BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION (EIN 61-0920842)
Tax period: 2012-04-01 to 2013-03-31
Filed: 2014-02-11
IRS object ID: 201440429349301234
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-02-11T11:31:57-06:00	Timestamp
Tax Period End Date	2013-03-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	400 E MAIN ST STE 200 PO BOX 1196	AddressLine1
City	BOWLING GREEN	City
State	KY	State
ZIP Code	421021196	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-04-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	610920842	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	BOWLING GREEN WARREN COUNTY COMM HOSP	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% JAMES LARRY VAUGHN	InCareOfName
Name Control	BOWL	NameControl
Phone	2707451500	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 PARK STREET	AddressLine1
Address Line2	Suite	AddressLine2
City	BOWLING GREEN	City
State	KY	State
ZIP Code	42102	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	RONALD G SOWELL	Name
Title	EXECUTIVE VICE PRESIDENT/CFO	Title
Phone	2707451000	Phone
Date Signed	2014-02-05	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	2707810111	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	THE MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	CONNIE SMITH	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	800 PARK STREET	AddressLine1
City	BOWLING GREEN	City
State	KY	State
ZIP Code	421029876	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	498095175	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.mcbg.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1977	YearFormation
State Legal Domicile	KY	StateLegalDomicile
Activity Or Mission Description	PROVIDES INPATIENT AND OUTPATIENT ACUTE CARE SERVICES BY OR UNDER THE SUPERVISION OF PHYSICIANS IN BOWLING GREEN & SCOTTSVILLE, KENTUCKY AND IN THE SURROUNDING COUNTIES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	2503	TotalNbrEmployees
Total Nbr Volunteers	114	TotalNbrVolunteers
Total Gross UBI	4950139	TotalGrossUBI
Contributions Grants Prior Year	76299	ContributionsGrantsPriorYear
Contributions Grants Current Year	90500	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	292727842	ProgramServiceRevenuePriorYear
Program Service Revenue CY	310629865	ProgramServiceRevenueCY
Investment Income Prior Year	4911855	InvestmentIncomePriorYear
Investment Income Current Year	3821931	InvestmentIncomeCurrentYear
Other Revenue Prior Year	14374081	OtherRevenuePriorYear
Other Revenue Current Year	19825685	OtherRevenueCurrentYear
Total Revenue Prior Year	312090077	TotalRevenuePriorYear
Total Revenue Current Year	334367981	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	8484	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	122435275	SalariesEtcPriorYear
Salaries Etc Current Year	129203484	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	166053862	OtherExpensePriorYear
Other Expenses Current Year	180470153	OtherExpensesCurrentYear
Total Expenses Prior Year	288497621	TotalExpensesPriorYear
Total Expenses Current Year	309673637	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	23592456	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	24694344	RevenuesLessExpensesCY
Total Assets BOY	312943895	TotalAssetsBOY
Total Assets EOY	360467385	TotalAssetsEOY
Total Liabilities BOY	185841395	TotalLiabilitiesBOY
Total Liabilities EOY	203770583	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	127102500	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	156696802	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	PROVIDES INPATIENT AND OUTPATIENT ACUTE CARE SERVICES BY OR UNDER THE SUPERVISION OF PHYSICIANS IN BOWLING GREEN & SCOTTSVILLE, KENTUCKY AND IN THE SURROUNDING COUNTIES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	169322015	Expense
Revenue	180599763	Revenue
Description	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. PLEASE SEE SCHEDULE O FOR FURTHER INFORMATION.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	102916174	Expense
Revenue	138001878	Revenue
Description	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.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	272238189	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	177	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2503	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	KY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JAMES LARRY VAUGHN	NamePerson
Telephone Number	2707451500	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	800 PARK STREET	AddressLine1
City	BOWLING GREEN	City
State	KY	State
ZIP Code	42102	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
BOB HOVIOUS
DIRECTOR	1.0	X	X
DR PAUL COOK
VICE CHAIRMAN	1.0	X	X
JANET JOHNSON
DIRECTOR	1.0	X
JOE NATCHER
SECRETARY	1.0	X	X
DONNA BLACKBURN
DIRECTOR	1.0	X
CURTIS SULLIVAN
DIRECTOR	1.0	X
ELI JACKSON III DMD
CHAIRMAN	1.0	X
CATHY BISHOP
DIRECTOR	1.0	X
HUGH SIMS MD
DIRECTOR	1.0	X
KAL SAHETYA MD
DIRECTOR	1.0	X
MARK BIGLER MD
DIRECTOR	1.0	X
CONNIE SMITH
DIRECTOR & PRESIDENT/CEO	30.0	X	X	20.0	0	723267	34367
SARAH MOORE
EXECUTIVE VICE PRESIDENT	43.0		X	7.0	0	248484	116354
BETSY KULLMAN
CNO/EXECUTIVE VICE PRESIDENT	46.0		X	4.0	0	259045	105675
BARBARA JEAN CHERRY
CIO/EXECUTIVE VICE PRESIDENT	10.0		X	40.0	0	446989	44130
RONALD G SOWELL
CFO/EXECUTIVE VICE PRESIDENT	6.0		X	44.0	0	453650	54592
WADE R STONE
VICE PRESIDENT	46.0		X	4.0	0	196045	32486
ERIC HAGAN
VP/MEDICAL CTR AT SCOTTSVILLE	40.0				195143	0	34669	X
DAVID REEVES
PHARMACY MANAGER	40.0				163512		49505		X
LLOYD ASP
PHYSICIST	40.0				200644	0	60439		X
EDDIE SCOTT
DIRECTOR/RADIOLOGY	40.0				164965		43281		X
ROBERT MCCLELLAND
DIRECTOR/PHARMACY	40.0				158105		25580		X
THOMAS ROSS
CORP. DIR./FACILITIES DVLPMENT	40.0				148340		65638		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1030709	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2327480	TotalReportableCompFrmRltdOrgs
Total Other Compensation	666716	TotalOtherCompensation
Number Individuals GT100 K	42	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ARAMARK CORPORATION
12483 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	BIOMED EQUIP REPAIR	3000204
DISABILITY MEDICAL CONSULTANTS
1131 FAIRWAY ST	BOWLING GREEN	KY	42103	PROFESSIONAL SVCS	1220302
MORRISON MANAGEMENT SPECIALIST INC
PO BOX 102289	ATLANTA	GA	30368	CAFETERIA SERVICES	2330035
LOGANS UNIFORM RENTAL INC
PO BOX 6493958	CINCINNATI	OH	45264	LAUNDRY SERVICES	1833265
SCOTT MURPHY DANIEL LLC
PO BOX 2520	BOWLING GREEN	KY	421022520	CONSTRUCTION SVCS	1737605

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	34	NumberOfContractorsGT100K
Related Organizations	77175	RelatedOrganizations
Government Grants	13325	GovernmentGrants
Total Contributions	90500	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
INPATIENT SERVICES	621110	176080951	176080951
OUTPATIENT SERVICES	621400	134548914	134329308	219606

Field	Value	IRS element (for citing)
Total Program Service Revenue	310629865	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3312799	TotalRevenueColumn
Exclusion	$3,312,799	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2239494	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2274506	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-35012	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-35012	TotalRevenueColumn
Exclusion	-$35,012	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	161426353	Securities
Other	535467	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	161281741	Securities
Other	170947	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	144612	Securities
Other	364520	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	509132	TotalRevenueColumn
Exclusion	$509,132	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RETAIL PHARMACY SALES	446110	7739521	2001778	$5,737,743
MEDICAL EQUIPMENT SALES	453000	3988532	2728755		1259777
CAFETERIA SALES	722514	1201039		$1,201,039

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6931605	TotalRevenueColumn
Related Or Exempt Function Income	6931605	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	19860697	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	334367981	TotalRevenueColumn
Related Or Exempt Function Income	318601641	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4950139	UnrelatedBusinessRevenue
Exclusion	$10,725,701	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	211941	Total
Management And General	211941	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	93602376	Total
Program Services	88615999	ProgramServices
Management And General	4986377	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	7628794	Total
Program Services	7199431	ProgramServices
Management And General	429363	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	20906954	Total
Program Services	19730272	ProgramServices
Management And General	1176682	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6853419	Total
Program Services	6467334	ProgramServices
Management And General	386085	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	12816000	Total
Management And General	12816000	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	662727	Total
Program Services	13077	ProgramServices
Management And General	649650	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	183204	Total
Management And General	183204	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	14216	Total
Management And General	14216	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	22649880	Total
Program Services	22649880	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	668650	Total
Program Services	156690	ProgramServices
Management And General	511960	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	16450744	Total
Program Services	12268765	ProgramServices
Management And General	4181979	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3738249	Total
Program Services	3738249	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3940189	Total
Program Services	3453467	ProgramServices
Management And General	486722	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	946979	Total
Program Services	882988	ProgramServices
Management And General	63991	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	4107411	Total
Program Services	3505987	ProgramServices
Management And General	601424	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	13119799	Total
Program Services	10749448	ProgramServices
Management And General	2370351	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2105446	Total
Program Services	1980386	ProgramServices
Management And General	125060	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT EXPENSE	20106905	20106905
MEDICAL SUPPLIES	66565575	66456213	109362
OTHER TAXES AND LICENSES	4497348	4012403	484945
PHYSICIAN PRACTICE EXPENSES	6479511		6479511

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1417320	Total
Program Services	250695	ProgramServices
Management And General	1166625	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	309673637	Total
Program Services	272238189	ProgramServices
Management And General	37435448	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	8728976	BOY
EOY	10653784	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	129289950	BOY
EOY	143605778	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	37652287	BOY
EOY	38569657	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	7067743	BOY
EOY	7394874	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7717987	BOY
EOY	9890941	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	308688147	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	198550925	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	98368669	BOY
EOY	110137222	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	14590692	BOY
EOY	26090976	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	3299153	BOY
EOY	2790889	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	6228438	BOY
EOY	11333264	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	312943895	BOY
EOY	360467385	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	33183927	BOY
EOY	39577066	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	879917	BOY
EOY	1136412	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	94750000	BOY
EOY	107075000	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	4993762	BOY
EOY	4437843	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	52033789	BOY
EOY	51544262	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	185841395	BOY
EOY	203770583	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	125623203	BOY
EOY	155165832	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1479297	BOY
EOY	1530970	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	127102500	BOY
EOY	156696802	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	312943895	BOY
EOY	360467385	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	24694344	ReconcilationRevenueExpenses
Reconcilation Other Changes	4899958	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Both	X	FinancialStatementBoth

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$14,216	OtherActivitiesAmount
Total Lobbying Expenditures IIB	14216	TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING EXPENSES	Identifier
Return Reference	SCHEDULE C, PART II-B, LINE 1i	ReturnReference
Explanation	THE CORPORATION IS A MEMBER OF THE KENTUCKY HOSPITAL ASSOCIATION. THE PORTION OF THE DUES PAID WHICH ARE ATTRIBUTABLE TO LOBBYING TOTAL $14,216.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	133305497	BeginningOfYearBalance
Contributions	16715019	Contributions
Investment Earnings Or Losses	4113651	InvestmentEarningsOrLosses
Other Expenditures	4455656	OtherExpenditures
Administrative Expenses	402824	AdministrativeExpenses
End Of Year Balance	149275687	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	117185927	BeginningOfYearBalance
Contributions	19894588	Contributions
Investment Earnings Or Losses	3520098	InvestmentEarningsOrLosses
Other Expenditures	6991557	OtherExpenditures
Administrative Expenses	303559	AdministrativeExpenses
End Of Year Balance	133305497	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	88386125	BeginningOfYearBalance
Contributions	27352333	Contributions
Investment Earnings Or Losses	4772379	InvestmentEarningsOrLosses
Other Expenditures	3149367	OtherExpenditures
Administrative Expenses	175543	AdministrativeExpenses
End Of Year Balance	117185927	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	71881958	BeginningOfYearBalance
Contributions	6761029	Contributions
Investment Earnings Or Losses	9206992	InvestmentEarningsOrLosses
Other Expenditures	-713721	OtherExpenditures
Administrative Expenses	177575	AdministrativeExpenses
End Of Year Balance	88386125	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	67604167	BeginningOfYearBalance
Contributions	24386804	Contributions
Investment Earnings Or Losses	-6555166	InvestmentEarningsOrLosses
Other Expenditures	13553847	OtherExpenditures
End Of Year Balance	71881958	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.99150	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.00850	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10266796	OtherCostOrOtherBasis
Book Value	10266796	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	136687754	OtherCostOrOtherBasis
Depreciation	75711342	Depreciation
Book Value	60976412	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	147628511	OtherCostOrOtherBasis
Depreciation	118889072	Depreciation
Book Value	28739425	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14105086	OtherCostOrOtherBasis
Depreciation	3950495	Depreciation
Book Value	10154591	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	110137224	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
INVESTMENT - RATE SWAP 3/2008	$8,409,680
ACCRUED RETIREMENT, LONG-TERM	$41,600,650
LONG-TERM PL/GL LIABILITY	$1,533,932

Field	Value	IRS element (for citing)
Total Of Amounts	51544262	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	317306704	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	1644394	NetUnrealizedGainsInvestments
Other Revenues	-20106904	OtherRevenues
Revenue Not Rptd F990	-18462510	RevenueNotRptdF990
Revenue Subtotal	335769214	RevenueSubtotal
Other Revenues Not Included	-1401233	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-1401233	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	334367981	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	291019625	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	2274746	OtherExpensesIncluded
Expenses Not Rptd F990	2274746	ExpensesNotRptdF990
Expenses Subtotal	288744879	ExpensesSubtotal
Other Expenses Not Included	20928758	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	20928758	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	309673637	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ENDOWMENT FUNDS	SCH D, 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 $87,033,191 OF BOARD-DESIGNATED ENDOWMENT FUNDS FOR FUTURE CAPITAL IMPROVEMENTS AND OTHER PURPOSES AS DETERMINED BY THE BOARD OF DIRECTORS. PERMANENTLY RESTRICTED NET ASSETS INCLUDED $1,352,934 OF DONOR-RESTRICTED ENDOWMENT FUNDS.
INCOME TAX STATUS	SCH D, 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 2009. 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 2013 OR 2012. THE MEDICAL CENTER'S PRACTICE IS TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE.
RECONCILIATION TO AUDIT REPORT - REVENUES	SCH D, PART XI	--------------------- OTHER AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990 PT VIII LINE 2B: BAD DEBT EXPENSE NETTED AGAINST REVENUE PER AUDIT $20,103,904 OTHER AMOUNTS INCLUDED ON FORM 990 PT VIII NOT ON LINE 1 LINE 4B: RECLASSIFICATION OF REVENUES & EXPENSES ($821,840) RENTAL EXPENSE SHOWN NET OF REV PER TAX RETURN ($2,274,506) LOSS ON DISPOSALS INCLUDED IN EXP PER AUDIT ($240) INVESTMENT INCOME - PERMANENTLY RESTRICTED ASSETS 51,673 ------------- ($1,401,233)
RECONCILIATION TO AUDIT REPORT - EXPENSES	SCH D, PART XII	--------------------- AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990 PT IX LINE 2D: RENTAL EXPENSES SHOWN NET OF REV PER TAX RETURN $2,274,506 LOSS ON DISPOSALS INCLUDED IN EXP PER AUDIT $240 ---------- $2,274,746 AMOUNTS INCLUDED ON FORM 990 PT IX BUT NOT ON LINE 1 LINE 4B: RECLASSIFICATION OF REVENUE & EXPENSE $821,840 ROUNDING $14 BAD DEBT EXPENSE NETTED AGAINST REVENUE PER AUDIT $20,106,904 ----------- $20,928,758

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	6934	PersonsServed
Total Community Benefit Expense	11132055	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4019511	DirectOffsettingRevenue
Net Community Benefit Expense	10867816	NetCommunityBenefitExpense
Percent Of Total Expense	0.06870	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	39476772	TotalCommunityBenefitExpense
Direct Offsetting Revenue	31468187	DirectOffsettingRevenue
Net Community Benefit Expense	8008585	NetCommunityBenefitExpense
Percent Of Total Expense	0.04300	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	6934	PersonsServed
Total Community Benefit Expense	50608827	TotalCommunityBenefitExpense
Direct Offsetting Revenue	35487698	DirectOffsettingRevenue
Net Community Benefit Expense	18876401	NetCommunityBenefitExpense
Percent Of Total Expense	0.11170	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	290	NumberOfActivitiesOrPrograms
Persons Served	51600	PersonsServed
Total Community Benefit Expense	3371997	TotalCommunityBenefitExpense
Net Community Benefit Expense	3371997	NetCommunityBenefitExpense
Percent Of Total Expense	0.02610	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	673	PersonsServed
Total Community Benefit Expense	3375979	TotalCommunityBenefitExpense
Net Community Benefit Expense	3375979	NetCommunityBenefitExpense
Percent Of Total Expense	0.01630	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	19292	PersonsServed
Total Community Benefit Expense	14403141	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8155717	DirectOffsettingRevenue
Net Community Benefit Expense	6247424	NetCommunityBenefitExpense
Percent Of Total Expense	0.02350	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	205	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	49392	TotalCommunityBenefitExpense
Net Community Benefit Expense	49392	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	505	NumberOfActivitiesOrPrograms
Persons Served	71565	PersonsServed
Total Community Benefit Expense	21200509	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8155717	DirectOffsettingRevenue
Net Community Benefit Expense	13044792	NetCommunityBenefitExpense
Percent Of Total Expense	0.06650	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	509	NumberOfActivitiesOrPrograms
Persons Served	78499	PersonsServed
Total Community Benefit Expense	71809336	TotalCommunityBenefitExpense
Direct Offsetting Revenue	43643415	DirectOffsettingRevenue
Net Community Benefit Expense	31921193	NetCommunityBenefitExpense
Percent Of Total Expense	0.17820	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Total Community Building Expense	3785	TotalCommunityBuildingExpense
Net Community Building Expense	3785	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Total Community Building Expense	530814	TotalCommunityBuildingExpense
Net Community Building Expense	530814	NetCommunityBuildingExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	3250	TotalCommunityBuildingExpense
Net Community Building Expense	3250	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Total Community Building Expense	537849	TotalCommunityBuildingExpense
Net Community Building Expense	537849	NetCommunityBuildingExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$20,106,905	BadDebtExpenseAmount
Amount Attributable To	4372190	AmountAttributableTo
Amount Reimbursed By Medicare	118499626	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	136199614	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-17699988	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	Critical Access HospitalCriticalAccessHospital	OtherOther
THE MEDICAL CENTER BOWLING GREEN
1	800 PARK STREET	BOWLING GREEN	KY	42101	X	X	X
THE MEDICAL CENTER SCOTTSVILLE
2	456 BURNLEY ROAD	SCOTTSVILLE	KY	42164	X	X	X	X	NURSING FACILITY

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Adopt Implement StrategyAdoptImplementStrategy	Execute Implement StrategyExecuteImplementStrategy	Develop Community PlanDevelopCommunityPlan	Participate Community PlanParticipateCommunityPlan	Include Operational PlansIncludeOperationalPlans	Adopt BudgetAdoptBudget	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges	Community DemographicsCommunityDemographics	Insurance StatusInsuranceStatus
THE MEDICAL CENTER BOWLING GREEN
1	true	X	X	X	X	X	X	12	true	true	true	X	X	X	X	X	X	X	X	X	X	true	false	true	true	200.	false	true	X	X	X	true	false	X	X	X	X	true	false	X	X	true	X	false	false
THE MEDICAL CENTER SCOTTSVILLE
2	true	X	X	X	X	X	X	12	true	true	true	X	X	X	X	X	X	X	X	X	X	true		true	true	200.	false	true	X	X	X	true	false	X	X	X	X	true	false	X	X	true	X	false	false	X	X

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	1	NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	THE MEDICAL CENTER HEALTH & WELLNESS CTR	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1857 TUCKER WAY	AddressLine1
City	BOWLING GREEN	City
State	KY	State
ZIP Code	42104	ZIPCode

Field	Value	IRS element (for citing)
Facility Type	COMMUNITY WELLNESS CENTER	FacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE	SCH H, 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.
COMMUNITY BENEFIT REPORT	SCH H, PART I, LINE 6	--------------- THE ANNUAL REPORT TO THE COMMUNITY IS MADE AVAILABLE TO THE PUBLIC VIA NEWSPAPER INSERTS, DIRECT MAILINGS, AND IS POSTED ON THE MEDICAL CENTER'S WEBSITE AT WWW.MCBG.ORG.
BENEFITS AT COST	SCH H, PART I, LINE 7	--------------- THE AMOUNTS REPORTED ON LINE 7G ARE DETERMINED BY MULTIPLYING REVENUE BY THE MEDICARE COST TO CHARGE RATIO. BAD DEBTS INCLUDED IN PART IX, LINE 25 TOTALED $20,106,905. 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 WAS DETERMINED USING THE HOSPITAL 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.
BAD DEBT EXPENSE	SCH H, PART III, LINE 4	--------------- 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 expenses for financial reporting purposes.
CALCULATION OF MEDICARE ALLOWABLE COSTS	SCH H, PART III, LINE 6	--------------- COSTS REPORTED ON LINE 6 ARE OBTAINED FROM THE MEDICARE COST REPORT WHICH ARE BASED ON A COST TO CHARGE RATIO.
COLLECTION PRACTICES	SCH H, 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 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.
NEEDS ASSESSMENT	SCH H, PART VI, QUESTION 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.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	SCH H, PART VI, QUESTION 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.
COMMUNITY INFORMATION	SCH H, PART VI, QUESTION 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 288,000 PEOPLE. THE COMMUNITY IS GROWING AND WE ALSO 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 16% TO 25%, 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 15.1% TO 24.7% COMPARED TO THE KENTUCKY POVERTY RATE OF 18.1%. THE THREE HIGHEST POPULATED COUNTIES IN THE DISTRICT ARE WARREN, BARREN AND ALLEN WHOSE AVERAGE MEDIAN HOUSEHOLD INCOME IS $43,018, $38,616 AND $35,357 RESPECTIVELY. APPROXIMATELY 64% OF THE DISTRICT'S POPULATION IS CLASSIFIED AS RURAL. THE PERCENTAGE OF THE POPULATION IN THE COMMUNITY OVER 65 YEARS OLD IS APPROXIMATELY 15%. 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 -Diabetes -Drug Abuse and Addiction -Lung Cancer -Obesity
PROMOTION OF COMMUNITY HEALTH	SCH H, PART VI, QUESTION 5	--------------- COMMUNITY BUILDING ACTIVITIES INCLUDE PARTICIPATION IN THE CHAMBER OF COMMERCE, DOWNTOWN REDEVELOPMENT AND LEADERSHIP BOWLING GREEN.
AFFILIATED HEALTH CARE SYSTEM ROLES	SCH H, PART VI, QUESTION 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 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: 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 Thirteen FOR-PROFIT AND NONPROFIT CORPORATIONS AND PARTNERSHIPS (COLLECTIVELY, THE "AFFILIATES") ENGAGED IN VARIOUS ASPECTS OF THE HEALTHCARE INDUSTRY. CHC HAS ESTABLISHED VARIOUS DIVISIONS FOR ITS OPERATIONS, INCLUDING (1) BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION ("THE MEDICAL CENTER"), (2) COMMONWEALTH HEALTH FREE CLINIC, INC., (3) THE MEDICAL CENTER AT FRANKLIN, INC., (4) COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, INC., AND (5) VARIOUS FOR-PROFIT CORPORATIONS AND PARTNERSHIPS. CHC OWNS AND OPERATES NINE PHYSICIAN PRACTICES EMPLOYING GENERAL PRACTITIONERS, CARDIAC SURGEONS, VASCULAR SURGEONS, A NEUROSURGEON, 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 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 TWO MANAGED CARE ORGANIZATIONS PROVIDING MEDICAID MANAGED CARE SERVICE FOR THE STATE OF KENTUCKY. IT ALSO SERVICES OVER 380,000 MEMBERS BY PROVIDING ACCESS TO OVER 17,000 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 "WORKING POOR" OF SOUTH-CENTRAL KENTUCKY. THE "WORKING POOR" ARE THOSE INDIVIDUALS WHO HAVE DONE THEIR BEST TO STAY IN THE WORK FORCE BUT DO NOT HAVE INSURANCE OR ANY FORM OF SOCIAL ASSISTANCE AND DO NOT HAVE THE MEANS TO PAY FOR THEIR HEALTHCARE. CHFC OFFERS SERVICES INCLUDING: NON-EMERGENCY CLINICAL SERVICES, DENTISTRY, SENIOR CITIZEN'S PHARMACEUTICAL PROGRAM, COMMUNITY HEALTH EDUCATION AND COUNSELING, DISEASE/CONDITION SPECIFIC EDUCATION AND COUNSELING. IN ADDITION, THE DENTAL PROGRAM HAS BEEN EXPANDED TO INCLUDE INDIVIDUALS WITH INCOME AT OR BELOW 225% OF FEDERAL POVERTY GUIDELINES. 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'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.
CRITERIA FOR DETERMINING ELIGIBILITY OF DISCOUNTED CARE	SCH H, PART V, LINE 10	--------------- THE MEDICAL CENTER AT BOWLING GREEN AND THE MEDICAL CENTER AT SCOTTSVILLE PROVIDE FREE CARE FOR PERSONS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL.
OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS	SCH H, PART V, LINE 11	--------------- NUMBER IN HOUSEHOLD IS USED FOR DETERMINING FPL FOR COMPARISON TO REPORTED INCOME
INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE	SCH H, PART VI, LINE 19	--------------- THE HOSPITAL FACILITIES WROTE OFF 100% OF CHARGES TO FAP - ELIGIBLE INDIVIDUALS.
CONSULTATION FROM REPRESENTATIVES	Form 990, Schedule H, Part V, Question 3	-------------------- The Medical Center, Bowling Green and The Medical Center, Scottsville 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: 1) 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?" 2) 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?" 3) 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?" 4) 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.barrenriverhealth.org/docbrdhd/CHAR_Final.pdf. Organizations Involved in the Assessment Process included: 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 32 Lifeskills, Inc. Logan Aluminum Logan County Health Dept.(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 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 persons who participated in 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
OTHER HOSPITAL FACILITIES	Form 990, Schedule H, Part V, Question 4	-------------------- Caverna Memorial Hospital Commonwealth Regional Specialty Hospital Greenview Regional Hospital Logan Memorial Hospital Medical Center of Franklin The Medical Center, Scottsville Medical Center of Scottsville Monroe County Medical Center TJ Samson Community Hospital
IMPLEMENTATION STRATEGIES	SCH H, PART V	------------------ A COPY OF THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND STRATEGIC IMPLEMENTATION PLAN CAN BE FOUND AT: http://www.mcbg.org/about_us/documents/BowlingGreen.pdf and http://www.themedicalcenterscottsville.org/about_us/documents/Scottsville. pdf

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CONNIE SMITH
DIRECTOR & PRESIDENT/CEO	0	536689	0	0	0	186578	0	26075	0	8292	0	757634	0	0
SARAH MOORE
EXECUTIVE VICE PRESIDENT	0	242252	0	0	0	6232	0	106411	0	9943	0	364838	0	0
BETSY KULLMAN
CNO/EXECUTIVE VICE PRESIDENT	0	252484	0	0	0	6561	0	87703	0	17972	0	364720	0	0
BARBARA JEAN CHERRY
CIO/EXECUTIVE VICE PRESIDENT	0	386319	0	0	0	60670	0	35500	0	8630	0	491119	0	0
RONALD G SOWELL
CFO/EXECUTIVE VICE PRESIDENT	0	382659	0	0	0	70991	0	42434	0	12158	0	508242	0	0
DAVID REEVES
PHARMACY MANAGER	146749		0		16763		24291		25214		213017		0
WADE R STONE
VICE PRESIDENT	0	193868	0	0	0	2177	0	11146	0	21340	0	228531	0	0
LLOYD ASP
PHYSICIST	195711	0	0	0	4933	0	43384	0	17055	0	261083	0	0	0
EDDIE SCOTT
DIRECTOR/RADIOLOGY	158184		0		6781		28382		14899		208246		0
ERIC HAGAN
VP/MEDICAL CTR AT SCOTTSVILLE	189569	0	0	0	5574	0	17871	0	16798	0	229812	0	0	0
ROBERT MCCLELLAND
DIRECTOR/PHARMACY	157115		0		990		0		25580		183685		0
THOMAS ROSS
CORP. DIR./FACILITIES DVLPMENT	144932		0		3408		49422		16216		213978		0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	NONQUALIFIED RETIREMENT PLAN	Identifier
Return Reference	SCHEDULE J, PART I, LINE 4B	ReturnReference
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 $158,435 RONALD SOWELL $64,681 JEAN CHERRY $56,478	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
COUNTY OF WARREN KENTUCKY
A	616000710	934864AA7	2008-03-20	77010000	SEE PART V	false	false	false
COUNTY OF WARREN KENTUCKY
B	616000710	934860BT3	2007-03-15	30885000	SEE PART V	false	false	false
COUNTY OF WARREN KENTUCKY
C	616000710		2012-08-01	44126651	See Part V		false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCd	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	24815000	77010000	4826038	1398574	2140903	26469520	42174965	2010	true	false	true	true
B	0	31867132	2133000	637343	0	0	29096790		true	false	true	true
C	0	44126652	0	1126652	0	15000000	25080000	2013	true	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs	Prcntge Bond Financed PropPrcntgeBondFinancedProp
A	false	true	true	true	false	0.00040	0.00070	0.00110	false	false	false	true
B	false	false	false		false	0.00000	0.00040	0.00040	false	false	false	true	0.00000
C	false	false	false		false	0.00000	0.00000	0.00000	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
Deutche Bank
A	false	true	true	true	30.	false	false	false	0	false	false
0
B	false	true	false	false				false	0	false	false
0
C	false	true	false	false				false	0	false	false

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	false
B	false
C	false

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
BOND A - DESCRIPTION OF PURPOSE	SCH K, PART I, LINE A, COLUMN F	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.
BOND B - DESCRIPTION OF PURPOSE	SCH K, PART I, LINE B, COLUMN F	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. BONDS, AND (3) PAY COSTS OF ISSUING THE BONDS.
Bond C - Description of Purpose	SCH K, PART I, LINE C, COLUMN F

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
SOUTHERN FOODS INC
JOE NATCHER, OWNER OF SFI	286276	FOOD SERVICE - SEE PART V	false
GRAVES GILBERT CLINIC
RON SOWELL, OFFICER	497595	LEASING - SEE PART V	false
GRAVES GILBERT CLINIC
RON SOWELL, OFFICER	81052	PHYSICIAN SERVICES-SEE PT V	false
AIRGAS MID-AMERICA
B JEAN CHERRY, OFFICER	213511	MEDICAL SUPPLIES - SEE PT V	false
STEPHANIE BLACKBURN
DONNA BLACKBURN, DIRECTOR	54690	COMP OF DTR-IN-LAW - SEE PT V	false
RONNIE MOORE
SARAH MOORE, OFFICER	67061	COMP OF HUSBAND - SEE PT V	false
Laura Deaton
Donna Blackburn, Director	42287	COMP OF Daughter - SEE PT V	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	Identifier
Return Reference	SCH L, PART IV, COLUMN D	ReturnReference
Explanation	JOE NATCHER, DIRECTOR FOR BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION ("THE MEDICAL CENTER"), IS THE OWNER OF SOUTHERN FOODS, INC., A FOOD SERVICE DISTRIBUTOR. SOUTHERN FOODS, INC. SUPPLIES THE MEDICAL CENTER WITH FOOD AND RELATED ITEMS. ALL TRANSACTIONS ARE CONDUCTED ON AN ARMS LENGTH BASIS. RONALD 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 ARMS LENGTH BASIS. 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. DONNA BLACKBURN SERVES AS A DIRECTOR OF THE MEDICAL CENTER. MS. BLACKBURN'S DAUGHTER-IN-LAW, STEPHANIE BLACKBURN, IS EMPLOYED BY THE MEDICAL CENTER. SARAH MOORE SERVES AS AN OFFICER OF THE MEDICAL CENTER. MRS. MOORE'S HUSBAND, RONNIE MOORE, IS EMPLOYED BY THE MEDICAL CENTER. DONNA BLACKBURN SERVES AS A DIRECTOR OF THE MEDICAL CENTER. MS. BLACKBURN'S daughter, Laura Deaton, IS EMPLOYED BY THE MEDICAL CENTER.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III, LINE 4A	------------------------------ ORGANIZATION ------------ BOWLING 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 KRS CHAPTER 216B AND THE REGULATIONS PROMULGATED THEREUNDER. OPERATING WITH CAMPUSES IN BOWLING GREEN, KY AND SCOTTSVILLE, KY, THE MEDICAL CENTER LICENSED BEDS INCLUDE: BOWLING SCOTTS- GREEN VILLE TOTAL ----- ------ ----- ACUTE CARE 313 313 CRITICAL ACCESS ACUTE 25 25 PSYCHIATRIC 24 24 NURSING FACILITY 110 110 ----- ------ ----- SUBTOTAL - 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 TOMOGRAPHY THE MEDICAL CENTER'S PROFESSIONAL STAFF INCLUDES PHYSICIANS WHO ARE ENGAGED IN THE PRACTICE OF MEDICINE AND WHO REPRESENT MULTIPLE SPECIALTIES, INCLUDING FAMILY PRACTICE AND EMERGENCY CARE. THE STAFF ALSO INCLUDES NURSES, PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS, PSYCHOLOGISTS, RESPIRATORY THERAPISTS, NUTRITIONISTS AND OTHERS. USING AN INTERDISCIPLINARY TEAM APPROACH, THE STAFF WORK COLLABORATIVELY TO PROVIDE PRIMARY OUTPATIENT CARE, RENDERED IN AN EMERGENCY ROOM AND OUTPATIENT SETTING, AND SECONDARY CARE CONSISTING OF INPATIENT SERVICES OF A GENERAL AND SPECIALIZED NATURE. COMMUNITY BENEFIT AND CHARITY ------------------------------ AS 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) 96,956 DAYS OF SKILLED NURSING CARE 38,399 BIRTHS 2,282 OPEN HEART PROCEDURES 368 SURGERIES 14,506 EMERGENCY ROOM VISITS 56,140 AMBULANCE RUNS 19,923
MEMBERS OF THE ORGANIZATION	FORM 990, PART VI, SECTION A, LINE 6 & 7	------------------------------ 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.
REVIEW OF FORM 990	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.
MONITORING THE CONFLICT ON INTEREST POLICY	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.
PROCESS FOR DETERMINING COMPENSATION	FORM 990, PART VI, LINES 15A AND 15B	------------------------------ 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.
MAKING DOCUMENTS AVAILABLE TO THE PUBLIC	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.
RECONCILIATION OF NET ASSETS	FORM 990, PART XI, LINE 9	------------------------------ OTHER CHANGES IN NET ASSETS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP ($1,056,046) CHANGE IN MINIMUM PENSION LIABILITY $1,533,690 TRANSFER FROM AFFILIATES $2,777,923 UNREALIZED LOSSES $1,644,394 ROUNDING ($3) ------------- $4,899,958

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
MEDICAL CENTER PHARMACY OF BOWLING GREEN
800 PARK STREET	BOWLING GREEN	KY	42101	061778164	PHARMACY	KY	4644359	1328517	NA
MEDICAL CENTER EMS LLC
800 PARK STREET	BOWLING GREEN	KY	42101	562332847	EMERG MED SVC	KY	5532398	1308485	NA

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
THE MEDICAL CENTER AT FRANKLIN INC
800 PARK STREET	BOWLING GREEN	KY	42101	611362001	HOSPITAL	KY	501(C)(3)	3	CHC INC	false
COMMONWEALTH HEALTH CORPORATION INC
800 PARK STREET	BOWLING GREEN	KY	42101	311118087	SUPPORT	KY	501(C)(3)	9	NA	false
COMMONWEALTH REGIONAL SPECIALTY HOSPITAL
800 PARK STREET	BOWLING GREEN	KY	42101	542142034	HOSPITAL	KY	501(C)(3)	3	CHC INC	false
COMMONWEALTH HEALTH FREE CLINIC INC
800 PARK STREET	BOWLING GREEN	KY	42101	611292739	HEALTHCARE	KY	501(C)(3)	3	CHC INC	false
COMMONWEALTH HEALTH FOUNDATION INC
800 PARK STREET	BOWLING GREEN	KY	42101	611362000	SUPPORT	KY	501(C)(3)	7	CHC INC	false

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
URGENTCARE PROPERTIES
800 PARK STREET	BG	KY	42101	611197268	REAL ESTATE	KY	NA	false	$0	false
MEDICAL PLAZA PARTNERS LTD
800 PARK STREET	BG	KY	42101	611080340	REAL ESTATE	KY	BGWCCHC	false	$0		259819	558301	0.92260

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	URGENTCARE OF BOWLING GREEN INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	800 PARK STREET	AddressLine1
City	BOWLING GREEN	City
State	KY	State
ZIP Code	42101	ZIPCode

Field	Value	IRS element (for citing)
EIN	611035393	EIN
Primary Activity	HEALTHCARE	PrimaryActivity
Legal Domicile State	KY	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	c	TypeOfEntity
Controlled Org	false	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	true	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	COMMONWEALTH HEALTH CORPORATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Amount Involved	30576000	AmountInvolved
Method Of Amt Determination	FMV	MethodOfAmtDetermination