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BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION (EIN 61-0920842)
Tax period
2011-04-01 to 2012-03-31
Filed
2013-08-13
IRS object ID
201312259349303466
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-13T19:14:05-05:00Timestamp
Tax Period End Date2012-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1400 E MAIN ST STE 200 PO BOX 1196AddressLine1
CityBOWLING GREENCity
StateKYState
ZIP Code421021196ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN610920842EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BOWLING GREEN WARREN COUNTY COMM HOSP INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JAMES LARRY VAUGHNInCareOfName
Name ControlBOWLNameControl
Phone2707451500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 PARK STREETAddressLine1
CityBOWLING GREENCity
StateKYState
ZIP Code42102ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRONALD G SOWELLName
TitleEXECUTIVE VICE PRESIDENT/CFOTitle
Date Signed2013-09-01DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKIM SCIFRESName
Phone2707810111Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1THE MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonCONNIE SMITHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1800 PARK STREETAddressLine1
CityBOWLING GREENCity
StateKYState
ZIP Code421029876ZIPCode
FieldValueIRS element (for citing)
Gross Receipts443669302GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.mcbg.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionPROVIDES 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 Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees2669TotalNbrEmployees
Total Nbr Volunteers94TotalNbrVolunteers
Total Gross UBI5057851TotalGrossUBI
Contributions Grants Prior Year138593ContributionsGrantsPriorYear
Contributions Grants Current Year76299ContributionsGrantsCurrentYear
Program Service Revenue Prior Year265385229ProgramServiceRevenuePriorYear
Program Service Revenue CY292727842ProgramServiceRevenueCY
Investment Income Prior Year3683213InvestmentIncomePriorYear
Investment Income Current Year4911855InvestmentIncomeCurrentYear
Other Revenue Prior Year13731720OtherRevenuePriorYear
Other Revenue Current Year14374081OtherRevenueCurrentYear
Total Revenue Prior Year282938755TotalRevenuePriorYear
Total Revenue Current Year312090077TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8484GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year113024675SalariesEtcPriorYear
Salaries Etc Current Year122435275SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year152235034OtherExpensePriorYear
Other Expenses Current Year166053862OtherExpensesCurrentYear
Total Expenses Prior Year265259709TotalExpensesPriorYear
Total Expenses Current Year288497621TotalExpensesCurrentYear
Revenues Less Expenses Prior Year17679046RevenuesLessExpensesPriorYear
Revenues Less Expenses CY23592456RevenuesLessExpensesCY
Total Assets BOY287439867TotalAssetsBOY
Total Assets EOY312943895TotalAssetsEOY
Total Liabilities BOY163003839TotalLiabilitiesBOY
Total Liabilities EOY185841395TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY124436028NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY127102500NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDES 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense161754662Expense
Revenue171485617Revenue
DescriptionTHE 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

FieldValueIRS element (for citing)
Expense91581417Expense
Revenue121242225Revenue
DescriptionTHE 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
FieldValueIRS element (for citing)
Total Program Service Expense253336079TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096196NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2669NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJAMES LARRY VAUGHNNamePerson
Telephone Number2707451500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 PARK STREETAddressLine1
CityBOWLING GREENCity
StateKYState
ZIP Code42102ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
BOB HOVIOUS
CHAIRMAN1.0XX000
DR PAUL COOK
VICE CHAIRMAN1.0XX000
JANET JOHNSON
DIRECTOR1.0X000
JOE NATCHER
SECRETARY1.0XX000
DONNA BLACKBURN
DIRECTOR1.0X000
CURTIS SULLIVAN
DIRECTOR1.0X000
ELI JACKSON III DMD
DIRECTOR1.0X000
CATHY BISHOP
DIRECTOR1.0X000
HUGH SIMS MD
DIRECTOR1.0X000
KAL SAHETYA MD
DIRECTOR1.0X000
MARK BIGLER MD
DIRECTOR1.0X000
CONNIE SMITH
DIRECTOR & PRESIDENT/CEO2.0XX073151828142
JOHN DESMARAIS
DIRECTOR1.0X000
SARAH MOORE
EXECUTIVE VICE PRESIDENT2.0X023377596714
BETSY KULLMAN
CNO/EXECUTIVE VICE PRESIDENT2.0X024627691892
BARBARA JEAN CHERRY
CIO/EXECUTIVE VICE PRESIDENT2.0X044204837151
RONALD G SOWELL
CFO/EXECUTIVE VICE PRESIDENT1.0X042557842344
ERIC HAGAN
VP/MEDICAL CTR AT SCOTTSVILLE40.0188695035210X
DAVID REEVES
