4A (Expenses $ 490643195 including grants of $ 2277130) (Revenue $ 706904019)
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), OH TWIN LAKES MEDICAL CENTER (OHTLMC), OWENSBORO HEALTH MEDICAL GROUP, INC., OWENSBORO HEALTH FOUNDATION, INC., ONE HEALTH NETWORK, LLC, ONE HEALTH SOLUTIONS, LLC, COMMONWEALTH MEDICAL MANAGEMENT, LLC , THE HEALTH NETWORK OF WESTERN KENTUCKY, LLC and OWENSBORO HEALTH PROPERTIES HOLDING INC. 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, 2022, OHRH AND OHMCH HAD TOTAL ADMISSIONS OF 16,711, PATIENT DAYS OF 101,879 AND TOTAL ER VISITS OF 76,038. 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 $10,019,299 IN FINANCIAL ASSISTANCE TO LOW-INCOME AND/OR UNINSURED PATIENTS. OH DOES NOT INCLUDE IN THAT AMOUNT $29,971,747 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.

Schedule H, Part V, Section B, Line 3E
THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN OWENSBORO HEALTH AND OH MUHLENBERG'S CHNA ARE PRESENTED AS PRIORITIZED DESCRIPTIONS.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - OWENSBORO HEALTH, INC. THE OWENSBORO HEALTH COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) WERE CONDUCTED BY THE COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY. (CEDIK) OHRH BEGAN ITS CHNA PROCESS IN 2021, COMPLETED AND APPROVED IT IN MAY 2022 (TAX YEAR 2021). OHMCH BEGAN ITS CHNA PROCESS IN 2020, COMPLETED AND APPROVED IT IN MAY 2021 (TAX YEAR 2020). THE ASSESSMENTS INCLUDED A COMMUNITY-WIDE COLLABORATIVE PROCESS TO ANALYZE COMMUNITY HEALTH NEEDS AND IDENTIFY THE HEALTH PRIORITIES FOR THE REGION. CEDIK FACILITATED THE PROCESS OF PRIMARY DATA COLLECTION THROUGH FOCUS GROUPS, SURVEYS AND KEY INFORMANT INTERVIEWS. CEDIK CONDUCTED 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 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 ASKING A SPECIFIC AND LIKE SET OF QUESTIONS EACH TIME TO EXPLORE PARTICIPANT'S VISION OF A VIBRANT HEALTHY 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. COMMENTS AND FEEDBACK ON THE CHNA ARE ENCOURAGED/INVITED AS REFLECTED ON THE OWENSBORO HEALTH WEBPAGE. PHONE NUMBERS AND EMAIL ADDRESSES ARE POSTED ON THE WEBSITE SHOULD SOMEONE HAVE QUESTIONS OR COMMENTS.

Schedule H, Part V, Section B, Line 6b Facility , 1
Facility , 1 - OWENSBORO HEALTH, INC. THE OWENSBORO HEALTH COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) WERE CONDUCTED WITH OWENSBORO HEALTH, INC AND OH MUHLENBERG, LLC.

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - OWENSBORO HEALTH, INC. HOW OWENSBORO HEALTH IS ADDRESSING SIGNIFICANT HEALTH NEEDS: BASED ON SURVEY RESULTS, FOCUS GROUP AND KEY INFORMANT INTERVIEW RESULTS, AS WELL AS KEY SECONDARY HEALTH DATA, COMMUNITY PRIORITY AREAS WERE IDENTIFIED. EXISTING LOCAL, STATE AND NATIONAL PRIORITIES WERE CONSIDERED. THE FOLLOWING PRIORITIES WERE IDENTIFIED AS AREAS OF NEED TO ADDRESS: OHRH: OBESITY AND RELATED DISEASES, TOBACCO USE, SUBSTANCE USE. MENTAL HEALTH, HOUSING OWENSBORO HEALTH IN ALIGNMENT WITH THE SYSTEM'S STRATEGIC GOALS, CORE COMMITMENTS, STRATEGIC IMPERATIVES, COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGIES, PROVIDES IN-KIND TEAM MEMBERS TO LEAD AND SERVE ON LOCAL, REGIONAL AND STATE ORGANIZATIONS AND ENTITIES, PROVIDES FINANCIAL SUPPORT THROUGH COMMUNITY HEALTH INVESTMENT GRANTS AND SPONSORSHIPS TO ORGANIZATIONS WHO SEEK TO IMPACT PRIORITY HEALTH ISSUES AND SOCIAL DETERMINANTS OF HEALTH AND THROUGH INTENTIONAL OWENSBORO HEALTH STRATEGIC EFFORTS AT OUTLINED BELOW. OWENSBORO HEALTH WILL CONSIDER INTERNAL AND EXTERNAL EXPERTISE AND RESOURCES TO ADDRESS PRIORITIZED HEALTH AREAS AND SOCIAL DETERMINANTS OF HEALTH AS FOLLOWS: OWENSBORO HEALTH TAX YEAR 2021-2024

Schedule H, Part V, Section B, Line 11 Facility , 2
Facility , 2 - OWENSBORO HEALTH, INC. OBESITY AND RELATED DISEASES * ESTABLISH AN OH OBESITY AND RELATED DISEASES CROSS-ORGANIZATIONAL PRIORITY TEAM. * OFFER WEIGHT MANAGEMENT AND NUTRITION PROGRAMS BOTH TO IDENTIFIED EMPLOYER GROUPS AND COMMUNITY POPULATIONS. * REINSTATE KIDS WEIGHT MANAGEMENT PROGRAM * EXPLORE POTENTIAL TO EXPAND MEDICAL FITNESS PROGRAMMING * EXPAND OUTPATIENT NUTRITION PROGRAM * INCREASE NUMBER OF COOKING CLASSES * WORK WITH LOCAL GROCERIES TO CONDUCT STORE/FOOD TOURS * PROMOTE HEALTHY FOOD OPTIONS FOR OWENSBORO HEALTH EMPLOYEES * IDENTIFY COMMUNITIES WITHIN DAVIESS COUNTY WITH LIMITED RESOURCES TO PARTICIPATE IN PHYSICAL ACTIVITY AND PARTNER TO PROVIDE EXERCISE CLASSES FACILITATED BY HEALTHPARK TEAM MEMBERS. - HOST CLASSES OFF-SITE WITHIN NEIGHBORHOODS AND COMMUNITIES WHEN FEASIBLE. - HOST CHILDREN'S RELAY/OBSTACLE COURSE FUN DAYS FOR CHILDREN. * ESTABLISH LIBRARY OF ONLINE EDUCATION TOPICS AND TIPS FOR COMMUNITY. * EXPLORE POTENTIAL TO PARTNER IN ESTABLISHMENT OF ADDITIONAL COMMUNITY GARDENS IN OWENSBORO-DAVIESS COUNTY. * EXPLORE PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS TO TEACH FOOD PRESERVATION, CANNING, FREEZING TO COMMUNITY MEMBERS AND NON-PROFIT ORGANIZATIONS ADDRESSING FOOD INSECURITY. * CONTINUE TO SUPPORT OWENSBORO HEALTH HEALTHPARK AND ITS SCHOLARSHIP PROGRAM PROVIDING FINANCIAL ASSISTANCE. * 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 THE COMMUNITY WHICH COULD MOST BENEFIT BY CHANGES OF POLICY, STRUCTURAL IMPROVEMENT, AND COMMUNITY ASSETS AND WORK IN PARTNERSHIP TO DEVELOP IMPROVEMENT PLANS. * CONTINUE FINANCIAL AND IN-KIND SUPPORT TO ADDRESS SENIOR HUNGER VIA PARTNERSHIP WITH MORRISON'S FOOD SERVICES AND OWENSBORO SENIOR COMMUNITY CENTER. * ESTABLISH 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. - EXPLORE COLLECTION OF SPECIALTY ITEMS FOR SPECIFIC POPULATION NEEDS. - PARTNER WITH LOCAL SCHOOL SYSTEMS TO COMPLEMENT HOLIDAY/SUMMER FOOD * SERVE WITH COMMUNITY PARTNER(S) IN FACILITATION OF REGIONAL MEETING TO DISCUSS FOOD INSECURITY AS A SIGNIFICANT SOCIAL DETERMINANT OF HEALTH. - PARTNER TO PROVIDE COMPONENTS OF PLANS FOR SUSTAINABLE AND MEASURABLE IMPACT. * PROVIDE EXPERTISE FROM STAFF TO THE COMMUNITY FOR EDUCATION AND PROGRAM GUIDANCE. * CONTINUE THE DIABETES PREVENTION PROGRAM/MEDICARE DIABETES PREVENTION PROGRAM AND EXPLORE EXPANSION OPPORTUNITIES. * CONTINUE FACILITATION OF A SUPPORT GROUP FOR PATIENTS WHO HAVE PARTICIPATED IN SURGICAL WEIGHT LOSS AS IT IS UNDERSTOOD THIS IS A LIFELONG COMMITMENT TO WEIGHT LOSS AND IDENTIFY WAYS TO REDUCE BARRIERS TO PARTICIPATION WHEN SOCIAL DETERMINANTS OF HEALTH ARE FACTORS.

