2020-02-11T16:09:40-06:00 2019-03-31 BKD LLP 3102 WEST END AVENUE SUITE 1050 NASHVILLE TN 372031301 990 2018-04-01 311118087 COMMONWEALTH HEALTH CORPORATION INC % JENNY GREENWELL COMM 2707451500 800 PARK STREET BOWLING GREEN KY 42101 RONALD G SOWELL EVP - CFO 2707451500 2020-02-10 true JESSICA FREEMAN P01261457 6159883600 167.68.126.162 62536020200425000004 2020-02-11 P D96EEA1EFD704BF3A6FD0CFD465A7C805E74B28F D96EEA1EFD704BF3A6FD0CFD465A7C805E74B28F 2018 2020-09-23 17:36:50Z X CONNIE D SMITH 800 PARK STREET BOWLING GREEN KY 42101 129248554 false X HTTPS://MEDCENTERHEALTH.ORG X 1984 KY COMMONWEALTH HEALTH CORPORATION'S MISSION IS TO CARE FOR PEOPLE AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. 15 13 862 0 5946112 1435431 490159 481675 91526439 104516019 2067041 2638625 5390227 1313387 99473866 108949706 857080 858431 0 0 65285398 74861552 0 0 0 27692626 29282573 93835104 105002556 5638762 3947150 68764427 105472534 28444569 33044212 40319858 72428322 X COMMONWEALTH HEALTH CORPORATION'S MISSION IS TO CARE FOR PEOPLE AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. false false 51968983 52398029 THE CORPORATION PROMOTES HEALTHCARE IN SOUTH CENTRAL KENTUCKY BY OWNING AND MANAGING PHYSICIAN PRACTICES AND IMMEDIATE CARE CLINICS. THE PHYSICIAN PRACTICES COVER A WIDE RANGE OF MEDICAL SPECIALTIES, INCLDUING ORTHOPAEDIC, VASCULAR, AND CARDIOTHORACIC SURGERY, OTORHIOLARYNGOLOGY (ENT), NEUROLOGY, HOSPITALISTS, OBSTETRICS, GYNECOLOGY, PSYCHIARTY, GENERAL SURGERY, NEUROSURGERY, BARIACTRIC SURGERY, HEMOTOLOGY & ONCOLOGY, INFECTION DISEASE, INTERNAL MEDICINE AND GENERAL MEDICINE. 17784270 858431 38477078 CHC HAS BEEN DETERMINED TO BE A PUBLIC 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. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 8093588 13640912 THE CORPORATION PROMOTES HEALTHCARE IN SOUTH CENTRAL KENTUCKY BY OPERATING A COMPREHENSIVE REHABILITATION FACILITY WHICH OFFERS PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY. IN ADDITION, THE CORPORATION PROVIDES STAFFING FOR THERAPY SERVICES IN A RELATED HOME HEALTH AGENCY, TWO ACUTE CARE HOSPITALS, THREE CRITICAL ACCESS HOSPITALS, A LONG-TERM ACUTE CARE HOSPITAL, AND ONE NURSING CARE FACILITY. 77846841 true true false false false false false false false false true true false false true false false true false false false false false false false false false true true true false false false false false false false false false false false false true true true true false false true 280 0 true 862 true true true false false false false false false false false false false false X 15 13 false false false false false false false true true false false true true true true true true true true true true KY X JENNY GREENWELL 2707451500 800 PARK STREET BOWLING GREEN KY 42101 MR JOE NATCHER CHAIRMAN 2.0 6.0 X X 0 0 0 MRS CATHY BISHOP VICE CHAIR 2.0 2.0 X X 0 0 0 DR ELI JACKSON SECRETARY 2.0 2.0 X X 0 0 0 MRS BEVERLY BOREN DIRECTOR 2.0 2.0 X 0 0 0 JUDGE MICHAEL BUCHANON DIRECTOR 2.0 0.0 X 0 0 0 JUDGE WILLIAM FUQUA DIRECTOR 2.0 2.0 X 0 0 0 MR DOUG GORMAN DIRECTOR 2.0 0.0 X 0 0 0 MR TOMMY HOLDERFIELD DIRECTOR 2.0 4.0 X 0 0 0 MR TOMMY LOVING DIRECTOR 2.0 4.0 X 0 0 0 MR BRAD ODIL DIRECTOR 2.0 2.0 X 0 0 0 DR JACKIE POPE-TARRENCE DIRECTOR 2.0 2.0 X 0 0 0 DR KAL SAHETYA DIRECTOR 2.0 2.0 X 0 0 0 DR HUGH SIMS DIRECTOR 40.0 0.0 X 401076 0 34026 MR TONY WITTY DIRECTOR 2.0 2.0 X 0 0 0 MRS CONNIE SMITH PRESIDENT - CEO 40.0 12.0 X X 982573 0 10582 MR RONALD G SOWELL EXECUTIVE VICE PRESIDENT - CFO 40.0 10.0 X 578926 0 10229 MS BARBARA JEAN CHERRY EXECUTIVE VICE PRESIDENT 45.0 5.0 X 550237 0 11257 DR JILL PAYNE EXECUTIVE VICE PRESIDENT - CNO 42.0 8.0 X 276719 0 23843 MR WADE STONE EXECUTIVE VICE PRESIDENT 44.0 6.0 X 326826 0 26678 MR ERIC HAGAN PART YEAR EXECUTIVE VP 25.0 25.0 X 273224 0 21916 DR NARENDA NATHOO PHYSICIAN 40.0 0.0 X 978757 0 37045 DR PAUL M MOORE CARDIOVASCULAR SURGEON 40.0 0.0 X 767163 0 30067 DR WALLACE CARTER CARDIOVASCULAR SURGEON 40.0 0.0 X 766842 0 30905 DR ONYEOZIRI NWANGUMA PHYSICIAN 40.0 0.0 X 746748 0 36517 DR TRACY CROSS PHYSICIAN 40.0 0.0 X 679221 0 38805 7328312 0 311870 130 false true false KENTUCKY MEDICAL SERVICES PO BOX 587 LEXINGTON KY 405860587 PHYSICIAN SERVICES 3221493 HOY P HODGES PO BOX 1865 BOWLING GREEN KY 42102 ATTORNEY SERVICES 1188302 BOTTOM LINE SYSTEMS INC 541 BUTTERMILK PIKE SUITE 401 CRESCENT SPRINGS KY 41017 PROFESSIONAL FEES 980534 ERX LLC 9724 KINGSTON PIKE SUITE 1300 KNOXVILLE TN 37922 ER PHYSICIAN SERVICE 935108 CORE CREATIVE INC 600 W VIRGINIA ST SUITE 700 MILWAUKEE WI 53204 PROFESSIONAL FEES 521619 23 481675 0 481675 PHYSICIAN SERVICES 621110 52398029 52398029 REHABILITATIVE SERVICES 624310 13640912 13640912 ADMINISTRATIVE PROGRAMS 561000 38477078 32530966 5946112 104516019 2240664 2240664 0 0 299640 119261 180379 0 180379 180379 20577548 20179587 397961 397961 397961 0 0 0 0 0 0 0 0 0 CONTRACT LABOR 900099 867926 867926 OTHER INCOME 900099 265082 265082 1133008 108949706 98569907 5946112 3952012 X 836427 836427 22004 22004 0 0 3528110 2538225 989885 0 56582987 41487527 15095460 3714859 2047949 1666910 7518622 4794072 2724550 3516974 2486666 1030308 0 393006 239880 153126 448765 13326 435439 0 0 0 16854717 13942339 2912378 949393 360462 588931 2252815 1679164 573651 517678 407704 109974 0 2257869 1811547 446322 422296 271869 150427 0 0 0 0 692916 573116 119800 1039412 948176 91236 BAD DEBT 1668150 1663001 5149 MEDICAL SUPPLIES 1613452 1613452 TAXES AND LICENSES 84682 82519 2163 DUES 79649 27416 52233 7773 7773 105002556 77846841 27155715 0 7193283 7962339 30864942 58082744 860717 887668 5619643 7161214 0 0 0 0 7696552 13890603 9370 20559 433365 735351 19469033 11198296 8811018 8270737 0 0 4898487 6084271 0 0 0 0 2377050 2377048 68764427 105472534 20540978 29479805 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7903591 3564407 28444569 33044212 X 40319858 72428322 0 0 0 0 40319858 72428322 68764427 105472534 X 3947150 11144 28150170 X false true X true false X 439525 502537 489894 490159 481675 2403790 58368383 64842891 72809655 85682673 98569907 380273509 0 0 0 58807908 65345428 73299549 86172832 99051582 382677299 0 0 0 382677299 1219336 1485933 1721794 2006287 2540304 8973654 2021738 1789183 1293650 1100068 1133991 7338630 3241074 3275116 3015444 3106355 3674295 16312284 0 5321664 1133008 6454672 62048982 68620544 76314993 94600851 103858885 405444255 0.94385 0.93770 0.04023 0.04770 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1989966 1989966 0 7571591 3016709 4554882 0 9772024 8080012 1692012 0 135452 101575 33877 8270737 0 0 PAYABLE TO AFFILIATES 2363774 RETIREMENT PLAN PAYABLE 1200633 3564407 108815029 11144 11144 108803885 145821 145821 108949706 104856739 -145817 -145817 105002556 105002556 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 FIN48 (ASC 740). MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. PART XI, LINE 4B: ------------------- RENTAL EXPENSE SHOWN NET OF REVENUE PER TAX RETURN ($119,261) RECLASS OF TAX REFUND 265,082 ---------- TOTAL TO SCHEDULE D, PART XI, LINE 4B $145,821 PART XII, LINE 2D: ------------------- RENTAL EXPENSE SHOWN NET OF REVENUE PER TAX RETURN $ 119,261 RECLASS OF TAX REFUND ( 265,082 ) ROUNDING 4 ------------ TOTAL TO SCHEDULE D, PART XII, LINE 2D $( 145,817 ) true COMMONWEALTH HEALTH FREE CLINIC 800 PARK STREET BOWLING GREEN KY 42101 611292739 501(C)(3) 499992 GENERAL SUPPORT COMMONWEALTH HEALTH FOUNDATION 800 PARK STREET BOWLING GREEN KY 42101 611362000 501(C)(3) 335260 GENERAL SUPPORT 2 HERBERT A OLDHAM SCHOLARSHIP 1 11002 FLOYD ELLIS SCHOLARSHIP 2 11002 SCHEDULE I, PART I, LINE 2 ----------------------------- COMMONWEALTH HEALTH CORPORATION, INC. (CHC) IS FREQUENTLY ASKED TO CONTRIBUTE TO A VARIETY OF ORGANIZATIONS AND FUNDRAISING PROJECTS. CHC WAS ESTABLISHED TO SUPPORT THE HEALTHCARE MISSIONS OF THE BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION AND OTHER NON-PROFIT AFFILIATES OF CHC. IT IS CHC'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. X X X X X false true false false false false false false false DR HUGH SIMS DIRECTOR 397216 0 0 0 3860 0 6000 0 28026 0 435102 0 0 0 MRS CONNIE SMITH PRESIDENT - CEO 780056 0 0 0 202517 0 0 0 10582 0 993155 0 0 0 MR RONALD G SOWELL EXECUTIVE VICE PRESIDENT - CFO 464048 0 0 0 114878 0 0 0 10229 0 589155 0 0 0 MS BARBARA JEAN CHERRY EXECUTIVE VICE PRESIDENT 463548 0 0 0 86689 0 0 0 11257 0 561494 0 0 0 DR JILL PAYNE EXECUTIVE VICE PRESIDENT - CNO 271815 0 0 0 4904 0 4143 0 19700 0 300562 0 0 0 MR WADE STONE EXECUTIVE VICE PRESIDENT 324549 0 0 0 2277 0 0 0 26678 0 353504 0 0 0 DR NARENDA NATHOO PHYSICIAN 976217 0 0 0 2540 0 8250 0 28795 0 1015802 0 0 0 DR PAUL M MOORE CARDIOVASCULAR SURGEON 763303 0 0 0 3860 0 0 0 30067 0 797230 0 0 0 DR WALLACE CARTER CARDIOVASCULAR SURGEON 761464 0 0 0 5378 0 0 0 30905 0 797747 0 0 0 DR ONYEOZIRI NWANGUMA PHYSICIAN 744208 0 0 0 2540 0 8250 0 28267 0 783265 0 0 0 DR TRACY CROSS PHYSICIAN 676681 0 0 0 2540 0 8250 0 30555 0 718026 0 0 0 MR ERIC HAGAN PART YEAR EXECUTIVE VP 260649 0 0 0 12575 0 0 0 21916 0 295140 0 0 0 SCHEDULE J, PART I, LINE 4B: ------------------------------- CERTAIN EXECUTIVES OF COMMONWEALTH HEALTH CORPORATION PARTICIPATED IN A SUPPLEMENTAL RETIREMENT PLAN. THE CURRENT YEAR INCREASE IN THE ACCRUED BENEFIT, AS ACTUARIALLY DETERMINED, IS REPORTED AS COMPENSATION. THE FOLLOWING ARE THE INDIVIDUALS PARTICIPATING IN THE PLAN AND THE CURRENT YEAR INCREASES REPORTED AS COMPENSATION: CONNIE SMITH $189,846 RONALD SOWELL $ 93,669 JEAN CHERRY $ 74,027 FORM 990, PART III, LINE 4B PROGRAM SERVICE ACCOMPLISHMENTS -------------------------------- CHC IS A HOLDING COMPANY FOR A TOTAL OF TWELVE NONPROFIT AND FOR-PROFIT CORPORATIONS AND PARTNERSHIPS (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 CLINTON COUNTY, INC., (5) COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, INC. AND (6) VARIOUS NONPROFIT AND FOR-PROFIT CORPORATIONS AND PARTNERSHIPS. CHC OWNS AND OPERATES SEVERAL PHYSICIAN PRACTICES EMPLOYING GENERAL PRACTITIONERS, A BARIATRIC SURGEON, CARDIAC SURGEONS, VASCULAR SURGEONS, NEUROSURGEONS, OBSTETRIC/GYNECOLOGISTS, ONCOLOGISTS, RADIATION ONCOLOGIST, GENERAL SURGEON, PLASTIC AND RECONSTRUCTIVE SURGEON, INTERNAL MEDICINE PHYSICIANS, NEUROLOGIST, HOSPITALISTS, INFECTIOUS DISEASE AND TRAVEL MEDICINE PHYSICIANS, OTOLARYNGOLOGISTS, ORTHOPAEDISTS AND PSYCHIATRISTS. 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, CHCS WHOLLY-OWNED CENTER CARE HEALTH BENEFITS PROGRAM ("CENTER CARE"), A PREFERRED PROVIDER ORGANIZATION (PPO), HAS ASSISTED EMPLOYERS AND PAYORS 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 SOLUTION 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 OUTPATIENT REHABILITATION THERAPY SERVICES. BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION: THE BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION IS A NON-STOCK, NONPROFIT KENTUCKY CORPORATION THAT OPERATES A HOSPITAL FACILITY IN BOWLING GREEN, KENTUCKY, UNDER THE NAME "THE MEDICAL CENTER"THE MEDICAL CENTER AT BOWLING GREENSINCE 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, WITH 333 BEDS IN USE. 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. TODAY, THE CAMPUS INCLUDES 56 ACRES AND THE BUILDINGS ON THE CAMPUS CONTAIN A TOTAL OF APPROXIMATELY 462,000 SQUARE FEET OF SPACE. IN ADDITION, THE HOSPITAL OPERATES THE WHOLLY-OWNED MEDICAL CENTER PHARMACY OF BOWLING GREEN, LLC AND THE MEDICAL CENTER EMS, LLC WHICH PROVIDES THE ONLY EMERGENCY MEDICAL SERVICE IN WARREN COUNTY. THE HOSPITAL IS ALSO A 50% PARTNER WITH ANOTHER NON-PROFIT 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 IS COMPRISED OF A 25-BED MEDICARE DESIGNATED CRITICAL ACCESS HOSPITAL AND 110 NURSING CARE BEDS. THESE BEDS ARE LOCATED IN AN APPROXIMATELY 85,000 SQUARE FOOT BUILDING ON APPROXIMATELY 13 ACRES OF LAND IN ALLEN COUNTY, NEAR SCOTTSVILLE, KENTUCKY. THE MEDICAL CENTER AT CAVERNA: ON JANUARY 1, 2016, THE BOWLING GREEN - WARREN COUNTY COMMUNITY HOSPITAL CORPORATION (THE MEDICAL CENTER) ACQUIRED ALL THE ASSETS OF CAVERNA MEMORIAL HOSPITAL, INC. (CAVERNA) IN EXCHANGE FOR ASSUMPTION OF ALL THE LIABILITIES OF CAVERNA, AND PAYOFF OF THE LONG-TERM DEBT OF CAVERNA IN THE AMOUNT OF $4,786,512. THIS FACILITY OPERATES AS A 25-BED MEDICARE DESIGNATED CRITICAL ACCESS HOSPITAL AND IS LOCATED IN HORSE CAVE, KENTUCKY. COMMONWEALTH HEALTH FREE CLINIC, INC.: COMMONWEALTH HEALTH FREE CLINIC, INC. ("FREE CLINIC") IS A SECTION 501(C)(3) ORGANIZATION THAT 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, DENISTRY, COMMUNITY HEALTH EDUCATION AND COUNSELING, DISEASED/CONDITION SPECIFIC EDUCATION AND COUNSELING, AND ACCESS TO PHARMACEUTICALS. COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, INC.: COMMONWEALTH REGIONAL SPECIALTY HOSPTIAL IS A LONG-TERM ACUTE CARE HOSPITAL THAT OPERATES AS A HOSPITAL WITHIN A HOSPITAL BY LEASING 28 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. 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., AND 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 AND SURROUNDING COUNTIES IN KENTUCKY. COMMONWEALTH HEALTH FOUNDATION: IN ADDITION, 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 CFO OF THE MEDICAL CENTER SERVE AS EX OFFICO DIRECTORS OF THE FOUNDATION. 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. FULFILLING THE MISSION: COMMONWEALTH HEALTH CORPORATION ("CHC") WORKS TO FULFILL ITS MISSION OF CARING FOR PEOPLE AND IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES. IN FULFILLING THE MISSION, CHC DIRECTLY OR INDIRECTLY SPONSORS OR PARTICIPATES IN THE FOLLOWING ACTIVITIES: FORM 990, PART III, LINE 4B (CONT): OVERVIEW OF SPECIFIC COMMUNITY BENEFIT ACTIVITIES: THE COMMONWEALTH HEALTH FREE CLINIC, INC. ("FREE CLINIC") IS A SECTION 501(C)(3) ORGANIZATION THAT 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, DENISTRY, COMMUNITY HEALTH EDUCATION AND COUNSELING, DISEASE/CONDITION SPECIFIC EDUCATION AND COUNSELING, AND ACCESS TO PHARMACEUTICALS. IN ADDITION TO THE FREE CLINIC'S SERVICES, FROM THE BEGINNING, CHC AND THE MEDICAL CENTER MADE A COMMITMENT TO BE NOT ONLY AN EXCELLENT MEDICAL FACILITY BUT ALSO THE PREEMINENT RESOURCE FOR HEALTH CARE INFORMATION IN WESTERN AND SOUTH CENTRAL KENTUCKY. THIS PHILOSOPHY GAVE BIRTH TO THE MEDICAL CENTER'S COMMUNITY WELLNESS PROGRAM. THIS PROGRAM PROVIDES FREE EDUCATIONAL PROGRAMS TO THE COMMUNITY AND WORK SITES ON PREVENTION, WELLNESS, HEALTH, LIFESTYLE, AND DISEASE MANAGEMENT. CHC AND THE MEDICAL CENTER SPONSOR THE HEALTH AND WELLNESS CENTER ("CENTER"). THE CENTER PROVIDES FREE HEALTH EDUCATION SERVICES TO THE COMMUNITY AND IS STAFFED BY REGISTERED NURSES WHO ANSWER QUESTIONS, ASSIST WITH FREE HEALTH SCREENINGS AND COORDINATE OTHER ACTIVITIES. EACH MONTH THE CENTER FEATURES A DIFFERENT FREE SCREENING SUCH AS CHOLESTEROL, GLUCOSE, DEPRESSION, HEARING, OR PULMONARY FUNCTION. PRESENTATIONS AND PROGRAMS ARE PROVIDED DURING THE WEEK BY A VARIETY OF HEALTHCARE PROVIDERS. SUPPORT GROUPS ALSO MEET AT THE CENTER. ANNUALLY, CHC AND ITS CORPORATE AFFILIATES PROMOTE PARTICIPATION IN THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE PROGRAM AND THE AMERICAN HEATH ASSOICATION'S HEART WALK. IN ADDITION, CHC AND THE MEDICAL CENTER ENCOURAGES PHYSICAL ACTIVITY BY SPONSORING THE MEDICAL CENTER 10K CLASSIC AND CHILDREN'S CLASSIC, EVENTS WHICH COMBINE SEPARATE ACTIVITIES FOR THOSE WHO WANT TO WALK OR RUN COMPETITIVELY. ANNUALLY OVER 2,000 INDIVIDUALS PARTICIPATE IN THE 10K AND THE CHILDREN'S CLASSIC EVENTS. ANNUALLY, CHC AND THE MEDICAL CENTER SPONSOR A COMMUNITY-WIDE HEALTH AND WELLNESS EXPO AT A LOCAL CONVENTION CENTER. THIS EVENT PROVIDES VARIOUS HEALTH SCREENINGS AND OFFERS CITIZENS CONCENTRATED ACCESS TO BOTH INFORMATION REGARDING MANY COMMUNITY HEALTHCARE RESOURCES AND TO THE STAFF WHO WORK WITH THESE COMMUNITY HEALTHCARE AGENCIES. CHC AND THE MEDICAL CENTER'S SENIOR HEALTH CARE NETWORK PROVIDE WEEKLY EXERCISE PROGRAMS TO MEET THE SPECIFIC NEEDS OF PEOPLE OVER 55. AS A COMPLEMENT TO MEMBERS REGULAR VISITS TO THEIR PERSONAL PHYSICIAN, ANNUALLY MEMBERS CAN RECEIVE FREE HEALTH SCREENINGS OF BLOOD PRESSURE, BLOOD SUGAR LEVELS, LIPID PROFILE AND MORE. IN ADDITION, MEMBERS RECEIVE A QUARTERLY NEWSLETTER TO HELP STAY ABREAST OF HEALTHCARE ISSUES AND INFORMED OF UPCOMING SPECIAL EVENTS. CHC AND THE MEDICAL CENTER SPONSOR THE WOMEN'S CENTER WHICH PROVIDES FOR THE SPECIAL NEEDS OF WOMEN INCLUDING HEALTHCARE SERVICES, PERSONAL EDUCATION ON SELF-EXAMINATIONS, EXERCISE AND NUTRITION, A LUNCHEON SERVICE ON WOMEN'S HEALTH AND PROFESSIONAL CONCERNS, AND A NEWSLETTER. IN ADDITION, CHC AND THE MEDICAL CENTER SPONSOR THE MEN'S HEALTH ALLIANCE WHICH OFFERS MEMBERS A VARIETY OF HEALTH-RELATED BENEFITS INCLUDING ANNUAL HEALTH SCREENINGS. WITH THE SUPPORT OF CHC, THE MEDICAL CENTER IS WELL EQUIPPED FOR ORTHOPAEDIC SURGERY, NEUROSURGERY AND THE MOST COMMON CARDIAC PROBLEMS INCLUDING THE ABILITY TO PERFORM CARDIAC CATHETERIZATIONS, OPEN HEART SURGERY AND TO PROVIDE CARDIAC REHABILITATION. THE MEDICAL CENTER ALSO OFFERS CHEMOTHERAPY AND DIAGNOSTIC RADIOGRAPHY FOR CANCER SCREENING AND TREATMENT. OTHER SERVICES THAT CAN BE PROVIDED ON AN OUTPATIENT BASIS INCLUDE: EEG/EMG, EKG, ENDOSCOPY, IV THERAPY, DIGITAL MAMMOGRAPHY, NUCLEAR MEDICINE, PHYSICAL THERAPY, RADIOLOGY (CT. ULTRASOUND), RESPIRATORY THERAPY, AND VASCULAR STUDIES. CHC'S CONTRIBUTION TO OUR COMMUNITIES DISPLAYED BELOW IS A DETAILED LIST OF HOW OVER $116 MILLION IN BENEFITS WERE PROVIDED DIRECTLY TO THE COMMUNITY BY COMMONWEALTH HEALTH CORPORATIONS AND ITS AFFILIATES INCLUDING: THE MEDICAL CENTER (BOWLING GREEN, CAVERNA, AND SCOTTSVILLE CAMPUSES), THE MEDICAL CENTER AT FRANKLIN, THE MEDICAL CENTER AT ALBANY, COMMONWEALTH HEALTH FREE CLINIC, AND COMMONWEALTH REGIONAL SPECIALTY HOSPITAL: FINANCIAL ASSISTANCE (FREE OR DISCOUNTED CARE FOR UNINSURED PEOPLE WHOSE INCOMES MET CERTAIN POVERTY GUIDELINES): $ 7,260,511 UNPAID COST OF MEDICAID/MEDICARE: $ 73,981,780 COMMUNITY HEALTH SERVICES (INCLUDING FREE COMMUNITY HEALTH FAIRS, SCREENINGS, COMMUNITY HEALTH EDUCATION CLASSES, AND HEALTH AND WELLNESS PROJECTS): $ 5,612,800 HEALTH PROFESSIONAL EDUCATION: $ 7,725,066 SUBSIDIZED HEALTH SERVICES (INCLUDES EMERGENCY CARE AND BEHAVIORAL HEALTH SERVICES FOR WHICH REIMBURSEMENTS DO NOT COVER THE FULL COST AND KENTUCKY PROVIDER TAX TO FUND CARE): $ 4,907,699 FINANCIAL AND IN-KIND CONTRIBUTIONS: $ 154,082 COMMUNITY BUILDING ACTIVITIES: $ 664,722 BAD DEBT (SERVICES PROVIDED IN WHICH PAYMENT IS EXPECTED BUT NEVER RECEIVED, STATED AT COST*): $ 16,641,699 TOTAL CHARITY CARE AND OTHER BENEFITS: $116,948,359 *AMOUNT INCLUDES THE BAD DEBT BALANCES OF A 50% OWNED ENTITY THAT WAS NOT CONSOLIDATED IN THE CORPORATION'S CONSOLIDATED FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION B, LINE 11B: ---------------------------------------- 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: ---------------------------------------- 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 POLICY INTEREST. FURTHER, IT REQUIRES DISCLOSURE OF ANY POTENTIAL 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. CHCS 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 15: --------------------------------------- COMMONWEALTH HEALTH CORPORATION USES INDEPENDENT CONSULTANTS TO ANNUALLY REVIEW COMPENSATION OF EMPLOYEE OFFICERS. 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: --------------------------------------- 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: --------------------------- PREMIER DISTRIBUTION TO BGWCCHC $ 625,748 TRANSFER FROM MED CENTER FRANKLIN $ 27,524,422 --------------- $ 28,150,170 FORM 990, PART XII, LINE 2C: ------------------------------ THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:169201 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:3822089 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING FEES TOTAL FEES:1871218 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT FEES TOTAL FEES:10992209 BLUEGRASS OUTPATIENT CTR BOWLING GREEN 800 PARK STREET BOWLING GREEN KY 42101 263564003 OUTPATIENT KY 391843 1523440 NA BOWLING GREEN WARREN CTY COMM HOSP CORP 800 PARK STREET BOWLING GREEN KY 42101 610920842 HOSPITAL KY 501(C)(3) 3 CHC INC true THE MEDICAL CENTER AT FRANKLIN 800 PARK STREET BOWLING GREEN KY 42101 611362001 HOSPITAL KY 501(C)(3) 3 CHC INC true COMMONWEALTH REGIONAL SPECIALTY HOSPITAL 800 PARK STREET BOWLING GREEN KY 42101 542142034 HOSPITAL KY 501(C)(3) 3 CHC INC true COMMONWEALTH HEALTH FREE CLINIC 800 PARK STREET BOWLING GREEN KY 42101 611292739 HEALTH CARE KY 501(C)(3) 3 CHC INC true COMMONWEALTH HEALTH FOUNDATION INC 800 PARK STREET BOWLING GREEN KY 42101 611362000 SUPPORT KY 501(C)(3) 7 CHC INC true THE MEDICAL CENTER AT ALBANY 800 PARK STREET BOWLING GREEN KY 42101 811312058 HOSPITAL KY 501(C)(3) 3 CHC INC true MEDICAL PLAZA PARTNERS 800 PARK STREET BOWLING GREEN KY 42101 611080340 REAL ESTATE KY NA NONE 0 0 false 0 false false true true true false false false false false true true false true true true true true true true BOWLING GREEN WARREN CTY COMM HOSP CORP S 625749 CASH AND FMV BOWLING GREEN WARREN CTY COMM HOSP CORP D 6404000 FMV BOWLING GREEN WARREN CTY COMM HOSP CORP P 47700000 FMV COMMONWEALTH HEALTH FOUNDATION B 335260 FMV COMMONWEALTH HEALTH FOUNDATION C 481675 FMV COMMONWEALTH HEALTH FREE CLINIC B 499992 FMV THE MEDICAL CENTER AT FRANKLIN D 525000 FMV THE MEDICAL CENTER AT FRANKLIN P 2752000 FMV COMMONWEALTH REGIONAL SPECIALTY HOSPITAL D 153000 FMV COMMONWEALTH REGIONAL SPECIALTY HOSPITAL P 425000 FMV THE MEDICAL CENTER AT ALBANY D 4280000 FMV THE MEDICAL CENTER AT ALBANY P 1478000 FMV