2023-02-15T10:03:30-06:00 2022-03-31 FORVIS LLP 3102 WEST END AVENUE SUITE 800 NASHVILLE TN 372031382 990 2021-04-01 610920842 BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION % JENNY GREENWELL BOWL 2707451551 800 PARK STREET BOWLING GREEN KY 42101 MICHELE LAWLESS EVP - CFO 2707451500 2022-08-15 true MICHELE LAWLESS 999009999 JEFF SMITH P00289876 6159883600 2 2021 2023-03-07 01:45:13Z CONNIE D SMITH 800 PARK STREET BOWLING GREEN KY 42101 842526947 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 9 2395 20 4258283 39899 29096008 12390090 454175026 482617311 15287017 49189909 6231587 11359978 504789638 555557288 100765 113904 0 0 162445278 164043813 0 0 0 260908656 292223720 423454699 456381437 81334939 99175851 754264219 777162552 218354822 193047378 535909397 584115174 X OUR MISSION IS TO CARE FOR PEOPLE AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. false false 217421272 113904 244994620 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. 198177885 250930746 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. 415599157 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 true 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 2395 true true true false false false false false false false false false true false X 12 9 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 1333801 20856 DR ONYEOZIRI NWANGUMA PHYSICIAN 40.0 0.0 X 733953 0 40628 MR WADE STONE EXECUTIVE VICE PRESIDENT 2.0 48.0 X 0 434345 29943 MR DAVID GRAY EXECUTIVE VICE PRESIDENT 2.0 48.0 X 0 374445 43440 DR SWARANJIT CHANI PHYSICIAN 40.0 0.0 X 352658 0 25003 DR JOSEPH GRAU PHYSICIAN 40.0 0.0 X 355141 0 20210 MRS MICHELE W LAWLESS EVP / CFO 2.0 48.0 X 0 371796 3505 DR ARVINDER CHANI PHYSICIAN 40.0 0.0 X 346269 0 9727 DR CATRINIA DRUEN PHYSICIAN 40.0 0.0 X 306478 0 21207 MR ERIC HAGAN VP OF RURAL HOSPITALS 28.0 12.0 X 202149 86636 20046 MR RONALD G SOWELL EVP / CFO - RETIRED 3/31/2021 2.0 48.0 X 0 270499 5145 MR ALAN ALEXANDER CAVERNA VP / ADMIN 40.0 0.0 X 190923 0 23827 MS KATRINA WOOD VP / CHIEF NURSING OFFICER 40.0 0.0 X 171464 0 34152 MS JILL PAYNE EVP / CNO - RESIGNED 6/25/21 2.0 48.0 X 0 166490 6935 DR MOHAMMED KAZIMUDDIN DIRECTOR / PHYSICIAN 2.0 0.0 X 50000 0 0 DR DOUG THOMSON DIRECTOR / PHYSICIAN 2.0 0.0 X 2750 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 0.0 X 0 0 0 DR WILLIAM MOSS DIRECTOR / PHYSICIAN 2.0 2.0 X 0 0 0 2711785 3038012 304624 103 true true false CROSS COUNTRY STAFFING INC PO BOX 404674 ATLANTA GA 303844674 STAFFING SERVICES 2327215 TMX HEALTHCARE TECHNOLOGIES LLC PO BOX 636129 CINCINNATI OH 45263 BIOMED EQUIP REPAIR 6143476 MORRISON MANAGEMENT SPECIALIST INC PO BOX 102289 ATLANTA GA 303682289 CAFETERIA SERVICES 3252408 UNIVERSITY OF KENTUCKY 2355 HUGUENARD DR SUITE 201A LEXINGTON KY 40503 GRADUATE MEDICAL EDU 5503915 QUALIVIS LLC DEPARTMENT 3847 PO BOX 123847 DALLAS TX 753123847 STAFFING SERVICES 23162148 63 298301 12091789 12390090 INPATIENT SERVICES 621110 242293627 242293627 OUTPATIENT SERVICES 621400 229366759 229366759 RETAIL PHARMACY SALES 446110 8102690 5366385 2736305 MEDICAL EQUIPMENT SALES 453000 2302458 780480 1521978 PHYSICIAN PRACTICES 566927 551777 551777 482617311 9658074 9658074 0 0 3674724 5622801 -1948077 0 -1948077 -1948077 320732165 146528 281340348 6510 39391817 140018 39531835 39531835 0 0 0 0 0 0 0 0 0 MISCELLANEOUS INCOME 621500 13308055 13308055 13308055 555557288 491667083 4258283 47241832 X 102512 102512 11392 11392 0 0 636546 636546 0 123524970 116134841 7390129 8200519 7705153 495366 22598518 21233417 1365101 9083260 8534044 549216 16934977 497377 16437600 904587 67715 836872 574803 540067 34736 72000 72000 0 0 73523870 73523870 495755 173900 321855 21546249 13612090 7934159 8560560 8560560 0 3648098 3264305 383793 983392 964790 18602 0 0 1395725 1395725 0 15518393 11218096 4300297 2996501 2831643 164858 MEDICAL SUPPLIES 107160901 107160901 PHYSICIAN PRACTICE EXPENSE 24573266 24573266 TAXES & LICENSES 11869127 11869127 OTHER MISCELLANEOUS EXPENSE 1465516 915820 549696 456381437 415599157 40782280 0 29996994 58221570 355844210 418297738 0 0 52547988 50778187 0 0 0 0 0 0 18500797 16687864 6206838 6196574 450916735 308425909 143785676 142490826 106826199 63257847 0 0 1540236 1771727 4930974 4930974 34084307 14529245 754264219 777162552 43728434 42325134 0 0 0 0 103913288 97419813 0 0 0 0 0 0 0 0 70713100 53302431 218354822 193047378 X 533449274 581729674 2460123 2385500 535909397 584115174 754264219 777162552 X 99175851 -47179027 -3791047 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 72000 72000 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 $72,000. 454319399 32775272 1694808 14768674 869272 473151533 307990745 90848943 56274123 794413 454319398 288216193 34747030 -316723 13959219 696536 307990745 263168120 39660906 10977568 24962664 627737 288216193 238400441 9276884 25950547 9987270 472482 263168120 0.99000 0.01000 0.00000 false false 17314275 17314275 221814293 131978379 89835914 204664956 170461337 34203619 7123211 5986193 1137018 142490826 0 ACCRUED RETIREMENT 15061682 DUE TO MEDICARE/MEDICAID 764294 DUE TO AFFILIATES 1440886 OTHER LT LIABILITIES 1088339 ADVANCED MEDICARE PAYMENTS 24225283 REFUND LIABILITIES 3515762 LONG-TERM PL/GL LIABILITY 6672200 OTHER SHORT-TERM LIABILITY 533985 53302431 513131737 -47179027 -52 -47179079 560310816 869273 -5622801 -4753528 555557288 461134932 5622801 5622801 455512131 869273 33 869306 456381437 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 $471,266,033 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 $7,904,052. PERMANENTLY RESTRICTED NET ASSETS INCLUDED $2,385,500 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 --------------------------------------- MISC ADJUSTMENTS $ 52 PART XI, LINE 4B - OTHER ADJUSTMENTS --------------------------------------- RENTAL EXPENSES NETTED AGAINST REVENUE PER AUDIT (5,622,801) PART XII, LINE 2D - OTHER ADJUSTMENTS SCHEDULE D, PART XII, LINE 2D - OTHER ADJUSTMENTS: --------------------------------------- RENTAL EXPENSES NETTED AGAINST REVENUE PER AUDIT $5,622,801 PART XII, LINE 4B - OTHER ADJUSTMENT --------------------------------------- MISC ADJUSTMENTS $ 33 true true X true X false true true false true true 2603 6788516 6788516 0.01220 2603 6788516 6788516 0.01220 170 8604 3082204 3082204 0.00550 8 575 10534208 7304280 3229928 0.00580 2 684 15940694 12332989 3607705 0.00650 6 119195 119195 0.00020 186 9863 29676301 19637269 10039032 0.01800 186 12466 36464817 19637269 16827548 0.03020 3 13578 13578 1 45227 45227 0.00010 6 58805 58805 0.00010 true 15727565 8890538 153502891 191188989 -37686098 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 CLINICS 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 CLINICS A A 13 false false false true true true true true 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 (TMC) 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 AND #2 SURVEYS WERE CONDUCTED IN 2011 AND 2015. 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. CYCLE 3 OF THE COMMUNITY ASSESSMENT WAS INITIATED IN THE SPRING OF 2018 BY THE BRIGHT COALITION. BRIGHT MEMBERS WERE RESTRUCTURED INTO FOUR SUBCOMMITTEES BASED ON THE SOCIAL DETERMINANTS OF HEALTH FRAMEWORK. THESE AREAS INCLUDED HEALTH BEHAVIORS, CLINICAL CARE, SOCIAL AND ECONOMIC FACTORS; AND PHYSICAL ENVIRONMENT. BRIGHT MEMBERS JOINED THE GROUP THEY MOST CLOSELY IDENTIFIED WITH PROFESSIONALLY. GAPS AND ASSETS FOR THE NEWLY FORMED GROUP'S AREA OF FOCUS WERE IDENTIFIED FOR EACH OF THE 10 COUNTIES. FROM THERE, EACH OF THE GROUPS DEVELOPED CHNA SURVEY QUESTIONS AND PROVIDED FEEDBACK THAT THEY FELT WOULD IDENTIFY THE COMMUNITY NEEDS IN THEIR SPECIFIC FOCUS AREA. THE SURVEY WAS DISSEMINATED, USING BOTH PAPER AND ELECTRONIC VERSIONS, SEPTEMBER 1 - NOVEMBER 31, 2018 TO ALL 10 COUNTIES IN THE BRADD AREA. THE SURVEY WAS PLACED IN FREESTANDING HEALTH CLINICS, LIBRARIES, HOSPITALS, UK EXTENSION OFFICE LOCATIONS, DISTRIBUTED AT HEALTH FAIRS, DISTRIBUTED TO 50,000 HOMES VIA THE MED CENTER HEALTH WELLNESS PUBLICATION WITH PAID POSTAGE RETURN, PLACED IN THE BOWLING GREEN DAILY NEWS NEWSPAPER AND PROVIDED TO LOCAL HOUSING AUTHORITIES. THE GOAL WAS TO HAVE AS MANY DIFFERENT POPULATIONS REPRESENTED IN THE BRADD AREA RESPOND TO THE SURVEY AS POSSIBLE. THE UNDERSERVED POPULATIONS WERE ESPECIALLY A FOCUS AS FAR AS A DESIRED GROUP OF SURVEY RESPONDENTS. THE SURVEYS WERE ANALYZED BY THE BARREN RIVER AREA HEALTH DEPARTMENT. AFTER REVIEWING THE DATA COLLECTED, IT WAS DETERMINED BY THE BRIGHT COALITION THAT THERE WAS NOT ENOUGH REPRESENTATION OF THE UNDERSERVED POPULATION. EACH OF THE FOUR BRIGHT WORKGROUPS DETERMINED WHERE THE UNDERSERVED POPULATION COULD POTENTIALLY BE REACHED AND WHICH SPECIFIC TOPIC(S) OF THE SURVEY THEY WANTED TO NARROW IN ON TO COLLECT MORE INFORMATION. ADDITIONAL QUESTIONS WERE DEVELOPED TO SURVEY THE SPECIFIC POPULATIONS EITHER INDIVIDUALLY OR IN A FOCUS GROUP SETTING. IT WAS ALSO DETERMINED THAT IT WOULD BE BENEFICIAL TO ASK PROFESSIONALS THAT WORK WITH THESE POPULATIONS OF PEOPLE TO DETERMINE BARRIERS THEY ENCOUNTER WHEN TRYING TO MEET THE NEEDS OF THE COMMUNITIES THEY SERVE. BGWCCHC CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE APRIL 2022 THROUGH MARCH 2025 TIME PERIOD THAT CAN BE FOUND ON ITS WEBSITE MEDCENTERHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. THE INFORMATION PRESENTED IN THIS FORM 990 IS FOR THE ASSESSMENT THAT WAS MADE FOR THE TIME PERIOD THAT ENDED MARCH 31, 2021. PART V, SECTION B, LINE 6A OTHER HOSPITAL FACILITIES --------------------------- OTHER FACILITIES THE HOSPITAL'S CHNA WAS CONDUCTED WITH INCLUDE THE MEDICAL CENTER AT FRANKLIN, MONROE COUNTY MEDICAL CENTER, AND TJ SAMSON COMMUNITY HOSPITAL. A FULL LIST OF THESE ORGANIZATIONS CAN BE FOUND ON PAGE 3 OF THE BRIGHT COALITION COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT PLAN 2019-2021 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 ----------------- THE MEDICAL CENTER FOCUSED ON AND ADDRESSED THE FOLLOWING PRIORITY HEALTH ISSUES IN 2019-2021: SUBSTANCE ABUSE - THE HOSPITAL WILL CONTINUE TO MAKE EFFORTS TO EXPAND THE COMMUNITY PARTNERSHIPS AND BUILD ALLIANCES IN THIS AREA. THERE IS GROWING DATA WITHIN THE HOSPITAL SYSTEM OVER THE PAST FIVE YEARS AS WELL AS CONCERN FROM OUTSIDE SOURCES REGARDING OVERDOSES. THERE HAS ALSO BEEN VIOLENCE TOWARDS MEDICAL STAFF AND CHALLENGES TO CONTROLLING PAIN FOR THIS POPULATION OF PATIENTS. CHRONIC DISEASE - INCLUDING ACCESS TO CARE AND PREVENTION FOR OBESITY, DIABETES, LUNG DISEASE AND HEART DISEASE; THESE HAVE BEEN ONGOING FOCUSES FOR THE PREVIOUS ASSESSMENT PERIODS. IF LEFT UNCONTROLLED, OBESITY AND DIABETES ESPECIALLY CAN HAVE A SIGNIFICANT NEGATIVE IMPACT ON OVERALL HEALTH AND QUALITY OF LIFE AND ARE OFTEN THE CATALYST OF OTHER CHRONIC HEALTH ISSUES. NEEDS NOT ADDRESSED ------------------------------------------- SEVERAL ISSUES IDENTIFIED BY THE BRIGHT COALITION SUBCOMMITTEES ARE AREAS THAT MED CENTER HEALTH ALREADY HAS ONGOING ACTIONS IN PLACE, AS DISCUSSED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, BUT ARE NOT THE PRIORITY FOCUS AREAS FOR THE CURRENT CYCLE. OTHER ISSUES MAY BE OUTSIDE OF THE RESOURCES MED CENTER HEALTH IS ABLE TO PROVIDE BUT THE HOSPITAL MAINTAINS RELATIONSHIPS WITH THE ENTITIES ADDRESSING THESE ISSUES AND SUPPORT THEIR EFFORTS THROUGH PARTICIPATING IN EVENTS, PROVIDING EDUCATION, ETC. AS APPROPRIATE. ADDITIONAL DETAIL CAN BE FOUND IN THE IMPLEMENTATION STRATEGY POSTED ON THE LINK INCLUDED IN THE NARRATIVE FOR LINES 7A & 10A. 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 CHARITY 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 PER THE ASSET TEST ABOVE. 4) WE 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 COMMONWEALTH FINANCIAL RESOURCES (CFR). 5) THE PAYMENTS ARE TREATED AS LONG-TERM PAY, I.E., THEY REQUIRE A WRITTEN AGREEMENT, AND THE PAYMENTS ARE 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/ 12 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 RURAL HEALTH CLINIC PRIMARY CARE CAVERNA 1495 SOUTH DIXIE STREET HORSE CAVE KY 42749 RURAL HEALTH CLINIC TOMORROW'S WOMAN 825 2ND STREET BOWLING GREEN KY 42101 DURABLE MEDICAL EQUIPMENT PRIMARY CARE FOUNTAIN RUN 47 AKERSVILLE RD FOUNTAIN RUN KY 42133 PRIMARY CARE CLINIC MEDICAL CENTER HEALTH & WELLNESS 740 E TENTH AVENUE BOWLING GREEN KY 42101 COMMUNITY WELLNESS CENTER 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 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 MADE AVAILABLE TO THE PUBLIC VIA NEWSPAPER INSERTS, DIRECT MAILINGS, AND 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. WE LED THE COVID-19 VACCINE EFFORTS IN SOUTHCENTRAL 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, 2022. 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 CHARITY CARE 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 AND THE COSTS OF TREATING MEDICAID BENEFICIARIES IN EXCESS OF GOVERNMENT PAYMENTS. 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 312,000 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 AND RANGE FROM 19% TO 32%. ACCORDING TO THE SURVEY CONDUCTED BY THE BARREN RIVER DISTRICT HEALTH DEPARTMENT, THE MOST SERIOUS HEALTH PROBLEMS IN THE COMMUNITY ARE OBESITY, ALCOHOL AND DRUG ABUSE, NOT ENOUGH PHYSICAL ACTIVITY, TOBACCO USE, AND POOR DIET. 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 GREENSINCE 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 (CHC) ACQUIRED THE NET ASSETS OF CLINTON COUNTY HOSPITAL, INC., AN ACUTE-CARE HOSPITAL. CHC ASSIGNED THE NET ASSETS OF THE HOSPITAL TO ITS WHOLLY OWNED SUBSIDIARY, THE MEDICAL CENTER AT CLINTON COUNTY, INC., D/B/A THE MEDICAL CENTER AT ALBANY (MCA). MCA EARNS REVENUE BY PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN CLINTON COUNTY AND SURROUNDING COUNTIES IN KENTUCKY. THE MEDICAL CENTER AT FRANKLIN, INC.: --------------------- THE MEDICAL CENTER AT FRANKLIN, INC. (MCF) OPERATES A HOSPITAL IN THE COMMUNITY OF FRANKLIN, SIMPSON COUNTY, KENTUCKY. THIS LOCATION IS JUST 20 MILES FROM THE MEDICAL CENTER'S BOWLING GREEN CAMPUS. MCF IS A MEDICARE DESIGNATED CRITICAL ACCESS HOSPITAL OFFERING ACUTE CARE INPATIENT AND OUTPATIENT PROGRAMS IN ITS 25 BED ACUTE CARE FACILITY. THE MEDICAL CENTER AT FRANKLIN, INC. OPERATES A RURAL HEALTH CLINIC IN FRANKLIN, KENTUCKY. COMMONWEALTH HEALTH FOUNDATION: ------------------------ CHC ENDORSED THE ESTABLISHMENT OF COMMONWEALTH HEALTH FOUNDATION ("THE FOUNDATION") FOR THE PURPOSE OF FOSTERING, SUPPORTING, AND INITIATING ACTIVITIES FOR 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 SOUTH CENTRAL KY COMMUNITY & TECHNICAL COLLEGE FDN 1845 LOOP DRIVE BOWLING GREEN KY 42101 020738080 501(C)(3) 75000 GENERAL SUPPORT 1 MED CENTER SCOTTSVILLE SCHOLARSHIP 2 11392 SCHEDULE I, PART I, LINE 2 ---------------------------- BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION IS FEQUENTLY 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 MR ALAN ALEXANDER CAVERNA VP / ADMIN 185828 0 0 0 5095 0 5234 0 18592 0 214749 0 0 0 DR ARVINDER CHANI PHYSICIAN 342657 0 0 0 3612 0 0 0 9727 0 355996 0 0 0 DR SWARANJIT CHANI PHYSICIAN 349569 0 0 0 3089 0 7221 0 17782 0 377661 0 0 0 DR CATRINIA DRUEN PHYSICIAN 305572 0 0 0 906 0 6556 0 14651 0 327685 0 0 0 DR JOSEPH GRAU PHYSICIAN 340771 0 0 0 14370 0 0 0 20210 0 375351 0 0 0 MR DAVID GRAY EXECUTIVE VICE PRESIDENT 0 366071 0 0 0 8374 0 8700 0 34740 0 417885 0 0 MR ERIC HAGAN VP OF RURAL HOSPITALS 197464 84628 0 0 4685 2008 0 0 14032 6014 216181 92650 0 0 MRS MICHELE W LAWLESS EVP / CFO 0 365764 0 0 0 6032 0 0 0 3505 0 375301 0 0 DR ONYEOZIRI NWANGUMA PHYSICIAN 730341 0 0 0 3612 0 8700 0 31928 0 774581 0 0 0 MS JILL PAYNE EVP / CNO - RESIGNED 6/25/21 0 162535 0 0 0 3955 0 2381 0 4554 0 173425 0 0 MRS CONNIE D SMITH PRESIDENT / CEO 0 949706 0 0 0 384095 0 0 0 20856 0 1354657 0 0 MR RONALD G SOWELL EVP / CFO - RETIRED 3/31/2021 0 260389 0 0 0 10110 0 0 0 5145 0 275644 0 0 MR WADE STONE EXECUTIVE VICE PRESIDENT 0 381149 0 0 0 53196 0 0 0 29943 0 464288 0 0 MS KATRINA WOOD VP / CHIEF NURSING OFFICER 169108 0 0 0 2356 0 4337 0 29815 0 205616 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 $365,712 WADE STONE $50,987 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 false false false true A false true false true true 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, COLUMN A, B, C, D ARBITRAGE CALCULATIONS ----------------------- AN ANNUAL REBATE CALCULATION IS PERFORMED. THE LAST REBATE CALCULATION WAS ISSUED ON NOVEMBER 16, 2021 FOR THE JULY 31, 2021 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 2022: DAYS OF ACUTE/SWING BED PATIENT CARE (INCLUDING NURSERY) 92,811 DAYS OF SKILLED NURSING CARE 34,975 OBSERVATION DAYS 11,866 BIRTHS 2,870 OPEN HEART PROCEDURES 314 SURGERIES 12,513 EMERGENCY ROOM VISITS 51,834 AMBULANCE RUNS 24,611 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. AT LEAST TWO WEEKS OF 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 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 (3,716,405) CHANGE IN BENEFICIAL INTEREST IN PERP TRUST (74,623) ROUNDING (19) ----------- TOTAL (3,791,047) 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. 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