Schedule H, Part V, Section B, Line 11 Facility , 3
Facility , 3 - OWENSBORO HEALTH, INC. TOBACCO USE * REVIEW PLAN FOR TRAINING TEAM MEMBERS AS TOBACCO TREATMENT SPECIALISTS TO INCLUDE ALL OH SITES HAVE EXCEEDED PREVIOUS GOAL OF TRAINING 10 OH TEAM MEMBERS AS TOBACCO TREATMENT SPECIALISTS (TTS) IN BOTH INPATIENT AND OUTPATIENT SETTINGS. - A REFERRAL PROCESS WAS BUILT IN EPIC ON THE INPATIENT AND OUTPATIENT SIDES; CONTINUE TO MONITOR AND FOLLOW-UP. * FINANCIALLY SUPPORT NICOTINE REPLACEMENT THERAPY (NRT) PROGRAM WITH OH OUTPATIENT PHARMACY TO PROVIDE NRT PRODUCTS TO REDUCE ALL BARRIERS TO CESSATION RESOURCES. * CONTINUE TO PROVIDE PATIENT, EMPLOYEE, AND COMMUNITY EDUCATION ON THESE RESOURCES. - PROVIDE INFORMATION TO SCHOOLS, NEIGHBORHOOD ALLIANCES, ETC. * 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. * CONTINUE TO ADVOCATE USE OF THE QUIT NOW KENTUCKY LINE AND PUBLIC HEALTH'S TOBACCO CONTROL MARKETING AND MEDIA MESSAGES TO INCREASE NUMBER OF PERSONS UTILIZING THE QUIT LINE AND AVAILABLE RESOURCES. * 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. * EXPAND EDUCATIONAL INITIATIVE TO UNDERSTAND THE SYNERGISTIC EFFECTS OF RADON AND SMOKING AND RADON'S IMPACT ON LUNG DISEASE. * CONTINUE AND EXPAND AMERICAN LUNG ASSOCIATION'S BETTER BREATHERS CLUBS. * CONTINUE EDUCATIONAL OUTREACH TO EDUCATE COMMUNITY TO REDUCE STIGMA OF TOBACCO RELATED DISEASES. * CONTINUE TO PARTNER WITH PUBLIC HEALTH AND OTHER ORGANIZATIONS TO 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 WITH A COMMUNITY PLAN TO EDUCATE SCHOOLS, PARENTS AND COMMUNITY. * DEVELOP PLAN AND PILOT YOUTH TOBACCO CESSATION PROGRAM. * CONTINUE TO PROVIDE FREEDOM FROM SMOKING CLASSES FOR COMMUNITY MEMBERS AND IDENTIFIED GROUPS, BUSINESSES AND INDUSTRY CLIENTS.

Schedule H, Part V, Section B, Line 11 Facility , 4
Facility , 4 - OWENSBORO HEALTH, INC. SUBSTANCE ABUSE 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) AND LAUNCHED THE KENTUCKY STATEWIDE OPIOID STEWARDSHIP (KY SOS) PROGRAM. OWENSBORO HEALTH HOSPITALS EACH HAVE AN OPIOID STEWARDSHIP COMMITTEE. AS A PARTICIPANT IN THIS INITIATIVE AND UNDER THE GUIDANCE OF DR. FRAN DUFRAYNE, CHIEF MEDICAL OFFICER AND JASON COLLINS, PHARM D, OWENSBORO HEALTH HAS AGREED TO/ HAS INITIATED AND/OR CONTINUES TO WORK TO: * IMPROVE PATIENT SAFETY IN THE AREA OF OPIOID STEWARDSHIP INCLUDING A SPECIFIC FOCUS ON * DEVELOPMENT AND IMPLEMENTATION OF POLICIES AND PROCEDURES TO PROMOTE OPIOID STEWARDSHIP INCLUDING: * INCREASE COMMUNITY OUTREACH AND EDUCATION REGARDING PAIN MANAGEMENT AND SAFE OPIOID USE; * PROVIDE NON-PHARMACOLOGIC ANALGESIC OPTIONS TO PATIENTS; ALTO ORDER SETS ARE AVAILABLE IN EPIC WITH BPA REMINDERS. * TRACKING AND REPORTING OF METRICS REGARDING OPIOID STEWARDSHIP; DASHBOARDS ARE AVAILABLE IN EPIC FOR INDIVIDUAL PROVIDERS AND LEADERS. * GUIDELINES FOR OPIOID USE IN THE INPATIENT, AMBULATORY, PERIOPERATIVE, AND EMERGENCY DEPARTMENT SETTINGS * EDUCATE PROVIDERS, STAFF, PATIENTS, AND FAMILIES TO ENSURE SUCCESS. * COMMIT TO COLLABORATION, ALIGNMENT AND COORDINATION. * METH CONTINUES TO RAVAGE INDIVIDUALS, FAMILIES AND OUR COMMUNITY. ADVOCATE FOR AVAILABLE FEDERAL AND STATE DOLLARS TO ALSO BE USED TO TREAT METHAMPHETAMINE ADDICTION. * SUPPORT INTERNAL POLICY AND PROCESSES TO EDUCATE PHYSICIANS AND OTHER PROVIDERS ON PREVENTION EFFORTS. * RESURRECT THE ANGEL VISITATION PROGRAM BRINGING PERSONS IN RECOVERY FROM COMMUNITY INTO HOSPITAL SETTING TO SHARE RECOVERY OPTIONS FOR THOSE IN NEED. (NOTE: COVID PANDEMIC VISITOR RESTRICTIONS CEASED FACE TO FACE VISITS.) * 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 INVESTMENT PROGRAMS WHEN ELIGIBILITY CRITERIA ARE MET. * CONTINUE TO PROVIDE AWARENESS AND EDUCATION ON PERMANENT DRUG-TAKE BACK BIN LOCATED IN THE OWENSBORO HEALTH REGIONAL HOSPITAL OUTPATIENT PHARMACY. * EXPLORE POTENTIAL COLLABORATIVE PARTNERSHIPS AND PROJECTS BETWEEN MOTHER/BABY AND NEONATAL SERVICES AND COMMUNITY ORGANIZATIONS FOCUSED ON PREVENTION OF SUBSTANCE USE DURING PREGNANCY. - WORK HAS INITIATED WITH COMMUNITY STAKEHOLDERS TO CONSIDER PROGRAMS FOR PREGNANT MOTHERS AND CHILDREN. - EXPLORE SYSTEM EFFORTS FOR PREGNANT MOMS WITH SUBSTANCE USE DISORDER - OWENSBORO HEALTH EMBARKING ON RESEARCH TO STUDY: DIFFERENCES IN CURRENT TREATMENT AND OUTCOMES FOR INFANTS WITH NEONATAL OPIOID WITHDRAWAL SYNDROME ADMITTED TO REGIONAL VS. URBAN MEDICAL CENTERS IN WESTERN KENTUCKY.

