2025-02-14T11:48:39+00:00 2024-03-31 440160260 Forvis Mazars LLP 1222 Demonbreun St Suite 950 Nashville TN 372033357 990 2023-04-01 610920842 BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION BOWL 2707451551 800 PARK STREET BOWLING GREEN KY 42101 Michelle Lawless EVP - CFO 2025-02-14 true true Jeff Smith P00289876 6154549800 2025-02-13 2023 2025-03-06 01:10:19Z CONNIE D SMITH 800 PARK STREET BOWLING GREEN KY 42101 788851290 false X HTTPS://MEDCENTERHEALTH.ORG/ X 1977 KY PROVIDES INPATIENT AND OUTPATIENT ACUTE CARE SERVICES BY OR UNDER THE SUPERVISION OF PHYSICIANS IN BOWLING GREEN, KENTUCKY AND IN THE SURROUNDING COUNTIES. 12 8 2803 55 6196268 123452 1072908 317907 518752074 608724904 -24603564 12501806 12742406 16139936 507963824 637684553 16668 14900 0 179127231 199055752 0 0 299410411 339038659 478554310 538109311 29409514 99575242 782228904 1101394731 156326493 323954802 625902411 777439929 OUR MISSION IS TO CARE FOR PEOPLE AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. false false 274715912 341714882 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. 214149895 14900 278959104 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. 488865807 true true false true false false false false true true false false false true false true true false false false false false false false false true true false true true true false false false false false false false false false false false false false false true true true true false false true X 231 0 true 2803 true true true false false false false false false false false false true false X 12 8 false false false false true true true true true false false true true true true true true false false true true KY X JENNY GREENWELL 2707451551 800 PARK STREET BOWLING GREEN KY 42101 DR ELI JACKSON III CHAIR 2.0 2.0 X X 0 0 0 DR PAUL COOK VICE CHAIR 2.0 2.0 X X 0 0 0 MR JOE NATCHER SECRETARY 2.0 4.0 X X 0 0 0 MRS CONNIE D SMITH PRESIDENT / CEO 2.0 52.0 X X 0 1317162 119091 DR DONNA BLACKBURN DIRECTOR 2.0 4.0 X 0 0 0 DR DOUG THOMSON DIRECTOR / PHYSICIAN 2.0 0.0 X 750 0 0 DR JACKIE POPE-TARRENCE DIRECTOR 2.0 2.0 X 7415 0 0 DR MOHAMMED KAZIMUDDIN DIRECTOR / PHYSICIAN 2.0 0.0 X 0 0 0 DR WILLIAM MOSS DIRECTOR / PHYSICIAN 40.0 0.0 X 352975 0 46443 MR TOMMY LOVING DIRECTOR 2.0 4.0 X 0 0 0 MRS CATHY BISHOP DIRECTOR 2.0 4.0 X 0 0 0 MS JANET JOHNSON DIRECTOR 2.0 0.0 X 0 0 0 MR DAVID GRAY EXECUTIVE VICE PRESIDENT 2.0 50.0 X 0 427268 92783 MR WADE STONE EXECUTIVE VICE PRESIDENT 2.0 50.0 X 0 438705 61739 MRS MICHELE W LAWLESS EXECUTIVE VICE PRESIDENT / CFO 2.0 50.0 X 0 481930 47348 MS KATRINA WOOD EVP/CHIEF NURSING OFFICER 50.0 2.0 X 258853 0 37153 MR ERIC HAGAN VP OF RURAL HOSPITALS 28.0 12.0 X 215657 92425 21317 DR CATRINIA DRUEN PHYSICIAN 40.0 0.0 X 428852 0 18235 DR JOSEPH GRAU PHYSICIAN 40.0 0.0 X 363582 0 20476 DR Michael Lang Physician 40.0 0.0 X 371131 0 32297 DR SHAFIA RUBEEN PHYSICIAN 40.0 0.0 X 373478 0 32559 DR SWARANJIT CHANI PHYSICIAN 40.0 0.0 X 430402 0 25116 2803095 2757490 554557 241 false true false QUALIVIS LLC PO Box 674913 DALLAS TX 752674913 STAFFING SERVICES 17718037 TMX HEALTHCARE TECHNOLOGIES LLC PO BOX 636129 CINCINNATI OH 45263 BIOMED EQUIP REPAIR 8134776 UNIVERSITY OF KENTUCKY 2355 HUGUENARD DR SUITE 201A LEXINGTON KY 40503 GRAD MEDICAL EDUC 6707701 MORRISON MANAGEMENT SPECIALIST INC PO BOX 102289 ATLANTA GA 303682289 CAFETERIA SERVICES 4350585 WEHR CONSTRUCTORS INC 2517 Plantside Drive Louisville KY 40299 CONSTRUCTION SERVICES 3217732 52 164266 153641 317907 INPATIENT SERVICES 621110 278934833 278934833 OUTPATIENT SERVICES 621400 315245021 