2024-01-16T16:13:15-06:00 2023-02-28 FORVIS LLP 1222 Demonbreun Street Suite 950 Nashville TN 372033357 990 2022-03-01 611386859 BOWLING GREEN - WARREN COUNTY PRIMARY CARE CENTER INC % JOHN LILLYBRIDGE BOWL 2703939426 225 NATCHEZ TRACE AVENUE BOWLING GREEN KY 42103 JOHN LILLYBRIDGE CEO/EXEC DIRECTOR 2703939426 2024-01-15 true JOHN LILLYBRIDGE 999009999 JEFF SMITH P00289876 6159883600 2 2022 2023-04-26 12:10:37Z FAIRVIEW COMMUNITY HEALTH CENTER JOHN LILLYBRIDGE 225 NATCHEZ TRACE AVENUE BOWLING GREEN KY 42103 8578771 false X WWW.FAIRVIEWCOMMUNITYHEALTH.ORG X 2001 KY PROVIDING PRIMARY HEALTH CARE TO INDIVIDUALS AND FAMILIES. 9 9 99 9 0 2282538 3667725 5246046 4906790 1741 4256 0 0 7530325 8578771 400 26303 0 0 5647314 5528265 0 0 0 3111275 3440435 8758989 8995003 -1228664 -416232 15935520 15625197 12198367 10950247 3737153 4674950 PROVIDING PRIMARY HEALTH CARE TO INDIVIDUALS AND FAMILIES. false false 7238422 26303 4906790 PROVIDING PRIMARY HEALTH CARE SERVICES INCLUDING DIAGNOSTIC TREATMENT, PREVENTATIVE HEALTH SERVICES, AND PRENATAL SERVICES TO THE MEDICALLY UNDERSERVED POPULATIONS OF WARREN AND BUTLER COUNTIES. 7238422 true true false false false false false false false false true false false false true false true 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 true 0 0 99 true false false false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false KY X JOHN LILLYBRIDGE 2707833573 225 NATCHEZ TRACE AVENUE BOWLING GREEN KY 42103 DR JENNIFER GRAY MEDICAL DIRECTOR 40.0 0.0 X 219377 0 12757 DR ROBERT REDDEN PHYSICIAN 40.0 0.0 X 176907 0 3005 JOHN LILLYBRIDGE EXECUTIVE DIRECTOR 40.0 0.0 X 159135 0 14731 DR LORI WRIGHT PHYSICIAN 40.0 0.0 X 154764 0 6826 RYAN WIGGINTON FINANCE DIRECTOR 40.0 0.0 X 80497 0 12118 AMY WHITTINGHILL CHIEF OPERATIONS OFFICER 40.0 0.0 X 80624 0 6824 TREVIA COLE VICE CHAIR 0.0 0.0 X X 0 0 0 DAVID SPARKS TREASURER 0.0 0.0 X X 0 0 0 PAULA EVANS SECRETARY 0.0 0.0 X X 0 0 0 APRIL BAKER DIRECTOR 0.0 0.0 X 0 0 0 WATHETTA BUFORD DIRECTOR 0.0 0.0 X 0 0 0 MICHELLE COLE CHAIR 0.0 0.0 X X 0 0 0 MICHAEL DEAN DIRECTOR 0.0 0.0 X 0 0 0 CHARLES WALLACE DIRECTOR 0.0 0.0 X 0 0 0 SAVANNAH MILLS DIRECTOR 0.0 0.0 X 0 0 0 871304 0 56261 7 false true false WOMENS HEALTH SPECIALISTS 350 PARK STREET BOWLING GREEN KY 42101 PHYSICIAN SERVICES 360750 ISTT 846 BROADWAY AVENUE BOWLING GREEN KY 42101 COMPUTER SERVICES 350988 2 3667725 3667725 NET PATIENT SERVICE REVENUE 621110 4830523 4830523 MEDICAID INCENTIVE 621110 76267 76267 4906790 4256 4256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8578771 4906790 4256 26303 26303 0 0 0 650390 150235 500155 0 3986405 3889715 96690 98050 78440 19610 461185 368948 92237 332235 265788 66447 0 3127 3127 53927 53927 0 0 0 982673 872786 109887 5888 5888 140801 18547 122254 501304 193606 307698 0 141712 13292 128420 17967 17967 0 4903 4903 498905 464316 34589 0 453195 426783 26412 94128 94128 MEDICAL SUPPLIES 449000 449000 LANDSCAPING 22239 22239 RECRUITMENT 13666 13666 REPAIRS & MAINTENANCE 5663 5663 51337 20663 30674 8995003 7238422 1756581 0 2017924 1466281 0 599878 0 0 874031 547129 0 0 0 0 0 0 3274 25793 58782 68935 14859062 2304508 12981509 12554554 0 0 0 0 0 0 0 0 0 362627 15935520 15625197 910382 808260 0 0 0 0 0 0 0 0 0 0 9797490 9614382 0 0 1490495 527605 12198367 10950247 X 3737153 4674950 0 0 3737153 4674950 15935520 15625197 X -416232 1354029 X false true X true true true X FORM 990, SCHEDULE A, PART I PUBLIC CHARITY STATUS --------------------- THE ORGANIZATION IS NOT A "HOSPITAL" AS DEFINED BY THE IRS FOR THE PURPOSES OF SCHEDULE H (FORM 990). FOR PURPOSES OF ITS TAX EXEMPTION, THE ORGANIZATION IS NOT A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) OF THE CODE, BECAUSE IT IS AN ORGANIZATION DESCRIBED IN SECTIONS 509(A)(1) AND 170(B)(1)(A)(III). THEREFORE, THE ORGANIZATION IS NOT REQUIRED TO FILE SCHEDULE H (FORM 990) ACCORDING TO THE INSTRUCTIONS PROVIDED FOR SCHEDULE H AND FORM 990. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1966650 1966650 10685147 979476 9705671 465782 64560 401222 1741483 1260472 481011 0 12554554 0 INTEREST RATE SWAP AGREEMENT 0 DUE TO THIRD-PARTY PAYORS 527605 527605 9932800 1354029 1354029 8578771 8578771 8995003 8995003 8995003 FORM 990, SCHEDULE D, PART X, LINE 2 INCOME TAXES -------------- THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DID NOT INCLUDE A FOOTNOTE THAT ADDRESSED THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN48 (ASC 740). MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. FORM 990, SCHEDULE D, PART X, LINE 2D RECONCILIATION TO AUDIT REPORT - REVENUE ----------------------------------------- OTHER ITEMS INCLUDED ON LINE 1 BUT NOT ON FORM 990 PART VIII: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP $ 1,354,029 X X false false false false false false false false false DR JENNIFER GRAY MEDICAL DIRECTOR 219377 12757 232134 JOHN LILLYBRIDGE EXECUTIVE DIRECTOR 159135 14731 173866 DR ROBERT REDDEN PHYSICIAN 176907 3005 179912 DR LORI WRIGHT PHYSICIAN 154764 6826 161590 FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 --------------------- THE ORGANIZATION'S EXECUTIVE DIRECTOR AND CHIEF FINANCIAL OFFICER REVIEW THE FORM 990 AND MAKE IT AVAILABLE AT A BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING THE CONFLICT OF INTEREST POLICY ------------------------------------------- THE ORGANIZATION REQUIRES ALL EMPLOYEES, CONTRACTORS, AGENTS, OFFICERS, AND MEMBERS OF THE BOARD OF DIRECTORS TO DISCLOSE IN WRITING ALL BUSINESS AND FAMILY RELATIONSHIPS THAT MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST. NO MEMBER OF THE BOARD OF DIRECTORS MAY VOTE ON ANY MATTER WHICH MAY DIRECTLY OR INDIRECTLY RESULT IN FINANCIAL GAIN TO THAT MEMBER, OR WHICH MAY CONFLICT WITH THAT MEMBER'S OBLIGATIONS TO ANOTHER ORGANIZATION'S BOARD OF DIRECTORS, OR TO THAT MEMBER'S EMPLOYER. VIOLATIONS OF CONFLICT OF INTEREST POLICIES ARE REPORTED TO THE COMPLIANCE OFFICER AND/OR EXECUTIVE DIRECTOR FOR FOLLOW-UP AND RESOLUTION AND, IF REQUIRED, CORRECTIVE ACTION AND COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION REVIEW ------------------- AN ANNUAL REVIEW IS CONDUCTED BY THE BOARD OF DIRECTORS FOR COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL. AN ANNUAL REVIEW IS CONDUCTED BY THE CEO/EXECUTIVE DIRECTOR FOR OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. FORM 990, PART VI, LINE 19 MAKING DOCUMENTS AVAILABLE TO THE PUBLIC ---------------------------------------- THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, EITHER THROUGH COPIES PROVIDED OR INSPECTION AT THE ORGANIZATION'S OFFICE. ADDITIONALLY, THE AUDITED FINANCIAL STATEMENTS ARE SUBMITTED TO THE FEDERAL AUDIT CLEARINGHOUSE. OTHER ORGANIZATION DOCUMENTS (GOVERNING, CONFLICT OF INTEREST POLICY, ETC.) ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC UNLESS A SPECIFIC NEED IS SHOWN AND LEGAL COUNSEL FOR THE ORGANIZATION AGREES TO THE DISCLOSURE. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS ---------------------------- CHANGE IN FAIR MARKET VALUE OF INTEREST RATE SWAP $1,354,029 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:982673