Schedule H, Part V, Section B, Line 11 Facility , 5
"Facility , 5 - OWENSBORO HEALTH, INC. MENTAL HEALTH * OWENSBORO HEALTH, RIVERVALLEY BEHAVIORAL HEALTH AND THE OWENSBORO HEALTH FOUNDATION WILL PARTNER TO CONTINUE UTILIZING CREDIBLEMIND AS A POPULATION LEVEL INTERVENTION TO IMPACT COMMUNITY MENTAL HEALTH. * OWENSBORO HEALTH, RIVERVALLEY BEHAVIORAL HEALTH AND THE GREEN RIVER DISTRICT HEALTH DEPARTMENT PARTICIPATED IN THE FY 22 AMERICAN HOSPITAL ASSOCIATION'S HOSPITAL COMMUNITY LEARNING COLLABORATIVE IN COHORT TO FOCUS ON COMMUNITY MENTAL HEALTH AND WILL CONTINUE TO MEET TO: - DEVELOP NO LESS THAN ONE ACTIONABLE GOAL FROM LEARNING COLLABORATIVE. - EXPLORE A MENTAL HEALTH ""COMMUNITY ASSESSMENT CENTER"" * OWENSBORO HEALTH WILL CONTINUE IN ITS PARTNERSHIP WITH RIVERVALLEY BEHAVIORAL HEALTH TO PROVIDE MONTHLY MENTAL HEALTH FIRST AID TRAINING TO ALL OH TEAM MEMBERS AND ENCOURAGE COMMUNITY ORGANIZATIONS TO DO LIKEWISE. * INCREASE ACCESS FOR AGING COMMUNITY WITH THE ADDITION OF GERIATRIC PSYCHIATRY IN-PATIENT CARE AT OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER (OHTLMC). * EXPLORE POTENTIAL FOR EMBEDDING MENTAL HEALTH PROFESSIONALS IN PRIMARY CARE OFFICES. * EXPLORE POTENTIAL FOR EMBEDDING A CASE MANAGER/COMMUNITY HEALTH WORKER/ OR OTHER IN PRIMARY CARE OFFICES. * EXPAND PARTNERSHIP WITH ONE MIND AT WORK. * OWENSBORO HEALTH WILL CONTINUE INTENSIVE OUTPATIENT PROGRAM USING AN EVIDENCE BASED CURRICULUM FOCUSING ON MENTAL HEALTH. * OWENSBORO HEALTH WILL SERVE ON THE BOARD AND CLINICAL CARE TEAM FOR THE 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 COMMUNITY HEALTH INVESTMENT GRANT PROGRAM PROJECTS AND PROPOSALS WHICH SEEK TO IMPACT EDUCATION AND ACCESS BARRIERS TO ACHIEVING OPTIMAL MENTAL HEALTH. * 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. * STRENGTHEN PARTNERSHIPS AND OUTREACH WITH THE ARTS COMMUNITY AS A STRATEGY TO IMPACT MENTAL HEALTH AND WELLNESS AS SUPPORTED BY RESEARCH AND LITERATURE."

Schedule H, Part V, Section B, Line 11 Facility , 6
Facility , 6 - OWENSBORO HEALTH, INC. HOUSING * OWENSBORO HEALTH IT DEPARTMENT, IN COLLABORATION WITH OTHER INTERNAL STAKEHOLDER WILL BUILD A SCREENING TOOL WITHIN EPIC TO SCREEN FOR SOCIAL DETERMINANTS OF HEALTH. (QUESTIONS REGARDING HOUSING WILL BE ASKED.) - A PLAN TO ADDRESS PATIENT NEEDS ACCORDING TO THEIR SDOH SCREENING WILL BE DEVELOPED IN PARTNERSHIP WITH COMMUNITY BASED ORGANIZATIONS. * OWENSBORO HEALTH WILL MEET WITH COMMUNITY ORGANIZATIONS AND ENTITIES TO GAIN UNDERSTANDING OF AFFORDABLE HOUSING CHALLENGES, HOMELESSNESS, CURRENT RESOURCES, CURRENT FINANCIAL NEED AND COSTS, GRANT PROGRAMS, INVESTMENTS, GOVERNMENT PLANS AND VISION TO ADDRESS HOUSING ISSUES IN THE COMMUNITY. * OWENSBORO HEALTH WILL USE THE COMMUNITY HEALTH INVESTMENT GRANT PROGRAM TO PROVIDE FINANCIAL SUPPORT TO PROGRAMS WITH SUSTAINABLE AND CREATIVE PLANS TO SYSTEMICALLY ADDRESS HOUSING AND RELATED ISSUES TO HOUSING. * EXPLORE TEAM MEMBER ENGAGEMENT OPPORTUNITIES FOR IMPROVING EXISTING HOUSING ISSUES RELATED TO MAINTENANCE AND REPAIR ISSUES. - CONSIDER USING CTTS TO HOST SMOKING CESSATION CLASSES THAT COORDINATE WITH FOOD DISTRIBUTION TIMES. - EXPLORE THE OPTION TO PROVIDE AN AREA IN OUR PARKING LOT TO OFFER FREE WIRELESS INTERNET FOR THOSE WHO ARE UNABLE TO ACCESS THE INTERNET FROM THEIR HOME.