PHARMACY MANAGER40.0161359054119X
WADE R STONE
VICE PRESIDENT40.0187930025608X
LLOYD ASP
PHYSICIST40.0197763073982X
CURTIS BAKER
PHYSICIST40.0175473018677X
EDDIE SCOTT
DIRECTOR/RADIOLOGY40.0152661031904X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1063881TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2079195TotalReportableCompFrmRltdOrgs
Total Other Compensation535743TotalOtherCompensation
Number Individuals GT100 K31NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ARAMARK CORPORATION
12483 COLLECTIONS CENTER DRIVECHICAGOIL60693BIOMED EQUIP REPAIR3032896
DISABILITY MEDICAL CONSULTANTS
1131 FAIRWAY STBOWLING GREENKY42103PROFESSIONAL SVCS1132508
MORRISON MANAGEMENT SPECIALIST INC
PO BOX 102289ATLANTAGA30368CAFETERIA SERVICES2144983
LOGANS UNIFORM RENTAL INC
PO BOX 6493958CINCINNATIOH45264LAUNDRY SERVICES1732487
EXECUTIVE HEALTH RESOURCES INC
15 CAMPUS BLVD SUITE 200NEWTOWN SQUAREPA19073PROFESSIONAL SVCS1086915
FieldValueIRS element (for citing)
Number Of Contractors GT100 K34NumberOfContractorsGT100K
Related Organizations59929RelatedOrganizations
Government Grants16370GovernmentGrants
Total Contributions76299TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INPATIENT SERVICES621110171485617171485617
OUTPATIENT SERVICES621400121242225121242225
FieldValueIRS element (for citing)
Total Program Service Revenue292727842TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3417026TotalRevenueColumn
Exclusion$3,417,026ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2332481Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2424963Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-92482Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-92482TotalRevenueColumn
Exclusion-$92,482ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities130535741Securities
Other113350Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities128910739Securities
Other243523Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1625002Securities
Other-130173Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1494829TotalRevenueColumn
Exclusion$1,494,829ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RETAIL PHARMACY SALES44611066175121641143$4,976,369
MEDICAL EQUIPMENT SALES453000342118621776981243488
CONTRACT LABOR90009912046621204662

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3223203TotalRevenueColumn
Related Or Exempt Function Income1984193RelatedOrExemptFunctionIncome
Unrelated Business Revenue1239010UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue14466563TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column312090077TotalRevenueColumn
Related Or Exempt Function Income297160185RelatedOrExemptFunctionIncome
Unrelated Business Revenue5057851UnrelatedBusinessRevenue
Exclusion$9,795,742ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total8484Total
Program Services8484ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total223905Total
Management And General223905ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total89500635Total
Program Services84753984ProgramServices
Management And General4746651ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6168391Total
Program Services5820594ProgramServices
Management And General347797ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total19998283Total
Program Services18870704ProgramServices
Management And General1127579ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6544061Total
Program Services6174735ProgramServices
Management And General369326ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total12816000Total
Management And General12816000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1295377Total
Program Services2710ProgramServices
Management And General1292667ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total314455Total
Management And General314455ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total11661Total
Management And General11661ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total21765773Total
Program Services21765773ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total651786Total
Program Services168089ProgramServices
Management And General483697ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total16358063Total
Program Services12337883ProgramServices
Management And General4020180ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3341364Total
Program Services3341364ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3961694Total
Program Services3379069ProgramServices
Management And General582625ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total896600Total
Program Services831923ProgramServices
Management And General64677ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total4317270Total
Program Services3546122ProgramServices
Management And General771148ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11466125Total
Program Services9353895ProgramServices
Management And General2112230ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2537581Total
Program Services2408898ProgramServices
Management And General128683ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE1581565215815652
MEDICAL SUPPLIES606263236053792788396
OTHER TAXES AND LICENSES4041504400810833396
PHYSICIAN PRACTICE EXPENSES53115855311585

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total525049Total
Program Services210165ProgramServices
Management And General314884ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total288497621Total
Program Services253336079ProgramServices
Management And General35161542ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7816814BOY
EOY8728976EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY111833025BOY
EOY129289950EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY28444866BOY
EOY37652287EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5986354BOY
EOY7067743EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5150305BOY
EOY7717987EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis288613344LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec190244675LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY100152490BOY
EOY98368669EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY18033723BOY
EOY14590692EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2952652BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY3299153EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7069638BOY
EOY6228438EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY287439867BOY
EOY312943895EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY29737220BOY
EOY33183927EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY967759BOY
EOY879917EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY98165000BOY
EOY94750000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6875897BOY
EOY4993762EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY27257963BOY
EOY52033789EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY163003839BOY
EOY185841395EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY122982371BOY
EOY125623203EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1453657BOY
EOY1479297EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY124436028BOY
EOY127102500EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY287439867BOY
EOY312943895EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses23592456ReconcilationRevenueExpenses
Reconcilation Other Changes-20925984ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$11,661OtherActivitiesAmount
Total Lobbying Expenditures IIB11661TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING EXPENSESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1iReturnReference
ExplanationTHE CORPORATION IS A MEMBER OF THE KENTUCKY HOSPITAL ASSOCIATION. THE PORTION OF THE DUES PAID WHICH ARE ATTRIBUTABLE TO LOBBYING TOTAL $11,661.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance117185927BeginningOfYearBalance
Contributions19894588Contributions
Investment Earnings Or Losses1145030InvestmentEarningsOrLosses
Other Expenditures6991557OtherExpenditures
Administrative Expenses303559AdministrativeExpenses
End Of Year Balance130930429EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance88386125BeginningOfYearBalance
Contributions27352333Contributions
Investment Earnings Or Losses4772379InvestmentEarningsOrLosses
Other Expenditures3149367OtherExpenditures
Administrative Expenses175543AdministrativeExpenses
End Of Year Balance117185927EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance71881958BeginningOfYearBalance
Contributions6761029Contributions
Investment Earnings Or Losses9206992InvestmentEarningsOrLosses
Other Expenditures-713721OtherExpenditures
Administrative Expenses177575AdministrativeExpenses
End Of Year Balance88386125EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance67604167BeginningOfYearBalance
Contributions24386804Contributions
Investment Earnings Or Losses-6555166InvestmentEarningsOrLosses
Other Expenditures13553847OtherExpenditures
End Of Year Balance71881958EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.98470BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.01530PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7598362OtherCostOrOtherBasis
Book Value7598362BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis134326372OtherCostOrOtherBasis
Depreciation71363445Depreciation
Book Value62962927BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis141380187OtherCostOrOtherBasis
Depreciation115095041Depreciation
Book Value26285146BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5308420OtherCostOrOtherBasis
Depreciation3786186Depreciation
