BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION (EIN 61-0920842)
Tax period: 2019-04-01 to 2020-03-31
Filed: 2021-02-12
IRS object ID: 202100439349300745
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-02-12T14:42:25-06:00	ReturnTs
Tax Period End	2020-03-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3102 WEST END AVENUE SUITE 1050	AddressLine1Txt
City	NASHVILLE	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	372031301	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	610920842	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BOWLING GREEN WARREN COUNTY COMMUNITY	BusinessNameLine1Txt
Business Name Line2	HOSPITAL CORPORATION	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% JENNY GREENWELL	InCareOfNm
Business Name Control	BOWL	BusinessNameControlTxt
Phone	2707451500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 PARK STREET	AddressLine1Txt
City	BOWLING GREEN	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	42101	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHELE W LAWLESS	PersonNm
Person Title	VP - CFO	PersonTitleTxt
Phone	2707451500	PhoneNum
Signature	2021-02-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JESSICA FREEMAN	PreparerPersonNm
PTIN	P01261457	PTIN
Phone	6159883600	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	THE MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	CONNIE D SMITH	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 PARK STREET	AddressLine1Txt
City	BOWLING GREEN	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	42101	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$598,872,229	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://medcenterhealth.org/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1977	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	PROVIDES INPATIENT AND OUTPATIENT ACUTE CARE SERVICES BY OR UNDER THE SUPERVISION OF PHYSICIANS IN BOWLING GREEN, KENTUCKY AND IN THE SURROUNDING COUNTIES.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	2198	TotalEmployeeCnt
Total Volunteers	107	TotalVolunteersCnt
Total Gross UBI	$4,811,637	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$329,722	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$169,783	PYContributionsGrantsAmt
CY Contributions Grants	$566,727	CYContributionsGrantsAmt
PY Program Service Revenue	$397,696,172	PYProgramServiceRevenueAmt
CY Program Service Revenue	$436,017,590	CYProgramServiceRevenueAmt
PY Investment Income	$10,945,629	PYInvestmentIncomeAmt
CY Investment Income	$13,264,088	CYInvestmentIncomeAmt
PY Other Revenue	$15,725,279	PYOtherRevenueAmt
CY Other Revenue	-$2,107,488	CYOtherRevenueAmt
PY Total Revenue	$424,536,863	PYTotalRevenueAmt
CY Total Revenue	$447,740,917	CYTotalRevenueAmt
PY Grants And Similar Paid	$91,030	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$13,055	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$155,033,523	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$158,605,889	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$227,498,208	PYOtherExpensesAmt
CY Other Expenses	$234,282,236	CYOtherExpensesAmt
PY Total Expenses	$382,622,761	PYTotalExpensesAmt
CY Total Expenses	$392,901,180	CYTotalExpensesAmt
PY Revenues Less Expenses	$41,914,102	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$54,839,737	CYRevenuesLessExpensesAmt
Total Assets BOY	$565,225,170	TotalAssetsBOYAmt
Total Assets EOY	$613,719,696	TotalAssetsEOYAmt
Total Liabilities BOY	$197,841,792	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$231,084,498	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$367,383,378	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$382,635,198	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OUR MISSION IS TO CARE FOR PEOPLE AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$165,767,940	ExpenseAmt
Grant	$13,055	GrantAmt
Revenue	$227,866,349	RevenueAmt
Desc	THE HOSPITAL IS AN ACUTE CARE HOSPITAL ENGAGED IN PROVIDING SERVICE TO INPATIENTS, BY OR UNDER THE SUPERVISION OF PHYSICIANS, DIAGNOSTIC AND THERAPEUTIC SERVICES FOR MEDICAL DIAGNOSIS, TREATMENT, AND CARE OF INJURED, DIASBLED OR SICK PERSONS, OR REHABILITATION OF INJURED, DISABLED, OR SICK PERSONS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$184,065,832	ExpenseAmt
Revenue	$208,151,241	RevenueAmt
Desc	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, AND CARE OF INJURED, DIASBLED OR SICK PERSONS, OR REHABILITATION OF INJURED, DISABLED, OR SICK PERSONS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$349,833,772	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	282	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2198	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JENNY GREENWELL	PersonNm
Phone	2707451500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 PARK STREET	AddressLine1Txt
City	BOWLING GREEN	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	42101	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
MRS CONNIE D SMITH
PRESIDENT / CEO	2.0	50.0	Yes (X)	Yes (X)	$0	$1,154,742	$18,916
DR DON BROWN
PHYSICIAN/DIRECTOR	2.0	40.0	Yes (X)		$0	$601,730	$31,889
MR RONALD G SOWELL
EXECUTIVE VICE PRESIDENT / CFO	2.0	48.0		Yes (X)	$0	$601,744	$11,621
MS BARBARA JEAN CHERR
EXECUTIVE VICE PRESIDENT	2.0	48.0		Yes (X)	$0	$590,400	$12,765
MR WADE STONE
EXECUTIVE VICE PRESIDENT	2.0	48.0		Yes (X)	$0	$475,944	$27,286
DR JILL PAYNE
EXECUTIVE VICE PRESIDENT / CNO	2.0	48.0		Yes (X)	$0	$293,674	$24,442
DR GROVER DILS
PHYSICIAN	40.0	0.0			$296,923	$0	$19,111	Yes (X)
MR ERIC HAGAN
VP OF RURAL HOSPITALS	28.0	12.0		Yes (X)	$192,791	$82,625	$23,319
DR CATRINIA DRUEN
PHYSICIAN	40.0	0.0			$283,452	$0	$8,917	Yes (X)
DR MICHAEL LANG
PHYSICIAN	40.0	0.0			$242,138	$0	$28,905	Yes (X)
DR SWARANJIT CHANI
PHYSICIAN	40.0	0.0			$260,879	$0	$9,918	Yes (X)
MR ALAN ALEXANDER
CAVERNA VP / ADMIN	40.0	0.0			$188,979	$0	$30,533		Yes (X)
SARAH ROGERS
LEAD MEDICAL PHYSICIST	40.0	0.0			$209,250	$0	$8,050	Yes (X)
DR MOHAMMED KAZIMUDDI
PHYSICIAN/DIRECTOR	2.0	0.0	Yes (X)		$50,000	$0	$0
DR DOUG THOMSON
DIRECTOR	2.0	0.0	Yes (X)		$0	$2,875	$0
DR ELI JACKSON III
CHAIR	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
DR PAUL COOK
VICE CHAIR	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
MR JOE NATCHER
SECRETARY	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
MRS CATHY BISHOP
DIRECTOR	2.0	4.0	Yes (X)		$0	$0	$0
DR DONNA BLACKBURN
DIRECTOR	2.0	4.0	Yes (X)		$0	$0	$0
MS JANET JOHNSON
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
MR TOMMY LOVING
DIRECTOR	2.0	4.0	Yes (X)		$0	$0	$0
DR JACKIE POPE-TARREN
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,724,412	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,803,734	TotReportableCompRltdOrgAmt
Total Other Compensation	$255,672	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	75	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WEHR CONSTRUCTORS INC
2517 PLANTSIDE DRIVE	LOUISVILLE	KY	40299	CONSTRUCTION SVCS	$2,229,011
ARAMARK CORPORATION
12483 COLLECTIONS CENTER DR	CHICAGO	IL	60693	BIOMED EQUIP REPAIR	$2,348,589
MORRISON MANAGEMENT SPECIALIST INC
PO BOX 102289	ATLANTA	GA	303682289	CAFETERIA SERVICES	$3,266,323
TMX HEALTHCARE TECHNOLOGIES LLC
PO BOX 636129	CINCINNATI	OH	45264	MEDICAL EQUIP REPAIR	$3,460,819
UNIVERSITY OF KENTUCKY
2355 HUGUENARD DR SUITE 201A	LEXINGTON	KY	40503	GRAD EDUCATION FEES	$3,241,449

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	72	CntrctRcvdGreaterThan100KCnt
Related Organizations	$66,727	RelatedOrganizationsAmt
All Other Contributions	$500,000	AllOtherContributionsAmt
Total Contributions	$566,727	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
INPATIENT SERVICES	621110	$210,429,214	$210,429,214
OUTPATIENT SERVICES	621400	$208,151,241	$208,151,241
RETAIL PHARMACY SALES	446110	$7,231,852	$5,172,898	$2,058,954
MEDICAL EQUIPMENT SALES	453000	$2,969,692	$483,279	$2,486,413
PHYSICIAN PRACTICES	621110	$566,927	$566,927

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,668,664	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,402,394	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$266,270	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$436,017,590	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,660,913	TotalRevenueColumnAmt
