BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION (EIN 61-0920842)
Tax period: 2023-04-01 to 2024-03-31
Filed: 2025-02-14
IRS object ID: 202520459349301552
Schema version: 2023v6.0
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	2025-02-14T11:48:39+00:00	ReturnTs
Tax Period End	2024-03-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1222 Demonbreun St Suite 950	AddressLine1Txt
City	Nashville	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	372033357	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-04-01	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 HOSPITAL CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BOWL	BusinessNameControlTxt
Phone	2707451551	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	Michelle Lawless	PersonNm
Person Title	EVP - CFO	PersonTitleTxt
Signature	2025-02-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Jeff Smith	PreparerPersonNm
PTIN	P00289876	PTIN
Phone	6154549800	PhoneNum
Preparation	2025-02-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CONNIE D SMITH	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)
Gross Receipts	$788,851,290	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	8	VotingMembersIndependentCnt
Total Employee	2803	TotalEmployeeCnt
Total Volunteers	55	TotalVolunteersCnt
Total Gross UBI	$6,196,268	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$123,452	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,072,908	PYContributionsGrantsAmt
CY Contributions Grants	$317,907	CYContributionsGrantsAmt
PY Program Service Revenue	$518,752,074	PYProgramServiceRevenueAmt
CY Program Service Revenue	$608,724,904	CYProgramServiceRevenueAmt
PY Investment Income	-$24,603,564	PYInvestmentIncomeAmt
CY Investment Income	$12,501,806	CYInvestmentIncomeAmt
PY Other Revenue	$12,742,406	PYOtherRevenueAmt
CY Other Revenue	$16,139,936	CYOtherRevenueAmt
PY Total Revenue	$507,963,824	PYTotalRevenueAmt
CY Total Revenue	$637,684,553	CYTotalRevenueAmt
PY Grants And Similar Paid	$16,668	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$14,900	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$179,127,231	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$199,055,752	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$299,410,411	PYOtherExpensesAmt
CY Other Expenses	$339,038,659	CYOtherExpensesAmt
PY Total Expenses	$478,554,310	PYTotalExpensesAmt
CY Total Expenses	$538,109,311	CYTotalExpensesAmt
PY Revenues Less Expenses	$29,409,514	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$99,575,242	CYRevenuesLessExpensesAmt
Total Assets BOY	$782,228,904	TotalAssetsBOYAmt
Total Assets EOY	$1,101,394,731	TotalAssetsEOYAmt
Total Liabilities BOY	$156,326,493	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$323,954,802	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$625,902,411	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$777,439,929	NetAssetsOrFundBalancesEOYAmt
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	$274,715,912	ExpenseAmt
Revenue	$341,714,882	RevenueAmt
Desc	OUTPATIENT SERVICES: THE HOSPITAL SERVES THE COMMUNITY BY PROVIDING CERTAIN OUTPATIENT SERVICES, INCLUDING AN EMERGENCY DEPARTMENT, BY OR UNDER THE SUPERVISION OF PHYSICIANS, DIAGNOSTIC AND THERAPEUTIC SERVICES FOR MEDICAL DIAGNOSIS, TREATMENT, CARE, OR REHABILITATION OF INJURED, DISABLED, OR SICK PERSONS. THE HOSPITAL HAS BEEN PROVIDING HIGH-QUALITY HEALTHCARE SERVICES TO THE AREA SINCE 1926. SEE SCHEDULE O FOR MORE DETAIL OF SERVICES THE HOSPITAL PROVIDES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$214,149,895	ExpenseAmt
Grant	$14,900	GrantAmt
Revenue	$278,959,104	RevenueAmt
Desc	INPATIENT SERVICES: THE HOSPITAL IS A 337-BED ACUTE CARE HOSPITAL ENGAGED IN PROVIDING SERVICES TO INPATIENTS, BY OR UNDER THE SUPERVISION OF PHYSICIANS, DIAGNOSTIC, AND THERAPEUTIC SERVICES FOR MEDICAL DIAGNOSIS, TREATMENT, CARE, OR REHABILITATION OF INJURED, DISABLED, OR SICK PERSONS. SEE SCHEDULE O FOR MORE DETAIL OF SERVICES THE HOSPITAL PROVIDES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$488,865,807	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
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	false	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	Yes (true)	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	231	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2803	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	Yes (true)	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	8	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	Yes (true)	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	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	2707451551	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 (22 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
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 CONNIE D SMITH
PRESIDENT / CEO	2.0	52.0	Yes (X)	Yes (X)	$0	$1,317,162	$119,091
DR DONNA BLACKBURN
DIRECTOR	2.0	4.0	Yes (X)		$0	$0	$0
DR DOUG THOMSON
DIRECTOR / PHYSICIAN	2.0	0.0	Yes (X)		$750	$0	$0
DR JACKIE POPE-TARRENCE
DIRECTOR	2.0	2.0	Yes (X)		$7,415	$0	$0
DR MOHAMMED KAZIMUDDIN
DIRECTOR / PHYSICIAN	2.0	0.0	Yes (X)		$0	$0	$0
DR WILLIAM MOSS
DIRECTOR / PHYSICIAN	40.0	0.0	Yes (X)		$352,975	$0	$46,443
MR TOMMY LOVING
DIRECTOR	2.0	4.0	Yes (X)		$0	$0	$0
MRS CATHY BISHOP
DIRECTOR	2.0	4.0	Yes (X)		$0	$0	$0
MS JANET JOHNSON
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
MR DAVID GRAY
EXECUTIVE VICE PRESIDENT	2.0	50.0		Yes (X)	$0	$427,268	$92,783
MR WADE STONE
EXECUTIVE VICE PRESIDENT	2.0	50.0		Yes (X)	$0	$438,705	$61,739
MRS MICHELE W LAWLESS
EXECUTIVE VICE PRESIDENT / CFO	2.0	50.0		Yes (X)	$0	$481,930	$47,348
MS KATRINA WOOD
EVP/CHIEF NURSING OFFICER	50.0	2.0		Yes (X)	$258,853	$0	$37,153
MR ERIC HAGAN
VP OF RURAL HOSPITALS	28.0	12.0			$215,657	$92,425	$21,317	Yes (X)
DR CATRINIA DRUEN
PHYSICIAN	40.0	0.0			$428,852	$0	$18,235		Yes (X)
DR JOSEPH GRAU
PHYSICIAN	40.0	0.0			$363,582	$0	$20,476		Yes (X)
DR Michael Lang
Physician	40.0	0.0			$371,131	$0	$32,297		Yes (X)
DR SHAFIA RUBEEN
PHYSICIAN	40.0	0.0			$373,478	$0	$32,559		Yes (X)
DR SWARANJIT CHANI
PHYSICIAN	40.0	0.0			$430,402	$0	$25,116		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,803,095	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,757,490	TotReportableCompRltdOrgAmt
Total Other Compensation	$554,557	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	241	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
QUALIVIS LLC
PO Box 674913	DALLAS	TX	752674913	STAFFING SERVICES	$17,718,037
TMX HEALTHCARE TECHNOLOGIES LLC
PO BOX 636129	CINCINNATI	OH	45263	BIOMED EQUIP REPAIR	$8,134,776
UNIVERSITY OF KENTUCKY
2355 HUGUENARD DR SUITE 201A	LEXINGTON	KY	40503	GRAD MEDICAL EDUC	$6,707,701
MORRISON MANAGEMENT SPECIALIST INC
PO BOX 102289	ATLANTA	GA	303682289	CAFETERIA SERVICES	$4,350,585
WEHR CONSTRUCTORS INC
2517 Plantside Drive	Louisville	KY	40299	CONSTRUCTION SERVICES	$3,217,732

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	52	CntrctRcvdGreaterThan100KCnt
Related Organizations	$164,266	RelatedOrganizationsAmt
Government Grants	$153,641	GovernmentGrantsAmt
Total Contributions	$317,907	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
INPATIENT SERVICES	621110	$278,934,833	$278,934,833
OUTPATIENT SERVICES	621400	$315,245,021	$315,245,021
RETAIL PHARMACY SALES	446110	$12,142,679	$7,318,473	$4,824,206
MEDICAL EQUIPMENT SALES	453000	$2,313,915	$941,853	$1,372,062
PHYSICIAN PRACTICES	566927	$88,456	$88,456

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$608,724,904	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,174,993	TotalRevenueColumnAmt
Exclusion	$13,174,993	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,022,810	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$6,028,224	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$2,005,414	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,005,414	TotalRevenueColumnAmt
Exclusion	-$2,005,414	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$144,390,326	SecuritiesAmt
Other	$75,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$145,138,513	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$748,187	SecuritiesAmt
Other	$75,000	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$673,187	TotalRevenueColumnAmt
Exclusion	-$673,187	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
GRADUATE MEDICAL EDUCATION RESIDENTS	621500	$8,515,189	$8,515,189
MISCELLANEOUS	621500	$5,068,024	$5,068,024
CAPITATION AND QUALITY PROGRAM	621500	$2,945,853	$2,945,853

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,616,284	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,616,284	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$18,145,350	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$637,684,553	TotalRevenueColumnAmt
Related Or Exempt Func Income	$620,673,986	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,196,268	UnrelatedBusinessRevenueAmt
Exclusion	$10,496,392	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	$3,064	TotalAmt
Program Services	$3,064	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$11,836	TotalAmt
Program Services	$11,836	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$915,956	TotalAmt
Program Services	$381,206	ProgramServicesAmt
Management And General	$534,750	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$154,171,414	TotalAmt
Program Services	$147,198,425	ProgramServicesAmt
Management And General	$6,972,989	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,906,532	TotalAmt
Program Services	$6,567,085	ProgramServicesAmt
Management And General	$339,447	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$25,633,099	TotalAmt
Program Services	$24,373,266	ProgramServicesAmt
Management And General	$1,259,833	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,428,751	TotalAmt
Program Services	$10,871,148	ProgramServicesAmt
Management And General	$557,603	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$17,854,750	TotalAmt
Program Services	$608,350	ProgramServicesAmt
Management And General	$17,246,400	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$794,288	TotalAmt
Program Services	$65,330	ProgramServicesAmt
Management And General	$728,958	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$609,433	TotalAmt
Program Services	$563,319	ProgramServicesAmt
Management And General	$46,114	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$23,315	TotalAmt
Management And General	$23,315	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$793,335	TotalAmt
Management And General	$793,335	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$64,402,463	TotalAmt
Program Services	$64,402,463	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$884,077	TotalAmt
Program Services	$220,691	ProgramServicesAmt
Management And General	$663,386	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$26,493,678	TotalAmt
Program Services	$16,701,913	ProgramServicesAmt
Management And General	$9,791,765	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,531,126	TotalAmt
Program Services	$3,843,904	ProgramServicesAmt
Management And General	$6,687,222	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,909,213	TotalAmt
Program Services	$3,852,735	ProgramServicesAmt
Management And General	$56,478	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,249,795	TotalAmt
Program Services	$1,229,388	ProgramServicesAmt
Management And General	$20,407	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,181,359	TotalAmt
Program Services	$1,181,359	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,797,189	TotalAmt
Program Services	$11,623,409	ProgramServicesAmt
Management And General	$2,173,780	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$12,171,579	TotalAmt
Program Services	$11,455,897	ProgramServicesAmt
Management And General	$715,682	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$127,397,659	$127,397,659
PHYSICIAN PRACTICE EXPENSE	$32,638,147	$32,638,147
TAXES & LICENSES	$21,241,001	$21,216,184	$24,817
Miscellaneous	$2,152,997	$1,545,774	$607,223

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$913,255	TotalAmt
Program Services	$913,255	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$538,109,311	TotalAmt
Program Services	$488,865,807	ProgramServicesAmt
Management And General	$49,243,504	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$50,642,277	BOYAmt
EOY	$72,740,801	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$459,838,872	BOYAmt
EOY	$525,378,618	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$54,524,248	BOYAmt
EOY	$65,095,783	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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$17,480,850	BOYAmt
EOY	$18,791,256	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,709,553	BOYAmt
EOY	$7,734,258	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$488,013,385	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$330,595,946	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$142,010,544	BOYAmt
EOY	$157,417,439	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$11,700,634	BOYAmt
EOY	$209,333,131	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,845,226	BOYAmt
EOY	$1,848,355	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	$32,545,726	BOYAmt
EOY	$38,124,116	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$782,228,904	BOYAmt
EOY	$1,101,394,731	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$46,502,676	BOYAmt
EOY	$53,140,877	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$89,881,337	BOYAmt
EOY	$245,053,539	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)
EOY	$951,772	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,942,480	BOYAmt
EOY	$24,808,614	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$156,326,493	BOYAmt
EOY	$323,954,802	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	$623,760,109	BOYAmt
EOY	$775,124,306	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,142,302	BOYAmt
EOY	$2,315,623	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$625,902,411	BOYAmt
EOY	$777,439,929	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$782,228,904	BOYAmt
EOY	$1,101,394,731	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$99,575,242	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$37,241,184	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$14,721,092	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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)
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	$23,315	OtherActivitiesAmt
Total Lobbying Expenditures	$23,315	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	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 MONITORS AND ADVOCATES ALL REGULAR AND EMERGENCY REGULATIONS, BUDGET ISSUES AND LEGISLATIVE ISSUES, INCLUDING BUT NOT LIMITED TO CERTIFICATE OF NEED, HEALTHCARE POLICY AND MEDICAID. MCCARTHY PROVIDES WEEKLY LEGISLATIVE REPORTS DURING THE LEGISLATIVE SESSIONS AND PROVIDE DAILY NEWS CLIPS ON ISSUES RELATED TO THE HEALTHCARE INDUSTRY. THE TOTAL PAID TO MCCARTHY STRATEGIC SOLUTIONS DURING THE FISCAL YEAR TOTALED $8,322.58 11.9% OF THE DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION REPRESENT LOBBYING EXPENSES. THE LOBBYING PORTION OF DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION DURING THE FISCAL YEAR TOTALED $14,992.77	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$463,075,397	BeginningYearBalanceAmt
Contributions	$63,340,740	ContributionsAmt
Investment Earnings Or Losses	$48,915,803	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,625,488	OtherExpendituresAmt
Administrative Expenses	$889,280	AdministrativeExpensesAmt
End Year Balance	$569,817,172	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$473,151,532	BeginningYearBalanceAmt
Contributions	$78,360,597	ContributionsAmt
Investment Earnings Or Losses	-$16,763,014	InvestmentEarningsOrLossesAmt
Other Expenditures	$70,934,053	OtherExpendituresAmt
Administrative Expenses	$739,665	AdministrativeExpensesAmt
End Year Balance	$463,075,397	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$454,319,398	BeginningYearBalanceAmt
Contributions	$32,775,272	ContributionsAmt
Investment Earnings Or Losses	$1,694,808	InvestmentEarningsOrLossesAmt
Other Expenditures	$14,768,674	OtherExpendituresAmt
Administrative Expenses	$869,272	AdministrativeExpensesAmt
End Year Balance	$473,151,532	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$307,990,745	BeginningYearBalanceAmt
Contributions	$90,848,943	ContributionsAmt
Investment Earnings Or Losses	$56,274,123	InvestmentEarningsOrLossesAmt
Administrative Expenses	$794,413	AdministrativeExpensesAmt
End Year Balance	$454,319,398	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.99	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.01	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
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	$19,460,841	OtherCostOrOtherBasisAmt
Book Value	$19,460,841	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$226,485,607	OtherCostOrOtherBasisAmt
Depreciation	$145,840,743	DepreciationAmt
Book Value	$80,644,864	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$222,687,735	OtherCostOrOtherBasisAmt
Depreciation	$178,480,255	DepreciationAmt
Book Value	$44,207,480	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,379,202	OtherCostOrOtherBasisAmt
Depreciation	$6,274,948	DepreciationAmt
Book Value	$13,104,254	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$157,417,439	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ACCRUED RETIREMENT
DUE TO MEDICARE/MEDICAID	$2,080,225
DUE TO AFFILIATES	$3,409,226
OTHER LT LIABILITIES	$346,403
REFUND LIABILITIES	$5,027,674
LONG-TERM PL/GL LIABILITY	$13,366,254
OTHER SHORT-TERM LIABILITY	$578,832

Field	Value	IRS element (for citing)
Total Liability	$24,808,614	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$680,160,626	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$37,241,184	NetUnrealizedGainsInvstAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$37,241,184	RevenueNotReportedAmt
Revenue Subtotal	$642,919,442	RevenueSubtotalAmt
Investment Expenses Not Incld	$793,335	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$6,028,224	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$5,234,889	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$637,684,553	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$544,112,069	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$6,028,224	OtherExpensesIncludedAmt
Expenses Not Reported	$6,028,224	ExpensesNotReportedAmt
Expenses Subtotal	$538,083,845	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$793,335	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	-$767,869	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$25,466	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$538,109,311	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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.