Book Value1522234BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings98368669TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
INVESTMENT - RATE SWAP 3/2008$10,318,435
ACCRUED RETIREMENT, LONG-TERM$39,545,609
LONG-TERM PL/GL LIABILITY$2,169,745
FieldValueIRS element (for citing)
Total Of Amounts52033789TotalOfAmounts
Total Revenue312090077TotalRevenue
Total Expenses288497621TotalExpenses
Excess Or Deficit For Year23592456ExcessOrDeficitForYear
Net Unrealized GL On Investments-1167320NetUnrealizedGLOnInvestments
Other-$19,758,682OtherAmount
Total Adjustments-20926002TotalAdjustments
Excess Or Deficit Per FS2666454ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt312591617TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1167320NetUnrealizedGainsInvestments
Revenue Not Rptd F990-1167320RevenueNotRptdF990
Revenue Subtotal313758937RevenueSubtotal
Other Revenues Not Included-1668860OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-1668860RevenueNotRptdOnFinStmt
Total Revenue Per Form990312090077TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt290192121TotExpensesEtcAuditedFinclStmt
Other Expenses Included2556136OtherExpensesIncluded
Expenses Not Rptd F9902556136ExpensesNotRptdF990
Expenses Subtotal287635985ExpensesSubtotal
Other Expenses Not Included861636OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt861636ExpensesNotRptdOnFinStmt
Total Expenses Per Form990288497621TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSSCH 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 STATUSSCH 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 2012 OR 2011. 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 - NET ASSETSSCH D, PART XI, LINE 8--------------------- OTHER CHANGES IN NET ASSETS: CHANGE IN FV OF INTEREST RATE SWAP ($5,749,415) CHANGE IN MINIMUM PENSION LIABILITY ($14,276,284) TRANSFER FROM AFFILIATES $267,017 ----------- ($19,758,682)
RECONCILIATION TO AUDIT REPORT - REVENUESSCH D, PART XII--------------------- LINE 4B: OTHER AMOUNTS INCLUDED ON TAX RETURN NOT ON LINE 1: RECLASSIFICATION OF REVENUES & EXPENSES $861,636 RENTAL EXPENSE SHOWN NET OF REV PER TAX RETURN ($2,424,963) LOSS ON DISPOSALS INCLUDED IN EXP PER AUDIT ($131,173) INVESTMENT INCOME - PERMANENTLY RESTRICTED ASSETS 25,640 ------------- ($1,668,860)
RECONCILIATION TO AUDIT REPORT - EXPENSESSCH D, PART XIII--------------------- LINE 2D: AMOUNTS INCLUDED ON LINE 1 BUT NOT ON TAX RETURN: RENTAL EXPENSES SHOWN NET OF REV PER TAX RETURN $2,424,963 LOSS ON DISPOSALS INCLUDED IN EXP PER AUDIT $131,173 ---------- $2,556,136 LINE 4B: AMOUNTS INCLUDED ON TAX RETURN BUT NOT ON LINE 1: RECLASSIFICATION OF REVENUE & EXPENSE $861,636

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served6418PersonsServed
Total Community Benefit Expense14908906TotalCommunityBenefitExpense
Direct Offsetting Revenue3132240DirectOffsettingRevenue
Net Community Benefit Expense11776666NetCommunityBenefitExpense
Percent Of Total Expense0.04320PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Benefit Expense35335324TotalCommunityBenefitExpense
Direct Offsetting Revenue29380531DirectOffsettingRevenue
Net Community Benefit Expense5954793NetCommunityBenefitExpense
Percent Of Total Expense0.02180PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served6418PersonsServed
Total Community Benefit Expense50244230TotalCommunityBenefitExpense
Direct Offsetting Revenue32512771DirectOffsettingRevenue
Net Community Benefit Expense17731459NetCommunityBenefitExpense
Percent Of Total Expense0.06500PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs306NumberOfActivitiesOrPrograms
Persons Served38883PersonsServed
Total Community Benefit Expense3124272TotalCommunityBenefitExpense
Net Community Benefit Expense3124272NetCommunityBenefitExpense
Percent Of Total Expense0.01150PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served865PersonsServed
Total Community Benefit Expense3370377TotalCommunityBenefitExpense
Net Community Benefit Expense3370377NetCommunityBenefitExpense
Percent Of Total Expense0.01240PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served15399PersonsServed
Total Community Benefit Expense12707295TotalCommunityBenefitExpense
Direct Offsetting Revenue7677911DirectOffsettingRevenue
Net Community Benefit Expense5029384NetCommunityBenefitExpense
Percent Of Total Expense0.01840PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs160NumberOfActivitiesOrPrograms
Total Community Benefit Expense61853TotalCommunityBenefitExpense
Net Community Benefit Expense61853NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs475NumberOfActivitiesOrPrograms
Persons Served55147PersonsServed
Total Community Benefit Expense19263797TotalCommunityBenefitExpense
Direct Offsetting Revenue7677911DirectOffsettingRevenue
Net Community Benefit Expense11585886NetCommunityBenefitExpense
Percent Of Total Expense0.04250PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs479NumberOfActivitiesOrPrograms
Persons Served61565PersonsServed
Total Community Benefit Expense69508027TotalCommunityBenefitExpense
Direct Offsetting Revenue40190682DirectOffsettingRevenue
Net Community Benefit Expense29317345NetCommunityBenefitExpense
Percent Of Total Expense0.10750PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Building Expense2340TotalCommunityBuildingExpense
Net Community Building Expense2340NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served2PersonsServed
Total Community Building Expense29417TotalCommunityBuildingExpense
Net Community Building Expense29417NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Total Community Building Expense835415TotalCommunityBuildingExpense
Net Community Building Expense835415NetCommunityBuildingExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense3250TotalCommunityBuildingExpense
Net Community Building Expense3250NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs11NumberOfActivitiesOrPrograms
Persons Served2PersonsServed
Total Community Building Expense870422TotalCommunityBuildingExpense
Net Community Building Expense870422NetCommunityBuildingExpense
Percent Of Total Expense0.00320PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$15,815,652BadDebtExpenseAmount
Amount Attributable To4707499AmountAttributableTo
Amount Reimbursed By Medicare110296589AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare128810394CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-18513805MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

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

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursCritical Access HospitalCriticalAccessHospitalOtherOther
THE MEDICAL CENTER BOWLING GREEN CAMPUS
1800 PARK STREETBOWLING GREENKY42101XXX
THE MEDICAL CENTER SCOTTSVILLE CAMPUS
2456 BURNLEY ROADSCOTTSVILLEKY42164XXXXNURSING FACILITY

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

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelOther FactorsOtherFactorsExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsitePosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossChargesInsurance StatusInsuranceStatus
THE MEDICAL CENTER BOWLING GREEN CAMPUS
1truetrue200.falsetrueXXXtruefalseXXXXtruefalseXXtrueXfalsefalse
THE MEDICAL CENTER SCOTTSVILLE CAMPUS
2truetrue200.falsetrueXXXtruefalseXXXXtruefalseXXtrueXfalsefalseX

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE MEDICAL CENTER HEALTH & WELLNESS CTRBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11857 TUCKER WAYAddressLine1
CityBOWLING GREENCity
StateKYState
ZIP Code42104ZIPCode
FieldValueIRS element (for citing)
Facility TypeCOMMUNITY WELLNESS CENTERFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARESCH 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 REPORTSCH 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 COSTSCH 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 $15,815,652. 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 EXPENSESCH H, PART III, LINE 4--------------- THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BAD DEBT IS CLASSIFIED AS AN OPERATING EXPENSE. THIS TREATMENT IS CONSISTENT WITH THE HFMA PRINCIPLES AND PRACTICE BOARD STATEMENT NO. 15 AND WITH THE AICPA AUDIT AND ACCOUNTING GUIDE FOR HEALTH CARE ORGANIZATIONS.
CALCULATION OF MEDICARE ALLOWABLE COSTSSCH 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 PRACTICESSCH 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 ASSESSMENTSCH 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. THE MEDICAL CENTER HAS NOT HISTORICALLY COMPLETED FORMAL HEALTH NEEDS ASSESSMENTS; HOWEVER, 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 ASSISTANCESCH 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 INFORMATIONSCH 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 286,000 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 18% TO 24%, WHICH IS HIGHER THAN THE KENTUCKY AVERAGE. THE NUMBER OF RESIDENTS IN THE DISTRICT IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES VARY BY COUNTY AND RANGE FROM 18.5% TO 27.1% COMPARED TO THE KENTUCKY POVERTY RATE OF 17.7%. THE THREE HIGHEST POPULATED COUNTIES IN THE DISTRICT ARE WARREN, BARREN AND ALLEN WHOSE AVERAGE MEDIAN HOUSEHOLD INCOME IS $43,954, $38,374 AND $35,247 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%. ACCORDING TO THE EVERYBODY SURVEY CONDUCTED BY THE BARREN RIVER DISTRICT HEALTH DEPARTMENT, THE MOST SERIOUS HEALTH PROBLEMS IN THE COMMUNITY ARE OBESITY, ALCOHOL AND DRUG ADDITION, HEART ATTACK, STROKE, HIGH BLOOD PRESSURE, CANCER AND DIABETES. THIS SURVEY ALSO IDENTIFIED PROBLEM HEALTH BEHAVIORS FOR THE DISTRICT WHICH INCLUDE ALCOHOL AND DRUG ABUSE, NOT ENOUGH PHYSICAL ACTIVITY, TOBACCO USE AND POOR DIET.
PROMOTION OF COMMUNITY HEALTHSCH 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 ROLESSCH 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, with 330 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 a total of approximately 462,000 square feet of space. IN ADDITION, THE HOSPITAL OPERATES THE WHOLLY OWNED MEDICAL CENTER EMS, LLC WHICH PROVIDES THE ONLY EMERGENCY MEDICAL SERVICE IN WARREN COUNTY. THE HOSPITAL IS ALSO A 50% PARTNER WITH ANOTHER NONPROFIT IN OPERATING THE NON-PROFIT BARREN RIVER REGIONAL CANCER CENTER, INC., AN OUTPATIENT ONCOLOGY CENTER LOCATED IN GLASGOW, KENTUCKY. The Medical Center AT SCOTTSVILLE: To more fully serve the health needs of south central Kentucky, The Medical Center merged in October 1996 with an affiliated entity, Health Endowment Properties A-C, Inc., a Kentucky non-stock, nonprofit corporation, which owned and operated The Medical Center at Scottsville (the "Scottsville Facility"). The Scottsville Facility opened in 1996 and is comprised of a 25-bed critical access hospital and 110 nursing care beds. These beds are located in an 85,000 square foot building on approximately 13 acres of land in Allen County, near Scottsville, Kentucky. COMMONWEALTH HEALTH CORPORATION ------------------------------- CHC IS A HOLDING COMPANY FOR A TOTAL OF TWELVE FOR-PROFIT AND NONPROFIT CORPORATIONS AND PARTNERSHIPS (COLLECTIVELY, THE "AFFILIATES") ENGAGED IN VARIOUS ASPECTS OF THE HEALTHCARE INDUSTRY. CHC HAS ESTABLISHED VARIOUS DIVISIONS FOR ITS OPERATIONS, INCLUDING (1) BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION ("THE MEDICAL CENTER"), (2) COMMONWEALTH HEALTH FREE CLINIC, INC., (3) THE MEDICAL CENTER AT FRANKLIN, INC., (4) COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, INC., AND (5) VARIOUS 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 CARESCH H, PART V, LINE 10--------------- DURING THE YEAR ENDED 3/31/12, THE MEDICAL CENTER AT BOWLING GREEN AND THE MEDICAL CENTER AT SCOTTSVILLE discontinued providing discounted care for patients with incomes between 150% and 200% of the Federal Poverty level. Instead, THE MEDICAL CENTER AT BOWLING GREEN AND MEDICAL CENTER AT SCOTTSVILLE UPDATED THEIR FINANCIAL ASSISTANCE POLICY TO PROVIDE FREE CARE FOR PERSONS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL.
OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTSSCH H, PART V, LINE 11--------------- NUMBER IN HOUSEHOLD IS USED FOR DETERMINING FPL FOR COMPARISON TO REPORTED INCOME
INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCESCH H, PART VI, LINE 19--------------- THE HOSPITAL FACILITIES WROTE OFF 100% OF CHARGES TO FAP - ELIGIBLE INDIVIDUALS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPS FOR STUDENTS AT WESTERN KY UNIVERSITYTypeOfGrant
Number Of Recipients2NumberOfRecipients
Amount Of Cash Grant8484AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for Monitoring the Use of GrantsIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
Explanation--------------------------- The hospital contributes directly to a scholarship program maintained within Western Kentucky University's College Heights Foundation. The scholarship is made annually and is equivalent to the in-state tuition plus an allowance for books. It may be awarded to either one student or divided between two students. The scholarship is payable over two semesters. Recipients must be beginning freshmen and must be graduates of Allen County High School, Scottsville, KY. Recipients must be full-time students at Western Kentucky University. applicants must complete a standard Western Kentucky University scholarship application no later than March 1. Recipients must have a cumulative GPA of at least 3.0 in the fall semester to receive the scholarship for the spring semester. Awards are to be made in the form of a letter from the university scholarship committee, with the letter to contain appropriate recognition of the Medical Center at Scottsville, which is the name of the hospital's Scottsville, KY location. Bowling Green Warren County Community Hospital Corporation, Inc. is frequently asked to contribute to a variety of organizations and fund raising projects. Because Bowling Green Warren County Community Hospital Corporation, Inc. was established to support the healthcare mission of the non-profit Bowling Green Warren County Community Hospital Corporation and other non-profit affiliates of Commonwealth Health Corporation, it is the corporation's goal to be a supportive citizen and, when practical and possible, to make reasonable contributions which are beneficial to the community and parallel to our exempt purpose which focuses on the community's healthcare needs.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CONNIE SMITH
050945400022206402125306889075966000
SARAH MOORE
0228185000559009001806696033048900
BETSY KULLMAN
02404260005850079262012630033816800
BARBARA JEAN CHERRY
03647390007730902884208309047919900
RONALD G SOWELL
03652320006034603452907815046792200
DAVID REEVES
150201000111580349850191340215478000
WADE R STONE
1845440003386079480176600213538000
LLOYD ASP
19142600063370617020122800271745000
CURTIS BAKER
173618000185509406092710194150000
EDDIE SCOTT
15133100013300208410110630184565000
ERIC HAGAN
18142100072740154800197300223905000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierNONQUALIFIED RETIREMENT PLANIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 4BReturnReference
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 $188,650 RONALD SOWELL $53,974 JEAN CHERRY $68,921Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
COUNTY OF WARREN KENTUCKY
616000710934864AA72008-03-2077010000SEE PART Vfalsefalsefalse
COUNTY OF WARREN KENTUCKY
616000710934860BT32007-03-1530885000SEE PART Vfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
0077010000482603800139857421409032646952004217496502010truefalsetruetrue
0031867132213300000637343000290967900truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsetruetruetruefalse0.000400.000600.00100true
falsefalsefalsefalse00.001300.00130true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
DEUTCHE BANK
falsetruetrue30.falsefalsefalse0falsefalse
0
falsefalsefalsefalse0falsefalse

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BOND A - DESCRIPTION OF PURPOSESCH K, PART I, LINE A, COLUMN FTO (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 PURPOSESCH K, PART I, LINE B, COLUMN FTO (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.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (10 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
SOUTHERN FOODS INC
JOE NATCHER, OWNER OF SFI377441FOOD SERVICE - SEE PART Vfalse
GRAVES GILBERT CLINIC
RON SOWELL, OFFICER18000LEASING - SEE PART Vfalse
GRAVES GILBERT CLINIC
RON SOWELL, OFFICER43085PHYSICIAN SERVICES-SEE PT Vfalse
AIRGAS MID-AMERICA
B JEAN CHERRY, OFFICER199100MEDICAL SUPPLIES - SEE PT Vfalse
KAL SAHETYA
DIRECTOR14380LEASING - SEE PART Vfalse
KIMBERLY JACKSON
ELI JACKSON, DIRECTOR9601COMP OF WIFE - SEE PART Vfalse
KIMBERLY JACKSON
ELI JACKSON, DIRECTOR20967LEASING - SEE PART Vfalse
ERIN DEMARAIS
JOHN DEMARAIS, DIRECTOR40366COMP OF DAUGHTER - SEE PT Vfalse
STEPHANIE BLACKBURN
DONNA BLACKBURN, DIRECTOR48502COMP OF DTR-IN-LAW - SEE PT Vfalse
RONNIE MOORE
SARAH MOORE, OFFICER22193COMP OF HUSBAND - SEE PT Vfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCH L, PART IV, COLUMN DReturnReference
ExplanationJOE 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. DR. KAL SAHETYA IS A DIRECTOR OF THE MEDICAL CENTER. DR. SAHETYA PERFORMED PROFESSIONAL SERVICES FOR THE MEDICAL CENTER. ALL TRANSACTIONS ARE CONDUCTED ON ARMS LENGTH BASIS. JOHN DESMARAIS SERVED AS A DIRECTOR OF THE MEDICAL CENTER. MR. DESMARAIS' DAUGHTER, ERIN DESMARAIS, IS EMPLOYED BY THE MEDICAL CENTER. DONNA BLACKBURN SERVES AS A DIRECTOR OF THE MEDICAL CENTER. MS. BLACKBURN'S DAUGHTER-IN-LAW, STEPHANIE BLACKBURN, IS EMPLOYED BY THE MEDICAL CENTER. ELI JACKSON SERVES AS A DIRECTOR OF THE MEDICAL CENTER. MR. JACKSON'S WIFE, KIMBERLY JACKSON, IS EMPLOYED BY THE MEDICAL CENTER. THE MEDICAL CENTER ALSO RENTS SPACE FROM ELI AND KIMBERLY JACKSON FOR THE MEDICAL CENTER'S WELLNESS CENTER. ALL TRANSACTIONS ARE CONDUCTED ON AN ARMS LENGTH BASIS. SARAH MOORE SERVES AS AN OFFICER OF THE MEDICAL CENTER. MRS. MOORE'S HUSBAND, RONNIE MOORE, IS EMPLOYED BY THE MEDICAL CENTER.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTSFORM 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) 96,876 DAYS OF SKILLED NURSING CARE 38,642 BIRTHS 2,343 OPEN HEART PROCEDURES 341 SURGERIES 14,058 EMERGENCY ROOM VISITS 54,949 AMBULANCE RUNS 19,459
MEMBERS OF THE ORGANIZATIONFORM 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 990FORM 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 THIS 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 POLICYFORM 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. FURTHER, IT REQUIRES DISCLOSURE OF ANY POTENTIAL 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 ITS 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 COMPENSATIONFORM 990, PART VI, LINES 15A AND 15B------------------------------ COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS SET BY THE REGULATORY COMPLIANCE COMMITTEE (RCC) OF THE BOARD OF DIRECTORS. COMPENSATION FOR OFFICERS OF THE CORPORATION IS REVIEWED BY THE SAME COMMITTEE. THE RCC RETAINS AN INDEPENDENT CONSULTANT TO CONDUCT ANNUAL SURVEYS OF COMPENSATION FOR SIMILAR POSITIONS IN THE HEALTHCARE INDUSTRY AND USES ITS REPORT IN ITS COMPENSATION DECISION.
MAKING DOCUMENTS AVAILABLE TO THE PUBLICFORM 990, PART VI, LINE 19------------------------------ DOCUMENTS ARE MADE AVAILABLE IF REQUIRED AND IN THE MANNER REQUIRED BY GOVERNING AGENCY OR BOND AUTHORITY.
RECONCILIATION OF NET ASSETSFORM 990, PART XI, LINE 5------------------------------ OTHER CHANGES IN NET ASSETS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP ($5,749,415) CHANGE IN MINIMUM PENSION LIABILITY ($14,276,284) TRANSFER FROM AFFILIATES $267,017 UNREALIZED LOSSES ($1,167,320) ROUNDING $18 ------------ ($20,925,984)
AMENDED RETURN CHANGES------------------------------ Schedule J, Column A(iii) was updated to reflect corrected amounts of taxable compensation for certain individuals paid by the filing organization or paid by a related organization. Corrected W-2s and amended 941s were also filed.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CONNIE SMITH TITLE:DIRECTOR & PRESIDENT/CEO HOURS:48
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SARAH MOORE TITLE:EXECUTIVE VICE PRESIDENT HOURS:48
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BETSY KULLMAN TITLE:CNO/EXECUTIVE VICE PRESIDENT HOURS:48
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BARBARA JEAN CHERRY TITLE:CIO/EXECUTIVE VICE PRESIDENT HOURS:48
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RONALD G SOWELL TITLE:CFO/EXECUTIVE VICE PRESIDENT HOURS:49

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MEDICAL CENTER PHARMACY OF BOWLING GREEN
800 PARK STREETBOWLING GREENKY42101061778164PHARMACYKY39748531387539NA
MEDICAL CENTER EMS LLC
800 PARK STREETBOWLING GREENKY42101562332847EMERG MED SVCKY5424908768352NA
BLUEGRASS OUTPATIENT CTR OF BOWLING GRN
800 PARK STREETBOWLING GREENKY42101263564003OUTPATIENTKY0NA

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
THE MEDICAL CENTER AT FRANKLIN INC
800 PARK STREETBOWLING GREENKY42101611362001HOSPITALKY501(C)(3)3CHC INCfalse
COMMONWEALTH HEALTH CORPORATION INC
800 PARK STREETBOWLING GREENKY42101311118087SUPPORTKY501(C)(3)9NAfalse
COMMONWEALTH REGIONAL SPECIALTY HOSPITAL
800 PARK STREETBOWLING GREENKY42101542142034HOSPITALKY501(C)(3)3CHC INCfalse
COMMONWEALTH HEALTH FREE CLINIC INC
800 PARK STREETBOWLING GREENKY42101611292739HEALTHCAREKY501(C)(3)3CHC INCfalse
COMMONWEALTH HEALTH FOUNDATION INC
800 PARK STREETBOWLING GREENKY42101611362000SUPPORTKY501(C)(3)7CHC INCfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
URGENTCARE PROPERTIES
800 PARK STREETBGKY42101611197268REAL ESTATEKYNAN/Afalse$0false
MEDICAL PLAZA PARTNERS LTD
800 PARK STREETBGKY42101611080340REAL ESTATEKYBGWCCHCRELATEDfalse$0false2651805693620.92260

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1URGENTCARE OF BOWLING GREEN INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 PARK STREETAddressLine1
CityBOWLING GREENCity
StateKYState
ZIP Code42101ZIPCode
FieldValueIRS element (for citing)
EIN611035393EIN
Primary ActivityHEALTHCAREPrimaryActivity
Legal Domicile StateKYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntitycTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1COMMONWEALTH HEALTH CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Amount Involved29638000AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination