Med Center Health

Nonprofit profile at a glance

EIN
610920842
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Bowling Green, KY, US
Phone
(270) 745-1000
Rating
74
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$838,779,513
Expenses
$668,748,515
Assets
$1,285,463,047
Liabilities
$326,376,153

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

23 people listed

Executive titles in this filing

  • MS CONNIE D SMITH (PRESIDENT / CEO)
  • MR DAVID GRAY (EXECUTIVE VICE PRESIDENT)
  • MR WADE STONE (EXECUTIVE VICE PRESIDENT)
  • MS MICHELE W LAWLESS (EXECUTIVE VICE PRESIDENT / CFO)

Highest reported compensation

  • MS CONNIE D SMITH (PRESIDENT / CEO): $1,486,205 total reported compensation
  • DR DARIN L PASSER (PHYSICIAN): $686,028 total reported compensation
  • MS MICHELE W LAWLESS (EXECUTIVE VICE PRESIDENT / CFO): $651,472 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To improve the health of the communities we serve.

What it reported doing in 2024

Med Center Health provides a wide range of outpatient services designed to improve access to high-quality healthcare for patients across South-central Kentucky. Outpatient care includes diagnostic, preventive, therapeutic, and rehabilitative services that allow patients to receive needed medical treatment without requiring hospital admission. Services are delivered through hospital outpatient departments, ambulatory clinics, and specialty practices, and are available to patients regardless of their ability to pay. SEE SCHEDULE O FOR MORE DETAIL OF SERVICES THE HOSPITAL PROVIDES.

Operating model

Revenue model
Other-operating. 98% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and some related-organization disclosures are missing.

Rating breakdown

  • Financial Efficiency: 73
  • Transparency & Controls: 70
  • Accountability: 77
  • Sustainability: 76
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 77.6%; rating input score 78
  • Program expense ratio: 90.4%; rating input score 90
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.9%; rating input score 93; 17th percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 88.9%; rating input score 89; 22nd percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Scored; rating input score 0

Accountability

  • Independent voting board: 76.9%; rating input score 77; 25th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 20.3%; rating input score 87; 87th percentile among comparable filings
  • Total-asset coverage ratio: 1.92; rating input score 62; 62nd percentile among comparable filings
  • Liabilities to assets ratio: 0.25; rating input score 61; 61st percentile among comparable filings
  • Officer compensation ratio: 0.7%; rating input score 80; 80th percentile among comparable filings

Growth

  • Program expense growth: 7.4% per year; rating input score 100; 60th percentile among comparable filings
  • Revenue growth: 6.5% per year; rating input score 100; 56th percentile among comparable filings
  • Asset growth: 9.6% per year; rating input score 100; 68th percentile among comparable filings

Details

  • What they do: 5 programs and campaigns described on the official site · 6 operating locations identified
  • Where the money goes: 77.6% of revenue deployed · 90.4% of spending went to programs
  • Governance: 10 of 13 board members independent · 7 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $604.2M in reported program spending
  • Leadership: top reported pay $1.5M · 23 people listed · 1 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $39.6M reported
  • Consistency: 44 of 45 current checks pass · 1 finding to review
  • Schedules: 11 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 12 filed money-flow records
  • Related organizations: 11 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Transparency & Controls: Related-party transparency scored 0/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.