Civic Intelligence

Grayson County Hospital Foundation

EIN 61-0523298 • 501(c)3 • Leitchfield, KY

Profile

To provide quality medical healthcare to the grayson county, kentucky area.

130 E Market StLeitchfield, KY 42754

www.tlrmc.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

66th percentile

0.19x

Higher debt load relative to assets than 66% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Liabilities / Revenue

82nd percentile

0.58x

Higher debt load relative to revenue than 82% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Net Margin

1st percentile

-490%

Higher net margin than 1% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

3rd percentile

-64%

Faster asset growth than 3% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2024 to 2025

Revenue Growth

75th percentile

27%

Faster revenue growth than 75% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2024 to 2025

Assets

Down

$3,268,951

Down $5,863,121 (-64%) from 2024

Liabilities

Down

$619,549

Down $650,999 (-51%) from 2024

Net Assets

Down

$2,649,402

Down $5,212,122 (-66%) from 2024

Revenue

Up

$1,064,214

Up $227,836 (+27%) from 2024

Expenses

Up

$6,276,336

Up $5,953,103 (+1842%) from 2024

Net Income

Down

-$5,212,122

Down $5,725,267 (-1116%) from 2024

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0Assets 2011: $78,881,905Liabilities 2011: $23,863,081Net Assets 2011: $55,018,8242011Assets 2012: $84,343,226Liabilities 2012: $21,809,546Net Assets 2012: $62,533,6802012Assets 2013: $89,831,944Liabilities 2013: $20,661,841Net Assets 2013: $69,170,1032013Assets 2014: $95,484,630Liabilities 2014: $19,991,941Net Assets 2014: $75,492,6892014Assets 2015: $99,372,520Liabilities 2015: $17,644,458Net Assets 2015: $81,728,0622015Assets 2016: $102,651,308Liabilities 2016: $16,326,920Net Assets 2016: $86,324,3882016Assets 2017: $102,636,354Liabilities 2017: $14,509,211Net Assets 2017: $88,127,1432017Assets 2018: $105,923,455Liabilities 2018: $13,601,895Net Assets 2018: $92,321,5602018Assets 2019: $110,745,874Liabilities 2019: $13,150,765Net Assets 2019: $97,595,1092019Assets 2020: $125,887,436Liabilities 2020: $21,683,488Net Assets 2020: $104,203,9482020Assets 2021: $32,465,444Liabilities 2021: $13,417,924Net Assets 2021: $19,047,5202021Assets 2022: $10,324,685Liabilities 2022: $2,629,561Net Assets 2022: $7,695,1242022Assets 2023: $8,670,057Liabilities 2023: $1,321,678Net Assets 2023: $7,348,3792023Assets 2024: $9,132,072Liabilities 2024: $1,270,548Net Assets 2024: $7,861,5242024Assets 2025: $3,268,951Liabilities 2025: $619,549Net Assets 2025: $2,649,4022025

Highlighted filing

2025

Assets$3,268,951
Liabilities$619,549
Net Assets$2,649,402

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$150M$100M$50M$0-$50M-$100MExpenses 2011: $36,089,6712011Expenses 2012: $39,460,9812012Expenses 2013: $37,364,2892013Revenue 2014: $43,615,990Expenses 2014: $37,070,227Net Income 2014: $6,545,7632014Revenue 2015: $43,623,203Expenses 2015: $37,387,830Net Income 2015: $6,235,3732015Revenue 2016: $42,985,681Expenses 2016: $38,389,355Net Income 2016: $4,596,3262016Revenue 2017: $41,001,604Expenses 2017: $39,198,849Net Income 2017: $1,802,7552017Revenue 2018: $44,216,448Expenses 2018: $40,022,031Net Income 2018: $4,194,4172018Revenue 2019: $47,698,538Expenses 2019: $42,424,989Net Income 2019: $5,273,5492019Revenue 2020: $49,637,267Expenses 2020: $43,028,428Net Income 2020: $6,608,8392020Revenue 2021: $21,552,095Expenses 2021: $106,708,523Net Income 2021: -$85,156,4282021Revenue 2022: $4,058,900Expenses 2022: $14,520,623Net Income 2022: -$10,461,7232022Revenue 2023: $260,133Expenses 2023: $606,878Net Income 2023: -$346,7452023Revenue 2024: $836,378Expenses 2024: $323,233Net Income 2024: $513,1452024Revenue 2025: $1,064,214Expenses 2025: $6,276,336Net Income 2025: -$5,212,1222025

Highlighted filing

2025

Revenue$1,064,214
Expenses$6,276,336
Net Income-$5,212,122

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$3.27$0.62$2.65$1.06$6.28$5.21
2024Detailed filing. Detailed filing data is available for this year.$9.13$1.27$7.86$0.84$0.32$0.51
2023Detailed filing. Detailed filing data is available for this year.$8.67$1.32$7.35$0.26$0.61$0.35
2022Detailed filing. Detailed filing data is available for this year.$10.3$2.63$7.70$4.06$14.5$10.5
2021Detailed filing. Detailed filing data is available for this year.$32.5$13.4$19.0$21.6$107$85.2
2020Detailed filing. Detailed filing data is available for this year.$126$21.7$104$49.6$43.0$6.61
2019Detailed filing. Detailed filing data is available for this year.$111$13.2$97.6$47.7$42.4$5.27
2018Detailed filing. Detailed filing data is available for this year.$106$13.6$92.3$44.2$40.0$4.19
2017Detailed filing. Detailed filing data is available for this year.$103$14.5$88.1$41.0$39.2$1.80
2016Detailed filing. Detailed filing data is available for this year.$103$16.3$86.3$43.0$38.4$4.60
2015Detailed filing. Detailed filing data is available for this year.$99.4$17.6$81.7$43.6$37.4$6.24
2014Detailed filing. Detailed filing data is available for this year.$95.5$20.0$75.5$43.6$37.1$6.55
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$89.8$20.7$69.2$37.4
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$84.3$21.8$62.5$39.5
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$78.9$23.9$55.0$36.1
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Jul 25, 2025
Return Version
2024v5.0
Gross Receipts
$1,064,214
Mission and Program Overview

Mission

To provide quality medical healthcare to the grayson county, kentucky area.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$5,375,136$2,157,478▼ $3,217,658
Cash and Non-Interest-Bearing Accounts$3,733,683$1,075,777▼ $2,657,906
Accounts Receivable-$27,945-
Prepaid Expenses and Deferred Charges$23,253$7,751▼ $15,502
Total Assets$9,132,072$3,268,951▼ $5,863,121
Liabilities
Accounts Payable and Accrued Expenses$1,270,548$619,549▼ $650,999
Total Liabilities$1,270,548$619,549▼ $650,999
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$7,861,524$2,649,402▼ $5,212,122
Total Net Assets Fund Balance$7,861,524$2,649,402▼ $5,212,122
Total Liabilities and Net Assets / Fund Balance$9,132,072$3,268,951▼ $5,863,121
Compensation and Service Providers

Board Members and Trustees

NameTitle
Trevor RayPresident
Brett Abney OdDirector
Dennis FentressDirector
Edwin MckinneySecretary/tr
David DownsVice-preside
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$309,656
Other Revenue
$754,558
Change in Net Assets
$-5,212,122
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$6,154,222
Other Expenses$122,114
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$6,154,222--$6,154,222
Insurance$50,502--$50,502
Other Expenses$65,443$1,000-$1,000
Total Functional Expenses$6,270,167$6,169$0$6,276,336
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Grayson County Healthcare FoundatioLeitchfield, KY-Successor Transfer$6,154,222
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Page 6, Part VI, Line 3

The foundation has contracted with buckles, travis & hart, pllc to manage the wind-down activities and with wayne meriweather with twin lakes healthcare consulting, llc to consult with the governing board regarding management decisions.

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

The five members of the board of directors are elected by the stockholders.

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 board member to update and sign off on a conflict of interest policy on an annual basis.

Form 990, Page 6, Part VI, Line 19

Governing documents are made available upon request.

Filing and Contact Details

Filer

Filer Name
Grayson County Hospital Foundation
EIN
61-0523298
Phone
2702593159
Address
130 E MARKET ST, LEITCHFIELD, KY 42754
Doing Business As
Dba Twin Lakes Regional Medical

Signing Officer

Name
Trevor Ray
Title
President
Phone
2708601127
Signed
2025-07-25
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Trevor Ray
Formed
1956
Legal Domicile
Ky
Voting Board Members
5
Independent Board Members
5
Employees
0

Preparer

Firm
Buckles Travis & Hart Pllc
Address
PO BOX 4069, LEITCHFIELD, KY 42755-4069
Preparer
Bradley K Travis
Phone
2702595604
Supplemental Narrative

Additional Explanations

Form 990, Page 2, Part III, Line 4A

Twin lakes regional medical center provides quality medical health care services to patients regardless of race, creed, sex, national origin, handicap, age, or the ability to pay. Although reimbursement for services rendered is critical to the operation and financial stability of twin lakes regional medical center, it is recognized that not all individuals possess the ability to purchase essential medical services. In keeping with our commitment to serve all members of this area, the hospital provides free care to the most indigent of patients and writes off portions of bills to other patients who have demonstrated the inability to pay for all health care services received. A letter of intent was signed on april 13, 2020 to transfer the operating assets of the grayson county hospital foundation, inc. (the "hospital") and the twin lakes medical foundation, inc. To owensboro health, inc., a not for profit health system. The transaction was finalized and became effective january 1, 2021. Under the terms of the agreement, a portion of the proceeds were used to satisfy the outstanding bonds issued by the grayson county public hospital district corporation (the "corporation"). Upon the defeasance of the bonds, the land and facilities owned by the corporation were transferred to a new corporation formed by owensboro health, owensboro health twin lakes regional medical center, inc., to operate the hospital. The net proceeds from the transaction and retained assets were transferred to the grayson county healthcare foundation, inc., a new not for profit corporation formed to provide grants and support healthcare in the county. After current obligations are fulfilled, it is management's intent to dissolve this entity; however, the time frame for the dissolution is uncertain at this time.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleI/RecipientTable/NonCashAssistanceDesc0N/A
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0SUCCESSOR TRANSFER
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0GRAYSON COUNTY HEALTHCARE FOUNDATIO
IRS990ScheduleI/RecipientTable/RecipientEIN0851907825
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0100 WABUCK DRIVE SUITE B
IRS990ScheduleI/RecipientTable/USAddress/CityNm0LEITCHFIELD
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0KY
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IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0GRAYSON COUNTY HOSPITAL FOUNDATION, INC. SOLD ITS ASSETS JANUARY 1, 2021 TO OWENSBORO HEALTH. THE HOSPITAL FOUNDATION REMAINED OPEN DUE TO LEGAL REASONS AS THEY WOUND DOWN ALL UNSOLVED MATTERS. IT WAS THE INTENT OF THE HOSPITAL FOUNDATION THAT ALL FUNDS WOULD BE TRANSFERRED TO THE GRAYSON COUNTY HEALTHCARE FOUNDATION, INC. AS THE HOSPITAL FOUNDATION CONTINUED TO WIND DOWN THEIR OPERATIONS; THEREBY ACCOUNTING FOR OTHER ASSISTANCE TO DOMESTIC ORGANIZATIONS. DUE TO THE UNIQUENESS OF THIS ARRANGEMENT, THE HOSPITAL FOUNDATION DOES NOT HAVE A MONITORING PLAN IN PLACE FOR THE ASSISTANCE, NOR ARE THERE ANY ELIGIBILITY REQUIREMENTS OR A SPECIFIC SELECTION PROCESS FOR AWARDING ASSISTANCE. THE GRAYSON COUNTY HEALTHCARE FOUNDATION, INC. WAS CREATED TO MONITOR HOSPITAL OPERATING ACTIVITIES TO INSURE CONTINUED COMPLIANCE WITH THE TERMS OF THE ASSET PURCHASE AGREEMENT WITH OWENSBORO HEALTH, STATEGIC MANAGEMENT AND INVESTMENT OF FUNDS RECEIVED FROM THE AFOREMENTIONED ASSET PURCHASE, EVALUATE HEALTHCARE NEEDS AND GRANTING FINANCIAL SUPPORT FOR THE BENEFIT OF LEITCHFIELD AND GRAYSON COUNTY, KENTUCKY RESIDENTS.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE I, PAGE 4, PART IV
IRS990ScheduleI/TotalOtherOrgCnt01
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IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0TWIN 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. A LETTER OF INTENT WAS SIGNED ON APRIL 13, 2020 TO TRANSFER THE OPERATING ASSETS OF THE GRAYSON COUNTY HOSPITAL FOUNDATION, INC. (THE "HOSPITAL") AND THE TWIN LAKES MEDICAL FOUNDATION, INC. TO OWENSBORO HEALTH, INC., A NOT FOR PROFIT HEALTH SYSTEM. THE TRANSACTION WAS FINALIZED AND BECAME EFFECTIVE JANUARY 1, 2021. UNDER THE TERMS OF THE AGREEMENT, A PORTION OF THE PROCEEDS WERE USED TO SATISFY THE OUTSTANDING BONDS ISSUED BY THE GRAYSON COUNTY PUBLIC HOSPITAL DISTRICT CORPORATION (THE "CORPORATION"). UPON THE DEFEASANCE OF THE BONDS, THE LAND AND FACILITIES OWNED BY THE CORPORATION WERE TRANSFERRED TO A NEW CORPORATION FORMED BY OWENSBORO HEALTH, OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER, INC., TO OPERATE THE HOSPITAL. THE NET PROCEEDS FROM THE TRANSACTION AND RETAINED ASSETS WERE TRANSFERRED TO THE GRAYSON COUNTY HEALTHCARE FOUNDATION, INC., A NEW NOT FOR PROFIT CORPORATION FORMED TO PROVIDE GRANTS AND SUPPORT HEALTHCARE IN THE COUNTY. AFTER CURRENT OBLIGATIONS ARE FULFILLED, IT IS MANAGEMENT'S INTENT TO DISSOLVE THIS ENTITY; HOWEVER, THE TIME FRAME FOR THE DISSOLUTION IS UNCERTAIN AT THIS TIME.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FOUNDATION HAS CONTRACTED WITH BUCKLES, TRAVIS & HART, PLLC TO MANAGE THE WIND-DOWN ACTIVITIES AND WITH WAYNE MERIWEATHER WITH TWIN LAKES HEALTHCARE CONSULTING, LLC TO CONSULT WITH THE GOVERNING BOARD REGARDING MANAGEMENT DECISIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE FIVE MEMBERS OF THE BOARD OF DIRECTORS ARE ELECTED BY THE STOCKHOLDERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE FORM 990 IS SUBMITTED TO THE GOVERNING BOARD FOR REVIEW AND APPROVAL BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5CORPORATE COMPLIANCE REQUIRES EACH BOARD MEMBER TO UPDATE AND SIGN OFF ON A CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 2, PART III, LINE 4A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 6
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IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PAGE 6, PART VI, LINE 19
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ReturnHeader/BuildTS02025-03-06 01:10:19Z
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ReturnHeader/BusinessOfficerGrp/PersonNm0TREVOR RAY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum02708601127
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-07-25
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0GRAYSON COUNTY HOSPITAL FOUNDATION
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ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0BUCKLES TRAVIS & HART PLLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 4069
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0LEITCHFIELD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0KY
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ReturnHeader/PreparerPersonGrp/PreparationDt02025-07-25
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0BRADLEY K TRAVIS
ReturnHeader/ReturnTs02025-08-07T08:52:30-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-07-01
ReturnHeader/TaxPeriodEndDt02025-06-30
ReturnHeader/TaxYr02024

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