Liabilities / Assets
39th percentile
Higher debt load relative to assets than 39% of similar nonprofits.
990 • Fiscal year 2014 • EIN 61-0523298
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
39th percentile
Higher debt load relative to assets than 39% of similar nonprofits.
Liabilities / Revenue
51st percentile
Higher debt load relative to revenue than 51% of similar nonprofits.
Net Margin
73rd percentile
Higher net margin than 73% of similar nonprofits.
Top Officer Pay
16th percentile
Higher top officer pay than 16% of similar nonprofits.
Top officer pay equals 0.4% of source-year revenue.
Asset Growth
55th percentile
Faster asset growth than 55% of similar nonprofits.
Revenue Growth
Score unavailable
No earlier valid filing was available within the previous three public years.
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.
To provide quality medical healthcare to the grayson county, kentucky area.
| Line | Beginning | End | Change |
|---|---|---|---|
| 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 | Book Value | Depreciation | Basis |
|---|---|---|---|
| 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 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Shelby Shelman | Pharmacist | FT | $144,016 | $22,323 | $166,339 |
| Catherine D Clemons | Chief Operat | FT | $130,000 | $15,600 | $145,600 |
| David Fuller | Director of | FT | $127,119 | $12,712 | $139,831 |
| David Logsdon | Chief Nursin | FT | $119,995 | $8,769 | $128,764 |
| Anita Pleacher | Pharmacist | FT | $123,008 | $1,230 | $124,238 |
| Name | Title |
|---|---|
| Barry Joe Cannon | Director |
| Becky Miller | Director |
| Darrell Moll | Director |
| David Downs | Director |
| Derek Clemons | Director |
| L Brett Abney Od | Director |
| Larry Perkins | Director |
| Linda French | Director |
| Mark Lee Do | Director |
| Mike Boone | Director |
| Ron Tyrer | Director |
| Ted Rogers Md | Director |
| Trevor Ray | Director |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Alliance Corporation | Management Serv | - | $1,667,385 |
| Kentucky Hospital Insurance Program | Managment Servi | - | $918,144 |
| Alliant Management Services | Facility Mgmt C | - | $779,758 |
| Laboratory Corporation | Professional Se | - | $521,656 |
| Medical Billing Specialists LLC | Management Serv | - | $429,894 |
| Line Item | Amount |
|---|---|
| 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 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| 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 |
| Line Item | Amount |
|---|---|
| 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 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Isaac Miller | Son of Director | Physician Assist Pro | No | $125,000 |
| Dr Mark Lee | Director | Rent of Pharmacy Spa | No | $45,900 |
| - | Director | Rent of Office Space | No | $13,236 |
| Liability | Amount |
|---|---|
| Capital Lease | $1,331,038 |
| Long-term Debt | $878,259 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| B | 61-0523298 | 2009-12-09 | $12,530,000 | Fund hospital expansion project |
| A | 61-0523298 | 2007-04-15 | $5,930,000 | Refund existing 1978, 1993 & 1999 bonds and surgery department renovation |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| B | $12,110,840 | - | $1,671,191 | $207,813 |
| A | $5,755,733 | - | $2,923,936 | $118,395 |
“The chief executive officer and chief financial officer of the hospital are employed by alliant management services and are responsible for controlling management duties.”
“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.”
“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).”
“The form 990 is submitted to the governing board for review and approval before it is filed with the internal revenue service.”
“Corporate compliance requires each employee and board member to update and sign off on a conflict of interest policy on an annual basis.”
“Governing documents are made available upon request.”
“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.”
“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.”
“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”
“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”
“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.”
“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.”
“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”
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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| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE QUALITY MEDICAL HEALTHCARE TO THE GRAYSON COUNTY, KENTUCKY AREA. |
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| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 3088243 |
| IRS990/Desc | 0 | 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 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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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
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| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
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| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
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| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | 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. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 1 | OPERATING LOSS REPORTED UNDER ID 61-1269278 -5,189,512 |
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Displayed year
2014 • Form 990Detailed filing. Detailed filing data is available for this year.
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