Schedule D, Part V, Line 4 Intended uses of 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 $568,001,548 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 $164,394,578. PERMANENTLY RESTRICTED NET ASSETS INCLUDED $2,315,623 OF DONOR-RESTRICTED ENDOWMENT FUNDS.
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	RENT EXPENSE NETTED AGAINST REVENUE PER AUDIT - -6028224
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	RENTAL EXPENSES NETTED AGAINST REVENUE PER AUDIT - 6028224
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	Rounding - 48 Other Components of Net Periodic Pension Costs - -767917

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	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
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	3724	PersonsServedCnt
Total Community Benefit Expns	$7,134,080	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,134,080	NetCommunityBenefitExpnsAmt
Total Expense	0.0133	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	3724	PersonsServedCnt
Total Community Benefit Expns	$7,134,080	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,134,080	NetCommunityBenefitExpnsAmt
Total Expense	0.0133	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	260	ActivitiesOrProgramsCnt
Persons Served	21784	PersonsServedCnt
Total Community Benefit Expns	$3,544,716	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,544,716	NetCommunityBenefitExpnsAmt
Total Expense	0.0066	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	484	PersonsServedCnt
Total Community Benefit Expns	$3,315,298	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,315,298	NetCommunityBenefitExpnsAmt
Total Expense	0.0062	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$12,967,964	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,070,278	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,897,686	NetCommunityBenefitExpnsAmt
Total Expense	0.0072	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1002	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$166,924	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$166,924	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1271	ActivitiesOrProgramsCnt
Persons Served	22268	PersonsServedCnt
Total Community Benefit Expns	$19,994,902	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,070,278	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,924,624	NetCommunityBenefitExpnsAmt
Total Expense	0.0203	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1271	ActivitiesOrProgramsCnt
Persons Served	25992	PersonsServedCnt
Total Community Benefit Expns	$27,128,982	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,070,278	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,058,704	NetCommunityBenefitExpnsAmt
Total Expense	0.0336	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$19,715	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,715	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$36,672	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,672	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$44,400	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$44,400	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	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	$100,787	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$100,787	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$26,101,916	BadDebtExpenseAmt
Bad Debt Expense Attributable	$556,338	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$158,441,157	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$198,299,881	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$39,858,724	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	Teaching HospitalTeachingHospitalInd	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://WWW.MEDCENTERHEALTH.ORG/LCOATIONS	100404	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
THE MEDICAL CENTER AT SCOTTSVILLE
2	456 BURNLEY ROAD	SCOTTSVILLE	KY	42164	HTTPS://WWW.MEDCENTERHEALTH.ORG/LOCATIONS	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://WWW.MEDCENTERHEALTH.ORG/LOCATIONS	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	3	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
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://MEDCENTERHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://MEDCENTERHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	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	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	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	HTTPS://MEDCENTERHEALTH.ORG/CFR/BILLING-POLICIES/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://MEDCENTERHEALTH.ORG/CFR/BILLING-POLICIES/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://MEDCENTERHEALTH.ORG/CFR/BILLING-POLICIES/FINANCIAL-ASSISTANCE/	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
Permit No Actions	Yes (X)	PermitNoActionsInd
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
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. IN SEPTEMBER 2011, THE MEDICAL CENTER JOINED WITH THE BARREN RIVER DISTRICT HEALTH DEPARTMENT AND NUMEROUS OTHER HEALTHCARE PROVIDERS, COMMUNITY ORGANIZATIONS AND LEADERS TO FORM THE BARREN RIVER COMMUNITY HEALTH PLANNING COUNCIL. THE GOAL OF THE COUNCIL WAS TO RECOGNIZE AND SERVE THOSE MOST IN NEED IN ORDER TO BENEFIT THE WHOLE COMMUNITY. THE COUNCIL IMPLEMENTED A COMMUNITY HEALTH NEEDS SURVEY AND ASSESSMENT PROCESS. KEY HEALTHCARE NEEDS FOR THE COMMUNITY WERE IDENTIFIED FOLLOWED BY THE DEVELOPMENT OF STRATEGIC PLANS TO MEET THOSE NEEDS. THE PROCESS USED WAS PRIMARILY BASED ON THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP), WHICH WAS DEVELOPED BY THE NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION. COMMUNITY #1, #2, AND #3 SURVEYS WERE CONDUCTED IN 2011, 2015, AND 2018. THE MEDICAL CENTER USED THE DATA COLLECTED THROUGH THE SURVEYS TO DEVELOP STRATEGIC PLANS THAT ADDRESSED STRENGTHENING PARTNERSHIPS WITH COMMUNITY HEALTH PROVIDERS AND ORGANIZATIONS, PREVENTATIVE CARE AND DISEASE MANAGEMENT AND ACCESS TO CARE. DURING THE FALL AND WINTER OF 2014-15, THE COUNCIL WAS RENAMED THE BARREN RIVER INITIATIVE TO GET HEALTHY TOGETHER (BRIGHT) COALITION. THE BRIGHT COALITION HAS GROWN TO OVER 47 ORGANIZATIONS REPRESENTING THE TEN COUNTIES IN BRADD. CYCLE 4 OF THE COMMUNITY ASSESSMENT WAS INITIATED FOR THE 2022-2025 TIME PERIOD. MED CENTER HEALTH USED PRIMARY DATA OBTAINED FROM THE COMMUNITY SURVEYS IN PARTNERSHIP WITH THE BRIGHT COALITION AND BARREN RIVER HEALTH DEPARTMENT. A SECONDARY SURVEY TO COMMUNITY LEADERSHIP WAS USED AS WELL AS SECONDARY MARKET RESEARCH. THE END RESULT OF THE ASSESSMENT PROCESS WAS THE DEVELOPMENT BY THE HOSPITALS OF A STRATEGIC PLANS TO ADDRESS THE MAJOR NEEDS IDENTIFIED FOR THE MEDICAL CENTER AT BOWLING GREEN, THE MEDICAL CENTER AT SCOTTSVILLE, AND THE MEDICAL CENTER AT CAVERNA.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. A LIST OF THESE ORGANIZATIONS CAN BE FOUND ON PAGE 3 OF THE BRIGHT COALITION COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT PLAN 2022-2025 LOCATED AT HTTPS://MEDCENTERHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/. WITHIN BRIGHT, THESE STAKEHOLDERS JOINED FORCES TO DETERMINE HOW LEADERS OF SOUTH-CENTRAL KENTUCKY'S RURAL COMMUNITIES CAN WORK TOGETHER TO IMPROVE OVERALL HEALTH STATUSES, STRENGTHEN THE LOCAL ECONOMY, CONTRIBUTE TO EDUCATION SUCCESSES, AND IMPROVE THE QUALITY OF LIFE FOR ALL.
