2021-05-14T12:32:14-05:00 2020-06-30 611189912 BUCKLES TRAVIS & HART PLLC PO BOX 4069 LEITCHFIELD KY 427554069 990 2019-07-01 610523298 GRAYSON COUNTY HOSPITAL FOUNDATION GRAY 2702599509 910 WALLACE AVE LEITCHFIELD KY 42754 WAYNE MERIWETHER CEO 2702599509 2021-05-10 true BRADLEY K TRAVIS P01224802 2702595604 2021-05-10 2019 2022-09-23 18:48:47Z DBA TWIN LAKES REGIONAL MEDICAL WAYNE MERIWETHER 910 WALLACE AVE LEITCHFIELD KY 42754 49963500 false X WWW.TLRMC.COM X 1956 KY TO PROVIDE QUALITY MEDICAL HEALTHCARE TO THE GRAYSON COUNTY, KENTUCKY AREA. 10 10 508 37 0 2299 4300017 45812739 42848332 179774 201140 1703726 2287778 47698538 49637267 0 0 14013765 14849762 0 0 28411224 28178666 42424989 43028428 5273549 6608839 110745874 125887436 13150765 21683488 97595109 104203948 X TO PROVIDE QUALITY MEDICAL HEALTHCARE TO THE GRAYSON COUNTY, KENTUCKY AREA. false false 26919809 42848332 TWIN LAKES REGIONAL MEDICAL CENTER PROVIDES QUALITY MEDICAL HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR THE ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND FINANCIAL STABILITY OF TWIN LAKES REGIONAL MEDICAL CENTER, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. IN KEEPING WITH OUR COMMITMENT TO SERVE ALL MEMBERS OF THIS AREA, THE HOSPITAL PROVIDES FREE CARE TO THE MOST INDIGENT OF PATIENTS AND WRITES OFF PORTIONS OF BILLS TO OTHER PATIENTS WHO HAVE DEMONSTRATED THE INABILITY TO PAY FOR ALL HEALTH CARE SERVICES RECEIVED. ADDITIONAL CHARGES ARE WRITTEN OFF DUE TO ARRANGEMENTS WITH MEDICARE, MEDICAID, AND OTHER THIRD PARTIES. THE TOTAL UNREIMBURSED CHARGES FORGONE IN FISCAL YEAR 2020 DUE TO CONTRACTUAL AGREEMENTS WITH PAYERS AMOUNTED TO 102,852,502. ALSO, 823,981 WAS PAID AS A "PROVIDER TAX" TO THE COMMONWEALTH OF KENTUCKY TO HELP DEFRAY THE COSTS OF COVERING INDIGENT PATIENTS UNDER A SPECIAL STATE PROGRAM. WRITE-OFFS FROM PATIENTS "UNWILLING" TO PAY - I.E. BAD DEBTS - ACCOUNTED FOR 4,907,269. THE PRIMARY MISSION OF TWIN LAKES REGIONAL MEDICAL CENTER IS TO HEAL THE SICK, RELIEVE PAIN AND SUFFERING, AND IMPROVE THE QUALITY OF LIFE FOR THE PEOPLE WE SERVE. TLRMC'S VISION IS TO BE RECOGNIZED BY THE PEOPLE WE SERVE AS THE PROVIDER OF CHOICE FOR THEIR HEALTH CARE NEEDS AND AS A LEADING FORCE FOR PROGRESSIVE CHANGE WITHIN OUR COMMUNITY. TO ENHANCE QUALITY, THE HOSPITAL ACTIVELY OPERATES A PERFORMANCE IMPROVEMENT PROGRAM WHICH HELPS IDENTIFY BETTER PATIENT CARE AS WELL AS EFFICIENCIES IN OPERATIONS. TO ENHANCE OUR COMMUNITY, TLRMC PROVES TO BE A DRIVING FORCE IN CHANGE BY EDUCATING THE COMMUNITY ON HEALTH & WELLNESS ISSUES AND BY RECOGNIZING COMMUNITY NEEDS AND WORKING TO FULFILL THOSE NEEDS. THE HOSPITAL CARED FOR 1,901 INPATIENTS AND 82,281 OUTPATIENTS. TO ASSIST THOSE PATIENTS WITH LIMITED RESOURCES, TLRMC ALSO OFFERS A PATIENT FINANCIAL ASSISTANCE PROGRAM. THERE ARE SEVERAL OPTIONS FOR PATIENTS WHO ARE UNINSURED OR UNDERINSURED, AND TLRMC'S PATIENT FINANCIAL SERVICES DEPARTMENT EDUCATES THE PATIENTS OF THE DIFFERENT PROGRAMS. BASED ON THE RESULTS OF OUR LATEST COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), TWIN LAKES REGIONAL MEDICAL CENTER CREATED THE POPULATION HEALTH COMMITTEE. THIS GROUP IS MADE UP OF HOSPITAL EMPLOYEES AND REPRESENTATIVES FROM THE LOCAL HEALTH DEPARTMENT, SCHOOL SYSTEM, LOCAL FACTORIES, EXTENSION SERVICE LEADERS, GOVERNMENT OFFICIALS AND OTHERS. THE COMMITTEE MEETS MONTHLY AT THE HOSPITAL AND LED THE EFFORT TO OPEN A COMMUNITY GARDEN AND PASS A SMOKE FREE ORDINANCE. THE GROUP IS NOW WORKING ON MAKING POSITIVE DIFFERENCES IN THE HEALTH OF OUR COMMUNITY IN SUCH TOPICS AS MENTAL HEALTH, SUBSTANCE ABUSE, CHILDHOOD HEALTH AND COMMUNITY HEALTH INFORMATION. UNDER THE LEADERSHIP OF THE HOSPITAL AND THE LOCAL MASTER GARDENERS ASSOCIATION, THE WALLACE AVENUE COMMUNITY GARDEN BECAME A REALITY IN THE SPRING OF 2018. AT THE RIBBON CUTTING FOR THE GARDEN IN MAY 2018, WAYNE MERIWETHER, CEO OF TWIN LAKES REGIONAL MEDICAL CENTER TOLD THE FORTY PLUS PEOPLE THERE THE STORY ABOUT HOW THE COMMUNITY GARDEN PROJECT CAME TO BE. "IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT THE HOSPITAL PERFORMED, NUTRITION AND OBESITY WERE TWO OF THE TOP HEALTH CHALLENGES FACING THE PEOPLE LIVING HERE. WHEN COMPARED NATIONALLY AND STATEWIDE, GRAYSON COUNTY RANKS LOW IN SEVERAL KEY AREAS INCLUDING DIABETES AND DIABETES DEATHS; ADULT OBESITY; LIMITED ACCESS TO HEALTHY FOOD; AND THE PERCENT OF LOW INCOME RESIDENTS THAT DO NOT LIVE CLOSE TO A GROCERY STORE." THE POPULATION HEALTH COMMITTEE PARTNERED WITH THE MASTER GARDENERS IN BUILDING THE COMMUNITY GARDEN TO HELP REVERSE THE NEGATIVE NUTRITION TRENDS. RESEARCH AND PLANNING FOR THE COMMUNITY GARDEN HAD BEEN GOING ON FOR OVER THREE YEARS. THE GROUP FOUND SEVERAL COMMUNITY GARDENS TO BASE A GRAYSON COUNTY PROGRAM ON INCLUDING ONES IN OWENSBORO AND BOWLING GREEN. EACH GARDENER WAS ASSIGNED EITHER A 48 SQUARE FOOT OR 80 SQUARE FOOT RAISED BED PLOT TO USE THROUGHOUT THE GROWING SEASON FOR A NOMINAL FEE. THE HOSPITAL PROVIDED FREE MEETING SPACE TO SEVERAL GROUPS PRIOR TO THE COVID 19 PANDEMIC AND SEVERAL CLASSES WERE SPONSORED BY THE HOSPITAL THAT EDUCATED INTERESTED COMMUNITY RESIDENTS ON HEALTH & WELLNESS ISSUES. THEY INCLUDE: A. C.P.R. TO HEALTHCARE PROVIDERS AND TO THE COMMUNITY B. PREPARED CHILDBIRTH AND BREAST FEEDING CLASSES C. SPONSORS THE AMERICAN RED CROSS BLOOD MOBILE TWO OR THREE TIMES EACH YEAR D. PROVIDED HEALTH INFORMATION AT THE RELAY FOR LIFE E. PARTICIPATED IN UNITED WAY MEETNGS UPON REQUEST, THE HOSPITAL ALSO PARTICIPATES IN LOCAL EDUCATION BY PROVIDING HOSPITAL EMPLOYEES AS SPEAKERS FOR CLASSROOMS OR CIVIC ORGANIZATIONS SUCH AS THE FOLLOWING EXAMPLES: F. PARTICIPATED IN OPERATION PREPARATION G. ASSISTED IN PROVIDING TRANSLATION SERVICES H. PROVIDED SPEAKERS FOR MANY HEALTH FAIRS, SCHOOLS, AND COMMUNITY EVENTS I. NARCAN TRAINING FOR LEITCHFIELD CITY POLICE AND GRAYSON COUNTY SHERIFF'S DEPARTMENT J. MET WITH LOCAL PHARMACIES TO DISCUSS COLLECTION AND DISPOSAL OF OLD PRESCRIBED MEDICATIONS. 26919809 true true false false false false false false false false true false false false true true true true false false false false false false false false true true false false true true false false false false false false false true true true false false false false false true false false false true 26 0 508 true false false false false false false false false X 10 10 false true false false true true false true true false false true true true true true true true true true true X COMPANY OFFICIALS 2702599400 910 WALLACE AVE LEITCHFIELD KY 42754 X CATHERINE D CLEMONS CHIEF OPERAT 40.00 X 151636 0 14414 TRINA DAVES CHIEF NURSIN 40.00 X 132447 0 16827 ANGELA GIBSON DIRECTOR OF 40.00 X 141520 0 4246 ANITA PLEACHER PHARMACIST 40.00 X 129394 0 1294 JOEL BERNARD DIRECTOR 1.00 X 0 0 0 GLENNA BLACK DIRECTOR 1.00 X 0 0 0 RYAN BRATCHER DIRECTOR 1.00 X 0 0 0 KEVIN BROOKS DIRECTOR 1.00 X 0 0 0 ANTHONY SMITH DO DIRECTOR 1.00 X X 0 0 0 DAVID DOWNS VICE-PRESIDE 1.00 X 0 0 0 DENNIS FENTRESS DIRECTOR 1.00 X 0 0 0 EDWIN MCKINNEY SECRETARY/TR 1.00 X 0 0 0 BRETT ABNEY OD DIRECTOR 1.00 X 0 0 0 TREVOR RAY PRESIDENT 1.00 X 0 0 0 WAYNE MERIWETHER CEO 40.00 X 0 0 0 554997 36781 4 false true false SAMER BLEIBEL MD 7058 CEDARBANK DR WEST BLOOMFIELD MI 48324 PROFESSIONAL SE 522392 ANDREW JENKINS MD 223 BYRTLE GROVE RD LEITCHFIELD KY 42754 PROFESSIONAL SE 346008 NELSON MULLINS RILEY & SCARBOROUGH PO DRAWER 11009 COLUMBIA SC 29211 PROFESSIONAL SE 183791 JERRY RANDLE MCCLEESE 45 COUNTRY LANE MOREHEAD KY 40351 PROFESSIONAL SE 142815 STROUDWATER ASSOCIATES 1685 CONGRESS ST STE 202 PORTLAND ME 04102 PROFESSIONAL SE 131159 7 4282460 17557 17557 4300017 PATIENT SERVICES 42662009 42662009 CAFETERIA REVENUE 171572 171572 FITNESS CENTER & OTHER INCOME 14751 14751 42848332 201140 201140 423918 326233 97685 97685 97685 NONOPERATING GAIN(LOSS) 1382290 1382290 TAX REVENUE 669062 669062 MANAGEMENT FEES 138741 138741 2190093 49637267 45136110 201140 X 14849762 11914882 2934880 290157 290157 2099565 1784210 315355 ADMINISTRATIVE & GENERAL 12568227 12568227 PROVISION FOR BAD DEBTS 3072936 3072936 LABORATORY 1929350 1929350 PHARMACY 1874314 1874314 6344117 6344117 43028428 26919809 16108619 0 25242413 35702349 5304676 4562590 49277616 53730897 1807383 1903114 459222 579899 75776191 48580956 26436777 27195235 2217787 2213352 110745874 125887436 4026286 4717606 4975000 8680000 7930000 3731400 444479 329482 13150765 21683488 X 97595109 104203948 97595109 104203948 110745874 125887436 6608839 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 654229 654229 46527816 24948247 21579569 25772489 22329004 3443485 2821657 1303705 1517952 27195235 LONG-TERM DEBT 129999 CAPITAL LEASE 119483 PLEDGES PAYABLE 80000 329482 X 49597320 49597320 39947 39947 49637267 47347639 4359158 4359158 42988481 39947 39947 43028428 SCHEDULE D, PAGE 3, PART X THE HOSPITAL AS WELL AS THE FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN REFLECTED IN THE HOSPITAL'S FINANCIAL STATEMENTS. MANAGEMENT IS NOT AWARE OF ANY ACTIVITY WITHIN THE HOSPITAL OR FOUNDATION DURING THE CURRENT OR PRIOR REPORTING PERIODS THAT WOULD JEOPARDIZE OR OTHERWISE CALL INTO QUESTION THE HOSPITAL OR FOUNDATION'S COMPLIANCE WITH THE ABOVE INTERNAL REVENUE CODE SECTION. THE ORGANIZATION'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) FOR FISCAL YEARS 2018, 2019 AND 2020 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR THREE YEARS AFTER THEY WERE FILED. CURRENTLY, THE HOSPITAL AND FOUNDATION HAVE NO REPORTING REQUIREMENTS WITH ANY STATE OR LOCAL TAX JURISDICTIONS. THE HOSPITAL HAS INVESTMENT INTEREST IN THREE COMPANIES AS DESCRIBED IN NOTE 8. THE HOSPITAL BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE HOSPITAL AND FOUNDATION'S POLICY FOR RECORDING ANY TAX RELATED INTEREST AND PENALTIES IS TO RECOGNIZE THESE ITEMS AS OPERATING EXPENSES; HOWEVER, NONE WERE INCURRED OR RECORDED DURING THE CURRENT OR PRIOR OPEN OPERATING PERIODS. SCHEDULE D, PAGE 4, PART XI, LINE 4B VALUE OF DONATED ITEMS 17,557 DONATED SERVICES 22,390 SCHEDULE D, PAGE 4, PART XII, LINE 2D OPERATING LOSS REPORTED UNDER ID 61-1269278 4,359,158 SCHEDULE D, PAGE 4, PART XII, LINE 4B DONATED SERVICES 22,390 USE OF DONATED ITEMS 17,557 true true true X true X true true true false true true 1 34 68584 68584 0.00160 1 24373 1510650 1510650 0.03510 2 24407 1579234 1579234 0.03670 5 1350 7844 7844 0.00020 3 16150 16150 0.00040 8 1350 23994 23994 0.00060 10 25757 1603228 1603228 0.03730 1 1000 1000 1000 1 1000 1000 1000 true 1371179 515728 12786646 15097577 -2310931 X true true TWIN LAKES MEDICAL F MEDICAL PRACTICES 1.00000 1 1 GRAYSON COUNTY HOSPITAL FOUNDATION TWIN LAKES REGIONAL MEDICAL CENTER 910 WALLACE AVE LEITCHFIELD KY 42754 WWW.TLRMC.COM X X X GRAYSON COUNTY HOSPITAL FOUNDATION TWIN LAKES REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X 19 true false false true X WWW.TLRMC.COM X true 19 true WWW.TLRMC.COM false false true X 150.000000000000 400.000000000000 X X X X X true true X X X X true X WWW.TLRMC.COM X X X X X X true X true X true X false false FACILITY 1, GRAYSON COUNTY HOSPITAL FOUNDATION - PART V, LINE 3E SIGNIFICANT HEALTH NEEDS THAT HAVE BEEN IDENTIFIED ARE MENTAL HEALTH, SUBSTANCE ABUSE, CHILDHOOD HEALTH AND COMMUNITY HEALTH INFORMATION. FACILITY 1, GRAYSON COUNTY HOSPITAL FOUNDATION - PART V, LINE 5 IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), TWIN LAKES REGIONAL MEDICAL CENTER (TLRMC) DEVELOPED A SURVEY TO GATHER HEALTH INFORMATION AND OPINIONS OF GRAYSON COUNTY RESIDENTS 18 AND OVER. THE SURVEY WAS CONDUCTED IN OCTOBER AND NOVEMBER 2018 USING AN ONLINE SURVEY TOOL AND BY DISTRIBUTING PRINTED COPIES IN VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. THE ONLINE SURVEY WAS PROMOTED THROUGH NEWSPAPER STORIES, EMAILS AND ON THE TLRMC FACEBOOK PAGE. EMAILS WITH A LINK TO THE SURVEY WERE SENT TO GRAYSON COUNTY CHAMBER OF COMMERCE MEMBERS, LOCAL INDUSTRIES, AND EMPLOYEES OF THE GRAYSON COUNTY SCHOOL SYSTEM AND THE HOSPITAL. PRINTED COPIES WERE DELIVERED TO AN ASSISTED LIVING FACILITY, THE GRAYSON COUNTY ALLIANCE FOOD BANK, THE GRAYSON COUNTY HEALTH DEPARTMENT, BIG CLIFTY MEDICAL COMPLEX AND THE CANEYVILLE FAMILY PRACTICE. INFORMATION GAPS THAT LIMITED THE ABILITY OF TLRMC TO ASSESS THE COMMUNITY'S HEALTH NEEDS WERE IDENTIFIED. THE PRIMARY OBSTACLE WAS REACHING ELDERLY, LOW-INCOME AND/OR RURAL RESIDENTS DUE TO A LACK OF INTERNET ACCESS AND WILLINGNESS TO PARTICIPATE. TLRMC MADE EFFORTS TO REACH THESE INDIVIDUALS WITH WRITTEN SURVEYS. 457 GRAYSON COUNTY RESIDENTS PARTICIPATED IN THE SURVEY. THE QUESTIONS WERE IN THREE PRIMARY CATEGORIES: DEMOGRAPHICS, PERSONAL HEALTH INFORMATION, AND PERCEIVED HEALTH NEEDS OF THE COMMUNITY. THE TWIN LAKES REGIONAL MEDICAL CENTER'S DIRECTOR OF MARKETING TABULATED THE RESULTS FROM THE SURVEYS (ONLINE AND PRINTED) AND SUPPLEMENTED THEM WITH HEALTH STATISTICS AND DEMOGRAPHIC INFORMATION. TLRMC THEN INVITED REPRESENTATIVES FROM A VARIETY OF BACKGROUNDS TO A COMMUNITY FORUM/FOCUS GROUP ON APRIL 23, 2019 TO REVIEW THE SURVEY RESULTS AND PROVIDE RECOMMENDATIONS FOR THE HOSPITAL'S COMMUNITY HEALTH FOCUS. PROFESSIONS REPRESENTED INCLUDED PHYSICIANS; SCHOOL ADMINISTRATORS AND STAFF; THE GRAYSON COUNTY HEALTH DEPARTMENT; DIETICIAN; LOCAL INDUSTRY/MANUFACTURING; CANCER ADVOCATE; HOSPITAL BOARD MEMBERS; LAW ENFORCEMENT; HOSPITAL LEADERSHIP AND CITY GOVERNMENT LEADERS. ONCE THE INFORMATION WAS PRESENTED A GROUP DISCUSSION WAS HELD. ATTENDEES WERE ASKED FOR THEIR TOP HEALTH PRIORITIES WITHOUT CONCERN ABOUT THE PRACTICALITY OF THE HOSPITAL'S ABILITY TO IMPACT THE ISSUES. AFTER CAREFULLY CONSIDERING THE RESULTS OF THE COMMUNITY HEALTH SURVEY, THE MOST RECENT HEALTH AND DEMOGRAPHIC INFORMATION AVAILABLE, AND INPUT FROM THE COMMUNITY HEALTH FOCUS GROUP, THE FOLLOWING NEEDS WERE IDENTIFIED BY HOSPITAL LEADERSHIP AS THE COMMUNITY HEALTH FOCUS POINTS FOR TWIN LAKES REGIONAL MEDICAL CENTER IN 2019 - 2022. MENTAL HEALTH, SUBSTANCE ABUSE, CHILDHOOD HEALTH AND COMMUNITY HEALTH INFORMATION. THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED BY THE BOARD OF DIRECTORS FOR TWIN LAKES REGIONAL MEDICAL CENTER ON TUESDAY, MAY 21, 2019. TO PUT THE 2012 AND 2015 CHNA REPORTS INTO ACTION, TWIN LAKES REGIONAL MEDICAL CENTER CREATED THE POPULATION HEALTH COMMITTEE. THIS GROUP OF PEOPLE WORKS ON IMPROVING THE HEALTH OF OUR COMMUNITY GUIDED BY THE COMMUNITY HEALTH FOCUS POINTS SET IN THE 2012 CHNA AND REFOCUSED BASED ON THE 2015 CHNA. THE POPULATION HEALTH COMMITTEE IS MADE UP OF HOSPITAL EMPLOYEES, INDUSTRIAL LEADERS, THE GRAYSON COUNTY SCHOOLS SUPERINTENDENT, REGISTERED DIETICIANS, A PHARMACIST, A REPRESENTATIVE FROM THE KENTUCKY CANCER PROGRAM AND A REPRESENTATIVE FROM THE GRAYSON COUNTY HEALTH DEPARTMENT. THE TWIN LAKES REGIONAL MEDICAL CENTER CEO CHAIRS THE COMMITTEE. THE POPULATION HEALTH COMMITTEE MEETS MONTHLY TO DISCUSS AND IMPLEMENT PLANS ON IMPROVING THE HEALTH OF THE COMMUNITY. THE PUBLICATION OF THIS REPORT IS ANOTHER STEP TO A HEALTHIER GRAYSON COUNTY. IT IS THE INTENTION OF TWIN LAKES REGIONAL MEDICAL CENTER THAT THE CONTENTS OF THIS REPORT BE USED TO INFORM GRAYSON COUNTY RESIDENTS OF WHAT THEIR FELLOW CITIZENS THINK ARE THE MOST IMPORTANT HEALTH ISSUES IN THEIR COMMUNITY. ADDITIONALLY, TLRMC HOPES THIS REPORT WILL SERVE AS A FOUNDATION TO BUILD LASTING RELATIONSHIPS BETWEEN TWIN LAKES REGIONAL MEDICAL CENTER, COMMUNITY PARTNERS AND RESIDENTS OF GRAYSON COUNTY. IN ORDER TO ADDRESS THE PRIORITIZED NEEDS, TLRMC WILL ENGAGE KEY INTERNAL AND COMMUNITY PARTNERS. CUSTOMIZED STRATEGIES HAVE BEEN DEVELOPED AND WILL BE CONTINUED. THE STRATEGIES INCLUDE, BUT ARE NOT LIMITED TO, MODIFYING POLICIES, PUBLIC AND PRIVATE; PROVIDING SUPPORT, INFORMATION AND INCENTIVES; IMPROVING ACCESS; ENHANCING SKILLS; AND CHANGING CONSEQUENCES. FOLLOW-UP SURVEYS WILL MEASURE THE SUCCESS OF EACH INITIATIVE AND PROVIDE THE NEXT AREAS OF FOCUS FOR THE HOSPITAL. TO INFORM THE PUBLIC AND PARTNERS OF OUR GOALS AND TO INCREASE AWARENESS OF OUR PLAN, TWIN LAKES REGIONAL MEDICAL CENTER WILL PUBLISH THE FULL CHNA REPORT ON THE HOSPITAL'S WEBSITE (WWW.TLRMC.COM), PROMOTE THE REPORT ON SOCIAL MEDIA CHANNELS SUCH AS FACEBOOK AND TWITTER, AND SUBMIT TO LOCAL NEWS MEDIA. PRINTED COPIES WILL BE AVAILABLE FOR THE PUBLIC AT THE HOSPITAL AS WELL. FACILITY 1, GRAYSON COUNTY HOSPITAL FOUNDATION - PART V, LINE 7D LOCAL NEWSPAPERS. FACILITY 1, GRAYSON COUNTY HOSPITAL FOUNDATION - PART V, LINE 11 AFTER CAREFULLY CONSIDERING THE RESULTS OF THE COMMUNITY HEALTH SURVEY, THE MOST RECENT HEALTH AND DEMOGRAPHIC INFORMATION AVAILABLE, AND INPUT FROM THE COMMUNITY HEALTH FOCUS GROUP, THE FOLLOWING NEEDS WERE IDENTIFIED BY HOSPITAL LEADERSHIP AS THE COMMUNITY HEALTH FOCUS POINTS FOR TLRMC IN 2019 - 2022: MENTAL HEALTH, SUBSTANCE ABUSE, CHILDHOOD HEALTH AND COMMUNITY HEALTH INFORMATION. THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED BY THE BOARD OF DIRECTORS FOR TLRMC ON TUESDAY, MAY 21, 2019. TLRMC CREATED THE POPULATION HEALTH COMMITTEE, A GROUP THAT WORKS ON IMPROVING THE HEALTH OF OUR COMMUNITY GUIDED BY THE COMMUNITY HEALTH FOCUS POINTS SET IN THE 2012 CHNA AND REFOCUSED BASED ON THE 2015 CHNA. THE POPULATION HEALTH COMMITTEE MEETS MONTHLY TO DISCUSS AND IMPLEMENT PLANS ON IMPROVING THE HEALTH OF THE COMMUNNITY. THE FOLLOWING NEEDS WERE IDENTIFIED BUT NOT ADOPTED AS TOP PRIORITIES OF THE HOSPITAL AND THE REASONS WHY. DIABETES - EXISTING RESOURCES ARE AVAILABLE IN THE COUNTY. OBESITY - THE FOCUS ON CHILDHOOD HEALTH WOULD INCORPORATE IMPROVING NUTRITIONAL HABITS. FACILITY 1, GRAYSON COUNTY HOSPITAL FOUNDATION - PART V, LINE 16J THE POLICY WAS PROVIDED TO PATIENTS AT REGISTRATION. SCHEDULE H, PART I, LINE 3C TWIN LAKES REGIONAL MEDICAL CENTER'S PATIENT FINANCIAL ASSISTANCE PROGRAM UTILIZES THE FEDERAL POVERTY GUIDELINES AND AN ASSET TEST CONSISTING OF RESIDENCE, VEHICLES, AND CASH INVESTMENTS TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. SCHEDULE H, PART I, LINE 7 IN DETERMINING THE AMOUNTS FOR PART 1, LINE 7, COST ACCOUNTING WAS USED. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. SCHEDULE H, PART III, LINE 2 THE TOTAL BAD DEBT EXPENSE AT COST REPRESENTS THE TOTAL AMOUNT EXPECTED TO BE COLLECTED, BUT DEEMED UNCOLLECTIBLE. BASED ON THE COMMUNITY'S DEMOGRAPHICS, INCOME LEVEL, INDIVIDUAL ASSETS, AND HEALTH COVERAGE, 44.20% WAS DETERMINED TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S PATIENT FINANCIAL ASSISTANCE PROGRAM. SCHEDULE H, PART III, LINE 4 DELINQUENT RECEIVABLES ARE WRITTEN OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT OR THIRD-PARTY PAYOR. IF THE HOSPITAL RECEIVES NO PAYMENT OR COMMUNICATION TO ARRANGE PAYMENT THE ACCOUNT IS SENT TO COLLECTION AND RECOGNIZED AS BAD DEBT AT THAT TIME. SCHEDULE H, PART III, LINE 8 TWIN LAKES REGIONAL MEDICAL CENTER BELIEVES THAT ALL OF THE 2.3 MILLION MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. THE COSTS TO CARE FOR THE ELDERLY AND MEDICARE PATIENTS ARE ABSORBED BY THE HOSPITAL DUE TO LACK OF REIMBURSEMENTS FROM MEDICARE. THE HOSPITAL CONTINUES TO PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST OF MEDICARE BENEFICIARIES. THEREFORE, TWIN LAKES REGIONAL MEDICAL CENTER IS FULFILLING A COMMUNITY NEED BY CARING FOR MEDICARE PATIENTS, WHO TYPICALLY HAVE LOW, FIXED INCOMES; AND RELIEVING THE GOVERNMENT FOR THEIR LACK OF PROVIDING SUFFICIENT PAYMENTS TO COVER THE COST OF CARING FOR THEM. SCHEDULE H, PART III, LINE 9B IF THE PATIENT DOES NOT HAVE ANY INSURANCE COVERAGE, AND THE PATIENT DOES NOT QUALIFY FOR ANY TYPE OF FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM, THEN THE ACCOUNT CAN BE CONSIDERED FOR BAD DEBT PLACEMENT FORTY-FIVE DAYS AFTER THE PATIENT RECEIVED THEIR FIRST STATEMENT IF THERE HAS BEEN NO RESPONSE FROM THE PATIENT. AFTER A PERIOD OF TIME HAS PASSED WITH NO RESOLUTION, THE ACCOUNT WILL BE SENT TO OUR COLLECTION AGENCY. SCHEDULE H, PART VI, LINE 2 TWIN LAKES REGIONAL MEDICAL CENTER ASSESSES THE COMMUNITY'S HEALTH CARE NEEDS BY OBTAINING INFORMATION FROM A VARIETY OF SOURCES INCLUDING: A. COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY TWIN LAKES REGIONAL MEDICAL CENTER B. DEMOGRAPHIC DATABASES C. LOCAL AND REGIONAL HEALTH DEPARTMENTS AND RELATED DATABASES D. KENTUCKY HOSPITAL ASSOCIATION REPORTS AND DATABASES E. MARKET ANALYSIS F. FEEDBACK FROM PHYSICIANS AND EMPLOYEES AND OTHER INTERESTED COMMUNITY GROUPS G. HOSPITAL-GENERATED REPORTS ON UTILIZATION OF SERVICES H. BOARD OF DIRECTORS MADE UP OF LOCAL, COUNTY RESIDENTS SCHEDULE H, PART VI, LINE 3 TWIN LAKES REGIONAL MEDICAL CENTER REACHES OUT TO EDUCATE PATIENTS ABOUT THEIR PATIENT FINANCIAL ASSISTANCE PROGRAM. A BROCHURE IS AVAILABLE AT SEVERAL LOCATIONS THROUGHOUT THE HOSPITAL INCLUDING THE BUSINESS OFFICE AND REGISTRATION AREA. A PDF VERSION OF THE BROCHURE IS POSTED ON THE HOSPITAL'S WEBSITE. THE HOSPITAL ALSO PUBLISHED THE COMMUNITY BENEFITS REPORT ON THE HOSPITAL'S WEBSITE AND FACEBOOK PAGE IN JUNE 2018, AND SUBSEQUENTLY IN THE TWO LOCAL NEWSPAPERS, WHICH INCLUDED THE SAME INFORMATION PROMINENTLY DISPLAYED. WHEN SELF PAY PATIENTS PRESENT TO THE HOSPITAL FOR SERVICES, THE REGISTRAR DIRECTS THE PATIENTS TO THE FINANCIAL COUNSELOR FOR ASSISTANCE ON MEDICAID/COMMERCIAL PLANS AVAILABLE THROUGH THE ACA. ALSO, AT THAT TIME OUR FINANCIAL ASSISTANCE PROGRAM IS ALSO APPLIED TO THEIR PERSONAL SITUATION FOR POSSIBLE HELP. SCHEDULE H, PART VI, LINE 4 THE PRIMARY SERVICE AREA FOR TWIN LAKES REGIONAL MEDICAL CENTER IS GRAYSON COUNTY, KY (POPULATION 26,000) LOCATED 75 MILES SOUTHWEST OF LOUISVILLE, KY. THE HOSPITAL'S SECONDARY SERVICE AREA INCLUDES PARTS OF 6 SURROUNDING COUNTIES. THE ESTIMATED PERCENTAGE OF PEOPLE LIVING BELOW THE POVERTY LEVEL, AS DETERMINED BY THE U.S. CENSUS BUREAU, IS 20.3% FOR THE PRIMARY SERVICE AREA. THE AREA IS MOSTLY RURAL WITH A HIGHER PERCENTAGE OF PERSONS OVER THE AGE OF 65 AND A SIGNIFICANTLY LOWER MEDIAN HOUSEHOLD INCOME COMPARED TO THE STATE OF KENTUCKY. THE UNEMPLOYMENT RATE FOR THE MOST RECENT 12 MONTHS AVERAGED 6.2%. SCHEDULE H, PART VI, LINE 5 TWIN LAKES REGIONAL MEDICAL CENTER AND ITS EMPLOYEES HAVE A RICH HISTORY OF PLANNING OR SPONSORING EVENTS DESIGNED TO EDUCATE THE COMMUNITY ON HEALTHY LIVING AND WELLNESS FACTORS. THE HISTORY OF SERVICE WAS INTERRUPTED BY THE PANDEMIC IN 2020. DUE TO RESTRICTIONS ON SOCIAL GATHERING AND REQUIREMENTS TO SOCIAL DISTANCE, EVENTS WERE CANCELLED OR POSTPONED. THE FOCUS SHIFTED TO PROVIDING INFORMATION REGARDING WEARING MASKS AND FOLLOWING STATE AND FEDERAL GUIDELINES ON SOCIAL DISTANCING. HOWEVER, THERE WERE ACTIVITIES THAT OCCURRED PRIOR TO THE PANDEMIC. THESE INCLUDED DUCKING FOR HUNGER, PROJECT DARIOUS - MEDICATION SAFTETY, PINK RUN 5K, RELAY FOR LIFE, AND A COUNTY WIDE HEALTH FAIR. STAFF LED CPR CLASSES, BREAST FEEDING CLASSES AND ALSO VISITED SCHOOLS TO DISCUSS THE DANGERS OF VAPING. SCHEDULE H, PART VI IN ADDITION TO PROVIDING THE COMMUNITY BENEFIT REPORT IN THE LOCAL PAPER, TLRMC ALSO PARTICIPATES IN THE STATE-WIDE COMMUNITY BENEFIT REPORT WITH KENTUCKY HOSPITAL ASSOCIATION THAT IS PRESENTED TO OUR COMMONWEALTH. X X false false false false false false false false false CATHERINE D CLEMONS CHIEF OPERATING OFFI 151636 14414 166050 A GRAYSON COUNTY PUBLIC HOSPITAL DIST GRAYSON COUNTY PUBLIC HOSPITAL DIST 610523298 2014-08-28 9970000 REFUND EXISTING 2009 BOND ISSUE. false false false A 2040000 9970000 3514237 131358 2014 false true true true A false false false false false false true A false false false false false false false false false A false PURPOSE OF ISSUE DESCRIPTION GRAYSON COUNTY PUBLIC HOSPITAL DISTR REFUND EXISTING 2009 BOND ISSUE. MIDWAY PHARMACY OF CLARKSON INC DIRECTOR 23724 RENT OF PHARMACY SPA false FUTURE DESIGNS INC DIRECTOR 984 PURCHASE OF BLDG MAT false LEITCHFIELD PEDIATRIC CLINIC DIRECTOR 117500 PEDIATRIC CALL REIMB false SCHEDULE L, PART V DIRECTOR TREVOR RAY IS A SHAREHOLDER IN MIDWAY PHARMACY OF CLARKSON, INC. MIDWAY PHARMACY OF CLARKSON, INC. RENTS SPACE FROM TWIN LAKES REGIONAL MEDICAL CENTER FOR TWO PHARMACY LOCATIONS. KEVIN BROOKS IS A SHAREHOLDER IN FUTURE DESIGNS, INC. FUTURE DESIGNS, INC. SOLD BUILDING MATERIALS TO TLRMC. DR. ANTHONY SMITH IS A DIRECTOR OF TWIN LAKES REGIONAL MEDICAL CENTER. HIS MEDICAL PRACTICE, LEITCHFIELD PEDIATRIC CLINIC, PROVIDES PEDIATRIC CALL SERVICE TO TLRMC. THE HOSPITAL AND GRAYSON COUNTY HOSPITAL DISTRICT BOTH MAINTAIN BANK ACCOUNTS AT THE CECILIAN BANK. LARRY PERKINS AND DAVID DOWNS, BOTH DIRECTORS OF GRAYSON COUNTY HOSPITAL FOUNDATION, INC., ARE EMPLOYED BY THE CECILIAN BANK. GARRY WATKINS, A DIRECTOR OF GRAYSON COUNTY HOSPITAL DISTRICT, IS ALSO A DIRECTOR OF THE CECILIAN BANK. THE CASH BALANCES HELD AT JUNE 30, 2020 AND 2019 WERE 13,502,014 AND 16,404,127, RESPECTIVELY. THE LOAN BALANCE WAS 3,731,400 AT JUNE 30, 2020. THE HOSPITAL AND FOUNDATION BOTH MAINTAIN BANK ACCOUNTS AT WILSON & MUIR BANK & TRUST. RYAN BRATCHER, A DIRECTOR OF THE HOSPITAL, IS EMPLOYED BY WILSON & MUIR BANK & TRUST. THE CASH BALANCES HELD AT JUNE 30, 2020 AND 2019 WERE 8,930,154 AND 7,123,436, RESPECTIVELY. FORM 990, PAGE 1, PART I, LINE 6 THE PURPOSE OF THE HOSPITAL VOLUNTEER AUXILIARY IS TO RENDER SERVICE TO TWIN LAKES REGIONAL MEDICAL CENTER, ITS PATIENTS AND STAFF, AND TO ASSIST THE HOSPITAL IN PROMOTING THE HEALTH AND WELFARE OF THE COMMUNITY IN ACCORDANCE WITH OBJECTIVES ESTABLISHED BY THE HOSPITAL. THE MISSION OF THE VOLUNTEER AUXILIARY IS TO "SUPPORT TWIN LAKES REGIONAL MEDICAL CENTER IN MEETING THE HEALTH CARE NEEDS OF THE PEOPLE IT SERVES IN THE MOST CARING, COMPASSIONATE, AND EFFECTIVE MANNER POSSIBLE." THE AUXILIARY'S PRIMARY DUTY WITHIN THE HOSPITAL IS STAFFING THE INFORMATION DESK IN THE MAIN LOBBY FROM 8 A.M. - 4 P.M., MONDAY - FRIDAY. ROUTINE DUTIES THERE INCLUDE PROVIDING GENERAL HOSPITAL INFORMATION AND DIRECTIONS TO PATIENTS AND THE PUBLIC; MAKING WHEELCHAIRS AVAILABLE TO VISITORS AND PATIENTS; ASSISTING PEOPLE REGISTER USING THE DIGITAL REGISTRATION KIOSK; PROVIDING ESCORTS WHEN NEEDED; AND DELIVERING FLOWERS TO PATIENTS. THE VOLUNTEERS ALSO OPERATE THE TLRMC GIFT SHOP. PROCEEDS FROM THE GIFT SHOP ARE USED BY THE VOLUNTEERS TO PROVIDE SCHOLARSHIPS AND TO PURCHASE EQUIPMENT FOR THE HOSPITAL SUCH AS BLANKET WARMERS, WHEELCHAIRS, TELEVISIONS, AND OTHER ITEMS. DURING 2020, WHEN THE COVID 19 PANDEMIC CREATED A SHORTAGE OF MASKS, THE VOLUNTEERS PURCHASED MATERIALS AND SEWED TOGETHER MASKS FOR THE HOSPITAL STAFF. MEMBERS OF THE AUXILIARY HAND MAKE SOCK MONKEYS AND OTHER STUFFED ANIMALS FOR CHILDREN COMING TO THE HOSPITAL. THE ANIMALS ARE GIVEN TO THE YOUNG PATIENTS AND THEIR FAMILIES AT NO CHARGE. THE VOLUNTEERS RAISE THE MONEY NEEDED TO PURCHASE ANY SUPPLIES AND DONATE MATERIALS IN ADDITION TO THEIR TIME AND TALENTS. THE SOCK MONKEY PROGRAM HAS BEEN HONORED BY THE KENTUCKY HOSPITAL ASSOCIATION. FORM 990, PAGE 2, PART III, LINE 4A TWIN LAKES REGIONAL MEDICAL CENTER PROVIDES QUALITY MEDICAL HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR THE ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND FINANCIAL STABILITY OF TWIN LAKES REGIONAL MEDICAL CENTER, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. IN KEEPING WITH OUR COMMITMENT TO SERVE ALL MEMBERS OF THIS AREA, THE HOSPITAL PROVIDES FREE CARE TO THE MOST INDIGENT OF PATIENTS AND WRITES OFF PORTIONS OF BILLS TO OTHER PATIENTS WHO HAVE DEMONSTRATED THE INABILITY TO PAY FOR ALL HEALTH CARE SERVICES RECEIVED. ADDITIONAL CHARGES ARE WRITTEN OFF DUE TO ARRANGEMENTS WITH MEDICARE, MEDICAID, AND OTHER THIRD PARTIES. THE TOTAL UNREIMBURSED CHARGES FORGONE IN FISCAL YEAR 2020 DUE TO CONTRACTUAL AGREEMENTS WITH PAYERS AMOUNTED TO 102,852,502. ALSO, 823,981 WAS PAID AS A "PROVIDER TAX" TO THE COMMONWEALTH OF KENTUCKY TO HELP DEFRAY THE COSTS OF COVERING INDIGENT PATIENTS UNDER A SPECIAL STATE PROGRAM. WRITE-OFFS FROM PATIENTS "UNWILLING" TO PAY - I.E. BAD DEBTS - ACCOUNTED FOR 4,907,269. THE PRIMARY MISSION OF TWIN LAKES REGIONAL MEDICAL CENTER IS TO HEAL THE SICK, RELIEVE PAIN AND SUFFERING, AND IMPROVE THE QUALITY OF LIFE FOR THE PEOPLE WE SERVE. TLRMC'S VISION IS TO BE RECOGNIZED BY THE PEOPLE WE SERVE AS THE PROVIDER OF CHOICE FOR THEIR HEALTH CARE NEEDS AND AS A LEADING FORCE FOR PROGRESSIVE CHANGE WITHIN OUR COMMUNITY. TO ENHANCE QUALITY, THE HOSPITAL ACTIVELY OPERATES A PERFORMANCE IMPROVEMENT PROGRAM WHICH HELPS IDENTIFY BETTER PATIENT CARE AS WELL AS EFFICIENCIES IN OPERATIONS. TO ENHANCE OUR COMMUNITY, TLRMC PROVES TO BE A DRIVING FORCE IN CHANGE BY EDUCATING THE COMMUNITY ON HEALTH & WELLNESS ISSUES AND BY RECOGNIZING COMMUNITY NEEDS AND WORKING TO FULFILL THOSE NEEDS. THE HOSPITAL CARED FOR 1,901 INPATIENTS AND 82,281 OUTPATIENTS. TO ASSIST THOSE PATIENTS WITH LIMITED RESOURCES, TLRMC ALSO OFFERS A PATIENT FINANCIAL ASSISTANCE PROGRAM. THERE ARE SEVERAL OPTIONS FOR PATIENTS WHO ARE UNINSURED OR UNDERINSURED, AND TLRMC'S PATIENT FINANCIAL SERVICES DEPARTMENT EDUCATES THE PATIENTS OF THE DIFFERENT PROGRAMS. BASED ON THE RESULTS OF OUR LATEST COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), TWIN LAKES REGIONAL MEDICAL CENTER CREATED THE POPULATION HEALTH COMMITTEE. THIS GROUP IS MADE UP OF HOSPITAL EMPLOYEES AND REPRESENTATIVES FROM THE LOCAL HEALTH DEPARTMENT, SCHOOL SYSTEM, LOCAL FACTORIES, EXTENSION SERVICE LEADERS, GOVERNMENT OFFICIALS AND OTHERS. THE COMMITTEE MEETS MONTHLY AT THE HOSPITAL AND LED THE EFFORT TO OPEN A COMMUNITY GARDEN AND PASS A SMOKE FREE ORDINANCE. THE GROUP IS NOW WORKING ON MAKING POSITIVE DIFFERENCES IN THE HEALTH OF OUR COMMUNITY IN SUCH TOPICS AS MENTAL HEALTH, SUBSTANCE ABUSE, CHILDHOOD HEALTH AND COMMUNITY HEALTH INFORMATION. UNDER THE LEADERSHIP OF THE HOSPITAL AND THE LOCAL MASTER GARDENERS ASSOCIATION, THE WALLACE AVENUE COMMUNITY GARDEN BECAME A REALITY IN THE SPRING OF 2018. AT THE RIBBON CUTTING FOR THE GARDEN IN MAY 2018, WAYNE MERIWETHER, CEO OF TWIN LAKES REGIONAL MEDICAL CENTER TOLD THE FORTY PLUS PEOPLE THERE THE STORY ABOUT HOW THE COMMUNITY GARDEN PROJECT CAME TO BE. "IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT THE HOSPITAL PERFORMED, NUTRITION AND OBESITY WERE TWO OF THE TOP HEALTH CHALLENGES FACING THE PEOPLE LIVING HERE. WHEN COMPARED NATIONALLY AND STATEWIDE, GRAYSON COUNTY RANKS LOW IN SEVERAL KEY AREAS INCLUDING DIABETES AND DIABETES DEATHS; ADULT OBESITY; LIMITED ACCESS TO HEALTHY FOOD; AND THE PERCENT OF LOW INCOME RESIDENTS THAT DO NOT LIVE CLOSE TO A GROCERY STORE." THE POPULATION HEALTH COMMITTEE PARTNERED WITH THE MASTER GARDENERS IN BUILDING THE COMMUNITY GARDEN TO HELP REVERSE THE NEGATIVE NUTRITION TRENDS. RESEARCH AND PLANNING FOR THE COMMUNITY GARDEN HAD BEEN GOING ON FOR OVER THREE YEARS. THE GROUP FOUND SEVERAL COMMUNITY GARDENS TO BASE A GRAYSON COUNTY PROGRAM ON INCLUDING ONES IN OWENSBORO AND BOWLING GREEN. EACH GARDENER WAS ASSIGNED EITHER A 48 SQUARE FOOT OR 80 SQUARE FOOT RAISED BED PLOT TO USE THROUGHOUT THE GROWING SEASON FOR A NOMINAL FEE. THE HOSPITAL PROVIDED FREE MEETING SPACE TO SEVERAL GROUPS PRIOR TO THE COVID 19 PANDEMIC AND SEVERAL CLASSES WERE SPONSORED BY THE HOSPITAL THAT EDUCATED INTERESTED COMMUNITY RESIDENTS ON HEALTH & WELLNESS ISSUES. THEY INCLUDE: A. C.P.R. TO HEALTHCARE PROVIDERS AND TO THE COMMUNITY B. PREPARED CHILDBIRTH AND BREAST FEEDING CLASSES C. SPONSORS THE AMERICAN RED CROSS BLOOD MOBILE TWO OR THREE TIMES EACH YEAR D. PROVIDED HEALTH INFORMATION AT THE RELAY FOR LIFE E. PARTICIPATED IN UNITED WAY MEETNGS UPON REQUEST, THE HOSPITAL ALSO PARTICIPATES IN LOCAL EDUCATION BY PROVIDING HOSPITAL EMPLOYEES AS SPEAKERS FOR CLASSROOMS OR CIVIC ORGANIZATIONS SUCH AS THE FOLLOWING EXAMPLES: F. PARTICIPATED IN OPERATION PREPARATION G. ASSISTED IN PROVIDING TRANSLATION SERVICES H. PROVIDED SPEAKERS FOR MANY HEALTH FAIRS, SCHOOLS, AND COMMUNITY EVENTS I. NARCAN TRAINING FOR LEITCHFIELD CITY POLICE AND GRAYSON COUNTY SHERIFF'S DEPARTMENT J. MET WITH LOCAL PHARMACIES TO DISCUSS COLLECTION AND DISPOSAL OF OLD PRESCRIBED MEDICATIONS. FORM 990, PAGE 6, PART VI, LINE 3 THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER OF THE HOSPITAL ARE EMPLOYED BY ALLIANT MANAGEMENT SERVICES AND ARE RESPONSIBLE FOR CONTROLLING MANAGEMENT DUTIES. FORM 990, PAGE 6, PART VI, LINE 6 THE ORGANIZATION HAS STOCKHOLDERS. EACH SHARE OF STOCK IS VALUED AT 25. STOCKHOLDERS MUST BE AT LEAST 18 YEARS OLD AND A RESIDENT OF GRAYSON COUNTY, KENTUCKY. FORM 990, PAGE 6, PART VI, LINE 7A NINE MEMBERS OF THE BOARD OF DIRECTORS ARE ELECTED BY THE STOCKHOLDERS AND THE OTHER MEMBER IS THE PRESIDENT OF THE MEDICAL STAFF (WHOM IS VOTED ON BY THE MEDICAL STAFF). FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS SUBMITTED TO THE GOVERNING BOARD FOR REVIEW AND APPROVAL BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PAGE 6, PART VI, LINE 12C CORPORATE COMPLIANCE REQUIRES EACH EMPLOYEE AND BOARD MEMBER TO UPDATE AND SIGN OFF ON A CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. FORM 990, PAGE 6, PART VI, LINE 15A ALLIANT MANAGEMENT SERVICES, ACTING AS THE MANAGEMENT COMPANY, BRINGS COMPARABLE NATIONAL DATA TO THE BOARD OF DIRECTORS FOR THE BOARD TO DETERMINE WHAT COMPENSATION IS TO BE PAID. FORM 990, PAGE 6, PART VI, LINE 15B ALLIANT MANAGEMENT SERVICES, ACTING AS THE MANAGEMENT COMPANY, BRINGS COMPARABLE NATIONAL DATA TO THE BOARD OF DIRECTORS FOR THE BOARD TO DETERMINE WHAT COMPENSATION IS TO BE PAID. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 24E MEDICAL & SURGICAL 1,045,007 0 0 MATERIALS MANAGEMENT 1,006,477 0 0 PHYSICAL THERAPY 850,182 0 0 SURGERY 723,288 0 0 EMERGENCY ROOM 678,279 0 0 WOUND CARE 427,117 0 0 RADIOLOGY 331,434 0 0 PROVIDER BASED CLINICS 178,236 0 0 PAIN MANAGEMENT 177,295 0 0 NUCLEAR MEDICINE 138,352 0 0 MRI 130,351 0 0 CT SCANS 120,390 0 0 OBSTETRICS 116,699 0 0 RESPIRATORY THERAPY 108,428 0 0 SLEEP CENTER 104,063 0 0 INTENSIVE CARE 71,816 0 0 ANESTHESIOLOGY 61,994 0 0 INFUSION CENTER 33,869 0 0 USE OF DONATED ITEMS 17,557 0 0 SPECIALTY CLINIC 12,032 0 0 CARDIAC 7,145 0 0 CANEYVILLE RURAL HEALTH 3,540 0 0 OCCUPATIONAL MEDICINE 249 0 0 OCCUPATIONAL THERAPY 199 0 0 HOME HEALTH 118 0 0 TOTAL 6,344,117 0 0 TWIN LAKES MEDICAL FOUNDATION INC 910 WALLACE AVE LEITCHFIELD KY 42754 611269278 MEDICAL PR KY 501C3 10 GCHF GRAYSON COUNTY HOSPITAL FOUNDATION false TWIN LAKES HOME HEALTH AGENCY LLC 901 S HUGH WALLIS ROAD LAFAYETTE LA 70508 271000828 HOME HEALT LA N/A RELATED 45796 93588 false true 0.25000 TWIN LAKES REGIONAL PAIN MANAGEMENT 908 WALLACE AVE LEITCHFIELD KY 42754 472329929 PAIN MANAG KY N/A RELATED 187205 323700 false true 0.51000 WTK HOLDINGS INC 910 WALLACE AVE LEITCHFIELD KY 42754 610608823 HOLDING CO KY GCHF GRAYSON COUNTY HOSPITAL FOUNDATION C CORP 127895 2181987 1.00000 false false false false true false false false false false true false true false false false false true false false TWIN LAKES MEDICAL FOUNDATION INC D 4453281 FAIR MARKET VALUE TWIN LAKES MEDICAL FOUNDATION INC J 209734 FAIR MARKET VALUE TWIN LAKES MEDICAL FOUNDATION INC L 138741 FAIR MARKET VALUE TWIN LAKES MEDICAL FOUNDATION INC Q 4104805 FAIR MARKET VALUE