THE MEDICAL CENTER AT FRANKLIN INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- THE MEDICAL CENTER AT FRANKLIN INC (EIN 61-1362001)
- Tax period
- 2015-04-01 to 2016-03-31
- Filed
- 2017-02-13
- IRS object ID
- 201740449349301969
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-02-13T13:50:13-06:00 | ReturnTs |
| Tax Period End | 2016-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Blue & Co LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N Meridian St Suite 200 | AddressLine1Txt |
| City | Indianapolis | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 611362001 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Medical Center at Franklin Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEDI | BusinessNameControlTxt |
| Phone | 2707451500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Park Street | AddressLine1Txt |
| City | Bowling Green | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42102 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Ronald Sowell | PersonNm |
| Person Title | EVP - CFO | PersonTitleTxt |
| Phone | 2707451500 | PhoneNum |
| Signature | 2017-02-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Angela Zirkelbach CPA | PreparerPersonNm |
| PTIN | P00572603 | PTIN |
| Phone | 3176334705 | PhoneNum |
| Preparation | 2017-02-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Connie D Smith | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Park Street | AddressLine1Txt |
| City | Bowling Green | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $31,289,662 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.themedicalcenterfranklin.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | Our mission is to care for people and improve the quality of life in the communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 245 | TotalEmployeeCnt |
| Total Volunteers | 3 | TotalVolunteersCnt |
| Total Gross UBI | $8,999 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$1,691 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $750 | PYContributionsGrantsAmt |
| CY Contributions Grants | $25,526 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $25,531,424 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $25,880,239 | CYProgramServiceRevenueAmt |
| PY Investment Income | $334,842 | PYInvestmentIncomeAmt |
| CY Investment Income | $440,051 | CYInvestmentIncomeAmt |
| PY Other Revenue | $170,659 | PYOtherRevenueAmt |
| CY Other Revenue | $22,278 | CYOtherRevenueAmt |
| PY Total Revenue | $26,037,675 | PYTotalRevenueAmt |
| CY Total Revenue | $26,368,094 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,516,685 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,795,410 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,576,551 | PYOtherExpensesAmt |
| CY Other Expenses | $11,649,944 | CYOtherExpensesAmt |
| PY Total Expenses | $20,093,236 | PYTotalExpensesAmt |
| CY Total Expenses | $20,445,354 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,944,439 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,922,740 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $42,971,483 | TotalAssetsBOYAmt |
| Total Assets EOY | $44,117,867 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,798,912 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,079,394 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $33,172,571 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $39,038,473 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE CORPORATE MISSION IS TO CARE FOR PEOPLE AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,406,340 | ExpenseAmt |
| Revenue | $6,470,059 | RevenueAmt |
| Desc | THE MEDICAL CENTER AT FRANKLIN ("MCF") IS RECOGNIZED BY MEDICARE AS A CRITICAL ACCESS HOSPITAL. MCF IS 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 OF INJURED, DISABLED, OR SICK PERSONS.ORGANIZATION THE MEDICAL CENTER AT FRANKLIN, INC., 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 SIMPSON COUNTY, KENTUCKY. EFFECTIVE SEPTEMBER 2, 2003, THE MEDICAL CENTER AT FRANKLIN, INC. OBTAINED DESIGNATION AS A CRITICAL ACCESS FACILITY UNDER THE MEDICARE REGULATIONS. SERVICES THE HOSPITAL 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. THE HOSPITAL'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 WORKS COLLABORATIVELY TO PROVIDE PRIMARY OUTPATIENT CARE, RENDERED IN AN EMERGENCY ROOM AND OUTPATIENT SETTING, AND SECONDARY CARE CONSISTING OF INPATIENT SERVICES OF A GENERAL AND SPECIALIZED NATURE. COMMUNITY BENEFIT AND CHARITY AS A HOSPITAL, THE MEDICAL CENTER AT FRANKLIN: (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 AT FRANKLIN 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 AT FRANKLIN DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, REVENUE IS NOT RECORDED FOR SUCH SERVICES. THE MEDICAL CENTER AT FRANKLIN MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE PROVIDED. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THE CHARITY CARE POLICY. THE MEDICAL CENTER AT FRANKLIN'S ADDITIONAL COMMUNITY BENEFIT EXPENSE MAY BE QUANTIFIED IN TERMS OF UNCOMPENSATED CARE, SERVICES TO THE POOR, AND BENEFITS TO THE BROADER COMMUNITY PROVIDED ON AN ONGOING BASIS: CHARITY CARE $693,458 BAD DEBT 92,380COMMUNITY HEALTH SERVICES 292,702HEALTH PROFESSIONALS EDUCATION 126,185FINANCIAL AND IN-KIND CONTRIBUTIONS 2,417COMMUNITY BUILDING ACTIVITIES 29,165 TOTAL MEDICAL CENTER COMMUNITY BENEFITS $1,236,307BENEFITS 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 AT FRANKLIN DOES NOT PURSUE THE COLLECTION OF AMOUNTS DETERMINED TO BE TRADITIONAL CHARITY CARE. THEREFORE, THESE AMOUNTS ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUES. BENEFITS FOR THE BROADER COMMUNITY INCLUDE SERVICES PROVIDED TO OTHER NEEDY INDIVIDUALS THAT 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. DURING FISCAL YEAR 2016 THE HOSPITAL ADMITTED 762 ACUTE PATIENTS WHO RECEIVED 2,261 PATIENT DAYS OF CARE AND 366 SWING BED PATIENTS WHO RECEIVED 5,371 DAYS OF CARE. DURING FISCAL YEAR 2015 THE HOSPITAL ADMITTED 792 ACUTE PATIENTS WHO RECEIVED 2,881 PATIENT DAYS OF CARE AND 296 SWING BED PATIENTS WHO RECEIVED 4,850 DAYS OF CARE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,219,021 | ExpenseAmt |
| Revenue | $19,410,180 | RevenueAmt |
| Desc | THE HOSPITAL SERVES THE COMMUNITY BY PROVIDING CERTAIN OUTPATIENT SERVICES, INCLUDING AN EMERGENCY DEPARTMENT, BY OR UNDER THE SUPERVISION OF PHYSICIANS, DIAGNOSTIC AND THERAPEUTIC SERVICES FOR MEDICAL DIAGNOSIS, TREATMENT, AND CARE OF INJURED, DISABLED, OR SICK PERSONS, OR REHABILITATION OF INJURED, DISABLED, OR SICK PERSONS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $17,625,361 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 47 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 245 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | James Larry Vaughn | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2707451500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Park Street | AddressLine1Txt |
| City | Bowling Green | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42102 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Beverly Boren | ||||||||
| Secretary | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Brad Odil | ||||||||
| Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Cheri Natcher | ||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CONNIE SMITH | ||||||||
| director/president & ceo | 2.00 | 48.00 | Yes (X) | Yes (X) | $0 | $901,143 | $11,274 | |
| Gary Broady | ||||||||
| Vice Chairmain | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Michael Steve Thurmond | ||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Tommy Holderfield | ||||||||
| Chairman | 2.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Barbara Jean Cherry | ||||||||
| cio/executive vice president | 1.00 | 49.00 | Yes (X) | $0 | $534,424 | $10,644 | ||
| Betsy Kullman | ||||||||
| cno/executive vice president | 2.00 | 48.00 | Yes (X) | $0 | $291,641 | $18,672 | ||
| Eric Hagan | ||||||||
| Vice President/administrator | 20.00 | 30.00 | Yes (X) | $0 | $236,662 | $25,889 | ||
| Ronald Sowell | ||||||||
| cfo/executive vice president | 2.00 | 48.00 | Yes (X) | $0 | $555,976 | $10,096 | ||
| SARAH MOORE | ||||||||
| exec. vice pres. (retired 7/1/16) | 1.00 | 49.00 | Yes (X) | $0 | $291,758 | $9,266 | ||
| WADE STONE | ||||||||
| executive vice president | 1.00 | 49.00 | Yes (X) | $0 | $282,759 | $25,928 | ||
| Annette Runyon | ||||||||
| Dir. Patient Serv.(10/5/15-3/31/16) | 40.00 | 0.00 | $27,031 | $99,771 | $509 | Yes (X) | ||
| Vicki Tyler | ||||||||
| Dir. Patient Serv.(4/1/15-10/4/15) | 40.00 | 0.00 | $122,185 | $0 | $7,166 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $149,216 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,194,134 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $119,444 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| southeastern emergency physicians | |||||
| po box 634850 | cincinnati | OH | 45263 | er physician services | $844,207 |
| Kentucky PremierCare | |||||
| 603 Main Street | Windermere | FL | 34786 | Clinical services | $469,331 |
| Morrison Management Specialists Inc | |||||
| PO Box 102289 | Atlanta | GA | 30368 | Cafeteria Services | $350,388 |
| Logans Uniform rental INc | |||||
| PO Box 643958 | Cincinnati | OH | 45264 | laundry services | $214,234 |
| anesthesia and pain specialists of Bowli | |||||
| 350 park street ste 203B | bowling green | KY | 42101 | clinical services | $160,050 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $25,526 | AllOtherContributionsAmt |
| Total Contributions | $25,526 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Outpatient Services | 621400 | $19,410,180 | $19,410,180 |
| Inpatient Routine and Ancillary S | 621110 | $6,470,059 | $6,470,059 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $25,880,239 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $363,432 | TotalRevenueColumnAmt |