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. A LIST OF THESE ORGANIZATIONS CAN BE FOUND ON PAGE 3 OF THE BRIGHT COALITION COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT PLAN 2022-2025 LOCATED AT HTTPS://MEDCENTERHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/. WITHIN BRIGHT, THESE STAKEHOLDERS JOINED FORCES TO DETERMINE HOW LEADERS OF SOUTH-CENTRAL KENTUCKY'S RURAL COMMUNITIES CAN WORK TOGETHER TO IMPROVE OVERALL HEALTH STATUSES, STRENGTHEN THE LOCAL ECONOMY, CONTRIBUTE TO EDUCATION SUCCESSES, AND IMPROVE THE QUALITY OF LIFE FOR ALL.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. AFTER THOROUGH REVIEW OF THE 2022-2024 SURVEY RESULTS ALONG WITH THE DATA, THE HOSPITALS HAVE PRIORITIZED THE FOLLOWING COMMUNITY HEALTH ISSUES THAT WILL BE ADDRESSED OVER THE NEXT 3 YEARS: OBESITY/OVERWEIGHT, HIGH BLOOD PRESSURE, DIABETES/PREDIABETES, SMOKING/VAPING, POOR DIET/EATING HABITS, LUNG DISEASE, AND STROKE READINESS. We conducted numerous blood pressure screenings at locations such as Goodwill, Housing Authority, and health fairs, ensuring early detection and intervention for hypertension. Nutrition and exercise education was provided at events including the Health and Wellness Expo, Adult Day Care, and public schools, promoting healthier lifestyles to combat obesity. Diabetes awareness and management were emphasized through educational presentations at multiple locations, including community centers and public health fairs. Additionally, CPR and Early Heart Attack Care training sessions were held to improve emergency response capabilities. Body fat analyses and stroke screenings were integrated into several health fairs, further reinforcing our commitment to chronic disease prevention. In addition to these initiates, Med Center Health held smoking cessation calls with Med Center Health employees and distributed information regarding the dangers of smoking and vaping at various fairs. Through these efforts, Med Center Health engaged thousands of community members in meaningful health education and preventive care services. NEEDS NOT ADDRESSED ---------------------------------- THERE ARE PARTICULAR PRIORITIES OF NEED IDENTIFIED IN THE ASSESSMENT WHICH WILL BE ADDRESSED SOLELY THROUGH THE WORK OF OTHER COMMUNITY PARTNERS AND RESOURCES AND NOT PRIORITIZED SOLELY BY MED CENTER HEALTH. EXAMPLES INCLUDE: MENTAL HEALTH, DEPRESSION, SUBSTANCE ABUSE, DENTAL PROBLEMS AND ALCOHOL MISUSE.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. THERE MAY BE CIRCUMSTANCES WHERE A PATIENT/GUARANTOR MAY END UP OWING AN AMOUNT THAT IS LARGE IN RELATION TO HIS INCOME, BUT STILL NOT MEET OUR STANDARD FINANCIAL ASSISTANCE (CHARITY CARE) GUIDELINES, AND BECAUSE WE DO NOT WANT TO CREATE WHAT IS COMMONLY KNOWN AS "MEDICAL INDIGENCY," WE ALSO APPLY THE FOLLOWING GUIDELINES TO FINANCIAL ASSISTANCE APPLICATIONS: 1) ONLY PERSONS OR FAMILIES WHO MAKE LESS THAN 20 TIMES (2000%) OF THE SINGLE PERSON FEDERAL POVERTY LIMIT ARE ELIGIBLE FOR CATASTROPHIC FINANCIAL ASSISTANCE. THE PURPOSE OF THIS REQUIREMENT IS TO LIMIT THE INCENTIVE TO NOT PURCHASE HEALTH INSURANCE IF A PERSON CAN AFFORD IT. 2) A SELF-PAY PORTION OF A BILL GREATER THAN 20% OF ANNUAL INCOME QUALIFIES A PERSON FOR CATASTROPHIC FINANCIAL ASSISTANCE. 3) THE AMOUNT DUE FROM CATASTROPHIC FINANCIAL ASSISTANCE APPLICANTS IS CAPPED AT 50% OF THEIR DOCUMENTED AND VERIFIED ANNUAL INCOME PLUS THE AMOUNT THE PATIENT'S LIQUID ASSETS GREATER THAN $10,000 4) WE WILL ALLOW PAYMENT OF THIS CAPPED AMOUNT OVER A PERIOD OF UP TO 10 YEARS, OR UP TO 15 YEARS WITH MANAGEMENT'S APPROVAL. 5) THESE PAYMENTS WILL BE TREATED AS LONG-TERM, INTEREST FREE PAYMENT AGREEMENTS AND REQUIRE A WRITTEN AGREEMENT.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. PERSONS OR FAMILIES THAT QUALIFY FOR MEDICAID, FOOD STAMPS, AND OTHER INDIGENT CARE PROGRAMS THAT CAN BE AND ARE INDEPENDENTLY VERIFIED ARE DEEMED TO MEET THE FINANCIAL ASSISTANCE GUIDELINES, AS WILL ACCOUNTS IDENTIFIED THROUGH TOOLS OR PROGRAMS WHICH PROVIDE REASONABLE ASSURANCE THAT THE OBLIGATION MEETS OUR FINANCIAL ASSISTANCE GUIDELINES.

Field	Value	IRS element (for citing)
Facility	13	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
WESTERN KY DIAGNOSTIC IMAGING
1635 SCOTTSVILLE RD	BOWLING GREEN	KY	42104	DIAGNOSTIC CENTER
MEDICAL CENTER EMS
210 E THIRD AVE	BOWLING GREEN	KY	42101	EMERGENCY MEDICAL SERVICES
MEDICAL CENTER PHARMACY OF BG
825 2ND STREET	BOWLING GREEN	KY	42101	PHARMACY
PRIMARY CARE SCOTTSVILLE
466 BURNLEY RD	SCOTTSVILLE	KY	42164	PRIMARY CARE CLINIC
MEDEQUIP
825 2ND ST	BOWLING GREEN	KY	42101	DURABLE MEDICAL EQUIPMENT
PRIMARY CARE MUNFORDVILLE
1134 MAIN ST	MUNFORDVILLE	KY	42765	PRIMARY CARE CLINIC
PRIMARY CARE CAVERNA
1495 SOUTH DIXIE STREET	HORSE CAVE	KY	42749	PRIMARY CARE CLINIC
TOMORROW'S WOMAN
825 2ND STREET	BOWLING GREEN	KY	42101	DUABLE MEDICAL EQUIPMENT
MEDICAL CENTER HEALTH & WELLNESS CENTER
740 E TENTH AVENUE	BOWLING GREEN	KY	42101	COMMUNITY WELLNESS CENTER
PRIMARY CARE FOUNTAIN RUN
47 AKERSVILLE RD	FOUNTAIN RUN	KY	42133	PRIMARY CARE CLINIC
MEDICAL CENTER PSYCHIATRY
350 PARK STREET 204	BOWLING GREEN	KY	42101	PSYCHIATRIC CARE CENTER
MEDICAL CENTER HOME CARE PROGRAM
1953 SCOTTSVILLE RD 200	BOWLING GREEN	KY	42104	HOME HEALTH CENTER
MED CENTER HEALTH NEUROLOGY
350 PARK STREET 206-A	BOWLING GREEN	KY	42101	NEUROLOGY CARE CENTER
MED CENTER HEALTH GENERAL SURGERY
825 SECOND AVENUE EAST SUITE C1	BOWLING GREEN	KY	42101	SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c DETERMINING ELIGIBILITY	ELIGIBILITY FOR FREE CARE IS LIMITED TO PATIENTS OR GUARANTORS WHO MEET ONE OF THE TWO FOLLOWING GUIDELINES AND APPLY FOR PUBLIC PROGRAMS THAT MAY PAY FOR THEIR HEALTHCARE SERVICES IF ELIGIBLE: (A) PATIENTS WHOSE INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY LIMIT; (B) PATIENTS WHO QUALIFY FOR MEDICAID, FOOD STAMPS, OR OTHER INDIGENT CARE PROGRAMS. LIQUID ASSETS IN EXCESS OF $10,000 ARE INCLUDED AS INCOME. ELIGIBILITY FOR DISCOUNTED CARE IS LIMITED TO PATIENTS OR GUARANTOR'S WHOSE INCOME IS GREATER THAN 200% OF FEDERAL POVERTY LIMITS BUT LESS THAN OR EQUAL TO 400% OF FEDERAL POVERTY LIMITS. LIQUID ASSETS IN EXCESS OF $10,000 ARE INCLUDED AS INCOME. SEE THE NARRATIVES FOR LINES 13B AND 13H FOR MORE DETAIL.
