Commonwealth Regional Specialty Hospital Inc.

“Members ---------- the corporation's articles of incorporation specify the corporation shall have one (1) member. The member shall be commonwealth health corporation, inc.”

“Power of members -------------------- bylaws of the corporation specify that the sole member shall appoint a nominating committee which shall meet and designate nominees for board directorships.”

“Process to review form 990 ------------------------------ form 990 is placed electronically on a company website used to share information with board members. Each board member is provided access to the website and is asked to review form 990 prior to a designated date on which the return will be filed. Advance notice is given to board members so they may review the return.”

“Monitoring the 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) renews and approves all contracts between chc and/or its affiliates and disqualified entities. The review is designed to identiy 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.”

“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. Aon conducted the fy22 review in march 2021.”

“Making 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.”

“Program service accomplishments -------------------------------- 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, and has a licensed practical nurse or registered professional nurse on duty at all times. 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.”

“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.”

“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.”

“Description:collection agency fees total fees:651”

“Description:billing fees total fees:8400”

“Description:lab fees total fees:1000”

“Description:other professional fees total fees:658927”

“Description:contract fees total fees:232582”

“Description:agency nursing fees total fees:546146”