Schedule H, Part V, Section B, Line 11 Facility , 7
"Facility , 7 - OWENSBORO HEALTH, INC. POPULATION SPECIFIC EFFORTS, ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND ACCESS TO CARE CONTINUED EFFORTS FROM PREVIOUS CHNA FINDINGS AND IMPLEMENTATION PLANS: - OH FOCUS ON: PRIMARY CARE, ACCESS POINTS, TRANSPORTATION, LANGUAGE AND CULTURAL BARRIERS, FINANCIAL SUPPORT FOR PRESCRIPTIONS, EQUIPMENT AND SUPPLIES, CARE COORDINATION, EDUCATION REGARDING BENEFIT ENROLLMENT, TEAM MEMBER ENGAGEMENT WITH COMMUNITY ACTION TEAMS AND EXTERNAL COMMUNITY BASED ORGANIZATIONS. - OWENSBORO HEALTH REGIONAL HOSPITAL (OHRH) BECAME A MEMBER OF NICHE (NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS) SEPTEMBER 2018. OVER 100 TEAM MEMBERS AT OHRH HAVE COMPLETED THE NICHE CURRICULUM TO ESTABLISH EXPERTISE AS GERIATRIC RESOURCE NURSES IN CARE OF OLDER ADULTS. THIS WORK IS UNDER CONSIDERATION FOR SYSTEM REPLICATION. - THE NICHE INITIATIVE AND RELATED ACTIVITIES LEND SUPPORT TO THE ORGANIZATION'S PARTICIPATION IN THE AGE-FRIENDLY HEALTH SYSTEMS NATIONAL MOVEMENT. * OHRH HAS INCORPORATED AGE-FRIENDLY HEALTH SYSTEMS PRIORITIES RELATED TO MENTATION (HOSPITAL-ASSOCIATED DELIRIUM PREVENTION, DETECTION AND TREATMENT), MEDICATIONS (REVIEW OF MEDICATION LISTS FOR INTERACTIONS AND UNWANTED SIDE EFFECTS), MOBILITY AND WHAT MATTERS TO CREATE A MORE AGE-FRIENDLY ACUTE HEALTH CARE EXPERIENCE FOR OLDER ADULT PATIENTS AND FAMILIES. * CONTINUE TO TRACK NUMBER OF FALLS AMONG AGING POPULATION AND WORK TO UTILIZE EVIDENCE BASED PRACTICES TO IMPACT AND REDUCE FALLS IN OUR COMMUNITIES. * AS A SYSTEM, CONTINUE WITH PRESENT AND FUTURE PROJECTS TO ADDRESS SHORTAGE OF PRIMARY CARE PHYSICIANS AND ACCESS POINTS TO PRIMARY AND SPECIALTY CARE, PARTICULARLY IN AREAS WITH VULNERABLE POPULATIONS. * CONTINUE OWENSBORO HEALTH/UOFL FAMILY MEDICINE RESIDENCY PROGRAM. * WORK TO PROVIDE OPPORTUNITIES FOR SERVICE LEARNING PROJECTS AND PROFESSIONAL EDUCATIONAL OPPORTUNITIES WHICH CAN WORK IN TANDEM WITH EFFORTS OF COMMUNITY OUTREACH TO UNDERSERVED POPULATIONS WITH HIGHEST RISK OF CHRONIC HEALTH DISEASE. - RESIDENTS ARE WORKING WITH THE VP OF POPULATION HEALTH MANAGEMENT AND THE GREEN RIVER DISTRICT HEALTH DEPARTMENT. - DEVELOP AND BEGIN NO LESS THAN THREE RESEARCH PROJECTS WHICH CAN WORK IN TANDEM WITH EFFORTS OF COMMUNITY OUTREACH TO UNDERSERVED POPULATIONS WITH HIGHEST RISK OF CHRONIC HEALTH DISEASE. - FAMILY MEDICINE RESIDENTS ARE ENGAGED IN THE FOLLOWING RESEARCH: STROKE THERAPY AND RECOVERY, STANDARDIZED ASSESSMENT FORMS, BALANCE AWARENESS AND STABILITY, MONITORING SYSTEMS, CARDIAC CARE, LIFESTYLE INTERVENTION, DELIRIUM, RESOURCE ALLOCATION, GOAL SETTING AND INDIVIDUALIZED THERAPY. * THE KENTUCKY GENERAL ASSEMBLY APPROVED $38 MILLION IN 2021 TO ESTABLISH THE COMMONWEALTH WEST HEALTHCARE WORKFORCE INNOVATION CENTER. THE INNOVATION CENTER WILL OFFER CLASSES AND PROGRAMS IN A WIDE RANGE OF HEALTHCARE CAREER FIELDS, INCLUDING NURSING, RESPIRATORY, RADIOLOGY, BEHAVIORAL HEALTH, AND COMMUNITY HEALTH. THE FACILITY WILL PROVIDE EXCITING, HANDS-ON LEARNING EXPERIENCES AND SIMULATE ""REAL WORLD"" HEALTHCARE ENVIRONMENTS. OWENSBORO HEALTH IS A PART OF A LARGER COALITION THAT WILL MANAGE AND OPERATE THE INNOVATION CENTER. THE COALITION INCLUDES NINE AREA COLLEGES AND UNIVERSITIES. * FINANCIALLY SUPPORT COMMUNITY ORGANIZATIONS, PROJECTS AND PROGRAMS WHICH SERVE TO REACH COMMUNITY MEMBERS WITH ACCESS TO PRESCRIPTION MEDICINES, SUPPLIES AND NEED EQUIPMENT. * FINANCIALLY SUPPORT ORGANIZATIONS THAT PROVIDE ASSISTANCE IN EASING LANGUAGE, CULTURAL, EDUCATIONAL, TRANSPORTATION OR OTHER BARRIERS TO HEALTH CARE SERVICES AND HEALTH IMPROVEMENT AS OWENSBORO HEALTH WORKS TO ENSURE HEALTH EQUITY. * WORK WITH COMMUNITY PARTNERSHIPS TO CONTINUALLY SEEK AREAS FOR IMPROVEMENT IN CARE COORDINATION AND COORDINATION OF COMMUNITY SUPPORT SYSTEMS TO KEEP CITIZENS HEALTHY AND IMPROVE QUALITY OF LIFE. * ENSURE FINANCIAL COUNSELORS, NAVIGATORS, AND CASE MANAGERS ARE AVAILABLE TO WORK WITH PATIENTS AND COMMUNITY MEMBERS IN UNDERSTANDING FINANCIAL ASSISTANCE; BENEFIT ENROLLMENT; AVAILABLE COMMUNITY RESOURCES TO PREVENT BARRIERS TO ACCESS; AND, UNDERSTANDING OF THE HEALTHCARE SYSTEM AND HOW TO ACCESS CARE. IN 2018 OWENSBORO HEALTH WORKED FROM ITS CHNA AND IMPLEMENTATION STRATEGIES TO FORMALIZE INTERNAL PRIORITY FOCUS TEAMS. FOUR TEAMS WERE FORMED, EACH WITH A PROJECT VISION, MISSION, A PHYSICIAN-LEAD AND OH TEAM MEMBERS. OWENSBORO HEALTH WILL EXPAND FROM FOUR SYSTEM FOCUS AREA TEAMS TO SEVEN IN THE COMING THREE YEARS TO ADDRESS THE IDENTIFIED COMMUNITY PRIORITY AREAS BUT IN ADDITION, REMAIN STRATEGICALLY FOCUSED IN ADDRESSING SPECIFIC POPULATIONS UTILIZING SERVICE LINE DEVELOPMENT, THE POWER OF THE ARTS IN HEALTH, WELLNESS, HEALING AND IMPROVING QUALITY OF LIFE. THE EXPANSION OF THE TEAMS WERE INCORPORATED INTO HOSPITAL IMPLEMENTATION STRATEGIES AS TARGET AREAS WILL BENEFIT BY THE FORMATION OF AN INTERNAL STRATEGIC TEAM. BASED ON FINDINGS FROM THE CHNA, POPULATION DATA, READMISSION FINDINGS, STRENGTHS OF COMMUNITY RESOURCES, AND REALIZATION OF TOOLS THAT COULD BE USED TO DIRECTLY IMPACT HEALTH, WELL-BEING AND HEALING BOTH IN THE HOSPITAL AND COMMUNITY SETTINGS, THE FOLLOWING SYSTEM FOCUS AREA TEAM HAVE BEEN FORMED: * OLDER ADULTS AND AGING * TOBACCO AND RELATED DISEASES * CHILDREN AND SCHOOL HEALTH (UNDER REVISION) * ARTS IN HEALING * OBESITY AND RELATED DISEASES (NEWLY FORMED) * TO BE FORMED: SUBSTANCE ABUSE * TO BE FORMED: MENTAL HEALTH IN ADDITION, TEAM MEMBERS ALSO SERVE ON, AND IN SOME CASES, CO-FACILITATE LOCAL COMMUNITY HEALTH COALITION SUBCOMMITTEES AND ORGANIZATIONS ADDRESSING HEALTH NEEDS AND SOCIAL DETERMINANTS OF HEALTH. BY SERVING ON STRATEGIC INTERNAL AND EXTERNAL TEAMS WORKING TO IMPACT IDENTIFIED COMMUNITY HEALTH AREAS, OWENSBORO HEALTH CAN BETTER IDENTIFY, IMPLEMENT, REFINE AND TRACK ITS POPULATION HEALTH EFFORTS TO TRULY IMPACT THE LIVES OF NOT ONLY THE MEMBERS OF THE COMMUNITY IN WHICH IT RESIDES BUT ALSO THE MULTIPLE COUNTIES AND REGION IT SERVES. OWENSBORO HEALTH REGIONAL HOSPITAL 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."