Schedule H, Part III, Line 3 BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR CHARITY CARE	THE MEDICAL CENTER (TMC) HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN FINANCIAL ASSISTANCE, CANDIDATES MUST COOPERATE FULLY. IN ADDITION, TMC EDUCATES PATIENTS WITH LIMITED ABILITY TO PAY REGARDING OPTIONS FOR FINANCIAL ASSISTANCE. FOR THESE REASONS, TMC 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 9b DEBT COLLECTION PRACTICES	THE MEDICAL CENTER (TMC) PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THEIR CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN THEIR ESTABLISHED RATES. TMC DOES NOT PURSUE THE COLLECTION OF AMOUNTS DETERMINED TO BE TRADITIONAL FINANCIAL ASSISTANCE.BECAUSE TMC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS FINANCIAL ASSISTANCE, REVENUE IS NOT RECORDED FOR SUCH SERVICES. THESE AMOUNTS ARE EXCLUDED FROM NET PATIENT SERVICE REVENUE. TMC MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF FINANCIAL ASSISTANCE THEY PROVIDE. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THEIR FINANCIAL ASSISTANCE POLICY. OTHER UNCOMPENSATED CARE RELATES PRINCIPALLY TO CONTRACTUAL ALLOWANCES FOR GOVERNMENT PAYERS, DISCOUNTS TAKEN BY COMMERCIAL PAYERS, AND BAD DEBTS. TMC PROVIDES SERVICES TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES OR WHO ARE UNINSURED.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	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 II Community Building Activities	WE ARE DEDICATED TO SERVING OUR COMMUNITY, BY KEEPING IT HEALTHY AND EARNING TRUST. AS PART OF OUR COMMITMENT, WE GIVE BACK FINANCIALLY INCLUDING FINANCIAL ASSISTANCE. WE EXPAND ACCESS TO CARE WITH MORE PROVIDERS, SPECIALTIES, AND TELEMEDICINE OPPORTUNITIES. WE ADDRESSED THE CRITICAL NEED FOR PHYSICIANS THROUGH OUR GRADUATE MEDICAL EDUCATION PROGRAM AND THE UK COLLEGE OF MEDICINE. DURING THE RECENT PANDEMIC, WE LED THE COVID-19 VACCINE EFFORTS IN SOUTH-CENTRAL KENTUCKY.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE MEDICAL CENTER (TMC) HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH TMC DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED MARCH 31, 2024. HOWEVER, TMC 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 4 Bad debt expense - financial statement 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 Community benefit & methodology for determining medicare costs	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 V, Section B, Line 16a FAP website	A - THE MEDICAL CENTER AT BOWLING GREEN: Line 16a URL: HTTPS://MEDCENTERHEALTH.ORG/CFR/BILLING-POLICIES/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - THE MEDICAL CENTER AT BOWLING GREEN: Line 16b URL: HTTPS://MEDCENTERHEALTH.ORG/CFR/BILLING-POLICIES/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - THE MEDICAL CENTER AT BOWLING GREEN: Line 16c URL: HTTPS://MEDCENTERHEALTH.ORG/CFR/BILLING-POLICIES/FINANCIAL-ASSISTANCE/;
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 PLANS 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 PLAIN LANGUAGE SUMMARY OF OUR FINANCIAL ASSISTANCE POLICY WITH INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE AND CONTACT INFORMATION FOR ADDITIONAL ASSISTANCE. SIGNAGE AND BROCHURES DESCRIBING FINANCIAL ASSISTANCE POLICIES ARE AVAILABLE. ADDITIONALLY, THE POLICY AND APPLICATION ARE PUBLICLY AVAILABLE ON THE HOSPITAL'S WEBSITE. UNINSURED PATIENTS DISCUSS PAYMENT OPTIONS INCLUDING FINANCIAL ASSISTANCE WITH FINANCIAL COUNSELORS WHO INFORM THESE PATIENTS ABOUT OUR POLICY AND ASSIST THEM IN APPLYING IF NECESSARY. SUBSEQUENT PATIENT STATEMENTS RECEIVED BY THE PATIENT CONTAIN INFORMATION ABOUT HOW TO APPLY FOR FINANCIAL ASSISTANCE.
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 299,000 PEOPLE. THE COMMUNITY IS GROWING, AND WE SERVE A GROWING UNINSURED AND UNDERINSURED POPULATION. THE NUMBER OF RESIDENTS IN THE DISTRICT IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES VARY BY COUNTY WITH AN AVERAGE RANGING FROM 19%-32% PER COUNTY LIVING IN POVERTY.
Schedule H, Part VI, Line 5 Promotion of community health	AS PART OF COMMONWEALTH HEALTH CORPORATION, TMC IS PATIENT-FOCUSED, QUALITY-DRIVEN, AND MISSION-LED. OUR MISSION IS TO CARE FOR PEOPLE AND IMPROVE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. WE COMBINE STATE-OF-THE-ART TECHNOLOGY, UNSURPASSED PERSONAL CARE, AND THE FINEST HEALTHCARE PROFESSIONALS TO ENSURE EACH VISIT IS THE VERY BEST.
Schedule H, Part VI, Line 6 Affiliated health care system	THE MEDICAL CENTER IS OWNED AND CONTROLLED BY COMMONWEALTH HEALTH CORPORATION, A RELATED 501(C)(3) ORGANIZATION. COMMONWEALTH HEALTH CORPORATION (CHC) IS A HOLDING COMPANY FOR A TOTAL OF TWELVE FOR-PROFIT AND NONPROFIT CORPORATIONS AND PARTNERSHIPS (COLLECTIVELY, THE AFFILIATES) ENGAGED IN VARIOUS ASPECTS OF THE HEALTH CARE INDUSTRY. CHC OWNS AND OPERATES MULTIPLE PHYSICIAN PRACTICES, WHICH ARE DESIGNED TO ATTRACT AND RETAIN HIGHLY SKILLED PHYSICIANS IN SPECIALTIES THAT SUPPORT THE MISSION OF CHC AND ITS AFFILIATES. IN ADDITION, CHC OPERATES AND PROVIDES VARIOUS CORPORATE SUPPORT SERVICES INCLUDING PATIENT BILLING, COLLECTIONS, ACCOUNTING, MATERIALS MANAGEMENT, ENGINEERING, SECURITY, HUMAN RESOURCES, INFORMATION SYSTEMS, AND ADMINISTRATIVE SUPPORT TO ITS AFFILIATES. CHC HAS ESTABLISHED VARIOUS DIVISIONS FOR ITS OPERATIONS, INCLUDING THE NONPROFIT ORGANIZATIONS DESCRIBED BELOW (IN ADDITION TO TMC) AND OTHER NONPROFIT AND FOR-PROFIT CORPORATIONS AND PARTNERSHIPS. BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION (THE MEDICAL CENTER): ------------------------------------------------------------------------------------------------------------------------------------ BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION (THE MEDICAL CENTER) IS A NONPROFIT KENTUCKY CORPORATION THAT OPERATES A 337-BED HOSPITAL FACILITY IN BOWLING GREEN, KENTUCKY UNDER THE NAME THE MEDICAL CENTER AT BOWLING GREEN AND SINCE OCTOBER 1996, A 25-BED CRITICAL ACCESS HOSPITAL AND 110 BED NURSING HOME FACILITY IN SCOTTSVILLE, KENTUCKY, UNDER THE NAME THE MEDICAL CENTER AT SCOTTSVILLE. IN ADDITION, SINCE JANUARY 2016, THE CORPORATION HAS OPERATED A 25-BED CRITICAL ACCESS ACUTE CARE HOSPITAL IN HORSE CAVE, KENTUCKY UNDER THE NAME THE MEDICAL CENTER AT CAVERNA. THE THREE FACILITIES ARE PART OF ONE CORPORATION BUT ARE SEPARATELY LICENSED BY THE STATE OF KENTUCKY. THE MEDICAL CENTER AT BOWLING GREEN IS THE SOLE MEMBER OF MEDICAL CENTER EMS, LLC (EMS), MEDICAL CENTER PHARMACY OF BOWLING GREEN, LLC (RIVERSIDE PHARMACY) AND ENSPIRE QUALITY PARTNERS, LLC (MED CENTER HEALTH PARTNERS). EMS PROVIDES AMBULANCE SERVICES IN WARREN COUNTY, KENTUCKY. RIVERSIDE OFFERS RETAIL PHARMACY SERVICES IN BOWLING GREEN, KY. MED CENTER HEALTH PARTNERS IS A CLINICALLY INTEGRATED NETWORK OF HEALTHCARE PROVIDERS, WORKING TOGETHER UNDER A PHYSICIAN-LED STRUCTURE TO IMPROVE POPULATION HEALTH, IMPROVE PATIENT EXPERIENCE AND REDUCE THE COST OF HEALTHCARE. THE CORPORATION IS BOTH THE LIMITED PARTNER AND A GENERAL PARTNER IN THE MEDICAL PLAZA PARTNERS, LLP WHICH PROVIDES ON-CAMPUS SPACE FOR HOSPITAL DEPARTMENTS AND OTHER NON-AFFILIATE MEDICAL-RELATED SERVICES. TOGETHER WITH ANOTHER AREA NON-PROFIT ACUTE CARE HOSPITAL CORPORATION, TMC IS AN EQUAL OWNER OF THE BARREN RIVER REGIONAL CANCER CENTER, INC., AN OUTPATIENT RADIATION THERAPY CARE SERVICE LOCATED IN GLASGOW, KENTUCKY. THE MEDICAL CENTER AT SCOTTSVILLE OPERATES TWO RURAL HEALTH CLINICS, ONE IN SCOTTSVILLE, KY AND ONE IN FOUNTAIN RUN, KY. THE MEDICAL CENTER AT CAVERNA OPERATES TWO RURAL HEALTH CLINICS, ONE IN MUNFORDVILLE, KY AND ONE IN HORSE CAVE, KY. COMMONWEALTH HEALTH FREE CLINIC, INC.: ------------------------------------------------------------ COMMONWEALTH HEALTH FREE CLINIC, INC. (CHFC) WAS ORGANIZED TO OPERATE A CLINIC, WHICH PROVIDES BASIC MEDICAL AND DENTAL DIAGNOSTIC AND TREATMENT SERVICES FOR CHARITABLE PURPOSES FOR THE UNINSURED AND UNDERINSURED OF SOUTH-CENTRAL KENTUCKY AND ALSO SERVES INDIVIDUALS WHO MAY BE COVERED BY SOME FORM OF INSURANCE, BUT WHO ARE UNABLE TO ACCESS A PROVIDER FOR ACUTE OR CHRONIC HEALTHCARE ISSUES. THE CLINIC OFFERS SERVICES INCLUDING NON-EMERGENCY CLINICAL SERVICES, DENTISTRY, COMMUNITY HEALTH EDUCATION AND COUNSELING, DISEASE/CONDITION SPECIFIC EDUCATION AND COUNSELING, AND ACCESS TO PHARMACEUTICALS. COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, INC.: --------------------------------------------------------------------------- COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, INC IS A LONG-TERM ACUTE CARE HOSPITAL THAT OPERATES AS A HOSPITAL WITHIN A HOSPITAL BY LEASING BEDS FROM THE MEDICAL CENTER ON ITS BOWLING GREEN CAMPUS. IT IS AN ACUTE CARE HOSPITAL FOR THOSE PATIENTS REQUIRING AN EXTENDED HOSPITAL STAY (ANTICIPATED LENGTH OF STAY BETWEEN 18-35 DAYS) AND GENERALLY HAVING COMPLEX OR CHRONIC MEDICAL CONDITIONS. THE MEDICAL CENTER AT ALBANY, INC: --------------------------------------------------- ON APRIL 1, 2016, COMMONWEALTH HEALTH CORPORATION ACQUIRED THE ASSETS OF CLINTON COUNTY HOSPITAL, INC., AN ACUTE-CARE FACILITY, IN ORDER TO MAINTAIN THE FACILITY AS AN ACUTE-CARE HOSPITAL AS THE PRIOR FACILITY HAD FILED FOR CHAPTER 11 BANKRUPTCY. THE MEDICAL CENTER AT ALBANY IS A 42-BED ACUTE CARE HOSPITAL THAT EARNS REVENUE BY PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES IN CLINTON COUNTY AND SURROUNDING COUNTIES IN KENTUCKY. THE MEDICAL CENTER AT FRANKLIN, INC.: -------------------------------------------------------- THE MEDICAL CENTER AT FRANKLIN, INC. (MCF) OPERATES A HOSPITAL IN THE COMMUNITY OF FRANKLIN, SIMPSON COUNTY, KENTUCKY. THIS LOCATION IS JUST 20 MILES FROM THE MEDICAL CENTER'S BOWLING GREEN CAMPUS. MCF IS A MEDICARE DESIGNATED CRITICAL ACCESS HOSPITAL OFFERING ACUTE CARE INPATIENT AND OUTPATIENT PROGRAMS IN ITS 25 BED ACUTE CARE FACILITY. THE MEDICAL CENTER AT FRANKLIN, INC. OPERATES A RURAL HEALTH CLINIC IN FRANKLIN, KY. COMMONWEALTH HEALTH FOUNDATION: ------------------------------------------------------- CHC ENDORSED THE ESTABLISHMENT OF COMMONWEALTH HEALTH FOUNDATION (THE FOUNDATION) FOR THE PURPOSE OF FOSTERING, SUPPORTING, AND INITIATING ACTIVITIES FOR THE CHC AND THE MEDICAL CENTER AND/OR AFFILIATED NON-PROFIT 501(C)(3) ORGANIZATIONS. THE FOUNDATION BUILDS RELATIONSHIPS THAT INSPIRE CHARITABLE GIVING IN SUPPORT OF CHC'S MISSION TO CARE FOR PEOPLE AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. BLUEGRASS OUTPATIENT CENTER: ---------------------------------------------- SINCE 2008, CHC HAS BEEN THE SOLE OWNER OF BLUEGRASS OUTPATIENT CENTER OF BOWLING GREEN, LLC (BLUEGRASS). BLUEGRASS PROVIDES COMPREHENSIVE OUTPATIENT REHABILITATION THERAPY SERVICES.

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	$11,836	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	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. The Foundation actively monitors scholarship recipients through a combination of regular progress reports from the recipient's educational institution, academic transcript reviews, and, when necessary, direct communication with the student. These measures ensure compliance with the scholarship's eligibility requirements, such as maintaining a minimum GPA and full-time enrollment status.	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 (12 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
MRS CONNIE D SMITH
PRESIDENT / CEO	$0	$1,036,405	$0	$0	$0	$280,757	$0	$98,270	$0	$20,821	$0	$1,436,253	$0	$0
DR WILLIAM MOSS
DIRECTOR / PHYSICIAN	$341,368	$0	$0	$0	$11,607	$0	$27,336	$0	$19,107	$0	$399,418	$0	$0	$0
MR WADE STONE
EXECUTIVE VICE PRESIDENT	$0	$435,730	$0	$0	$0	$2,975	$0	$44,704	$0	$17,035	$0	$500,444	$0	$0
MR DAVID GRAY
EXECUTIVE VICE PRESIDENT	$0	$418,139	$0	$0	$0	$9,129	$0	$57,983	$0	$34,800	$0	$520,051	$0	$0
MRS MICHELE W LAWLESS
EXECUTIVE VICE PRESIDENT / CFO	$0	$475,135	$0	$0	$0	$6,795	$0	$43,823	$0	$3,525	$0	$529,278	$0	$0
MS KATRINA WOOD
EVP/CHIEF NURSING OFFICER	$255,207	$0	$0	$0	$3,646	$0	$6,499	$0	$30,654	$0	$296,006	$0	$0	$0
MR ERIC HAGAN
VP OF RURAL HOSPITALS	$210,692	$90,297	$0	$0	$4,965	$2,128	$0	$0	$14,922	$6,395	$230,579	$98,820	$0	$0
DR SWARANJIT CHANI
PHYSICIAN	$427,313	$0	$0	$0	$3,089	$0	$7,491	$0	$17,625	$0	$455,518	$0	$0	$0
DR JOSEPH GRAU
PHYSICIAN	$349,212	$0	$0	$0	$14,370	$0	$0	$0	$20,476	$0	$384,058	$0	$0	$0
DR SHAFIA RUBEEN
PHYSICIAN	$372,292	$0	$0	$0	$1,186	$0	$9,900	$0	$22,659	$0	$406,037	$0	$0	$0
DR CATRINIA DRUEN
PHYSICIAN	$427,765	$0	$0	$0	$1,087	$0	$7,619	$0	$10,616	$0	$447,087	$0	$0	$0
DR Michael Lang
Physician	$368,352	$0	$0	$0	$2,779	$0	$0	$0	$32,297	$0	$403,428	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	CERTAIN EXECUTIVES OF COMMONWEALTH HEALTH CORPORATION PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PLAN. THE CURRENT YEAR INCREASE IN THE ACCRUED BENEFIT, AS ACTUARIALLY DETERMINED, IS REPORTED AS COMPENSATION. THE FOLLOWING ARE THE INDIVIDUALS PARTICIPATING IN THE PLAN AND THE CURRENT YEAR INCREASES REPORTED AS COMPENSATION: CONNIE SMITH $262,117 WADE STONE $ -0-
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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
COUNTY OF WARREN KENTUCKY
A	616000710	934864AC3	2012-08-01	$44,126,652	SEE PART VI	false	false	false
COUNTY OF WARREN KENTUCKY
B	616000710	934864BJ7	2021-02-10	$44,854,001	SEE PART VI	false	false	false
COUNTY OF WARREN KENTUCKY
C	616000710	934864CP2	2024-02-07	$164,982,949	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr	Capitalized InterestCapitalizedInterestAmt	UnspentUnspentAmt
A	$44,126,652	$272,944	$16,302,725	$27,550,983	Yes (true)	false	Yes (true)	Yes (true)
B	$44,854,001	$380,120		$44,473,881	Yes (true)	false	Yes (true)	Yes (true)	2021
C	$164,982,949	$1,307,286	$11,757,432		false	false	false	Yes (true)		$9,689,100	$142,229,131

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.0004	0.0007	0.0011	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.0	0.0	0.0	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false	0.0	0.0	0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	Yes (true)	false	false	false	false	Yes (true)
B	false	Yes (true)	false	Yes (true)	false	false	false	false	Yes (true)
C	false	Yes (true)	false	Yes (true)	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, 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, Column (f) BOND B - DESCRIPTION OF PURPOSE	TO (1) DEFEASE THE REMAINING OUTSTANDING SERIES 2015 AND 2017 BONDS, AND (2) TO PAY THE COSTS OF ISSUING THE BONDS
Schedule K, Part I, Column (f) BOND C - DESCRIPTION OF PURPOSE	To (a) finance or reimburse for all or a portion of the costs of the acquisition, construction, installation and equipping of a five-story patient care tower and related facilities and improvements adjacent to the existing hospital facilities, (b) finance or reimburse for all or a portion of the costs of the acquisition, construction, installation, equipping and improvement of health care equipment and facilities, (c) pay capitalized interest on the Bonds and (d) pay costs of issuance of the Bonds.
