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        <AverageHoursPerWeekRltdOrgRt>4.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MS BEVERLY BOREN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MR DAVID GRAY</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>14.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49504</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MR WADE STONE</PersonNm>
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        <OtherCompensationAmt>80371</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MS KATRINA WOOD</PersonNm>
        <TitleTxt>EVP / CHIEF NURSING OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>50.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>317031</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>89125</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MS MICHELE W LAWLESS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR DIEGO CABRERA FERNANDEZ</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR GEORGE ALSINA</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <OtherCompensationAmt>33539</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR NARENDRA NATHOO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50015</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR PAUL KELSEY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46317</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR WALLACE CARTER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>76072</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>8773699</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>323330</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>805271</TotalOtherCompensationAmt>
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      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KENTUCKY MEDICAL SERVICES FOUNDATION INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 587</AddressLine1Txt>
            <CityNm>LEXINGTON</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>405860587</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>6258505</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JACKSON &amp; COKER LOCUMTENENS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 277638</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303847638</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HODGES ADAMS PLLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>319 E 10TH AVENUE</AddressLine1Txt>
            <CityNm>BOWLING GREEN</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>42101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ATTORNEY SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GRAVES GILBERT CLINIC PSC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 90007</AddressLine1Txt>
            <CityNm>BOWLING GREEN</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>42102</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>1562848</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SIGNALLAMP HEALTH INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>321 BIDEN STREET</AddressLine1Txt>
            <AddressLine2Txt>SUITE 800</AddressLine2Txt>
            <CityNm>SCRANTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>18503</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICES</ServicesDesc>
        <CompensationAmt>679550</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>31</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
      <FundraisingAmt>0</FundraisingAmt>
      <RelatedOrganizationsAmt>643179</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>0</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>0</AllOtherContributionsAmt>
      <NoncashContributionsAmt>0</NoncashContributionsAmt>
      <TotalContributionsAmt>643179</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PHYSICIAN SERVICES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>109040789</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>109040789</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>REHABILITATIVE SERVICES</Desc>
        <BusinessCd>624310</BusinessCd>
        <TotalRevenueColumnAmt>20151733</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20151733</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>0</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>ADMINISTRATIVE PROGRAMS</Desc>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <NetGainOrLossInvestmentsGrp>
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      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
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      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
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      <MiscellaneousRevenueGrp>
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        <ProgramServicesAmt>24104</ProgramServicesAmt>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <ProgramServicesAmt>2916628</ProgramServicesAmt>
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        <ProgramServicesAmt>2730001</ProgramServicesAmt>
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        <ProgramServicesAmt>9093508</ProgramServicesAmt>
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        <ProgramServicesAmt>4851251</ProgramServicesAmt>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <ProgramServicesAmt>577301</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>448676</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>26288227</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesOtherGrp>
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        <ProgramServicesAmt>456005</ProgramServicesAmt>
        <ManagementAndGeneralAmt>471395</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2732010</ProgramServicesAmt>
        <ManagementAndGeneralAmt>486117</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OfficeExpensesGrp>
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          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42101</ZIPCd>
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        <ExplanationTxt>COMMONWEALTH HEALTH CORPORATION, INC. (CHC) IS FREQUENTLY ASKED TO CONTRIBUTE TO A VARIETY OF ORGANIZATIONS AND FUNDRAISING PROJECTS. CHC WAS ESTABLISHED TO SUPPORT THE HEALTHCARE MISSIONS OF THE BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION AND OTHER NON-PROFIT AFFILIATES OF CHC. IT IS CHC'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. CHC ACTIVELY MONITORS SCHOLARSHIP RECIPIENTS THROUGH A COMBINATION OF REGULAR PROGRESS REPORTS FROM THE RECIPIENT'S EDUCATIONAL INSTITUTION, ACADEMIC TRANSCRIPT REVIEWS, AND, WHEN NECESSARY, DIRECT COMMUNICATION WITH THE STUDENT. THESE MEASURES ENSURE COMPLIANCE WITH THE SCHOLARSHIP'S ELIGIBILITY REQUIREMENTS, SUCH AS MAINTAINING A MINIMUM GPA AND FULL-TIME ENROLLMENT STATUS.</ExplanationTxt>
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        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>WILLIAM BORDERS</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>WILLIAM IS THE GRANDSON OF BOARD MEMBER PAUL COOK.</RelationshipDescriptionTxt>
        <TransactionAmt>220128</TransactionAmt>
        <TransactionDesc>PAUL COOK SERVES AS A BOARD MEMBER OF BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORP (BGWCCHC). MR. COOK'S GRANDSON, WILLIAM BORDERS, IS EMPLOYED BY CHC.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>DR NISAR KAZIMUDDIN</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>NISAR IS THE WIFE OF EMPLOYEE/BOARD MEMBER DR. MOHAMMED KAZIMUDDIN.</RelationshipDescriptionTxt>
        <TransactionAmt>310069</TransactionAmt>
        <TransactionDesc>DR. MOHAMMED KAZIMUDDIN SERVES AS A BOARD MEMBER OF BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION (BGWCCHC). DR. KAZIMUDDIN'S WIFE, NISAR KAZIMUDDIN, IS EMPLOYED BY CHC.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>MARY CROSS</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>MARY IS THE DAUGHTER OF BOARD MEMBER DR. TRACY CROSS.</RelationshipDescriptionTxt>
        <TransactionAmt>29891</TransactionAmt>
        <TransactionDesc>DR. TRACY CROSS SERVES AS AN EMPLOYEE/BOARD MEMBER OF COMMONWEALTH HEALTH CORPORATION (CHC). DR. CROSS' DAUGHTER, MARY CROSS, IS EMPLOYED BY CHC.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>ANNIE CROSS</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ANNIE IS THE DAUGHTER OF BOARD MEMBER DR. TRACY CROSS.</RelationshipDescriptionTxt>
        <TransactionAmt>51147</TransactionAmt>
        <TransactionDesc>DR. TRACY CROSS SERVES AS AN EMPLOYEE/BOARD MEMBER OF COMMONWEALTH HEALTH CORPORATION (CHC). DR. CROSS' DAUGHTER, ANNIE CROSS, IS EMPLOYED BY CHC.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Program Service Accomplishments</FormAndLineReferenceDesc>
        <ExplanationTxt>BENEFITS PROVIDED DIRECTLY TO THE COMMUNITY BY MED CENTER HEALTH AND ITS AFFILIATES: FINANCIAL ASSISTANCE (FREE OR DISCOUNTED CARE FOR UNINSURED PEOPLE WHOSE INCOMES MET CERTAIN POVERTY GUIDELINES): $7,848,550 UNPAID COST OF MEDICAID/MEDICARE: $20,112,350 COMMUNITY HEALTH SERVICES (INCLUDING FREE COMMUNITY HEALTH FAIRS, SCREENINGS, COMMUNITY HEALTH EDUCATION CLASSES, AND HEALTH AND WELLNESS PROJECTS): $5,387,053 HEALTH PROFESSIONAL EDUCATION: $4,662,956 SUBSIDIZED HEALTH SERVICES (INCLUDES EMERGENCY CARE AND BEHAVIORAL HEALTH SERVICES FOR WHICH REIMBURSEMENTS DO NOT COVER THE FULL COST AND KENTUCKY PROVIDER TAX TO FUND CARE): $1,982,475 FINANCIAL AND IN-KIND CONTRIBUTIONS: $667,219 COMMUNITY BUILDING ACTIVITIES: $411,442 BAD DEBT (SERVICES PROVIDED IN WHICH PAYMENT IS EXPECTED BUT NEVER RECEIVED, STATED AT GROSS*): $41,510,837 TOTAL CHARITY CARE AND OTHER BENEFITS: $102,871,733 *AMOUNT INCLUDES THE BAD DEBT BALANCES OF A 50% OWNED ENTITY THAT WAS NOT CONSOLIDATED IN THE CORPORATION'S CONSOLIDATED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>Beverly Boren and Gary Broady - Business relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS SENT TO BOARD MEMBERS VIA SECURE EMAIL. EACH BOARD MEMBER RECEIVES ACCESS TO REVIEW THE FORM PRIOR TO THE DESIGNATED FILING DATE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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 AND COMPENSATION COMMITTEE (RCC) REVIEWS AND APPROVES ALL CONTRACTS BETWEEN CHC AND/OR ITS AFFILIATES AND DISQUALIFIED ENTITIES. 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. AFTER DISCLOSURE OF A POTENTIAL CONFLICT, THE INTERESTED PARTY MAY NOT PARTICIPATE IN THE COMMITTEE MEETING DURING WHICH THE CONFLICT IS DISCUSSED AND VOTED UPON, EXCEPT AS OTHERWISE PROVIDED IN THE CONFLICT OF INTEREST POLICY. THE COMMITTEE SHALL DETERMINE IF A CONFLICT OF INTEREST EXISTS IN ACCORDANCE WITH THE PROCEDURES SET FORTH IN THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMONWEALTH HEALTH CORPORATION 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMONWEALTH HEALTH CORPORATION 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ONLY MADE AVAILABLE IF REQUIRED, AND IN THE MANNER REQUIRED, BY A GOVERNING AGENCY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Collection Fees - Total Expense: 386106, Program Service Expense: 386106, Management and General Expenses: 0, Fundraising Expenses: 0; Consulting Fees - Total Expense: 11444216, Program Service Expense: 11444216, Management and General Expenses: 0, Fundraising Expenses: 0; Billing Fees - Total Expense: 3925068, Program Service Expense: 3925068, Management and General Expenses: 0, Fundraising Expenses: 0; Pathology Lab Fees - Total Expense: 75295, Program Service Expense: 75295, Management and General Expenses: 0, Fundraising Expenses: 0; Contract Fees - Total Expense: 11502204, Program Service Expense: 10457542, Management and General Expenses: 1044662, Fundraising Expenses: 0;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>NET PERIODIC PENSION ADJUSTMENT - -98210; Total - -98210;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c AUDIT OVERSIGHT</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>BLUEGRASS OUTPATIENT CTR BOWLING GREEN</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>800 PARK STREET</AddressLine1Txt>
          <CityNm>BOWLING GREEN</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42101</ZIPCd>
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        <EndOfYearAssetsAmt>1771742</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>ASSURED HEALTH GROUP LLC</BusinessNameLine1Txt>
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        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <TotalIncomeAmt>5575563</TotalIncomeAmt>
        <EndOfYearAssetsAmt>26626628</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>BOWLING GREEN WARREN CTY COMM HOSP CORP</BusinessNameLine1Txt>
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          <CityNm>BOWLING GREEN</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42101</ZIPCd>
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        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42101</ZIPCd>
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        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>CHC INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>800 PARK STREET</AddressLine1Txt>
          <CityNm>BOWLING GREEN</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42101</ZIPCd>
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        <EIN>542142034</EIN>
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        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>CHC INC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMONWEALTH HEALTH FREE CLINIC</BusinessNameLine1Txt>
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          <AddressLine1Txt>800 PARK STREET</AddressLine1Txt>
          <CityNm>BOWLING GREEN</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42101</ZIPCd>
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        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>CHC INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMONWEALTH HEALTH FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>800 PARK STREET</AddressLine1Txt>
          <CityNm>BOWLING GREEN</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42101</ZIPCd>
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        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>CHC INC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42101</ZIPCd>
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        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
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      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
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      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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        <InvolvedAmt>373000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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  </ReturnData>
</Return>