| Exclusion | $363,432 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $132,939 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $230,377 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$97,438 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$97,438 | TotalRevenueColumnAmt |
| Exclusion | -$97,438 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,767,710 | SecuritiesAmt |
| Other | $100 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,691,171 | SecuritiesAmt |
| Other | $20 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $76,539 | SecuritiesAmt |
| Other | $80 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,619 | TotalRevenueColumnAmt |
| Exclusion | $76,619 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Food Services | 900099 | $81,773 | $81,773 | |
| All Other Revenue | 900099 | $35,856 | $26,857 | $8,999 |
| Contract Labor | 900099 | $2,087 | $2,087 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $119,716 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,368,094 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,880,239 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $8,999 | UnrelatedBusinessRevenueAmt |
| Exclusion | $453,330 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,466,746 | TotalAmt |
| Program Services | $6,047,462 | ProgramServicesAmt |
| Management And General | $419,284 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $501,616 | TotalAmt |
| Program Services | $469,093 | ProgramServicesAmt |
| Management And General | $32,523 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,353,993 | TotalAmt |
| Program Services | $1,266,204 | ProgramServicesAmt |
| Management And General | $87,789 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $473,055 | TotalAmt |
| Program Services | $442,402 | ProgramServicesAmt |
| Management And General | $30,653 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $773,711 | TotalAmt |
| Management And General | $773,711 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,659 | TotalAmt |
| Management And General | $14,659 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,273 | TotalAmt |
| Management And General | $49,273 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,016,674 | TotalAmt |
| Program Services | $3,447,742 | ProgramServicesAmt |
| Management And General | $568,932 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,843 | TotalAmt |
| Program Services | $18,019 | ProgramServicesAmt |
| Management And General | $53,824 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,584,392 | TotalAmt |
| Program Services | $1,395,142 | ProgramServicesAmt |
| Management And General | $189,250 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,082 | TotalAmt |
| Program Services | $126,082 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,510 | TotalAmt |
| Program Services | $339,510 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,726 | TotalAmt |
| Program Services | $16,263 | ProgramServicesAmt |
| Management And General | $22,463 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,049 | TotalAmt |
| Program Services | $64,049 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,232,163 | TotalAmt |
| Program Services | $952,445 | ProgramServicesAmt |
| Management And General | $279,718 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,114 | TotalAmt |
| Management And General | $103,114 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $2,764,794 | $2,761,796 | $2,998 |
| Taxes & Licenses | $226,951 | $226,951 | |
| Physician Practice Expe | $162,087 | $0 | $162,087 |
| Patient Transporation | $51,690 | $51,690 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,226 | TotalAmt |
| Program Services | $511 | ProgramServicesAmt |
| Management And General | $29,715 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,445,354 | TotalAmt |
| Program Services | $17,625,361 | ProgramServicesAmt |
| Management And General | $2,819,993 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,046,817 | BOYAmt |
| EOY | $2,667,820 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,943,205 | BOYAmt |
| EOY | $3,584,789 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $409,360 | BOYAmt |
| EOY | $489,545 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,783 | BOYAmt |
| EOY | $118,067 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $27,764,524 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $16,756,002 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,270,711 | BOYAmt |
| EOY | $11,008,522 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,907,209 | BOYAmt |
| EOY | $26,032,168 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $260,398 | BOYAmt |
| EOY | $216,956 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,971,483 | BOYAmt |
