2025-03-11T10:20:01-05:00 2024-04-30 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2023-05-01 610471581 TRIGG COUNTY HOSPITAL TRIG 2702063601 254 MAIN STREET CADIZ KY 42211 DON MICHAEL CFO 2702063601 2025-03-11 1 1 EMILIE M KNIERIEM CPA P01330194 5029923500 2025-03-11 2023 2025-03-06 01:10:19Z JOHN SUMNER 254 MAIN STREET CADIZ KY 42211 30229687 0 X WWW.TRIGGHOSPITAL.ORG X 1952 KY TO PROVIDE QUALITY HEALTHCARE SERVICES IN A CARING AND COST-EFFECTIVE MANNER. WE PLEDGE TO MEET STANDARDS OF EXCELLENCE AND IMPROVE THE VALUE OF OUR SERVICE. 11 10 279 21 0 0 2202696 1710209 24577729 27783977 174974 618764 181058 116737 27136457 30229687 1525 4775 0 0 9934740 10447061 0 0 0 14099383 14460689 24035648 24912525 3100809 5317162 28741272 33729373 13337965 13070928 15403307 20658445 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. 0 0 22579051 4775 27875864 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. 22579051 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 96 0 1 279 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 KY X DON MICHAEL CFO 2702063602 254 MAIN STREET CADIZ KY 42211 JOHN SUMNER CEO 40.00 X 237622 0 374 JEANINE EVANS NURSE PRACTITIONER 40.00 X 152711 0 13103 ASHLAND T PRICE PHARMACIST 40.00 X 140237 0 36500 LILLIAN GIERHART NURSE PRACTITIONER 40.00 X 114544 0 17444 CALLIE WELLS NURSE PRACTITIONER 40.00 X 112236 0 22572 DON MICHAEL CFO 40.00 X 104440 0 14160 LISA KIGHT ACTING ASST CNO 40.00 X 102878 0 12928 FRIEDIA SMILEY CHIEF NURSING EXECUTIVE 40.00 X 94902 0 3395 JODI WILSON COMPLIANCE OFFICER 40.00 X 86421 0 17773 DR JOE THOMAS BOARD MEMBER/CHIEF OF STAFF 40.00 X 22750 0 0 MICHAEL GROSS CHAIRMAN 1.00 X X 0 0 0 STEPHANIE PERRY VICE CHAIRMAN 1.00 X X 0 0 0 GEORGE RADFORD SECRETARY/TREASURER 1.00 X X 0 0 0 JOE POWELL BOARD MEMBER 1.00 X 0 0 0 BOB NOEL BOARD MEMBER 1.00 X 0 0 0 CRAIG FOWLER BOARD MEMBER 1.00 X 0 0 0 JOE NICHOLS BOARD MEMBER 1.00 X 0 0 0 TINA LOOMIS BOARD MEMBER 1.00 X 0 0 0 JERRY HOOKS BOARD MEMBER 1.00 X 0 0 0 KENDRA REED BOARD MEMBER (BEG FYE 2024) 1.00 X 0 0 0 TODD HARTON BOARD MEMBER (END FYE 2024) 1.00 X 0 0 0 1168741 0 138249 9 0 1 0 CONCORD MEDICAL GROUP 1602 AVENUE Q LUBBOCK TX 79401 ER PHYSICIAN SERVICES 1845381 JOLLY HEALTHCARE PLLC 4429 HOPKINSVILLE ROAD CADIZ KY 42211 PHYSICIAN SERVICES 272615 GEORGE GILLIAM MD PSC 3333 FREDERICA ST STE 5 OWENSBORO KY 42301 PHYSICIAN SERVICES 214917 JOHN E BROADBEN MD 1530 GHOLSON ROAD WEST PADUCAH KY 42086 PHYSICIAN SERVICES 127997 ALIGN MD 5121 MARYLAND WAY SUITE 300 BRENTWOOD TN 37027 ER PHYSICIAN SERVICES 118394 5 1710209 1710209 NET PATIENT SERVICE REVENUE 621999 26572802 26572802 340B PHARMACY INCOME 621399 1135663 1135663 AMBULANCE SERVICES REVENUE 621999 75512 75512 27783977 616864 616864 24850 0 24850 24850 24850 1900 0 1900 1900 1900 CAFETERIA 722310 40504 40504 REBATES 900099 13722 13722 PROFESSIONAL FEES REVENUE 900099 5432 5432 32229 32229 91887 30229687 27875864 0 643614 X 4775 4775 560925 504832 56093 8443996 7599596 844400 89696 80726 8970 690264 621238 69026 662180 595962 66218 7802 7802 161182 161182 7071650 6364485 707165 44979 40481 4498 591399 532259 59140 380530 342477 38053 17880 16092 1788 290434 261391 29043 1544079 1389671 154408 464561 418105 46456 MEDICAL SUPPLIES & DRUG 2926662 2926662 REPAIRS & MAINTENANCE 482363 434127 48236 PROVIDER TAX 167205 167205 FOOD 155632 140069 15563 154331 138898 15433 24912525 22579051 2333474 0 1287 1428 12550144 18224491 4394008 3947690 370671 349129 160869 407691 25846738 17686249 8658763 8160489 2605530 2638455 28741272 33729373 2684641 2990317 245119 228583 8336013 8267058 158673 147315 1913519 1437655 13337965 13070928 X 15178394 5317162 224913 15341283 15403307 20658445 28741272 33729373 5317162 -62024 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1261 1261 0 PART II-B, LINE 1: A PORTION OF THE ORGANIZATION'S KHA DUES ARE USED FOR LOBBYING ACTIVITIES. APPROXIMATELY 11.2% OF DUES WERE FOR LOBBYING IN FYE 2024. 89350 89350 12722904 9613088 3109816 10887662 8073161 2814501 2146822 2146822 8160489 ASSETS WHOSE USE IS LIMITED 2638455 2638455 THIRD PARTY PAYABLE 1437655 1437655 X 30229687 0 30229687 0 30229687 24912525 0 24912525 0 24912525 PART X, LINE 2: 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 159880 159880 0.00640 2785952 6095433 0 0.00000 2945832 6095433 159880 0.00640 4800 4800 0.00020 21091 21091 0.00080 25891 25891 0.00100 2971723 6095433 185771 0.00740 1 3073505 4619373 6434342 -1814969 X 1 1 1 1 TRIGG COUNTY HOSPITAL INC 254 MAIN STREET CADIZ KY 42211 WWW.TRIGGHOSPITAL.ORG 600055 X X X TRIGG COUNTY HOSPITAL INC 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X HTTP://WWW.TRIGGHOSPITAL.ORG X X 1 22 1 HTTP://WWW.TRIGGHOSPITAL.ORG 0 1 X 100.000000000000 200.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.TRIGGHOSPITAL.ORG/GETPAGE.PHP?NAME=PATIENT_FINANCIAL_INFORMATIO X HTTPS://WWW.TRIGGHOSPITAL.ORG/GETPAGE.PHP?NAME=PATIENT_FINANCIAL_INFORMATIO X HTTPS://WWW.TRIGGHOSPITAL.ORG/GETPAGE.PHP?NAME=PATIENT_FINANCIAL_INFORMATIO X X X X X X 1 X 0 X X X X 1 X 0 0 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. 3 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 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. X X X 0 0 0 0 0 0 0 0 0 JOHN SUMNER CEO 237622 0 0 0 0 0 0 0 374 0 237996 0 0 0 JEANINE EVANS NURSE PRACTITIONER 150597 0 2114 0 0 0 2795 0 10308 0 165814 0 0 0 ASHLAND T PRICE PHARMACIST 139002 0 1235 0 0 0 4812 0 31688 0 176737 0 0 0 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. TRIGG COUNTY HOSPITAL FOUNDATION INC 254 MAIN STREET CADIZ KY 42211 061805018 EDUCATION KY 501(C)(3) LINE 7 1 TRIGG COUNTY PUBLIC HOSPITAL CORPORATION PO BOX 672 CADIZ KY 42211 611336530 GOV'T UNIT KY 501(A) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0