2017-02-13T13:48:56-06:00 2016-03-31 351178661 Blue & Co LLC 500 N Meridian St Suite 200 Indianapolis IN 46204 990 2015-04-01 610920842 Bowling Green Warren County Community Hospital Corporation BOWL 2707451500 800 Park Street Bowling Green KY 42102 RON SOWELL EVP - CFO 2707451500 2017-02-11 1 Angela Zirkelbach CPA P00572603 3176334705 2017-02-11 2015 2021-01-29 14:40:06Z Connie Smith 800 Park Street Bowling Green KY 42102 358773961 0 X www.mcbg.org X 1977 KY Provides inpatient and outpatient acute care services by or under the supervision of physicians in bowling green and scottsville, kentucky and in the surrounding counties. 12 10 2903 0 7582066 0 237530 99001 315078842 328220546 5686191 4220201 23600262 21654636 344602825 354194384 31164 75080 0 0 131285843 136421969 0 0 0 166665166 179843329 297982173 316340378 46620652 37854006 436921837 475403713 205929888 205203495 230991949 270200218 X OUR MISSION IS TO CARE FOR PEOPLE AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. 0 0 140032884 75080 168267242 THE HOSPITAL IS AN ACUTE CARE HOSPITAL ENGAGED IN PROVIDING SERVICE TO INPATIENTS, BY OR UNDER THE SUPERVISION OF PHYSICIANS, DIAGNOSTIC AND THErapeutic SERVICES FOR MEDICAL DIAGNOSIS, TREATMENT, AND CARE OF INJURED, DISABLED OR SICK PERSONS, OR REHABILITATION OF INJURED, DISABLED, OR SICK PERSONS. ORGANIZATIONBOWLING GREEN - WARREN COUNTY COMMUNITY HOSPITAL CORPORATION, DBA THE MEDICAL CENTER ("THE MEDICAL CENTER"), A KENTUCKY NON-STOCK, NON-PROFIT CORPORATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, WAS ESTABLISHED TO ACT AND OPERATE EXCLUSIVELY FOR CHARITABLE PURPOSES SERVING THE LOCAL CITY, COUNTY AND SURROUNDING COUNTIES IN SOUTH-CENTRAL KENTUCKY. BEGUN IN 1926, THE MEDICAL CENTER HAS A RICH HERITAGE OF SERVING OUR COMMUNITY'S HEALTHCARE NEEDS AND BEING THE LEADER IN PROVIDING QUALITY CARE IN A TECHNOLOGICALLY ADVANCED SETTING. THE MEDICAL CENTER IS LICENSED BY THE CABINET FOR HEALTH AND FAMILY SERVICES, COMMONWEALTH OF KENTUCKY, PURSUANT TO IRS CHAPTER 216B AND THE REGULATIONS PROMULGATED THEREUNDER, OPERATING WITH CAMPUSES IN BOWLING GREEN, KY AND SCOTTSVILLE, KY. THE MEDICAL CENTER's LICENSED BEDS INCLUDE: BOWLING GREEN: SCOTTSVILLE: CAVERNA: TOTALACUTE CARE: 313 313CRITICAL ACCESS ACUTE: 25 25 50PSYCHIATRIC: 24 24NURSING FACILITY 110 110SUBTOTAL- BEDS 337 135 25 497 SERVICES:THE MEDICAL CENTER IS PRIMARILY ENGAGED IN PROVIDING TO INPATIENTS, BY OR UNDER THE SUPERVISION OF PHYSICIANS, DIAGNOSTIC AND THERAPEUTIC SERVICES FOR MEDICAL DIAGNOSIS, TREATMENT, AND CARE OF INJURED, DISABLED, OR SICK PERSONS, OR REHABILITATION SERVICES FOR THE REHABILITATION OF INJURED, DISABLED, OR SICK PERSONS. AS A HOSPITAL, IT MAINTAINS CLINICAL RECORDS ON ALL PATIENTS AND HAS BYLAWS IN EFFECT CONCERNING ITS STAFF OF PHYSICIANS. IT REQUIRES THAT EVERY PATIENT MUST BE UNDER THE CARE OF A PHYSICIAN AND PROVIDES 24-HOUR NURSING SERVICE BY OR SUPERVISED BY A REGISTERED PROFESSIONAL NURSE, AND HAS A LICENSED PRACTICAL NURSE OR REGISTERED PROFESSIONAL NURSE ON DUTY AT ALL TIMES. IT HAS IN EFFECT A HOSPITAL UTILIZATION REVIEW PLAN AND IS LICENSED OR IS APPROVED BY THE STATE OF KENTUCKY AS MEETING THE STANDARDS ESTABLISHED FOR SUCH LICENSING. IT ALSO MEETS OTHER HEALTH AND SAFETY REQUIREMENTS OF THE SECRETARY OF HEALTH AND HUMAN SERVICES.SERVICES OFFERED INCLUDE:- ACUTE MEDICAL CARE- SKILLED MEDICAL CARE- INTENSIVE/CORONARY CARE- PHARMACY- INVASIVE CARDIOLOGY- PHYSICAL THERAPY- LABORATORY, CLINICAL AND PATHOLOGY- RADIATION MEDICINE (INPATIENT / OUTPATIENT ONCOLOGY)- HOME HEALTH SERVICES- SURGICAL INPATIENT SERVICES- SURGICAL OUTPATIENT SERVICES- EMERGENCY ROOM SERVICES- OUTPATIENT SERVICES- RESPIRATORY THERAPY SERVICES- RADIOLOGY, INCLUDING MAMMOGRAPHY, DIAGNOSTIC X-RAY, NUCLEAR MEDICINE, CAT SCANNING, ULTRASOUND, CARDIOLOGY, POSITRON EMISSION TOMOGRAPHYTHE MEDICAL CENTER'S PROFESSIONAL STAFF INCLUDES PHYSICIANS WHO ARE ENGAGED IN THE PRACTICE OF MEDICINE AND WHO REPRESENT MULTIPLE SPECIALTIES, INCLUDING FAMILY PRACTICE AND EMERGENCY CARE. THE STAFF ALSO INCLUDES NURSES, PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS, PSYCHOLOGISTS, RESPIRATORY THERAPISTS, NUTRITIONISTS AND OTHERS. USING AN INTERDISCIPLINARY TEAM APPROACH, THE STAFF WORK COLLABORATIVELY TO PROVIDE PRIMARY OUTPATIENT CARE, RENDERED IN AN EMERGENCY ROOM AND OUTPATIENT SETTING, AND SECONDARY CARE CONSISTING OF INPATIENT SERVICES OF A GENERAL AND SPECIALIZED NATURE.COMMUNITY BENEFIT AND CHARITYAS A HOSPITAL, THE MEDICAL CENTER:(1) IS ORGANIZED AS A NONPROFIT CHARITABLE ORGANIZATION FOR THE PURPOSE OF OPERATING AS A HOSPITAL FOR THE CARE OF THE SICK,(2) IS OPERATED FOR THE CARE OF ALL PERSONS IN THE COMMUNITY REGARDLESS OF ABILITY TO PAY THE COST THEREOF, EITHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT,(3) WILL NOT RESTRICT USE OF ITS FACILITIES TO A PARTICULAR GROUP OF PHYSICIANS AND SURGEONS TO THE EXCLUSION OF ALL OTHER QUALIFIED DOCTORS, AND(4) WILL NOT PERMIT ANY OF ITS EARNINGS TO INURE DIRECTLY OR INDIRECTLY TO THE BENEFIT OF ANY PRIVATE SHAREHOLDER OR INDIVIDUAL. THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THEIR CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN THEIR ESTABLISHED RATES. BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, REVENUE IS NOT RECORDED FOR SUCH SERVICES.THE MEDICAL CENTER MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE THEY PROVIDE. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THEIR CHARITY CARE POLICY. OTHER UNCOMPENSATED CARE RELATES PRINCIPALLY TO CONTRACTUAL ALLOWANCES FOR GOVERNMENT PAYERS, DISCOUNTS TAKEN BY COMMERCIAL PAYERS AND BAD DEBTS.BENEFITS FOR THE POOR INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES OR WHO ARE UNINSURED. THIS INCLUDES TRADITIONAL CHARITY CARE AT STANDARD BILLING RATES AND THE COSTS OF TREATING MEDICAID BENEFICIARIES IN EXCESS OF GOVERNMENT PAYMENTS. THE MEDICAL CENTER DOES NOT PURSUE THE COLLECTION OF AMOUNTS DETERMINED TO BE TRADITIONAL CHARITY CARE. THEREFORE, THESE AMOUNTS ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUE. BENEFITS FOR THE BROADER COMMUNITY INCLUDE SERVICES PROVIDED TO OTHER NEEDY INDIVIDUALS WHO MAY NOT QUALIFY AS INDIGENT BUT WHO NEED SPECIAL SERVICES AND SUPPORT. EXAMPLES INCLUDE THE ELDERLY, SUBSTANCE ABUSERS, VICTIMS OF CHILD ABUSE, AND THE DISABLED. THEY ALSO INCLUDE THE COST OF HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND THE UNREIMBURSED COST OF MEDICAL TRAINING, WHICH BENEFIT THE BROADER COMMUNITY.IN ADDITION TO THE ABOVE, THE MEDICAL CENTER PROVIDES A WIDE RANGE OF COMMUNITY BENEFITS INCLUDING COORDINATION OF CHARITABLE ACTIVITIES BY THE MEDICAL CENTER STAFF AND PROVIDING MEDICAL CENTER SPACE FOR COMMUNITY GROUPS THAT CANNOT BE QUANTIFIED.SIGNIFICANT PROGRAM SERVICE ACHIEVEMENTS:DAYS OF ACUTE PATIENT CARE (INCLUDING NURSERY) 95,373DAYS OF SKILLED NURSING CARE 39,658BIRTHS 2,532OPEN HEART PROCEDURES 356SURGERIES 13,346EMERGENCY ROOM VISITS 59,734AMBULANCE RUNS 22,189 134096466 165375962 The Hospital serves the community by providing certain outpatient services including an emergency department by or under the supervision of physicians, diagnostic and therapeutic services for medical diagnosis, treatment, and care of injured, disabled, or sick persons, or rehabilitation of injured, disabled, or sick persons. 274129350 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 0 0 0 1 236 0 1 2903 1 1 1 0 0 0 0 0 0 0 X 12 10 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 KY X J Larry Vaughn 2707451500 800 Park Street Bowling Green KY 421029876 ELI JACKSON III DMD Chairman 2.00 4.00 X X 0 0 0 Paul Cook Vice Chairman 2.00 0.00 X X 0 0 0 Joe Natcher Secretary 2.00 6.00 X X 0 0 0 Cathy Bishop Director 2.00 4.00 X 0 0 0 Donna Blackburn Director 2.00 2.00 X 0 0 0 Bob Hovious Director 2.00 6.00 X 0 0 0 Janet Johnson Director 2.00 0.00 X 0 0 0 Tommy Loving Director 2.00 4.00 X 0 0 0 Mohammed Kazimuddin MD Director 2.00 2.00 X 10000 0 0 Hugh Sims MD Director (4/1 -12/31/15) 2.00 2.00 X 0 0 0 Doug Thomson MD director 2.00 4.00 X 0 0 0 Donald Brown MD Director (1/1 -3/31/16) 2.00 0.00 X 0 51840 0 CONNIE SMITH Director/President & CEO 2.00 48.00 X X 0 901143 11274 BARBARA JEAN CHERRY cio/executive vice president 1.00 49.00 X 0 534424 10644 Betsy Kullman CNO/Executive Vice President 2.00 48.00 X 0 291641 18672 Ronald G Sowell CFO/Executive Vice President 2.00 48.00 X 0 555976 10096 Sarah Moore Exec. Vice Pres. (retired 7/1/16) 1.00 49.00 X 0 291758 9266 Eric Hagan Vice President/ Administration 2.00 48.00 X 0 236661 25889 WADE R STONE executive vice president 1.00 49.00 X 0 282759 25928 Aric Polston Director/Pharmacy 40.00 0.00 X 156539 0 17931 DAVID REEVES Pharmacy Manager 40.00 0.00 X 178945 0 28843 Eddie Scott Director/Radiology 40.00 0.00 X 198333 0 16023 Robert McClelland Director/Pharmacy 40.00 0.00 X 183418 0 35103 Sarah Rogers Physicist 40.00 0.00 X 184475 0 14139 911710 3146202 223808 48 0 1 0 Aramark Corporation 12483 Collections Center Drive Chicago IL 60693 Biomedical Equipment Repair Services 4199557 Morrison Management Specialists inc PO Box 102289 Atlanta GA 303682289 Cafeteria Services 3174265 Logans Uniform Rental Inc PO Box 643958 Cincinnati OH 45264 Laundry Services 1960073 Wehr Constructors Inc 2517 Plantside Drive Louisville KY 40299 Construction Services 1485113 Disability Medical Consultants 1131 Fairway Street bowling Green KY 42103 Professional services 1076221 44 60214 38787 99001 INPATIENT SERVICES 621110 165532418 165532418 OUTPATIENT SERVICES 621400 162688128 162688128 328220546 4827599 4827599 2785616 3950904 -1165288 -1165288 -1165288 21275 574109 54564 -574109 -33289 -607398 -607398 RETAIL PHARMACY SALES 446110 11274674 2705719 8568955 MEDICAL EQUIPMENT SALES 453000 5526221 1296375 4229846 Misc Income 900099 2506510 1860009 646501 3512519 2266274 1246245 22819924 354194384 333643204 7582066 12870113 50000 50000 25080 25080 100799236 95480339 5318897 8536979 8078523 458456 19702372 18644145 1058227 7383382 6986612 396770 13203528 35568 13167960 931039 107090 823949 358153 1200 356953 25888945 25888945 807007 196677 610330 17317625 12252521 5065104 4473406 4473406 3717450 3292671 424779 988489 915384 73105 3571730 2857246 714484 12331210 9524267 2806943 1640234 1528360 111874 MEDICAL SUPPLIES 77045296 76906867 138429 PHYSICIAN EXPENSE 12985211 2818302 10166909 OTHER TAXES AND LICENSE 4189561 4057392 132169 RECRUITING FEES 255882 255882 138563 8755 129808 316340378 274129350 42211028 0 17439579 26097370 220460952 233747174 39062929 40604080 10709357 10922838 12082643 14020757 357764375 233346366 107678364 124418009 18248445 14781933 2725877 2429446 8513691 8382106 436921837 475403713 34773654 40878803 1131543 1186711 106277064 100193121 3197601 0 60550026 62944860 205929888 205203495 X 229322725 268623249 1669224 1576969 230991949 270200218 436921837 475403713 X 37854006 -1347141 2701404 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 55219 55219 0 Part II-B, Line 1: LOBBYING EXPENSES SCHEDULE C, PART II-B, LINE 11 THE CORPORATION IS A MEMBER OF THE KENTUCKY HOSPITAL ASSOCIATION. THE PORTION OF THE DUES PAID WHICH ARE ATTRIBUTABLE TO LOBBYING TOTAL $18,719. Bowling Green Warren County Community Hospital Corporation also engaged the services of Whitehouse-Riddle Strategic Solutions to keep them updated on related healthcare and government happenings pertaining to and effecting Acute Care Hospitals. 228617044 17434934 1879540 6285286 442516 241203716 185947976 40175373 5590037 2595782 500560 228617044 149275587 35537621 7776408 6180689 460951 185947976 133305497 16715019 4113651 4455656 402824 149275687 117185927 19894588 3520098 6991557 303559 133305497 0.99000 0.01000 0 0 12698575 12698575 174936442 97633644 77302798 167039236 135712722 31326514 3090122 3090122 124418009 Amounts Due Affiliated Companies 3220350 Long-term PL / GL Liability 4293000 Accrued Retirement 54435593 Capital Leases 995917 62944860 X 359499551 -1347141 2701401 1354260 358145291 -3950907 -3950907 354194384 320291282 3950904 3950904 316340378 0 316340378 Part V, Line 4: 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 $239,626,748 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 $6,337,466. PERMANENTLY RESTRICTED NET ASSETS INCLUDED $1,576,969 OF DONOR-RESTRICTED ENDOWMENT FUNDS. Part X, Line 2: MOST OF THE INCOME RECEIVED BY THE MEDICAL CENTER IS EXEMPT FROM TAXATION UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. SOME OF ITS INCOME IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE MEDICAL CENTER FILES FEDERAL INCOME TAX RETURNS, AS WELL AS AN INCOME TAX RETURN IN KENTUCKY. THE MEDICAL CENTER IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2012. FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN, OR EXPECTED TO BE TAKEN, IN A TAX RETURN. TOPIC 740 ALSO PROVIDES GUIDANCE ON DESCRIPTION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. THE MEDICAL CENTER DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS RECOGNIZED FOR 2016 OR 2015. THE MEDICAL CENTER'S PRACTICE IS TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. Part XI, Line 2d - Other Adjustments: Loss on Extinguishment of Debt -2,094,311. Change in Defined Benefit Plan 1,338,437. Transfer from Affiliates 576,072. Perm Resticted Investment -92,255. Excess of Assets over Liab in Caverna Acquisition 2,973,458. Part XI, Line 4b - Other Adjustments: Rental Expenses -3,950,907. Part XII, Line 2d - Other Adjustments: Rental Expenses 3,950,904. 1 1 X 1 X 0 1 1 1 0 1 1 1 5890 5751602 4058086 1693516 0.00540 1 60112163 48526783 11585380 0.03660 2 5890 65863765 52584869 13278896 0.04200 314 34831 2464656 2464656 0.00780 7 802 3704847 3704847 0.01170 2 1828 15496906 9758116 5738790 0.01810 887 64366 64366 0.00020 1210 37461 21730775 9758116 11972659 0.03780 1212 43351 87594540 62342985 25251555 0.07980 2 3163 3163 0.00000 3 3 40124 40124 0.00010 1 133854 133854 0.00040 1 14012 14012 0.00000 7 3 191153 191153 0.00050 1 12378829 902167 105602780 126928107 -21325327 X 1 1 3 1 THE MEDICAL CENTER at BOWLING GREEN 800 PARK STREET bowling green KY 42101 100404 X X X 2 the medical center at scottsville 456 burnley road scottsville KY 42164 600076 X X X X nursing facility 3 The Medical Center at Caverna 1501 S Dixie Street Horse Cave KY 42749 X X X Rural Health Clinic THE MEDICAL CENTER at BOWLING GREEN 1 0 0 1 X X X X X X X 15 1 1 0 1 X www.mcbg.org/about_us/documents/bowlinggreen.pdf X 1 15 1 www.mcbg.org/about_us/documents/bowlinggreen.pdf 0 0 1 X 200.000000000000 X X 1 1 X X X 1 X www.cfrbilling.patientcompass.com/RA/General/BillingPolicies/_FinancialAssi X www.cfrbilling.patientcompass.com/RA/General/BillingPolicies/_FinancialAssi X www.cfrbilling.patientcompass.com/RA/General/BillingPolicies/_FinancialAssi X X X X 0 0 X X 1 X 0 0 THE MEDICAL CENTER AT SCOTTSVILLE 2 0 0 1 X X X X X X X 15 1 1 0 1 X www.themedicalcenterscottsville.org/about_us/documents/Scottsville.pdf X 1 15 1 www.themedicalcenterscottsville.org/about_us/documents/Scottsville.pdf 0 0 1 X 200.000000000000 X X 1 1 X X X 1 X www.cfrbilling.patientcompass.com/RA/General/BillingPolicies/_FinancialAssi X www.cfrbilling.patientcompass.com/RA/General/BillingPolicies/_FinancialAssi X www.cfrbilling.patientcompass.com/RA/General/BillingPolicies/_FinancialAssi X X X X 0 0 X X 1 X 0 0 The Medical Center at Caverna 3 0 0 1 X X X X X X X 15 1 1 0 1 X http://cavernahospital.com/community_health_needs_assessment.aspx 1 15 1 http://cavernahospital.com/sites/www/Uploads/files/Caverna%20CHNA.pdf 0 0 1 X 200.000000000000 X X 1 1 X X X 1 X www.cfrbilling.patientcompass.com/RA/General/BillingPolicies/_FinancialAssi X www.cfrbilling.patientcompass.com/RA/General/BillingPolicies/_FinancialAssi X www.cfrbilling.patientcompass.com/RA/General/BillingPolicies/_FinancialAssi X X X X 0 0 X X 1 X 0 0 THE MEDICAL CENTER at BOWLING GREEN Part V, Section B, Line 5: AN INITIAL ASSESSMENT OF LOCAL HEALTH CARE NEEDS WAS PERFORMED IN 2011-2012, WHEN IN APRIL OF 2011, THE BARREN RIVER DISTRICT HEALTH DEPARTMENT (BRDhD) CONVENED A GROUP OF LOCAL HEALTH CARE AND PUBLIC HEALTH LEADERS TO DISCUSS THE NEED TO IMPROVE OVERALL HEALTH STATUS WITHIN THE 10-COUNTY BARREN RIVER AREA DEVELOPMENT DISTRICT(BRADD). THE GROUP FORMED THE BARREN RIVER COMMUNITY HEALTH PLANNING COUNCIL WHICH BEGAN A YEAR-LONG COMMUNITY HEALTH ASSESSMENT PHASE THAT RAN FROM NOVEMBER 2011 THROUGH MAY 2012. MEMBERS EXPLORED A NUMBER OF QUESTIONS, IDENTIFIED FIVE PRIORITY HEALTH ISSUES AND SOUGHT INPUT ABOUT THESE ISSUES FROM PEERS, CONSTITUENTS, EMPLOYEES, ORGANIZATIONS, AND FAMILIES. WITH THE RESULTING INFORMATION, FOUR STAKEHOLDER GROUPS WERE CREATED TO DEVELOP ACTION PLANS TO ADDRESS THE PRIORITY HEALTH ISSUES. THE STAKEHOLDER GROUPS ADDRESSED THE HEALTHCARE DELIVERY SYSTEM, WORKSITES, EDUCATIONAL SYSTEM AND COMMUNITIES AND THEIR ROLE IN TARGETING CARDIOVASCULAR DISEASE, OBESITY, DIABETES, LUNG CANCER, AND DRUG ABUSE AND ADDICTION. A HEALTH PLAN WAS DEVELOPED FOR 2013-15.TO UPDATE THE COMMUNITY HEALTH NEEDS ASSESSMENT AND EVALUATE CURRENT NEEDS, A UNIQUE PARTNERSHIP OF THE BARREN RIVER DISTRICT HEALTH DEPARTMENT (BRDHD), THE BARREN INITIATIVE TO GET HEALTHY TOGETHER (BRIGHT) COALITION, AND FOUR COMMUNITY STAKEHOLDER GROUPS WITH THE GOAL TO IMPROVE OVERALL HEALTH STATUS WITHIN THE 10-COUNTY BARREN RIVER AREA DEVELOPMENT DISTRICT CAME TOGETHER IN THE LATTER MONTHS OF 2014 TO REVIEW COMMUNITY HEALTH NEEDS.THE BRDHD STAFF AND BRIGHT MEMBERS DEVELOPED A COMMUNITY SURVEY TO ASSESS PROGRESS AND NEED IN FIVE IMPORTANT WELLNESS-RELATED AREAS. THE ONE-PAGE SURVEY WAS DISSEMINATED TO CITIZENS IN THE 10 BRADD COUNTIES DURING JANUARY TO MARCH OF 2015. A TOTAL OF 6,258 ADULTS OVER THE AGE OF 18 RESPONDED TO THE SURVEY. RESPONDERS REPRESENTED EACH OF THE TEN COUNTIES IN THE BRADD.THIS COMMUNITY SURVEY SHOWS THAT BRDHD AND BRIGHT HAVE ALREADY BEEN QUITE SUCCESSFUL IN INCREASING AWARENESS ABOUT THE IMPORTANCE OF PREVENTION, WELLNESS AND HEALTHY LIVING THROUGHOUT THE DISTRICT. HOWEVER, THIS SUCCESS AND AWARENESS VARIES BY SEVERAL FACTORS, INCLUDING GENDER, AGE, EDUCATION LEVEL, AND GEOGRAPHY. TO BETTER UNDERSTAND THE POTENTIAL INFLUENCES ON CITIZEN KNOWLEDGE AND ENGAGEMENT IN HEALTH BEHAVIORS, RESPONSES TO QUESTIONS ABOUT EACH OF THE FIVE WELLNESS AREAS WERE EXAMINED IN DEPTH.FACTORS AFFECTING SELF AND FAMILY'S HEALTH. ANYWHERE FROM 45 TO 56% OF SURVEY RESPONDERS SAID THEY HAD LITTLE OR NO CONCERNS ABOUT THEIR ABILITY TO BUY FRESH AND HEALTHY FOODS, HAVING PLACES TO BE PHYSICALLY ACTIVE, THEIR EXPOSURE TO TOBACCO, AFFORDING MEDICATIONS AND DOCTORS' FEES AND ACCESSING A DOCTOR WHEN NEEDED. HOWEVER, OTHER PARTICIPANTS EXPRESSED MODERATE TO HUGE CONCERNS ABOUT THEIR ABILITY TO HAVE THESE THINGS AND FELT THIS COULD HAVE A SEVERE EFFECT ON THEIR OWN HEALTH OR THAT OF THEIR FAMILY.- WOMEN EXPRESSED MORE CONCERNS ABOUT MOST OF THESE AREAS, PARTICULARLY IN BUYING FRESH AND HEALTHY FOODS (40%) AND HAVING ACCESS TO PLACES TO BE PHYSICALLY ACTIVE (31%)- INABILITY TO BUY HEALTHY FOODS RANKED HIGHEST AMONG THE OLDEST (42%) AND YOUNGEST (41%) PARTICIPANTS- THE YOUNGEST AGE GROUP ALSO PERCEIVED MORE OF AN IMPACT ON THEIR HEALTH RELATED TO DOCTORS WHO WON'T ACCEPT INSURANCE (21%)- INDIVIDUALS WITH ONLY HIGH SCHOOL OR LESS EDUCATION RANKED EACH OF THE 11 POSSIBLE ITEMS ON THE SURVEY AS HAVING A MODERATE TO HUGE IMPACT ON THEIR HEALTH COMPARED TO THOSE WITH SOME COLLEGE OR MORE.- NEARLY HALF OF INDIVIDUALS WITH HIGH SCHOOL OR LESS SAID NOT BEING ABLE TO BUY FRESH AND HEALTHY FOODS WOULD AFFECT THEIR HEALTH.COMMUNITY SURVEY QUESTIONS RELATED TO FIVE MAJOR WELLNESS-RELATED AREAS: -IMPACT OF FACTORS ON SELF AND ON FAMILY'S HEALTH -USE OF LOCAL FARMERS MARKET IN 2014 -AVAILABILITY AND USE OF EMPLOYER WELLNESS PROGRAMS -SOURCE OF PAYMENT FOR HEALTH CARE AND DENTAL SERVICES IN PAST 12 MONTHS -TRAVEL OUT OF HOME COUNTY FOR HEALTH-RELATED SERVICES SURVEY PARTICIPANTS WERE ASKED ABOUT 11 FACTORS THAT MIGHT AFFECT THEIR OWN OR THEIR FAMILY MEMBERS' HEALTH. RESPONSES WERE RATED WITH A LIKERT SCALE THAT RANGED FROM LITTLE OR NO IMPACT TO A MODERATE TO HUGE IMPACT ON HEALTH. OVERALL, THERE WAS CONSIDERABLE DISPARITY IN RESPONDER ANSWERS, FROM NOT APPLICABLE OR "NO IMPACT" TO "HUGE IMPACT." AMONG FACTORS RANKED MODERATE TO HUGE IMPACT, ONE THIRD OF RESPONDENTS (33.1%) IDENTIFIED INABILITY TO BUY FRESH AND HEALTH FOODS AS HAVING HIGH IMPACT ON THEIR HEALTH, FOLLOWED BY NO ACCESS TO PLACES TO BE PHYSICALLY ACTIVE (30.2%). TABLE 3 SHOWS THE RANGE OF RESPONSES TO EACH OF THESE FACTORS. TABLE 3 PARTICIPANT RESPONSES TO FACTORS THAT IMPACT PERSONAL OR FAMILY HEALTH (N=6,181) POTENTIAL HEALTH FACTORS NOT APPLICABLE(%) LITTLE OR NO IMPACT(%) MODERATE TO HUGE IMPACT (%) Not able to buy fresh and healthy foods 15.2 51.8 33.1 No access to places to be physically active 15.2 54.7 30.2 Tobacco being used at work 32.2 51.2 16.6 Tobacco being used at child's school 34.9 44.7 20.4 Lack of physical activity at child's school 29.5 41.6 29.0 Use of food as reward at child's school 32.1 47.0 20.9 Can't afford medications 21.4 53.2 25.3 Can't get transportation to medical visits 28.3 59.2 12.6 Can't get doctor's appointment when needed 21.6 52.2 26.2 Can't afford doctor's fees 21.2 53.5 25.3 Doctor won't accept insurance 27.5 56.0 16.5 THE MEDICAL CENTER AT SCOTTSVILLE Part V, Section B, Line 5: AN INITIAL ASSESSMENT OF LOCAL HEALTH CARE NEEDS WAS PERFORMED IN 2011-2012, WHEN IN APRIL OF 2011, THE BARREN RIVER DISTRICT HEALTH DEPARTMENT (BRDHD) CONVENED A GROUP OF LOCAL HEALTH CARE AND PUBLIC HEALTH LEADERS TO DISCUSS THE NEED TO IMPROVE OVERALL HEALTH STATUS WITHIN THE 10-COUNTY BARREN RIVER AREA DEVELOPMENT DISTRICT(BRADD). THE GROUP FORMED THE BARREN RIVER COMMUNITY HEALTH PLANNING COUNCIL WHICH BEGAN A YEAR-LONG COMMUNITY HEALTH ASSESSMENT PHASE THAT RAN FROM NOVEMBER 2011 THROUGH MAY 2012. MEMBERS EXPLORED A NUMBER OF QUESTIONS, IDENTIFIED FIVE PRIORITY HEALTH ISSUES AND SOUGHT INPUT ABOUT THESE ISSUES FROM PEERS, CONSTITUENTS, EMPLOYEES, ORGANIZATIONS, AND FAMILIES. WITH THE RESULTING INFORMATION, FOUR STAKEHOLDER GROUPS WERE CREATED TO DEVELOP ACTION PLANS TO ADDRESS THE PRIORITY HEALTH ISSUES. THE STAKEHOLDER GROUPS ADDRESSED THE HEALTHCARE DELIVERY SYSTEM, WORKSITES, EDUCATIONAL SYSTEM AND COMMUNITIES AND THEIR ROLE IN TARGETING CARDIOVASCULAR DISEASE, OBESITY, DIABETES, LUNG CANCER, AND DRUG ABUSE AND ADDICTION. A HEALTH PLAN WAS DEVELOPED FOR 2013-15.TO UPDATE THE COMMUNITY HEALTH NEEDS ASSESSMENT AND EVALUATE CURRENT NEEDS, A UNIQUE PARTNERSHIP OF THE BARREN RIVER DISTRICT HEALTH DEPARTMENT (BRDHD), THE BARREN INITIATIVE TO GET HEALTHY TOGETHER (BRIGHT) COALITION, AND FOUR COMMUNITY STAKEHOLDER GROUPS WITH THE GOAL TO IMPROVE OVERALL HEALTH STATUS WITHIN THE 10-COUNTY BARREN RIVER AREA DEVELOPMENT DISTRICT CAME TOGETHER IN THE LATTER MONTHS OF 2014 TO REVIEW COMMUNITY HEALTH NEEDS.THE BRDHD STAFF AND BRIGHT MEMBERS DEVELOPED A COMMUNITY SURVEY TO ASSESS PROGRESS AND NEED IN FIVE IMPORTANT WELLNESS-RELATED AREAS. THE ONE-PAGE SURVEY WAS DISSEMINATED TO CITIZENS IN THE 10 BRADD COUNTIES DURING JANUARY TO MARCH OF 2015. A TOTAL OF 6,258 ADULTS OVER THE AGE OF 18 RESPONDED TO THE SURVEY. RESPONDERS REPRESENTED EACH OF THE TEN COUNTIES IN THE BRADD.THIS COMMUNITY SURVEY SHOWS THAT BRDHD AND BRIGHT HAVE ALREADY BEEN QUITE SUCCESSFUL IN INCREASING AWARENESS ABOUT THE IMPORTANCE OF PREVENTION, WELLNESS AND HEALTHY LIVING THROUGHOUT THE DISTRICT. HOWEVER, THIS SUCCESS AND AWARENESS VARIES BY SEVERAL FACTORS, INCLUDING GENDER, AGE, EDUCATION LEVEL, AND GEOGRAPHY. TO BETTER UNDERSTAND THE POTENTIAL INFLUENCES ON CITIZEN KNOWLEDGE AND ENGAGEMENT IN HEALTH BEHAVIORS, RESPONSES TO QUESTIONS ABOUT EACH OF THE FIVE WELLNESS AREAS WERE EXAMINED IN DEPTH.FACTORS AFFECTING SELF AND FAMILY'S HEALTH. ANYWHERE FROM 45 TO 56% OF SURVEY RESPONDERS SAID THEY HAD LITTLE OR NO CONCERNS ABOUT THEIR ABILITY TO BUY FRESH AND HEALTHY FOODS, HAVING PLACES TO BE PHYSICALLY ACTIVE, THEIR EXPOSURE TO TOBACCO, AFFORDING MEDICATIONS AND DOCTORS' FEES AND ACCESSING A DOCTOR WHEN NEEDED. HOWEVER, OTHER PARTICIPANTS EXPRESSED MODERATE TO HUGE CONCERNS ABOUT THEIR ABILITY TO HAVE THESE THINGS AND FELT THIS COULD HAVE A SEVERE EFFECT ON THEIR OWN HEALTH OR THAT OF THEIR FAMILY.- WOMEN EXPRESSED MORE CONCERNS ABOUT MOST OF THESE AREAS, PARTICULARLY IN BUYING FRESH AND HEALTHY FOODS (40%) AND HAVING ACCESS TO PLACES TO BE PHYSICALLY ACTIVE (31%)- INABILITY TO BUY HEALTHY FOODS RANKED HIGHEST AMONG THE OLDEST (42%) AND YOUNGEST (41%) PARTICIPANTS- THE YOUNGEST AGE GROUP ALSO PERCEIVED MORE OF AN IMPACT ON THEIR HEALTH RELATED TO DOCTORS WHO WON'T ACCEPT INSURANCE (21%)- INDIVIDUALS WITH ONLY HIGH SCHOOL OR LESS EDUCATION RANKED EACH OF THE 11 POSSIBLE ITEMS ON THE SURVEY AS HAVING A MODERATE TO HUGE IMPACT ON THEIR HEALTH COMPARED TO THOSE WITH SOME COLLEGE OR MORE.- NEARLY HALF OF INDIVIDUALS WITH HIGH SCHOOL OR LESS SAID NOT BEING ABLE TO BUY FRESH AND HEALTHY FOODS WOULD AFFECT THEIR HEALTH.COMMUNITY SURVEY QUESTIONS RELATED TO FIVE MAJOR WELLNESS-RELATED AREAS: -IMPACT OF FACTORS ON SELF AND ON FAMILY'S HEALTH -USE OF LOCAL FARMERS MARKET IN 2014 -AVAILABILITY AND USE OF EMPLOYER WELLNESS PROGRAMS -SOURCE OF PAYMENT FOR HEALTH CARE AND DENTAL SERVICES IN PAST 12 MONTHS -TRAVEL OUT OF HOME COUNTY FOR HEALTH-RELATED SERVICES SURVEY PARTICIPANTS WERE ASKED ABOUT 11 FACTORS THAT MIGHT AFFECT THEIR OWN OR THEIR FAMILY MEMBERS' HEALTH. RESPONSES WERE RATED WITH A LIKERT SCALE THAT RANGED FROM LITTLE OR NO IMPACT TO A MODERATE TO HUGE IMPACT ON HEALTH. OVERALL, THERE WAS CONSIDERABLE DISPARITY IN RESPONDER ANSWERS, FROM NOT APPLICABLE OR "NO IMPACT" TO "HUGE IMPACT." AMONG FACTORS RANKED MODERATE TO HUGE IMPACT, ONE THIRD OF RESPONDENTS (33.1%) IDENTIFIED INABILITY TO BUY FRESH AND HEALTH FOODS AS HAVING HIGH IMPACT ON THEIR HEALTH, FOLLOWED BY NO ACCESS TO PLACES TO BE PHYSICALLY ACTIVE (30.2%). TABLE 3 SHOWS THE RANGE OF RESPONSES TO EACH OF THESE FACTORS. TABLE 3 PARTICIPANT RESPONSES TO FACTORS THAT IMPACT PERSONAL OR FAMILY HEALTH (N=6,181) POTENTIAL HEALTH FACTORS NOT APPLICABLE(%) LITTLE OR NO IMPACT(%) MODERATE TO HUGE IMPACT (%) Not able to buy fresh and healthy foods 15.2 51.8 33.1 No access to places to be physically active 15.2 54.7 30.2 Tobacco being used at work 32.2 51.2 16.6 Tobacco being used at child's school 34.9 44.7 20.4 Lack of physical activity at child's school 29.5 41.6 29.0 Use of food as reward at child's school 32.1 47.0 20.9 Can't afford medications 21.4 53.2 25.3 Can't get transportation to medical visits 28.3 59.2 12.6 Can't get doctor's appointment when needed 21.6 52.2 26.2 Can't afford doctor's fees 21.2 53.5 25.3 Doctor won't accept insurance 27.5 56.0 16.5 The Medical Center at Caverna Part V, Section B, Line 5: AN INITIAL ASSESSMENT OF LOCAL HEALTH CARE NEEDS WAS PERFORMED IN 2011-2012, WHEN IN APRIL OF 2011, THE BARREN RIVER DISTRICT HEALTH DEPARTMENT (BRDHD) CONVENED A GROUP OF LOCAL HEALTH CARE AND PUBLIC HEALTH LEADERS TO DISCUSS THE NEED TO IMPROVE OVERALL HEALTH STATUS WITHIN THE 10-COUNTY BARREN RIVER AREA DEVELOPMENT DISTRICT(BRADD). THE GROUP FORMED THE BARREN RIVER COMMUNITY HEALTH PLANNING COUNCIL WHICH BEGAN A YEAR-LONG COMMUNITY HEALTH ASSESSMENT PHASE THAT RAN FROM NOVEMBER 2011 THROUGH MAY 2012. MEMBERS EXPLORED A NUMBER OF QUESTIONS, IDENTIFIED FIVE PRIORITY HEALTH ISSUES AND SOUGHT INPUT ABOUT THESE ISSUES FROM PEERS, CONSTITUENTS, EMPLOYEES, ORGANIZATIONS, AND FAMILIES. WITH THE RESULTING INFORMATION, FOUR STAKEHOLDER GROUPS WERE CREATED TO DEVELOP ACTION PLANS TO ADDRESS THE PRIORITY HEALTH ISSUES. THE STAKEHOLDER GROUPS ADDRESSED THE HEALTHCARE DELIVERY SYSTEM, WORKSITES, EDUCATIONAL SYSTEM AND COMMUNITIES AND THEIR ROLE IN TARGETING CARDIOVASCULAR DISEASE, OBESITY, DIABETES, LUNG CANCER, AND DRUG ABUSE AND ADDICTION. A HEALTH PLAN WAS DEVELOPED FOR 2013-15.TO UPDATE THE COMMUNITY HEALTH NEEDS ASSESSMENT AND EVALUATE CURRENT NEEDS, A UNIQUE PARTNERSHIP OF THE BARREN RIVER DISTRICT HEALTH DEPARTMENT (BRDHD), THE BARREN INITIATIVE TO GET HEALTHY TOGETHER (BRIGHT) COALITION, AND FOUR COMMUNITY STAKEHOLDER GROUPS WITH THE GOAL TO IMPROVE OVERALL HEALTH STATUS WITHIN THE 10-COUNTY BARREN RIVER AREA DEVELOPMENT DISTRICT CAME TOGETHER IN THE LATTER MONTHS OF 2014 TO REVIEW COMMUNITY HEALTH NEEDS.THE BRDHD STAFF AND BRIGHT MEMBERS DEVELOPED A COMMUNITY SURVEY TO ASSESS PROGRESS AND NEED IN FIVE IMPORTANT WELLNESS-RELATED AREAS. THE ONE-PAGE SURVEY WAS DISSEMINATED TO CITIZENS IN THE 10 BRADD COUNTIES DURING JANUARY TO MARCH OF 2015. A TOTAL OF 6,258 ADULTS OVER THE AGE OF 18 RESPONDED TO THE SURVEY. RESPONDERS REPRESENTED EACH OF THE TEN COUNTIES IN THE BRADD.THIS COMMUNITY SURVEY SHOWS THAT BRDHD AND BRIGHT HAVE ALREADY BEEN QUITE SUCCESSFUL IN INCREASING AWARENESS ABOUT THE IMPORTANCE OF PREVENTION, WELLNESS AND HEALTHY LIVING THROUGHOUT THE DISTRICT. HOWEVER, THIS SUCCESS AND AWARENESS VARIES BY SEVERAL FACTORS, INCLUDING GENDER, AGE, EDUCATION LEVEL, AND GEOGRAPHY. TO BETTER UNDERSTAND THE POTENTIAL INFLUENCES ON CITIZEN KNOWLEDGE AND ENGAGEMENT IN HEALTH BEHAVIORS, RESPONSES TO QUESTIONS ABOUT EACH OF THE FIVE WELLNESS AREAS WERE EXAMINED IN DEPTH.FACTORS AFFECTING SELF AND FAMILY'S HEALTH. ANYWHERE FROM 45 TO 56% OF SURVEY RESPONDERS SAID THEY HAD LITTLE OR NO CONCERNS ABOUT THEIR ABILITY TO BUY FRESH AND HEALTHY FOODS, HAVING PLACES TO BE PHYSICALLY ACTIVE, THEIR EXPOSURE TO TOBACCO, AFFORDING MEDICATIONS AND DOCTORS' FEES AND ACCESSING A DOCTOR WHEN NEEDED. HOWEVER, OTHER PARTICIPANTS EXPRESSED MODERATE TO HUGE CONCERNS ABOUT THEIR ABILITY TO HAVE THESE THINGS AND FELT THIS COULD HAVE A SEVERE EFFECT ON THEIR OWN HEALTH OR THAT OF THEIR FAMILY.- WOMEN EXPRESSED MORE CONCERNS ABOUT MOST OF THESE AREAS, PARTICULARLY IN BUYING FRESH AND HEALTHY FOODS (40%) AND HAVING ACCESS TO PLACES TO BE PHYSICALLY ACTIVE (31%)- INABILITY TO BUY HEALTHY FOODS RANKED HIGHEST AMONG THE OLDEST (42%) AND YOUNGEST (41%) PARTICIPANTS- THE YOUNGEST AGE GROUP ALSO PERCEIVED MORE OF AN IMPACT ON THEIR HEALTH RELATED TO DOCTORS WHO WON'T ACCEPT INSURANCE (21%)- INDIVIDUALS WITH ONLY HIGH SCHOOL OR LESS EDUCATION RANKED EACH OF THE 11 POSSIBLE ITEMS ON THE SURVEY AS HAVING A MODERATE TO HUGE IMPACT ON THEIR HEALTH COMPARED TO THOSE WITH SOME COLLEGE OR MORE.- NEARLY HALF OF INDIVIDUALS WITH HIGH SCHOOL OR LESS SAID NOT BEING ABLE TO BUY FRESH AND HEALTHY FOODS WOULD AFFECT THEIR HEALTH.COMMUNITY SURVEY QUESTIONS RELATED TO FIVE MAJOR WELLNESS-RELATED AREAS: -IMPACT OF FACTORS ON SELF AND ON FAMILY'S HEALTH -USE OF LOCAL FARMERS MARKET IN 2014 -AVAILABILITY AND USE OF EMPLOYER WELLNESS PROGRAMS -SOURCE OF PAYMENT FOR HEALTH CARE AND DENTAL SERVICES IN PAST 12 MONTHS -TRAVEL OUT OF HOME COUNTY FOR HEALTH-RELATED SERVICES SURVEY PARTICIPANTS WERE ASKED ABOUT 11 FACTORS THAT MIGHT AFFECT THEIR OWN OR THEIR FAMILY MEMBERS' HEALTH. RESPONSES WERE RATED WITH A LIKERT SCALE THAT RANGED FROM LITTLE OR NO IMPACT TO A MODERATE TO HUGE IMPACT ON HEALTH. OVERALL, THERE WAS CONSIDERABLE DISPARITY IN RESPONDER ANSWERS, FROM NOT APPLICABLE OR "NO IMPACT" TO "HUGE IMPACT." AMONG FACTORS RANKED MODERATE TO HUGE IMPACT, ONE THIRD OF RESPONDENTS (33.1%) IDENTIFIED INABILITY TO BUY FRESH AND HEALTH FOODS AS HAVING HIGH IMPACT ON THEIR HEALTH, FOLLOWED BY NO ACCESS TO PLACES TO BE PHYSICALLY ACTIVE (30.2%). TABLE 3 SHOWS THE RANGE OF RESPONSES TO EACH OF THESE FACTORS. TABLE 3 PARTICIPANT RESPONSES TO FACTORS THAT IMPACT PERSONAL OR FAMILY HEALTH (N=6,181) POTENTIAL HEALTH FACTORS NOT APPLICABLE(%) LITTLE OR NO IMPACT(%) MODERATE TO HUGE IMPACT (%) Not able to buy fresh and healthy foods 15.2 51.8 33.1 No access to places to be physically active 15.2 54.7 30.2 Tobacco being used at work 32.2 51.2 16.6 Tobacco being used at child's school 34.9 44.7 20.4 Lack of physical activity at child's school 29.5 41.6 29.0 Use of food as reward at child's school 32.1 47.0 20.9 Can't afford medications 21.4 53.2 25.3 Can't get transportation to medical visits 28.3 59.2 12.6 Can't get doctor's appointment when needed 21.6 52.2 26.2 Can't afford doctor's fees 21.2 53.5 25.3 Doctor won't accept insurance 27.5 56.0 16.5 THE MEDICAL CENTER at BOWLING GREEN Part V, Section B, Line 6a: THE HOSPITAL'S CHNA WAS CONDUCTED WITH The Medical Center at Scottsville, Caverna Memorial Hospital, commonwealth Regional hospital, Greenview Regional Hospital, Logan Memorial Hospital, Medical Center at Franklin, Monroe County Medical Center, TJ Samson Community Hospital. THE MEDICAL CENTER AT SCOTTSVILLE Part V, Section B, Line 6a: THE HOSPITAL'S CHNA WAS CONDUCTED WITH The Medical Center Bowling Green, The Medical Center at Caverna, commonwealth Regional hospital, Greenview Regional Hospital, Logan Memorial Hospital, Medical Center at Franklin, Monroe County Medical Center, TJ Samson Community Hospital. The Medical Center at Caverna Part V, Section B, Line 6a: THE HOSPITAL'S CHNA WAS CONDUCTED WITH The Medical Center Bowling Green, Medical Center of Scottsville, commonwealth Regional hospital, Greenview Regional Hospital, Logan Memorial Hospital, Medical Center at Franklin, Monroe County Medical Center, TJ Samson Community Hospital. THE MEDICAL CENTER at BOWLING GREEN Part V, Section B, Line 11: The Medical Center provides free care for persons at or below 200% of the federal poverty level. THE MEDICAL CENTER AT SCOTTSVILLE Part V, Section B, Line 11: The Medical Center provides free care for persons at or below 200% of the federal poverty level. The Medical Center at Caverna Part V, Section B, Line 11: The Medical Center at Caverna provides free care for persons at or below 200% of the federal poverty level. THE MEDICAL CENTER at BOWLING GREEN Part V, Section B, Line 22d: The Medical Center wrote off 100% of charges to FAP - eligible individuals. THE MEDICAL CENTER AT SCOTTSVILLE Part V, Section B, Line 22d: The Medical Center wrote off 100% of charges to FAP - eligible individuals. 1 1 - THE MEDICAL CENTER HEALTH & WELLNESS Ctr 1857 Tucker Way Bowling Green KY 42104 Community Wellness Center Part I, Line 3c: THE INCOME LIMIT FOR CHARITY CARE IS 200% OF THE FEDERAL POVERTY LEVEL. DISCOUNTS ARE PROVIDED TO ALL PATIENTS WHO ARE UNINSURED WHOSE INCOME EXCEEDS THE LIMITS TO QUALIFY FOR CHARITY CARE. SELF-PAY DISCOUNTS ARE NOT LIMITED BASED ON INCOME. THE HOSPITAL ALSO PROVIDES PAYMENT PLANS FOR SELF-PAY PATIENTS. Part I, Line 7: THE AMOUNTS REPORTED ON LINE 7G ARE DETERMINED BY MULTIPLYING REVENUE BY THE MEDICARE COST TO CHARGE RATIO. BAD DEBTS ARE DIRECTLY REMOVED FROM PATIENT SERVICE REVENUE, THE AMOUNT REMOVED FROM INPATIENT AND OUTPATIENT REVENUE TOTALED $17,105,567. COST OF CHARITY CARE WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. THE COSTS RELATED TO MEDICAID PATIENTS WAS DETERMINED USING THE HOSPITAL's COST ACCOUNTING SYSTEM. FOR SUBSIDIZED SERVICES THE HOSPITAL'S COST ACCOUNTING SYSTEM IS USED TO DETERMINE COSTS RELATED TO THE SPECIFIC SERVICE EXCLUDING TRADITIONAL MEDICAID AND MEDICAID MANAGED PATIENTS. COSTS FOR CHARITY AND BAD DEBT ACCOUNTS ARE DEDUCTED USING A RATIO OF COST TO CHARGE SPECIFIC TO THAT SUBSIDIZED SERVICE. COSTS FOR OTHER PROGRAMS REFLECT THE DIRECT AND INDIRECT COSTS OF PROVIDING THOSE PROGRAMS. Part II, Community Building Activities: COMMUNITY BUILDING ACTIVITIES INCLUDE PARTICIPATION IN THE CHAMBER OF COMMERCE, DOWNTOWN REDEVELOPMENT AND LEADERSHIP BOWLING GREEN. Part III, Line 2: The organization's audited financial statements do not contain a footnote that describes bad debt expense. The hospital elected to early adopt ASU 2011-07. Accordingly, bad debt expense is reflected as a deduction from revenue rather than an operating expense for financial reporting purposes. Part III, Line 3: Charity is recognized for patients who do not have the ability to pay for services received. The hospital uses a standard of 200% of the Federal Poverty Guidelines for qualifying patients who are unable to pay. The gross charges are converted to costs using the hospital's cost to charge ratio. Part III, Line 8: COSTS REPORTED ON LINE 6 ARE OBTAINED FROM THE MEDICARE COST REPORT WHICH ARE BASED ON A COST TO CHARGE RATIO. Part III, Line 9b: THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THEIR CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN THE ESTABLISHED RATES. BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, REVENUE IS NOT RECORDED FOR SUCH SERVICES. THE MEDICAL CENTER MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE THEY PROVIDE. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THEIR CHARITY CARE POLICY. OTHER UNCOMPENSATED CARE RELATES PRINCIPALLY TO CONTRACTUAL ALLOWANCES FOR GOVERNMENT PAYERS, DISCOUNTS TAKEN BY COMMERCIAL PAYERS AND BAD DEBTS. BENEFITS FOR THE POOR INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES OR WHO ARE UNINSURED. THIS INCLUDES TRADITIONAL CHARITY CARE AT STANDARD BILLING RATES AND THE COSTS OF TREATING MEDICAID BENEFICIARIES IN EXCESS OF GOVERNMENT PAYMENTS. THE MEDICAL CENTER DOES NOT PURSUE THE COLLECTION OF AMOUNTS DETERMINED TO BE TRADITIONAL CHARITY CARE. THEREfoRE, THESE AMOUNTS ARE NOT INCLUDED IN NET PATIENT REVENUE. Part VI, Line 2: THE MEDICAL CENTER IS BUILT UPON THE FOUNDATION OF SERVING OUR COMMUNITY, DAY IN AND DAY OUT, WITH QUALITY DEPENDABLE HEALTHCARE. A COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED AS PART OF A COMMUNITY EFFORT LED BY THE BARREN RIVER DISTRICT HEALTH DEPARTMENT WHO COORDINATED THE EFFORTS OF MULTIPLE INTERESTED PARTIES. AS NEEDS ARISE IN THE COMMUNITY AND SURROUNDING COUNTIES, THE MEDICAL CENTER RESPONDS. THE MEDICAL CENTER IS PART OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM AS DESCRIBED IN QUESTION 6 BELOW. THE MULTIPLE FACILITIES INCLUDING THE COMMONWEALTH HEALTH FREE CLINIC ARE EVIDENCE OF THE MEDICAL CENTER'S COMMITMENT TO RESPONDING TO HEALTH NEEDS IN OUR COMMUNITY AND THE SURROUNDING RURAL COUNTIES. Part VI, Line 3: UPON REGISTRATION, PATIENTS ARE PROVIDED A PATIENT HANDBOOK WHICH CONTAINS INFORMATION REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, SIGNAGE AND BROCHURES DESCRIBING FINANCIAL ASSISTANCE POLICIES ARE AVAILABLE AT ADMISSIONS AREAS. EACH PATIENT WILL RECEIVE A STATEMENT REFERRED TO AS A FIRST NOTICE. THE FIRST NOTICE STATES THAT IT IS NOT A BILL, BUT IT IS SUMMARY OF THE PATIENT'S CHARGES. THIS NOTICE AND EACH SUBSEQUENT STATEMENT CONTAINS INFORMATION CONCERNING FINANCIAL ASSISTANCE AS WELL AS CONTACT INFORMATION FOR QUESTIONS. THE MEDICAL CENTER ALSO MAINTAINS A WEBSITE FOR BILLING AND COLLECTIONS QUESTIONS. FINANCIAL ASSISTANCE POLICIES ARE POSTED TO THIS WEBSITE AS WELL AS FREQUENTLY ASKED QUESTIONS REGARDING BILLINGS. Part VI, Line 4: 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 286,000 PEOPLE. THE COMMUNITY IS GROWING AND WE SERVE A GROWING UNINSURED AND UNDERINSURED POPULATION. THERE ARE TWO ACUTE CARE HOSPITALS IN THE COMMUNITY. THE PERCENTAGE OF UNINSURED PERSONS IN THE COUNTIES SERVED BY THE MEDICAL CENTER RANGE FROM 18% TO 24%, WHICH IS HIGHER THAN THE KENTUCKY AVERAGE. THE NUMBER OF RESIDENTS IN THE DISTRICT IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES VARY BY COUNTY AND RANGE FROM 16.1% TO 26.7% COMPARED TO THE KENTUCKY POVERTY RATE OF 18.6%. THE THREE HIGHEST POPULATED COUNTIES IN THE DISTRICT ARE WARREN, BARREN AND ALLEN WHOSE AVERAGE MEDIAN HOUSEHOLD INCOME IS $43,509, $37,587 AND $36,123 RESPECTIVELY, As of the period 2008- 2012. THE PERCENTAGE OF THE POPULATION, as of 2013, in the three highest populated counties who are over 65 years old is approximately 18.9%, 19.9%, and 19.7%. According to the survey conducted by the barren river district health department, the most serious health problems in the community are obesity, alcohol and drug abuse, not enough physical activity, tobacco use and poor diet. Part VI, Line 6: BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION ("THE MEDICAL CENTER") IS OWNED AND CONTROLLED BY COMMONWEALTH HEALTH CORPORATION ("CHC") - CHC HAS BEEN DETERMINED TO BE A PUBLICLY SUPPORTED ORGANIZATION DESCRIBED IN SECTION 509(A)(2) OF THE CODE AND A CHARITABLE ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXATION BY VIRTUE OF SECTIONS 501(A) AND 501(C)(3) OF THE CODE. THE BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION IS A NON-STOCK, NONPROFIT KENTUCKY CORPORATION, UNDER THE NAME " THE MEDICAL CENTER OR "THE MEDICAL CENTER AT BOWLING GREEN AND, SINCE OCTOBER 1996, A HOSPITAL AND NURSING HOME FACILITY IN SCOTTSVILLE, KENTUCKY, UNDER THE NAME "THE MEDICAL CENTER AT SCOTTSVILLE." The Medical Center also began operating a hospital in Horse Cave, Kentucky on January 1, 2016 under the name "The Medical Center at Caverna."THE MEDICAL CENTER AT BOWLING GREEN:BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL'S BOWLING GREEN FACILITY IS A GENERAL ACUTE CARE HOSPITAL LICENSED FOR 337 BEDS. IN 1980, THE BOWLING GREEN FACILITY MOVED INTO A NEW, SIX-STORY, STATE-OF-THE-ART FACILITY, OCCUPYING 298,000 SQUARE FEET ON A 17-ACRE CAMPUS. SINCE 1980, BECAUSE OF AN EXPANDING DEMAND FOR OUTPATIENT SERVICES, SEVERAL ADDITIONS TO THE BOWLING GREEN FACILITY HAVE BEEN MADE AND BOTH CLINICAL AND PATIENT AREAS HAVE BEEN RENOVATED AND MODERNIZED. TODAY, THE CAMPUS INCLUDES 56 ACRES AND THE BUILDINGS ON THE CAMPUS CONTAIN A TOTAL OF APPROXIMATELY 462,000 SQUARE FEET OF SPACE.IN ADDITION, THE HOSPITAL OPERATES THE WHOLLY OWNED MEDICAL CENTER EMS, LLC., WHICH PROVIDES THE ONLY EMERGENCY MEDICAL SERVICE IN WARREN COUNTY. THE HOSPITAL IS ALSO A 50% PARTNER WITH ANOTHER NONPROFIT IN OPERATING THE NON-PROFIT BARREN RIVER REGIONAL CANCER CENTER, INC., AN OUTPATIENT ONCOLOGY CENTER LOCATED IN GLASGOW, KENTUCKY.THE MEDICAL CENTER AT SCOTTSVILLE:TO MORE FULLY SERVE THE HEALTH NEEDS OF SOUTH CENTRAL KENTUCKY, THE MEDICAL CENTER MERGED IN OCTOBER 1996 WITH AN AFFILIATED ENTITY, HEALTH ENDOWMENT PROPERTIES A-C, INC., A KENTUCKY NON-STOCK, NONPROFIT CORPORATION, WHICH OWNED AND OPERATED THE MEDICAL CENTER AT SCOTTSVILLE (THE "SCOTTSVILLE FACILITY"). THE SCOTTSVILLE FACILITY OPENED IN 1996 AND IS COMPRISED OF A 25-BED medicare designated CRITICAL ACCESS HOSPITAL AND 110 NURSING CARE BEDS. THESE BEDS ARE LOCATED IN AN 85,000 SQUARE FOOT BUILDING ON APPROXIMATELY 13 ACRES OF LAND IN ALLEN COUNTY, NEAR SCOTTSVILLE, KENTUCKY.THE MEDICAL CENTER AT CAVERNA:THE MEDICAL CENTER AT CAVERNA, LOCATED IN HORSE CAVE, KENTUCKY, BECAME A PART OF THE BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION ON JANUARY 1, 2016. THE HOSPITAL IS A 25-BED medicare designated CRITICAL ACCESS HOSpITAL AND ALSO OPERATES TWO RURAL HEALTH CLINICS, ONE IN MUNFORDVILLE, KY AND ONE IN HORSE CAVE, KY.COMMONWEALTH HEALTH CORPORATION:CHC IS A HOLDING COMPANY FOR A TOTAL OF Thirteen FOR-PROFIT AND NONPROFIT CORPORATIONS AND PARTNERSHIPS (COLLECTIVELY, THE "AFFILIATES") ENGAGED IN VARIOUS ASPECTS OF THE HEALTHCARE INDUSTRY. CHC HAS ESTABLISHED VARIOUS DIVISIONS FOR ITS OPERATIONS, INCLUDING (1) BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION ("THE MEDICAL CENTER"), (2) COMMONWEALTH HEALTH FREE CLINIC, INC., (3) THE MEDICAL CENTER AT FRANKLIN, INC., (4)COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, INC., AND (5) VARIOUS non-profit and FOR-PROFIT CORPORATIONS AND PARTNERSHIPS.CHC OWNS AND OPERATES MULTIPLE PHYSICIAN PRACTICES AND EMPLOYS GENERAL PRACTITIONERS, CARDIAC SURGEONS, VASCULAR SURGEONS, NEUROSURGEONS, NEUROLOGISTS, OBSTETRIC/GYNECOLOGISTS, ORTHOPAEDICS, HOSPITALISTS, OTOLARYNGOLOGISTS, PSYCHIATRISTS, INFECTION DISEASE AND TRAVEL MEDICINE PHYSICIANS, HEMATOLOGY AND ONCOLOGY PHYSICIANS and GENERAL SURGEONS. CHC HAS ACQUIRED THE PHYSICIAN PRACTICES IN ORDER TO ATTRACT AND RETAIN HIGHLY SKILLED PHYSICIANS IN SPECIALTIES THAT SUPPORT THE MISSION OF CHC AND ITS AFFILIATES. IN ADDITION, CHC OPERATES AND PROVIDES VARIOUS CORPORATE SUPPORT SERVICES INCLUDING PATIENT BILLING, COLLECTIONS, ACCOUNTING, MATERIALS MANAGEMENT, ENGINEERING, SECURITY, HUMAN RESOURCES, INFORMATION SYSTEMS, AND ADMINISTRATIVE SUPPORT. SINCE 1990, CHC'S WHOLLY-OWNED CENTER CARE HEALTH BENEFITS PROGRAM ("CENTER CARE"), A PREFERRED PROVIDER ORGANIZATION (PPO), HAS ASSISTED EMPLOYERS IN MANAGING THE RISING COST OF THEIR HEALTHCARE. THE PPO OFFERS EMPLOYER GROUPS AND PAYORS IN THIS REGION AND ACROSS KENTUCKY A COMPREHENSIVE NETWORK OF PHYSICIANS AND FACILITIES WITH GREATER COST SAVINGS POTENTIAL THAN OTHER NATIONAL ORGANIZATIONS. TODAY, CENTER CARE SERVES AS THE LOCAL, REGIONAL OR STATEWIDE NETWORK FOR VARIOUS MANAGED CARE ORGANIZATIONS FOR THEIR COMMERCIAL, MEDICARE AND/OR MEDICAID MEMBERSHIP. CENTER CARE PRESENTLY HAS OVER 500,000 MEMBERS BY PROVIDING ACCESS TO OVER 20,000 PROVIDERS IN KENTUCKY, TENNESSEE, INDIANA, OHIO, AND ILLINOIS.SINCE 2008, CHC HAS BEEN THE SOLE OWNER OF BLUEGRASS OUTPATIENT CENTER OF BOWLING GREEN, LLC ("BLUEGRASS"). BLUEGRASS PROVIDES COMPREHENSIVE REHABILITATION THERAPY SERVICES. COMMONWEALTH HEALTH FREE CLINIC, INC.:COMMONWEALTH HEALTH FREE CLINIC, INC. ("CHFC") WAS ORGANIZED TO OPERATE A CLINIC, WHICH PROVIDES BASIC MEDICAL AND DENTAL DIAGNOSTIC AND TREATMENT SERVICES FOR CHARITABLE PURPOSES FOR THE UNINSURED AND UNDERINSURED OF SOUTH-CENTRAL KENTUCKY AND ALSO SERVES INDIVIDUALS WHO MAY BE COVERED BY SOME FORM OF INSURANCE, BUT WHO ARE UNABLE TO ACCESS A PROVIDER FOR ACUTE OR CHRONIC HEALTHCARE ISSUES. THE CLINIC OFFERS SERVICES INCLUDING NON-EMERGENCY CLINICAL SERVICES, DENTISTRY, COMMUNITY HEALTH EDUCATION AND COUNSELING, DISEASE/CONDITION SPECIFIC EDUCATION AND COUNSELING, AND ACCESS TO PHARMACEUTICALS.THE MEDICAL CENTER AT FRANKLIN, INC.:The Medical Center at Franklin, Inc., ("MCF") OPERATES A HOSPITAL IN THE COMMUNITY OF FRANKLIN, SIMPSON COUNTY, KENTUCKY. THIS LOCATION IS JUST 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.COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, INC.:COMMONWEALTH REGIONAL SPECIALTY HOSPITAL IS A LONG-TERM ACUTE CARE HOSPITAL THAT OPERATES AS A HOSPITAL WITHIN A HOSPITAL BY LEASING 28 BEDS FROM THE MEDICAL CENTER ON THE MEDICAL CENTER'S BOWLING GREEN CAMPUS. IT IS AN ACUTE CARE HOSPITAL FOR THOSE PATIENTS REQUIRING AN EXTENDED HOSPITAL STAY (ANTICIPATED LENGTH OF STAY BETWEEN 18-35 DAYS) AND GENERALLY HAVING COMPLEX OR CHRONIC MEDICAL CONDITIONS.COMMONWEALTH HEALTH FOUNDATION, INC.:CHC ENDORSED THE ESTABLISHMENT OF COMMONWEALTH HEALTH FOUNDATION ("THE FOUNDATION") FOR THE PURPOSE OF FOSTERING, SUPPORTING AND INITIATING ACTIVITIES FOR THE ADVANCEMENT OF THE HEALTH CARE OBJECTIVES OF CHC AND THE MEDICAL CENTER AND/OR AFFILIATED NON-PROFIT 501(C)(3) ORGANIZATIONS. THE CHAIRMAN OF CHC'S BOARD OF DIRECTORS OR HIS/HER DESIGNEE, CHC'SPRESIDENT AND CEO, AND THE CHIEF FINANCIAL OFFICER OF THE MEDICAL CENTER SERVE AS EX-OFFICIO DIRECTORS OF THE FOUNDATION. THEY ALL THREE ARE COUNTED FOR QUORUM PURPOSES AND HAVE THE RIGHTS AND PRIVILEGES OF OTHER DIRECTORS INCLUDING THE RIGHT TO VOTE ON ALL MATTERS PROPERLY BEFORE THE BOARD. 1 Kentucky Community and Technical College System 1845 Loop Drive Bowling Green KY 42101 611320380 50000 Scholarships 1 Scholarships 2 14652 X X X X X 0 1 0 0 0 0 0 0 0 CONNIE SMITH Director/President & CEO 0 661239 0 0 0 239904 0 0 0 11274 0 912417 0 0 BARBARA JEAN CHERRY cio/executive vice president 0 435361 0 4148 0 94915 0 0 0 10644 0 545068 0 0 Betsy Kullman CNO/Executive Vice President 0 280704 0 2512 0 8425 0 0 0 18672 0 310313 0 0 Ronald G Sowell CFO/Executive Vice President 0 435909 0 4196 0 115871 0 0 0 10096 0 566072 0 0 Sarah Moore Exec. Vice Pres. (retired 7/1/16) 0 282264 0 2663 0 6831 0 0 0 9266 0 301024 0 0 Eric Hagan Vice President/ Administration 0 231552 0 2253 0 2856 0 0 0 25889 0 262550 0 0 WADE R STONE executive vice president 0 278197 0 2620 0 1942 0 0 0 25928 0 308687 0 0 Aric Polston Director/Pharmacy 149528 0 1514 0 5497 0 0 0 17931 0 174470 0 0 0 DAVID REEVES Pharmacy Manager 160835 0 1670 0 16440 0 0 0 28843 0 207788 0 0 0 Eddie Scott Director/Radiology 179204 0 1806 0 17323 0 0 0 16023 0 214356 0 0 0 Robert McClelland Director/Pharmacy 180592 0 1749 0 1077 0 5650 0 29453 0 218521 0 0 0 Sarah Rogers Physicist 181669 0 1804 0 1002 0 5650 0 8489 0 198614 0 0 0 Part I, Line 4b CERTAIN EXECUTIVES OF COMMONWEALTH HEATH 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: $224,576 RONALD SOWELL: $100,863 JEAN CHERRY: $86,658 A County of Warren Kentucky 616000710 934864AA7 2008-03-20 77010000 See Part V 0 0 0 B County of Warren Kentucky 616000710 2015-04-08 24434000 See Part V 0 0 0 C county of Warren Kentucky 616000710 2012-08-01 44126651 See Part V 0 0 0 A 1 0 1 1 B 24434000 24434000 1 0 1 1 C 1 0 1 1 A 0 1 1 1 0 0.04000 0.07000 0.11000 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 0 A 0 0 0 1 1 1 Deutche Bank 30.000000000000 0 0 0 0 B 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 A 0 B 0 C 0 SCH K, Part 1, Line A, Column F BOND A - DESCRIPTION OF PURPOSE TO (1) REFUND THE OUTSTANDING PRINCIPAL AMOUNT OF THE ISSUER'S HOSPITAL REVENUE BONDS, SERIES 1998 (BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION) ISSUED ON JANUARY 15, 1998, (2) FINANCE THE COSTS OF MAJOR FACILITY ADDITIONS, INTERIOR RENOVATIONS, EQUIPMENT, AND FURNISHINGS AND SITE DEVELOPMENT AT THE MEDICAL CENTER AT BOWLING GREEN, (3) FUND A DEBT SERVICE RESERVE FUND FOR THE BONDS, (4) FUND INTEREST ON THE BONDS. AND (5) PAY COSTS OF ISSUING THE BONDS. SCH K, Part 1, Line B, Column F BOND B - DESCRIPTION OF PURPOSE TO (1) CURRENTLY REFUND VARIABLE RATE DEMAND HOSPITAL REVENUE BONDS, SERIES 2007A (BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION PROJECT) THAT WERE ISSUED ON March 15, 2007, (2) FUND A DEBT SERVICE RESERVE FUND FOR THE BONDS, AND (3) PAY COSTS OF ISSUING THE Bonds. SCH K, Part 1, Line C, Column F BOND C - DESCRIPTION OF PURPOSE TO (1) LEGALLY DEFEASE A PORTION OF THE OUTSTANDING SERIES 2008 BONDS ISSUED ON MARCH 20, 2008, (2) FUND THE CONSTRUCTION OF THE MEDICAL CENTER - WKU HEALTH SCIENCES COMPLEX, (3) AND TO PAY THE COSTS OF ISSUING THE SERIES 2012 BONDS. graves gilbert clinic ron sowell, officer 452629 leasing - RON SOWELL IS AN OFFICER OF THE MEDICAL CENTER. MR. SOWELL'S WIFE, DR. DEBRA SOWELL, IS THE MEDICAL DIRECTOR OF GRAVES GILBERT CLINIC (GGC). THE MEDICAL CENTER LEASES PROPERTY TO GGC AND ALSO PURCHASES PHYSICIAN SERVICES FROM THEM. ALL TRANSACTIONS ARE CONDUCTED ON AN ARM'S LENGTH BASIS. 0 graves gilbert clinic ron sowell, officer 11298 physician services - RON SOWELL IS AN OFFICER OF THE MEDICAL CENTER. MR. SOWELL'S WIFE, DR. DEBRA SOWELL, IS THE MEDICAL DIRECTOR OF GRAVES GILBERT CLINIC (GGC). THE MEDICAL CENTER LEASES PROPERTY TO GGC AND ALSO PURCHASES PHYSICIAN SERVICES FROM THEM. ALL TRANSACTIONS ARE CONDUCTED ON AN ARM'S LENGTH BASIS. 0 airgas mid-america b jean cherry, officer 237876 medical supplies - BARBARA JEAN CHERRY IS AN EXECUTIVE VICE PRESIDENT FOR THE MEDICAL CENTER. MRS. CHERRY'S SPOUSE IS THE CHIEF FINANCIAL OFFICER OF AIRGAS MID-AMERICA. AIRGAS MID-AMERICA SUPPLIES MEDICAL GAS TO THE MEDICAL CENTER. JEAN CHERRY DOES NOT PARTICIPATE IN THE NEGOTIATIONS OF CONTRACTS WITH AIRGAS MID-AMERICA AND ALL TRANSACTIONS ARE CONDUCTED ON AN ARM'S LENGTH BASIS. 0 stephanie blackburn donna blackburn, director 57420 COMP OF DTR-IN-LAW - DONNA BLACKBURN SERVES AS A DIRECTOR OF THE MEDICAL CENTER. MS. BLACKBURN'S DAUGHTER-IN-LAW, STEPHANIE BLACKBURN, IS EMPLOYED BY THE MEDICAL CENTER. 0 ronnie moore sarah moore, officer 64554 comp of husband - SARAH MOORE SERVEd AS AN OFFICER OF THE MEDICAL CENTER until she retired on 6.30.16. 0 laura deaton donna blackburn, director 39584 comp of daughter - DONNA BLACKBURN SERVES AS A DIRECTOR OF THE MEDICAL CENT 0 Form 990, Part VI, Section A, line 6 ARTICLE 2 OF THE BYLAWS IDENTIFIES COMMONWEALTH HEALTH CORPORATION BOARD OF DIRECTORS AS THE MEMBER. ARTICLE 2 OF THE BYLAWS SAYS THE MEMBER SHALL APPOINT A NOMINATING COMMITTEE WHICH SHALL MEET AND DESIGNATE NOMINEES FOR ALL POSITIONS TO BE FILLED BY APPOINTMENT BY THE MEMBER. Form 990, Part VI, Section A, line 7a ARTICLE 2 OF THE BYLAWS IDENTIFIES COMMONWEALTH HEALTH CORPORATION BOARD OF DIRECTORS AS THE MEMBER. ARTICLE 2 OF THE BYLAWS SAYS THE MEMBER SHALL APPOINT A NOMINATING COMMITTEE WHICH SHALL MEET AND DESIGNATE NOMINEES FOR ALL POSITIONS TO BE FILLED BY APPOINTMENT BY THE MEMBER. Form 990, Part VI, Section B, line 11 FORM 990 IS PLACED ELECTRONICALLY ON A COMPANY WEBSITE USED TO SHARE INFORMATION WITH BOARD MEMBERS. EACH BOARD MEMBER IS PROVIDED ACCESS TO THE WEBSITE AND IS ASKED TO REVIEW FORM 990 PRIOR TO A DESIGNATED DATE ON WHICH THE RETURN WILL BE FILED. AT LEAST TWO WEEKS OF ADVANCE NOTICE IS GIVEN TO BOARD MEMBERS SO THEY MAY REVIEW THE RETURN. Form 990, Part VI, Section B, line 12c THE COMMONWEALTH HEALTH CORPORATION (CHC) (APPLICABLE TO THE CORPORATION AND/OR ITS AFFILIATES) CODE OF CONDUCT EXPLICITLY STATES MEMBERS OF THE BOARD, ADMINISTRATION, THE MEDICAL STAFF, AND ALL EMPLOYEES ARE EXPECTED TO AVOID CONFLICTS OF INTEREST IN A TIMELY MANNER. ALL INDIVIDUALS SIGN AN ACKNOWLEDGEMENT UPON EMPLOYMENT THAT THEY HAVE RECEIVED A COPY OF THE CODE OF CONDUCT, ARE FAMILIAR WITH ITS CONTENT, AND UNDERSTAND THEIR RESPONSIBILITIES TO AVOID NON-COMPLIANT ACTIVITY. CHC'S REGULATORY COMPLIANCE COMMITTEE (RCC) REVIEWS AND APPROVES ALL CONTRACTS FOR CHC AND/OR AFFILIATES. THE REVIEW IS DESIGNED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST BY BOARD MEMBERS AND/OR OFFICERS. RCC MEMBERS ARE PROHIBITED FROM TAKING PART IN DECISIONS REGARDING TRANSACTIONS WITH WHICH HE/SHE HAS A CONFLICT OF INTEREST. ANNUALLY, WRITTEN INQUIRY IS MADE-BY-QUESTIONNAIRE OF BOARD MEMBERS AND OFFICERS SEEKING DISCLOSURE OF CONFLICTS OF INTEREST OR INFORMATION THAT RELATES TO FAMILY MEMBERS. TRANSACTIONS ARISING ARE REVIEWED BY MANAGEMENT AS THEY OCCUR. Form 990, Part VI, Section B, line 15 EMPLOYEE OFFICERS OF THIS ENTITY ARE EMPLOYEES OF COMMONWEALTH HEALTH CORPORATION WHICH USES INDEPENDENT CONSULTANTS TO ANNUALLY REVIEW COMPENSATION. COMPENSATION-RELATED DETERMINATIONS ARE CONDUCTED IN ACCORDANCE WITH APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE AND REGULATIONS TO QUALIFY FOR THE PRESUMPTION THAT THE COMPENSATION IS REASONABLE, INCLUDING BUT NOT LIMITED TO APPROVAL BY AN AUTHORIZED COMMITTEE OF THE BOARD OF DIRECTORS WHO DO NOT HAVE A CONFLICT OF INTEREST, OBTAINING AND RELYING ON APPROPRIATE DATA AS TO COMPARABILITY AND CONCURRENT DOCUMENTATION OF THE BASIS FOR THE COMPENSATION DETERMINATIONS. Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ONLY MADE AVAILABLE IF REQUIRED, AND IN THE MANNER REQUIRED, BY A GOVERNING AGENCY. Form 990, Part XI, line 9: Change in Minimum Pension Liability 1,338,437. Permanent Restricted -92,255. Transfer from Affiliates 576,075. Loss on Extinguishment of Debt -2,094,311. Excess of Assets over Liab in Caverna Acquisition 2,973,458. Form 990, Part XII, Line 2C THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. Medical Center Pharmacy of Bowling Green 800 Park Street Bowling Green KY 42101 061778164 Pharmacy KY 575427 2123887 Medical Center EMS LLC 800 Park Street Bowling Green KY 42101 562332847 EMERG MED SVC KY -1 1012734 The Medical Center At Franklin Inc 800 Park Street Bowling Green KY 42101 611362001 Hospital KY 501(c)(3) Line 3 CHC Inc 0 Commonwealth Health Corporation INc 800 Park Street Bowling Green KY 42101 311118087 Support KY 501(c)(3) Line 9 N/A 0 Commonwealth Regional Specialty Hospital 800 Park Street Bowling Green KY 42101 542142034 Hospital KY 501(c)(3) Line 3 CHC INc 0 Commonwealth Health Free Clinic INc 800 Park Street Bowling Green KY 42101 611292739 Healthcare KY 501(c)(3) Line 3 CHC INC 0 Commonwealth Health Foundation Inc 800 Park Street Bowling Green KY 42101 611362000 Support KY 501(c)(3) Line 7 CHC INc 0 The Medical Center at Albany 800 Park Street Bowling Green KY 42101 811312058 Healthcare KY 501(c)(3) Line 3 CHC INc 0 Urgentcare Properties 800 Park Street Bowling Green KY 42101 Real Estate KY N/A Medical Plaza Partners LTD 800 Park Street Bowling Green KY 42101 Real Estate KY Related 269825 627098 0 0 0.92600 Urgentcare of Bowling Green Inc 800 Park Street Bowling Green KY 42101 611035393 Healthcare KY N/A C 0 1 0 1 0 0 0 0 0 1 1 1 1 0 0 1 1 0 0 0