Civic Intelligence

Commonwealth Regional Specialty

EIN 54-2142034 • 501(c)3 • Bowling Green, KY

Profile

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.

800 Park StreetBowling Green, KY 42101

www.commonwealthregionalspecialtyhospital.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

94th percentile

1.02x

Higher debt load relative to assets than 94% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Liabilities / Revenue

69th percentile

0.37x

Higher debt load relative to revenue than 69% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Net Margin

15th percentile

-17%

Higher net margin than 15% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Top Officer Pay

99th percentile

$1,486,205

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 24.1% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Asset Growth

11th percentile

-11%

Faster asset growth than 11% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2024 to 2025

Revenue Growth

32nd percentile

-1.7%

Faster revenue growth than 32% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2024 to 2025

Assets

Down

$2,260,792

Down $293,370 (-11%) from 2024

Liabilities

Up

$2,298,808

Up $712,326 (+45%) from 2024

Net Assets

Down

-$38,016

Down $1,005,696 (-104%) from 2024

Revenue

Down

$6,162,219

Down $105,774 (-1.7%) from 2024

Expenses

Down

$7,181,001

Down $489,916 (-6.4%) from 2024

Net Income

Up

-$1,018,782

Up $384,142 (+27%) from 2024

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$6.0M$4.0M$2.0M$0-$2.0MAssets 2010: $2,761,162Liabilities 2010: $2,300,861Net Assets 2010: $460,3012010Assets 2011: $3,188,702Liabilities 2011: $1,765,924Net Assets 2011: $1,422,7782011Assets 2012: $3,710,442Liabilities 2012: $1,617,034Net Assets 2012: $2,093,4082012Assets 2013: $3,853,393Liabilities 2013: $1,582,509Net Assets 2013: $2,270,8842013Assets 2014: $4,489,770Liabilities 2014: $1,377,873Net Assets 2014: $3,111,8972014Assets 2015: $5,759,221Liabilities 2015: $1,466,692Net Assets 2015: $4,292,5292015Assets 2016: $5,760,548Liabilities 2016: $1,495,517Net Assets 2016: $4,265,0312016Assets 2017: $5,511,033Liabilities 2017: $1,600,873Net Assets 2017: $3,910,1602017Assets 2018: $4,967,476Liabilities 2018: $1,665,442Net Assets 2018: $3,302,0342018Assets 2019: $4,364,479Liabilities 2019: $1,275,263Net Assets 2019: $3,089,2162019Assets 2020: $4,514,417Liabilities 2020: $1,848,751Net Assets 2020: $2,665,6662020Assets 2021: $5,816,435Liabilities 2021: $2,741,479Net Assets 2021: $3,074,9562021Assets 2022: $5,028,714Liabilities 2022: $1,797,958Net Assets 2022: $3,230,7562022Assets 2023: $3,556,605Liabilities 2023: $1,210,779Net Assets 2023: $2,345,8262023Assets 2024: $2,554,162Liabilities 2024: $1,586,482Net Assets 2024: $967,6802024Assets 2025: $2,260,792Liabilities 2025: $2,298,808Net Assets 2025: -$38,0162025

Highlighted filing

2025

Assets$2,260,792
Liabilities$2,298,808
Net Assets-$38,016

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$10M$5.0M$0-$5.0MExpenses 2010: $7,548,8952010Revenue 2011: $7,971,912Expenses 2011: $7,794,593Net Income 2011: $177,3192011Expenses 2012: $7,870,6282012Expenses 2013: $7,502,5622013Revenue 2014: $7,999,692Expenses 2014: $7,166,785Net Income 2014: $832,9072014Revenue 2015: $8,576,922Expenses 2015: $7,397,127Net Income 2015: $1,179,7952015Revenue 2016: $7,246,117Expenses 2016: $7,282,202Net Income 2016: -$36,0852016Revenue 2017: $6,975,460Expenses 2017: $7,324,229Net Income 2017: -$348,7692017Revenue 2018: $6,737,481Expenses 2018: $7,345,261Net Income 2018: -$607,7802018Revenue 2019: $7,140,247Expenses 2019: $7,362,789Net Income 2019: -$222,5422019Revenue 2020: $6,991,144Expenses 2020: $7,393,955Net Income 2020: -$402,8112020Revenue 2021: $7,861,361Expenses 2021: $7,481,763Net Income 2021: $379,5982021Revenue 2022: $8,130,553Expenses 2022: $7,929,614Net Income 2022: $200,9392022Revenue 2023: $6,834,608Expenses 2023: $7,759,445Net Income 2023: -$924,8372023Revenue 2024: $6,267,993Expenses 2024: $7,670,917Net Income 2024: -$1,402,9242024Revenue 2025: $6,162,219Expenses 2025: $7,181,001Net Income 2025: -$1,018,7822025

Highlighted filing

2025

Revenue$6,162,219
Expenses$7,181,001
Net Income-$1,018,782

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$2.26$2.30$0.04$6.16$7.18$1.02
2024Detailed filing. Detailed filing data is available for this year.$2.55$1.59$0.97$6.27$7.67$1.40
2023Detailed filing. Detailed filing data is available for this year.$3.56$1.21$2.35$6.83$7.76$0.92
2022Detailed filing. Detailed filing data is available for this year.$5.03$1.80$3.23$8.13$7.93$0.20
2021Detailed filing. Detailed filing data is available for this year.$5.82$2.74$3.07$7.86$7.48$0.38
2020Detailed filing. Detailed filing data is available for this year.$4.51$1.85$2.67$6.99$7.39$0.40
2019Detailed filing. Detailed filing data is available for this year.$4.36$1.28$3.09$7.14$7.36$0.22
2018Detailed filing. Detailed filing data is available for this year.$4.97$1.67$3.30$6.74$7.35$0.61
2017Detailed filing. Detailed filing data is available for this year.$5.51$1.60$3.91$6.98$7.32$0.35
2016Detailed filing. Detailed filing data is available for this year.$5.76$1.50$4.27$7.25$7.28$0.04
2015Detailed filing. Detailed filing data is available for this year.$5.76$1.47$4.29$8.58$7.40$1.18
2014Detailed filing. Detailed filing data is available for this year.$4.49$1.38$3.11$8.00$7.17$0.83
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.85$1.58$2.27$7.50
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.71$1.62$2.09$7.87
2011Summary only. Only limited summary data is available for this year.$3.19$1.77$1.42$7.97$7.79$0.18
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.76$2.30$0.46$7.55
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Apr 1, 2024 to Mar 31, 2025
Signed
Feb 16, 2026
Return Version
2024v5.1
Gross Receipts
$6,435,210
Mission and Program Overview

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.

The hospital is designed to meet medical, therapeutic and familial needs related to providing long-term acute care services for individuals with critical diseases or disorders.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$1,475,878$1,412,234▼ $63,644
Savings and Temporary Cash Investments$593,035$333,130▼ $259,905
Cash and Non-Interest-Bearing Accounts$185,617$243,198▲ $57,581
Inventories for Sale or Use$98,593$94,161▼ $4,432
Land, Buildings, and Equipment, Net$103,877$92,441▼ $11,436
Prepaid Expenses and Deferred Charges$37,546$38,323▲ $777
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$2,554,162$2,260,792▼ $293,370
Other Assets Total$59,616$47,305▼ $12,311
Liabilities
Other Liabilities$517,415$1,694,168▲ $1,176,753
Accounts Payable and Accrued Expenses$1,069,067$604,640▼ $464,427
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$1,586,482$2,298,808▲ $712,326
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$967,680$-38,016▼ $1,005,696
Total Net Assets Fund Balance$967,680$-38,016▼ $1,005,696
Total Liabilities and Net Assets / Fund Balance$2,554,162$2,260,792▼ $293,370

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$92,441$443,385$535,826
Other Land Buildings$0$2,850$2,850
Buildings$0$0$0
Land$0-$0
Leasehold Improvements$0$0$0
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Ms Elizabeth SchmidtPharmacy ManagerPT$115,200$42,948$158,148
Mr Seth SmithAdministratorFT$118,096$14,202$132,298
Ms Rebecca PendleyRn, Clinical Staff NurseFT$101,920$22,781$124,701
Denise AndersonMch Agency NurseFT$110,154-$110,154
Ms Joell Beth LoveMch Agency NurseFT$103,666$5,618$109,284
Mr Joe DavisVice Chair--$2,740$2,740
Mr Tom ForteDirector--$2,740$2,740
Mr Tommy HolderfieldChairman--$2,740$2,740
Ms Cheri NatcherDirector--$2,740$2,740
Ms Vickie ElrodSecretary--$2,740$2,740

Board Members and Trustees

NameTitle
Ms Connie D SmithPresident / CEO
Mr David GrayExecutive Vice President
Mr Wade StoneExecutive Vice President
Ms Michele LawlessExecutive Vice President / CFO
Dr Brad MorrisDirector
Ms Susan JonesDirector
Ms Katrina WoodEvp/chief Nursing Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$114,440
Program Service Revenue
$6,028,483
Investment Income
$19,020
Other Revenue
$276
All Other Contributions
$0
Change in Net Assets
$-1,018,782

Audited Revenue Reconciliation

Revenue per Audited Statements
$6,162,219
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$13,086
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$6,175,305
Total Revenue per Form 990
$6,162,219
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,971,641
Other Expenses$3,209,360
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,897,510$153,925$0$3,051,435
Fees for Services Other$778,274$8,400$0$786,674
Other Employee Benefits$523,787$27,825$0$551,612
Fees for Services Management$0$369,600$0$369,600
Insurance$285,024$5,212$0$290,236
Occupancy$233,426$22,191$0$255,617
Payroll Taxes$214,082$11,719$0$225,801
Office Expenses$140,546$10,237$0$150,783
Pension Plan Contributions$135,590$7,203$0$142,793
Interest$0$107,070$0$107,070
Information Technology$44,520$0$0$44,520
Fees for Services Accounting$0$29,966$0$29,966
Depreciation Depletion$16,176$0$0$16,176
Other Expenses$0$6,166$0$6,166
Fees for Services Legal$0$4,191$0$4,191
Fees for Services Lobbying$0$2,591$0$2,591
Travel$703$0$0$703
Advertising$0$342$0$342
Total Functional Expenses$6,396,725$784,276$0$7,181,001

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$7,181,001
Total Expenses per Audited Statements$7,181,001
Total Expenses per Form 990$7,181,001
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Other Expense Adjustments$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal Income Taxes$1,694,168
Due to Affiliates-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15A AND 15B - DETERMINING COMPENSATION

Commonwealth regional specialty hospital is part of an integrated healthcare delivery system whose parent is commonwealth health corporation, inc. Compensation for all affiliates is overseen and coordinated through commonwealth health corporation. The entity 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.

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 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 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 and compensation committee (rcc) renews 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, conflicts of interest policy and financial statements are only made available if requested, and in the manner required by a governing agency.

Filing and Contact Details

Filer

Filer Name
Commonwealth Regional Specialty Hospital Inc
EIN
54-2142034
Phone
2707451551
Address
800 PARK STREET, BOWLING GREEN, KY 42101

Signing Officer

Name
Michele
Title
Lawless
Phone
2707451551
Signed
2026-02-16
Discuss with paid preparer
Yes

Organization Details

Formed
2003
Legal Domicile
Ky
Voting Board Members
7
Independent Board Members
6
Employees
50
Volunteers
0

Preparer

Firm
Forvis Mazars LLP
Address
312 Walnut Street Suite 3000, Cincinnati, OH 45202
Preparer
Aaron Hershberger
Phone
5136218300
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 2A MANAGEMENT SERVICES AGREEMENT

Commonwealth health corporation has a management services agreement for the following related organizations: bowling green-warren county community hospital corporation, the medical center at franklin, inc., the medical center at clinton county, inc., and commonwealth regional specialty hospital. All salaries and payroll taxes are reported on a consolidated form 941. The ein on the form 941 is 31-1118087.

Form 990, Part IX, Line 11G Other Fees

COLLECTION AGENCY FEES - Total Expense: 4887, Program Service Expense: 4887, Management and General Expenses: 0, Fundraising Expenses: 0; EMPLOYEE SUPPORT FEES - Total Expense: 65405, Program Service Expense: 65405, Management and General Expenses: 0, Fundraising Expenses: 0; OTHER PROFESSIONAL FEES - Total Expense: 509137, Program Service Expense: 509137, Management and General Expenses: 0, Fundraising Expenses: 0; LAB FEES - Total Expense: 740, Program Service Expense: 740, Management and General Expenses: 0, Fundraising Expenses: 0; CONTRACT FEES - Total Expense: 171665, Program Service Expense: 171665, Management and General Expenses: 0, Fundraising Expenses: 0; BILLING FEES - Total Expense: 8400, Program Service Expense: 0, Management and General Expenses: 8400, Fundraising Expenses: 0; AGENCY NURSING FEES - Total Expense: 26390, Program Service Expense: 26390, Management and General Expenses: 0, Fundraising Expenses: 0; MEDICAL CONSULTING FEES - Total Expense: 50, Program Service Expense: 50, Management and General Expenses: 0, Fundraising Expenses: 0;

Form 990, Part XII, Line 2C OVERSIGHT PROCESS

The board of directors assumes responsibility for oversight of the audit of the financial statements and selection of the independent accountant. No processes have changed from prior year.

Schedule H, Part V, Section A LINE 1

Https://medcenterhealth.org/location/commonwealth-regional-specialty-hospital

Financial Statement Notes

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.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0COMMONWEALTH REGIONAL SPECIALTY HOSPITAL (CRSH) IS A LONG-TERM ACUTE CARE HOSPITAL THAT SERVES MEDICALLY COMPLEX PATIENTS WHO REQUIRE EXTENDED HOSPITAL CARE-TYPICALLY 25 DAYS OR MORE. AS PART OF MED CENTER HEALTH, CRSH PROVIDES SPECIALIZED TREATMENT FOR INDIVIDUALS RECOVERING FROM SERIOUS ILLNESSES, SURGERIES, OR CONDITIONS THAT REQUIRE A HIGHER LEVEL OF CARE THAN A SKILLED NURSING FACILITY CAN OFFER. THE HOSPITAL FOCUSES ON RESPIRATORY CARE, WOUND MANAGEMENT, COMPLEX INFECTION TREATMENT, AND REHABILITATION NEEDS, OFFERING A MULTIDISCIPLINARY APPROACH THAT INCLUDES PHYSICIANS, NURSES, THERAPISTS, AND CASE MANAGERS. LOCATED WITHIN THE MEDICAL CENTER AT BOWLING GREEN, CRSH HELPS PATIENTS TRANSITION FROM INTENSIVE CARE TOWARD RECOVERY, IMPROVING LONG-TERM HEALTH OUTCOMES AND REDUCING HOSPITAL READMISSIONS. DURING FY25, CRSH ADMITTED 124 PATIENTS AND PROVIDED 3,847 DAYS OF PATIENT CARE.
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