Exclusion	$9,660,913	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,597,273	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$6,433,422	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$2,836,149	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,836,149	TotalRevenueColumnAmt
Exclusion	-$2,836,149	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$148,029,519	SecuritiesAmt
Other	$271,547	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$144,472,971	SecuritiesAmt
Other	$224,919	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,556,548	SecuritiesAmt
Other	$46,628	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,603,175	TotalRevenueColumnAmt
Exclusion	$3,603,175	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISCELLANEOUS INCOME	Desc
Business	900099	BusinessCd
Total Revenue Column	$728,661	TotalRevenueColumnAmt
Exclusion	$728,661	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$728,661	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$447,740,917	TotalRevenueColumnAmt
Related Or Exempt Func Income	$431,205,953	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,811,637	UnrelatedBusinessRevenueAmt
Exclusion	$11,156,600	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$7,454	TotalAmt
Program Services	$7,454	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$5,601	TotalAmt
Program Services	$5,601	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$478,626	TotalAmt
Program Services	$478,626	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$118,856,055	TotalAmt
Program Services	$112,212,121	ProgramServicesAmt
Management And General	$6,643,934	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,494,336	TotalAmt
Program Services	$8,013,708	ProgramServicesAmt
Management And General	$480,628	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$22,024,089	TotalAmt
Program Services	$20,777,919	ProgramServicesAmt
Management And General	$1,246,170	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,752,783	TotalAmt
Program Services	$8,257,052	ProgramServicesAmt
Management And General	$495,731	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$16,329,260	TotalAmt
Program Services	$489,260	ProgramServicesAmt
Management And General	$15,840,000	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,752,197	TotalAmt
Program Services	$70,686	ProgramServicesAmt
Management And General	$1,681,511	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$523,438	TotalAmt
Program Services	$483,510	ProgramServicesAmt
Management And General	$39,928	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$41,835	TotalAmt
Program Services	$41,835	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$37,622,455	TotalAmt
Program Services	$37,622,455	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$738,788	TotalAmt
Program Services	$124,756	ProgramServicesAmt
Management And General	$614,032	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,254,739	TotalAmt
Program Services	$13,917,097	ProgramServicesAmt
Management And General	$7,337,642	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,748,352	TotalAmt
Program Services	$7,748,352	ProgramServicesAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,548,996	TotalAmt
Program Services	$3,168,506	ProgramServicesAmt
Management And General	$380,490	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,165,189	TotalAmt
Program Services	$1,002,306	ProgramServicesAmt
Management And General	$162,883	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,353,483	TotalAmt
Program Services	$1,922,505	ProgramServicesAmt
Management And General	$430,978	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,940,927	TotalAmt
Program Services	$10,104,330	ProgramServicesAmt
Management And General	$6,836,597	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,807,881	TotalAmt
Program Services	$5,553,805	ProgramServicesAmt
Management And General	$254,076	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$92,448,977	$92,448,977
PHYSICIAN PRACTICE EXPENSE	$19,658,769	$19,658,769
TAXES & LICENSES	$4,934,665	$4,879,433	$55,232
PATIENT TRANSPORT	$675,809	$675,809

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$736,476	TotalAmt
Program Services	$168,900	ProgramServicesAmt
Management And General	$567,576	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$392,901,180	TotalAmt
Program Services	$349,833,772	ProgramServicesAmt
Management And General	$43,067,408	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$26,811,102	BOYAmt
EOY	$29,781,178	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$273,592,984	BOYAmt
EOY	$309,724,723	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$48,133,733	BOYAmt
EOY	$49,210,175	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$13,145,543	BOYAmt
EOY	$14,488,728	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,066,628	BOYAmt
EOY	$5,982,247	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$437,192,185	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$288,582,842	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$156,243,236	BOYAmt
EOY	$148,609,343	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$22,349,862	BOYAmt
EOY	$6,039,686	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,975,936	BOYAmt
EOY	$3,230,808	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,930,974	BOYAmt
EOY	$4,930,974	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,975,172	BOYAmt
EOY	$41,721,834	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$565,225,170	BOYAmt
EOY	$613,719,696	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$32,777,363	BOYAmt
EOY	$47,618,417	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$116,426,962	BOYAmt
EOY	$110,707,261	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$48,637,467	BOYAmt
EOY	$72,758,820	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$197,841,792	BOYAmt
EOY	$231,084,498	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$365,644,975	BOYAmt
EOY	$380,617,046	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,738,403	BOYAmt
EOY	$2,018,152	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$367,383,378	BOYAmt
EOY	$382,635,198	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$565,225,170	BOYAmt
EOY	$613,719,696	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$54,839,737	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$12,783,418	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$26,804,499	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$41,835	OtherActivitiesAmt
Total Lobbying Expenditures	$41,835	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1, LOBBYING ACTIVITIES:	FormAndLineReferenceDesc
Explanation	----------------------------------------- THE MEDICAL CENTER WAS A MEMBER OF THE KENTUCKY HOSPITAL ASSOCIATION. THE PORTION OF THE DUES PAID WHICH ARE ATTRIBUTABLE TO LOBBYING TOTAL $13,264. IN ADDITION, 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 issue related to the healthcare industry. THE TOTAL PAID TO MCCARTHY STRATEGIC SOLUTIONS DURING THE FISCAL YEAR TOTALED $28,571.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$288,216,193	BeginningYearBalanceAmt
Contributions	$34,747,030	ContributionsAmt
Investment Earnings Or Losses	-$316,723	InvestmentEarningsOrLossesAmt
Other Expenditures	$13,959,219	OtherExpendituresAmt
Administrative Expenses	$696,536	AdministrativeExpensesAmt
End Year Balance	$307,990,745	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$263,168,120	BeginningYearBalanceAmt
Contributions	$39,660,906	ContributionsAmt
Investment Earnings Or Losses	$10,977,568	InvestmentEarningsOrLossesAmt
Other Expenditures	$24,962,664	OtherExpendituresAmt
Administrative Expenses	$627,737	AdministrativeExpensesAmt
End Year Balance	$288,216,193	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$238,400,441	BeginningYearBalanceAmt
Contributions	$9,276,884	ContributionsAmt
Investment Earnings Or Losses	$25,950,547	InvestmentEarningsOrLossesAmt
Other Expenditures	$9,987,270	OtherExpendituresAmt
Administrative Expenses	$472,482	AdministrativeExpensesAmt
End Year Balance	$263,168,120	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$241,203,716	BeginningYearBalanceAmt
Contributions	$11,133,950	ContributionsAmt
Investment Earnings Or Losses	$9,861,268	InvestmentEarningsOrLossesAmt
Other Expenditures	$23,234,320	OtherExpendituresAmt
Administrative Expenses	$564,173	AdministrativeExpensesAmt
End Year Balance	$238,400,441	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$228,617,044	BeginningYearBalanceAmt
Contributions	$17,434,934	ContributionsAmt
Investment Earnings Or Losses	$1,879,540	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,285,286	OtherExpendituresAmt
Administrative Expenses	$442,516	AdministrativeExpensesAmt
End Year Balance	$241,203,716	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.99000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.01000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,220,671	OtherCostOrOtherBasisAmt
Book Value	$16,220,671	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$210,180,762	OtherCostOrOtherBasisAmt
Depreciation	$117,615,828	DepreciationAmt
Book Value	$92,564,934	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$202,613,230	OtherCostOrOtherBasisAmt
Depreciation	$165,377,075	DepreciationAmt
Book Value	$37,236,155	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,177,523	OtherCostOrOtherBasisAmt
Depreciation	$5,589,940	DepreciationAmt
Book Value	$2,587,583	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$148,609,343	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM MEDICARE	$13,078,185
OTHER ASSETS	$900,000
OTHER RECEIVABLES	$12,531,066
DUE FROM AFFILIATES	$977,958
LONG-TERM INSURANCE RECOVERIES	$10,941,380
RIGHT-OF-USE ASSETS - LEASE	$3,293,245

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$41,721,834	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ACCRUED RETIREMENT	$47,523,424
DUE TO MEDICARE/MEDICAID	$3,597,715
DUE TO AFFILIATES	$3,621,375
REFUND LIABILITIES	$2,459,367
LEASE LIABILITIES	$3,275,207
LONG-TERM PL/GL LIABILITY	$12,281,732

Field	Value	IRS element (for citing)
Total Liability	$72,758,820	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$414,420,916	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$12,783,418	NetUnrealizedGainsInvstAmt
Other Revenue	-$26,804,499	OtherRevenueAmt
Revenue Not Reported	-$39,587,917	RevenueNotReportedAmt
Revenue Subtotal	$454,008,833	RevenueSubtotalAmt
Investment Expenses Not Incld	$165,506	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$6,433,422	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$6,267,916	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$447,740,917	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$399,169,096	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$6,433,422	OtherExpensesIncludedAmt
Expenses Not Reported	$6,433,422	ExpensesNotReportedAmt
Expenses Subtotal	$392,735,674	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$165,506	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$165,506	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$392,901,180	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, 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 $306,472,594 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 $7,273,663. PERMANENTLY RESTRICTED NET ASSETS INCLUDED $2,018,152 OF DONOR-RESTRICTED ENDOWMENT FUNDS.
SCHEDULE D, 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.
SCHEDULE D, PART XI, LINE 2D - OTHER ADJUSTMENTS:	--------------------------------------- CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST (220,251) CHANGE IN DEFINED BENEFIT PLAN (26,584,248) ----------------------------- (26,804,499)
SCHEDULE D, PART XI, LINE 4B - OTHER ADJUSTMENTS:	--------------------------------------- RENTAL EXPENSES NETTED AGAINST REVENUE PER AUDIT ( 6,433,422)
SCHEDULE D, PART XII, LINE 2D - OTHER ADJUSTMENTS:	--------------------------------------- RENTAL EXPENSES NETTED AGAINST REVENUE PER AUDIT 6,433,422

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	6970	PersonsServedCnt
Total Community Benefit Expns	$7,544,342	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,544,342	NetCommunityBenefitExpnsAmt
Total Expense	0.01920	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	49962	PersonsServedCnt
Total Community Benefit Expns	$82,084,180	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,801,294	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,282,886	NetCommunityBenefitExpnsAmt
Total Expense	0.02110	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	56932	PersonsServedCnt
Total Community Benefit Expns	$89,628,522	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,801,294	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,827,228	NetCommunityBenefitExpnsAmt
Total Expense	0.04030	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	450	ActivitiesOrProgramsCnt
Persons Served	31446	PersonsServedCnt
Total Community Benefit Expns	$2,631,658	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,631,658	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	829	PersonsServedCnt
Total Community Benefit Expns	$8,355,244	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,355,244	NetCommunityBenefitExpnsAmt
Total Expense	0.02130	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	1121	PersonsServedCnt
Total Community Benefit Expns	$16,113,424	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,032,694	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,080,730	NetCommunityBenefitExpnsAmt
Total Expense	0.01040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1194	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$134,595	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$134,595	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1653	ActivitiesOrProgramsCnt
Persons Served	33396	PersonsServedCnt
Total Community Benefit Expns	$27,234,921	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,032,694	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,202,227	NetCommunityBenefitExpnsAmt
Total Expense	0.03870	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1656	ActivitiesOrProgramsCnt
Persons Served	90328	PersonsServedCnt
Total Community Benefit Expns	$116,863,443	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$85,833,988	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,029,455	NetCommunityBenefitExpnsAmt
Total Expense	0.07900	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$16,745	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,745	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$65,079	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$65,079	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$53,100	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$53,100	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$134,924	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$134,924	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$16,611,671	BadDebtExpenseAmt
Bad Debt Expense Attributable	$11,317,221	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$135,642,122	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$172,615,533	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$36,973,411	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd	OtherOtherDesc
THE MEDICAL CENTER AT BOWLING GREEN
1	250 PARK STREET	BOWLING GREEN	KY	42101	HTTPS://MEDCENTERHEALTH.ORG/LOCATION	100404	Yes (X)	Yes (X)	Yes (X)	A
THE MEDICAL CENTER AT SCOTTSVILLE
2	456 BURNLEY ROAD	SCOTTSVILLE	KY	42164	HTTPS://MEDCENTERHEALTH.ORG/LOCATION	600076	Yes (X)	Yes (X)	Yes (X)	A	Yes (X)	RURAL HEALTH CLINIC
THE MEDICAL CENTER AT CAVERNA
3	1501 S DIXIE STREET	HORSE CAVE	KY	42749	HTTPS://MEDCENTERHEALTH.ORG/LOCATION	600065	Yes (X)	Yes (X)	Yes (X)	A	Yes (X)	RURAL HEALTH CLINIC

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	13	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	--------------------------------------- The most recent CHNA is located at https://medcenterhealth.org/community-health-needs-assessment/. It states that 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 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 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 over 50,000 homes via the Med Center Health WellNews 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.
PART V, SECTION B, LINE 6A:	----------------------------- The BRIGHT Coalition formed in 2011 with seven community partners: Barren River District Health Department, Caverna Memorial Hospital, The Medical Center at Bowling Green, The Medical Center at Franklin, The Medical Center at Scottsville, Monroe County Medical Center, and TJ Sampson Community Hospital. Within BRIGHT, these stakeholders joined forces to determine how leaders of South-Central Kentucky's rural communities can work together to improve our overall health status, strengthen the local economy, contribute to education successes, and improve the quality of life for all. The coalition has since grown to over 47 organizations representing the ten counties in BRADD. 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/. The 2018-2019 Community Health Assessment (CHA) was conducted by the coalition to guide the community health improvement process for multiple organizations across the BRADD.
PART V, SECTION B, LINES 7A & 10A:	AVAILABILITY TO THE PUBLIC ----------------------------------------- HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENTS AND STRATEGIC IMPLEMENTATION PLANS CAN BE FOUND AT: https://medcenterhealth.org/community-health-needs-assessment/
PART V, SECTION B, LINE 11:	ADDRESSING NEEDS ---------------------- THE MEDICAL CENTER INTENDS TO FOCUS ON AND ADDRESS THE FOLLOWING PRIORITY HEALTH ISSUES IN 2019-2021: SUBSTANCE ABUSE - BASED ON GROWING DATA SEEN WITHIN THE HOSPITAL SYSTEM OVER THE PAST FIVE YEARS AS WELL AS CONCERN FROM OUTSIDE SOURCES REGARDING OVERDOSES, VIOLENCE TOWARDS MEDICAL STAFF, AND CHALLENGES TO CONTROL PAIN FOR THIS POPULATION OF PATIENTS. THE HOSPITAL WILL CONTINUE TO MAKE EFFORTS TO EXPAND THE COMMUNITY PARTNERSHIPS AND BUILD ALLIANCES IN THIS AREA. 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:	ELIGIBILITY CRITERIA - INCOME LEVEL 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 GUIDELINES, AND BECAUSE WE DO NOT WANT TO CREATE WHAT IS COMMONLY KNOWN AS "MEDICAL INDIGENCY," WE WILL 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 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 ASSISTANCE. 3) ALSO, THE AMOUNT DUE FROM CATASTROPHIC ASSISTANCE APPLICANTS WILL BE 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 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 CFR. 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.
PART V, SECTION B, LINE 13H:	ELIGIBILITY CRITERIA - OTHER -------------------------- PERSONS OR FAMILIES WHO QUALIFY FOR MEDICAID, FOOD STAMPS, AND OTHER INDIGENT CARE PROGRAMS (EXCLUDING KENTUCKY DISPROPORTIONATE SHARE HOSPITAL PROGRAM) THAT CAN BE AND ARE INDEPENDENTLY VERIFIED WILL BE DEEMED TO MEET THE FINANCIAL ASSISTANCE GUIDELINES, AS WILL ACCOUNTS IDENTIFIED THROUGH TOOLS OR PROGRAMS WHICH PROVIDE REASONABLE ASSURANCE THAT THE ACCOUNT MEETS OUR FINANCIAL ASSISTANCE GUIDELINES. PATIENT ACCOUNTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE IF THE PATIENT HAS HAD 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 APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND AT: HTTPS://MEDCENTERHEALTH.ORG/CFR/BILLING-POLICIES/FINANCIAL-ASSISTANCE/

Field	Value	IRS element (for citing)
Facility	9	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MEDICAL CENTER HEALTH & WELLNESS CENTER
740 E TENTH AVE	BOWLING GREEN	KY	42101	COMMUNITY WELLNESS CENTER
MEDICAL CENTER PHARMACY OF BG
825 2ND ST	BOWLING GREEN	KY	42102	PHARMACY
TOMORROW'S WOMAN
1623 SCOTTSVILLE RD	BOWLING GREEN	KY	42101	DURABLE MEDICAL EQUIPMENT
MEDICAL CENTER EMS
210 E THIRD AVE	BOWLING GREEN	KY	42101	EMERGENCY MEDICAL SERVICES
MEDEQUIP
825 2ND ST	BOWLING GREEN	KY	42101	DURABLE MEDICAL EQUIPMENT
FOUNTAIN RUN RURAL HEALTH CLINIC
47 AKERSVILLE RD	FOUNTAIN RUN	KY	42133	RURAL HEALTH CLINIC
MUNFORDVILLE PRIMARY CARE CLINIC
1134 MAIN ST	MUNFORDVILLE	KY	42765	PRIMARY CARE CLINIC
SCOTTSVILLE RURAL HEALTH CLINIC
466 BURNLEY ROAD	SCOTTSVILLE	KY	42164	RURAL HEALTH CLINIC
CAVERNA PRIMARY CARE CLINIC
1495 SOUTH DIXIE STREET	HORSE CAVE	KY	42749	PRIMARY CARE CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C:	DETERMINING ELIGIBILITY ------------------ THE INCOME LIMIT FOR FINANCIAL ASSISTANCE (CHARITY CARE) 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 ALSO USES ASSET LEVELS, UNINSURED, UNDERINSURED, MCD ELIGIBILITY, FOOD STAMP ELIGIBILITY, AND PROVIDES FOR CATASTROPHIC DISCOUNTS. SEE THE NARRATIVES FOR LINES 13B AND 13H FOR MORE DETAIL.
SCHEDULE H, PART I, LINE 6A:	COMMUNITY BENEFIT REPORT ---------------- THE ANNUAL REPORT TO THE COMMUNITY IS MADE AVAILABLE TO THE PUBLIC VIA NEWSPAPER INSERTS, DIRECT MAILINGS, AND IS POSTED ON THE HOSPITAL'S WEBSITE AT: HTTPS://MEDCENTERHEALTH.ORG/ABOUT-US/
SCHEDULE H, PART I, LINE 7:	----------------- 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. SCHEDULE H, PART I, LINE 7, COLUMN F: PERCENT OF TOTAL EXPENSE ------------------------------ TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES IN PART I, LINE 7, COLUMN (F), THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990.
SCHEDULE H, PART II:	COMMUNITY BUILDING ACTIVITIES ---------------------------------- COMMUNITY BUILDING ACTIVITIES INCLUDE PARTICIPATION IN THE CHAMBER OF COMMERCE, DOWNTOWN REDEVELOPMENT AND LEADERSHIP BOWLING GREEN.
SCHEDULE H, 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 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, 2020. 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.
SCHEDULE H, PART III, LINE 3:	BAD DEBTS ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR CHARITY CARE ---------------------- THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN A 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.
SCHEDULE H, PART III, LINE 4:	BAD DEBT EXPENSE FOOTNOTE --------------------------- 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.
SCHEDULE H, 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.
SCHEDULE H, PART III, LINE 9B:	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 THE ESTABLISHED RATES. BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTING OF AMOUNTS DETERMINED TO QUALIFY AS FINANCIAL ASSISTANCE, REVENUE IS NOT RECORDED FOR SUCH SERVICES. THE MEDICAL CENTER MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE 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. THE MEDICAL CENTER DOES NOT PURSUE THE COLLECTION OF AMOUNTS DETERMINED TO BE TRADITIONAL FINANCIAL ASSISTANCE. THEREFORE, THESE AMOUNTS ARE NOT INCLUDED IN NET PATIENT REVENUE.
SCHEDULE H, 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.
SCHEDULE H, PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE -------------------- UPON REGISTRATION, PATIENTS ARE PROVIDED A PATIENT HANDBOOK WHICH CONTAINS INFORMATION REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, SIGNAGE AND BROCHURES DESCRIBING FINANCIAL ASSISTANCE POLICIES ARE AVAILABLE AT ADMISSIONS AREAS. EACH PATIENT WILL RECEIVE A STATEMENT REFERRED TO AS A FIRST NOTICE. THE FIRST NOTICE STATES THAT IT IS NOT A BILL, BUT IT IS A SUMMARY OF THE PATIENT'S CHARGES. THIS NOTICE AND EACH SUBSEQUENT STATEMENT CONTAINS INFORMATION CONCERNING FINANCIAL ASSISTANCE AS WELL AS CONTACT INFORMATION FOR QUESTIONS. THE MEDICAL CENTER ALSO MAINTAINS A WEBSITE FOR BILLING AND COLLECTIONS QUESTIONS. FINANCIAL ASSISTANCE POLICIES ARE POSTED TO THIS WEBSITE AS WELL AS FREQUENTLY ASKED QUESTIONS REGARDING BILLINGS.
SCHEDULE H, 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 303,000 PEOPLE. THE COMMUNITY IS GROWING AND WE SERVE A GROWING UNINSURED AND UNDERINSURED POPULATION. THERE ARE TWO ACUTE CARE HOSPITALS IN THE COMMUNITY. THE NUMBER OF RESIDENTS IN THE DISTRICT IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES VARY BY COUNTY AND RANGE FROM 14.4% TO 24.3%. 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.
SCHEDULE H, PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH ------------------------------------------ AS PART OF MED CENTER HEALTH, BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL 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.
SCHEDULE H, PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEM ------------------ BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION ("THE MEDICAL CENTER") IS OWNED AND CONTROLLED BY COMMONWEALTH HEALTH CORPORATION ("CHC") - CHC HAS BEEN DETERMINED TO BE A PUBLICLY SUPPORTED ORGANIZATION DESCRIBED IN SECTION 509(A)(2) OF THE CODE AND A CHARITABLE ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXATION BY VIRTUE OF SECTIONS 501(A) AND 501(C)(3) OF THE CODE. THE BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION IS A NON-STOCK, NONPROFIT KENTUCKY CORPORATION, UNDER THE NAME "THE MEDICAL CENTER"THE MEDICAL CENTER AT BOWLING GREEN SINCE OCTOBER 1996, A HOSPITAL AND NURSING HOME FACILITY IN SCOTTSVILLE, KENTUCKY, UNDER THE NAME "THE MEDICAL CENTER AT SCOTTSVILLE." THE MEDICAL CENTER ALSO BEGAN OPERATING A HOSPITAL IN HORSE CAVE, KENTUCKY ON JANUARY 1, 2016 UNDER THE NAME "THE MEDICAL CENTER AT CAVERNA." THE MEDICAL CENTER AT BOWLING GREEN: BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL'S BOWLING GREEN FACILITY IS A GENERAL ACUTE CARE HOSPITAL LICENSED FOR 337 BEDS. IN 1980, THE BOWLING GREEN FACILITY MOVED INTO A NEW, SIX-STORY, STATE-OF-THE-ART FACILITY, OCCUPYING 298,000 SQUARE FEET ON A 17-ACRE CAMPUS. SINCE 1980, BECAUSE OF AN EXPANDING DEMAND FOR OUTPATIENT SERVICES, SEVERAL ADDITIONS TO THE BOWLING GREEN FACILITY HAVE BEEN MADE AND BOTH CLINICAL AND PATIENT AREAS HAVE BEEN RENOVATED AND MODERNIZED. IN ADDITION, THE HOSPITAL OPERATES THE WHOLLY OWNED MEDICAL CENTER EMS, LLC., WHICH PROVIDES THE ONLY EMERGENCY MEDICAL SERVICE IN WARREN COUNTY. THE HOSPITAL IS ALSO A 50% PARTNER WITH ANOTHER NONPROFIT IN OPERATING THE NON-PROFIT BARREN RIVER REGIONAL CANCER CENTER, INC., AN OUTPATIENT ONCOLOGY CENTER LOCATED IN GLASGOW, KENTUCKY. THE MEDICAL CENTER AT SCOTTSVILLE: TO MORE FULLY SERVE THE HEALTH NEEDS OF SOUTH CENTRAL KENTUCKY, THE MEDICAL CENTER MERGED IN OCTOBER 1996 WITH AN AFFILIATED ENTITY, HEALTH ENDOWMENT PROPERTIES A-C, INC., A KENTUCKY NON-STOCK, NONPROFIT CORPORATION, WHICH OWNED AND OPERATED THE MEDICAL CENTER AT SCOTTSVILLE (THE "SCOTTSVILLE FACILITY"). THE SCOTTSVILLE FACILITY OPENED IN 1996 AND IS COMPRISED OF A 25-BED MEDICARE DESIGNATED CRITICAL ACCESS HOSPITAL AND 110 NURSING CARE BEDS. THESE BEDS ARE LOCATED IN AN 85,000 SQUARE FOOT BUILDING ON APPROXIMATELY 13 ACRES OF LAND IN ALLEN COUNTY, NEAR SCOTTSVILLE, KENTUCKY. THE HOSPITAL ALSO OPERATES TWO RURAL HEALTH CLINICS, ONE IN SCOTTSVILLE, KY AND ONE IN FOUNTAIN RUN, KY. THE MEDICAL CENTER AT CAVERNA: THE MEDICAL CENTER AT CAVERNA, LOCATED IN HORSE CAVE, KENTUCKY, BECAME A PART OF THE BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION ON JANUARY 1, 2016. THE HOSPITAL IS A 25-BED MEDICARE DESIGNATED CRITICAL ACCESS HOSPITAL AND ALSO OPERATES TWO RURAL HEALTH CLINICS, ONE IN MUNFORDVILLE, KY AND ONE IN HORSE CAVE, KY. COMMONWEALTH HEALTH CORPORATION: CHC IS A HOLDING COMPANY FOR A TOTAL OF TWELVE FOR-PROFIT AND NONPROFIT CORPORATIONS AND PARTNERSHIP (COLLECTIVELY, THE "AFFILIATES") ENGAGED IN VARIOUS ASPECTS OF THE HEALTHCARE INDUSTRY. CHC HAS ESTABLISHED VARIOUS DIVISIONS FOR ITS OPERATIONS, INCLUDING (1) BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION ("THE MEDICAL CENTER"), (2) COMMONWEALTH HEALTH FREE CLINIC, INC., (3) THE MEDICAL CENTER AT FRANKLIN, INC., (4) THE MEDICAL CENTER AT ALBANY, (5) COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, INC., AND (6) VARIOUS NON-PROFIT AND FOR-PROFIT CORPORATIONS AND PARTNERSHIPS. CHC OWNS AND OPERATES MULTIPLE PHYSICIAN PRACTICES AND EMPLOYS GENERAL PRACTITIONERS, BARIATRIC SURGEONS, INTERNISTS, CARDIAC SURGEONS, VASCULAR SURGEONS, NEUROSURGEONS, NEUROLOGISTS, OBSTETRIC/GYNECOLOGISTS, ORTHOPAEDICS, HOSPITALISTS, OTOLARYNGOLOGISTS, INFECTIOUS DISEASE AND TRAVEL MEDICINE PHYSICIANS, HEMATOLOGY AND ONCOLOGY PHYSICIANS AND GENERAL SURGEONS. CHC HAS ACQUIRED THE PHYSICIAN PRACTICES IN ORDER 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. SINCE 1990, CHC'S WHOLLY-OWNED CENTER CARE HEALTH BENEFITS PROGRAM ("CENTER CARE"), A PREFERRED PROVIDER ORGANIZATION (PPO), HAS ASSISTED EMPLOYERS IN MANAGING THE RISING COST OF THEIR HEALTHCARE. THE PPO OFFERS EMPLOYER GROUPS AND PAYORS IN THIS REGION AND ACROSS KENTUCKY A COMPREHENSIVE NETWORK OF PHYSICIANS AND FACILITIES WITH GREATER COST SAVINGS POTENTIAL THAN OTHER NATIONAL ORGANIZATIONS. TODAY, CENTER CARE SERVES AS THE LOCAL, REGIONAL, OR STATEWIDE NETWORK FOR VARIOUS MANAGED CARE ORGANIZATIONS FOR THEIR COMMERCIAL, MEDICARE, AND/OR MEDICAID MEMBERSHIP. SINCE 2008, CHC HAS BEEN THE SOLE OWNER OF BLUEGRASS OUTPATIENT CENTER OF BOWLING GREEN, LLC ("BLUEGRASS"). BLUEGRASS PROVIDES COMPREHENSIVE REHABILITATION THERAPY SERVICES. 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. 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 27 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 ALBANY: ON APRIL 1, 2016, THE MEDICAL CENTER ACQUIRED THE ASSETS OF CLINTON COUNTY HOSPITAL, INC., AN ACUTE-CARE FACILITY, IN ORDER TO MAINTAIN THE FACILITY AS AN ACUTE-CARE HOSPITAL. 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 ANDSURROUNDING COUNTIES IN KENTUCKY. COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, INC.: COMMONWEALTH REGIONAL SPECIALTY HOSPITAL IS A LONG-TERM ACUTE CARE HOSPITAL THAT OPERATES AS A HOSPITAL WITHIN A HOSPITAL BY LEASING 22 BEDS FROM THE MEDICAL CENTER ON THE MEDICAL CENTER'S 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. COMMONWEALTH HEALTH FOUNDATION, INC.: CHC ENDORSED THE ESTABLISHMENT OF COMMONWEALTH HEALTH FOUNDATION ("THE FOUNDATION") FOR THE PURPOSE OF FOSTERING, SUPPORTING AND INITIATING ACTIVITIES FOR THE ADVANCEMENT OF THE HEALTH CARE OBJECTIVES OF CHC AND THE MEDICAL CENTER AND/OR AFFILIATED NON-PROFIT 501(C)(3) ORGANIZATIONS. THE CHAIRMAN OF CHC'S BOARD OF DIRECTORS OR HIS/HER DESIGNEE, CHC'S PRESIDENT AND CEO, AND THE CHIEF FINANCIAL OFFICER OF THE MEDICAL CENTER SERVE AS EX-OFFICIO DIRECTORS OF THE FOUNDATION. THEY ALL THREE ARE COUNTED FOR QUORUM PURPOSES AND HAVE THE RIGHTS AND PRIVILEGES OF OTHER DIRECTORS INCLUDING THE RIGHT TO VOTE ON ALL MATTERS PROPERLY BEFORE THE BOARD.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	MED CENTER SCOTTSVILLE SCHOLARSHIP	GrantTypeTxt
Recipient	2	RecipientCnt
Cash Grant	$5,601	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	---------------------------- 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR DON BROWN
PHYSICIAN/DIRECTOR	$0	$599,317	$0	$0	$0	$2,413	$0	$0	$0	$31,889	$0	$633,619	$0	$0
MRS CONNIE D SMITH
PRESIDENT / CEO	$0	$847,714	$0	$0	$0	$307,028	$0	$0	$0	$18,916	$0	$1,173,658	$0	$0
MR RONALD G SOWELL
EXECUTIVE VICE PRESIDENT / CFO	$0	$481,477	$0	$0	$0	$120,267	$0	$0	$0	$11,621	$0	$613,365	$0	$0
MS BARBARA JEAN CHERRY
EXECUTIVE VICE PRESIDENT	$0	$480,831	$0	$0	$0	$109,569	$0	$0	$0	$12,765	$0	$603,165	$0	$0
DR JILL PAYNE
EXECUTIVE VICE PRESIDENT / CNO	$0	$287,013	$0	$0	$0	$6,661	$0	$4,364	$0	$20,078	$0	$318,116	$0	$0
MR WADE STONE
EXECUTIVE VICE PRESIDENT	$0	$361,301	$0	$0	$0	$114,643	$0	$0	$0	$27,286	$0	$503,230	$0	$0
DR SWARANJIT CHANI
PHYSICIAN	$258,810	$0	$0	$0	$2,069	$0	$0	$0	$9,918	$0	$270,797	$0	$0	$0
MR ALAN ALEXANDER
CAVERNA VP / ADMIN	$175,892	$0	$0	$0	$13,087	$0	$25,499	$0	$5,034	$0	$219,512	$0	$0	$0
MR ERIC HAGAN
VP OF RURAL HOSPITALS	$186,362	$79,870	$0	$0	$6,429	$2,755	$0	$0	$16,323	$6,996	$209,114	$89,621	$0	$0
DR GROVER DILS
PHYSICIAN	$292,435	$0	$0	$0	$4,488	$0	$0	$0	$19,111	$0	$316,034	$0	$0	$0
DR CATRINIA DRUEN
PHYSICIAN	$282,553	$0	$0	$0	$899	$0	$0	$0	$8,917	$0	$292,369	$0	$0	$0
DR MICHAEL LANG
PHYSICIAN	$240,359	$0	$0	$0	$1,779	$0	$0	$0	$28,905	$0	$271,043	$0	$0	$0
SARAH ROGERS
LEAD MEDICAL PHYSICIST	$208,358	$0	$0	$0	$892	$0	$6,266	$0	$1,784	$0	$217,300	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, 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

SCHEDULE J, PART I, LINE 4B:

------------------ CERTAIN EXECUTIVES OF COMMONWEALTH HEALTH CORPORATION PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED 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 $291.429 RONALD SOWELL $109,255 JEAN CHERRY $ 98,542 WADE STONE $111,894

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
COUNTY OF WARREN KENTUCKY
A	616000710	2012-08-01	$44,126,651	SEE PART V	false	false	false
COUNTY OF WARREN KENTUCKY
B	616000710	2013-05-22	$47,871,948	SEE PART V	false	false	false
COUNTY OF WARREN KENTUCKY
C	616000710	2015-04-08	$24,434,000	SEE PART V	false	false	false
COUNTY OF WARREN KENTUCKY
D	616000710	2017-04-01	$28,545,000	SEE PART V	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$44,126,652	$0	$0	$0	$272,944	$0	$0	$16,302,725	$27,550,983	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$47,871,948	$0	$0	$0	$554,286	$0	$0	$0	$47,317,661	$0	2013	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$24,434,000	$0	$0	$0	$0	$0	$0	$0	$24,434,000	$0	2015	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$28,545,000	$0	$0	$0	$241,555	$0	$0	$28,303,445	$0	$0	2019	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.00040	0.00070	0.00110	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.00040	0.00070	0.00110	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	0	0.00040	0.00040	false	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	false	0			false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
C	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
D	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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) LEGALLY DEFEASE THE BALANCE OF THE 2008 BONDS ISSUED ON MARCH 20, 2008, AND (2) TO PAY THE COSTS OF ISSUING THE SERIES 2013 BONDS.
SCHEDULE K, PART I, LINE C, COLUMN F:	BOND C - DESCRIPTION OF PURPOSE -------------------------------- TO (1) CURRENTLY REFUND VARIABLE RATE DEMAND HOSPITAL REVENUE BONDS, SERIES 2007A (BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION PROJECT) THAT WERE ISSUED ON MARCH 15, 2007, (2) FUND A DEBT SERVICE RESERVE FUND FOR THE BONDS, AND (3) PAY COSTS OF ISSUING THE BONDS.
SCHEDULE K, PART I, LINE D, COLUMN F:	BOND D - DESCRIPTION OF PURPOSE -------------------------------- TO (1) FUND CONSTRUCTION OF A PARKING STRUCTURE AND OFFICE SPACE, AND (2) TO PAY THE COSTS OF ISSUING THE BONDS.
SCHEDULE K, PART IV, LINE 2C, COLUMN A, B, C, D:	ARBITRAGE CALCULATIONS ----------------------- BOND A - CALCULATION PERFORMED IN 2017. THE NEXT REQUIRED COMPUTATION IS DUE IN 2022 (CALCULATION OF ARBITRAGE EVERY 5 YEARS). BOND B - CALCULATION PERFORMED IN 2018. THE NEXT REQUIRED COMPUTATION IS DUE IN 2021 (CALCULATION OF ARBITRAGE EVERY 3 YEARS). BOND C - CALCULATION PERFORMED IN 2018. THE NEXT REQUIRED COMPUTATION IS DUE IN 2021 (CALCULATION OF ARBITRAGE EVERY 3 YEARS). BOND D - CALCULATION PERFORMED IN 2019. THE NEXT REQUIRED COMPUTATION IS DUE IN 2024 (CALCULATION OF ARBITRAGE EVERY 5 YEARS).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS ------------------------------- ORGANIZATION: BOWLING GREEN - WARREN COUNTY COMMUNITY HOSPITAL CORPORATION, DBA THE MEDICAL CENTER ("THE MEDICAL CENTER"), A KENTUCKY NON-STOCK, NON-PROFIT CORPORATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, WAS ESTABLISHED TO ACT AND OPERATE EXCLUSIVELY FOR CHARITABLE PURPOSES SERVING THE LOCAL CITY, COUNTY, STATE, AND SURROUNDING COUNTIES IN SOUTH-CENTRAL KENTUCKY. BEGUN IN 1926, THE MEDICAL CENTER HAS A RICH HERITAGE OF SERVING OUR COMMUNITY'S HEALTHCARE NEEDS AND BEING THE LEADER IN PROVIDING QUALITY CARE IN A TECHNOLOGICALLY ADVANCED SETTING. THE MEDICAL CENTER IS LICENSED BY THE CABINET FOR HEALTH AND FAMILY SERVICES, COMMONWEALTH OF KENTUCKY, PURSUANT TO IRS CHAPTER 216B AND THE REGULATIONS PROMULGATED THEREUNDER, OPERATING WITH CAMPUSES IN BOWLING GREEN, KY, SCOTTSVILLE, KY AND CAVERNA, KY. THE MEDICAL CENTER'S LICENSED BEDS INCLUDE: BOWLING GREEN SCOTTSVILLE CAVERNA TOTAL ACUTE CARE: 313 313 CRITICAL ACCESS ACUTE: 25 25 50 PSYCHIATRIC: 24 24 NURSING FACILITY: 110 110 SUBTOTAL - BEDS: 327 135 25 497 SERVICES: THE MEDICAL CENTER IS PRIMARILY ENGAGED IN PROVIDING TO INPATIENTS AND OUTPATIENTS, BY OR UNDER THE SUPERVISION OF PHYSICIANS, DIAGNOSTIC AND THERAPEUTIC SERVICES FOR MEDICAL DIAGNOSIS, TREATMENT, AND CARE OF INJURED, DISABLED, OR SICK PERSONS. AS A HOSPITAL, IT MAINTAINS CLINICAL RECORDS ON ALL PATIENTS AND HAS BYLAWS IN EFFECT CONCERNING ITS STAFF OF PHYSICIANS. IT REQUIRES THAT EVERY PATIENT MUST BE UNDER THE CARE OF PHYSICIAN AND PROVIDES 24-HOUR NURSING SERVICE BY OR SUPERVISED BY A REGISTERED PROFESSIONAL NURSE, AND HAS A LICENSED PRACTICAL NURSE OR REGISTERED PROFESSIONAL NURSE ON DUTY AT ALL TIMES. IT HAS IN EFFECT A HOSPITAL UTILIZATION REVIEW PLAN AND IS LICENSED OR IS APPROVED BY THE STATE OF KENTUCKY AS MEETING THE STANDARDS ESTBALISHED FOR SUCH LICENSING. IT ALSO MEETS OTHER HEALTH AND SAFETY REQUIREMENTS OF THE SECRETARY OF HEALTH AND HUMAN SERVICES. SERVICES OFFERED INCLUDE: - ACUTE MEDICAL CARE - SKILLED MEDICAL CARE - INTENSIVE CORONARY CARE - PHARMACY - INVASIVE CARDIOLOGY - PHYSICAL THERAPY - LABORATORY, CLINICAL AND PATHOLOGY - RADIATION MEDICINE (INPATIENT/OUTPATIENT ONCOLOGY) - HOME HEALTH SERVICES - SURGICAL INPATIENT SERVICES - SURGICAL OUTPATIENT SERVICES - EMERGENCY ROOM SERVICES - OUTPATIENT SERVICES - RESPIRATORY THERAPY SERVICES - RADIOLOGY, INCLUDING MAMMOGRAPHY, DIAGNOSTIC X-RAY, NUCLEAR MEDICINE, CAT SCANNING, ULTRASOUND, CARDIOLOGY, POSITRON EMISSION TOMOGRAPHY. 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. COMMUNITY BENEFIT AND CHARITY AS A HOSPITAL, THE MEDICAL CENTER: (1) IS ORGANIZED AS A NONPROFIT CHARITABLE ORGANIZATION FOR THE PURPOSE OF OPERATING AS A HOSPITAL FOR THE CARE OF THE SICK, (2) IS OPERATED FOR THE CARE OF ALL PERSONS IN THE COMMUNITY REGARDLESS OF ABILITY TO PAY THE COST THEREOF, EITHER DIRECTLY OR THROUGH THIRD PARTY REIMBURSEMENT, (3) WILL NOT RESTRICT USE OF ITS FACILITIES TO A PARTICULAR GROUP OF PHYSICIANS AND SURGEONS TO THE EXCLUSION OF ALL OTHER QUALIFIED DOCTORS, AND (4) WILL NOT PERMIT ANY OF ITS EARNING TO INURE DIRECTLY OR INDIRECTLY TO THE BENEFIT OF ANY PRIVATE SHAREHOLDER OR INDIVIDUAL. 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 THE MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS FINANCIAL ASSISTANCE, REVENUE IS NOT RECORDED FOR SUCH SERVICES. THE MEDICAL CENTER 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. THE MEDICAL CENTER DOES NOT PURSUE THE COLLECTION OF AMOUNTS DETERMINED TO BE TRADITIONAL FINANCIAL ASSISTANCE. THEREFORE, THESE AMOUNTS ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUE. BENEFITS FOR THE BROADER COMMUNITY INCLUDE SERVICES PROVIDED TO OTHER NEEDY INDIVIDUALS WHO MAY NOT QUALIFY AS INDIGENT BUT WHO NEED SPECIAL SERVICES AND SUPPORT. EXAMPLES INCLUDE THE ELDERLY, SUBSTANCE ABUSERS, VICTIMS OF CHILD ABUSE, AND THE DISABLED. THEY ALSO INCLUDE THE COST OF HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND THE UNREIMBURSED COST OF MEDICAL TRAINING, WHICH BENEFIT THE BROADER COMMUNITY. IN ADDITION TO THE ABOVE, THE MEDICAL CENTER PROVIDES A WIDE RANGE OF COMMUNITY BENEFITS INCLUDING COORDINATION OF CHARITABLE ACTIVITIES BY THE MEDICAL CENTER STAFF AND PROVIDING MEDICAL CENTER SPACE FOR COMMUNITY GROUPS THAT CANNOT BE QUANTIFIED. SIGNIFICANT PROGRAM SERVICE ACHIEVEMENTS: DAYS OF ACUTE PATIENT CARE (INCLUDING NURSERY) 98,488 DAYS OF SKILLED NURSING CARE 39,389 BIRTHS 2,798 OPEN HEART PROCEDURES 400 SURGERIES 12,726 EMERGENCY ROOM VISITS 60,278 AMBULANCE RUNS 24,513
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 WHICH USES AN INDEPENDENT CONSULTANT 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 (26,584,248) CHANGE IN BENEFICIAL INTEREST IN PERP TRUST ( 220,251) ----------- TOTAL (26,804,499)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MEDICAL CENTER PHARMACY OF BOWLING GREEN
800 PARK STREET	BOWLING GREEN	KY	42101	061778164	PHARMACY	KY	$7,232,059	$3,426,275	NA
MEDICAL CENTER EMS LLC
800 PARK STREET	BOWLING GREEN	KY	42101	562332847	EMERG MED SVC	KY	$7,332,950	$1,276,675	NA
ENSPIRE QUALITY PARTNERS LLC
800 PARK STREET	BOWLING GREEN	KY	42101	464379627	PHYSICIAN SVC	KY	$1,177,857	$70,871	NA

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MEDICAL PLAZA PARTNERS LTD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 PARK STREET	AddressLine1Txt
City	BOWLING GREEN	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	42101	ZIPCd

Field	Value	IRS element (for citing)
EIN	611080340	EIN
Primary Activities	REAL ESTATE	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	EXCLUDED	PredominantIncomeTypeTxt
Share Of Total Income	$266,343	ShareOfTotalIncomeAmt
Share Of EOY Assets	$636,719	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.91260	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (true)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd