2016-02-08T13:02:32-06:00 2015-03-31 351178661 BLUE & CO LLC 500 N MERIDIAN STREET SUITE 200 INDIANAPOLIS IN 46204 990 2014-04-01 610920842 BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION BOWL 2707451500 800 PARK STREET BOWLING GREEN KY 42102 RON SOWELL EVP - CFO 2707451500 2016-02-01 1 ANGELA ZIRKELBACH CPA P00572603 3176334705 2016-02-01 2014 2016-08-17 19:52:53Z CONNIE SMITH 800 PARK STREET BOWLING GREEN KY 42102 349042950 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 2762 67 6305697 -1092217 366681 237530 297987428 315078842 5673773 5686191 15206222 23600262 319234104 344602825 19414 31164 0 0 130004890 131285843 0 0 0 159031978 166665166 289056282 297982173 30177822 46620652 388446767 436921837 191783153 205929888 196663614 230991949 X OUR MISSION IS TO CARE FOR PEOPLE AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. 0 0 133134622 31164 166446744 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: TOTALACUTE CARE: 313 313CRITICAL ACCESS ACUTE: 25 25 PSYCHIATRIC: 24 24NURSING FACILITY 110 110SUBTOTAL- BEDS 337 135 472 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) 95,454DAYS OF SKILLED NURSING CARE 39,402BIRTHS 2,455OPEN HEART PROCEDURES 328SURGERIES 13,503EMERGENCY ROOM VISITS 58,265AMBULANCE RUNS 21,476 127490643 159390566 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. 260625265 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 0 1 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 0 0 0 1 242 0 1 2762 1 1 1 0 0 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 2.00 X X 0 0 0 PAUL COOK VICE CHAIRMAN 2.00 0.00 X X 0 0 0 JOE NATCHER SECRETARY 2.00 4.00 X X 0 0 0 CATHY BISHOP DIRECTOR 2.00 2.00 X 0 0 0 DONNA BLACKBURN DIRECTOR 2.00 0.00 X 0 0 0 BOB HOVIOUS DIRECTOR 2.00 4.00 X 0 0 0 JANET JOHNSON DIRECTOR 2.00 0.00 X 0 0 0 TOMMY LOVING DIRECTOR 2.00 2.00 X 0 0 0 MOHAMMED KAZIMUDDIN MD DIRECTOR (1/1/15 - 3/31/15) 2.00 0.00 X 0 0 0 KAL SAHETYA MD DIRECTOR (4/1/14 - 12/31/14) 2.00 0.00 X 0 0 0 HUGH SIMS MD DIRECTOR 2.00 0.00 X 0 364621 30411 DOUG THOMSON MD DIRECTOR 2.00 2.00 X 0 0 0 CONNIE SMITH DIRECTOR/PRESIDENT & CEO 2.00 48.00 X X 0 809750 13369 BARBARA JEAN CHERRY CIO/EXECUTIVE VICE PRESIDENT 1.00 45.00 X 0 475032 13637 BETSY KULLMAN CNO/EXECUTIVE VICE PRESIDENT 2.00 48.00 X 0 279293 20264 RONALD G SOWELL CFO/EXECUTIVE VICE PRESIDENT 2.00 48.00 X 0 485251 13109 SARAH MOORE EXECUTIVE VICE PRESIDENT 1.00 49.00 X 0 267108 11258 ERIC HAGAN VICE PRESIDENT/ ADMINISTRATOR OF MCS & MCF 20.00 28.00 X 0 219816 27758 WADE R STONE EXECUTIVE VICE PRESIDENT 1.00 49.00 X 0 246387 27339 DAVID REEVES PHARMACY MANAGER 40.00 0.00 X 166880 0 29008 EDDIE SCOTT DIRECTOR/RADIOLOGY 40.00 0.00 X 179345 0 16810 LLOYD ASP PHYSICIST 40.00 0.00 X 213342 0 16800 ROBERT MCCLELLAND DIRECTOR/PHARMACY 40.00 0.00 X 165578 0 36181 SARAH ROGERS PHYSICIST 40.00 0.00 X 161835 0 13722 886980 3147258 269666 43 0 1 0 ARAMARK CORPORATION 12483 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 BIOMEDICAL EQUIPMENT REPAIR SERVICES 4073291 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 303682289 CAFETERIA SERVICES 3241323 LOGANS UNIFORM RENTAL INC PO BOX 643958 CINCINNATI OH 45264 LAUNDRY SERVICES 1889478 SCOTT MURPHY & DANIEL LLC PO BOX 2520 BOWLING GREEN KY 421022520 CONSTRUCTION SERVICES 1045734 DISABILITY MEDICAL CONSULTANTS 1131 FAIRWAY STREET BOWLING GREEN KY 42103 PROFESSIONAL SERVICES 1018125 41 228630 8900 237530 INPATIENT SERVICES 621110 161005288 161005288 OUTPATIENT SERVICES 621400 154073554 154073554 315078842 3172379 3172379 2789359 3972346 -1182987 -1182987 -1182987 2601009 380582 0 467779 2601009 -87197 2513812 2513812 RETAIL PHARMACY SALES 446110 9014253 2486897 6527356 AFFILIATE INCOME 900099 6651502 6174129 477373 MEDICAL EQUIPMENT SALES 453000 5087972 1746545 3341427 4029522 2837794 1191728 24783249 344602825 325837310 6305697 12222288 31164 31164 96159284 91033924 5125360 6817013 6447161 369852 21284242 20129461 1154781 7025304 6643762 381542 12951600 12951600 738614 98245 640369 320911 29957 290954 24565871 24565871 718339 190870 527469 15964830 11470822 4494008 3987130 3987130 4130627 3707375 423252 1076159 1015731 60428 4216453 3411577 804876 12774906 10362586 2412320 1253414 1160263 93151 MEDICAL SUPPLIES 70494986 70352933 142053 PHYSICIAN EXPENSE 8856494 1785050 7071444 OTHER TAXES AND LICENSE 4032365 3983301 49064 MISCELLANEOUS 224396 58012 166384 358071 160070 198001 297982173 260625265 37356908 0 13200955 17439579 177673036 220460952 40638621 39062929 8386557 10709357 9207165 12082643 329904093 222225729 108675966 107678364 19215577 18248445 2841577 2725877 8607313 8513691 388446767 436921837 33474622 34773654 1246249 1131543 110926442 106277064 3452065 3197601 42683775 60550026 191783153 205929888 X 195031067 229322725 1632547 1669224 196663614 230991949 388446767 436921837 X 46620652 -156339 -12135978 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 7425 7425 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 $7,425. 185947976 40175373 5590037 2595782 500560 228617044 149275587 35537621 7776408 6180689 460951 185947976 133305497 16715019 4113651 4455656 402824 149275687 117185927 19894588 3520098 6991557 303559 133305497 88386125 27352333 4772379 3149367 175543 117185927 0 0 11135617 11135617 161656079 92089430 69566649 155499738 130136299 25363439 1612659 1612659 107678364 AMOUNTS DUE AFFILIATED COMPANIES 1824000 LONG-TERM PL / GL LIABILITY 4244475 ACCRUED RETIREMENT 54481551 60550026 X 348418832 -156339 -156339 348575171 -3972346 -3972346 344602825 301954519 3972346 3972346 297982173 0 297982173 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 $227,353,763 OF BOARD-DESIGNATED ENDOWMENT FUNDS FOR FUTURE CAPITAL IMPROVEMENTS AND OTHER PURPOSES AS DETERMINED BY THE BOARD OF DIRECTORS. PERMANENTLY RESTRICTED NET ASSETS INCLUDED $1,669,224 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 2011. 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 2015 OR 2014. 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 -3,972,346. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 3,972,346. 1 1 X 1 X 0 1 1 1 0 1 1 2 7947 6695429 4571318 2124111 0.00710 2 0 56785214 46769701 10015513 0.03360 4 7947 63480643 51341019 12139624 0.04070 386 43390 3020173 3020173 0.01010 9 811 4078090 4078090 0.01370 2 21716 13963848 9547779 4416069 0.01480 314 0 86419 86419 0.00030 711 65917 21148530 9547779 11600751 0.03890 715 73864 84629173 60888798 23740375 0.07960 5 2845 2845 0.00000 1 44212 44212 0.00010 1 46541 46541 0.00020 1 1083 1083 0.00000 8 94681 94681 0.00030 1 17105567 1350913 111994999 126629814 -14634815 X 1 1 2 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 THE MEDICAL CENTER AT BOWLING GREEN 1 0 0 1 X X X X X X X 12 1 1 0 1 X WWW.MCBG.ORG/ABOUT_US/DOCUMENTS/BOWLINGGREEN.PDF X 1 13 1 WWW.MCBG.ORG/ABOUT_US/DOCUMENTS/BOWLINGGREEN.PDF 0 0 1 X 200.000000000000 X X 1 1 X X X 1 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 12 1 1 0 1 X WWW.THEMEDICALCENTERSCOTTSVILLE.ORG/ABOUT_US/DOCUMENTS/SCOTTSVILLE.PDF X 1 13 1 WWW.THEMEDICALCENTERSCOTTSVILLE.ORG/ABOUT_US/DOCUMENTS/SCOTTSVILLE.PDF 0 0 1 X 200.000000000000 X X 1 1 X X X 1 X X 0 0 X X 1 X 0 0 THE MEDICAL CENTER AT BOWLING GREEN PART V, SECTION B, LINE 5: THE MEDICAL CENTER PARTICIPATED IN A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY THE BARREN RIVER COMMUNITY HEALTH PLANNING COUNCIL. THE COMMUNITY HEALTH ASSESSMENT CONDUCTED BY THE BARREN RIVER COMMUNITY HEALTH PLANNING COUNCIL INCLUDED FOUR MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP) ASSESSMENTS. THE MAPP ASSESSMENTS ARE DESCRIBED BELOW. THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT PROVIDES A DEEP UNDERSTANDING OF THE ISSUES THAT RESIDENTS FEEL ARE IMPORTANT BY ANSWERING THE QUESTIONS "WHAT IS IMPORTANT TO OUR COMMUNITY?" "HOW IS QUALITY OF LIFE PERCEIVED IN OUR COMMUNITY? AND "WHAT ASSETS DO WE HAVE THAT CAN BE USED TO IMPROVE COMMUNITY HEALTH?" * THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA) FOCUSES ON ALL OF THE ORGANIZATIONS AND ENTITIES THAT CONTRIBUTE TO THE PUBLIC'S HEALTH. THE LPHSA ANSWERS THE QUESTIONS "WHAT ARE THE COMPONENTS, ACTIVITIES, COMPETENCIES, AND CAPACITIES OF OUR LOCAL PUBLIC HEALTH SYSTEM? AND "HOW ARE THE ESSENTIAL SERVICES BEING PROVIDED TO OUR COMMUNITY?" * THE COMMUNITY HEALTH STATUS ASSESSMENT IDENTIFIES PRIORITY COMMUNITY HEALTH AND QUALITY OF LIFE ISSUES. QUESTIONS ANSWERED INCLUDE "HOW HEALTHY ARE OUR RESIDENTS?AND "WHAT DOES THE HEALTH STATUS OF OUR COMMUNITY LOOK LIKE?" *THE FORCES OF CHANGE ASSESSMENT FOCUSES ON IDENTIFYING FORCES SUCH AS LEGISLATION, TECHNOLOGY, AND OTHER IMPENDING CHANGES THAT AFFECT THE CONTEXT IN WHICH THE COMMUNITY AND ITS PUBLIC HEALTH SYSTEM OPERATE. THIS ANSWERS THE QUESTIONS "WHAT IS OCCURRING OR MIGHT OCCUR THAT AFFECTS THE HEALTH OF OUR COMMUNITY OR THE LOCAL PUBLIC HEALTH SYSTEM? AND "WHAT SPECIFIC THREATS OR OPPORTUNITIES ARE GENERATED BY THESE OCCURRENCES?" THE MAPP ASSESSMENTS ARE FURTHER DESCRIBED IN THE COMMUNITY HEALTH ASSESSMENT REPORT AT WWW.MCBG.ORG/ABOUT_US/DOCUMENTS/BOWLINGGREEN.PDF. ORGANIZATIONS INVOLVED IN THE ASSESSMENT PROCESS INCLUDED THE ADMINISTRATIVE OFFICE OF THE COURTS, ALLEN COUNTY HEALTH DEPARTMENT, BALE CENTER, BANK OF EDMONSON COUNTY, BARREN COUNTY FISCAL COURT, BARREN COUNTY SCHOOL SYSTEM, BARREN RIVER AREA DEVELOPMENT DISTRICT, BARREN RIVER DISTRICT HEALTH DEPARTMENT, BOWLING GREEN AREA CHAMBER OF COMMERCE, BOWLING GREEN CITY SCHOOLS, BOWLING GREEN DAILY NEWS, BOWLING GREEN MEDICAL CENTER, BUTLER CO FISCAL COURT, BUTLER COUNTY HEALTH DEPT (BRDHD), BUTLER COUNTY SCHOOLS, CAVERNA MEMORIAL HOSPITAL, CITY OF MORGANTOWN, COMMONWEALTH HEALTH CORPORATION, COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, COMMUNITY ACTION OF SOUTHERN KENTUCKY, COMMUNITY FARM ALLIANCE, COMMUNITY FOUNDATION OF SOUTH CENTRAL KENTUCKY, CTG KENTUCKY, COVENTRY CARES, EDMONSON CARE AND REHAB, EDMONSON COUNTY FISCAL COURT, EDMONSON COUNTY HEALTH DEPT (BRDHD), EDMONSON COUNTY SCHOOLS, FAIRVIEW COMMUNITY HEALTH CENTER, FRANKLIN/SIMPSON CHAMBER OF COMMERCE, GLASGOW FAMILY MEDICINE, GRAVES GILBERT CLINIC, GREENVIEW REGIONAL HOSPITAL, HARMON HART COUNTY EXTENSION OFFICE, HART COUNTY HEALTH DEPT (BRDHD), HART COUNTY SCHOOLS, KY TRANSPORTATION CABINET, REGION 3 OFFICE KY STATE REPRESENTATIVE, DISTRICT 17 KY STATE REPRESENTATIVE, DISTRICT 21 KY STATE REPRESENTATIVE, DISTRICT 22 KY STATE REPRESENTATIVE, DISTRICT 23 KY STATE REPRESENTATIVE, LIFESKILLS, INC, LOGAN ALUMINUM, LOGAN COUNTY HEALTH EPT (BRDHD), LOGAN COUNTY SCHOOLS, LOGAN MEMORIAL HOSPITAL, MEDICAL CENTER OF FRANKLIN, MEDICAL CENTER OF SCOTTSVILLE, METCALFE COUNTY EXTENSION OFFICE, METCALFE COUNTY HEALTH DEPT (BRDHD), MNT, INC, MONROE COUNTY HEALTH DEPARTMENT, MONROE COUNTY MEDICAL CENTER, MONROE COUNTY SCHOOLS, RUSSELLVILLE CITY SCHOOL SYSTEM, SIMPSON COUNTY HEALTH DEPT (BRDHD), SIMPSON COUNTY SCHOOL SYSTEM, SOUTH CENTRAL KENTUCKY AREA HEALTH EDUCATION CENTER, TJ SAMSON COMMUNITY HOSPITAL, UNITED WAY OF SOUTHERN KENTUCKY, WARREN COUNTY HEALTH DEPT (BRDHD), WARREN COUNTY SCHOOLS, AND WELLCARE WESTERN KENTUCKY UNIVERSITY. ADDITIONALLY, COUNTY ASSESSMENT TEAMS CONDUCTED A COMMUNITY-WIDE COMMUNITY HEALTH SURVEY WHICH WAS COMPLETED BY 12,056 RESPONDENTS AND KEY INFORMANT INTERVIEWS WITH OVER 200 LOCAL RESIDENTS REPRESENTING 1) PEOPLE DIRECTLY AFFECTED BY ONE OF THE PRIORITY HEALTH ISSUES, 2) COMMUNITY LEADERS WHO SET POLICY RELATED TO ONE OR MORE PRIORITY HEALTH ISSUES, AND 3) PHYSICIANS AND OTHER HEALTH CARE PROVIDERS.BELOW IS A SUMMARY OF THESE INTERVIEWS: 47 SMOKERS ON THEIR ATTEMPTS TO QUIT, 42 ADULTS DIAGNOSED WITH DIABETES OR FAMILY MEMBER OF SOMEONE WITH DIABETES, 32 INDIVIDUALS ON NUTRITION AND PHYSICAL ACTIVITY IN RELATION TO WEIGHT CONTROL, 27 INDIVIDUALS ON OUR BUILT ENVIRONMENT, 7 WORKSITE MANAGERS OR HUMAN RESOURCE DIRECTORS, 6 HEALTH EDUCATORS OR SCHOOL FAMILY RESOURCE/YOUTH SERVICE CENTER STAFF, 6 HEALTH EDUCATORS OR SCHOOL FAMILY RESOURCE/YOUTH SERVICE CENTER STAFF RESOURCE/YOUTH SERVICE CENTER STAFF. THE MEDICAL CENTER AT SCOTTSVILLE PART V, SECTION B, LINE 5: THE MEDICAL CENTER PARTICIPATED IN A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY THE BARREN RIVER COMMUNITY HEALTH PLANNING COUNCIL. THE COMMUNITY HEALTH ASSESSMENT CONDUCTED BY THE BARREN RIVER COMMUNITY HEALTH PLANNING COUNCIL INCLUDED FOUR MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP) ASSESSMENTS. THE MAPP ASSESSMENTS ARE DESCRIBED BELOW. THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT PROVIDES A DEEP UNDERSTANDING OF THE ISSUES THAT RESIDENTS FEEL ARE IMPORTANT BY ANSWERING THE QUESTIONS "WHAT IS IMPORTANT TO OUR COMMUNITY?" "HOW IS QUALITY OF LIFE PERCEIVED IN OUR COMMUNITY? AND "WHAT ASSETS DO WE HAVE THAT CAN BE USED TO IMPROVE COMMUNITY HEALTH?" * THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA) FOCUSES ON ALL OF THE ORGANIZATIONS AND ENTITIES THAT CONTRIBUTE TO THE PUBLIC'S HEALTH. THE LPHSA ANSWERS THE QUESTIONS "WHAT ARE THE COMPONENTS, ACTIVITIES, COMPETENCIES, AND CAPACITIES OF OUR LOCAL PUBLIC HEALTH SYSTEM? AND "HOW ARE THE ESSENTIAL SERVICES BEING PROVIDED TO OUR COMMUNITY?" * THE COMMUNITY HEALTH STATUS ASSESSMENT IDENTIFIES PRIORITY COMMUNITY HEALTH AND QUALITY OF LIFE ISSUES. QUESTIONS ANSWERED INCLUDE "HOW HEALTHY ARE OUR RESIDENTS?AND "WHAT DOES THE HEALTH STATUS OF OUR COMMUNITY LOOK LIKE?" *THE FORCES OF CHANGE ASSESSMENT FOCUSES ON IDENTIFYING FORCES SUCH AS LEGISLATION, TECHNOLOGY, AND OTHER IMPENDING CHANGES THAT AFFECT THE CONTEXT IN WHICH THE COMMUNITY AND ITS PUBLIC HEALTH SYSTEM OPERATE. THIS ANSWERS THE QUESTIONS "WHAT IS OCCURRING OR MIGHT OCCUR THAT AFFECTS THE HEALTH OF OUR COMMUNITY OR THE LOCAL PUBLIC HEALTH SYSTEM? AND "WHAT SPECIFIC THREATS OR OPPORTUNITIES ARE GENERATED BY THESE OCCURRENCES?" THE MAPP ASSESSMENTS ARE FURTHER DESCRIBED IN THE COMMUNITY HEALTH ASSESSMENT REPORT AT HTTP://HTTP://WWW.THEMEDICALCENTERSCOTTSVILLE.ORG/ABOUT_US/DOCUMENTS/SCOTTSVILLE.PDF. ORGANIZATIONS INVOLVED IN THE ASSESSMENT PROCESS INCLUDED THE ADMINISTRATIVE OFFICE OF THE COURTS, ALLEN COUNTY HEALTH DEPARTMENT, BALE CENTER, BANK OF EDMONSON COUNTY, BARREN COUNTY FISCAL COURT, BARREN COUNTY SCHOOL SYSTEM, BARREN RIVER AREA DEVELOPMENT DISTRICT, BARREN RIVER DISTRICT HEALTH DEPARTMENT, BOWLING GREEN AREA CHAMBER OF COMMERCE, BOWLING GREEN CITY SCHOOLS, BOWLING GREEN DAILY NEWS, BOWLING GREEN MEDICAL CENTER, BUTLER CO FISCAL COURT, BUTLER COUNTY HEALTH DEPT (BRDHD), BUTLER COUNTY SCHOOLS, CAVERNA MEMORIAL HOSPITAL, CITY OF MORGANTOWN, COMMONWEALTH HEALTH CORPORATION, COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, COMMUNITY ACTION OF SOUTHERN KENTUCKY, COMMUNITY FARM ALLIANCE, COMMUNITY FOUNDATION OF SOUTH CENTRAL KENTUCKY, CTG KENTUCKY, COVENTRY CARES, EDMONSON CARE AND REHAB, EDMONSON COUNTY FISCAL COURT, EDMONSON COUNTY HEALTH DEPT (BRDHD), EDMONSON COUNTY SCHOOLS, FAIRVIEW COMMUNITY HEALTH CENTER, FRANKLIN/SIMPSON CHAMBER OF COMMERCE, GLASGOW FAMILY MEDICINE, GRAVES GILBERT CLINIC, GREENVIEW REGIONAL HOSPITAL, HARMON HART COUNTY EXTENSION OFFICE, HART COUNTY HEALTH DEPT (BRDHD), HART COUNTY SCHOOLS, KY TRANSPORTATION CABINET, REGION 3 OFFICE KY STATE REPRESENTATIVE, DISTRICT 17 KY STATE REPRESENTATIVE, DISTRICT 21 KY STATE REPRESENTATIVE, DISTRICT 22 KY STATE REPRESENTATIVE, DISTRICT 23 KY STATE REPRESENTATIVE, LIFESKILLS, INC, LOGAN ALUMINUM, LOGAN COUNTY HEALTH EPT (BRDHD), LOGAN COUNTY SCHOOLS, LOGAN MEMORIAL HOSPITAL, MEDICAL CENTER OF FRANKLIN, MEDICAL CENTER OF SCOTTSVILLE, METCALFE COUNTY EXTENSION OFFICE, METCALFE COUNTY HEALTH DEPT (BRDHD), MNT, INC, MONROE COUNTY HEALTH DEPARTMENT, MONROE COUNTY MEDICAL CENTER, MONROE COUNTY SCHOOLS, RUSSELLVILLE CITY SCHOOL SYSTEM, SIMPSON COUNTY HEALTH DEPT (BRDHD), SIMPSON COUNTY SCHOOL SYSTEM, SOUTH CENTRAL KENTUCKY AREA HEALTH EDUCATION CENTER, TJ SAMSON COMMUNITY HOSPITAL, UNITED WAY OF SOUTHERN KENTUCKY, WARREN COUNTY HEALTH DEPT (BRDHD), WARREN COUNTY SCHOOLS, AND WELLCARE WESTERN KENTUCKY UNIVERSITY. ADDITIONALLY, COUNTY ASSESSMENT TEAMS CONDUCTED A COMMUNITY-WIDE COMMUNITY HEALTH SURVEY WHICH WAS COMPLETED BY 12,056 RESPONDENTS AND KEY INFORMANT INTERVIEWS WITH OVER 200 LOCAL RESIDENTS REPRESENTING 1) PEOPLE DIRECTLY AFFECTED BY ONE OF THE PRIORITY HEALTH ISSUES, 2) COMMUNITY LEADERS WHO SET POLICY RELATED TO ONE OR MORE PRIORITY HEALTH ISSUES, AND 3) PHYSICIANS AND OTHER HEALTH CARE PROVIDERS.BELOW IS A SUMMARY OF THESE INTERVIEWS: 47 SMOKERS ON THEIR ATTEMPTS TO QUIT, 42 ADULTS DIAGNOSED WITH DIABETES OR FAMILY MEMBER OF SOMEONE WITH DIABETES, 32 INDIVIDUALS ON NUTRITION AND PHYSICAL ACTIVITY IN RELATION TO WEIGHT CONTROL, 27 INDIVIDUALS ON OUR BUILT ENVIRONMENT, 7 WORKSITE MANAGERS OR HUMAN RESOURCE DIRECTORS, 6 HEALTH EDUCATORS OR SCHOOL FAMILY RESOURCE/YOUTH SERVICE CENTER STAFF, 6 HEALTH EDUCATORS OR SCHOOL FAMILY RESOURCE/YOUTH SERVICE CENTER STAFF RESOURCE/YOUTH SERVICE CENTER STAFF. 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, 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 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 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 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 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 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.COMMONWEALTH HEALTH CORPORATION:CHC IS A HOLDING COMPANY FOR A TOTAL OF TWELVE FOR-PROFIT AND NONPROFIT CORPORATIONS AND PARTNERSHIPS (COLLECTIVELY, THE "AFFILIATES") ENGAGED IN VARIOUS ASPECTS OF THE 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 FOURTEEN PHYSICIAN PRACTICES EMPLOYING GENERAL PRACTITIONERS, CARDIAC SURGEONS, VASCULAR SURGEONS, NEUROSURGEONS, NEUROLOGISTS, OBSTETRIC/GYNECOLOGISTS, HOSPITALISTS, AN OTOLARYNGOLOGIST AND PSYCHIATRISTS. CHC HAS ACQUIRED THE PHYSICIAN PRACTICES IN ORDER TO ATTRACT AND RETAIN HIGHLY SKILLED PHYSICIANS IN SPECIALTIES THAT SUPPORTTHE 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 CENTERCARE HEALTH BENEFITS PROGRAM ("CENTERCARE"), 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, CENTERCARE SERVES AS THE LOCAL, REGIONAL OR STATEWIDE NETWORK FOR VARIOUS MANAGED CARE ORGANIZATIONS FOR THEIR COMMERCIAL, MEDICARE AND/OR MEDICAID MEMBERSHIP. CENTERCARE PRESENTLY HAS OVER 450,000 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. CHC'S FOR-PROFIT ACTIVITIES INCLUDE URGENTCARE OF BOWLING GREEN, INC. ("URGENTCARE"). URGENTCARE IS A WHOLLY-OWNED CORPORATION WHICH SERVES AS A 50% OWNER IN A PRIMARY CARE CENTER.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. 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. PART VI, LINE 7, REPORTS FILED WITH STATES KY 0 SCHOLARSHIPS 1 9540 X X X X X 0 1 0 0 0 0 0 0 0 HUGH SIMS MD DIRECTOR 0 363103 0 0 0 1518 0 5505 0 24906 0 395032 0 0 CONNIE SMITH DIRECTOR/PRESIDENT & CEO 0 601562 0 0 0 208188 0 0 0 13369 0 823119 0 0 BARBARA JEAN CHERRY CIO/EXECUTIVE VICE PRESIDENT 0 407200 0 0 0 67832 0 0 0 13637 0 488669 0 0 BETSY KULLMAN CNO/EXECUTIVE VICE PRESIDENT 0 272628 0 0 0 6665 0 0 0 20264 0 299557 0 0 RONALD G SOWELL CFO/EXECUTIVE VICE PRESIDENT 0 407728 0 0 0 77523 0 0 0 13109 0 498360 0 0 SARAH MOORE EXECUTIVE VICE PRESIDENT 0 260493 0 0 0 6615 0 0 0 11258 0 278366 0 0 ERIC HAGAN VICE PRESIDENT/ ADMINISTRATOR OF MCS 0 215947 0 0 0 3869 0 0 0 27758 0 247574 0 0 WADE R STONE EXECUTIVE VICE PRESIDENT 0 244569 0 0 0 1818 0 0 0 27339 0 273726 0 0 DAVID REEVES PHARMACY MANAGER 150904 0 0 0 15976 0 0 0 29008 0 195888 0 0 0 EDDIE SCOTT DIRECTOR/RADIOLOGY 167724 0 0 0 11621 0 0 0 16810 0 196155 0 0 0 LLOYD ASP PHYSICIST 208647 0 0 0 4695 0 0 0 16800 0 230142 0 0 0 ROBERT MCCLELLAND DIRECTOR/PHARMACY 164545 0 0 0 1033 0 5134 0 31047 0 201759 0 0 0 SARAH ROGERS PHYSICIST 160903 0 0 0 932 0 5013 0 8709 0 175557 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: $187,054 RONALD SOWELL: $72,627 JEAN CHERRY: $62,936 A COUNTY OF WARREN KENTUCKY 616000710 934864AA7 2008-03-20 77010000 SEE PART V 0 0 0 B COUNTY OF WARREN KENTUCKY 616000710 934860BT3 2007-03-15 30885000 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 1 0 1 1 C 1 0 1 1 A 0 1 1 1 0 0.00040 0.00070 0.00110 0 0 1 B 0 0 0 0 0.00040 0.00040 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 1 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 2001 (BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION PROJECT) THAT WERE ISSUED ON AUGUST 2, 2001, (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 384935 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 44085 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 236689 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 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 74296 COMP OF HUSBAND - SARAH MOORE SERVES AS AN OFFICER OF THE MEDICAL CENTER. 0 LAURA DEATON DONNA BLACKBURN, DIRECTOR COMP OF DAUGHTER - DONNA BLACKBURN SERVES AS A DIRECTOR OF THE MEDICAL CENTER. MS. BLACKBURN'S DAUGHTER, LAURA DEATON, IS EMPLOYED BY THE MEDICAL CENTER. 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 -13,040,966. TRANSER FROM AFFILIATES 868,311. PERMANENT RESTRICTED 36,677. 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. 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