Schedule H, Part V, Section B, Line 3E
THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN OWENSBORO HEALTH AND OH MUHLENBERG'S CHNA ARE PRESENTED AS PRIORITIZED DESCRIPTIONS.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - OH MUHLENBERG, LLC. THE OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY THE COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY. (CEDIK) OHMCH BEGAN ITS CHNA PROCESS IN 2020, COMPLETED AND APPROVED IT IN MAY 2021 (TAX YEAR 2020). THE ASSESSMENTS INCLUDED A COMMUNITY-WIDE COLLABORATIVE PROCESS TO ANALYZE COMMUNITY HEALTH NEEDS AND IDENTIFY THE HEALTH PRIORITIES FOR THE REGION. CEDIK FACILITATED THE PROCESS OF PRIMARY DATA COLLECTION THROUGH FOCUS GROUPS, SURVEYS AND KEY INFORMANT INTERVIEWS. CEDIK CONDUCTED 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 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 ASKING A SPECIFIC AND LIKE SET OF QUESTIONS EACH TIME TO EXPLORE PARTICIPANT'S VISION OF A VIBRANT HEALTHY 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. COMMENTS AND FEEDBACK ON THE CHNA ARE ENCOURAGED/INVITED AS REFLECTED ON THE OWENSBORO HEALTH WEBPAGE. PHONE NUMBERS AND EMAIL ADDRESSES ARE POSTED ON THE WEBSITE SHOULD SOMEONE HAVE QUESTIONS OR COMMENTS. OHMCH BEGAN ITS CHNA PROCESS IN 2020, COMPLETED AND APPROVED IT IN MAY 2021 (TAX YEAR 2020).

Schedule H, Part V, Section B, Line 6b Facility , 1
Facility , 1 - OH MUHLENBERG, LLC. THE OWENSBORO HEALTH COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) WERE CONDUCTED WITH OWENSBORO HEALTH, INC AND OH MUHLENBERG, LLC.

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - OH MUHLENBERG, LLC. BASED ON SURVEY RESULTS, FOCUS GROUP AND KEY INFORMANT INTERVIEW RESULTS, AS WELL AS KEY SECONDARY HEALTH DATA, COMMUNITY PRIORITY AREAS WERE IDENTIFIED. EXISTING LOCAL, STATE AND NATIONAL PRIORITIES WERE CONSIDERED. THE FOLLOWING PRIORITIES WERE IDENTIFIED AS AREAS OF NEED TO ADDRESS: OHMCH: MENTAL HEALTH (INCLUDING SUICIDE), SUBSTANCE USE (ALCOHOL, TOBACCO, ILLEGAL DRUGS, PRESCRIPTION DRUG MISUSE), CULTURE OF WELLNESS/PERSONAL RESPONSIBILITY, HOUSING AND HOMELESSNESS,OBESITY/OVERWEIGHT, ACCESS TO CARE/MAKING SERVICES AVAILABLE, TRANSPORTATION, CHILDREN BEING RAISED BY PEOPLE OTHER THAN PARENTS, POVERTY OHMCH PROVIDES IN-KIND STAFF TO LEAD AND SERVE ON THE MUHLENBERG COUNTY HEALTH COALITION, AND FINANCIAL SUPPORT THROUGH GRANTS AND SPONSORSHIPS TO ORGANIZATIONS WHO SEEK TO IMPACT PRIORITY HEALTH AREAS THROUGH THEIR PROJECTS AND PROGRAMMING. IN ADDITION, HERE ARE THE SPECIFIC WAYS OHMCH IS ADDRESSING OR PLANS TO ADDRESS EACH OF THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA: * MENTAL HEALTH (INCLUDING SUICIDE) - INCREASE MENTAL HEALTH TREATMENT SERVICES AVAILABLE IN MUHLENBERG COUNTY THROUGH A RECENTLY HIRED BEHAVIORAL HEALTH PHYSICIAN WHO IS AVAILABLE FOR BOTH TELEHEALTH AND IN-PERSON APPOINTMENTS AT THE OWENSBORO HEALTH MUHLENBERG HEALTHPLEX. - INCREASE THE USE OF TELEHEALTH PSYCHIATRIC CONSULTATIONS AVAILABLE THROUGH OWENSBORO HEALTH REGIONAL HOSPITAL (OHRH) FOR PATIENTS AT OHMCH (EMERGENCY DEPARTMENT AND INTENSIVE CARE UNIT). - EXPLORE POTENTIAL NEW PARTNERSHIPS TO INCREASE MENTAL HEALTH SERVICES AVAILABLE IN MUHLENBERG COUNTY. - PROMOTE THE AVAILABILITY OF A NEW MENTAL HEALTH VIRTUAL RESOURCE, CREDIBLEMIND, THROUGH TRADITIONAL/SOCIAL MEDIA CHANNELS AND LOCAL COMMUNITY ORGANIZATIONS. OWENSBORO HEALTH PARTNERED WITH RIVERVALLEY BEHAVIORAL HEALTH TO OFFER THE CREDIBLEMIND RESOURCE TO ANYONE IN OUR REGION WHO HAS INTERNET ACCESS VIA COMPUTER, TABLET, PHONE OR ANY OTHER DEVICE. A PERSON CAN VISIT HEALTHYMIND.CREDIBLEMIND.COM TO ACCESS LOCAL RESOURCES, ARTICLES AND ASSESSMENTS ON MENTAL HEALTH TOPICS. - INCREASE ACCESS FOR AGING COMMUNITY IN MUHLENBERG COUNTY (AND POTENTIALLY RESIDENTS OF OUR LONG-TERM CARE UNIT AT OHMCH) WITH THE ADDITION OF GERIATRIC PSYCHIATRY IN-PATIENT CARE AT OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER (OHTLMC). - CONTINUE TO ASSIST AND REFER PATIENTS TO APPROPRIATE BEHAVIORAL HEALTH SERVICES INCLUDING THE INTENSIVE OUTPATIENT PROGRAM AT OHRH.

Schedule H, Part V, Section B, Line 11 Facility , 2
Facility , 2 - OH MUHLENBERG, LLC. * SUBSTANCE USE (ALCOHOL, TOBACCO, ILLEGAL DRUGS, PRESCRIPTION DRUG MISUSE) - MEDICAL STAFF AT OHMCH HAVE 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 - TEAM MEMBERS ACTIVELY PARTICIPATE ON THE CHAMPIONS FOR A DRUG FREE MUHLENBERG COUNTY COMMITTEE. - OHMCH EMS PROVIDES THE NUMBER OF OVERDOSES RESPONDED TO IN ORDER TO RAISE AWARENESS AND EDUCATE (ADVERTISED ON SOCIAL MEDIA AND BILLBOARD IN THE COMMUNITY). - EVALUATE THE USE OF NARCAN KIT DISTRIBUTION FOR EMERGENCY DEPARTMENT PATIENT DISCHARGES. - EMS COORDINATES DISTRIBUTION OF NARCAN TO LOCAL FIRE AND POLICE DEPARTMENTS. - SHARE INFORMATION ABOUT HARM REDUCTION PROGRAM AT MUHLENBERG COUNTY HEALTH DEPARTMENT AND PROVIDE INFORMATION ABOUT OWENSBORO HEALTH SERVICE OPTIONS AVAILABLE. - CONTINUE TO ASSIST AND REFER PATIENTS TO APPROPRIATE MENTAL HEALTH AND SUBSTANCE USE SERVICES (OHRH INTENSIVE OUTPATIENT PROGRAM AND/OR OHTLMC MEDICATED ASSISTED THERAPY FOR PREGNANT MOTHERS). - TRAINED FOUR CERTIFIED TOBACCO TREATMENT SPECIALISTS (TTS) TO PROVIDE EFFECTIVE, EVIDENCE-BASED TREATMENTS AND EDUCATION ABOUT DEPENDENCE TREATMENTS. CONSIDER USING THESE TTS FOR INPATIENT REFERRALS TO HAVE INTERVENTION PRIOR TO A PATIENT'S DISCHARGE. * CULTURE OF WELLNESS/PERSONAL RESPONSIBILITY - OHMCH DIRECTOR OF EMS PARTICIPATES IN ALL PREPAREDNESS AND DISASTER PREPARATION MEETINGS IN MUHLENBERG COUNTY (SCHOOL SYSTEM, INDUSTRY AND CITY/COUNTY). OUR TEAMS ALSO TRAIN AND EXERCISE OUR EMERGENT RESPONSES WITH THESE GROUPS TO MAKE SURE WE ARE PREPARED IN CASE OF REAL-LIFE EVENTS. - OHMCH EMS PROVIDES STOP THE BLEED TRAINING FOR ALL MUHLENBERG COUNTY SCHOOL PERSONNEL. - EACH SCHOOL IN MUHLENBERG COUNTY HAS A SCHOOL NURSE OR HEALTH TECHNICIAN WHOSE SALARY IS FUNDED BY OHMCH. WE INTEND TO OFFER RESOURCES TO THESE SCHOOL NURSES AND HEALTH TECHNICIANS TO PROVIDE EDUCATION RELATED TO IDENTIFIED HEALTH NEEDS TO STUDENTS AND SCHOOL PERSONNEL. CONSIDER EXPANSION OF THIS PROGRAM IN THE FUTURE AS PARTICULAR NEEDS ARISE. - AS ONE OF THE LARGEST EMPLOYERS IN THE COMMUNITY, WELLNESS INITIATIVES OF OHMCH TEAM MEMBERS END UP HAVING AN EFFECT ON THE BROADER COMMUNITY. OUR ORGANIZATION HAS A WELLNESS PLATFORM AND WELLNESS CHAMPIONS THROUGHOUT EACH HOSPITAL DEPARTMENT. IN ADDITION, THE OWENSBORO HEALTH FOUNDATION IS WRITING A GRANT TO SUPPORT WORK RELATED TO HEALTH AND WELLNESS OF OUR TEAM MEMBERS. THESE INVESTMENTS IN THE HEALTH AND WELLBEING OF OUR TEAM ENSURES CONTINUED ACCESS TO CARE FOR OUR COMMUNITY. - EXPAND OUTREACH OF COAL MINERS' RESPIRATORY CLINIC (CMRC) TO ENHANCE PULMONARY SERVICES IN THE COMMUNITY BY BROADENING THE SCOPE OF SERVICES TO ADDRESS ADDITIONAL RESPIRATORY DISEASES. A DEDICATED CMRC DIRECTOR WAS HIRED IN SEPTEMBER 2021. UTILIZE THE CERTIFIED TOBACCO TREATMENT SPECIALISTS (CTTS) IN EXPANSION OF THIS CMRC OUTREACH FOR TOBACCO CESSATION PROGRAMS.

Schedule H, Part V, Section B, Line 11 Facility , 3
"Facility , 3 - OH MUHLENBERG, LLC. * HOUSING AND HOMELESSNESS - OHMCH WILL DEVOTE TEAM MEMBERS' TIME TO THE LOCAL HEALTH COALITION TO EXPLORE EXISTING NEEDS FOR THOSE WHO ARE HOMELESS OR ""PRECARIOUSLY HOUSED AND RESOURCES/SERVICES THAT ARE AVAILABLE TO THEM. - COORDINATE WITH LOCAL FOOD BANK, SCHOOL SYSTEM (AND SPECIFICALLY SCHOOL NURSES WHO MAY HAVE STUDENTS IDENTIFIED WITH HOUSING CHALLENGES), AND HOSPITAL DISCHARGE SUMMARIES FOR INDIVIDUALS WITHOUT A PERMANENT HOME AND CONSIDER HOW OUR HOSPITAL MAY ASSIST WITH THIS NEED IN THE FUTURE. - ENSURE THAT THE HEALTH NEEDS OF THE HOMELESS ARE ADDRESSED THROUGH WIDELY AVAILABLE PREVENTATIVE CARE LIKE COVID-19 AND FLU VACCINES, AND ACCESS TO EMERGENCY AND PRIMARY CARE SERVICES. - CONTINUE TO BUDGET ANNUALLY FOR OHMCH CASE MANAGEMENT TEAM TO OFFER SERVICES TO PATIENTS WITH CHALLENGES UPON DISCHARGE (HOUSING/HOTEL, CLOTHING, FOOD, BUS TICKETS). - ONGOING WORK WITH LOCAL FOOD PANTRY (SOME OF THEIR POPULATION IS LIKELY HOMELESS) TO OFFER HEALTH SERVICES ONSITE (VACCINES/HEALTH EDUCATION). CONSIDER USING CTTS TO HOST SMOKING CESSATION CLASSES THAT COORDINATE WITH FOOD DISTRIBUTION TIMES. - EXPLORE THE OPTION TO PROVIDE AN AREA IN OUR PARKING LOT TO OFFER FREE WIRELESS INTERNET FOR THOSE WHO ARE UNABLE TO ACCESS THE INTERNET FROM THEIR HOME. - PROVIDERS IN OUR RURAL HEALTH CLINIC AT OWENSBORO HEALTH MUHLENBERG HEALTHPLEX ASK POPULATION HEALTH QUESTIONS (INCLUDING HOUSING) DURING OFFICE VISITS AND DIRECT PATIENTS TO APPROPRIATE RESOURCES. * OBESITY/OVERWEIGHT - SPONSORSHIP OF COMMUNITY WALKING TRAILS (LU-RAY PARK AND AMPHITHEATER, GREATER MUHLENBERG PARKS AND RECREATION SYSTEM OUTDOOR WALKING TRACK), INDOOR RECREATION FACILITY, AND BIG TWIGS AT LAKE MALONE (HIKING DESTINATION ATTRACTION) TO ENCOURAGE YOUTH AND ADULTS TO GET OUTSIDE AND GET MOVING. - OWENSBORO HEALTH COMMUNITY HEALTH INVESTMENT GRANT AWARDED TO MUHLENBERG COUNTY LIBRARIES FOR STORY WALKS ALONG FIVE LOCAL WALKING TRAILS WITH NEW STORIES DISPLAYED BI-MONTHLY SO CHILDREN HAVE A REASON TO VISIT (AND GET ACTIVE) FREQUENTLY WITH THEIR FAMILIES. * ACCESS TO CARE/MAKING SERVICES AVAILABLE - CONSIDER EXPANSION OF LONG-TERM CARE UNIT AT OHMCH DUE TO PROJECTED DEMAND FOR LONG-TERM CARE SERVICES IN THIS COMMUNITY (CURRENT OCCUPANCY IS NEARLY 90%). - OHMCH CHIEF EXECUTIVE OFFICER IS INVOLVED IN THE MASTER PLAN FOR OWENSBORO HEALTH'S MUHLENBERG COUNTY FACILITIES. - POTENTIAL USE OF EMERGENCY MANAGEMENT MOBILE TRAILER FOR FUTURE USE FOR OUTREACH ACROSS COMMUNITY (FOR PREVENTATIVE RATHER THAN EMERGENCY CARE: HYGIENE KITS, VACCINATIONS, AND HEALTH SCREENINGS)."

Schedule H, Part V, Section B, Line 11 Facility , 4
Facility , 4 - OH MUHLENBERG, LLC. - SECURED GRANT APPROVAL FOR A LARGE OHMCH MULTIPURPOSE TRAILER TO BRING HEALTHCARE ACCESS WHERE IT IS MOST NEEDED IN THE COMMUNITY FOR A VARIETY OF HEALTH OFFERINGS. THIS TRAILER IS 28 FEET LONG, WITH AN INTEGRATED POWER GENERATOR, THREE SEPARATE EXAM ROOMS AND A NURSE'S STATION THAT CAN ALL BE NEGATIVE PRESSURE, FULL-LENGTH COVERED PORCH THAT COULD SERVE AS A WAITING ROOM WITH A BUILT-IN 70 INCH TV TO USE FOR EDUCATIONAL PURPOSES WHILE PATIENTS WAIT. USES INCLUDE MOBILE ACCESS UNIT FOR PRIMARY CARE/RURAL HEALTH CLINIC, CMRC BLACK LUNG SCREENINGS AT OFFSITE LOCATIONS, COVID-19 AND/OR FLU VACCINES, AND A FIRST AID STATION AT LARGE COMMUNITY EVENTS. - SCHOOL NURSES/HEALTH TECHNICIANS AND THERAPY SERVICES AVAILABLE ON-SITE AT EACH MUHLENBERG COUNTY SCHOOL. - OHMCH AMBULANCE SERVICES PROVIDED AT MANY SCHOOL/COMMUNITY EVENTS WHEN THERE IS A LARGE NUMBER IN ATTENDANCE OR THE RISK IS HIGH FOR INJURY OR ILLNESS (FOOTBALL GAMES, EVENTS WITH HIGH TEMPERATURES, ETC.). - OWENSBORO HEALTH MUHLENBERG HEALTHPLEX OFFERS ACCESS TO PRIMARY CARE AND SPECIALISTS (WOMEN'S HEALTH, ORTHOPEDICS, AND BEHAVIORAL HEALTH). - MUHLENBERG COUNTY ATHLETES HAVE ACCESS TO A CERTIFIED ATHLETIC TRAINER WHOSE SERVICES ARE PROVIDED BY OHMCH AS WELL AS SPONSORSHIP OF ATHLETIC TEAMS TO ENCOURAGE EXERCISE AND EXTRACURRICULAR INVOLVEMENT TO BENEFIT MENTAL AND PHYSICAL HEALTH. * TRANSPORTATION - CONSIDER OPTIONS TO SUPPORT UBER-STYLE TRANSPORTATION WITH A POTENTIAL FOCUS FOR THOSE AGE 65+ TO USE FOR PROVIDER APPOINTMENTS, PHARMACY, GROCERY, ETC. EXPLORE THE POSSIBILITY TO OFFER TRANSPORTATION SERVICE JUST FOR HOSPITAL PATIENTS WHO HAVE DIFFICULTY GETTING A RIDE HOME/NURSING HOME. - MUHLENBERG COUNTY HEALTH COALITION SUPPORTS A VOUCHER SYSTEM THROUGH PENNYRILE ALLIED COMMUNITY SERVICES (PACS) THAT ALLOWS THOSE IN MUHLENBERG COUNTY TO ACCESS A LOWER FIXED RATE ($4 ROUND TRIP) FOR THOSE NEEDING A RIDE TO A MEDICAL APPOINTMENT, WORK OR SCHOOL. OHMCH HAS SUPPORTED THIS PROGRAM IN THE PAST WITH GRANT FUNDING. - OHMCH AMBULANCE SERVICE AVAILABLE COUNTY-WIDE FOR ALL MEDICAL TRANSPORT INCLUDING 24/7 911 COVERAGE AND ALSO NON-EMERGENT TRANSPORT OF PATIENTS WHO CANNOT SAFELY BE TRANSPORTED BY WHEELCHAIR. AMBULANCE SERVICE ALSO TRANSFERS ALL PATIENTS FROM OHMCH THAT REQUIRE A HIGHER LEVEL OF CARE. * CHILDREN BEING RAISED BY PEOPLE OTHER THAN PARENTS - OHMCH IS INVOLVED IN SCHOOL OUTREACH PROGRAMS INCLUDING SCHOOL HEALTH ASSESSMENTS (WHERE INFORMATION IS LATER SENT HOME TO FAMILIES ABOUT HEALTHY DIET/EXERCISE) AND SCHOOL NURSES WHO CAN PROVIDE HEALTH INFORMATION TO NOT ONLY THE STUDENT BUT ENTIRE HOUSEHOLD. - INVOLVEMENT IN COMMUNITY AND SCHOOL EVENTS PROVIDING EDUCATION TO THIS POPULATION. * POVERTY - PATIENT FINANCIAL ADVOCATES ASSIST OHMCH PATIENTS WHO MAY QUALIFY IN APPLYING FOR KENTUCKY MEDICAID AND ALSO UTILIZE AN ELIGIBILITY GRID TO OFFER FINANCIAL ASSISTANCE TO PATIENTS BASED ON INCOME AND HOUSEHOLD SIZE. - CASE MANAGEMENT TEAM UTILIZES DONATED FUNDS TO ASSIST PATIENTS STRUGGLING WITH ISSUES RELATED TO POVERTY (HOUSING, TRANSPORTATION, UTILITIES, ETC.). OWENSBORO HEALTH REGIONAL HOSPITAL 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.

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, Part I, Line 7f Health Professions Education
OWENSBORO HEALTH, INC. (OH) HAD AN AFFILIATION AGREEMENT WITH THE UNIVERSITY OF LOUISVILLE THROUGH ITS SCHOOL OF MEDICINE TO ESTABLISH A FULLY ACCREDITED RESIDENCY PROGRAMS IN FAMILY MEDICINE. IN FY 2022, OH HAD A TOTAL OF THIRTEEN (13) RESIDENTS. THE PROGRAM INCLUDES ADDITIONAL STAFF SUCH AS PROGRAM DIRECTOR, PROGRAM COORDINATOR AND STAFF REQUIRED TO OPERATE THE PROGRAM.

Schedule H, Part I, Line 7b MEDICAID
DURING THE FISCAL YEAR, OWENSBORO HEALTH, INC RECOGNIZED AN UPPER PAYMENT LIMIT (UPL) REIMBURSEMENT BEFORE TAXES AND ADMIN EXPENSES OF $44,887 MILLION COMPARED TO PREVIOUS YEAR'S $31,462 MILLION. IN FY 2021, KENTUCKY MEDICAID AND THE KENTUCKY HOSPITAL ASSOCIATION OBTAINED APPROVAL FROM CMS TO MOVE THE UPL TO THE COMMERCIAL PAYMENT LEVEL WHICH PROVIDED ADDITIONAL SUPPLEMENTAL PAYMENTS TO KENTUCKY HOSPITALS. THE ESTIMATED NET BENEFIT OF THE UPL CHANGE IN FY 2022 WAS $10,773 MILLION (AFTER TAXES/ADMIN EXPENSES). THE PROGRAM HAS TO BE APPROVED ANNUALLY BY CMS. THE STATEWIDE UPL NUMBERS WILL FLUCTUATE BASED UPON ACTUAL EXPERIENCE EACH YEAR.

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. AS A MEDICARE DESIGNATED SOLE COMMUNITY HOSPITAL, WE ARE THE ONLY PROVIDER IN THE REGION TO PROVIDE LOWER REIMBURSED SERVICES SUCH AS PSYCH AND OB SERVICES. AS A MEDICARE SOLE COMMUNITY HOSPITAL WE ARE, BY DEFINITION, THE PRIMARY/ONLY SOURCE OF HEALTHCARE OF THE PATIENT POPULATION IN OUR AREA. OH RECOGNIZES THE RESPONSABILITY AND PROVIDES HEALTHCARE SERVICES IN ORDER TO MEET THE NEEDS OF OUR PATIENTS. SOME OF THOSE SERVICES HAVE CREATED A SHORTFALL FROM MEDICARE BUT OH STRONGLY BELIEVES ITS' IMPORTANCE TO THE HEALTH OF THE AREAS WE SERVE.

Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation
29971747

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
WHEN CALCULATING THE COMMUNITY BENEFIT PERCENTAGES IN PART I, LINE 7, BAD DEBT EXPENSE OF $29,971,747, WAS EXCLUDED.

Schedule H, Part II Community Building Activities
In order to improve and promote the health of the communities we serve, Owensboro Health 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 Owensboro Health 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 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.

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 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.

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 V, Section B, Line 16a FAP website
- OWENSBORO HEALTH, INC.: Line 16a URL: WWW.OWENSBOROHEALTH.ORG; - OH MUHLENBERG, LLC: Line 16a URL: WWW.OWENSBOROHEALTH.ORG;

Schedule H, Part V, Section B, Line 16b FAP Application website
- OWENSBORO HEALTH, INC.: Line 16b URL: WWW.OWENSBOROHEALTH.ORG; - OH MUHLENBERG, LLC: Line 16b URL: WWW.OWENSBOROHEALTH.ORG;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- OWENSBORO HEALTH, INC.: Line 16c URL: WWW.OWENSBOROHEALTH.ORG; - OH MUHLENBERG, LLC: Line 16c URL: WWW.OWENSBOROHEALTH.ORG;

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 AND CONTRACTS WITH AN OUTSIDE FIRM TO ENSURE PATIENTS ARE EVALUATED FOR ELIGIBILITY IN THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. THE HOSPITAL DOES NOT CONTRACT PRIMARY COLLECTION AGENCIES. 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 VI, Line 2 Needs assessment
OH DETAILS OF THE HOSPITAL'S CHNA PROCESS ARE DETAILED IN FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5. OWENSBORO HEALTH'S CHNAS REPRESENT A COMMUNITY-WIDE PROCESS TO ANALYZE COMMUNITY HEALTH NEEDS AND IDENTIFY THE HEALTH PRIORITIES. THE HOSPITALS ALSO COLLABORATE WITH LOCAL HEALTH DEPARTMENTS AND MULTIPLE COMMUNITY BASED ORGANIZATIONS IN ASSISTING WITH HEALTH DEPARTMENT (AND OTHER) COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLANS. THE HEALTH DEPARTMENT CHNA PROCESS IS A FEDERAL REQUISITE FOR OBTAINING PUBLIC HEALTH DEPARTMENT ACCREDITATION. BEGINNING JANUARY 1, 2023 OWENSBORO HEALTH WILL BE SCREENING PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH. THIS PROCESS WILL ENABLE US TO DISCERN WHAT SDOH ARE MOST PREVALENT AND DEVELOP REFERRAL PROCESSES AND PARTNERSHIPS NEEDED TO ADDRESS SDOH IMPACTING OUR PATIENT POPULATION WHILE WORKING TO DEVELOP INTERNAL AND EXTERNAL PARTNERSHIPS TO SUPPORT EFFORTS TO MINIMIZE DEFINED SOCIAL DETERMINANTS COLLABORATIVELY FOR THE COMMUNITIES WE SERVE. 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. OHMCH 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 2021 AND COMPLETED AN IMPLEMENTATION STRATEGY IN SEPTEMBER 2021. 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 ELEVEN KEY INFORMANT INTERVIEWS TO PROBE MORE DEEPLY INTO HEALTH AND QUALITY OF LIFE THEMES WITHIN THE COUNTY. IN ADDITION TO COMPLETING THE REQUIRED CHNA EVERY THREE YEARS, OHMCH ALSO ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH PARTICIPATION IN THE MUHLENBERG COUNTY HEALTH COALITION AND HEARING FROM OTHER HEALTH-RELATED AGENCIES ABOUT THE NEEDS OF THEIR CLIENTS AND PATIENTS.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
THE HOSPITAL EDUCATES THE PATIENTS IN A VARIETY OF WAYS. THE HOSPITAL HAS SIGNAGE AT ACCESS POINTS REGARDING FINANCIAL ASSISTANCE OFFERINGS. THE HOSPITAL 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. THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS AND CONTRACTS WITH AN OUTSIDE FIRM 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 AND WORKED BY HOSPITAL STAFF TO ENSURE THAT THE PATIENT IS GIVEN EVERY OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE. ADDITIONALLY INFORMATION ABOUT APPLYING FINANCIAL ASSISTANCE IS INCLUDED ON THE PATIENT STATEMENTS, BILLS, AND LETTERS AND THE PATIENT GUIDE THEY MAY RECEIVE FROM THE HOSPITAL. THE HOSPITAL 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 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 PATIENTSELIGIBLE FOR FINANCIAL ASSISTANCE TO AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE RECEIVING SUCH CARE. 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
OH OWENSBORO HEALTH SERVES 18 COUNTIES, 12 IN WESTERN KENTUCKY AND 2 IN SOUTHERN INDIANA. THE PRIMARY SERVICE AREA AND DEFINED COMMUNITY FOR THE OHRH CHNA IS DAVIESS COUNTY, KENTUCKY. THE POPULATION ESTIMATE AS OF JULY 1, 2021 WAS 103,063 WITH A MEDIAN HOUSEHOLD INCOME OF $54,881 AND A SMALL AREA INCOME AND POVERTY RATE OF 13.4%. U.S. CENSUS BUREAU QUICKFACTS: UNITED STATES OHMCH 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. THE POPULATION ESTIMATE AS OF JULY 1, 2021 WAS 30,694 WITH A MEDIAN HOUSEHOLD INCOME OF $45,937 AND A SMALL AREA INCOME AND POVERTY RATE OF 16.9%. U.S. CENSUS BUREAU QUICKFACTS: UNITED STATES

Schedule H, Part VI, Line 5 Promotion of community 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 ONLY PROVIDING DIRECT HEALTH SERVICES OR ADDRESSING IDENTIFIED PRIORITIZED HEALTH NEEDS AND SOCIAL DETERMINANTS OF HEALTH. 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, ENGAGING IN AND WITH OUR COMMUNITIES, SUPPORT FOR ENVIRONMENTAL CONCERNS (RADON, THE SECOND LEADING CAUSE OF LUNG CANCER) AND EXPLORING COLLABORATIVE EFFORTS TO ADDRESS ISSUES FACING OUR COMMUNITY WHICH IMPACT QUALITY OF LIFE AND A VIBRANT AND VIABLE ECONOMY. 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 OR KEY PARTNER FOR COMMUNITY CONCEPTS TO ADVANCE ECONOMIC DEVELOPMENT PLANS, MEET URGENT NEEDS SUCH AS FOOD INSECURITY OR EMERGENCY PLANNING AS MOST RECENTLY WITH THE WORLDWIDE PANDEMIC, 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 OFTEN A CATALYST AND HONORED TO FILL THAT ROLE. COMMUNITY APPOINTED MEMBERS WHO SERVE ON THE OWENSBORO HEALTH BOARD OF DIRECTORS AND THE COMMUNITY NEEDS AND ACCOUNTABILITY AND STRATEGIC PLANNING COMMITTEES OVERSEE THE COMMUNITY BENEFIT WORK. THE COMMUNITY MEMBERS WHO SERVE ON THE OWENSBORO HEALTH BOARD BELIEVES SO STRONGLY IN OUR MISSION HAS APPROVED ""PARTNERING WITH OUR COMMUNITIES"" AS A STRATEGIC PILLAR OF THE HEALTH SYSTEM. THEY ARE ALSO WORKING TO ENSURE ACCOUNTABILITY IN THAT STRATEGIC PLANNING FOR THE HOSPITAL WORKS IN CONJUNCTION WITH INTERNAL AND EXTERNAL EFFORTS AND ALIGNS WITH BOTH OWENSBORO HEALTH ENTITIES AND 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
AS REQUIRED OWENSBORO HEALTH HOSPITALS CONDUCT A CHNA WITH THE VOICE AND INPUT FROM PUBLIC HEALTH AND MANY COMMUNITY PARTNERS. HOSPITALS DEVELOPS IMPLEMENTATION STRATEGIES 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 OWENSBORO HEALTH HOSPITALS IN STRIVING TO ADDRESS PRIORITY HEALTH NEEDS AND SOCIAL DETERMINANTS OF HEALTH. 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 USED WHICH PROVIDES 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 ONE HOSPITAL ENTITY 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 SUSTAINING IMPACT TO A STRATEGIC GOAL. THE OWENSBORO HEALTH SYSTEM CONTINUES TO INVEST SIGNIFICANT DOLLARS AND HUMAN RESOURCES TO INCREASING COMMUNITY ACCESS POINTS, SUPPORT A RESIDENCY PROGRAM, BUILDING AN INNOVATION CENTER, 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, APPLY AND BE AWARDED FUNDS TO ASSIST WITH THE DEVELOPMENT OF A COMMUNITY MENTAL HEALTH COURT AND EXPAND TELEHEALTH SERVICES SO WE MAY MEET HEALTHCARE NEEDS WHEN ACCESS IS A BARRIER DUE TO TRANSPORTATION AND OTHER ISSUES. 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 DEPARTMENTS WHO PLAY INSTRUMENTAL AND OFTEN CRUCIAL 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 HOSPITAL PER SECTION 501(R) OF THE INTERNAL REVENUE CODE COMMUNITY BENEFIT 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.