Schedule K, Part IV, Line 2c ARBITRAGE CALCULATIONS	AN ANNUAL REBATE CALCULATION IS PERFORMED. THE LAST REBATE CALCULATION WAS ISSUED IN AUGUST 2023 FOR THE JULY 31, 2023 COMPUTATION DATE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4 Lines 4A and 4B	THE BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL D/B/A THE MEDICAL CENTER AT BOWLING GREEN (THE MEDICAL CENTER) IS THE PREMIER HEALTHCARE FACILITY IN SOUTH-CENTRAL KENTUCKY. AS A TEACHING HOSPITAL, THE MEDICAL CENTER OFFERS THE WIDEST RANGE OF SPECIALTIES AND THE STRONGEST PARTNERSHIPS WITH THE AREA'S MOST RESPECTED EDUCATIONAL INSTITUTIONS. OUR PHYSICIANS STRIVE TO MAINTAIN THE HIGHEST-LEVEL ACCREDITATIONS AND EMPLOY THE MOST INNOVATIVE APPROACHES TO HEALTHCARE. THE MEDICAL CENTER'S PROFESSIONAL STAFF INCLUDES PHYSICIANS WHO ARE ENGAGED IN THE PRACTICE OF MEDICINE AND WHO REPRESENT MULTIPLE SPECIALTIES, INCLUDING FAMILY PRACTICE AND EMERGENCY CARE. THE STAFF ALSO INCLUDES NURSES, PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS, PSYCHOLOGISTS, RESPIRATORY THERAPISTS, NUTRITIONISTS, AND OTHERS. USING AN INTERDISCIPLINARY TEAM APPROACH, THE STAFF WORK COLLABORATIVELY TO PROVIDE PRIMARY OUTPATIENT CARE, RENDERED IN AN EMERGENCY ROOM AND OUTPATIENT SETTING, AND SECONDARY CARE CONSISTING OF INPATIENT SERVICES OF A GENERAL AND SPECIALIZED NATURE. THE MEDICAL CENTER FEATURES A FULL-SERVICE EMERGENCY ROOM THAT IS AVAILABLE AND STAFFED WITH PHYSICIANS AND REGISTERED NURSES 24 HOURS A DAY, 7 DAYS A WEEK. SERVICES OFFERED AT THE MEDICAL CENTER INCLUDE: - ACUTE MEDICAL CARE - SKILLED MEDICAL CARE - INTENSIVE CARE, INCLUDING NEURO ICU, CORONARY CARE UNIT, GENERAL ICU, OPEN HEART - CATH LAB - PHARMACY - INTERVENTIONAL CARDIOLOGY - PHYSICAL THERAPY - LABORATORY, CLINICAL AND PATHOLOGY - RADIATION MEDICINE (INPATIENT/OUTPATIENT ONCOLOGY AND INPATIENT/OUTPATIENT CHEMO) - HOME HEALTH SERVICES - SURGICAL INPATIENT SERVICES, INCLUDING HYBRID SURGICAL PROCEDURES - SURGICAL OUTPATIENT SERVICES - EMERGENCY DEPARTMENT - OUTPATIENT SERVICES - RESPIRATORY THERAPY SERVICES - RADIOLOGY, INCLUDING MAMMOGRAPHY, DIAGNOSTIC X-RAY, NUCLEAR MEDICINE, CAT SCANNING, ULTRASOUND, CARDIOLOGY, POSITRON EMISSION TOMOGRAPHY, MRI - WOMEN'S SERVICES, INCLUDING LABOR & DELIVERY, NURSERY, NICU, POSTPARTUM SIGNIFICANT PROGRAM SERVICE ACHIEVEMENTS DURING FISCAL YEAR 2024: DAYS OF ACUTE/SWING BED PATIENT CARE (INCLUDING NURSERY) 93,127 DAYS OF SKILLED NURSING CARE 37,711 OBVERSATION DAYS 11,898 BIRTHS 2,840 OPEN HEART PROCEDURES 411 SURGERIES 14,026 EMERGENCY ROOM VISITS 57,594 AMBULANCE RUNS 26,885
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, Line 15a AND 15B - DETERMINING COMPENSATION	EMPLOYEE OFFICERS OF THIS ENTITY ARE EMPLOYEES OF COMMONWEALTH HEALTH CORPORATION. CHC USES INDEPENDENT CONSULTANTS TO ANNUALLY REVIEW COMPENSATION. COMPENSATION-RELATED DETERMINATIONS ARE CONDUCTED IN ACCORDANCE WITH APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE AND REGULATIONS TO QUALIFY FOR THE PRESUMPTION THAT THE COMPENSATION IS REASONABLE, INCLUDING BUT NOT LIMITED TO APPROVAL BY AN AUTHORIZED COMMITTEE OF THE BOARD OF DIRECTORS WHO DO NOT HAVE A CONFLICT OF INTEREST, OBTAINING AND RELYING ON APPROPRIATE DATA AS TO COMPARABILITY, AND CONCURRENT DOCUMENTATION OF THE BASIS FOR THE COMPENSATION DETERMINATIONS.
Form 990, Part VI, Line 6 Classes of members or stockholders	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, Line 7a Members or stockholders electing members of governing body	BYLAWS OF THE CORPORATION SPECIFY THAT THE SOLE MEMBER SHALL APPOINT A NOMINATING COMMITTEE WHICH SHALL MEET AND DESIGNATE NOMINEES FOR BOARD DIRECTORSHIPS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	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, Line 11b Review of form 990 by governing body	Form 990 is sent to board members via secure email. Each board member receives access to review the form prior to the designated filing date.
Form 990, Part VI, Line 12c Conflict of interest policy	THE COMMONWEALTH HEALTH CORPORATION (CHC) (APPLICABLE TO THE CORPORATION AND/OR ITS AFFILIATES) CODE OF CONDUCT EXPLICITLY STATES MEMBERS OF THE BOARD, ADMINISTRATION, THE MEDICAL STAFF, AND ALL EMPLOYEES ARE EXPECTED TO AVOID CONFLICTS OF INTEREST IN A TIMELY MANNER. ALL INDIVIDUALS SIGN AN ACKNOWLEDGEMENT UPON EMPLOYMENT THAT THEY HAVE RECEIVED A COPY OF THE CODE OF CONDUCT, ARE FAMILIAR WITH ITS CONTENT, AND UNDERSTAND THEIR RESPONSIBILITIES TO AVOID NON-COMPLIANT ACTIVITY. CHC'S REGULATORY COMPLIANCE AND COMPENSATION COMMITTEE (RCC) REVIEWS AND APPROVES ALL CONTRACTS BETWEEN CHC AND/OR ITS AFFILIATES AND DISQUALIFIED ENTITIES. THE REVIEW IS DESIGNED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST BY BOARD MEMBERS AND/OR OFFICERS. RCC MEMBERS ARE PROHIBITED FROM TAKING PART IN DECISIONS REGARDING TRANSACTIONS WITH WHICH HE/SHE HAS A CONFLICT OF INTEREST. ANNUALLY, WRITTEN INQUIRY IS MADE - BY QUESTIONNAIRE - OF BOARD MEMBERS AND OFFICERS SEEKING DISCLOSURE OF CONFLICTS OF INTEREST OR INFORMATION THAT RELATES TO FAMILY MEMBERS. TRANSACTIONS ARISING ARE REVIEWED BY MANAGEMENT AS THEY OCCUR.
Form 990, Part VI, Line 19 Required 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 VIII, Line 11d Other Miscellaneous Revenue	CAFETERIA - Total Revenue: 1616284, Related or Exempt Function Revenue: 1616284, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	COLLECTION AGENCY FEES - Total Expense: 2294397, Program Service Expense: 2294397, Management and General Expenses: , Fundraising Expenses: ; MEDICAL CONSULTING FEES - Total Expense: 18400398, Program Service Expense: 18400398, Management and General Expenses: , Fundraising Expenses: ; OTHER PROFESSIONAL FEES - Total Expense: 10220885, Program Service Expense: 10220885, Management and General Expenses: , Fundraising Expenses: ; LAB FEES - Total Expense: 118616, Program Service Expense: 118616, Management and General Expenses: , Fundraising Expenses: ; CONTRACT FEES - Total Expense: 13070026, Program Service Expense: 13070026, Management and General Expenses: , Fundraising Expenses: ; BILLING FEES - Total Expense: 5660292, Program Service Expense: 5660292, Management and General Expenses: , Fundraising Expenses: ; EMPLOYEE SUPPORT FEES - Total Expense: 4330, Program Service Expense: 4330, Management and General Expenses: , Fundraising Expenses: ; AGENCY NURSING FEES - Total Expense: 14633519, Program Service Expense: 14633519, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN MINIMUM PENSION LIABILITY - 15315640; CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST - 173321; OTHER COMPONENTS OF NET PERIODIC PENSION COSTS - -767917; ROUNDING - 48;
Form 990, Part XII, Line 2c Change of oversight process or selection process	THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR.

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	$12,142,797	$7,884,317	NA
MEDICAL CENTER EMS LLC
800 PARK STREET	BOWLING GREEN	KY	42101	562332847	EMERG MED SVC	KY	$10,568,567	$1,038,635	NA
ENSPIRE QUAILTY PARTNERS LLC
800 PARK STREET	BOWLING GREEN	KY	42101	464379627	IMPROVE CARE	KY	$2,948,163	$2,310,042	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	611080800	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	$255,667	ShareOfTotalIncomeAmt
Share Of EOY Assets	$668,835	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.9126	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	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	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	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	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

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

Field	Value	IRS element (for citing)
Transaction Type	S	TransactionTypeTxt
Involved	$227,224	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt