TRIGG COUNTY HOSPITAL INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- TRIGG COUNTY HOSPITAL INC (EIN 61-0471581)
- Tax period
- 2023-05-01 to 2024-04-30
- Filed
- 2025-03-11
- IRS object ID
- 202510709349301401
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-03-11T10:20:01-05:00 | ReturnTs |
| Tax Period End | 2024-04-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2650 EASTPOINT PKWY SUITE 300 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40223 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-05-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 610471581 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRIGG COUNTY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TRIG | BusinessNameControlTxt |
| Phone | 2702063601 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 254 MAIN STREET | AddressLine1Txt |
| City | CADIZ | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42211 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DON MICHAEL | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2702063601 | PhoneNum |
| Signature | 2025-03-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EMILIE M KNIERIEM CPA | PreparerPersonNm |
| PTIN | P01330194 | PTIN |
| Phone | 5029923500 | PhoneNum |
| Preparation | 2025-03-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN SUMNER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 254 MAIN STREET | AddressLine1Txt |
| City | CADIZ | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42211 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,229,687 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TRIGGHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1952 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 279 | TotalEmployeeCnt |
| Total Volunteers | 21 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,202,696 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,710,209 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,577,729 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $27,783,977 | CYProgramServiceRevenueAmt |
| PY Investment Income | $174,974 | PYInvestmentIncomeAmt |
| CY Investment Income | $618,764 | CYInvestmentIncomeAmt |
| PY Other Revenue | $181,058 | PYOtherRevenueAmt |
| CY Other Revenue | $116,737 | CYOtherRevenueAmt |
| PY Total Revenue | $27,136,457 | PYTotalRevenueAmt |
| CY Total Revenue | $30,229,687 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,525 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,775 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,934,740 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,447,061 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,099,383 | PYOtherExpensesAmt |
| CY Other Expenses | $14,460,689 | CYOtherExpensesAmt |
| PY Total Expenses | $24,035,648 | PYTotalExpensesAmt |
| CY Total Expenses | $24,912,525 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,100,809 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,317,162 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $28,741,272 | TotalAssetsBOYAmt |
| Total Assets EOY | $33,729,373 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,337,965 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,070,928 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,403,307 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $20,658,445 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $22,579,051 | ExpenseAmt |
| Grant | $4,775 | GrantAmt |
| Revenue | $27,875,864 | RevenueAmt |
| Desc | OUR MISSION IS 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. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN THE TRIGG COUNTY, KENTUCKY AREA. | Desc |
| Total Program Service Expenses | $22,579,051 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 96 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 279 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DON MICHAEL CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2702063602 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 254 MAIN STREET | AddressLine1Txt |
| City | CADIZ | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42211 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| JOHN SUMNER | |||||||
| CEO | 40.00 | Yes (X) | $237,622 | $0 | $374 | ||
| JEANINE EVANS | |||||||
| NURSE PRACTITIONER | 40.00 | $152,711 | $0 | $13,103 | Yes (X) | ||
| ASHLAND T PRICE | |||||||
| PHARMACIST | 40.00 | $140,237 | $0 | $36,500 | Yes (X) | ||
| LILLIAN GIERHART | |||||||
| NURSE PRACTITIONER | 40.00 | $114,544 | $0 | $17,444 | Yes (X) | ||
| CALLIE WELLS | |||||||
| NURSE PRACTITIONER | 40.00 | $112,236 | $0 | $22,572 | Yes (X) | ||
| DON MICHAEL | |||||||
| CFO | 40.00 | Yes (X) | $104,440 | $0 | $14,160 | ||
| LISA KIGHT | |||||||
| ACTING ASST CNO | 40.00 | $102,878 | $0 | $12,928 | Yes (X) | ||
| FRIEDIA SMILEY | |||||||
| CHIEF NURSING EXECUTIVE | 40.00 | Yes (X) | $94,902 | $0 | $3,395 | ||
| JODI WILSON | |||||||
| COMPLIANCE OFFICER | 40.00 | Yes (X) | $86,421 | $0 | $17,773 | ||
| DR JOE THOMAS | |||||||
| BOARD MEMBER/CHIEF OF STAFF | 40.00 | $22,750 | $0 | $0 | Yes (X) | ||
| MICHAEL GROSS | |||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| STEPHANIE PERRY | |||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| GEORGE RADFORD | |||||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JOE POWELL | |||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| BOB NOEL | |||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| CRAIG FOWLER | |||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JOE NICHOLS | |||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| TINA LOOMIS | |||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JERRY HOOKS | |||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| KENDRA REED | |||||||
| BOARD MEMBER (BEG FYE 2024) | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| TODD HARTON | |||||||
| BOARD MEMBER (END FYE 2024) | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,168,741 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $138,249 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CONCORD MEDICAL GROUP | |||||
| 1602 AVENUE Q | LUBBOCK | TX | 79401 | ER PHYSICIAN SERVICES | $1,845,381 |
| JOLLY HEALTHCARE PLLC | |||||
| 4429 HOPKINSVILLE ROAD | CADIZ | KY | 42211 | PHYSICIAN SERVICES | $272,615 |
| GEORGE GILLIAM MD PSC | |||||
| 3333 FREDERICA ST STE 5 | OWENSBORO | KY | 42301 | PHYSICIAN SERVICES | $214,917 |
| JOHN E BROADBEN MD | |||||
| 1530 GHOLSON ROAD | WEST PADUCAH | KY | 42086 | PHYSICIAN SERVICES | $127,997 |
| ALIGN MD | |||||
| 5121 MARYLAND WAY SUITE 300 | BRENTWOOD | TN | 37027 | ER PHYSICIAN SERVICES | $118,394 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,710,209 | GovernmentGrantsAmt |
| Total Contributions | $1,710,209 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621999 | $26,572,802 | $26,572,802 |
| 340B PHARMACY INCOME | 621399 | $1,135,663 | $1,135,663 |
| AMBULANCE SERVICES REVENUE | 621999 | $75,512 | $75,512 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $27,783,977 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $616,864 | TotalRevenueColumnAmt |
| Exclusion | $616,864 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $24,850 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $24,850 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,850 | TotalRevenueColumnAmt |
| Exclusion | $24,850 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,900 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,900 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,900 | TotalRevenueColumnAmt |
| Exclusion | $1,900 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CAFETERIA | 722310 | $40,504 | $40,504 |
| REBATES | 900099 | $13,722 | $13,722 |
| PROFESSIONAL FEES REVENUE | 900099 | $5,432 | $5,432 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,229 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $32,229 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $91,887 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,229,687 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27,875,864 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $643,614 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,775 | TotalAmt |
| Program Services | $4,775 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $560,925 | TotalAmt |
| Program Services | $504,832 | ProgramServicesAmt |
| Management And General | $56,093 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,443,996 | TotalAmt |
| Program Services | $7,599,596 | ProgramServicesAmt |
| Management And General | $844,400 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,696 | TotalAmt |
| Program Services | $80,726 | ProgramServicesAmt |
| Management And General | $8,970 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $690,264 | TotalAmt |
| Program Services | $621,238 | ProgramServicesAmt |
| Management And General | $69,026 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $662,180 | TotalAmt |
| Program Services | $595,962 | ProgramServicesAmt |
| Management And General | $66,218 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,802 | TotalAmt |
| Management And General | $7,802 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,182 | TotalAmt |
| Management And General | $161,182 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,071,650 | TotalAmt |
| Program Services | $6,364,485 | ProgramServicesAmt |
| Management And General | $707,165 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,979 | TotalAmt |
| Program Services | $40,481 | ProgramServicesAmt |
| Management And General | $4,498 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $591,399 | TotalAmt |
| Program Services | $532,259 | ProgramServicesAmt |
| Management And General | $59,140 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $380,530 | TotalAmt |
| Program Services | $342,477 | ProgramServicesAmt |
| Management And General | $38,053 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,880 | TotalAmt |
| Program Services | $16,092 | ProgramServicesAmt |
| Management And General | $1,788 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,434 | TotalAmt |
| Program Services | $261,391 | ProgramServicesAmt |
| Management And General | $29,043 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,544,079 | TotalAmt |
| Program Services | $1,389,671 | ProgramServicesAmt |
| Management And General | $154,408 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $464,561 | TotalAmt |
| Program Services | $418,105 | ProgramServicesAmt |
| Management And General | $46,456 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | $2,926,662 | $2,926,662 | |
| REPAIRS & MAINTENANCE | $482,363 | $434,127 | $48,236 |
| PROVIDER TAX | $167,205 | $167,205 | |
| FOOD | $155,632 | $140,069 | $15,563 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,331 | TotalAmt |
| Program Services | $138,898 | ProgramServicesAmt |
| Management And General | $15,433 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,912,525 | TotalAmt |
| Program Services | $22,579,051 | ProgramServicesAmt |
| Management And General | $2,333,474 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,287 | BOYAmt |
| EOY | $1,428 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,550,144 | BOYAmt |
| EOY | $18,224,491 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,394,008 | BOYAmt |
| EOY | $3,947,690 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $370,671 | BOYAmt |
| EOY | $349,129 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,869 | BOYAmt |
| EOY | $407,691 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $25,846,738 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,686,249 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,658,763 | BOYAmt |
| EOY | $8,160,489 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,605,530 | BOYAmt |
| EOY | $2,638,455 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,741,272 | BOYAmt |
| EOY | $33,729,373 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,684,641 | BOYAmt |
| EOY | $2,990,317 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $245,119 | BOYAmt |
| EOY | $228,583 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,336,013 | BOYAmt |
| EOY | $8,267,058 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,673 | BOYAmt |
| EOY | $147,315 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,913,519 | BOYAmt |
| EOY | $1,437,655 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,337,965 | BOYAmt |
| EOY | $13,070,928 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,178,394 | BOYAmt |
| EOY | $5,317,162 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,913 | BOYAmt |
| EOY | $15,341,283 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,403,307 | BOYAmt |
| EOY | $20,658,445 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,741,272 | BOYAmt |
| EOY | $33,729,373 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,317,162 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$62,024 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,261 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,261 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A PORTION OF THE ORGANIZATION'S KHA DUES ARE USED FOR LOBBYING ACTIVITIES. APPROXIMATELY 11.2% OF DUES WERE FOR LOBBYING IN FYE 2024. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $89,350 | OtherCostOrOtherBasisAmt |
| Book Value | $89,350 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,722,904 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,613,088 | DepreciationAmt |
| Book Value | $3,109,816 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,887,662 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,073,161 | DepreciationAmt |
| Book Value | $2,814,501 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,146,822 | OtherCostOrOtherBasisAmt |
| Book Value | $2,146,822 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,160,489 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ASSETS WHOSE USE IS LIMITED | Desc |
| Book Value | $2,638,455 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,638,455 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THIRD PARTY PAYABLE | Desc |
| Amt | $1,437,655 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,437,655 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $30,229,687 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $30,229,687 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $30,229,687 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $24,912,525 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $24,912,525 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $24,912,525 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $159,880 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $159,880 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00640 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,785,952 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,095,433 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,945,832 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,095,433 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $159,880 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00640 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,800 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,800 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,091 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,091 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,891 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,891 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,971,723 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,095,433 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $185,771 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00740 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,073,505 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $4,619,373 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $6,434,342 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,814,969 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRIGG COUNTY HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 254 MAIN STREET | AddressLine1Txt |
| City | CADIZ | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42211 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.TRIGGHOSPITAL.ORG | WebsiteAddressTxt |
| State License | 600055 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRIGG COUNTY HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.TRIGGHOSPITAL.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.TRIGGHOSPITAL.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.TRIGGHOSPITAL.ORG/GETPAGE.PHP?NAME=PATIENT_FINANCIAL_INFORMATIO | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.TRIGGHOSPITAL.ORG/GETPAGE.PHP?NAME=PATIENT_FINANCIAL_INFORMATIO | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.TRIGGHOSPITAL.ORG/GETPAGE.PHP?NAME=PATIENT_FINANCIAL_INFORMATIO | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| TRIGG COUNTY HOSPITAL, INC. | PART V, SECTION B, LINE 5: IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENTED THE COMMUNITY IT SERVED, INCLUDING THOSE WITH SPECIAL KNOWLEDGE, THROUGH FOCUS GROUP DISCUSSIONS AND SURVEYS. A STEERING COMMITTEE COMPRISED OF INDIVIDUALS WHO REPRESENTED ORGANIZATIONS AND AGENCIES FROM THE SERVICE AREA AND IN PARTICULAR, THE INDIVIDUALS WHO WERE WILLING TO VOLUNTEER, ENABLED THE HOSPITAL TO GET INPUT FROM POPULATIONS THAT WERE OFTEN NOT ENGAGED IN CONVERSATIONS ABOUT THEIR HEALTH NEEDS. THESE POPULATIONS CONSISTED OF THE SENIOR AND UNDERSERVED POPULATION, AS WELL AS CHILDREN, YOUTH, AND FAMILIES. THE FOLLOWING ORGANIZATIONS/AGENCIES WERE REPRESENTED ON THE STEERING COMMITTEE:TRIGG COUNTY PRIMARY CARETRIGG COUNTY HEALTH DEPARTMENTTRIGG COUNTY HOUSING AUTHORITYTRIGG COUNTY SCHOOLSTRIGG COUNTY EMERGENCY MANAGEMENT TRIGG COUNTY COOPERATIVE EXTENSIONTRIGG COUNTY SENIOR CITIZENS TRIGG COUNTY CHAMBER OF COMMERCELOCAL PROFESSIONALS AND BUSINESS OWNERS |
| TRIGG COUNTY HOSPITAL, INC. | PART V, SECTION B, LINE 7D: HTTP://WWW.TRIGGHOSPITAL.ORG/GETPAGE.PHP?NAME=NEWS-COMMUNITY_HEALTH_NEEDS |
| TRIGG COUNTY HOSPITAL, INC. | PART V, SECTION B, LINE 11: THE NEEDS IDENTIFIED IN THE 2022 CHNA ARE AS FOLLOWS: GOAL: ADDRESS CHRONIC HEALTH CONDITIONS TO INCLUDE OBESITY, HIGH BLOOD PRESSURE, AND LACK OF PHYSICAL ACTIVITY THROUGH THE IMPLEMENTATION OF AN INTERAGENCY COUNCIL WHOSE FOCUS WILL BE TO HELP CREATE COMMUNITY ENGAGEMENT FOR KEY HEALTH INITIATIVE.ACTION ITEMS: A. TRIGG COUNTY HOSPITAL WILL TAKE LEADERSHIP ROLE IN THE RE-INITIATION OF A TRIGG COUNTY COMMUNITY WELLNESS INTERAGENCY COUNCIL.B. IDENTIFY KEY STAKEHOLDER GROUPS TO PARTICIPATE IN COUNCIL.C. INITIATE AND HOST BI-MONTHLY MEETINGS OF COUNCIL.D. IDENTIFY AND IMPLEMENT VARIOUS COMMUNITY-BASED WELLNESS PROJECTS/INITIATIVES.E. PURSUE POTENTIAL IDEAS SUCH AS: PARTNER WITH LOCAL LARGER BUSINESSES TO HOST HEALTH FAIRS, WALK-A-THONS, BIGGEST LOSEREVENTS, ETC., DEVELOP, IMPLEMENT AND PROMOTE HEALTH PLUS PROGRAM ROLL OUT IN HOSPITAL AND WITH INTERESTED BUSINESSES, EXPAND NUMBER OF FREE SCREENINGS AND EDUCATIONAL EVENTS AT HOSPITAL (CONTINUE EXISTING ACTIVITIES SKIN CANCER, COLON CANCER SCREENINGS, PINK-OUT ACTIVITIES), PARTNER WITH THE SCHOOL SYSTEM AND SENIOR CITIZENS TO EDUCATE PEOPLE AND PROMOTE HEALTHIER LIFESTYLES, MORE AGGRESSIVELY USE SOCIAL MEDIA TO SHARE SUCCESS STORIES AND INFORMATION IN EFFORT TO REACH OTHERS AND ATTRACT NEW PARTICIPANTS, IDENTIFY AND PURSUE INITIATIVES THAT CHANGE MINDSETS/CULTURE OF HEALTH AND BEING HEALTHY.F. ESTABLISH A PARTNERSHIP BETWEEN EMERGENCY DEPARTMENT, HOME HEALTH AGENCIES, AND MED/SURG TO FOLLOW-UP WITH PATIENTS WHO MAY NEED ADDITIONAL ASSISTANCE TO CARE FOR HEALTH NEEDS AT HOME BUT DON'T KNOW WHAT IS AVAILABLE.GOAL: INCREASE AVAILABILITY OF BEHAVIORAL HEALTH SERVICES TO CHILDREN AND ADULTS.ACTION ITEMS:A. EXPLORE RESOURCES FOR TELEHEALTH & PROVIDER BASED BEHAVIORAL HEALTH SERVICES IN TRIGG COUNTY PRIMARY CARE, WITH FOCUS ON PERSONS UNDER THE AGE OF 18 YEARS-OLD.B. EXPLORE WAYS TO HOST PERIODIC SUPPORT GROUP ACTIVITIES IN COMMUNITY (I.E. AT SENIOR CITIZENS).C. IMPLEMENT OUTREACH GROUP THERAPY SESSIONS AND LOCAL PERSONAL CARE HOME.D. EXPLORE OTHER PARTNERSHIPS WITH COMPANIES PROVIDING BEHAVIORAL HEALTH SERVICES IN ORDER TO IDENTIFY OPPORTUNITIES TO EXPAND SERVICES TO ADULTS AND CHILDREN.E. EXPLORE, AND IF FEASIBLE AND APPROPRIATE, INITIATE SUBSTANCE ABUSE DISORDER BASED SERVICES.GOAL: IMPROVE TRANSPORTATION TO MEDICAL CARE, MEDICAL SERVICES, AND TO MEET HEALTH NEEDS.ACTION ITEMS:A. SUPPORT LOCAL PACS IN INCREASING AWARENESS AND AVAILABILITY OF SERVICES TO INCLUDE IDENTIFYING ACCESS POINTS, ACCESS CONTACTS, AND ANY FEES.B. EXPLORE, AND IF FEASIBLE AND APPROPRIATE, STATE FUNDED TRANSPORTATION PROVIDER OPPORTUNITIES.C. PARTNER WITH INTERAGENCY COUNCIL TO IDENTIFY POTENTIAL SOLUTIONS FOR PEOPLE TO MAKE CONNECTIONS WITH VOLUNTEERS TO ASSIST THEM IN GETTING TO MEDICAL APPOINTMENTS.D. ESTABLISH A PARTNERSHIP BETWEEN EMERGENCY DEPARTMENT, HOME HEALTH AGENCIES, AND MED/SURG TO FOLLOW-UP WITH PATIENTS WHO MAY NEED ADDITIONAL ASSISTANCE TO CARE FOR HEALTH NEEDS AT HOME BUT DON'T KNOW WHAT IS AVAILABLE. (CONTINUED) |
| SCHEDULE H, PART V, SECTION B, LINE 11 | CONTINUED: GOAL: ADDRESS FINANCIAL INSECURITIES/INSTABILITIES THAT IMPACT PEOPLE SEEKING AND OBTAINING NEEDED HEALTHCARE.ACTION ITEMS:A. ACTIVELY PUBLICIZE THE TRIGG COUNTY HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND PROCESS.B. IDENTIFY PATIENTS THAT MAY BENEFIT FROM FINANCIAL ASSISTANCE BUT HAVE NOT ASKED AND CONTACT THEM.C. OFFER PERIODIC FREE SCREENING OPPORTUNITIES IN ORDER FOR PEOPLE TO HAVE BASIC HEALTH NEEDS CHECKED IN ORDER TO IDENTIFY NEEDED ATTENTION.D. MAKE CONTACT WITH KEY LOCAL AGENCIES THAT CAN ACTIVELY SHARE INFORMATION WITH PEOPLE WHO FACE FINANCIAL CHALLENGES THAT IMPACTS THEIR ABILITY TO OBTAIN NEEDED HEALTHCARE AND HOST INFORMATIONAL SESSIONS WHERE PEOPLE CAN OBTAIN NEEDED INFORMATION AND RESOURCES.GOAL: ACTIVELY PROMOTE HOSPITAL SERVICES TO INCLUDE TRIGG COUNTY PRIMARY CARE AND CONNECTED SPECIALTY SERVICES.ACTION ITEMS:A. AT LEAST ONE TIME WEEKLY, HIGHLIGHT A SERVICE ON FACEBOOK PAGE.B. UPDATE HOSPITAL WEBPAGE TO PROVIDE MORE DYNAMIC LOOK AND INFORMATION ON SERVICES.C. HIGHLIGHT AN EMPLOYEE A WEEK/MONTH ON FACEBOOK - IDENTIFYING WHERE THEY WORK AND HOW THEY HELP CARE FOR PATIENTS.D. SUPPORT CEO AND TEAM ENGAGEMENT IN VARIOUS COMMUNITY RELATED EVENTS WHERE HOSPITAL SERVICES CAN BE PROMOTED AND SHARED.THE IMPLEMENTATION STRATEGY WILL BE ROLLED OUT OVER THE NEXT THREE YEARS, FROM FISCAL YEAR 2023 THROUGH THE END OF FISCAL YEAR 2025. TRIGG COUNTY HOSPITAL WILL KICK OFF THE IMPLEMENTATION STRATEGY BY INITIATING COLLABORATIVE EFFORTS WITH COMMUNITY LEADERS TO ADDRESS EACH HEALTH PRIORITY IDENTIFIED THROUGH THE ASSESSMENT PROCESS. PERIODIC EVALUATION OF GOALS/OBJECTIVES FOR EACH IDENTIFIED PRIORITY WILL BE CONDUCTED TO ASSURE THAT WE ARE ON TRACK TO COMPLETE OUR PLAN AS DESCRIBED. AT THE END OF FISCAL YEAR 2025, TRIGG COUNTY HOSPITAL WILL REVIEW THE IMPLEMENTATION STRATEGY AND REPORT ON THE SUCCESS EXPERIENCED THROUGH THE COLLABORATIVE EFFORTS OF IMPROVING THE HEALTH OF THE COMMUNITY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - MAIN STREET RURAL HEALTH CLINIC | ||||
| 266 MAN STREET | CADIZ | KY | 42211 | RURAL HEALTH CLINIC |
| 2 - TRIGG COUNTY PRIMARY CARE CLINIC | ||||
| 214 MAIN STREET | CADIZ | KY | 42211 | CLINIC |
| 3 - TRIGG COUNTY HOSPITAL CARDIOLOGY CLINIC | ||||
| 110 MERCHANT STREET | CADIZ | KY | 42211 | CLINIC |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, TRIGG COUNTY HOSPITAL USES ASSET LEVEL AND INSURANCE STATUS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. |
| PART I, LINE 7: | TRIGG COUNTY HOSPITAL, INC. USES THE IRS WORKSHEETS PROVIDED IN THE INSTRUCTIONS FOR FORM 990, SCHEDULE H TO CALCULATE A SINGLE COST TO CHARGE RATIO WHICH IS APPLIED TO THE CHARGES FOR FINANCIAL ASSISTANCE AND OTHER BENEFITS TO PROVIDE AMOUNTS AT COST. |
| SCHEDULE H, PART I, LINE 7 | EFFECTIVE JULY 1, 2019, THE HOSPITAL HAS BEEN PARTICIPATING IN THE MEDICAID HOSPITAL RATE IMPROVEMENT PROGRAM ("HRIP"). THIS PROGRAM WAS DESIGNED TO PROVIDE SUPPLEMENTAL MEDICAID PAYMENTS TO CERTAIN KENTUCKY HOSPITALS TO COVER THE GAP BETWEEN REGULAR INPATIENT MEDICAID PAYMENTS AND MEDICARE ALLOWABLE COSTS. EFFECTIVE JULY 1, 2020, THE PROGRAM WAS MODIFIED TO PROVIDE SUPPLEMENTAL MEDICAID PAYMENTS TO CERTAIN KENTUCKY HOSPITALS TO COVER THE GAP BETWEEN INPATIENT MEDICAID PAYMENTS AND THE AVERAGE COMMERCIAL PAYMENT RATE. THE AMOUNT HOSPITALS RECEIVE IS DETERMINED ANNUALLY PRIOR TO EACH STATE FISCAL YEAR. THE PAYMENTS ARE MADE EACH QUARTER, AND THEY ARE BASED ON PAID CLAIMS, WITH THE STATE MATCHING FUNDS COMING FROM A NEW ASSESSMENT ON HOSPITALS EVERY QUARTER. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | IN SPRING 2022, TCH JOINED OTHER BUSINESSES TO HOST A HEALTH AND INFORMATION FAIR AT THE SENIOR CITIZENS CENTER IN CADIZ, KENTUCKY. TCH HOSTED SEVERAL VACCINATION CLINICS, VACCINATING THOUSANDS OF KENTUCKY CITIZENS. TCH WAS A REGIONAL COVID VACCINATION SITE, INCLUDING HOSTING A DRIVE-THROUGH FLU CLINIC EACH MONTH OF FLU SEASON. TRIGG COUNTY PRIMARY CARE PARTNERED WITH THE SCHOOL SYSTEM TO ENSURE ATHLETES RECEIVED PHYSICALS AND WERE ABLE TO PAY. TRIGG ORGANIZED ACTIVITIES/COMMUNITY GROUPS FOR WALKING, BIKING, AND HIKING AND PROVIDED MENTORING SERVICES FOR THE YOUTH. |
| PART III, LINE 2: | THE HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE BAD DEBT EXPENSE IS BASED UPON THE REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. |
| PART III, LINE 3: | THE HOSPITAL DOES NOT ATTRIBUTE ANY BAD DEBT EXPENSE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THEREFORE, NO PORTION OF BAD DEBT IS CONSIDERED A COMMUNITY BENEFIT. |
| PART III, LINE 4: | SEE PAGES 10 AND 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED APRIL 30, 2024: HOSPITAL STATEMENT OF REIMBURSABLE COST. |
| PART III, LINE 9B: | THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE OR FINANCIAL ASSISTANCE. |
| PART VI, LINE 2: | NEEDS ASSESSED:IN ADDITION TO COMPLETING A CHNA EVERY THREE YEARS, THE HOSPITAL IS ALWAYS WILLING AND AVAILABLE TO MEET THE NEEDS OF THE COMMUNITY AS THEY ARISE. THE HOSPITAL ASSISTS OTHER AGENCIES, AS NEEDED, TO MEET THE HEALTH AND WELFARE NEEDS OF THE COMMUNITY.THE PROCESS OF PRIORITY SELECTION FOLLOWED THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT'S(ACHI) RECOMMENDATIONS TO CONSIDER:1. MAGNITUDE AND SEVERITY OF THE PROBLEM2. NEED AMONG VULNERABLE POPULATIONS3. COMMUNITY'S CAPACITY AND WILLINGNESS TO ACT ON THE ISSUE4. ABILITY TO HAVE A MEASURABLE IMPACT ON THE ISSUE5. AVAILABILITY OF HOSPITAL AND COMMUNITY RESOURCES6. EXISTING INTERVENTIONS FOCUSED ON THE ISSUE7. WHETHER THE ISSUE IS A ROOT CAUSE OF OTHER PROBLEMS8. TRENDING HEALTH CONCERNS IN THE COMMUNITYADDITIONAL PRIORITIZATION CRITERIA CAN INCLUDE: THE IMPORTANCE OF EACH PROBLEM TO COMMUNITYMEMBERS, EVIDENCE THAT AN INTERVENTION CAN CHANGE THE PROBLEM, AND ALIGNMENT WITH ANORGANIZATION.CEDIK (COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY) STAFF LED A FACILITATED DISCUSSION WITH MEMBERS OF THE STEERING COMMITTEE AFTER THE DATA PRESENTATION AND COMPLETED THE PROCESS OF PRIORITIZING THE IDENTIFIED HEALTH NEEDS. THE FOLLOWING REPRESENT THE RECOMMENDATIONS OF THE STEERING COMMITTEE TO TRIGG COUNTY HOSPITAL FOR ADDRESSING HEALTH NEEDS IN TRIGG COUNTY AND THE HOSPITAL SERVICE AREA FOR THE NEXT THREE YEARS. |
| PART VI, LINE 3: | PATIENT EDUCATION:UNINSURED AND UNDERINSURED PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE CHARITY CARE PROGRAM. THE HOSPITAL CONTRACTS WITH DISABILITY MEDICAL CONSULTANTS TO CONTACT EACH OF THESE IDENTIFIED PATIENTS AND PROVIDES 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:THE HOSPITAL IS A RURAL COMMUNITY LOCATED IN WESTERN KENTUCKY WITH AN ESTIMATED POPULATION OF 14,776 AS OF 2020. APPROXIMATELY, 23.8% OF THE COUNTY RESIDENTS ARE AGE 65 AND OLDER. TRIGG COUNTY HAS BEEN DESIGNED AS A HEALTH PROFESSIONAL SHORTAGE AREA AND MEDICALLY UNDERSERVED AREA. ABOUT 8% OF THE COUNTY POPULATION IS UNINSURED. |
| PART VI, LINE 5: | TRIGG COUNTY HOSPITAL STRIVES TO SERVE OUR COMMUNITY BY PROVIDING GREATER ACCESSIBILITY TO CARE, PROVIDING INFORMATION AND TEACHING OUR COMMUNITY ABOUT THE RISKS AND SYMPTOMS OF DISEASES, AND ENSURING WE ARE PROVIDING THE NEEDED RESOURCES THE COMMUNITY IS REQUESTING. THE HOSPITAL HAS EXPANDED THE PATIENT-CENTERED EXPERIENCE WITH AN EMPHASIS ON EXPANDING THE SPECIALTY SERVICES AND PROVIDING A SURGICAL UNIT THAT WILL IMPACT THE UNIQUE NEEDS OF OUR COMMUNITY. WHILE MAINTAINING OUR COLLABORATIVE RELATIONSHIPS WITH LONGSTANDING SUPPORTIVE COMMUNITY PARTNERS AND MEDICAL STAFF, THE HOSPITAL CONTINUES TO RECRUIT PHYSICIANS, SERVICES, AND RESOURCES SO OUR LOCAL PATIENTS DO NOT HAVE TO TRAVEL OUTSIDE THE AREA TO RECEIVE NEEDED CARE. THE HOSPITAL IS COMMITTED AND LOOKS FORWARD TO FUTURE GROWTH DUE TO OUR PROMOTION OF HEALTH IN THE COMMUNITY. |
| PART VI, LINE 6: | TRIGG COUNTY HOSPITAL, INC. (HOSPITAL) IS AN ACUTE CARE HOSPITAL LOCATED IN CADIZ, KENTUCKY (CITY). THE HOSPITAL IS A COMPONENT UNIT OF TRIGG COUNTY, KENTUCKY (COUNTY) AND THE TRIGG COUNTY FISCAL COURT APPOINTS MEMBERS TO THE BOARD OF DIRECTORS OF THE HOSPITAL. THE HOSPITAL PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN THE TRIGG COUNTY AREA.TRIGG COUNTY PUBLIC HOSPITAL CORPORATION (TCPHC) IS A RELATED ORGANIZATION, WHICH IS JOINTLY CONTROLLED BY THE TRIGG COUNTY FISCAL COURT AND CADIZ CITY COUNCIL. TCPHC ISSUED BONDS IN 1966, 1999, 2014 AND 2015 AND HAS TITLE TO SUBSTANTIALLY ALL REAL ESTATE AND FIXED EQUIPMENT WHICH IS OPERATED BY THE HOSPITAL. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN SUMNER | ||||||||||||||
| CEO | $237,622 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $374 | $0 | $237,996 | $0 | $0 | $0 |
| JEANINE EVANS | ||||||||||||||
| NURSE PRACTITIONER | $150,597 | $0 | $2,114 | $0 | $0 | $0 | $2,795 | $0 | $10,308 | $0 | $165,814 | $0 | $0 | $0 |
| ASHLAND T PRICE | ||||||||||||||
| PHARMACIST | $139,002 | $0 | $1,235 | $0 | $0 | $0 | $4,812 | $0 | $31,688 | $0 | $176,737 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE FORM 990 IS REVIEWED BY MANAGEMENT. IT WAS NOT PROVIDED TO THE BOARD PRIOR TO FILING, HOWEVER IT WILL BE MADE AVAILABLE TO BOARD MEMBERS FOR REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | 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 15 | THE BOARD OF DIRECTORS USES A WAGE STUDY FROM THE RHG (RURAL HOSPITAL GROUP) TO ASSIST WITH DETERMINING THE CEO'S COMPENSATION. THE BOARD REVIEWS THE CEO COMPENSATION ANNUALLY. THE REVIEWS OF EMPLOYEES ARE DONE ANNUALLY BY THEIR SUPERVISOR OR UPPER MANAGEMENT. THE DATE OF THE COMPLETION DEPENDS ON THE EMPLOYEES' ANNIVERSARY DATE. |
| FORM 990, PART VI, SECTION C, LINE 19 | A LEGAL AD IS PUBLISHED ANNUALLY TO ADVISE OF THE AVAILABILITY OF AUDITED FINANCIAL STATEMENTS AT THE HOSPITAL. ALL OTHER GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,878,812. MANAGEMENT AND GENERAL EXPENSES 430,979. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,309,791. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 2,485,673. MANAGEMENT AND GENERAL EXPENSES 276,186. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,761,859. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|
| TRIGG COUNTY HOSPITAL FOUNDATION INC | ||||||||||
| 254 MAIN STREET | CADIZ | KY | 42211 | 061805018 | EDUCATION | KY | 501(C)(3) | LINE 7 | Yes (1) | |
| TRIGG COUNTY PUBLIC HOSPITAL CORPORATION | ||||||||||
| PO BOX 672 | CADIZ | KY | 42211 | 611336530 | GOV'T UNIT | KY | 501(A) | N/A | 0 | N/A |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |