THE MEDICAL CENTER AT FRANKLIN INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: THE MEDICAL CENTER AT FRANKLIN INC (EIN 61-1362001)
Tax period: 2014-04-01 to 2015-03-31
Filed: 2016-02-08
IRS object ID: 201640399349300974
Schema version: 2014v6.0
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 C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-02-08T13:02:32-06:00	ReturnTs
Tax Period End	2015-03-31	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 STREET 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	2014-04-01	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 EVP - CFO	PersonNm
Person Title	EVP - CFO	PersonTitleTxt
Phone	2707451500	PhoneNum
Signature	2016-02-01	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	2016-02-01	PreparationDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	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	$27,215,505	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	204	TotalEmployeeCnt
Total Volunteers	4	TotalVolunteersCnt
Total Gross UBI	$11,255	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$18,241	PYContributionsGrantsAmt
CY Contributions Grants	$750	CYContributionsGrantsAmt
PY Program Service Revenue	$21,716,725	PYProgramServiceRevenueAmt
CY Program Service Revenue	$25,531,424	CYProgramServiceRevenueAmt
PY Investment Income	$217,046	PYInvestmentIncomeAmt
CY Investment Income	$334,842	CYInvestmentIncomeAmt
PY Other Revenue	$12,025	PYOtherRevenueAmt
CY Other Revenue	$170,659	CYOtherRevenueAmt
PY Total Revenue	$21,964,037	PYTotalRevenueAmt
CY Total Revenue	$26,037,675	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	$8,164,783	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$8,516,685	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$10,658,565	PYOtherExpensesAmt
CY Other Expenses	$11,576,551	CYOtherExpensesAmt
PY Total Expenses	$18,823,348	PYTotalExpensesAmt
CY Total Expenses	$20,093,236	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,140,689	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,944,439	CYRevenuesLessExpensesAmt
Total Assets BOY	$37,868,945	TotalAssetsBOYAmt
Total Assets EOY	$42,971,483	TotalAssetsEOYAmt
Total Liabilities BOY	$10,599,144	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$9,798,912	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$27,269,801	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$33,172,571	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	$4,514,353	ExpenseAmt
Revenue	$6,638,170	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. ORGANIZATIONTHE 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 $160,429BAD DEBT (AT COST) 43,525COMMUNITY HEALTH SERVICES 313,389COMMUNITY BUILDING ACTIVITIES 14,895 FINANCIAL AND IN-KIND CONTRIBUTIONS 1,175HEALTH PROFESSIONALS EDUCATION 317,788TOTAL MEDICAL CENTER COMMUNITY BENEFITS $851,201BENEFITS 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. EXAMS 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 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. DURING FISCAL YEAR 2014 THE HOSPITAL ADMITTED 831 ACUTE PATIENTS WHO RECEIVED 3,338 PATIENT DAYS OF CARE AND 192 SWING BED PATIENTS WHO RECEIVED 3,563 DAYS OF CARE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$12,848,543	ExpenseAmt
Revenue	$18,893,254	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	$17,362,896	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	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	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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	42	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	204	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
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
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 (14 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
TOMMY HOLDERFIELD
CHAIRMAN	2.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
GARY BROADY
VICE CHAIRMAIN	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
BEVERLY BOREN
SECRETARY	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
CHERI NATCHER
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
DR A V WILWAYCO
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
MICHAEL STEVE THURMOND
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
CONNIE SMITH
DIRECTOR/PRESIDENT & CEO	2.00	48.00	Yes (X)	Yes (X)	$0	$809,750	$13,369
BARBARA JEAN CHERRY
CIO/EXECUTIVE VICE PRESIDENT	1.00	49.00		Yes (X)	$0	$475,032	$13,637
RONALD SOWELL
CFO/EXECUTIVE VICE PRESIDENT	2.00	48.00		Yes (X)	$0	$485,251	$13,109
BETSY KULLMAN
CNO/EXECUTIVE VICE PRESIDENT	2.00	48.00		Yes (X)	$0	$279,293	$20,264
SARAH MOORE
EXECUTIVE VICE PRESIDENT	1.00	49.00		Yes (X)	$0	$267,108	$11,258
ERIC HAGAN
VICE PRESIDENT/ADMINISTRATOR OF MCS & MCF	20.00	28.00		Yes (X)	$0	$219,816	$27,758
WADE STONE
EXECUTIVE VICE PRESIDENT	1.00	49.00		Yes (X)	$0	$246,387	$27,339
VICKI TYLER
DIRECTOR OF PATIENT CARE SERVICES	40.00	0.00			$114,627	$0	$9,957	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$114,627	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,782,637	TotReportableCompRltdOrgAmt
Total Other Compensation	$136,691	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	$722,660
KENTUCKY PREMIERCARE
603 MAIN STREET	WINDERMERE	FL	34746	CLINICAL SERVICES	$453,664
MORRISON MANAGEMENT SPECIALISTS INC
PO BOX 102289	ATLANTA	GA	30368	CAFETERIA SERVICES	$312,172
LOGANS UNIFORM RENTAL INC
PO BOX 643958	CINCINNATI	OH	45264	LAUNDRY SERVICES	$174,314
ANESTHESIA AND PAIN SPECIALISTS OF BOWLI
350 PARK STREET STE 203B	BOWLING GREEN	KY	42101	CLINICAL SERVICES	$160,550

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$750	AllOtherContributionsAmt
Total Contributions	$750	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OUTPATIENT SERVICES	621400	$18,893,254	$18,893,254
INPATIENT ROUTINE AND ANCILLARY S	621110	$6,638,170	$6,638,170

Field	Value	IRS element (for citing)
Total Program Service Revenue	$25,531,424	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$177,689	TotalRevenueColumnAmt
Exclusion	$177,689	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$128,645	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$236,618	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$107,973	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$107,973	TotalRevenueColumnAmt
Exclusion	-$107,973	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,098,365	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$941,212	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$157,153	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$157,153	TotalRevenueColumnAmt
Exclusion	$157,153	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
EHR INCENTIVE	900099	$165,203	$165,203
FOOD SERVICES	722514	$82,266	$82,266
ALL OTHER REVENUE	900099	$31,163	$19,908	$11,255

Field	Value	IRS element (for citing)
Other Revenue Total	$278,632	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,037,675	TotalRevenueColumnAmt
Related Or Exempt Func Income	$25,531,424	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$11,255	UnrelatedBusinessRevenueAmt
Exclusion	$494,246	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	$6,229,409	TotalAmt
Program Services	$5,871,658	ProgramServicesAmt
Management And General	$357,751	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$371,462	TotalAmt
Program Services	$350,129	ProgramServicesAmt
Management And General	$21,333	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,459,355	TotalAmt
Program Services	$1,375,545	ProgramServicesAmt
Management And General	$83,810	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$456,459	TotalAmt
Program Services	$429,969	ProgramServicesAmt
Management And General	$26,490	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$504,000	TotalAmt
Management And General	$504,000	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$16,248	TotalAmt
Management And General	$16,248	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$45,230	TotalAmt
Management And General	$45,230	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,652,112	TotalAmt
Program Services	$3,151,179	ProgramServicesAmt
Management And General	$500,933	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$63,183	TotalAmt
Program Services	$13,136	ProgramServicesAmt
Management And General	$50,047	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,604,846	TotalAmt
Program Services	$1,344,520	ProgramServicesAmt
Management And General	$260,326	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$119,319	TotalAmt
Program Services	$119,319	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$324,196	TotalAmt
Program Services	$323,934	ProgramServicesAmt
Management And General	$262	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$26,734	TotalAmt
Program Services	$16,721	ProgramServicesAmt
Management And General	$10,013	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$200,532	TotalAmt
Program Services	$122,739	ProgramServicesAmt
Management And General	$77,793	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,376,207	TotalAmt
Program Services	$1,075,411	ProgramServicesAmt
Management And General	$300,796	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$98,517	TotalAmt
Management And General	$98,517	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$2,919,423	$2,915,318	$4,105
PHYSICIAN PRACTICE EXPE	$352,541		$352,541
TAXES & LICENSES	$227,322	$227,322
PATIENT TRANSPORATION	$24,412	$24,412

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,729	TotalAmt
Program Services	$1,584	ProgramServicesAmt
Management And General	$20,145	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,093,236	TotalAmt
Program Services	$17,362,896	ProgramServicesAmt
Management And General	$2,730,340	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,986,561	BOYAmt
EOY	$2,046,817	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,420,619	BOYAmt
EOY	$3,943,205	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$459,994	BOYAmt
EOY	$409,360	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$100,719	BOYAmt
EOY	$133,783	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$27,801,645	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$15,530,934	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$13,548,356	BOYAmt
EOY	$12,270,711	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$18,125,735	BOYAmt
EOY	$23,907,209	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$226,961	BOYAmt
EOY	$260,398	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$37,868,945	BOYAmt
EOY	$42,971,483	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,164,764	BOYAmt
EOY	$2,465,181	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$98,222	BOYAmt
EOY	$108,073	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,040,300	BOYAmt
EOY	$5,326,990	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,295,858	BOYAmt
EOY	$1,898,668	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,599,144	BOYAmt
EOY	$9,798,912	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$27,269,801	BOYAmt
EOY	$33,172,571	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$27,269,801	BOYAmt
EOY	$33,172,571	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$37,868,945	BOYAmt
EOY	$42,971,483	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,944,439	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$14,046	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$55,715	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 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	$2,497	OtherActivitiesAmt
Total Lobbying Expenditures	$2,497	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	$16,979,753	OtherCostOrOtherBasisAmt
Depreciation	$7,413,116	DepreciationAmt
Book Value	$9,566,637	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,851,719	OtherCostOrOtherBasisAmt
Depreciation	$7,777,611	DepreciationAmt
Book Value	$2,074,108	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$570,173	OtherCostOrOtherBasisAmt
Depreciation	$340,207	DepreciationAmt
Book Value	$229,966	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$12,270,711	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
LONG TERM PAYABLE AFFILIATE	$438,659
INTEREST RATE SWAP	$330,855
THIRD PARTY SETTLEMENTS	$1,129,154

Field	Value	IRS element (for citing)
Total Liability	$1,898,668	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$26,232,624	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$14,046	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$14,046	RevenueNotReportedAmt
Revenue Subtotal	$26,218,578	RevenueSubtotalAmt
Other Revenues Not Included	-$180,903	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$180,903	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$26,037,675	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$20,329,854	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$236,618	OtherExpensesIncludedAmt
Expenses Not Reported	$236,618	ExpensesNotReportedAmt
Expenses Subtotal	$20,093,236	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$20,093,236	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 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 AND 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 INCLUDED IN REVENUE -236,618. INTEREST RATE SWAP 55,715.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES INCLUDED IN REVENUE 236,618.

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	1312	PersonsServedCnt
Total Community Benefit Expns	$637,278	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$476,849	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$160,429	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1312	PersonsServedCnt
Total Community Benefit Expns	$637,278	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$476,849	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$160,429	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	19031	PersonsServedCnt
Total Community Benefit Expns	$313,389	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$313,389	NetCommunityBenefitExpnsAmt
Total Expense	0.01560	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	11	PersonsServedCnt
Total Community Benefit Expns	$317,788	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$317,788	NetCommunityBenefitExpnsAmt
Total Expense	0.01580	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,175	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,175	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Persons Served	19042	PersonsServedCnt
Total Community Benefit Expns	$632,352	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$632,352	NetCommunityBenefitExpnsAmt
Total Expense	0.03150	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	26	ActivitiesOrProgramsCnt
Persons Served	20354	PersonsServedCnt
Total Community Benefit Expns	$1,269,630	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$476,849	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$792,781	NetCommunityBenefitExpnsAmt
Total Expense	0.03950	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$14,620	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,620	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$275	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$275	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$14,895	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,895	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,330,115	BadDebtExpenseAmt
Bad Debt Expense Attributable	$43,525	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$10,836,541	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,356,252	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$519,711	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	12	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	13	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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
THE MEDICAL CENTER AT FRANKLIN INC	PART V, SECTION B, LINE 5: THE MEDICAL CENTER AT FRANKLIN 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://WWW.THEMEDICALCENTERFRANKLIN.ORG/ABOUT_US/COMMUNITY_HEALTH_NEEDS_ASSESSMENT.ASPX. 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 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.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
THE MEDICAL CENTER AT FRANKLIN INC PART V, SECTION B, LINE 16A WEBSITE:	WWW.THEMEDICALCENTERFRANKLIN.ORG

Supplemental Information Detail SupplementalInformationDetail (11 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 $2,330,115. 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:	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 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: 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 ("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 FOURTEEN PHYSICIAN PRACTICES EMPLOYING GENERAL PRACTITIONERS, CARDIAC SURGEONS, VASCULAR SURGEONS, NEUROSURGEONS, NEUROLOGISTS, OBSTETRIC/GYNECOLOGISTS, HOSPITALISTS, AN OTOLARYNGOLOGIST, AN ORTHOPAEDIST, AND PSYCHIATRISTS. 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 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 IN THIS REGION A COMPREHENSIVE NETWORK OF PHYSICIANS AND FACILITIES WITH GREATER COST SAVINGS POTENTIAL THAN OTHER NATIONAL ORGANIZATIONS. TODAY, CENTERCARE SERVES AS THE STATEWIDE NETWORK FOR MANAGED CARE ORGANIZATIONS PROVIDING MEDICAID MANAGED CARE SERVICE FOR THE STATE OF KENTUCKY. IT ALSO SERVICES 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 OUTPATIENT REHABILITATION THERAPY SERVICES. CCH'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.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." 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 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 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.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	$601,562	$0	$0	$0	$208,188	$0	$0	$0	$13,369	$0	$823,119	$0	$0
BARBARA JEAN CHERRY
CIO/EXECUTIVE VICE PRESIDENT	$0	$407,200	$0	$0	$0	$67,832	$0	$0	$0	$13,637	$0	$488,669	$0	$0
RONALD SOWELL
CFO/EXECUTIVE VICE PRESIDENT	$0	$407,728	$0	$0	$0	$77,523	$0	$0	$0	$13,109	$0	$498,360	$0	$0
BETSY KULLMAN
CNO/EXECUTIVE VICE PRESIDENT	$0	$272,628	$0	$0	$0	$6,665	$0	$0	$0	$20,264	$0	$299,557	$0	$0
SARAH MOORE
EXECUTIVE VICE PRESIDENT	$0	$260,493	$0	$0	$0	$6,615	$0	$0	$0	$11,258	$0	$278,366	$0	$0
ERIC HAGAN
VICE PRESIDENT/ADMINISTRATOR OF MCS	$0	$215,947	$0	$0	$0	$3,869	$0	$0	$0	$27,758	$0	$247,574	$0	$0
WADE STONE
EXECUTIVE VICE PRESIDENT	$0	$244,569	$0	$0	$0	$1,818	$0	$0	$0	$27,339	$0	$273,726	$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 $187,054 RONALD SOWELL $72,627 JEAN CHERRY $62,936.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	COUNTY OF SIMPSON KENTUCKY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	616000771	BondIssuerEIN
CUSIP	828899AA2	CUSIPNum
Bond Issued	2010-12-15	BondIssuedDt
Issue Price	$9,432,000	IssuePriceAmt
Purpose	REFUNDING OF 2006 BONDS AND NEW CONSTRUCTION	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$8,252,618	TotalProceedsAmt
Issuance Costs From Proceeds	$110,000	IssuanceCostsFromProceedsAmt
Capital Expenditures	$3,812,835	CapitalExpendituresAmt
Other Spent Proceeds	$4,329,783	OtherSpentProceedsAmt
Substantial Completion	2011	SubstantialCompletionYr
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (1)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	BB&T	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of Hedge	10.000000000000	TermOfHedgePct
Superintegrated Hedge	0	SuperintegratedHedgeInd
Hedge Terminated	0	HedgeTerminatedInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

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	$34,507	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 3,151,179. MANAGEMENT AND GENERAL EXPENSES 500,933. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,652,112.
FORM 990, PART XI, LINE 9:	CHANGE IN FV OF INTEREST RATE SWAP AGREEMENT -55,715.
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 (5 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

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	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
URGENTCARE PROPERTIES
800 PARK STREET	BOWLING GREEN	KY	42101	611197268	REAL ESTATE	KY	N/A	RELATED	0	0
MEDICAL PLAZA PARTNERS LTD
800 PARK STREET	BOWLING GREEN	KY	42101	611080340	REAL ESTATE	KY	N/A	RELATED	0	0

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