2024-02-14T08:51:24-06:00 2023-03-31 FORVIS LLP 1222 Demonbreun Street Suite 950 Nashville TN 372033357 990 2022-04-01 610920842 BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION % JENNY GREENWELL BOWL 2707451551 800 PARK STREET BOWLING GREEN KY 42101 MICHELE LAWLESS EVP - CFO 2707451500 2024-02-15 true MICHELE LAWLESS 999009999 JEFF SMITH P00289876 6159883600 2 2022 2023-04-26 12:10:37Z CONNIE D SMITH 800 PARK STREET BOWLING GREEN KY 42101 893337213 false X https://medcenterhealth.org/ X 1977 KY PROVIDES INPATIENT AND OUTPATIENT ACUTE CARE SERVICES BY OR UNDER THE SUPERVISION OF PHYSICIANS IN BOWLING GREEN, KENTUCKY AND IN THE SURROUNDING COUNTIES. 12 8 2604 60 5294285 36619 12390090 1072908 482617311 518752074 49189909 -24603564 11359978 12742406 555557288 507963824 113904 16668 0 0 164043813 179127231 0 0 0 292223720 299410411 456381437 478554310 99175851 29409514 777162552 782228904 193047378 156326493 584115174 625902411 X OUR MISSION IS TO CARE FOR PEOPLE AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. false false 229800738 276380683 OUTPATIENT SERVICES: THE HOSPITAL SERVES THE COMMUNITY BY PROVIDING CERTAIN OUTPATIENT SERVICES, INCLUDING AN EMERGENCY DEPARTMENT, BY OR UNDER THE SUPERVISION OF PHYSICIANS, DIAGNOSTIC AND THERAPEUTIC SERVICES FOR MEDICAL DIAGNOSIS, TREATMENT, CARE, OR REHABILITATION OF INJURED, DISABLED, OR SICK PERSONS. THE HOSPITAL HAS BEEN PROVIDING HIGH-QUALITY HEALTHCARE SERVICES TO THE AREA SINCE 1926. SEE SCHEDULE O FOR MORE DETAIL OF SERVICES THE HOSPITAL PROVIDES. 208312329 16668 257447160 INPATIENT SERVICES: THE HOSPITAL IS A 337-BED ACUTE CARE HOSPITAL ENGAGED IN PROVIDING SERVICES TO INPATIENTS, BY OR UNDER THE SUPERVISION OF PHYSICIANS, DIAGNOSTIC, AND THERAPEUTIC SERVICES FOR MEDICAL DIAGNOSIS, TREATMENT, CARE, OR REHABILITATION OF INJURED, DISABLED, OR SICK PERSONS. 438113067 true true false true false false false false false true true false false false true false true true false false false false false false false false true true false true true true false false false false false false false false false false false false false false true true true false false false true X 264 0 true 2604 true true true false false false false false false false false false true false X 12 8 false false false false true true false true true false false true true true true true true false false true true KY X JENNY GREENWELL 2707451551 800 PARK STREET BOWLING GREEN KY 42101 X MRS CONNIE D SMITH PRESIDENT / CEO 2.0 52.0 X X 0 1285993 20191 MR WADE STONE EXECUTIVE VICE PRESIDENT 2.0 50.0 X 0 501132 20005 MR DAVID GRAY EXECUTIVE VICE PRESIDENT 2.0 50.0 X 0 385152 43999 MRS MICHELE W LAWLESS EXECUTIVE VICE PRESIDENT / CFO 2.0 50.0 X 0 421749 3491 DR SWARANJIT CHANI PHYSICIAN 40.0 0.0 X 356565 0 25130 DR JOSEPH GRAU PHYSICIAN 40.0 0.0 X 355634 0 20941 DR SHAFIA RUBEEN PHYSICIAN 40.0 0.0 X 328639 0 32552 DR AVINDER CHANI PHYSICIAN 40.0 0.0 X 343283 0 9489 DR CATRINIA DRUEN PHYSICIAN 40.0 0.0 X 324148 0 18325 MR ERIC HAGAN VP OF RURAL HOSPITALS 28.0 12.0 X 207237 88816 19958 MS KATRINA WOOD VP/CHIEF NURSING OFFICER 50.0 2.0 X 219378 0 35340 DR MOHAMMED KAZIMUDDIN DIRECTOR / PHYSICIAN 2.0 0.0 X 4167 0 0 DR DOUG THOMSON DIRECTOR / PHYSICIAN 2.0 0.0 X 2500 0 0 DR ELI JACKSON III CHAIR 2.0 2.0 X X 0 0 0 DR PAUL COOK VICE CHAIR 2.0 2.0 X X 0 0 0 MR JOE NATCHER SECRETARY 2.0 4.0 X X 0 0 0 MRS CATHY BISHOP DIRECTOR 2.0 4.0 X 0 0 0 DR DONNA BLACKBURN DIRECTOR 2.0 4.0 X 0 0 0 MS JANET JOHNSON DIRECTOR 2.0 0.0 X 0 0 0 MR TOMMY LOVING DIRECTOR 2.0 4.0 X 0 0 0 DR JACKIE POPE-TARRENCE DIRECTOR 2.0 2.0 X 0 0 0 DR WILLIAM MOSS DIRECTOR / PHYSICIAN 2.0 2.0 X 0 0 0 2141551 2682842 249421 145 false true false CROSS COUNTRY STAFFING INC PO BOX 404674 ATLANTA GA 303844674 STAFFING SERVICES 5094676 TMX HEALTHCARE TECHNOLOGIES LLC PO BOX 636129 CINCINNATI OH 45263 BIOMED EQUIP REPAIR 7420364 MORRISON MANAGEMENT SPECIALIST INC PO BOX 102289 ATLANTA GA 303682289 CAFETERIA SERVICES 3941960 UNIVERSITY OF KENTUCKY 2355 HUGUENARD DR SUITE 201A LEXINGTON KY 40503 GRAD MEDICAL EDUC 5872892 QUALIVIS LLC DEPARTMENT 3847 PO BOX 123847 DALLAS TX 753123847 STAFFING SERVICES 32532167 63 180292 892616 1072908 INPATIENT SERVICES 621110 257016966 257016966 OUTPATIENT SERVICES 621400 249520695 249520695 RETAIL PHARMACY SALES 446110 9984552 5892071 4092481 MEDICAL EQUIPMENT SALES 453000 2046648 844844 1201804 PHYSICIAN PRACTICES 566927 183213 183213 518752074 8807304 8807304 0 0 3894305 6227668 -2333363 0 -2333363 -2333363 345599686 135167 378989048 156673 -33389362 -21506 -33410868 -33410868 0 0 0 0 0 0 0 0 0 MISCELLANEOUS INCOME 621500 15075769 15075769 15075769 507963824 528533558 5294285 -26936927 X 5156 5156 11512 11512 0 0 475926 475926 0 138766401 130994973 7771428 6517596 6148729 368867 23159172 21848465 1310707 10208136 9629915 578221 17562858 585258 16977600 1040923 81027 959896 494490 443223 51267 72810 72810 0 0 69461567 69461567 656790 213103 443687 24860155 21973896 2886259 9004078 3328363 5675715 0 4058857 3641817 417040 1213333 1191142 22191 0 0 1302526 1302526 0 13234015 10987450 2246565 3650141 3435798 214343 MEDICAL SUPPLIES 110711341 110711341 PHYSICIAN PRACTICE EXPENSE 27432118 27432118 TAXES & LICENSES 13208521 13208521 PATIENT TRANSPORT 615968 615968 829920 312463 517457 478554310 438113067 40441243 0 58221570 50642277 418297738 459838872 0 0 50778187 54524248 0 0 0 0 0 0 16687864 17480850 6196574 6709553 460067156 318056612 142490826 142010544 63257847 11700634 0 0 1771727 1845226 4930974 4930974 14529245 32545726 777162552 782228904 42325134 46502676 0 0 0 0 97419813 89881337 0 0 0 0 0 0 0 0 53302431 19942480 193047378 156326493 X 581729674 623760109 2385500 2142302 584115174 625902411 777162552 782228904 X 29409514 8729763 3647960 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 72810 72810 false PART II-B, LINE 1, LOBBYING ACTIVITIES: ----------------------------------------- MCCARTHY STRATEGIC SOLUTIONS, LLC IS ENGAGED BY THE MEDICAL CENTER AS REGISTERED LOBBYISTS TO DEVELOP A COMPREHENSIVE STRATEGY TO BUILD RELATIONSHIPS WITH KEY DECISION MAKERS AT THE STATE LEVEL OF GOVERNMENT TO ADVANCE THE MISSION AND LEADERSHIP ROLE OF THE MEDICAL CENTER IN THE COMMONWEALTH OF KENTUCKY. MCCARTHY WILL MONITOR AND ADVOCATE ALL REGULAR AND EMERGENCY REGULATIONS, BUDGET ISSUES AND LEGISLATIVE ISSUES, INCLUDING BUT NOT LIMITED TO CERTIFICATE OF NEED, HEALTHCARE POLICY AND MEDICAID. MCCARTHY WILL PROVIDE WEEKLY LEGISLATIVE REPORTS DURING THE LEGISLATIVE SESSIONS AND PROVIDE DAILY NEWS CLIPS ON ISSUES RELATED TO THE HEALTHCARE INDUSTRY. THE TOTAL PAID TO MCCARTHY STRATEGIC SOLUTIONS DURING THE FISCAL YEAR TOTALED $72,810. 473151532 78360597 -16763014 70934053 739665 463075397 454319399 32775272 1694808 14768674 869272 473151533 307990745 90848943 56274123 794413 454319398 288216193 34747030 -316723 13959219 696536 307990745 263168120 39660906 10977568 24962664 627737 288216193 0.99000 0.01000 0.00000 false false 19461275 19461275 224258354 138819589 85438765 208981673 173108845 35872828 7365854 6128178 1237676 142010544 0 ACCRUED RETIREMENT 2999447 DUE TO MEDICARE/MEDICAID 1684770 DUE TO AFFILIATES 2188315 OTHER LT LIABILITIES 703405 ADVANCED MEDICARE PAYMENTS 0 REFUND LIABILITIES 3832436 LONG-TERM PL/GL LIABILITY 8092370 OTHER SHORT-TERM LIABILITY 441737 19942480 522327027 8729763 148694 8878457 513448570 742922 -6227668 -5484746 507963824 484187709 6376366 6376366 477811343 742922 45 742967 478554310 PART V, LINE 4 ENDOWMENT FUNDS ------------------ THE MEDICAL CENTER'S ENDOWMENT CONSISTS OF FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS (BOARD-DESIGNATED ENDOWMENT FUNDS). AS REQUIRED BY GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING BOARD-DESIGNATED ENDOWMENT FUNDS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. UNRESTRICTED NET ASSETS INCLUDED $461,433,097 OF BOARD-DESIGNATED ENDOWMENT FUNDS FOR FUTURE CAPITAL IMPROVEMENTS AND OTHER PURPOSES AS DETERMINED BY THE BOARD OF DIRECTORS. FUNDS ON DEPOSIT WITH TRUSTEES IN CONNECTION WITH VARIOUS BOND INDENTURES, CALLED TRUSTEE-HELD FUNDS, ARE TO BE USED ONLY FOR INTEREST, RETIRING INDEBTEDNESS, OR CAPITAL EXPENDITURES AS SPECIFIED BY THE VARIOUS BOND INDENTURE AGREEMENTS. THE FUND BALANCE FOR TRUSTEE-HELD FUNDS IS $7,964,107. PERMANENTLY RESTRICTED NET ASSETS INCLUDED $2,142,302 OF DONOR-RESTRICTED ENDOWMENT FUNDS. PART X, LINE 2 INCOME TAXES ------------------- THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DID NOT INCLUDE A FOOTNOTE THAT ADDRESSED THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740). MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS --------------------------------------- LOSS FROM DISPOSAL OF ASSETS REPORTED AGAINST REV 148,698 MISC ADJUSTMENTS ($ 4) -------------- $148,694 PART XI, LINE 4B - OTHER ADJUSTMENTS --------------------------------------- RENTAL EXPENSES NETTED AGAINST REVENUE PER AUDIT (6,227,668) PART XII, LINE 2D - OTHER ADJUSTMENTS SCHEDULE D, PART XII, LINE 2D - OTHER ADJUSTMENTS: --------------------------------------- RENTAL EXPENSES NETTED AGAINST REVENUE PER AUDIT $6,227,668 LOSS FROM DISPOSAL OF ASSETS REPORTED AGAINST REV 148,698 ------------- $6,376,366 PART XII, LINE 4B - OTHER ADJUSTMENT --------------------------------------- MISC ADJUSTMENTS $ 45 true true X true X false true true false true true 2283 6584334 6584334 0.01300 2283 6584334 6584334 0.01300 282 16545 2823622 2823622 0.00560 7 669 3370647 3370647 0.00660 2 16963524 11950187 5013337 0.00990 961 164598 164598 0.00030 1252 17214 23322391 11950187 11372204 0.02240 1252 19497 29906725 11950187 17956538 0.03540 3 10036 10036 1 85601 85601 0.00020 1 33600 33600 0.00010 5 129237 129237 0.00030 true 20074233 1188569 161039189 207752777 -46713588 X true true 3 1 THE MEDICAL CENTER AT BOWLING GREEN 250 PARK STREET BOWLING GREEN KY 42101 HTTPS://MEDCENTERHEALTH.ORG/LOCATIONS 100404 X X X X A 2 THE MEDICAL CENTER AT SCOTTSVILLE 456 BURNLEY ROAD SCOTTSVILLE KY 42164 HTTPS://MEDCENTERHEALTH.ORG/LOCATIONS 600076 X X X X RURAL HEALTH CLINIC A 3 THE MEDICAL CENTER AT CAVERNA 1501 S DIXIE STREET HORSE CAVE KY 42749 HTTPS://MEDCENTERHEALTH.ORG/LOCATIONS 600065 X X X X RURAL HEALTH CLINIC A A 13 false false true X X X X X X X X 22 true true true true X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 200. 0. X X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5 COMMUNITY INPUT ---------------- In September 2011, The Medical Center joined with the Barren River District Health Department and numerous other healthcare providers, community organizations and leaders to form the Barren River Community Health Planning Council. The goal of the council was to recognize and serve those most in need in order to benefit the whole community. The council implemented a community health needs survey and assessment process. Key healthcare needs for the community were identified followed by the development of strategic plans to meet those needs. The process used was primarily based on the mobilizing for action through planning and partnership (MAPP), which was developed by the National Association of City and County Health Officials and the Centers for Disease Control and Prevention. Community #1, #2, and #3 surveys were conducted in 2011, 2015, and 2018. The Medical Center used the data collected through the surveys to develop strategic plans that addressed strengthening partnerships with community health providers and organizations, preventative care and disease management and access to care. During the fall and winter of 2014-15, the council was renamed the Barren River Initiative to Get Healthy Together (BRIGHT) coalition. The BRIGHT coalition has grown to over 47 organizations representing the ten counties in BRADD. Cycle 4 of the community assessment was initiated for the 2022-2025 time period. Med Center Health used primary data obtained from the community surveys in partnership with the BRIGHT Coalition and Barren River Health Department. A secondary survey to community leadership was used as well as secondary market research. The end result of the assessment process was the development by the hospitals of a strategic plans to address the major needs identified for The Medical Center at Bowling Green, The Medical Center at Scottsville, and The Medical Center at Caverna. PART V, SECTION B, LINE 6A & 6B OTHER HOSPITAL FACILITIES --------------------------- A list of these organizations can be found on page 3 of the BRIGHT coalition Community Health Assessment and improvement plan 2022-2025 located at https://medcenterhealth.org/community-health-needs-assessment/. Within BRIGHT, these stakeholders joined forces to determine how leaders of South-Central Kentucky's rural communities can work together to improve overall health statuses, strengthen the local economy, contribute to education successes, and improve the quality of life for all. PART V, SECTION B, LINES 7A & 10A AVAILABILITY TO THE PUBLIC ---------------------------- A COPY OF THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND STRATEGIC IMPLEMENTATION PLAN CAN BE FOUND AT: HTTPS://MEDCENTERHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, SECTION B, LINE 11 ADDRESSING NEEDS ----------------- After thorough review of the 2022-2024 survey results along with the data, the hospitals have prioritized the following community health issues that will be addressed over the next 3 years: obesity/overweight, high blood pressure, diabetes/prediabetes, smoking/vaping, poor diet/eating habits, lung disease, and stroke readiness. NEEDS NOT ADDRESSED ------------------------------------------- There are particular priorities of need identified in the assessment which will be addressed solely through the work of other community partners and resources and not prioritized solely by Med Center Health. Examples include: mental health, depression, substance abuse, dental problems and alcohol misuse. PART V, SECTION B, LINE 13B & 13H ELIGIBILITY CRITERIA - INCOME LEVEL OTHER THAN FPG ---------------------------------------------------- LINE 13B INCOME OTHER THAN FPG -------------------------------- BECAUSE THERE MAY BE CIRCUMSTANCES WHERE A PATIENT/GUARANTOR MAY END UP OWING AN AMOUNT THAT IS LARGE IN RELATION TO HIS INCOME, BUT STILL NOT MEET OUR STANDARD FINANCIAL ASSISTANCE (CHARITY CARE) GUIDELINES, AND BECAUSE WE DO NOT WANT TO CREATE WHAT IS COMMONLY KNOWN AS "MEDICAL INDIGENCY," WE ALSO APPLY THE FOLLOWING GUIDELINES TO FINANCIAL ASSISTANCE APPLICATIONS: 1) ONLY PERSONS OR FAMILIES WHO MAKE LESS THAN 20 TIMES (2000%) OF THE SINGLE PERSON FPL ARE ELIGIBLE FOR CATASTROPHIC FINANCIAL ASSISTANCE. THE PURPOSE OF THIS REQUIREMENT IS TO LIMIT THE INCENTIVE TO NOT PURCHASE HEALTH INSURANCE IF A PERSON CAN AFFORD IT. 2) A SELF-PAY PORTION OF A BILL GREATER THAN 20% OF ANNUAL INCOME QUALIFIES A PERSON FOR CATASTROPHIC FINANCIAL ASSISTANCE. 3) THE AMOUNT DUE FROM CATASTROPHIC FINANCIAL ASSISTANCE APPLICANTS IS CAPPED AT 50% OF THEIR DOCUMENTED AND VERIFIED ANNUAL INCOME PLUS THE AMOUNT THE PATIENT'S LIQUID ASSETS EXCEED THEIR IMMEDIATE NEEDS AS DEFINED IN OUR FINANCIAL ASSISTANCE POLICY. 4) WE WILL ALLOW PAYMENT OF THIS CAPPED AMOUNT OVER A PERIOD OF UP TO 10 YEARS, WITH UP TO 15 YEARS AVAILABLE WITH THE APPROVAL OF THE DIRECTOR OF REVENUE CYCLE. 5) THE PAYMENTS WILL BE TREATED AS LONG-TERM PAY, I.E., THEY WILL REQUIRE A WRITTEN AGREEMENT, AND THE PAYMENTS WILL BE INTEREST FREE FOR THE REMAINING PORTION OF THE BALANCE DUE. LINE 13H OTHER CRITERIA -------------------------------- PERSONS OR FAMILIES THAT QUALIFY FOR MEDICAID, FOOD STAMPS, AND OTHER INDIGENT CARE PROGRAMS THAT CAN BE AND ARE INDEPENDENTLY VERIFIED ARE DEEMED TO MEET THE FINANCIAL ASSISTANCE GUIDELINES, AS WILL ACCOUNTS IDENTIFIED THROUGH TOOLS OR PROGRAMS WHICH PROVIDE REASONABLE ASSURANCE THAT THE OBLIGATION MEETS OUR FINANCIAL ASSISTANCE GUIDELINES. PATIENT ACCOUNTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE IF THE PATIENT WAS ELIGIBLE FOR MEDICAID WITHIN 60 DAYS BEFORE OR AFTER THE DISCHARGE DATE/DATE OF SERVICE. PART V, SECTION B, LINE 16A, 16B, & 16C FAP WEBSITE ------------ A COPY OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND AT: HTTPS://MEDCENTERHEALTH.ORG/CFR/BILLING-POLICIES/FINANCIAL-ASSISTANCE/ 13 WESTERN KY DIAGNOSTIC IMAGING 1635 SCOTTSVILLE RD BOWLING GREEN KY 42104 DIAGNOSTIC CENTER MEDICAL CENTER EMS 210 E THIRD AVE BOWLING GREEN KY 42101 EMERGENCY MEDICAL SERVICES MEDICAL CENTER PHARMACY OF BG 825 2ND STREET BOWLING GREEN KY 42101 PHARMACY PRIMARY CARE SCOTTSVILLE 466 BURNLEY RD SCOTTSVILLE KY 42164 PRIMARY CARE CLINIC MEDEQUIP 825 2ND ST BOWLING GREEN KY 42101 DURABLE MEDICAL EQUIPMENT PRIMARY CARE MUNFORDVILLE 1134 MAIN ST MUNFORDVILLE KY 42765 PRIMARY CARE CLINIC PRIMARY CARE CAVERNA 1495 SOUTH DIXIE STREET HORSE CAVE KY 42749 PRIMARY CARE CLINIC TOMORROW'S WOMAN 825 2ND STREET BOWLING GREEN KY 42101 DURABLE MEDICAL EQUIPMENT MEDICAL CENTER HEALTH & WELLNESS CENTER 740 E TENTH AVENUE BOWLING GREEN KY 42101 COMMUNITY WELLNESS CENTER PRIMARY CARE FOUNTAIN RUN 47 AKERSVILLE RD FOUNTAIN RUN KY 42133 PRIMARY CARE CLINIC MEDICAL CENTER PSYCHIATRY 350 PARK STREET 204 BOWLING GREEN KY 42101 PSYCHIATRIC CARE CENTER MEDICAL CENTER HOME CARE PROGRAM 1953 SCOTTSVILLE RD 200 BOWLING GREEN KY 42104 HOME HEALTH CENTER MED CENTER HEALTH NEUROLOGY 350 PARK STREET 206-A BOWLING GREEN KY 42101 NEUROLOGY CARE CENTER PART I, LINE 3C DETERMINING ELIGIBILITY ------------------------- THE INCOME LIMIT FOR FINANCIAL ASSISTANCE IS 200% OF THE FEDERAL POVERTY LEVEL. DISCOUNTS ARE PROVIDED TO ALL PATIENTS WHO ARE UNINSURED WHOSE INCOME EXCEEDS THE LIMITS TO QUALIFY FOR FINANCIAL ASSISTANCE. SELF-PAY DISCOUNTS ARE NOT LIMITED BASED ON INCOME. THE HOSPITAL ALSO PROVIDES PAYMENT PLANS FOR SELF-PAY PATIENTS. THE ORGANIZATION USES ASSET LEVELS, UNINSURED, UNDERINSURED, MEDICAID ELIGIBILITY, FOOD STAMP ELIGIBILITY, AND PROVIDES FOR CATASTROPHIC DISCOUNTS. SEE THE NARRATIVES FOR LINES 13B AND 13H FOR MORE DETAIL. PART I, LINE 6 COMMUNITY BENEFIT REPORT -------------------------- THE ANNUAL REPORT TO THE COMMUNITY IS POSTED ON COMMONWEALTH HEALTH CORPORATION'S WEBSITE AT: HTTPS://MEDCENTERHEALTH.ORG/ABOUT-US/ PART I, LINE 7 COSTING METHODOLOGY -------------------- A COST ACCOUNTING SYSTEM WAS USED FOR CALCULATIONS ON IRS WORKSHEETS 1 AND 3. THE COSTS RELATED TO MEDICAID PATIENTS WERE DETERMINED USING A COST ACCOUNTING SYSTEM. COSTS FOR OTHER PROGRAMS REFLECT THE DIRECT AND INDIRECT COSTS OF PROVIDING THOSE PROGRAMS. PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE ------------------------- TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990. PART II COMMUNITY BUILDING ACTIVITIES ------------------------------ WE ARE DEDICATED TO SERVING OUR COMMUNITY, BY KEEPING IT HEALTHY AND EARNING TRUST. AS PART OF OUR COMMITMENT, WE GIVE BACK FINANCIALLY INCLUDING FINANCIAL ASSISTANCE. WE EXPAND ACCESS TO CARE WITH MORE PROVIDERS, SPECIALTIES, AND TELEMEDICINE OPPORTUNITIES. WE ADDRESSED THE CRITICAL NEED FOR PHYSICIANS THROUGH OUR GRADUATE MEDICAL EDUCATION PROGRAM AND THE UK COLLEGE OF MEDICINE. DURING THE RECENT PANDEMIC, WE LED THE COVID-19 VACCINE EFFORTS IN SOUTH-CENTRAL KENTUCKY. PART III, LINE 2 BAD DEBT EXPENSE ----------------- THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED MARCH 31, 2023. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. PART III, LINE 3 BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR CHARITY CARE ------------------------------------------------------------ THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN FINANCIAL ASSISTANCE, CANDIDATES MUST COOPERATE FULLY. IN ADDITION, THE HOSPITAL EDUCATES PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. FOR THESE REASONS, THE HOSPITAL BELIEVES THAT IT ACCURATELY CAPTURES ALL FINANCIAL ASSISTANCE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY, AND THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS NEGLIGIBLE. PART III, LINE 4 BAD DEBT EXPENSE ------------------ THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THE HOSPITAL ELECTED TO EARLY ADOPT ASU 2011-07 ACCORDINGLY, BAD DEBT EXPENSE IS REFLECTED AS A DEDUCTION FROM REVENUE RATHER THAN AN OPERATING EXPENSE FOR FINANCIAL REPORTING PURPOSES. PART III, LINE 8 MEDICARE SURPLUS / (SHORTFALL) ------------------------------- COSTS REPORTED ON LINE 6 ARE OBTAINED FROM THE COST ACCOUNTING SYSTEM, WHICH ARE BASED UPON COST ACCOUNTING STANDARD PRINCIPALS OF ALLOCATING DIRECT AND INDIRECT EXPENSES TO SERVICES PERFORMED. PART III, LINE 9 DEBT COLLECTION PRACTICES -------------------------- THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THEIR CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN THEIR ESTABLISHED RATES. BECAUSE TMC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS FINANCIAL ASSISTANCE, REVENUE IS NOT RECORDED FOR SUCH SERVICES. TMC MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF FINANCIAL ASSISTANCE THEY PROVIDE. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THEIR FINANCIAL ASSISTANCE POLICY. OTHER UNCOMPENSATED CARE RELATES PRINCIPALLY TO CONTRACTUAL ALLOWANCES FOR GOVERNMENT PAYERS, DISCOUNTS TAKEN BY COMMERCIAL PAYERS AND BAD DEBTS. BENEFITS FOR THE POOR INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES OR WHO ARE UNINSURED. THIS INCLUDES TRADITIONAL FINANCIAL ASSISTANCE AT STANDARD BILLING RATES. TMC DOES NOT PURSUE THE COLLECTION OF AMOUNTS DETERMINED TO BE TRADITIONAL FINANCIAL ASSISTANCE. THEREFORE, THESE AMOUNTS ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUE. PART VI, LINE 2 NEEDS ASSESSMENT ----------------- THE MEDICAL CENTER IS BUILT UPON THE FOUNDATION OF SERVING OUR COMMUNITY, DAY IN AND DAY OUT, WITH QUALITY DEPENDABLE HEALTHCARE. THE MEDICAL CENTER'S CHNA AND STRATEGIC IMPLEMENTATION PLAN ARE POSTED AT: HTTPS://MEDCENTERHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ------------------------------------------------- UPON REGISTRATION, PATIENTS ARE PROVIDED A PLAIN LANGUAGE SUMMARY OF OUR FINANCIAL ASSISTANCE POLICY WITH INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE AND CONTACT INFORMATION FOR ADDITIONAL ASSISTANCE. SIGNAGE AND BROCHURES DESCRIBING FINANCIAL ASSISTANCE POLICIES ARE AVAILABLE. ADDITIONALLY, THE POLICY AND APPLICATION ARE PUBLICLY AVAILABLE ON THE HOSPITAL'S WEBSITE. UNINSURED PATIENTS DISCUSS PAYMENT OPTIONS INCLUDING FINANCIAL ASSISTANCE WITH FINANCIAL COUNSELORS WHO INFORM THESE PATIENTS ABOUT OUR POLICY AND ASSIST THEM IN APPLYING IF NECESSARY. SUBSEQUENT PATIENT STATEMENTS RECEIVED BY THE PATIENT CONTAIN INFORMATION ABOUT HOW TO APPLY FOR FINANCIAL ASSISTANCE. PART VI, LINE 4 COMMUNITY INFORMATION ----------------------- BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION (THE MEDICAL CENTER) IS DESIGNATED AS A REGIONAL REFERRAL CENTER BY THE BARREN RIVER REGIONAL HEALTH PLANNING COUNCIL, AN AGENCY OF THE COMMONWEALTH OF KENTUCKY. THE MEDICAL CENTER SERVES PATIENTS THROUGHOUT AN AREA COMPRISING TEN COUNTIES, CALLED THE BARREN RIVER AREA DEVELOPMENT DISTRICT (THE DISTRICT) IN SOUTH-CENTRAL KENTUCKY. THE POPULATION OF THE MEDICAL CENTER'S PRIMARY SERVICE AREA IS APPROXIMATELY 299,000 PEOPLE. THE COMMUNITY IS GROWING, AND WE SERVE A GROWING UNINSURED AND UNDERINSURED POPULATION. THE NUMBER OF RESIDENTS IN THE DISTRICT IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES VARY BY COUNTY WITH AN AVERAGE RANGING FROM 19%-32% PER COUNTY LIVING IN POVERTY. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH ------------------------------ AS PART OF COMMONWEALTH HEALTH CORPORATION, TMC IS PATIENT-FOCUSED, QUALITY-DRIVEN, AND MISSION-LED. OUR MISSION IS TO CARE FOR PEOPLE AND IMPROVE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. WE COMBINE STATE-OF-THE-ART TECHNOLOGY, UNSURPASSED PERSONAL CARE, AND THE FINEST HEALTHCARE PROFESSIONALS TO ENSURE EACH VISIT IS THE VERY BEST IT CAN BE. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM ------------------------------- THE MEDICAL CENTER IS OWNED AND CONTROLLED BY COMMONWEALTH HEALTH CORPORATION, A RELATED 501(C)(3) ORGANIZATION. COMMONWEALTH HEALTH CORPORATION (CHC) IS A HOLDING COMPANY FOR A TOTAL OF TWELVE FOR-PROFIT AND NONPROFIT CORPORATIONS AND PARTNERSHIPS (COLLECTIVELY, THE AFFILIATES) ENGAGED IN VARIOUS ASPECTS OF THE HEALTH CARE INDUSTRY. CHC OWNS AND OPERATES MULTIPLE PHYSICIAN PRACTICES, WHICH ARE ACQUIRED TO ATTRACT AND RETAIN HIGHLY SKILLED PHYSICIANS IN SPECIALTIES THAT SUPPORT THE MISSION OF CHC AND ITS AFFILIATES. IN ADDITION, CHC OPERATES AND PROVIDES VARIOUS CORPORATE SUPPORT SERVICES INCLUDING PATIENT BILLING, COLLECTIONS, ACCOUNTING, MATERIALS MANAGEMENT, ENGINEERING, SECURITY, HUMAN RESOURCES, INFORMATION SYSTEMS, AND ADMINISTRATIVE SUPPORT TO ITS AFFILIATES. CHC HAS ESTABLISHED VARIOUS DIVISIONS FOR ITS OPERATIONS, INCLUDING THE NONPROFIT ORGANIZATIONS DESCRIBED BELOW (IN ADDITION TO TMC) AND OTHER NONPROFIT AND FOR-PROFIT CORPORATIONS AND PARTNERSHIPS. BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION (THE MEDICAL CENTER): ----------------- BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION (THE MEDICAL CENTER) IS A NONPROFIT KENTUCKY CORPORATION THAT OPERATES A 337-BED HOSPITAL FACILITY IN BOWLING GREEN, KENTUCKY UNDER THE NAME THE MEDICAL CENTER AT BOWLING GREEN AND SINCE OCTOBER 1996, A 25-BED CRITICAL ACCESS HOSPITAL AND 110 BED NURSING HOME FACILITY IN SCOTTSVILLE, KENTUCKY, UNDER THE NAME THE MEDICAL CENTER AT SCOTTSVILLE. IN ADDITION, SINCE JANUARY 2016, THE CORPORATION HAS OPERATED A 25-BED CRITICAL ACCESS ACUTE CARE HOSPITAL IN HORSE CAVE, KENTUCKY UNDER THE NAME THE MEDICAL CENTER AT CAVERNA. THE THREE FACILITIES ARE PART OF ONE CORPORATION BUT ARE SEPARATELY LICENSED BY THE STATE OF KENTUCKY. THE MEDICAL CENTER AT BOWLING GREEN IS THE SOLE MEMBER OF MEDICAL CENTER EMS, LLC (EMS), MEDICAL CENTER PHARMACY OF BOWLING GREEN, LLC (RIVERSIDE PHARMACY) AND ENSPIRE QUALITY PARTNERS, LLC (MED CENTER HEALTH PARTNERS). EMS PROVIDES AMBULANCE SERVICES IN WARREN COUNTY, KENTUCKY. RIVERSIDE OFFERS RETAIL PHARMACY SERVICES IN BOWLING GREEN, KY. MED CENTER HEALTH PARTNERS IS A CLINICALLY INTEGRATED NETWORK OF HEALTHCARE PROVIDERS, WORKING TOGETHER UNDER A PHYSICIAN-LED STRUCTURE TO IMPROVE POPULATION HEALTH, IMPROVE PATIENT EXPERIENCE AND REDUCE THE COST OF HEALTHCARE. THE CORPORATION IS BOTH THE LIMITED PARTNER AND A GENERAL PARTNER IN THE MEDICAL PLAZA PARTNERS, LLP WHICH PROVIDES ON-CAMPUS SPACE FOR HOSPITAL DEPARTMENTS AND OTHER NON-AFFILIATE MEDICAL-RELATED SERVICES. TOGETHER WITH ANOTHER AREA NON-PROFIT ACUTE CARE HOSPITAL CORPORATION, TMC IS AN EQUAL OWNER OF THE BARREN RIVER REGIONAL CANCER CENTER, INC., AN OUTPATIENT RADIATION THERAPY CARE SERVICE LOCATED IN GLASGOW, KENTUCKY. THE MEDICAL CENTER AT SCOTTSVILLE OPERATES TWO RURAL HEALTH CLINICS, ONE IN SCOTTSVILLE, KY AND ONE IN FOUNTAIN RUN, KY. THE MEDICAL CENTER AT CAVERNA OPERATES TWO RURAL HEALTH CLINICS, ONE IN MUNFORDVILLE, KY AND ONE IN HORSE CAVE, KY. COMMONWEALTH HEALTH FREE CLINIC, INC.: -------------------- COMMONWEALTH HEALTH FREE CLINIC, INC. (CHFC) WAS ORGANIZED TO OPERATE A CLINIC, WHICH PROVIDES BASIC MEDICAL AND DENTAL DIAGNOSTIC AND TREATMENT SERVICES FOR CHARITABLE PURPOSES FOR THE UNINSURED AND UNDERINSURED OF SOUTH-CENTRAL KENTUCKY AND ALSO SERVES INDIVIDUALS WHO MAY BE COVERED BY SOME FORM OF INSURANCE, BUT WHO ARE UNABLE TO ACCESS A PROVIDER FOR ACUTE OR CHRONIC HEALTHCARE ISSUES. THE CLINIC OFFERS SERVICES INCLUDING NON-EMERGENCY CLINICAL SERVICES, DENTISTRY, COMMUNITY HEALTH EDUCATION AND COUNSELING, DISEASE/CONDITION SPECIFIC EDUCATION AND COUNSELING, AND ACCESS TO PHARMACEUTICALS. COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, INC.: --------------------- COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, INC IS A LONG-TERM ACUTE CARE HOSPITAL THAT OPERATES AS A HOSPITAL WITHIN A HOSPITAL BY LEASING BEDS FROM THE MEDICAL CENTER ON ITS BOWLING GREEN CAMPUS. IT IS AN ACUTE CARE HOSPITAL FOR THOSE PATIENTS REQUIRING AN EXTENDED HOSPITAL STAY (ANTICIPATED LENGTH OF STAY BETWEEN 18-35 DAYS) AND GENERALLY HAVING COMPLEX OR CHRONIC MEDICAL CONDITIONS. THE MEDICAL CENTER AT ALBANY, INC: ------------------------ ON APRIL 1, 2016, COMMONWEALTH HEALTH CORPORATION ACQUIRED THE ASSETS OF CLINTON COUNTY HOSPITAL, INC., AN ACUTE-CARE FACILITY, IN ORDER TO MAINTAIN THE FACILITY AS AN ACUTE-CARE HOSPITAL AS THE PRIOR FACILITY HAD FILED FOR CHAPTER 11 BANKRUPTCY. THE MEDICAL CENTER AT ALBANY IS A 42-BED ACUTE CARE HOSPITAL THAT EARNS REVENUE BY PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES IN CLINTON COUNTY AND SURROUNDING COUNTIES IN KENTUCKY. COMMONWEALTH HEALTH FOUNDATION: ------------------------ CHC ENDORSED THE ESTABLISHMENT OF COMMONWEALTH HEALTH FOUNDATION (THE FOUNDATION) FOR THE PURPOSE OF FOSTERING, SUPPORTING, AND INITIATING ACTIVITIES FOR THE CHC AND THE MEDICAL CENTER AND/OR AFFILIATED NON-PROFIT 501(C)(3) ORGANIZATIONS. THE FOUNDATION BUILDS RELATIONSHIPS THAT INSPIRE CHARITABLE GIVING IN SUPPORT OF CHC'S MISSION TO CARE FOR PEOPLE AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. BLUEGRASS OUTPATIENT CENTER: --------------------------- SINCE 2008, CHC HAS BEEN THE SOLE OWNER OF BLUEGRASS OUTPATIENT CENTER OF BOWLING GREEN, LLC (BLUEGRASS). BLUEGRASS PROVIDES COMPREHENSIVE OUTPATIENT REHABILITATION THERAPY SERVICES. true MED CENTER SCOTTSVILLE SCHOLARSHIP 2 11512 SCHEDULE I, PART I, LINE 2 ---------------------------- BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION IS FREQUENTLY ASKED TO CONTRIBUTE TO A VARIETY OF ORGANIZATIONS AND FUNDRAISING PROJECTS. IT IS THE HOSPITAL'S GOAL TO BE A SUPPORTIVE CITIZEN AND, WHEN PRACTICAL AND POSSIBLE, TO MAKE REASONABLE CONTRIBUTIONS WHICH ARE BENEFICIAL TO THE COMMUNITY AND PARALLEL TO OUR EXEMPT PURPOSE. false true false false false false false false false DR AVINDER CHANI PHYSICIAN 338153 0 0 0 5130 0 0 0 9489 0 352772 0 0 0 DR SWARANJIT CHANI PHYSICIAN 353476 0 0 0 3089 0 7461 0 17669 0 381695 0 0 0 DR CATRINIA DRUEN PHYSICIAN 323061 0 0 0 1087 0 6850 0 11475 0 342473 0 0 0 DR JOSEPH GRAU PHYSICIAN 341264 0 0 0 14370 0 0 0 20941 0 376575 0 0 0 MR DAVID GRAY EXECUTIVE VICE PRESIDENT 0 376518 0 0 0 8634 0 9150 0 34849 0 429151 0 0 MR ERIC HAGAN VP OF RURAL HOSPITALS 202379 86734 0 0 4858 2082 0 0 13971 5987 221208 94803 0 0 MRS MICHELE W LAWLESS EXECUTIVE VICE PRESIDENT / CFO 0 415047 0 0 0 6702 0 0 0 3491 0 425240 0 0 DR SHAFIA RUBEEN PHYSICIAN 327637 0 0 0 1002 0 9150 0 23402 0 361191 0 0 0 MRS CONNIE D SMITH PRESIDENT / CEO 0 992844 0 0 0 293149 0 0 0 20191 0 1306184 0 0 MR WADE STONE EXECUTIVE VICE PRESIDENT 0 471203 0 0 0 29929 0 0 0 20005 0 521137 0 0 MS KATRINA WOOD VP/CHIEF NURSING OFFICER 216316 0 0 0 3062 0 5519 0 29821 0 254718 0 0 0 PART I, LINE 3 ---------------- THE CEO IS COMPENSATED BY COMMONWEALTH HEALTH CORPORATION (CHC), A RELATED ORGANIZATION. CHC USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B ------------------ CERTAIN EXECUTIVES OF COMMONWEALTH HEALTH CORPORATION PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PLAN. THE CURRENT YEAR INCREASE IN THE ACCRUED BENEFIT, AS ACTUARIALLY DETERMINED, IS REPORTED AS COMPENSATION. THE FOLLOWING ARE THE INDIVIDUALS PARTICIPATING IN THE PLAN AND THE CURRENT YEAR INCREASES REPORTED AS COMPENSATION: CONNIE SMITH $274,682 WADE STONE $27,694 A COUNTY OF WARREN KENTUCKY 616000710 934864AC3 2012-08-01 44126651 SEE PART V false false false B COUNTY OF WARREN KENTUCKY 616000710 934864BJ7 2021-02-10 44854001 SEE PART V false false false A 0 0 44126652 0 0 0 272944 0 0 16302725 27550983 0 2012 true false true true B 0 0 44854001 0 0 0 380120 0 0 0 44473881 0 2021 true false true true A false true true true false 0.00040 0.00070 0.00110 false false false true B false true true true false 0.00000 0.00000 0.00000 false false false true A false true false true false false 0 false 0 false true B false true false true false false 0 false 0 false true A true B true SCHEDULE K, PART I, LINE A, COLUMN F BOND A - DESCRIPTION OF PURPOSE -------------------------------- TO (1) FUND CONSTRUCTION OF THE MEDICAL CENTER-WKU HEALTH SCIENCE EDUCATION BUILDING, (2) REFUND A PORTION OF THE 2008 BONDS ISSUED ON MARCH 20, 2008, (3) AND TO PAY THE COSTS OF ISSUING THE SERIES 2012 BONDS. SCHEDULE K, PART I, LINE B, COLUMN F BOND B - DESCRIPTION OF PURPOSE -------------------------------- TO (1) DEFEASE THE REMAINING OUTSTANDING SERIES 2015 AND 2017 BONDS, AND (2) TO PAY THE COSTS OF ISSUING THE BONDS SCHEDULE K, PART IV, LINE 2C, COLUMNS A AND B ARBITRAGE CALCULATIONS ----------------------- AN ANNUAL REBATE CALCULATION IS PERFORMED. THE LAST REBATE CALCULATION WAS ISSUED ON AUGUST 25, 2022 FOR THE JULY 31, 2022 COMPUTATION DATE. FORM 990, PART III, LINE 4A & 4B PROGRAM SERVICE ACCOMPLISHMENTS ------------------------------- THE BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL D/B/A THE MEDICAL CENTER AT BOWLING GREEN (THE MEDICAL CENTER) IS THE PREMIER HEALTHCARE FACILITY IN SOUTHCENTRAL KENTUCKY. AS A TEACHING HOSPITAL, THE MEDICAL CENTER OFFERS THE WIDEST RANGE OF SPECIALTIES AND THE STRONGEST PARTNERSHIPS WITH THE AREA'S MOST RESPECTED EDUCATIONAL INSTITUTIONS. OUR PHYSICIANS STRIVE TO MAINTAIN THE HIGHEST-LEVEL ACCREDITATIONS AND EMPLOY THE MOST INNOVATIVE APPROACHES TO HEALTHCARE. THE MEDICAL CENTER'S PROFESSIONAL STAFF INCLUDES PHYSICIANS WHO ARE ENGAGED IN THE PRACTICE OF MEDICINE AND WHO REPRESENT MULTIPLE SPECIALTIES, INCLUDING FAMILY PRACTICE AND EMERGENCY CARE. THE STAFF ALSO INCLUDES NURSES, PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS, PSYCHOLOGISTS, RESPIRATORY THERAPISTS, NUTRITIONISTS AND OTHERS. USING AN INTERDISCIPLINARY TEAM APPROACH, THE STAFF WORK COLLABORATIVELY TO PROVIDE PRIMARY OUTPATIENT CARE, RENDERED IN AN EMERGENCY ROOM AND OUTPATIENT SETTING, AND SECONDARY CARE CONSISTING OF INPATIENT SERVICES OF A GENERAL AND SPECIALIZED NATURE. THE MEDICAL CENTER FEATURES A FULL-SERVICE EMERGENCY ROOM THAT IS AVAILABLE AND STAFFED WITH PHYSICIANS AND REGISTERED NURSES 24 HOURS A DAY, 7 DAYS A WEEK. SERVICES OFFERED AT THE MEDICAL CENTER INCLUDE: - ACUTE MEDICAL CARE - SKILLED MEDICAL CARE - INTENSIVE CARE, INCLUDING NEURO ICU, CORONARY CARE UNIT, GENERAL ICU, OPEN HEART - CATH LAB - PHARMACY - INTERVENTIONAL CARDIOLOGY - PHYSICAL THERAPY - LABORATORY, CLINICAL AND PATHOLOGY - RADIATION MEDICINE (INPATIENT/OUTPATIENT ONCOLOGY AND INPATIENT/OUTPATIENT CHEMO) - HOME HEALTH SERVICES - SURGICAL INPATIENT SERVICES, INCLUDING HYBRID SURGICAL PROCEDURES - SURGICAL OUTPATIENT SERVICES - EMERGENCY DEPARTMENT - OUTPATIENT SERVICES - RESPIRATORY THERAPY SERVICES - RADIOLOGY, INCLUDING MAMMOGRAPHY, DIAGNOSTIC X-RAY, NUCLEAR MEDICINE, CAT SCANNING, ULTRASOUND, CARDIOLOGY, POSITRON EMISSION TOMOGRAPHY, MRI - WOMEN'S SERVICES, INCLUDING LABOR & DELIVERY, NURSERY, NICU, POSTPARTUM SIGNIFICANT PROGRAM SERVICE ACHIEVEMENTS DURING FISCAL YEAR 2023: DAYS OF ACUTE/SWING BED PATIENT CARE (INCLUDING NURSERY) 94,114 DAYS OF SKILLED NURSING CARE 35,118 BIRTHS 3,112 OPEN HEART PROCEDURES 357 SURGERIES 12,766 EMERGENCY ROOM VISITS 54,621 AMBULANCE RUNS 26,742 FORM 990, PART V, LINE 2A MANAGEMENT SERVICES AGREEMENT ----------------------------------- COMMONWEALTH HEALTH CORPORATION HAS A MANAGEMENT SERVICES AGREEMENT FOR THE FOLLOWING RELATED ORGANIZATIONS: BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION, THE MEDICAL CENTER AT FRANKLIN, INC., THE MEDICAL CENTER AT CLINTON COUNTY, INC., AND COMMONWEALTH REGIONAL SPECIALTY HOSPITAL. ALL SALARIES AND PAYROLL TAXES ARE REPORTED ON A CONSOLIDATED FORM 941. THE EIN ON THE FORM 941 IS 31-1118087. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS -------- ARTICLE 2 OF THE BYLAWS IDENTIFIES COMMONWEALTH HEALTH CORPORATION BOARD OF DIRECTORS AS THE MEMBER. ARTICLE 2 OF THE BYLAWS SAYS THE MEMBER SHALL APPOINT A NOMINATING COMMITTEE WHICH SHALL MEET AND DESIGNATE NOMINEES FOR ALL POSITIONS TO BE FILLED BY APPOINTMENT BY THE MEMBER. FORM 990, PART VI, SECTION B, LINE 7A & 7B POWER OF MEMBERS -------------------- LINE 7A: BYLAWS OF THE CORPORATION SPECIFY THAT THE SOLE MEMBER SHALL APPOINT A NOMINATING COMMITTEE WHICH SHALL MEET AND DESIGNATE NOMINEES FOR BOARD DIRECTORSHIPS. LINE 7B: THE BYLAWS MAY BE REVISED OR AMENDED BY AFFIRMATIVE VOTE OF TWO-THIRDS (2/3) OF THE BOARD, SUBJECT TO APPROVAL OF THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B: PROCESS TO REVIEW FORM 990 ------------------------------ FORM 990 IS PLACED ELECTRONICALLY ON A COMPANY WEBSITE USED TO SHARE INFORMATION WITH BOARD MEMBERS. EACH BOARD MEMBER IS PROVIDED ACCESS TO THE WEBSITE AND IS ASKED TO REVIEW FORM 990 PRIOR TO A DESIGNATED DATE ON WHICH THE RETURN WILL BE FILED. ADVANCE NOTICE IS GIVEN TO BOARD MEMBERS SO THEY MAY REVIEW THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C MONITORING THE CONFLICT OF INTEREST POLICY ------------------------------------------- THE COMMONWEALTH HEALTH CORPORATION (CHC) (APPLICABLE TO THE CORPORATION AND/OR ITS AFFILIATES) CODE OF CONDUCT EXPLICITLY STATES MEMBERS OF THE BOARD, ADMINISTRATION, THE MEDICAL STAFF, AND ALL EMPLOYEES ARE EXPECTED TO AVOID CONFLICTS OF INTEREST IN A TIMELY MANNER. ALL INDIVIDUALS SIGN AN ACKNOWLEDGEMENT UPON EMPLOYMENT THAT THEY HAVE RECEIVED A COPY OF THE CODE OF CONDUCT, ARE FAMILIAR WITH ITS CONTENT, AND UNDERSTAND THEIR RESPONSIBILITIES TO AVOID NON-COMPLIANT ACTIVITY. CHC'S REGULATORY COMPLIANCE AND COMPENSATION COMMITTEE (RCC) REVIEWS AND APPROVES ALL CONTRACTS BETWEEN CHC AND/OR ITS AFFILIATES AND DISQUALIFIED ENTITIES. THE REVIEW IS DESIGNED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST BY BOARD MEMBERS AND/OR OFFICERS. RCC MEMBERS ARE PROHIBITED FROM TAKING PART IN DECISIONS REGARDING TRANSACTIONS WITH WHICH HE/SHE HAS A CONFLICT OF INTEREST. ANNUALLY, WRITTEN INQUIRY IS MADE-BY-QUESTIONNAIRE OF BOARD MEMBERS AND OFFICERS SEEKING DISCLOSURE OF CONFLICTS OF INTEREST OR INFORMATION THAT RELATES TO FAMILY MEMBERS. TRANSACTIONS ARISING ARE REVIEWED BY MANAGEMENT AS THEY OCCUR. FORM 990, PART VI, SECTION B, LINE 15A & 15B DETERMINING COMPENSATION ------------------------- EMPLOYEE OFFICERS OF THIS ENTITY ARE EMPLOYEES OF COMMONWEALTH HEALTH CORPORATION. CHC USES INDEPENDENT CONSULTANTS TO ANNUALLY REVIEW COMPENSATION. COMPENSATION-RELATED DETERMINATIONS ARE CONDUCTED IN ACCORDANCE WITH APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE AND REGULATIONS TO QUALIFY FOR THE PRESUMPTION THAT THE COMPENSATION IS REASONABLE, INCLUDING BUT NOT LIMITED TO APPROVAL BY AN AUTHORIZED COMMITTEE OF THE BOARD OF DIRECTORS WHO DO NOT HAVE A CONFLICT OF INTEREST, OBTAINING AND RELYING ON APPROPRIATE DATA AS TO COMPARABILITY, AND CONCURRENT DOCUMENTATION OF THE BASIS FOR THE COMPENSATION DETERMINATIONS. FORM 990, PART VI, SECTION C, LINE 19 MAKING DOCUMENTS AVAILABLE TO THE PUBLIC ----------------------------------------- GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ONLY MADE AVAILABLE IF REQUIRED, AND IN THE MANNER REQUIRED, BY A GOVERNING AGENCY. FORM 990, PART XI, LINE 9 CHANGES IN NET ASSETS ---------------------- CHANGE IN MINIMUM PENSION LIABILITY 3,891,117 CHANGE IN BENEFICIAL INTEREST IN PERP TRUST (243,198) ROUNDING 41 ----------- TOTAL 3,647,960 FORM 990, PART XII, LINE 2C OVERSIGHT PROCESS ------------------- THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION AGENCY FEES TOTAL FEES:2383295 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL CONSULTING FEES TOTAL FEES:12098590 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:10166810 FORM 990 PART IX LINE 11G DESCRIPTION:LAB FEES TOTAL FEES:144532 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT FEES TOTAL FEES:10425428 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING FEES TOTAL FEES:4452981 FORM 990 PART IX LINE 11G DESCRIPTION:EMPLOYEE SUPPORT FEES TOTAL FEES:13766 FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY NURSING FEES TOTAL FEES:29776165 MEDICAL CENTER PHARMACY OF BOWLING GREEN 800 PARK STREET BOWLING GREEN KY 42101 061778164 PHARMACY KY 9984571 6428125 NA MEDICAL CENTER EMS LLC 800 PARK STREET BOWLING GREEN KY 42101 562332847 EMERG MED SVC KY 9739916 1177464 NA ENSPIRE QUALITY PARTNERS LLC 800 PARK STREET BOWLING GREEN KY 42101 464379627 IMPROVE CARE KY 2597772 1825068 NA COMMONWEALTH HEALTH CORPORATION INC 800 PARK STREET BOWLING GREEN KY 42101 311118087 SUPPORT KY 501(C)(3) 10 NA false COMMONWEALTH HEALTH FREE CLINIC INC 800 PARK STREET BOWLING GREEN KY 42101 611292739 HEALTHCARE KY 501(C)(3) 3 CHC INC false COMMONWEALTH HEALTH FOUNDATION INC 800 PARK STREET BOWLING GREEN KY 42101 611362000 SUPPORT KY 501(C)(3) 7 CHC INC false COMMONWEALTH REGIONAL SPECIALTY HOSPITAL 800 PARK STREET BOWLING GREEN KY 42101 542142034 HOSPITAL KY 501(C)(3) 3 CHC INC false THE MEDICAL CENTER OF FRANKLIN INC 800 PARK STREET BOWLING GREEN KY 42101 611362001 HOSPITAL KY 501(C)(3) 3 CHC INC false THE MEDICAL CENTER AT CLINTON CO INC 800 PARK STREET BOWLING GREEN KY 42101 811312058 HOSPITAL KY 501(C)(3) 3 CHC INC false MEDICAL PLAZA PARTNERS LTD 800 PARK STREET BOWLING GREEN KY 42101 611080340 REAL ESTATE KY NA EXCLUDED 255543 640392 false 0 false 0.91260 false false false false false false true false false true false true true true true true true false false