Form 990 for tax year 2023
Filed by COMMONWEALTH REGIONAL SPECIALTY HOSPITAL INC.
Totals
- Total revenue
- $6,267,993
- Total expenses
- $7,670,917
- Contributions and grants received
- $2,200
- Grants paid
- $0
- Program service revenue
- $6,241,845
- Investment income
- $17,201
- Other revenue
- $6,747
- Total assets, end of year
- $2,554,162
- Total liabilities, end of year
- $1,586,482
- Net assets or fund balances, end of year
- $967,680
- Program services expenses (Part IX)
- $6,954,346
- Management and general expenses
- $716,571
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $6,954,346
Program services were 90.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1f · All other contributions, gifts and grants
$2,200
-
2a · Program service revenue: INPATIENT SVCS PROVIDED
total $6,241,845 · related or exempt $6,241,845
-
2f · All other program service revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
3 · Investment income
total $13,747 · excluded $13,747
-
6c · Rental income or loss
real property $0 · personal property $0
-
7a · Gross sales of assets other than inventory
securities $341,963
-
7b · Less cost or other basis and sales expenses
securities $338,509
-
7c · Gain or loss
securities $3,454 · other assets $0
-
7d · Net gain or loss
total $3,454 · excluded $3,454
-
11a · Other revenue: MISC. INCOME
total $6,747 · excluded $6,747
-
11d · All other revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
11e · Other revenue, total
$6,747
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $36,940 · program services $0 · management and general $36,940 · fundraising $0
-
7 · Other salaries and wages
total $3,290,970 · program services $3,119,070 · management and general $171,900
-
8 · Pension plan contributions
total $187,274 · program services $175,522 · management and general $11,752
-
9 · Other employee benefits
total $551,937 · program services $517,302 · management and general $34,635
-
10 · Payroll taxes
total $247,204 · program services $230,747 · management and general $16,457
-
11a · Fees: management
total $338,400 · management and general $338,400
-
11b · Fees: legal
total $2,523 · management and general $2,523
-
11c · Fees: accounting
total $36,190 · management and general $36,190
-
11d · Fees: lobbying
total $2,062 · management and general $2,062
-
11g · Fees: other
total $1,167,468 · program services $1,167,092 · management and general $376 · fundraising $0
-
12 · Advertising and promotion
total $1,854 · management and general $1,854
-
13 · Office expenses
total $172,732 · program services $165,818 · management and general $6,914
-
14 · Information technology
total $36,464 · program services $36,464
-
16 · Occupancy
total $230,056 · program services $210,084 · management and general $19,972
-
17 · Travel
total $24,762 · program services $24,762
-
20 · Interest
total $8,392 · management and general $8,392
-
22 · Depreciation, depletion and amortization
total $19,798 · program services $19,798
-
23 · Insurance
total $138,803 · program services $133,132 · management and general $5,671
-
24a · Other expenses: MEDICAL SUPPLIES
total $806,986 · program services $806,986
-
24b · Other expenses: PROVIDER TAX
total $344,092 · program services $344,092
-
24c · Other expenses: DUES & SUBSCRIPTIONS
total $15,456 · management and general $15,456
-
24d · Other expenses: RECRUITING FEES
total $7,077 · management and general $7,077
-
24e · All other expenses
total $3,477 · program services $3,477 · management and general $0 · fundraising $0
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $778,427 · end of year $185,617
-
2 · Savings and temporary cash investments
beginning of year $529,048 · end of year $593,035
-
4 · Accounts receivable
beginning of year $1,565,182 · end of year $1,475,878
-
5 · Loans and receivables from officers and key people
beginning of year $0 · end of year $0
-
6 · Loans and receivables from disqualified persons
beginning of year $0 · end of year $0
-
8 · Inventories for sale or use
beginning of year $98,835 · end of year $98,593
-
9 · Prepaid expenses and deferred charges
beginning of year $54,492 · end of year $37,546
-
10a · Land, buildings and equipment: cost or other basis
$940,245
-
10b · Land, buildings and equipment: accumulated depreciation
$836,368
-
10c · Land, buildings and equipment, net
beginning of year $123,675 · end of year $103,877
-
12 · Investments: other securities
beginning of year $0
-
13 · Investments: program-related
beginning of year $0
-
15 · Other assets
beginning of year $406,946 · end of year $59,616
-
17 · Accounts payable and accrued expenses
beginning of year $960,324 · end of year $1,069,067
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $250,455 · end of year $517,415
-
27 · Net assets without donor restrictions
beginning of year $2,345,826 · end of year $967,680
Mission and programs · 2023
Mission
THE HOSPITAL IS DESIGNED TO MEET THE MEDICAL, THERAPEUTIC AND FAMILIAL NEEDS RELATED TO PROVIDING LONG-TERM ACUTE CARE SERVICES REQUIRED BY INDIVIDUALS WITH CRITICAL DISEASE OR DISORDERS.
Activities or mission (Part I)
Withheld by Nonprofiteer: this text may name a private individual.
-
Commonwealth Regional Specialty Hospital (CRSH) provides long-term acute care services in the community of Bowling Green, Warren County, Kentucky. CRSH provides medical treatment and rehabilitation to chronically and/or critically ill patients in its 16-bed long-term acute care facility. During fiscal year 2024, CRSH admitted 172 patients and provided 4,277 days of patient care. Commonwealth Health Corporation (CHC) formed Commonwealth Regional Specialty Hospital (CRSH) in 2003 to meet an existing need for long-term acute care hospital services in the community of Bowling Green, Warren County, Kentucky. CHC also recognized the need of the continuum of care to provide an appropriate venue for patients who needed acute services beyond those generally available in the acute care hospital setting. Long-term acute care hospitals (as recognized by 42 CFR 412.23 e) generally provide diagnostic, medical, and rehabilitative treatment for those patients with chronic and complex medical conditions whose average length of stay in the hospital exceeds 25 days. CRSH 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 those patients with chronic illness and complex medical needs. It maintains clinical records on all patients and has bylaws in effect concerning its staff of physicians. It requires that every patient be under the care of a physician and provides 24-hour nursing service by or supervised by a registered professional nurse. It has 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. This hospital is not primarily for the care and treatment of mental diseases. Services offered include: . Acute medical care . Complicated wound care . Respiratory therapy . Laboratory services . Pharmacy services . Ventilator weaning services . Cardiac/cardiovascular conditions services . Renal insufficiency, renal failure, hemodialysis services . Post-traumatic stress with extensive acute medical needs . Extended intensive care needs . Radiology services . Long-term iv antibiotic therapy . Rehabilitation needs to accompany acute medical care The hospital's professional staff includes physicians who are engaged in the practice of medicine and who represent multiple specialties, including but not limited to family practice, internal medicine, pulmonary, cardiac, radiation therapy, and infectious disease. The staff includes nurses, physical, occupational, and speech therapists, respiratory therapists, pharmacists, social workers, dietitians, and others. Using an interdisciplinary team approach, the staff work collaboratively to provide care consisting of inpatient services of a general and specialized nature for patients requiring an extended length of stay due to the critical nature of their illness.
Expenses $6,954,346 · Revenue $6,241,845
As filed on the 2023 return. A text marked withheld matched a screen for wording that may name a private individual, such as an honorific or "in memory of". Most of what it withholds names no one; it is withheld so that what does is never shown.
Listed in Part VII
-
Mr Joe DavisMR JOE DAVIS
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
Mr Tommy HolderfieldMR TOMMY HOLDERFIELD
CHAIRMAN
- Total calculated
- $0
- Hours/week
- 2 + 4 related
-
Ms Vickie ElrodMS VICKIE ELROD
SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
Dr D Ghayth HammadDR D GHAYTH HAMMAD
DIRECTOR
- Total calculated
- $4,000
- From this org
- $4,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 2 + 4 related
-
Mr Tom ForteMR TOM FORTE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Ms Cheri NatcherMS CHERI NATCHER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2 + 4 related
-
Ms Susan JonesMS SUSAN JONES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Mr David GrayMR DAVID GRAY
EXECUTIVE VICE PRESIDENT
- Total calculated
- $520,051
- From this org
- $0
- From related orgs
- $427,268
- Other
- $92,783
- Hours/week
- 2 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $418,139 related
- Bonus
- $0
- Other
- $0 + $9,129 related
- Deferred
- $0 + $57,983 related
- Nontaxable benefits
- $0 + $34,800 related
- Filer's total
- $0 + $520,051 related
-
Mr Wade StoneMR WADE STONE
EXECUTIVE VICE PRESIDENT
- Total calculated
- $500,444
- From this org
- $0
- From related orgs
- $438,705
- Other
- $61,739
- Hours/week
- 2 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $435,730 related
- Bonus
- $0
- Other
- $0 + $2,975 related
- Deferred
- $0 + $44,704 related
- Nontaxable benefits
- $0 + $17,035 related
- Filer's total
- $0 + $500,444 related
-
Ms Connie D SmithMS CONNIE D SMITH
PRESIDENT / CEO
- Total calculated
- $1,436,253
- From this org
- $0
- From related orgs
- $1,317,162
- Other
- $119,091
- Hours/week
- 2 + 52 related
Schedule J breakdown matched by us
- Base
- $0 + $1,036,405 related
- Bonus
- $0
- Other
- $0 + $280,757 related
- Deferred
- $0 + $98,270 related
- Nontaxable benefits
- $0 + $20,821 related
- Filer's total
- $0 + $1,436,253 related
-
Ms Katrina WoodMS KATRINA WOOD
EVP/CHIEF NURSING OFFICER
- Total calculated
- $296,006
- From this org
- $0
- From related orgs
- $258,853
- Other
- $37,153
- Hours/week
- 2 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $255,207 related
- Bonus
- $0
- Other
- $0 + $3,646 related
- Deferred
- $0 + $6,499 related
- Nontaxable benefits
- $0 + $30,654 related
- Filer's total
- $0 + $296,006 related
-
Ms Michele LawlessMS MICHELE LAWLESS
EXECUTIVE VICE PRESIDENT / CFO
- Total calculated
- $529,278
- From this org
- $0
- From related orgs
- $481,930
- Other
- $47,348
- Hours/week
- 2 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $475,135 related
- Bonus
- $0
- Other
- $0 + $6,795 related
- Deferred
- $0 + $43,823 related
- Nontaxable benefits
- $0 + $3,525 related
- Filer's total
- $0 + $529,278 related
-
Mr Eric HaganMR ERIC HAGAN
VP OF RURAL HOSPITALS
- Total calculated
- $329,399
- From this org
- $30,808
- From related orgs
- $277,274
- Other
- $21,317
- Hours/week
- 4 + 36 related
Schedule J breakdown matched by us
- Base
- $30,099 + $270,890 related
- Bonus
- $0
- Other
- $709 + $6,384 related
- Deferred
- $0
- Nontaxable benefits
- $2,132 + $19,185 related
- Filer's total
- $32,940 + $296,459 related
-
Denise AndersonDENISE ANDERSON
MCH AGENCY NURSE
- Total calculated
- $162,343
- From this org
- $162,343
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $162,343
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $162,343
-
Mr Seth SmithMR SETH SMITH
ADMINISTRATOR
- Total calculated
- $115,164
- From this org
- $102,780
- From related orgs
- $0
- Other
- $12,384
- Hours/week
- 40
-
Ms Elizabeth SchmidtMS ELIZABETH SCHMIDT
PHARMACY MANAGER
- Total calculated
- $149,670
- From this org
- $109,617
- From related orgs
- $0
- Other
- $40,053
- Hours/week
- 32
-
Ms Joell Beth LoveMS JOELL BETH LOVE
MCH AGENCY NURSE
- Total calculated
- $166,204
- From this org
- $166,204
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $166,204
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $166,204
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
- CERTAIN EXECUTIVES OF COMMONWEALTH HEALTH CORPORATION PARTICIPATED 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 $262,117 WADE STONE $ -0-
- Schedule J, Part I, Line 3 COMPENSATION OF THE CEO
- THE CEO IS COMPENSATED BY COMMONWEALTH HEALTH CORPORATION (CHC), A RELATED ORGANIZATION. CHC USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSTION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
BOWLING GREEN-WARREN CTY COMM HOSP CORP
501(c)(3) · HOSPITAL · KY
Directly controlled by CHC INC
-
COMMONWEALTH HEALTH FOUNDATION
501(c)(3) · SUPPORT · KY
Directly controlled by CHC INC
-
COMMONWEALTH HEALTH FREE CLINIC
501(c)(3) · HEALTH CARE · KY
Directly controlled by CHC INC
-
THE MEDICAL CENTER AT FRANKLIN
501(c)(3) · HOSPITAL · KY
Directly controlled by CHC INC
-
COMMONWEALTH HEALTH CORPORATION
501(c)(3) · SUPPORT · KY
Directly controlled by NA
-
501(c)(3) · HOSPITAL · KY
Directly controlled by CHC INC
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
MED PLAZA PRTS LTD
N/A · REAL ESTATE · KY · share of income $0 · share of assets $0
Directly controlled by NA
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 14 February 2025
- IRS schema version
- 2023v6.0
- Source object
- 202520459349301507
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