2017-03-17T13:29:15-04:00 2016-04-30 BKD LLP 360 E 8TH AVE STE 201 PO BOX 1196 BOWLING GREEN KY 421021196 990 2015-05-01 610471581 TRIGG COUNTY HOSPITAL INC % NACY BUTTS TRIG 2705223215 254 MAIN ST CADIZ KY 42211 JOHN SUMNER CEO 2705223215 2017-03-14 true KIM SCIFRES P01316095 2707810111 2015 2021-01-29 14:40:06Z JOHN SUMNER CEO 254 MAIN ST CADIZ KY 42211 18761481 false X WWW.TRIGGHOSPITAL.ORG X 1952 KY TO PROVIDE QUALITY HEALTHCARE SERVICES IN A CARING AND COST-EFFECTIVE MANNER. WE PLEDGE TO MEET Standards OF EXCELLENCE AND IMPROVE THE VALUE OF OUR SERVICE. 12 12 250 0 0 653754 2508312 14967984 16148134 7654 4207 162426 99021 15791818 18759674 0 0 0 0 8619059 8129404 0 0 0 6957366 8499349 15576425 16628753 215393 2130921 13140337 14973912 10238142 10541125 2902195 4432787 TO PROVIDE QUALITY HEALTHCARE SERVICES IN A CARING AND COST-EFFECTIVE MANNER. IN ACHIEVING OUR MISSION, WE PLEDGE TO MEET STANDARDS OF EXCELLENCE WHILE CONTINUOUSLY IMPROVING THE VALUE OF OUR SERVICE. false false 14948691 16154933 OUR MISION IS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A CARING AN COST-EFFECTIVE MANNER. IN ACHIEVING OUR MISSION, WE PLEDGE TO MEET STANDARDS OF EXCELLENCE WHILE CONTINUOUSLY IMPROVING THE VALUE OF OUR SERVICE. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN THE TRIGG COUNTY, KENTUCKY AREA. 14948691 true true false true false false false false false false true false false false false false false false false false false false false false false false true true false false false false false false false false false false false false false false false false true false false false true 24 0 true 250 true false false false false false false false false false false X 12 12 false false false false false false false true true false false false true true true true true true true false KY X NACY BUTTS 2705223215 254 MAIN STREET CADIZ KY 42211 X JOE NICHOLS BOARD MEMBER 1.0 0.0 X 0 0 0 CRAIG FOWLER Part-Year BOARD MEMBER 1.0 0.0 X 0 0 0 CHRISTY OLIPHANT BOARD MEMBER 1.0 0.0 X 0 0 0 CLARA BETH HYDE BOARD MEMBER 1.0 0.0 X 0 0 0 MICHAEL GROSS DMD CHAIRMAN 1.0 0.0 X X 0 0 0 WILLIAM ANDERSON MD BOARD MEMBER 1.0 0.0 X 0 0 0 MELISSA HALE BOARD MEMBER 1.0 0.0 X 0 0 0 BOB NOEL BOARD MEMBER 1.0 0.0 X 0 0 0 GEORGE RADFORD SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 STEPHANIE PERRY VICE CHAIRMAN 1.0 0.0 X X 0 0 0 JOE POWELL Part-Year BOARD MEMBER 1.0 0.0 X 0 0 0 MIKE WRIGHT BOARD MEMBER 1.0 0.0 X 0 0 0 MALLORY LAWRENCE Part-Year BOARD MEMBER 1.0 0.0 X 0 0 0 JESSE THOMAS Part-Year BOARD MEMBER 1.0 0.0 X 0 0 0 JOHN SUMNER CEO 40.0 0.0 X 82203 0 2466 Alisa Coleman Part-Year CEO 40.0 0.0 X 109733 0 3292 DAVID RUTLAND PHARMACIST 40.0 0.0 X 132545 0 3974 Holly McCormick NURSE PRACTITIONER 40.0 0.0 X 116295 0 3489 Karen Miracle DIRECTOR OF REHAB 40.0 0.0 X 98732 0 2962 539508 0 16183 3 false false false ALIGN MD 5121 MARYLAND WAY SUITE 300 BRENTWOOD TN 37027 ER PHYSICIAN 787056 BLUEGRASS PHYSICIANS LLP PO BOX 674579 DETROIT MI 48267 ER PHYSICIAN 766864 CARDINAL HEALTH 110 INC 5279 COLLECTION CENTER DRIVE CHICAGO IL 60693 DRUGS & SUPPLIES 382244 CPSI INC 6600 WALL STREET MOBILE AL 36695 SOFTWARE & BILLING 296012 DIAMOND HEALTHCARE CORPORATION PO BOX 85050 RICHMOND VA 23285 BEHAVIORAL & CP CONS 255614 5 2497812 10500 2508312 NET PATIENT SERVICE REVENUE 621110 15906705 15906705 340B PROGRAM REVENUE 621110 237624 237624 EHR INCENTIVE 900099 3805 3805 16148134 4207 4207 0 0 42128 1807 40321 0 40321 40321 0 0 0 0 LIFE LINE 900099 6799 6799 CAFETERIA 722210 40128 40128 ALL OTHER MISC REVENUE 900099 11773 11773 58700 18759674 16154933 96429 0 0 0 0 197694 197694 0 6609325 6446173 163152 0 1322385 1226373 96012 0 163532 163532 36977 36977 0 2299 2299 0 0 3926151 3845479 80672 30687 30687 712111 689225 22886 0 0 347071 333635 13436 30118 7438 22680 0 0 244078 244078 0 1041646 1041646 251986 251986 0 MEDICAL SUPPLIES 739976 733352 6624 ACCOUNTING COLLECTIONS 243859 243859 MAINTENANCE & REPAIR 274137 274137 PROVIDER TAX 120816 120816 333905 227490 106415 16628753 14948691 1680062 0 199494 373488 129580 128228 0 0 2672970 2869079 0 0 0 0 2150 2364 143018 151845 135674 120602 19172324 8390703 9857451 10781621 0 0 0 0 0 0 0 0 0 546685 13140337 14973912 2685293 1779721 0 0 0 0 0 0 0 0 0 0 8105967 8761404 0 0 -553118 0 10238142 10541125 X 5083955 5083955 -2181760 -651168 0 0 2902195 4432787 13140337 14973912 2130921 -600329 X false false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X false false false false false false false false true 2299 2299 false false SCH. C, PART II-B, LINE I LOBBY EXPENSES -------------- A PORTION OF THE ORGANIZATION'S KHA & AHA DUES ARE USED FOR LOBBYING ACTIVITIES. 66000 66000 6039311 2540400 3498911 130670013 5850303 7216710 10781621 true true true X true X 100 true true true false false 234865 248560 0.00000 3408950 1793736 1615214 0.09710 3643815 2042296 1615214 0.09710 3643815 2042296 1615214 0.09710 true 1570888 6047691 6139981 -92290 X true true 1 1 TRIGG COUNTY HOSPITAL INC 254 MAIN STREET CADIZ KY 42211 X X X TRIGG COUNTY HOSPITAL INC 1 false false true X X X X X X X X X 16 true false false true X HTTP://TRIGGHOSPITAL.ORG X true 16 true HTTP://TRIGGHOSPITAL.ORG false false true X 100 100 X X true true X true X X true X false X X X true X false false PART V, LILNE 5 CHNA COMMUNITY INPUT -------------------- TRIGG COUNTY SENT A CHNA SURVEY OUT TO THE LOCAL POPULATION FOR ANY RESIDENT TO COMPLETE. 131 RESPONSES TO THIS SURVEY WERE RECEIVED FROM AREA RESIDENTS. IN ADDITION, Trigg County Hospital uilized a CHNA steering committee comprised of 11 key stakeholders in the community. Steering committee members and additional members of the public participated in 3 focus groups as part of the CHNA. PART V, LINE 11 CHNA NEEDS ADDRESSED -------------------- TRIGG COUNTY Hospital developed an implementation strategy for 2017 through 2019 as part of it's 2016 CHNA. Strategies to address identified needs include: 1. Increase community awareness and knowledge of the new terminology, slang and signs of substance abuse. 2. Decrease the use of chronically prescribed scheduled drugs and illegal drugs in the adult population and address the underlying need for the prescribed medications. 3. Increase the communitys knowledge and awareness of the available mental health services in Trigg and surrounding 4. Increase the awareness of diabetes, heart disease, cancer and obesity and the resources available in Trigg 5. Increase the services available at Trigg County Hospital. PART I, LINE 7 COST OF CHARITY CARE -------------------- COST OF CHARITY CARE WAS CALCULATED WTIH A COST TO CHARGE RATIO USING WORKSHEET 2. COST OF MEDICAID WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. PART III, LINE 8 COSTING -------- TRIGG COUNTY HOSPITAL IS A CRITICAL ACCESS HOSPITAL AND IS REIMBURSED FROM MEDICARE AT 101% OF COST RELATED TO CARING FOR MEDICARE PATIENTS. MEDICARE REVENUES AND COSTS REPORTED ON LINES 5 AND 6 ARE BASED ON THE MEDICARE COST REPORT. PART III, LINE 9B DEBT COLLECTION --------------- THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE OR FINANCIAL ASSISTANCE. PART VI, LINE 2 NEEDS ASSESSMENT ---------------- TRIGG COUNTY HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT WHICH WAS ADOPTED BY THE BOARD OF DIRECTORS during 2016. TRIGG COUNTY HOSPITAL IS ALWAYS WILLING AND AVAILABLE TO MEET THE NEEDS OF THE COMMUNITY AS THEY ARISE. ADDITIONALLY, TRIGG COUNTY HOSPITAL ASSISTS OTHER AGENCIES, AS NEEDED, TO MEET THE HEALTH AND WELFARE NEEDS OF THE COMMUNITY. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ----------------------------------------------- UNINSURED AND UNDERINSURED PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE CHARITY CARE PROGRAM. TRIGG COUNTY HOSPITAL CONTRACTS WITH DISABILITY MEDICAL CONSULTANTS (DMC) TO CONTACT EACH OF THESE IDENTIFIED PATIENTS AND PROVIDE THEM WITH INFORMATION ON HOW TO GET QUALIFIED FOR MEDICAID OR HOW TO ENROLL IN INSURANCE PROGRAMS AVAILABLE THROUGH THE AFFORDABLE CARE ACT. PART VI, LINE 4 COMMUNITY INFORMATION --------------------- TRIGG COUNTY, KENTUCKY IS A RURAL COMMUNITY WITH A POPULATION ESTIMATED AT 14,142. TRIGG COUNTY IS LOCATED IN WESTERN KENTUCKY JOINING THE LAND BETWEEN THE LAKES INCLUDING LAKE BARKLEY AND KENTUCKY LAKE. DUE TO OUR LOCATION, TRIGG COUNTY IS A GREAT RETIREMENT COMMUNITY AND AS SUCH APPEALS TO MANY PEOPLE ACROSS THE COUNTRY. APPROXIMATELY 21.2% OF TRIGG COUNTIANS ARE AGE 65 AND OLDER. TRIGG COUNTY HAS BEEN DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND A MEDICALLY UNDERSERVED AREA/POPULATION (MUA/P). THE MEDIAN HOUSEHOLD INCOME IS RIGHT AT THE AVERAGE FOR KENTUCKIANS (APPROXIMATELY $45K); HOWEVER, WELL BELOW THE AVERAGE FOR THE UNITED STATES AT APPROXIMATELY $54K. FINALLY, APPROXIMATELY 21% OF TRIGG COUNTIANS ARE UNINSURED. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH ----------------------------- TRIGG COUNTY HOSPITAL'S DEDICATED STAFF VOLUNTEER FOR NUMEROUS CAUSES PROMOTING HEALTH AND WELFARE FOR TRIGG COUNTIANS INCLUDING: RELAY FOR LIFE, BREAST IMAGING LUNCH & LEARN, HEART HEALTH LUNCH & LEARN, BREAST IMAGING PRESENTATIONS, KIDS HEALTH FAIR, BREAST CANCER AWARENESS EVENTS, OSTEOPOROSIS SCREENINGS, BACK TO SCHOOL SCREENINGS AND BEHAVIORAL HEALTH TRANSPORTATION. ADDITIONALLY, HOSPITAL STAFF ARE INVOLVED IN SUMMER HEALTH CAMP, COMMUNITY READER DAYS, CHILDREN'S CHRISTMAS TREE DECORATING, TEACHERS BACK TO SCHOOL BREAKFAST, MEET & GREET TEACHERS & PARENTS NIGHT, COMMUNITY EDUCATION ADVISORY COUNCIL, BETA NU AND THE TRIGG COUNTY CHAMBER OF COMMERCE. TRIGG COUNTY HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY VOLUNTEERS WHO ARE COMMITTED TO THE HEALTH AND WELFARE OF THE COMMUNITY AND DEDICATED TO ENSURING THE VIABILITY OF THE HOSPITAL FOR YEARS TO COME. THE BOARD EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE SERVICE AREA. THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT THAT IS STAFFED 24 HOURS A DAY/7 DAYS A WEEK AND SERVES EVERYONE REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL RESEARCHES AND COMPLETES NUMEROUS GRANT APPLICATIONS APPLICABLE TO PROMOTING THE HEALTH OF OUR COMMUNITY. PART V, LINE 22 AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS ------------------------------------------- PATIENTS QUALIFYING FOR DSH HAVE THEIR STAY WRITTEN OFF. THOSE THAT DO NOT ARE CHARGED FOR THE CARE AND HAVE THE OPTION TO SET UP A PAYMENT PLAN IF NEEDED. Form 990, Part IV, LINE 20B Reason not attaching a copy of its Audited Financial Statements ---------------------------------------------------------------- Audited financial statements have not been issued for the year ending 4/30/16 as of the filing date of this return. IRS Form 990 will be amended to attach the audited financial statements to the return as soon as they are issued. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 ------------------- A COPY OF THE FORM 990 WAS NOT PROVIDED TO THE BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING OF THE CONFLICT OF INTEREST POLICY --------------------------------------------- THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY. ALL EMPLOYEES, STAFF, OFFICERS AND BOARD MEMBERS ARE COVERED BY THIS POLICY. EACH YEAR, THE BOARD MEMBERS ARE ASKED TO SIGN A CONFLICT OF INTEREST STATEMENT. THE HOSPITAL HAS POLICIES AND PROCEDURES IN PLACE THAT WILL BE FOLLOWED SHOULD A CONFLICT OF INTEREST ARISE. A RECORD OF THE PROCEEDINGS WHERE CONFLICTS ARE ADDRESSED IS KEPT ON FILE ONCE REVIEWED. FORM 990, PART VI, SECTION B, LINE 15A & 15B PROCESS FOR DETERMINING COMPENSATION ------------------------------------ BOARD OF DIRECTORS REVIEWS THE CEO COMPENSATION ANNUALLY. THESE REVIEWS OF EMPLOYEES ARE DONE ANNUALLY BY THEIR SUPERVISOR OR UPPER MANAGEMENT. THE DATE OF COMPLETION DEPENDS ON THE EMPLOYEES ANNIVERSARY DATE. FORM 990, PART VI, SECTION C, LINE 19 MAKING DOCUMENTS AVAILABLE TO THE PUBLIC ---------------------------------------- A LEGAL AD IS PUBLISHED ANNUALLY TO ADVISE OF THE AVAILABILITY OF AUDITED FINANCIAL STATEMENTS AT THE HOSPITAL. FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:3926151 TRIGG COUNTY HOSPITAL FOUNDATION INC 254 MAIN STREET CADIZ KY 42211 061805018 EDUCATION KY 501(c)(3) 7 NA false TRIGG COUNTY PUBLIC HOSPITAL CORPORATION PO BOX 672 CADIZ KY 42211 611336530 GOV UNIT KY 501(a) N/A NA false false false false false false false false false false false false false false false false false false false