus groups. These focus groups comprised community citizens, community leaders, and healthcare groups. Organizations represented included the county extension office; Grayson County Schools; the Grayson County Health Department; OHTLMC employees; local industry/manufacturing; Grayson County Healthcare Foundation; Catholic Outreach; Tri-County CASA; banks and businesses; OHRH; United Way of Central Kentucky; the Grayson County Alliance. Lastly, four key informant interviews were done with involved community members. After carefully considering the results of the Community Health Survey, the most recent health and demographic information available input from the Community Health committee, and the key informant interviews, the following needs were identified by the OHTLMC population health committee and approved by the hospital leadership and the Board of directors. The priority health areas for OHTLMC in tax years 2021 - 2024 are: Mental Health, Substance Abuse, Chronic Health Conditions, and Obesity/Physical Inactivity. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER. AS PREVIOUSLY NOTED, THE OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER (OHTLMC) CHNA WAS CONDUCTED WITH COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY (CEDIK). CEDIK ENGAGED MULTIPLE COMMUNITY PARTNERS, INDIVIDUAL CITIZENS, ELECTED OFFICIALS, COALITIONS AND SUBJECT MATTER EXPERTS IN CONDUCTING THE CHNA. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER. Owensboro Health Twin Lakes Medical Center created a Community Health Committee. The group is guided by the identified priority health needs named in its most recent CHNA identifying areas of focus to improve the health of our community and the hospital implementation strategy. The Community Health Committee is made up of internal team members and external community members. Owensboro Health Twin Lakes Medical Center CEO chairs the committee. The Community Health Committee meets monthly to discuss implementation of the implementation strategy to improve the community's health. OHTLMC intends that the contents of this report be used to create awareness by informing Grayson County residents of the prioritized health issues identified by the community. Also, as a strategy, OHTLMC uses the CHNA report as a foundation to build lasting relationships between OHTLMC, community partners, and residents of Grayson County. OHTLMC has engaged vital internal and community partners to address the prioritized needs. The strategies used to impact the priority health areas include, but are not limited to, modifying policies, public and private; providing support, information, and incentives; improving access; enhancing skills, and changing consequences. Follow-up surveys will measure each initiative's success and give the hospital's following areas of focus. Owensboro Health Twin Lakes Medical Center has developed strategies to address each of the named priority issues in its most recent community health needs assessment (CHNA). There are no identified priority health needs for which we are not addressing. Priority Needs in most recent CHNA: Mental Health, Substance Abuse, Chronic Health Conditions, Obesity/Physical Inactivity OHTLMC is working collaboratively with community partners to address the identified priority areas. Now a part of the Owensboro Health system, the population health committee is accessing supplemental data, resource information, and additional partners to better understand the priority health issues and possible strategies. OHTLMC began screening all patients admitted as an inpatient for social determinants of health on January 23, 2023. This is being utilized in 94% of admissions system-wide and allows our case management/social services team members to identify better opportunities to link patients with resources related to mental health needs to provide a better quality of life. As identified priority health issues are correlated to social determinants of health, namely poverty, transportation, education, and housing, OHTLMC will be looking to expand upon internal and external strategies now used to address community health. Mental Health: In addition to partnering with the local mental health centers serving Grayson County and other providers, OHTLMC opened its new inpatient 12-bed Geriatric Behavioral Health Unit. The additional service increased access to mental health services for the aging population in and around Grayson County. In addition to the inpatient services, we offer outpatient behavioral health services to the community at large utilizing the Owensboro Health Regional Hospital inpatient behavioral health services, telehealth behavioral health interventions, and Intensive Outpatient Programs. We have also hired a behavioral health physician to provide outpatient services to our community. We will provide education and awareness to our community by hosting a community mental health awareness fair. To ensure our team members are equipped with the tools needed to provide a high standard of care for patients seeking mental health services, we have begun to offer mental health first aid to OHTLMC team members. As of May 2023, we have 9 team members certified in mental health first aid; additional classes are expected to come in the following year. Mental health issues among youth and adults are increasing and have been exacerbated by the worldwide pandemic. While this has made community education a challenge, OHTLMC will continue working with the population health committee to explore strategies to discover innovative solutions to combat this issue. From June 2022, to May 2023, OHTLMC promoted mental health awareness and the availability of the mental health virtual resource, CredibleMind, through traditional/social media channels and local community organizations. In addition, the hospital hosted its third Mental Health and Addition Awareness Fair open to the community. 105 community members attended this community service with 46 mental health vendor providing mental health resources. OHTLMC participated in the 1st annual Grayson County Poverty Coalition Summer Resource Fair in June 2022. The fair consisted of 36 vendors, 6 of which were Owensboro Health services, to provide community and basic need resources to 181 participants to link the community to available resources they may otherwise been unaware of. Substance Use: Since April 2019, OHTLMC has continued to be a member of the Kentucky Opioid Response Effort's Kentucky Statewide Opioid Stewardship Program (KY-SOS) to address inappropriate or excess opioid prescribing. The Opioid stewardship team at OHTLMC meets regularly and participates in data collection and reporting as required by KY-SOS. In addition, OHTLMC has an established opioid stewardship committee whose charge is to ensure safe opioid prescribing and decrease opioid abuse and misuse by patients in our care. Our pharmacy team is responsible for training local police departments. Treatment: OHTLMC offers medical detox from alcohol, opioids, and other addictive substances. As the body rids itself of toxins, withdrawal symptoms and cravings are safely managed under the 24-hour supervision of trained professionals. Non-addictive medications may be prescribed to lessen withdrawal symptoms, in addition to nutritional supplements and fluids. Pain will be managed through non-narcotic medications and other proven therapies. Patients are usually stabilized within a week. Maternal Opioid Medical Stabilization (MOMS) -Any expectant mother suffering from opioid use disorder may be considered for the OHTLMC MOMS program. A non-addictive medication is prescribed under the 24-hour supervision of caring and specially trained medical professionals. Studies show that, compared to untreated pregnant women with opioid addiction, expectant mothers receiving medication-assisted treatment gave birth to infants with a lower risk of a condition called Neonatal Abstinence Syndrome (NAS). Other benefits of MOMS include shorter treatment time for the baby, an increased likelihood of a full-term pregnancy, healthier birth weight, and a desirable head circumference at birth. The typical length of stay for the MOMS program is two to seven days, followed by an individualized treatment plan, including continued outpatient treatment and community-support services to meet the needs of the mother and her unborn baby. Medication-Assisted Treatment: In response to the nationwide opioid crisis, OHTLMC offers medication-assisted treatment options for opioid addiction. OHTLMC Addiction Services uses FDA-approved medications, such as Subutex, Suboxone, Sublocade, and Vivitrol, to relieve opioid-withdrawal symptoms and alcohol cravings to help the patient quit using addictive substances. OHTLMC Director of Addiction Services serves as a community conduit to provide education and information regarding this prevalence of substance use disorder and education, when possible, to the community regarding substance use prevention. This person serves on the Grayson County Substance Abuse Focused Education (SAFE) Coalition, hosts a monthly substance abuse provider's meeting, "Taking Back Kentucky, hosts an annual Mental Health and Addiction Resource Awareness Fair and an annual Summer Resource Fair. In March of 2023 OHTLMC began handing out self-help recovery workbooks to patients admitted for any of our addiction services program. These books will be utilized by patients over the 3-5 day period they are here with us to begin to work through addiction related trauma, relapse triggers, and many other key factors important for their recovery. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER. OHTLMC Director of Addiction Services serves as a community conduit to provide education and information regarding this prevalence of substance use disorder and education, when possible, to the community regarding substance use prevention. This person serves on the Grayson County Substance Abuse Focused Education (SAFE) Coalition, The GHM ASAP Coalition, hosts a monthly substance abuse provider's meeting, "Taking Back Kentucky, hosts an annual Mental Health and Addiction Resource Awareness Fair which was attended by 105 community members attending the event in 2023 and included 46 substance use /mental health vendors handing out resources. They also played a role in hosting an annual Summer Resource Fair which included 181 community members attending the event and 36 vendors providing resources to the community. The Addiction Services Director at OHTLMC also assisted in the development of a OH system wide substance abuse focus team that meet for the first time in April 2023. The vision for this team is OHI develops and supports a comprehensive plan to change the culture of care surrounding substance abuse disorder through our commitment across the system providing education, prevention and treatment to the communities we serve. OHTLMC is working with The Grayson County Schools to explore opportunities to bring evidence-based substance use education into the school system. We identified through the community health committee that there are some gaps in substance use education so we are hoping to collaborate to ensure that gap is filled. Obesity/Physical Inactivity OHTLMC has begun having conversations with local officials to develop a partnership with parks and recreation to sponsor local walking trails to encourage youth and young adults to get outside and physically move. We plan to explore partnerships with local agencies to offer monthly recipes via social media, offer health education classes, create a get active wellness campaign, increase engagement in exercise in the school district, and partner with the local aquatic center to provide free or low-cost water exercise classes. In addition, we are now able to provide telehealth appointments for lifestyle medicine physician visits. OHTLMC has assisted and participated in an OH system focus team regarding obesity and related diseases, since November 2022. This team aims to work together within the system to bring awareness to services offered and identify opportunities to be innovative as we address obesity and physical inactivity within our communities. OHTLMC promoted team members' wellness activities, increasing team member participation to 64% from 48%. From January to May of 2023, the OHTLMC community health committee began the foundational work to develop a community walking initiative to raise awareness of Grayson County residents' personal fitness and activity levels. The planning work outlined goals to educate and engage all ages and demographics of Grayson County residents by providing and promoting local resources to improve health and fitness for individuals, promoting and educating the benefits of movement with health facts and statistics, and developing partnerships within the community that will provide increased opportunities for physical activity. For this project, the committee secured partnerships with the City of Leitchfield, Leitchfield Parks and Rec, The City of Clarkson, Grayson County Public Trails Association, and Grayson County High School. These partnerships started the local resource list, and a Grayson County senior created the program's brand image between March and May 2023. Owensboro Health Twin Lakes Medical Center and the committee are continuing to develop the program's community launch in the next year. Chronic Diseases OHTLMC participated in the summer resource fair hosted by the Grayson County Poverty Coalition, where we provided information to community members on primary care and preventative services. We are currently working on having three certified tobacco treatment specialists, offering chronic disease education days, wellness campaigns, hosting a community health fair, hosting diabetes support groups/classes, and increasing the number of patients who receive discharge follow-up referrals within seven days of discharge. OHTLMC has 2 team members identified to begin training to become certified tobacco treatment specialist and we are looking at opportunities to utilize these skills for inpatient admissions. During this calendar year OHTLMC performed several preventative services within the community at a provider open house as well as at The Grayson County Thrive Summer Resource Fair. These preventative services included: blood pressure checks, BMI checks, height and weight checks, glucose monitoring, ultrasound services, EKG tests. OHTLMC has begun utilizing COPD and CHF patient education booklets and has recently performed a GAP analysis to identify additional interventions needed when treating patients suffering from COPD and CHF. We have also began utilizing the medical care unit secretary to follow up with patients on discharge to ensure patients are being scheduled follow up appointments with primary care providers in a timely manner. OHTLMC continues to work with system team members to secure grant funding to assist in providing weight scales, o2 monitors and blood pressure monitors to the appropriate patients upon discharge. OHTLMC participated in the summer resource fair hosted by Grayson County Thrive. This event reached 181 attendees present and 36 vendors providing resources to the community. OH had several vendors present to educate on chronic disease including: primary care providers, addiction services, nutrition services, stroke screenings and education, lung screenings, tobacco treatment and trauma services. 0 Schedule H, Part I, Line 7b MEDICAID OHTLMC RECEIVED AN ADDITIONAL MEDICAID SUPPLEMENTAL PAYMENT FROM THE HOSPITAL RATE IMPROVEMENT PROGRAM OR "UPL" WHICH WAS ENACTED IN JULY OF 2019. EFFECTIVE JULY 2020, KENTUCKY MEDICAID PAYS THE UPL TO THE AVERAGE COMMERCIAL INPATIENT PAYMENT LEVEL. IN ADDITION TO THE INPATIENT UPL, THE KENTUCKY MEDICAID OBTAINED APPROVAL TO EXPAND THE UPL PROGRAM TO INCLUDE OUTPATIENT MEDICAID MANAGED CARE ORGANIZATION (MCO) CLAIMS TO BE PAID AT THE AVERAGE OUTPATIENT COMMERCIAL RATE EFFECTIVE JANUARY 1, 2023. AS A RESULT, OHTLMC RECOGNIZED AN UPPER PAYMENT LIMIT (UPL) REIMBURSEMENT BEFORE TAXES AND ADMIN EXPENSES OF $10.457 MILLION AND $8.357 MILLION IN PREVIOUS YEAR. THE NET BENEFIT OF THE UPL FOR OHTLMC WAS $9.095 MILLION FOR FY 2023 AND $7.305 MILLION FOR FY 2022 (AFTER TAXES/ADMIN EXPENSES). THE PROGRAM HAS TO BE APPROVED ANNUALLY BY CMS AND THE STATEWIDE UPL NUMBERS WILL FLUCTUATE BASED UPON ACTUAL EXPERIENCE EACH YEAR. Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT KENTUCKY DOES NOT REQUIRE A COMMUNITY BENEFIT REPORT. Schedule H, Part III, Line 8 COSTING METHODOLOGY USED 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. THE HOSPITAL IS DESIGNATED AS A CMS LOW-VOLUME HOSPITAL (LVH). THIS IS A DESIGNATION FOR HOSPITALS WITH FEWER THAN 3,800 PATIENT DISCHARGES IN THE PREVIOUS YEAR WHICH ARE MORE THAN 15 MILES FROM THE NEAREST IPPS ACUTE CARE HOSPITAL. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 3243764 Schedule H, Part II Community Building Activities In order to improve and promote the health of the communities we serve, Owensboro Health Twin Lakes Medical Center 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 one of the largest employer's in the county Owensboro Health Twin Lakes Medical Center recognizes the responsibility we have to improve the health of our communities through activities such as improvement of economic development strategies and workforce development irrespective of the IRS defined community benefit classification. By doing so, the economic viability of the community in addition to addressing severe healthcare workforce shortages, made worse by the COVID 19 pandemic, can be addressed and collaborative solutions may be developed. 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 system grant program now referred to as the OHRH Community Health Investment Grant Program, Owensboro Health Twin Lakes Medical Center encourages our employees to volunteer for many different 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 Twin Lakes Medical Center 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 chamber 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 chamber 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. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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. Schedule H, Part III, Line 3 Bad Debt Expense Methodology BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FAP OHTLMC 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. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote There is no footnote to the organization's financial statements that describes bad debt expense. The costing methodology used is the cost to charge ratio calculated in worksheet 2 of Part I of Schedule H of this 990. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE POLICIES OF THE SYSTEM ATTEMPT TO ENSURE ALL UNINSURED PATIENTS OF THE SYSTEM HAVE OPPORTUNITY TO APPLY AND QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS. THE HOSPITAL HAS FINANCIAL AID APPLICATIONS AVAILABLE AT REGISTRATION AREAS, VIA THE INTERNET, VIA PHONE, AND ARE SENT ROUTINELY VIA MAIL TO PATIENTS OF THE HOSPITAL. THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS TO ENSURE PATIENTS ARE EVALUATED FOR ELIGIBILITY IN THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. ALL SELF-PAY AND BALANCE AFTER INSURANCE ACCOUNTS ARE REVIEWED AND WORKED 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 AID APPLICATION. DISCOUNTS GIVEN ARE EQUIVALENT TO THE AVERAGE INSURANCE DISCOUNTS THE HOSPITAL CONTRACTS ALLOW. ADDITIONALLY, PATIENTS WITH BALANCE ARE PERMITTED TO ESTABLISH PAYMENT PLANS. THE HOSPITAL DOES NOT CHARGE INTEREST TO ITS PATIENTS. Schedule H, Part V, Section B, Line 16a FAP website - OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER: Line 16a URL: WWW.OWENSBOROHEALTH.ORG; Schedule H, Part V, Section B, Line 16b FAP Application website - OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER: Line 16b URL: WWW.OWENSBOROHEALTH.ORG; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER: Line 16c URL: WWW.OWENSBOROHEALTH.ORG; Schedule H, Part VI, Line 2 Needs assessment As described in Form 990, Schedule H, Part V, Section B Lines 3e, 5, 6b OHTLMC assesses the health of its defined community through its CHNA conducted with CEDIK and multiple community partners guided by the population health committee. This is accomplished by surveying residents and organizations and conducting focus groups but not limited to that data. Additionally, secondary data analysis is reviewed, and other assessments, such as the Grayson County Extension community assessment and other data points, are considered. Moving forward, as a part of Owensboro Health, OHTLMC additional resources will be utilized to assess the community's health. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance OHTLMC REACHES OUT TO EDUCATE PATIENTS ABOUT THE PATIENT FINANCIAL ASSISTANCE PROGRAM. A BROCHURE IS AVAILABLE AT SEVERAL LOCATIONS THROUGHOUT THE HOSPITAL INCLUDING THE BUSINESS OFFICE AND REGISTRATION AREA. A VERSION OF THE BROCHURE AND ADDITIONAL INFORMATION IS ON THE HOSPITAL WEBSITE. INFORMATION CAN ALSO BE FOUND ON THE HOSPITAL'S FACEBOOK PAGE AND HAS BEEN PUBLISHED IN LOCAL NEWSPAPERS. WHEN SELF-PAY PATIENTS PRESENT THEMSELVES TO THE HOSPITAL FOR SERVICES, THE REGISTRAR DIRECTS THE PATIENTS TO THE FINANCIAL COUNSELOR FOR ASSISTANCE ON MEDICAID/COMMERCIAL PLANS AVAILABLE THROUGH THE ACA. ALSO AT THAT TIME, THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM IS APPLIED TO THE PATIENT'S PERSONAL SITUATION. Schedule H, Part VI, Line 4 Community information THE PRIMARY SERVICE FOR OHTLMC IS GRAYSON COUNTY, KY (POPULATION 26,524) LOCATED 75 MILES SOUTHWEST OF LOUISVILLE, KY. THE HOSPITAL'S SECONDARY SERVICE AREA INCLUDES PARTS OF 6 SURROUNDING COUNTIES. THE ESTIMATED PERCENTAGE OF PEOPLE LIVING BELOW THE POVERTY LEVEL, AS DETERMINED BY THE US CENSUS BUREAU, IS 17.4% FOR THE PRIMARY SERVICE AREA. THE AREA IS MOSTLY RURAL WITH A HIGHER PERCENTAGE OF PERSONS OVER THE AGE OF 65 AND A SIGNIFICANTLY LOWER MEDIAN HOUSEHOLD INCOME COMPARED TO THE STATE OF KENTUCKY. THE UNEMPLOYMENT RATE FOR GRAYSON COUNTY IS 4.7%. Schedule H, Part VI, Line 5 Promotion of community health In addition to the health promotion strategies and concepts previously described, OHTLMC works closely with its local Chambers of Commerce, the local department of public health, local and state elected officials, and community leaders to educate on the priority health issues, discuss other existing related needs and work together to develop solutions and tactics to address them. OHTLMC proves to be a driving force in change by educating the community on health & wellness issues, recognizing community needs, and working to fulfill those needs. Schedule H, Part VI, Line 6 Affiliated health care system AS AN AFFILIATE HOSPITAL AND IN SUPPORT OF OWENSBORO HEALTH INC., OHTLMC WILL BE ONE OF THREE NOT-FOR-PROFIT HOSPITALS IN THE SYSTEM WHOSE MISSION IS TO HEAL THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. UTILIZING THE RICH ACCESS TO RESOURCES, PROGRAMS, AND SERVICES WILL BENEFIT THIS WESTERN KENTUCKY REGION AND EXPAND THE ABILITY TO ADDRESS THE PRIORITY HEALTH AREAS OF OUR COMMUNITIES AND DIRECTLY ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, THE NATURAL BARRIERS TO POSITIVE HEALTH OUTCOMES THAT PLAGUE OUR COMMONWEALTH. REPLICATION OF EVIDENCE-BASED PROGRAMS WILL ALLOW GREATER SHARING OF KNOWLEDGE, EXPERTISE, AND PROGRAMMING FOR TARGETED IMPACT ON THE POPULATIONS WHICH NEED THEM THE MOST. WE WILL USE INVESTMENT DOLLARS IN A POPULATION HEALTH APPROACH TO ENGAGE IN INNOVATIVE STRATEGIES THE AFFILIATED HOSPITALS AND THEIR DIFFERENT ENTITIES MAY EMPLOY WITH A GUIDING POPULATION HEALTH STRATEGY AND APPROACH TO HAVE THE MOST SIGNIFICANT IMPACT ON THE HOSPITALS' INDIVIDUAL AND COLLECTIVE IDENTIFIED AND PRIORITIZED HEALTH NEEDS AND SOCIAL DETERMINANTS OF HEALTH. Schedule H, Part VI, Line 7 State filing of community benefit report KY X X X true true false true false false false false false true false JOHN HACKBARTH FORMER BOARD SECRETARY, CFO (ENDED 08/06/2021) 0 -1 0 0 0 450475 0 0 0 0 0 450474 0 0 GREG STRAHAN FORMER PRESIDENT AND CEO (ENDED 08/06/21) 0 0 0 0 0 1117560 0 0 0 0 0 1117560 0 0 MARK MARSH PRESIDENT AND CEO 0 762911 0 189809 0 138288 0 15250 0 37666 0 1143924 0 0 RUSSELL S RANALLO BOARD TREASURER, CHIEF FINANCIAL OFFICER (EFFECTIVE 06/2022) 0 337195 0 171728 0 100815 0 12048 0 36486 0 658272 0 0 JEFFREY THOMAS BOARD TREASURER, CFO (ENDED 06/13/2022) 0 157603 0 78750 0 219361 0 6676 0 9056 0 471446 0 0 ASHLEY HERRINGTON CEO - OHTLMC 249891 0 76247 0 14840 0 12810 0 32773 0 386561 0 0 0 CATHERINE CLEMONS VP OF OPERATIONS - OHTLMC 146121 0 45889 0 23023 0 7710 0 13328 0 236071 0 0 0 CATHY STEWART VP PATIENT CARE SVCS AND CNO - OHTLMC 153365 0 29511 0 18705 0 6941 0 22526 0 231048 0 0 0 CHLOE ADAMS CLINICAL PHARMACIST 118909 0 1000 0 211 0 4467 0 30151 0 154738 0 0 0 BRITTANY N CLEMONS DIR OF NURSG AND QLTY-PT SFTY 115795 0 17784 0 182 0 5976 0 18219 0 157956 0 0 0 ANGELA M GIBSON DIRECTOR OF PHARMACY 153326 0 23191 0 864 0 5669 0 10381 0 193431 0 0 0 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. Schedule J, Part I, Line 1a Housing allowance or residence for personal use THE ORGANIZATION PROVIDED HOUSING ALLOWANCE TO THE SYSTEM CEO. THIS BENEFIT WAS INCLUDED AS A TAXABLE INCOME IN THE YEAR RECEIVED AND FULLY INCLUDED ON THE RECIPIENT'S FORM W-2. Schedule J, Part I, Line 1a Health or social club dues or initiation fees DURING THE REPORTING PERIOD, THE ORGANIZATION PAID THE SYSTEM CEO 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. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation OWENSBORO HEALTH TWIN LAKE MEDICAL CENTER, INC. RELIES ON THE COMPENSATION PRACTICES OF A RELATED ORGANIZATION OWENSBORO HEALTH, INC. TO DETERMINE THE COMPENSATION OF TOP MANAGEMENT OFFICIALS. Schedule J, Part I, Line 4b Supplemental nonqualified 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, 2020 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, AND PARTIAL YEAR CREDIT IS EARNED AFTER A PARTICIPANT REACHED NORMAL RETIREMENT AGE AS DEFINED BY THE PLAN. 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. FORMER CHIEF EXECUTIVE OFFICER, GREG STRAHAN, AND FORMER CHIEF FINANCIAL OFFICER, JOHN HACKBARTH, RETIRED ON AUGUST 6, 2021. AS REQUIRED BY THE PLAN DOCUMENT, THE FINAL FIVE YEARS OF CONTRIBUTIONS AND INVESTMENT EARNINGS WILL VEST AND PAYMENT IS MADE FOR THE FIVE YEARS CONCURRENTLY UPON RETIREMENT. 457F PLAN TO EXECUTIVES JOHN HACKBARTH $450,475 (RETIRED AUG 6, 2021); RUSS RANALLO ($39,663); GREG STRAHAN $1,117,560 (RETIRED AUG 6, 2021) Schedule J, Part I, Line 7 Non-fixed payments 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. Form 990, Part I, Line 6 Volunteers VOLUNTEERS SUPPORT THE MISSION AND GOALS OF OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER ("OHTLMC"). VOLUNTEERS STAFF THE VISITOR INFORMATION DESK, PROVIDE DIRECTION TO VISITORS, AND OPERATE THE HOSPITAL GIFT SHOP. VOLUNTEERS ARE AN ESSENTIAL PART OF THE CARE AND COMFORT OHTLMC PROVIDES. OHTLMC HAD 37 VOLUNTEERS. Form 990, Part III, Line 2 New program services The hospital added a 12 bed Geriatric Psychiatry department. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER IS OWENSBORO HEALTH, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER OWENSBORO HEALTH, INC. APPOINTS THE MEMBERS OF THE BOARD. THE BOARD IS COMPOSED OF 9 MEMBERS DIVIDED INTO THREE CLASSES SERVING THREE YEAR TERMS (OTHER THAN THE INITIAL BOARD MEMBERS WHO HAVE TERMS EXPIRING IN OCTOBER 2021, 2022 AND 2023 RESPECTIVELY FOR EACH CLASS OF THREE DIRECTORS SO THAT THE TERMS ARE STAGGERED). TERM LIMIT OF THREE FULL THREE YEAR CONSECUTIVE TERMS WITH AT LEAST ONE YEAR OFF BEFORE ELIGIBLE TO SERVE AGAIN. AT LEAST FOUR OF THE BOARD MEMBERS MUST BE RESIDENTS OF GRAYSON COUNTY, KENTUCKY. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE FOLLOWING MATTERS SHALL REQUIRE THE APPROVAL OF THE SOLE MEMBER OF THE CORPORATION, OWENSBORO HEALTH, INC.: (A) ANY CHANGE IN THE MISSION OR PURPOSE OF THE CORPORATION; (B) ANY AMENDMENT TO THE ARTICLES OR BYLAWS OF THE CORPORATION; (C) ANY ADDITION OF NEW MEMBERS; (D) APPOINTMENT OR REMOVAL OF DIRECTORS OF THE CORPORATION IN ACCORDANCE WITH THE BOARD OF DIRECTORS; (E) ANY PURCHASE OR ACQUISITION, SALE, GIFT, LEASE, DISPOSITION OF, MORTGAGE OR OTHER ENCUMBRANCE OF ANY PROPERTY, REAL, PERSONAL, OR MIXED BY THE CORPORATION, EXCLUDING ROUTINE OR BUDGETED EXPENDITURES, THE VALUE OF WHICH IN THE AGGREGATE EXCEEDS $200,000; (F) SELLING, EXCHANGING, OR OTHERWISE DISPOSING OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; (G) ANY UNBUDGETED INCURRENCE OR GUARANTEE OF INDEBTEDNESS BY THE CORPORATION THAT IN THE AGGREGATE EXCEEDS $200,000; (H) ANY MERGER, ACQUISITION, OR CONSOLIDATION OF THE CORPORATION OR ENTERING INTO ANY JOINT BUSINESS VENTURE WITH ANY OTHER PERSON, CORPORATION OR OTHER LEGAL ENTITY; (I) ANY DISSOLUTION OF THE CORPORATION; (J) CREATION, ACQUISITION, OR DISPOSITION OF ANY SUBSIDIARY OR AFFILIATED ENTITY OF THE CORPORATION; AND (K) APPROVAL OF THE ANNUAL CAPITAL AND OPERATING BUDGETS FOR THE CORPORATION. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 Conflict of interest policy 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 ICONTRACT). 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 Process to establish compensation of top management official OHTLMC FOLLOWS OH'S COMPENSATION PROCESS THAT COMPLIES WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS. OH'S COMPENSATION PROCESS IS AS FOLLOWS: - TOTAL COMPENSATION IS THE SUM OF EACH EXECUTIVE'S BASE SALARY, INCENTIVE OPPORTUNITY, BENEFITS, AND PERQUISITES. - OUR TOTAL COMPENSATION PHILOSOPHY WILL APPLY TO ALL EXECUTIVES OF THE ORGANIZATION. - CASH COMPENSATION AND BENEFITS PLANS PROVISIONS WILL BE, ON AVERAGE, COMPETITIVE WITH THOSE HEALTHCARE ORGANIZATIONS WITHIN WHICH WE COMPETE FOR EXECUTIVE TALENT. OUR LABOR MARKET IS DEFINED AS SUCCESSFUL AND COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A NATIONAL LEVEL. SUCCESS IS MEASURED IN TERMS OF FINANCIAL AND OPERATIONAL PERFORMANCE AND MARKET LEADERSHIP. - 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 BENEFITS PLANS WILL BE REVIEWED AND ADJUSTED PERIODICALLY TO MEET THE CHANGING BUSINESS AND ORGANIZATIONAL CHARACTERISTICS OF OUR ORGANIZATION AND ITS EXECUTIVE STAFF. THE COMPENSATION OF EACH INDIVIDUAL EXECUTIVE WILL BE REVIEWED AND APPROVED IN A MANNER CONSISTENT WITH THE INTERMEDIATE SANCTION TAX REGULATIONS. THE LAST COMPENSATION REVIEW PROCESS WAS COMPLETED IN 2022 BY SULLIVAN COTTER. Form 990, Part VI, Line 15b Process to establish compensation of other employees OHTLMC FOLLOWS OH'S COMPENSATION PROCESS THAT COMPLIES WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS. OH'S COMPENSATION PROCESS IS AS FOLLOWS: - TOTAL COMPENSATION IS THE SUM OF EACH EXECUTIVE'S BASE SALARY, INCENTIVE OPPORTUNITY, BENEFITS, AND PERQUISITES. - OUR TOTAL COMPENSATION PHILOSOPHY WILL APPLY TO ALL EXECUTIVES OF THE ORGANIZATION. - CASH COMPENSATION AND BENEFITS PLANS PROVISIONS WILL BE, ON AVERAGE, COMPETITIVE WITH THOSE HEALTHCARE ORGANIZATIONS WITHIN WHICH WE COMPETE FOR EXECUTIVE TALENT. OUR LABOR MARKET IS DEFINED AS SUCCESSFUL AND COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A NATIONAL LEVEL. SUCCESS IS MEASURED IN TERMS OF FINANCIAL AND OPERATIONAL PERFORMANCE AND MARKET LEADERSHIP. - 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 BENEFITS PLANS WILL BE REVIEWED AND ADJUSTED PERIODICALLY TO MEET THE CHANGING BUSINESS AND ORGANIZATIONAL CHARACTERISTICS OF OUR ORGANIZATION AND ITS EXECUTIVE STAFF. THE COMPENSATION OF EACH INDIVIDUAL EXECUTIVE WILL BE REVIEWED AND APPROVED IN A MANNER CONSISTENT WITH THE INTERMEDIATE SANCTION TAX REGULATIONS. THE LAST COMPENSATION REVIEW PROCESS WAS COMPLETED IN 2022 BY SULLIVAN COTTER. Form 990, Part VI, Line 19 Required documents available to the 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. Form 990, Part VIII, Line 2f Other Program Service Revenue Gain on Affiliates - Total Revenue: 112748, Related or Exempt Function Revenue: 112748, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees COLLECTION SERVICES - Total Expense: 59968, Program Service Expense: , Management and General Expenses: 59968, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 2194391, Program Service Expense: 1914492, Management and General Expenses: 279899, Fundraising Expenses: ; CONSULTING AND MISC PROFESSIONAL FEES - Total Expense: 22945, Program Service Expense: 14009, Management and General Expenses: 8936, Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 3616344, Program Service Expense: 3616344, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 690529, Program Service Expense: 606851, Management and General Expenses: 83678, Fundraising Expenses: ; R&M SERVICE CONTRACTS - Total Expense: 1227276, Program Service Expense: 1018814, Management and General Expenses: 208462, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances OTHERS - -2219; OWENSBORO HEALTH INC 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 611286361 HEALTHCARE KY 501(c)(3) 3 NA false OWENSBORO HEALTH FOUNDATION INC 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 611251763 HEALTHCARE KY 501(c)(3) 7 OH true OWENSBORO HEALTH MEDICAL GROUP 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 611197638 HEALTHCARE KY 501(c)(3) 10 OH true OWENSBORO AM SR FAC 1000 BRKRG OWENSBORO KY 42303 752184992 SURGERY CENTER KY NA Unrelated false false TWIN LAKES REGIONAL PAIN MANAGEMENT 910 WALLACE AVE LEITCHFIELD KY 42754 472329929 PAIN MANAGEMENT KY NA Related 132159 165546 false false false false true false false false false false false true false false false true true false true true true OWENSBORO HEALTH MEDICAL GROUP INC J 193785 FMV OWENSBORO HEALTH MEDICAL GROUP INC P 1766496 FMV