2019-05-15T13:29:11-05:00 2018-06-30 611189912 BUCKLES TRAVIS & HART PLLC PO BOX 4069 LEITCHFIELD KY 427554069 990 2017-07-01 610523298 GRAYSON COUNTY HOSPITAL FOUNDATION GRAY 2702599509 910 WALLACE AVE LEITCHFIELD KY 42754 WAYNE MERIWETHER CEO 2702599509 2019-05-09 BRADLEY K TRAVIS P01224802 2702595604 2019-05-09 167.68.16.49 2019-05-15 13:29:11 CD P 093CCBC991077C08B856D9BD8443907B717A7BF5 8358B415C9969E7EB69D761FD5976213C214F4BE 2017 2019-02-21 02:37:17Z DBA TWIN LAKES REGIONAL MEDICAL WAYNE MERIWETHER 910 WALLACE AVE LEITCHFIELD KY 42754 44534371 false X WWW.TLRMC.COM X 1956 KY TO PROVIDE QUALITY MEDICAL HEALTHCARE TO THE GRAYSON COUNTY, KENTUCKY AREA. 10 10 494 54 0 9954 10649 39580162 42243675 135704 382410 1275784 1579714 41001604 44216448 0 0 12994029 13517385 0 0 26204820 26504646 39198849 40022031 1802755 4194417 102636354 105923455 14509211 13601895 88127143 92321560 X TO PROVIDE QUALITY MEDICAL HEALTHCARE TO THE GRAYSON COUNTY, KENTUCKY AREA. false false 25703496 42243675 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 2018 DUE TO CONTRACTUAL AGREEMENTS WITH PAYERS AMOUNTED TO 92,995,823.53. ALSO, 696,857 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 3,985,132.64. 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 1,985 INPATIENTS AND 96,423 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 GET A SMOKE FREE COMMUNITY ORDINANCE PASSED IN THREE OF OUR COMMUNITIES. THE GROUP IS NOW WORKING ON MAKING POSITIVE DIFFERENCES IN THE HEALTH OF OUR COMMUNITY IN SUCH TOPICS AS DIABETES, EXERCISE, NUTRITION AND GENERAL HEALTH. 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, 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 GARDENEER 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 THROUGHOUT THE YEAR 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. COUNTY-WIDE BABY SHOWER IN GRAYSON COUNTY - PROVIDES INFORMATION TO WOMEN WHO ARE PREGNANT OR WANT TO BECOME PREGNANT D. SPONSORS THE AMERICAN RED CROSS BLOOD MOBILE MULTIPLE TIMES EACH YEAR E. PROVIDED HEALTH INFORMATION AT THE RELAY FOR LIFE F. PARTICIPATED IN UNITED WAY MEETNGS G. COMMUNITY HEALTH FAIR - JANUARY 2018 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: H. PARTICIPATED IN OPERATION PREPARATION I. WRECC SAFETY DAY J. ASSISTED IN PROVIDING TRANSLATION SERVICES K. BEN JOHNSON ELEMENTARY SCHOOL WELLNESS DAY L. PROVIDED SPEAKERS FOR MANY HEALTH FAIRS, SCHOOLS, AND COMMUNITY EVENTS M. NARCAN TRAINING FOR LEITCHFIELD CITY POLICE AND GRAYSON COUNTY SHERIFF DEPARTMENT N. OPIOID STEWARDSHIP PRESENTATIONS IN ADDITION TO SERVING OUR LOCAL COMMUNITY NEEDS, TLRMC HAS ALSO TAKEN ON MEASURES TO IMPROVE AMERICA. BY PARTICIPATING IN THE CODE GREEN - RECYCLING PROJECT, TLRMC HOPES TO REDUCE WASTE AND IMPROVE THE ENVIRONMENT. TWIN LAKES REGIONAL MEDICAL CENTER'S BOARD OF DIRECTORS HAS PLEDGED TO BUY AMERICAN-MADE PRODUCTS WHEN WE CAN FIND A PRODUCT OF EQUAL OR GREATER QUALITY. TLRMC ENCOURAGES OTHER COMPANIES AND INDIVIDUALS TO DO THE SAME. 25703496 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 false true false false false false false false false true true true false false false false false true false false false true 47 0 true 494 true 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 LINDA FRENCH DIRECTOR 1.00 X 0 0 0 BECKY MILLER DIRECTOR 1.00 X 0 0 0 JOEL BERNARD DIRECTOR 1.00 X 0 0 0 RYAN BRATCHER DIRECTOR 1.00 X 0 0 0 EDWIN MCKINNEY SECRETARY/TR 1.00 X 0 0 0 DAVID DOWNS VICE-PRESIDE 1.00 X 0 0 0 TREVOR RAY PRESIDENT 1.00 X 0 0 0 KEVIN BROOKS DIRECTOR 1.00 X 0 0 0 GLENNA BLACK DIRECTOR X 0 0 0 SAM BUCK MD DIRECTOR 1.00 X X 0 0 0 WAYNE MERIWETHER CEO 40.00 X 0 0 0 ANGELA GIBSON DIRECTOR OF 40.00 X 139736 0 4192 CATHERINE D CLEMONS CHIEF OPERAT 40.00 X 139046 0 10248 ANITA PLEACHER PHARMACIST 40.00 X 130011 0 1300 RICHARD DONOVAN PHARMACIST 40.00 X 126709 0 16472 535502 32212 4 false false false LABORATORY CORPORATION OF AMERICA PO BOX 12140 BURLINGTON NC 27216 PROFESSIONAL SE 527201 SAMER BLEIBEL 304 WALLACE AVE LEITCHFIELD KY 42754 PROFESSIONAL SE 417340 ANDREW JENKINS MD 223 BYRTLE GROVE RD LEITCHFIELD KY 42754 PROFESSIONAL SE 291760 RHINO MEDICAL SERVICES 2000 E LAMAR BLVD STE 250 ARLINGTON TX 76006 PROFESSIONAL SE 278234 JOHNSON CONTROLS INC PO BOX 730068 DALLAS TX 75373 PROFESSIONAL SE 146832 6 10649 10624 10649 PATIENT SERVICES 42046511 42046511 CAFETERIA REVENUE 173621 173621 FITNESS CENTER & OTHER INCOME 23543 23543 42243675 189183 189183 537858 317923 219935 219935 219935 193227 193227 193227 193227 TAX REVENUE 640281 640281 NONOPERATING GAIN(LOSS) 590169 590169 MANAGEMENT FEES 129329 129329 1359779 44216448 44016616 189183 X 13517385 11182233 2335152 366793 366793 2580309 2254674 325635 ADMINISTRATIVE & GENERAL 11290955 11290955 PROVISION FOR BAD DEBTS 2154982 2154982 PHARMACY 2153783 2153783 LABORATORY 1866312 1866312 6091512 6091512 40022031 25703496 14318535 0 21173806 21882393 5712173 6023179 42145706 46408868 1822850 1672239 396438 503936 70870592 43542205 29369002 27328387 2016379 2104453 102636354 105923455 3080764 3540345 10356581 9405000 1071866 656550 14509211 13601895 X 88127143 92321560 88127143 92321560 102636354 105923455 4194417 X false true X true false X 654229 654229 43510469 21681920 21828549 23906279 20106732 3799547 2799615 1753553 1046062 27328387 CAPITAL LEASE 383515 LONG-TERM DEBT 273035 656550 X 44144965 44144965 71483 71483 44216448 42826002 2875454 2875454 39950548 71483 71483 40022031 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 2016, 2017 AND 2018 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 HOSPTIAL 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 10,974 DONATED SERVICES 60,509 SCHEDULE D, PAGE 4, PART XII, LINE 2D OPERATING LOSS REPORTED UNDER ID 61-1269278 2,875,454 SCHEDULE D, PAGE 4, PART XII, LINE 4B DONATED SERVICES 60,509 USE OF DONATED ITEMS 10,974 true true true X true X true true true false true true 1 103 54026 54026 0.00130 1 27137 2380041 246697 2133344 0.05330 2 27240 2434067 246697 2187370 0.05470 13 3925 11043 11043 0.00030 13 3925 11043 11043 0.00030 15 31165 2445110 246697 2198413 0.05490 1 25000 25000 0.00060 1 1000 1000 1000 2 1000 26000 26000 0.00060 true 1084041 566159 12887850 14344219 -1456369 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 X X X GRAYSON COUNTY HOSPITAL FOUNDATION TWIN LAKES REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X 16 true false false true X WWW.TLRMC.COM X true 16 false true 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 NUTRITION/OBESITY, SMOKING, INFORMATION/AWARENESS OF HEALTH ISSUES AND LACK OF PHYSICAL ACTIVITY OPTIONS. 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 SEPTEMBER AND OCTOBER 2015 USING AN ONLINE SURVEY TOOL AND BY DISTRIBUTING PRINTED COPIES IN VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. REGISTRATION CLERKS AT THE HOSPITAL HANDED OUT THE SURVEY TO PATIENTS AND FAMILY MEMBERS. THE ONLINE SURVEY WAS PROMOTED THROUGH NEWSPAPER ADVERTISEMENTS, BUSINESS CARDS 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 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. 757 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 CHNA TEAM 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 FEBRUARY 2, 2016 TO REVIEW THE SURVEY RESULTS AND PROVIDE RECOMMENDATIONS FOR THE HOSPITAL'S COMMUNITY BENEFIT FOCUS. PROFESSIONS REPRESENTED INCLUDED PHYSICIANS; SCHOOL ADMINISTRATORS, TEACHERS AND STAFF; THE GRAYSON COUNTY HEALTH DEPARTMENT; LOCAL INDUSTRY/MANUFACTURING; HOSPITAL BOARD MEMBERS; LAW ENFORCEMENT; AND HOSPITAL LEADERSHIP. 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. THESE RESULTS WERE THEN PRESENTED TO THE POPULATION HEALTH COMMITTEE FOR THEIR CONSIDERATION AND INPUT. TO PUT THE 2012 CHNA REPORT 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. THE POPULATION HEALTH COMMITTEE IS MADE UP OF HOSPITAL EMPLOYEES, INDUSTRIAL LEADERS, THE GRAYSON COUNTY SCHOOLS SUPERINDENDENT, 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. ON FRIDAY, MARCH 4, 2016, THE POPULATION HEALTH COMMITTEE MET TO CONSIDER THE INPUT OF THE COMMUNITY FOCUS GROUP, THE SIZE AND SEVERITY OF THE NEEDS, AVAILABLE DATA, AND THE ABILITY TO HAVE AN IMPACT AS A HOSPITAL. THE COMMITTEE MADE THEIR RECOMMENDATIONS OF COMMUNITY HEALTH FOCUS POINTS TO THE HOSPITAL. AFTER CAREFULLY CONSIDERING THE RESULTS OF THE COMMUNITY HEALTH SURVEY, THE MOST RECENT HEALTH AND DEMOGRAPHIC INFORMATION AVAILABLE, AND INPUT FROM THE COMMUNITY FORUM/FOCUS GROUP AND THE POPULATION HEALTH COMMITTEE, THE FOLLOWING NEEDS WERE IDENTIFIED BY HOSPITAL LEADERSHIP AS THE COMMUNITY HEALTH FOCUS POINTS FOR TWIN LAKES REGIONAL MEDICAL CENTER IN 2016 - 2019. SMOKING, INFORMATION/AWARENESS OF HEALTH ISSUES, LACK OF PHYSICAL ACTIVITY OPTIONS, AND NUTRITION/OBESITY. THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED BY THE BOARD OF DIRECTORS FOR TWIN LAKES REGIONAL MEDICAL CENTER ON TUESDAY, MARCH 15, 2016. 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 THE FOLLOWING NEEDS WERE IDENTIFIED BUT NOT ADOPTED AS TOP PRIORITIES OF THE HOSPITAL AND THE REASONS WHY. ALCOHOL AND/OR DRUG ABUSE - BEING MET BY OTHER COMMUNITY GROUPS AND PARTNERSHIPS THE HOSPITAL IS ALREADY INVOLVED WITH. TEEN PREGNANCY - THE RATES IN GRAYSON COUNTY ARE DECREASING AND THIS DID NOT SEEM LIKE AN EFFECTIVE FOCUS FOR THE HOSPITAL. LACK OF DENTAL CARE - NOT AN AREA THE HOSPITAL CAN MAKE A SIGNIFICANT IMPACT ON. PSYCHIATRIC/MENTAL HEALTH SERVICES - SOME SERVICES ALREADY PROVIDED IN THE COMMUNITY AND THE HOSPITAL WOULD HAVE TO PUT SIGNIFICANT RESOURCES INTO MAKING A DIFFERENCE AT THE COST OF OTHER HIGHER PRIORITY NEEDS. FACILITY 1, GRAYSON COUNTY HOSPITAL FOUNDATION - PART V, LINE 16J THE POLICY WAS PROVIDED TO PATIENTS AT REGISTRATION. PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE 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. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION 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. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY 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, 52.23% WAS DETERMINED TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S PATIENT FINANCIAL ASSISTANCE PROGRAM. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS 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. PART III, LINE 8 - MEDICARE EXPLANATION TWIN LAKES REGIONAL MEDICAL CENTER BELIEVES THAT ALL OF THE 1.5 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. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION 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. PART VI, LINE 2 - NEEDS ASSESSMENT 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 PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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. PART VI, LINE 4 - COMMUNITY INFORMATION 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 22.1% 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 4.9%. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH TWIN LAKES REGIONAL MEDICAL CENTER AND ITS EMPLOYEES HAVE A RICH HISTORY OF PLANNING AND/OR SPONSORING EVENTS DESIGNED TO EDUCATE THE COMMUNITY ON HEALTHY LIVING AND WELLNESS FACTORS. EVENTS DURING FYE 2018 INCLUDED THE COMMUNITY BABY SHOWER, NUTRITION DAY AT LOCAL SCHOOLS, CPR CLASSES, PREPARED CHILDBIRTH AND BREAST FEEDING CLASSES, AND HEALTH FAIRS AND SCREENINGS FOR THE COMMUNITY AND PRIVATE ORGANIZATIONS. TWIN LAKES REGIONAL MEDICAL CENTER ADHERES TO THE FOLLOWING IRS EXEMPTION REQUIREMENTS: A. ACCEPT AND TREAT MEDICARE AND MEDICAID PATIENTS B. EMERGENCY DEPARTMENT OPEN TO ALL EMERGENT CASES, REGARDLESS OF ABILITY TO PAY C. OPEN MEDICAL STAFF THAT ALLOWS CREDENTIALED PHYSICIANS TO PRACTICE AT FACILITY D. OPERATE UNDER COMMUNITY BOARD'S CONTROL IT IS THE MISSION AND ONGOING GOAL OF THE LEADERSHIP AND EMPLOYEES OF TWIN LAKES REGIONAL MEDICAL CENTER TO DO THE BEST JOB POSSIBLE TREATING THE SICK AND INJURED, ADDRESSING COMMUNITY WELLNESS NEEDS AND PROMOTING HEALTHY LIVING AT EVERY OPPORTUNITY. THROUGH OUR MANY COMMUNITY BENEFIT ACTIVITIES, OUR CHARITY CARE PROGRAM AND OUR ACCEPTANCE OF PATIENTS COVERED BY FEDERAL AND STATE PROGRAMS, TLRMC MAKES A POSITIVE DIFFERENCE IN THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. ADDITIONAL INFORMATION 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. 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 565000 9970000 3624370 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 ISAAC MILLER SON OF DIRECTOR 79167 PHYSICIAN ASSIST PRO false MIDWAY PHARMACY OF CLARKSON INC DIRECTOR 52524 RENT OF PHARMACY SPA false FUTURE DESIGNS INC DIRECTOR 1469 PURCHASE OF BLDG MAT false DR KENNETH GREEN DIRECTOR 18420 RENT OF OFFICE SPACE false SCHEDULE L, PART V ISAAC MILLER IS THE SON OF DIRECTOR BECKY MILLER. HE IS PARTICIPATING IN THE PHYSICIAN ASSISTANCE PROGRAM. 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. KENNETH GREEN IS A DIRECTOR OF TWIN LAKES REGIONAL MEDICAL CENTER. HIS MEDICAL PRACTICE RENTS OFFICE SPACE FROM 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, 2018 AND 2017 WERE 16,091,314 AND 15,939,881, RESPECTIVELY. 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, 2018 AND 2017 WERE 4,866,388 AND 3,447,779, RESPECTIVELY. FORM 990, PAGE 1, PART I, LINE 6 THE PURPOSE OF THE HOSPITAL VOUNTEER 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. 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 ADDITIONAL CHARGES ARE WRITTEN OFF DUE TO ARRANGEMENTS WITH MEDICARE, MEDICAID, AND OTHER THIRD PARTIES. THE TOTAL UNREIMBURSED CHARGES FORGONE IN FISCAL YEAR 2018 DUE TO CONTRACTUAL AGREEMENTS WITH PAYERS AMOUNTED TO 92,995,823.53. ALSO, 696,857 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 3,985,132.64. 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 1,985 INPATIENTS AND 96,423 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 GET A SMOKE FREE COMMUNITY ORDINANCE PASSED IN THREE OF OUR COMMUNITIES. THE GROUP IS NOW WORKING ON MAKING POSITIVE DIFFERENCES IN THE HEALTH OF OUR COMMUNITY IN SUCH TOPICS AS DIABETES, EXERCISE, NUTRITION AND GENERAL HEALTH. 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, 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 GARDENEER 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 THROUGHOUT THE YEAR 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. COUNTY-WIDE BABY SHOWER IN GRAYSON COUNTY - PROVIDES INFORMATION TO WOMEN WHO ARE PREGNANT OR WANT TO BECOME PREGNANT D. SPONSORS THE AMERICAN RED CROSS BLOOD MOBILE MULTIPLE TIMES EACH YEAR E. PROVIDED HEALTH INFORMATION AT THE RELAY FOR LIFE F. PARTICIPATED IN UNITED WAY MEETNGS G. COMMUNITY HEALTH FAIR - JANUARY 2018 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: H. PARTICIPATED IN OPERATION PREPARATION I. WRECC SAFETY DAY J. ASSISTED IN PROVIDING TRANSLATION SERVICES K. BEN JOHNSON ELEMENTARY SCHOOL WELLNESS DAY L. PROVIDED SPEAKERS FOR MANY HEALTH FAIRS, SCHOOLS, AND COMMUNITY EVENTS M. NARCAN TRAINING FOR LEITCHFIELD CITY POLICE AND GRAYSON COUNTY SHERIFF DEPARTMENT N. OPIOID STEWARDSHIP PRESENTATIONS IN ADDITION TO SERVING OUR LOCAL COMMUNITY NEEDS, TLRMC HAS ALSO TAKEN ON MEASURES TO IMPROVE AMERICA. BY PARTICIPATING IN THE CODE GREEN - RECYCLING PROJECT, TLRMC HOPES TO REDUCE WASTE AND IMPROVE THE ENVIRONMENT. TWIN LAKES REGIONAL MEDICAL CENTER'S BOARD OF DIRECTORS HAS PLEDGED TO BUY AMERICAN-MADE PRODUCTS WHEN WE CAN FIND A PRODUCT OF EQUAL OR GREATER QUALITY. TLRMC ENCOURAGES OTHER COMPANIES AND INDIVIDUALS TO DO THE SAME. 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 MATERIALS MANAGEMENT 1,080,263 0 0 MEDICAL & SURGICAL 973,186 0 0 PHYSICAL THERAPY 872,938 0 0 EMERGENCY ROOM 634,152 0 0 SURGERY 601,374 0 0 WOUND CARE 441,920 0 0 RADIOLOGY 335,016 0 0 PROVIDER BASED CLINICS 213,747 0 0 NUCLEAR MEDICINE 150,716 0 0 RESPIRATORY THERAPY 124,879 0 0 MRI 121,665 0 0 OBSTETRICS 104,658 0 0 PAIN MANAGEMENT 101,488 0 0 SLEEP CENTER 87,477 0 0 CT SCANS 67,222 0 0 INTENSIVE CARE 59,687 0 0 ANESTHESIOLOGY 53,581 0 0 INFUSION CENTER 22,257 0 0 SPECIALTY CLINIC 16,484 0 0 CARDIAC 15,783 0 0 USE OF DONATED ITEMS 10,624 0 0 OCCUPATIONAL MEDICINE 1,887 0 0 OCCUPATIONAL THERAPY 508 0 0 TOTAL 6,091,512 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 45963 93078 false false 0.25000 TWIN LAKES REGIONAL PAIN MANAGEMENT 908 WALLACE AVE LEITCHFIELD KY 42754 472329929 PAIN MANAG KY N/A RELATED 81351 141678 false false 0.51000 WTK HOLDINGS INC 910 WALLACE AVE LEITCHFIELD KY 42754 610608823 HOLDING CO KY GCHF GRAYSON COUNTY HOSPITAL FOUNDATION C CORP 46991 1872708 1.00000 false false false false true false false false false false true false true false false true false true false false TWIN LAKES MEDICAL FOUNDATION INC D 4263162 FAIR MARKET VALUE TWIN LAKES MEDICAL FOUNDATION INC J 225640 FAIR MARKET VALUE TWIN LAKES MEDICAL FOUNDATION INC L 129329 FAIR MARKET VALUE TWIN LAKES MEDICAL FOUNDATION INC O 14800 FAIR MARKET VALUE TWIN LAKES MEDICAL FOUNDATION INC Q 4667590 FAIR MARKET VALUE