315245021 RETAIL PHARMACY SALES 446110 12142679 7318473 4824206 MEDICAL EQUIPMENT SALES 453000 2313915 941853 1372062 PHYSICIAN PRACTICES 566927 88456 88456 0 0 0 0 608724904 13174993 13174993 4022810 6028224 -2005414 0 -2005414 -2005414 144390326 75000 145138513 -748187 75000 -673187 -673187 GRADUATE MEDICAL EDUCATION RESIDENTS 621500 8515189 8515189 MISCELLANEOUS 621500 5068024 5068024 CAPITATION AND QUALITY PROGRAM 621500 2945853 2945853 1616284 1616284 0 0 18145350 637684553 620673986 6196268 10496392 X 3064 3064 11836 11836 915956 381206 534750 0 154171414 147198425 6972989 6906532 6567085 339447 25633099 24373266 1259833 11428751 10871148 557603 17854750 608350 17246400 794288 65330 728958 609433 563319 46114 23315 23315 793335 793335 64402463 64402463 0 0 884077 220691 663386 26493678 16701913 9791765 10531126 3843904 6687222 3909213 3852735 56478 1249795 1229388 20407 1181359 1181359 13797189 11623409 2173780 12171579 11455897 715682 MEDICAL SUPPLIES 127397659 127397659 PHYSICIAN PRACTICE EXPENSE 32638147 32638147 TAXES & LICENSES 21241001 21216184 24817 Miscellaneous 2152997 1545774 607223 913255 913255 0 0 538109311 488865807 49243504 0 50642277 72740801 459838872 525378618 54524248 65095783 0 0 0 0 17480850 18791256 6709553 7734258 488013385 330595946 142010544 157417439 11700634 209333131 0 1845226 1848355 4930974 4930974 32545726 38124116 782228904 1101394731 46502676 53140877 89881337 245053539 0 0 951772 19942480 24808614 156326493 323954802 X 623760109 775124306 2142302 2315623 625902411 777439929 782228904 1101394731 X 99575242 37241184 14721092 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 23315 23315 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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 463075397 63340740 48915803 4625488 889280 569817172 473151532 78360597 -16763014 70934053 739665 463075397 454319398 32775272 1694808 14768674 869272 473151532 307990745 90848943 56274123 794413 454319398 288216193 34747030 -316723 13959219 696536 307990745 0.99 0.01 0.0 false false 19460841 19460841 226485607 145840743 80644864 222687735 178480255 44207480 19379202 6274948 13104254 157417439 ACCRUED RETIREMENT DUE TO MEDICARE/MEDICAID 2080225 DUE TO AFFILIATES 3409226 OTHER LT LIABILITIES 346403 REFUND LIABILITIES 5027674 LONG-TERM PL/GL LIABILITY 13366254 OTHER SHORT-TERM LIABILITY 578832 24808614 680160626 37241184 0 37241184 642919442 793335 -6028224 -5234889 637684553 544112069 6028224 6028224 538083845 793335 -767869 25466 538109311 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 true true X true X true X true true false true true 3724 7134080 7134080 0.0133 0 0.0 0 0.0 0 3724 7134080 0 7134080 0.0133 260 21784 3544716 3544716 0.0066 7 484 3315298 3315298 0.0062 2 12967964 9070278 3897686 0.0072 0 0.0 1002 166924 166924 0.0003 1271 22268 19994902 9070278 10924624 0.0203 1271 25992 27128982 9070278 18058704 0.0336 0 0.0 3 19715 19715 0.0000 0 0.0 0 0.0 1 1 36672 36672 0.0001 0 0.0 0 0.0 0 0.0 1 44400 44400 0.0001 5 1 100787 0 100787 0.0002 true 26101916 556338 158441157 198299881 -39858724 X true true 3 1 THE MEDICAL CENTER AT BOWLING GREEN 250 PARK STREET BOWLING GREEN KY 42101 HTTPS://WWW.MEDCENTERHEALTH.ORG/LCOATIONS 100404 X X X X A 2 THE MEDICAL CENTER AT SCOTTSVILLE 456 BURNLEY ROAD SCOTTSVILLE KY 42164 HTTPS://WWW.MEDCENTERHEALTH.ORG/LOCATIONS 600076 X X X X RURAL HEALTH CLINIC A 3 THE MEDICAL CENTER AT CAVERNA 1501 S DIXIE STREET HORSE CAVE KY 42749 HTTPS://WWW.MEDCENTERHEALTH.ORG/LOCATIONS 600065 X X X X RURAL HEALTH CLINIC A A 3 false false true X X X X X X X X 