| EOY | $44,117,867 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,465,181 | BOYAmt |
| EOY | $2,853,081 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,073 | BOYAmt |
| EOY | $113,684 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,326,990 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,898,668 | BOYAmt |
| EOY | $2,112,629 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,798,912 | BOYAmt |
| EOY | $5,079,394 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,172,571 | BOYAmt |
| EOY | $39,038,473 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,172,571 | BOYAmt |
| EOY | $39,038,473 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,971,483 | BOYAmt |
| EOY | $44,117,867 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $5,922,740 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $14,833 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$71,671 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $3,808 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,808 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | The Hospital is a member of the kentucky hospital association and the national rural hospital association, to which the hospital pays annual dues. A portion of these dues are attributable to lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $400,000 | OtherCostOrOtherBasisAmt |
| Book Value | $400,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,015,946 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,179,938 | DepreciationAmt |
| Book Value | $8,836,008 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,769,708 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,200,328 | DepreciationAmt |
| Book Value | $1,569,380 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $578,870 | OtherCostOrOtherBasisAmt |
| Depreciation | $375,736 | DepreciationAmt |
| Book Value | $203,134 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,008,522 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Long Term Payable Affiliate | $487,905 |
| Third Party Settlements | $1,624,724 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,112,629 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $26,541,633 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $14,833 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $14,833 | RevenueNotReportedAmt |
| Revenue Subtotal | $26,526,800 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$158,706 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$158,706 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $26,368,094 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $20,675,731 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $230,377 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $230,377 | ExpensesNotReportedAmt |
| Expenses Subtotal | $20,445,354 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $20,445,354 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The Medical Center is exempt from federal income taxes and related income pursuant to section 501(a) of the internal revenue code (IRC) as an organization described in section 501(c)(3) of the IRC. The Medical center files federal income tax returns as well as income tax returns in kentucky. The medical center is no longer subject to U.S. federal income tax examinations by tax authorities for years before 2013. 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 and 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 4b - Other Adjustments: | Rental Expenses Included in Revenue -230,377. Interest Rate Swap -37,411. Loss on Extinguishment of Debt 109,082. |
| Part XII, Line 2d - Other Adjustments: | Rental Expenses Included in Revenue 230,377. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1140 | PersonsServedCnt |
| Total Community Benefit Expns | $494,949 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $474,808 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,141 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $3,523,552 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,850,235 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $673,317 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03290 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 1140 | PersonsServedCnt |
| Total Community Benefit Expns | $4,018,501 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,325,043 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $693,458 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03390 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 19 | ActivitiesOrProgramsCnt |
| Persons Served | 20451 | PersonsServedCnt |
| Total Community Benefit Expns | $292,702 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $292,702 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01430 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 6 | PersonsServedCnt |
| Total Community Benefit Expns | $126,185 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $126,185 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00620 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,417 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,417 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 25 | ActivitiesOrProgramsCnt |
| Persons Served | 20457 | PersonsServedCnt |
| Total Community Benefit Expns | $421,304 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $421,304 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02060 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 27 | ActivitiesOrProgramsCnt |
| Persons Served | 21597 | PersonsServedCnt |
| Total Community Benefit Expns | $4,439,805 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,325,043 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,114,762 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05450 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $14,210 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,210 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 2 | PersonsServedCnt |
| Total Community Benefit Expns | $14,955 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,955 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 2 | PersonsServedCnt |
| Total Community Benefit Expns | $29,165 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $29,165 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,522,723 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $92,380 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $11,633,296 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,605,447 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$972,151 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MEDICAL CENTER AT FRANKLIN INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Park Street | AddressLine1Txt |
| City | Bowling Green | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.themedicalcenterfranklin.org | WebsiteAddressTxt |
| State License | 600069 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MEDICAL CENTER AT FRANKLIN INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.THEMEDiCALCENTERFRANKliN.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.THEMEDiCALCENTERFRANKliN.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.themedicalcenterfranklin.org | FAPAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| THE MEDICAL CENTER AT FRANKLIN INC | Part V, Section B, Line 5: AAN 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 FRANKLIN INC | Part V, Section B, Line 6a: THE HOSPITAL'S CHNA WAS CONDUCTED WITH Bowling Green Warren County Hospital Corporation (The Medical Center) Caverna Memorial Hospital, commonwealth Regional hospital, Greenview Regional Hospital, Logan Memorial Hospital, Medical Center at Scottsville, Monroe County Medical Center, TJ Samson Community Hospital. |
| THE MEDICAL CENTER AT FRANKLIN INC | Part V, Section B, Line 7d: A COPY OF THE HOSPITAL'S CoMMUNITY HEALTH NEEDS ASSESSMENT AND STRATEGIC IMPLEMENTATION PLAN CAN BE FOUND AT HTTP://WWW.THEMEDiCALCENTERFRANKliN.ORG/ABOUT_US/DOCUMENTS/FRANKLiN.PDF |
| THE MEDICAL CENTER AT FRANKLIN INC | Part V, Section B, Line 11: The Medical Center at franklin provides free care for persons at or below 200% of the federal poverty level. |
| THE MEDICAL CENTER AT FRANKLIN INC | Part V, Section B, Line 13b: Number in household is used for determining FLP for comparison to reported income. |
| THE MEDICAL CENTER AT FRANKLIN INC | Part V, Section B, Line 22d: the hospital facility wrote off 100% of charges to FAP due to eligible individuals. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | THE INCOME LIMIT FOR CHARITY ELIGIBILITY FOR FREE OR discounted 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 6a: | THE ANNUAL REPORT TO THE COMMUNITY IS MADE AVAILABLE TO THE PUBLIC VIA NEWSPAPER INSERTS, DIRECT MAILINGS, AND IS POSTED ON THE COMMONWEALTH HEALTH CORPORATION'S WEBSITE AT WWW.CHC.NET. |
| Part I, Line 7: | BAD DEBTS INCLUDED IN PART VIII LINE 2G TOTALED $2,522,723. THIS AMOUNT HAS BEEN REMOVED FROM TOTAL EXPENSES CALCULATED IN COLUMN F ON SCHEDULE H, PART I AND II.COST OF CHARITY CARE WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. THE COSTS RELATED TO MEDICAID PATIENTS WERE DETERMINED USING THE HOSPITAL COST ACCOUNTING SYSTEM. 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 chamber of commerce and industrial authority. |
| Part III, Line 2: | This is reported on the financial statements on page 4. |
| Part III, Line 3: | This amount is provided by CFR, The Medical Center at Franklin's billing service, who prepares a report that reviews patients against the financial assistance policy. |
| 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 AT FRANKLIN ("MCF") PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THEIR CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN THEIR ESTABLISHED RATES. BECAUSE MCF DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, REVENUE IS NOT RECORDED FOR SUCH SERVICES. MCF 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 COMPENSATED 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 HEALTHCARe 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. MCF DOES NOT PURSUE THE COLLECTION OF AMOUNTS DETERMINED TO BE tRADITIONAL CHARITY CARE, THEREFORE, THESE amounts ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUE. |
| Part VI, Line 2: | THE MEDICAL CENTER AT FRANKLIN ("MCF") IS BUILT UPON THE FOUNDATION OF SERVING OUR COMMUNITY, DAY IN AND DAY OUT, WITH QUALITY DEPENDABLE HEALTHCARE. MCF HAS NOT HISTORICALLY COMPLETED FORMAL HEALTH NEEDS ASSESSMENTS, HOWEVER, AS NEEDS ARISE IN THE COMMUNITY AND SURROUNDING COUNTIES, MCF RESPONDS. MCF IS PART OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM AS DESCRIBED IN QUESTION 6 BELOW. |
| 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. |
| Part VI, Line 4: | THE MEDICAL CENTER AT FRANKLIN ("MCF") IS AN ACUTE CARE HOSPITAL WHICH SERVES THE RESIDENTS OF FRANKLIN AND SIMPSON COUNTY. THE COMMUNITY IS GROWING AND WE ALSO SERVE A GROWING UNINSURED AND UNDERINSURED POPULATION. THE PERCENTAGE OF UNINSURED PERSONS IN THE COMMUNITIES SERVED BY MCF IS HIGHER THAN THE KENTUCKY AVERAGE. As of the census of 2000, there were 16,405 people, 6,415 households, and 4,638 families residing In the county. The population density was 70 per square mile (27/km2). There were 7,016 housing units at an average density of 30 per square mile (12/km2). The racial makeup of the county was 87.84% White, 10.22% Black or African American, 0.17% Native American, 0.55% Asian, 0.6% Pacific Islander, 0.30% from other races, and 0.87% from two or more races, 0.91% of the population was Hispanics or Latinos of any race. The population estimate 2011 provided by the U.S. Department of Commerce IS 17,378 for Simpson County. There were 6,415 households out of which 33.80% had children under the age of 18 living with them, 56.80% were married couples living together, 11.50% had a female householder with no husband present, and 27.70% were non-families, 24.20% of all households were made up of Individuals and 10.40% had someone living alone who was 65 years of age or older. The average household size was 2.52 and the average family size was 2.97. The age distribution was 26.20% under the age of 18, 8.50% from 18 to 24, 29.20% from 25 to 44, 23.00% from 45 to 64, and 13.10% who were 65 years of age or older. The median age was 36 years. For every 100 females there were 95.30 males. For every 100 females age 18 and over, there were 91.60 males. The median Income for a household In the county was $36,432, and the median Income for a family was $42,525. Males had a median Income of $32,160 versus $22,667 for females. The per capital income for the county was $17,150. About 8.50% of families and 11.60% of the population were below the poverty line - Including 14.00% of those under age 18 and 15.90% of those age 65 or over. THE BARREN RIVER COMMUNITY HEALTH PLANNING COUNCIL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2012 AND DETERMINED THE REGION'S PRIORITY HEALTH ISSUES TO INCLUDE CARDIOVASCULAR DISEASE COMMUNITY EDUCATION & PROGRAMS ACCESS TO CARE for OBESITY. |
| Part VI, Line 6: | THE MEDICAL CENTER AT FRANKLIN ("MCF") 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. 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 HEALTH CORPORATION: 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 ("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 other 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 IN THIS REGION A COMPREHENSIVE NETWORK OF PHYSICIANS AND FACILITIES WITH GREATER COST SAVINGS POTENTIAL THAN OTHER NATIONAL ORGANIZATIONS. TODAY, CENTER CARE SERVES AS THE STATEWIDE NETWORK FOR MANAGED CARE ORGANIZATIONS PROVIDING MEDICAID MANAGED CARE SERVICE FOR THE STATE OF KENTUCKY. IT ALSO SERVICES 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 OUTPATIENT REHABILITATION THERAPY SERVICES. BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION: THE BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION IS A NON-STOCK, NONPROFIT KENTUCKY CORPORATION THAT OPERATES A HOSPITAL FACILITY IN BOWLING GREEN, KENTUCKY, UNDER THE NAME "THE MEDICAL CENTER 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, AND A HOSPITAL IN HORSE CAVE, KENTUCKY, UNDER THE NAME "THE MEDICAL CENTER AT CAVERNA."THE MEDICAL CENTER AT BOWLING GREEN:THE MEDICAL CENTER AT BOWLING GREEN, WARREN COUNTY COMMUNITY HOSPITAL'S BOWLING GREEN FACILITY IS A GENERAL ACUTE CARE HOSPITAL LICENSED FOR 337 BEDS, WITH 333 BEDS IN USE. IN 1980, THE BOWLING GREEN FACILITY MOVED INTO A NEW, SIX STORY, STATE-OF-THE-ART FACILITY, OCCUPYING 298,000 SQUARE FEET ON A 17-ACRE CAMPUS. SINCE 1980, BECAUSE OF AN EXPANDING DEMAND FOR OUTPATIENT SERVICES, SEVERAL ADDITIONS TO THE BOWLING GREEN FACILITY HAVE BEEN MADE AND BOTH CLINICAL AND PATIENT AREAS HAVE BEEN RENOVATED AND MODERNIZED. TODAY, THE CAMPUS INCLUDES 56 ACRES AND THE BUILDINGS ON THE CAMPUS CONTAIN 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 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 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: CHC ENDORSED THE ESTABLISHMENT OF COMMONWEALTH HEALTH FOUNDATION ("THE FOUNDATION") FOR THE PURPOSE OF FOSTERING, SUPPORTING AND INITIATING ACTIVITIES FOR THE ADVANCEMENT OF THE HEALTHCARE OBJECTIVES OF CHC AND THE MEDICAL CENTER AND/OR AFFILIATED NON-PROFIT 501(C)(3)ORGANIZATIONS. THE CHAIRMAN OF CHC'S BOARD OF DIRECTORS OR HIS/HER DESIGNEE, CHC'S PRESIDENT AND CEO, AND THE CHIEF FINANCIAL OFFICER OF THE MEDICAL CENTER SERVE AS EX OFFICIO DIRECTORS OF THE FOUNDATION. THEY ALL THREE ARE COUNTED FOR QUORUM PURPOSES AND HAVE THE RIGHTS AND PRIVILEGES OF OTHER DIRECTORS INCLUDING THE RIGHT TO VOTE ON ALL MATTERS PROPERLY BEFORE THE BOARD. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CONNIE SMITH | ||||||||||||||
| director/president & ceo | $0 | $661,239 | $0 | $0 | $0 | $239,904 | $0 | $0 | $0 | $11,274 | $0 | $912,417 | $0 | $0 |
| Barbara Jean Cherry | ||||||||||||||
| cio/executive vice president | $0 | $435,361 | $0 | $4,148 | $0 | $94,915 | $0 | $0 | $0 | $10,644 | $0 | $545,068 | $0 | $0 |
| Betsy Kullman | ||||||||||||||
| cno/executive vice president | $0 | $280,704 | $0 | $2,512 | $0 | $8,425 | $0 | $0 | $0 | $18,672 | $0 | $310,313 | $0 | $0 |
| Eric Hagan | ||||||||||||||
| Vice President/administrator | $0 | $231,553 | $0 | $2,253 | $0 | $2,856 | $0 | $0 | $0 | $25,889 | $0 | $262,551 | $0 | $0 |
| Ronald Sowell | ||||||||||||||
| cfo/executive vice president | $0 | $435,909 | $0 | $4,196 | $0 | $115,871 | $0 | $0 | $0 | $10,096 | $0 | $566,072 | $0 | $0 |
| SARAH MOORE | ||||||||||||||
| exec. vice pres. (retired 7/1/16) | $0 | $282,264 | $0 | $2,663 | $0 | $6,831 | $0 | $0 | $0 | $9,266 | $0 | $301,024 | $0 | $0 |
| WADE STONE | ||||||||||||||
| executive vice president | $0 | $278,197 | $0 | $2,620 | $0 | $1,942 | $0 | $0 | $0 | $25,928 | $0 | $308,687 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4b | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Airgas Mid- America | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Barbara Jean Cherry, Officer | RelationshipDescriptionTxt |
| Transaction | $37,730 | TransactionAmt |
| Transaction | 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. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The corporation's articles of Incorporation specify the corporation shall have one(1) member, which member shall be Commonwealth Health Corporation, Inc. 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, Section A, line 7a | The corporation's articles of Incorporation specify the corporation shall have one(1) member, which member shall be Commonwealth Health Corporation, Inc. 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, 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, THE 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 | 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, 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 IX, line 11g | Other Fees for Non-employees: Program service expenses 3,447,742. Management and general expenses 568,932. Fundraising expenses 0. Total expenses 4,016,674. |
| Form 990, Part XI, line 9: | Change in FV of Interest Rate Swap Agreement 37,411. Loss on extinguishment of debt -109,082. |
| Form 990, Part XII, Line 2C | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Bowling Green Warren County Community Hospital Corp | |||||||||||
| 800 Park Street | Bowling Green | KY | 42101 | 610920842 | Hospital | KY | 501(c)(3) | Line 3 | CHC Inc | 0 | |
| Commonwealth Health Free Clinic Inc | |||||||||||
| 800 Park Street | Bowling Green | KY | 42101 | 611292739 | Health Care | KY | 501(c)(3) | Line 3 | CHC Inc | 0 | |
| Commonwealth Health Corporation | |||||||||||
| 800 Park Street | Bowling Green | KY | 42101 | 311118087 | Support | KY | 501(c)(3) | Line 9 | 0 | N/A | |
| Commonwealth Regional Specialty Hospital | |||||||||||
| 800 Park Street | Bowling Green | KY | 42101 | 542142034 | Hospital | 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 | Hospital | KY | 501(c)(3) | Line 3 | CHC Inc | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Urgentcare Properties | |||||||
| 800 Park Street | Bowling Green | KY | 42101 | 611197268 | Real Estate | KY | N/A |
| Medical Plaza Partners LTD | |||||||
| 800 Park Street | Bowling Green | KY | 42101 | 611080340 | Real Estate | KY | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | urgentcare of bowling green INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Park Street | AddressLine1Txt |
| City | Bowling Green | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 611035393 | EIN |
| Primary Activities | Healthcare | PrimaryActivitiesTxt |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |