2026-02-16T09:54:09+00:00 2025-03-31 440160260 Forvis Mazars LLP 312 Walnut Street Suite 3000 Cincinnati OH 45202 990 2024-04-01 811312058 THE MEDICAL CENTER AT CLINTON COUNTY INC MEDI 2707451551 800 PARK STREET BOWLING GREEN KY 42101 MICHELE LAWLESS EVP - CFO 2707451551 2026-02-16 true true Aaron Hershberger P00961884 5136218300 2026-01-30 2024 2025-03-06 01:10:19Z X THE MEDICAL CENTER AT ALBANY CONNIE D SMITH 800 PARK STREET BOWLING GREEN KY 42101 0 false X HTTPS://MEDCENTERHEALTH.ORG/LOCATIONS/ X 2016 KY PROVIDES INPATIENT AND OUTPATIENT ACUTE CARE SERVICES BY OR UNDER THE SUPERVISION OF PHYSICIANS IN ALBANY, KENTUCKY AND IN THE SURROUNDING COUNTIES. X 6 6 0 0 0 39345 0 20299657 0 69 0 474355 0 20813426 0 8750 0 0 0 7563849 0 0 0 0 10459631 0 18032230 0 2781196 0 13644187 0 2144904 0 11499283 0 X DEDICATED TO PROVIDING THE HIGHEST QUALITY CARE POSSIBLE IN A SAFE AND SECURE ENVIRONMENT; COMMITTED TO THE PROMOTION OF WELLNESS AND RESTORATION OF HEALTH IN A COST-EFFECTIVE MANNER; CONTINUOUSLY STRIVE TO IMPROVE THE QUALITY OF HEALTH IN THE COMMUNITIES WE SERVE. false true EFFECTIVE APRIL 1, 2024, THE BOARD OF DIRECTORS OF THE MEDICAL CENTER AT CLINTON COUNTY, INC. EXECUTED A RESOLUTION TO DISSOLVE THE MEDICAL CENTER AT CLINTON COUNTY, INC. AND TRANSFERRED ALL ASSETS AND LIABILITIES TO THE BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION. THE BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION CONTINUES TO OPERATE THE MEDICAL CENTER AT CLINTON COUNTY AS A HOSPITAL IN THE COMMUNITY. 0 true false false false false false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false false false false false false false true true false true false false false false true 0 0 0 false false false false false false false false false false false false X 6 6 false false false false true true true true true false false false true true true true true true false false false false KY X JENNY GREENWELL 2707451551 800 PARK STREET BOWLING GREEN KY 42101 X DR DONNA BLACKBURN VICE CHAIR 2.0 4.0 X X 0 0 0 DR PAUL COOK CHAIR 2.0 2.0 X X 0 0 0 DR TOMMY LOVING SECRETARY 2.0 4.0 X X 0 0 0 MS CONNIE D SMITH PRESIDENT/CEO 2.0 52.0 X X 0 0 0 DR KAL SAHETYA DIRECTOR 2.0 4.0 X 0 0 0 DR TRACY CROSS DIRECTOR 2.0 0.0 X 0 0 0 MR DAVID GRAY EXECUTIVE VICE PRESIDENT 2.0 50.0 X 0 0 0 MR WADE STONE EXECUTIVE VICE PRESIDENT 2.0 50.0 X 0 0 0 MS KATRINA WOOD EVP/CHIEF NURSING OFFICER 2.0 50.0 X 0 0 0 MS MICHELE W LAWLESS EXECUTIVE VICE PRESIDENT/CFO 2.0 50.0 X 0 0 0 0 0 0 0 false false false DIAGNOSTIC SHARED SERVICES INC 2650 EASTPOINT PARKWAY STE 300 LOUISVILLE KY 40223 CLINICAL SERVICES SOUTHEASTERN EMERGENCY PHYSICIANS PO BOX 634850 CINCINNATI OH 452634850 ER PHYSICIAN SVCS HEARTCARE IMAGING INC 760 NORTH US HWY ONE TEQUESTA FL 33469 CLINICAL SERVICES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1226031 0 0 0 0 0 3620658 0 0 0 0 0 0 0 465252 0 264026 0 0 0 7230063 0 0 0 0 0 0 0 838157 0 13644187 0 2052210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92694 0 2144904 0 X 11499283 0 0 0 0 0 0 0 0 0 11499283 0 13644187 0 X 0 0 0 0 0 -11499283 X false true true false X Schedule A, Part I, Line 3 PUBLIC CHARITY STATUS THE MEDICAL CENTER AT CLINTON COUNTY DISCONTINUED HOSPITAL OPERATIONS AS OF MARCH 31, 2024 AND TRANSFERRED ALL ASSETS AND LIABILITIES TO BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION, A RELATED ENTITY, ON APRIL 1, 2024. THE ORGANIZATION IS NOT A "HOSPITAL" AS DEFINED BY THE IRS FOR THE PURPOSES OF SCHEDULE H (FORM 990). AS SUCH, THE ORGANIZATION IS NOT REQUIRED TO FILE SCHEDULE H (FORM 990) ACCORDING TO THE INSTRUCTIONS PROVIDED FOR SCHEDULE H AND FORM 990. CASH 2024-04-01 1226031 NET BOOK VALUE 610920842 BOWLING GREEN-WARREN CTY COMM HOSP 800 PARK STREET BOWLING GREEN KY 42101 501(C)(3) ACCOUNTS RECEIVABLE 2024-04-01 3620658 NET BOOK VALUE 610920842 BOWLING GREEN-WARREN CTY COMM HOSP 800 PARK STREET BOWLING GREEN KY 42101 501(C)(3) INVENTORY 2024-04-01 465252 NET BOOK VALUE 610920842 BOWLING GREEN-WARREN CTY COMM HOSP 800 PARK STREET BOWLING GREEN KY 42101 501(C)(3) LAND, BUILDINGS AND EQUIPMENT 2024-04-01 7230063 NET BOOK VALUE 610920842 BOWLING GREEN-WARREN CTY COMM HOSP 800 PARK STREET BOWLING GREEN KY 42101 501(C)(3) OTHER ASSETS 2024-04-01 1102183 NET BOOK VALUE 610920842 BOWLING GREEN-WARREN CTY COMM HOSP 800 PARK STREET BOWLING GREEN KY 42101 501(C)(3) true true false false true true true true false Schedule N, Part I, Line 2a Interested person is a director or trustee of successor org. THE INDIVIDUALS LISTED BELOW WERE BOARD MEMBERS OF THE BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION, THE TRANSFEREE ORGANIZATION AND A RELATED ENTITY TO THE MEDICAL CENTER AT CLINTON COUNTY, PRIOR TO THE DATE OF DISSOLUTION OF THE MEDICAL CENTER AT CLINTON COUNTY. THESE INDIVIDUALS CONTINUED IN THEIR ROLES AS BOARD MEMBERS OF THE BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION AFTER THE DATE OF DISSOLUTION OF THE MEDICAL CENTER AT CLINTON COUNTY. - DR DONNA BLACKBURN - DR PAUL COOK - TOMMY LOVING Schedule N, Part I, Line 2b Interested person is an employee or ind. contractor of successor org. THE MEDICAL CENTER AT CLINTON COUNTY was part of an affiliated health care system. The following individuals were employed by Commonwealth Health Corporation, a related entity to THE MEDICAL CENTER AT CLINTON COUNTY, and served as officers of THE MEDICAL CENTER AT CLINTON COUNTY on April 1, 2024 (the date of dissolution). - Connie D Smith (President and CEO) - Michele W Lawless (Executive Vice President and CFO) - David Gray (Executive Vice President) - Wade Stone (Executive Vice President) - Katrina Wood (Executive Vice President and Chief Nursing Officer) The individuals listed above were officers of the Bowling Green Warren County Community Hospital Corporation, the transferee organization and a related entity to THE MEDICAL CENTER AT CLINTON COUNTY, prior to the date of dissolution of THE MEDICAL CENTER AT CLINTON COUNTY. These individuals continued in their roles as officers of the Bowling Green Warren County Community Hospital Corporation after the date of dissolution of THE MEDICAL CENTER AT CLINTON COUNTY. Form 990, Part III, Line 3 Significant changes in program services EFFECTIVE APRIL 1, 2024, THE BOARD OF DIRECTORS OF THE MEDICAL CENTER AT CLINTON COUNTY, INC. EXECUTED A RESOLUTION TO DISSOLVE THE MEDICAL CENTER AT CLINTON COUNTY, INC. AND TRANSFERRED ALL ASSETS AND LIABILITIES TO THE BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION. THE BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION CONTINUES TO OPERATE THE MEDICAL CENTER AT CLINTON COUNTY AS A HOSPITAL IN THE COMMUNITY. Form 990, Part VI, Line 6 Classes of members or stockholders THE CORPORATION'S ARTICLES OF INCORPORATION SPECIFY THE CORPORATION SHALL HAVE ONE (1) MEMBER. THE MEMBER SHALL BE COMMONWEALTH HEALTH CORPORATION, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Bylaws of the corporation specify that the sole member shall appoint a nominating committee which shall meet and designate nominees for board directorships. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE BYLAWS MAY BE REVISED OR AMENDED BY AFFIRMATIVE VOTE OF TWO-THIRDS (2/3) OF THE BOARD, SUBJECT TO APPROVAL OF THE MEMBER. Form 990, Part VI, Line 11b Review of form 990 by governing body 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. Form 990, Part VI, Line 12c Conflict of interest policy 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 policy 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 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. Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ONLY MADE AVAILABLE IF REQUESTED, AND IN THE MANNER REQUIRED, BY A GOVERNING AGENCY. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Dissolution - transfer of assets to Bowling Green-Warren County Community Hospital CORPORATION (related ENTITY) - -11499283; Total - -11499283; BOWLING GREEN-WARREN CTY COMM HOSP CORP 800 PARK STREET BOWLING GREEN KY 42101 610920842 HOSPITAL KY 501(c)(3) 3 CHC INC false THE MEDICAL CENTER AT FRANKLIN 800 PARK STREET BOWLING GREEN KY 42101 611362001 HOSPITAL KY 501(c)(3) 3 CHC INC false COMMONWEALTH REGIONAL SPECIALTY HOSPITAL 800 PARK STREET BOWLING GREEN KY 42101 542142034 HOSPITAL KY 501(c)(3) 3 CHC INC false COMMONWEALTH HEALTH FREE CLINIC 800 PARK STREET BOWLING GREEN KY 42101 611292739 HEALTHCARE KY 501(c)(3) 3 CHC INC false COMMONWEALTH HEALTH FOUNDATION INC 800 PARK STREET BOWLING GREEN KY 42101 611362000 SUPPORT KY 501(c)(3) 7 CHC INC false COMMONWEALTH HEALTH CORPORATION 800 PARK STREET BOWLING GREEN KY 42101 311118087 SUPPORT KY 501(c)(3) 10 NA false MEDICAL PLAZA PARTNERS 800 PARK STREET BOWLING GREEN KY 42101 611080800 REAL ESTATE KY NA false false true false false false false false false false false false false false false false false false false false