22 true true true true X HTTPS://MEDCENTERHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X true 22 true HTTPS://MEDCENTERHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT false true X 200.0 400.0 X X X X X X true true X X X true X HTTPS://MEDCENTERHEALTH.ORG/CFR/BILLING-POLICIES/FINANCIAL-ASSISTANCE/ X HTTPS://MEDCENTERHEALTH.ORG/CFR/BILLING-POLICIES/FINANCIAL-ASSISTANCE/ X HTTPS://MEDCENTERHEALTH.ORG/CFR/BILLING-POLICIES/FINANCIAL-ASSISTANCE/ X X X X X X true X false X X X X true X false false 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. 13 WESTERN KY DIAGNOSTIC IMAGING 1635 SCOTTSVILLE RD BOWLING GREEN KY 42104 DIAGNOSTIC CENTER MEDICAL CENTER EMS 210 E THIRD AVE BOWLING GREEN KY 42101 EMERGENCY MEDICAL SERVICES MEDICAL CENTER PHARMACY OF BG 825 2ND STREET BOWLING GREEN KY 42101 PHARMACY PRIMARY CARE SCOTTSVILLE 466 BURNLEY RD SCOTTSVILLE KY 42164 PRIMARY CARE CLINIC MEDEQUIP 825 2ND ST BOWLING GREEN KY 42101 DURABLE MEDICAL EQUIPMENT PRIMARY CARE MUNFORDVILLE 1134 MAIN ST MUNFORDVILLE KY 42765 PRIMARY CARE CLINIC PRIMARY CARE CAVERNA 1495 SOUTH DIXIE STREET HORSE CAVE KY 42749 PRIMARY CARE CLINIC TOMORROW'S WOMAN 825 2ND STREET BOWLING GREEN KY 42101 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 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. true MED CENTER SCOTTSVILLE SCHOLARSHIP 2 11836 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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. false true false false false false false false false MRS CONNIE D SMITH PRESIDENT / CEO 0 1036405 0 0 0 280757 0 98270 0 20821 0 1436253 0 0 DR WILLIAM MOSS DIRECTOR / PHYSICIAN 341368 0 0 0 11607 0 27336 0 19107 0 399418 0 0 0 MR WADE STONE EXECUTIVE VICE PRESIDENT 0 435730 0 0 0 2975 0 44704 0 17035 0 500444 0 0 MR DAVID GRAY EXECUTIVE VICE PRESIDENT 0 418139 0 0 0 9129 0 57983 0 34800 0 520051 0 0 MRS MICHELE W LAWLESS EXECUTIVE VICE PRESIDENT / CFO 0 475135 0 0 0 6795 0 43823 0 3525 0 529278 0 0 MS KATRINA WOOD EVP/CHIEF NURSING OFFICER 255207 0 0 0 3646 0 6499 0 30654 0 296006 0 0 0 MR ERIC HAGAN VP OF RURAL HOSPITALS 210692 90297 0 0 4965 2128 0 0 14922 6395 230579 98820 0 0 DR SWARANJIT CHANI PHYSICIAN 427313 0 0 0 3089 0 7491 0 17625 0 455518 0 0 0 DR JOSEPH GRAU PHYSICIAN 349212 0 0 0 14370 0 0 0 20476 0 384058 0 0 0 DR SHAFIA RUBEEN PHYSICIAN 372292 0 0 0 1186 0 9900 0 22659 0 406037 0 0 0 DR CATRINIA DRUEN PHYSICIAN 427765 0 0 0 1087 0 7619 0 10616 0 447087 0 0 0 DR Michael Lang Physician 368352 0 0 0 2779 0 0 0 32297 0 403428 0 0 0 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 A COUNTY OF WARREN KENTUCKY 616000710 934864AC3 2012-08-01 44126652 SEE PART VI false false false B COUNTY OF WARREN KENTUCKY 616000710 934864BJ7 2021-02-10 44854001 SEE PART VI false false false C COUNTY OF WARREN KENTUCKY 616000710 934864CP2 2024-02-07 164982949 SEE PART VI false false false A 44126652 272944 16302725 27550983 true false true true B 44854001 380120 44473881 2021 true false true true C 164982949 9689100 1307286 11757432 142229131 false false false true A false true true true false 0.0004 0.0007 0.0011 false false true B false true true true false 0.0 0.0 0.0 false false true C false true true true false 0.0 0.0 0.0 false false true A false true false true false false false false true B false true false true false false false false true C false true false true false false false false true A true B true C true 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. 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. 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