Civic Intelligence

Grayson County Hospital Foundation

990 • Fiscal year 2014 • EIN 61-0523298

Jul 01, 2013 to Jun 30, 2014 • Filed on Nov 20, 2014

910 Wallace Ave42754

(270) 259-9509

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

39th percentile

0.21x

Higher debt load relative to assets than 39% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Liabilities / Revenue

51st percentile

0.46x

Higher debt load relative to revenue than 51% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Net Margin

73rd percentile

15%

Higher net margin than 73% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Top Officer Pay

16th percentile

$166,339

Higher top officer pay than 16% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Asset Growth

55th percentile

6.3%

Faster asset growth than 55% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

Up

$95,484,630

Up $5,652,686 (+6.3%) from 2013

Net Assets

Up

$75,492,689

Up $6,322,586 (+9.1%) from 2013

Liabilities

Down

$19,991,941

Down $669,900 (-3.2%) from 2013

Revenue

$43,615,990

No earlier filing loaded for comparison.

Expenses

Down

$37,070,227

Down $294,062 (-0.8%) from 2013

Net Income

$6,545,763

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2014

Assets$95,484,630
Liabilities$19,991,941
Net Assets$75,492,689

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2014

Revenue$43,615,990
Expenses$37,070,227
Net Income$6,545,763
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
Nov 20, 2014
Return Version
2013v3.1
Gross Receipts
$44,093,506
Mission and Program Overview

Mission

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$39,892,532$38,222,021▼ $1,670,511
Other Notes and Loans Receivable, Net$26,330,430$31,666,903▲ $5,336,473
Cash and Non-Interest-Bearing Accounts$13,510,428$15,884,508▲ $2,374,080
Accounts Receivable$6,074,456$5,383,805▼ $690,651
Investments in Publicly Traded Securities$2,131,113$2,285,785▲ $154,672
Inventories for Sale or Use$1,533,555$1,466,070▼ $67,485
Prepaid Expenses and Deferred Charges$359,430$575,538▲ $216,108
Total Assets$89,831,944$95,484,630▲ $5,652,686
Liabilities
Tax Exempt Bond Liabilities$15,299,875$14,164,873▼ $1,135,002
Accounts Payable and Accrued Expenses$3,815,550$3,617,771▼ $197,779
Other Liabilities$1,546,416$2,209,297▲ $662,881
Total Liabilities$20,661,841$19,991,941▼ $669,900
Net Assets / Fund Balance
Unrestricted Net Assets$69,170,103$75,492,689▲ $6,322,586
Total Net Assets Fund Balance$69,170,103$75,492,689▲ $6,322,586
Total Liabilities and Net Assets / Fund Balance$89,831,944$95,484,630▲ $5,652,686

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$28,786,720$16,204,000$44,990,720
Equipment$7,191,795$14,313,188$21,504,983
Other Land Buildings$1,179,514$1,486,558$2,666,072
Land$1,063,992-$1,063,992
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Shelby ShelmanPharmacistFT$144,016$22,323$166,339
Catherine D ClemonsChief OperatFT$130,000$15,600$145,600
David FullerDirector ofFT$127,119$12,712$139,831
David LogsdonChief NursinFT$119,995$8,769$128,764
Anita PleacherPharmacistFT$123,008$1,230$124,238

Board Members and Trustees

NameTitle
Barry Joe CannonDirector
Becky MillerDirector
Darrell MollDirector
David DownsDirector
Derek ClemonsDirector
L Brett Abney OdDirector
Larry PerkinsDirector
Linda FrenchDirector
Mark Lee DoDirector
Mike BooneDirector
Ron TyrerDirector
Ted Rogers MdDirector
Trevor RayDirector

Highest Paid Contractors

ContractorServicesLocationCompensation
Alliance CorporationManagement Serv-$1,667,385
Kentucky Hospital Insurance ProgramManagment Servi-$918,144
Alliant Management ServicesFacility Mgmt C-$779,758
Laboratory CorporationProfessional Se-$521,656
Medical Billing Specialists LLCManagement Serv-$429,894
Revenue and Support

Revenue Composition

Contributions and Grants
$22,726
Program Service Revenue
$41,401,308
Investment Income
$211,948
Other Revenue
$1,980,008
All Other Contributions
$22,726
Change in Net Assets
$6,545,763

Audited Revenue Reconciliation

Revenue per Audited Statements
$43,519,753
Revenue Not Reported on Financial Statements
$96,237
Revenue Not Reported on Form 990
$-5,189,512
Other Revenue Adjustments
$96,237
Total Revenue per Audited Statements
$38,330,241
Total Revenue per Form 990
$43,615,990
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$25,128,206
Salaries, Compensation, and Employee Benefits$11,942,021
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$10,027,368$1,914,653-$11,942,021
All Other Expenses$4,900,228--$4,900,228
Depreciation Depletion$2,730,933$357,310-$3,088,243
Other Expenses$1,860,833$9,657,973-$1,860,833
Interest-$824,100-$824,100
Total Functional Expenses$24,316,191$12,754,036$0$37,070,227

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$37,070,227
Expenses per Audited Statements$36,973,990
Total Expenses per Audited Statements$36,973,990
Expenses Not Reported on Financial Statements$96,237
Other Expense Adjustments$96,237
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Isaac MillerSon of DirectorPhysician Assist ProNo$125,000
Dr Mark LeeDirectorRent of Pharmacy SpaNo$45,900
-DirectorRent of Office SpaceNo$13,236
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Capital Lease$1,331,038
Long-term Debt$878,259

Bond Issues

BondIssuerIssuedIssue PricePurpose
B61-05232982009-12-09$12,530,000Fund hospital expansion project
A61-05232982007-04-15$5,930,000Refund existing 1978, 1993 & 1999 bonds and surgery department renovation

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$12,110,840-$1,671,191$207,813
A$5,755,733-$2,923,936$118,395

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
Yes
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
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Page 6, Part VI, Line 3

The chief executive officer and chief financial officer of the hospital are employed by alliant management services and are responsible for controlling management duties.

Form 990, Page 6, Part VI, Line 6

The organization has stockholders. Each share of stock is valued at 25. Stockholders must be at least 18 years old and a resident of grayson county, kentucky.

Form 990, Page 6, Part VI, Line 7A

Nine members of the board of directors are elected by the stockholders and the other member is the president of the medical staff (whom is voted on by the medical staff).

Form 990, Page 6, Part VI, Line 11B

The form 990 is submitted to the governing board for review and approval before it is filed with the internal revenue service.

Form 990, Page 6, Part VI, Line 12C

Corporate compliance requires each employee and board member to update and sign off on a conflict of interest policy on an annual basis.

Form 990, Page 6, Part VI, Line 19

Governing documents are made available upon request.

Filing and Contact Details

Filer

EIN
61-0523298
Phone
2702599509

Signing Officer

Name
Scott Arndell
Title
Chief Financial Officer
Phone
2702599509
Signed
2014-11-20

Organization Details

Principal Officer
Scott Arndell
Formed
1956
Legal Domicile
Ky
Voting Board Members
10
Independent Board Members
10
Employees
445
Volunteers
40

Preparer

Preparer
Bradley K Travis
Phone
2702595604
Supplemental Narrative

Additional Explanations

Form 990, Page 1, Part I, Line 6

The twin lakes regional medical center (tlrmc) hospital auxiliary exists to support tlrmc in meeting the health care needs of the people it serves in the most caring, compassionate, and effective manner possible. The volunteers support the emotional well-being of the patients utilizing the hospital's services. They provide a friendly, caring and helpful atmosphere for patients and their families, and the hospital staff. Duties include staffing the information desk in the main lobby, providing general hospital information and directions to patients and the public, providing escorts when needed, and delivering flowers to patients. They volunteer in the specialty clinic, outpatient surgery and emergency department. The volunteers operate the gift shop located in the hospital. They make sock monkeys and other stuffed animals for children coming to the hospital. The animals are given to the young patients and their families at no charge. The volunteers raise the money needed to purchase any supplies and donate materials in addition to their time and talents. They give flowers to hospitalized patients on certain holidays and make "santa going home" outfits for all babies born at the hospital in december. The auxiliary has donated thousands of dollars in equipment to the hospital throughout the years.

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

Additional charges are written off due to arrangements with medicare, medicaid, and other third parties. The total unreimbursed charges forgone in fiscal year 2014 due to contractual agreements with payers amounted to 69,677,364. Also, 696,857 was paid as a "provider tax" to the commonwealth of kentucky to help defray the costs of covering indigent patients under a special state program. Write-offs from patients "unwilling" to pay - i.e. Bad debts - accounted for 6,014,848. The primary mission of twin lakes regional medical center is to heal the sick, relieve pain and suffering, and improve the quality of life for the people we serve. Tlrmc's vision is to be recognized by the people we serve as the provider of choice for their health care needs and as a leading force for progressive change within our community. To enhance quality, the hospital actively operates a performance improvement program which helps identify better patient care as well as efficiencies in operations. To enhance our community, tlrmc proves to be a driving force in change by educating the community on health & wellness issues and by recognizing community needs and working to fulfill those needs. The hospital cared for 2,426 inpatients and 92,204 outpatients. To assist those patients with limited resources, tlrmc also offers a patient financial assistance program. There are several options for patients who are uninsured or underinsured, and tlrmc's patient financial services department educates the patients of the different programs. The hospital provided free meeting space to several groups throughout the year and several classes were sponsored by the hospital that educated interested community residents on health & wellness issues. They include: a. C.p.r. To healthcare providers and to the community b. Prepared childbirth and breast feeding classes c. Summer work program available for those interested in a healthcare career d. Countywide baby shower - provides information to women who are pregnant or want to become pregnant e. Sponsors the american red cross blood mobile two or three times each year f. Provided health information at the relay for life g. Co-sponsored the colon cancer awareness event h. "love your heart" expo provided heart health information and free screenings i. Provided community fitness and my plate nutrition classes at several events in the community upon request, the hospital also participates in local education by providing hospital employees as speakers for classrooms or civic organizations such as the following examples: j. Participated in the first baptist church health fair k. Participated in the gchs health fair l. Participated in the head start safety resource fair m. Participated in the grayson county high school career day n. Participated in the breckinridge/grayson county health fair program o. Participated in the horses & hope breast cancer awareness event p. Participated in the community halloween safe spot q. Participated in the wrecc school safety days r. Participated in operation preparation s. Provided speakers for many health fairs, schools, and community events in addition to serving our local community needs, tlrmc has also taken on measures to improve america. By participating in the code green - recycling project, tlrmc hopes to reduce waste and improve the environment. Twin lakes regional medical center's board of directors has pledged to buy american-made products when we can find a product of equal or greater quality. Tlrmc encourages other companies and individuals to do the same.

Form 990, Part IX, Line 24E

Materials management 1,406,612 0 0 medical & surgical 809,848 0 0 surgery 684,119 0 0 wound care 386,293 0 0 radiology 349,400 0 0 emergency room 316,442 0 0 nuclear medicine 148,068 0 0 mri 131,991 0 0 ct scans 111,873 0 0 sleep center 111,321 0 0 respiratory therapy 107,056 0 0 anesthesiology 87,320 0 0 obstetrics 76,088 0 0 intensive care 65,319 0 0 physical therapy 38,057 0 0 use of donated items 22,526 0 0 specialty clinic 19,532 0 0 infusion center 16,569 0 0 cardiac 10,598 0 0 occupational therapy 1,069 0 0 fitness center 127 0 0

Form 990, Part XI, Line 9

Operating loss reported under id 61-1269278 -5,189,512 value of donated items -22,526 donated services -73,711 donated services 73,711 use of donated items 22,526

Form 990, Part XI, Line 9

Operating loss reported by tlmf 5,189,512 prior period adj due to gasb 65 223,177 the difference reported is the operating loss reported by twin lakes medical foundation, inc. Ein 61-1269278 (5,189,512) and a prior period adjustment that was required due to the implementation of gasb no. 65 which required bond issuance costs to be recognized as an expense when incurred rather than amortizing these costs over the life of the bond (223,177)- the operating loss is reflected on the reconciliation to the financial statements on schedule d.

Financial Statement Notes

Schedule D, Page 3, Part X

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 and state income taxes on related income pursuant to section 501 (a) of the code. Accordingly, no provision for income taxes has been reflected in the hospital's financial statements. Management is not aware of any activity within the hospital during the current or prior reporting periods that would jeopardize or otherwise call into question the hospital's compliance with the above internal revenue code section. The organization's federal return of organization exempt from income tax (form 990) for fiscal years 2012, 2013 and 2014 are subject to examination by the internal revenue service for three years after they were filed. Currently, the hospital has no reporting requirements with any state or local tax jurisdictions. The hospital has investment interest in two companies. The hospital believes that it has appropriate support for any tax positions taken, and as such, does not have any uncertain tax positions that are material to the financial statements. The hospital's policy for recording any tax related interest and penalties is to recognize these items as operating expenses; however, none were incurred or recorded during the current or prior open operating periods.

Schedule D, Page 4, Part XI, Line 2D

Operating loss reported under id 61-1269278 -5,189,512

Schedule D, Page 4, Part XI, Line 4B

Value of donated items 22,526 donated services 73,711

Schedule D, Page 4, Part XII, Line 4B

Donated services 73,711 use of donated items 22,526

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IRS990/Desc0TWIN 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 ITS 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. THE AMOUNT OF CHARGES FORGONE RELATED TO "CHARITY CARE" AMOUNTED TO 2,053,888 IN THE FISCAL YEAR ENDING JUNE 30, 2014. ADDITIONAL CHARGES ARE WRITTEN OFF DUE TO ARRANGEMENTS WITH MEDICARE, MEDICAID, AND OTHER THIRD PARTIES. THE TOTAL UNREIMBURSED CHARGES FORGONE IN FISCAL YEAR 2014 DUE TO CONTRACTUAL AGREEMENTS WITH PAYERS AMOUNTED TO 69,677,364. ALSO, 696,857 WAS PAID AS A "PROVIDER TAX" TO THE COMMONWEALTH OF KENTUCKY TO HELP DEFRAY THE COSTS OF COVERING INDIGENT PATIENTS UNDER A SPECIAL STATE PROGRAM. WRITE-OFFS FROM PATIENTS "UNWILLING" TO PAY - I.E. BAD DEBTS - ACCOUNTED FOR 6,014,848. THE PRIMARY MISSION OF TWIN LAKES REGIONAL MEDICAL CENTER IS TO HEAL THE SICK, RELIEVE PAIN AND SUFFERING, AND IMPROVE THE QUALITY OF LIFE FOR THE PEOPLE WE SERVE. TLRMC'S VISION IS TO BE RECOGNIZED BY THE PEOPLE WE SERVE AS THE PROVIDER OF CHOICE FOR THEIR HEALTH CARE NEEDS AND AS A LEADING FORCE FOR PROGRESSIVE CHANGE WITHIN OUR COMMUNITY. TO ENHANCE QUALITY, THE HOSPITAL ACTIVELY OPERATES A PERFORMANCE IMPROVEMENT PROGRAM WHICH HELPS IDENTIFY BETTER PATIENT CARE AS WELL AS EFFICIENCIES IN OPERATIONS. TO ENHANCE OUR COMMUNITY, TLRMC PROVES TO BE A DRIVING FORCE IN CHANGE BY EDUCATING THE COMMUNITY ON HEALTH & WELLNESS ISSUES AND BY RECOGNIZING COMMUNITY NEEDS AND WORKING TO FULFILL THOSE NEEDS. THE HOSPITAL CARED FOR 2,426 INPATIENTS AND 92,204 OUTPATIENTS. TO ASSIST THOSE PATIENTS WITH LIMITED RESOURCES, TLRMC ALSO OFFERS A PATIENT FINANCIAL ASSISTANCE PROGRAM. THERE ARE SEVERAL OPTIONS FOR PATIENTS WHO ARE UNINSURED OR UNDERINSURED, AND TLRMC'S PATIENT FINANCIAL SERVICES DEPARTMENT EDUCATES THE PATIENTS OF THE DIFFERENT PROGRAMS. THE HOSPITAL PROVIDED FREE MEETING SPACE TO SEVERAL GROUPS THROUGHOUT THE YEAR AND SEVERAL CLASSES WERE SPONSORED BY THE HOSPITAL THAT EDUCATED INTERESTED COMMUNITY RESIDENTS ON HEALTH & WELLNESS ISSUES. THEY INCLUDE: A. C.P.R. TO HEALTHCARE PROVIDERS AND TO THE COMMUNITY B. PREPARED CHILDBIRTH AND BREAST FEEDING CLASSES C. SUMMER WORK PROGRAM AVAILABLE FOR THOSE INTERESTED IN A HEALTHCARE CAREER D. COUNTYWIDE BABY SHOWER - PROVIDES INFORMATION TO WOMEN WHO ARE PREGNANT OR WANT TO BECOME PREGNANT E. SPONSORS THE AMERICAN RED CROSS BLOOD MOBILE TWO OR THREE TIMES EACH YEAR F. PROVIDED HEALTH INFORMATION AT THE RELAY FOR LIFE G. CO-SPONSORED THE COLON CANCER AWARENESS EVENT H. "LOVE YOUR HEART" EXPO PROVIDED HEART HEALTH INFORMATION AND FREE SCREENINGS I. PROVIDED COMMUNITY FITNESS AND MY PLATE NUTRITION CLASSES AT SEVERAL EVENTS IN THE COMMUNITY UPON REQUEST, THE HOSPITAL ALSO PARTICIPATES IN LOCAL EDUCATION BY PROVIDING HOSPITAL EMPLOYEES AS SPEAKERS FOR CLASSROOMS OR CIVIC ORGANIZATIONS SUCH AS THE FOLLOWING EXAMPLES: J. PARTICIPATED IN THE FIRST BAPTIST CHURCH HEALTH FAIR K. PARTICIPATED IN THE GCHS HEALTH FAIR L. PARTICIPATED IN THE HEAD START SAFETY RESOURCE FAIR M. PARTICIPATED IN THE GRAYSON COUNTY HIGH SCHOOL CAREER DAY N. PARTICIPATED IN THE BRECKINRIDGE/GRAYSON COUNTY HEALTH FAIR PROGRAM O. PARTICIPATED IN THE HORSES & HOPE BREAST CANCER AWARENESS EVENT P. PARTICIPATED IN THE COMMUNITY HALLOWEEN SAFE SPOT Q. PARTICIPATED IN THE WRECC SCHOOL SAFETY DAYS R. PARTICIPATED IN OPERATION PREPARATION S. PROVIDED SPEAKERS FOR MANY HEALTH FAIRS, SCHOOLS, AND COMMUNITY EVENTS IN ADDITION TO SERVING OUR LOCAL COMMUNITY NEEDS, TLRMC HAS ALSO TAK
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501 (A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN REFLECTED IN THE HOSPITAL'S FINANCIAL STATEMENTS. MANAGEMENT IS NOT AWARE OF ANY ACTIVITY WITHIN THE HOSPITAL DURING THE CURRENT OR PRIOR REPORTING PERIODS THAT WOULD JEOPARDIZE OR OTHERWISE CALL INTO QUESTION THE HOSPITAL'S COMPLIANCE WITH THE ABOVE INTERNAL REVENUE CODE SECTION. THE ORGANIZATION'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) FOR FISCAL YEARS 2012, 2013 AND 2014 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR THREE YEARS AFTER THEY WERE FILED. CURRENTLY, THE HOSPITAL HAS NO REPORTING REQUIREMENTS WITH ANY STATE OR LOCAL TAX JURISDICTIONS. THE HOSPITAL HAS INVESTMENT INTEREST IN TWO COMPANIES. THE HOSPITAL BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE HOSPITAL'S POLICY FOR RECORDING ANY TAX RELATED INTEREST AND PENALTIES IS TO RECOGNIZE THESE ITEMS AS OPERATING EXPENSES; HOWEVER, NONE WERE INCURRED OR RECORDED DURING THE CURRENT OR PRIOR OPEN OPERATING PERIODS.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1OPERATING LOSS REPORTED UNDER ID 61-1269278 -5,189,512

Document Assets

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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
Peer Organizations

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