Owensboro Health

What it reported doing in 2024

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 18 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, 2025, ohrh and ohmch had total admissions of 16,924, patient days of 88,897 and total er visits of 76,358. 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 $25,283,670 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.

Financial Efficiency

• Mission deployment rate: 64.7%; rating input score 65
• Program expense ratio: 76.5%; rating input score 77
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Missing
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 97.7%; rating input score 98; 33rd percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 87.5%; rating input score 88; 34th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 16.9%; rating input score 84; 84th percentile among comparable filings
• Total-asset coverage ratio: 3.85; rating input score 81; 81st percentile among comparable filings
• Liabilities to assets ratio: 0.55; rating input score 32; 32nd percentile among comparable filings
• Officer compensation ratio: 1.6%; rating input score 63; 63rd percentile among comparable filings

Growth

• Program expense growth: 5.9% per year; rating input score 100; 48th percentile among comparable filings
• Revenue growth: 5.6% per year; rating input score 100; 49th percentile among comparable filings
• Asset growth: 7.2% per year; rating input score 100; 53rd percentile among comparable filings