Civic Intelligence

Grayson County Hospital Foundation

990 • Fiscal year 2016 • EIN 61-0523298

Jul 01, 2015 to Jun 30, 2016 • Filed on Dec 14, 2016

910 Wallace AveLeitchfield, KY 42754

(270) 259-9509

Siviq Scores

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

Liabilities / Assets

29th percentile

0.16x

Higher debt load relative to assets than 29% of similar nonprofits.

2016 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2016

Liabilities / Revenue

39th percentile

0.38x

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

2016 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2016

Net Margin

74th percentile

11%

Higher net margin than 74% of similar nonprofits.

2016 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2016

Top Officer Pay

6th percentile

$151,036

Higher top officer pay than 6% of similar nonprofits.

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

2016 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2016

Asset Growth

58th percentile

3.3%

Faster asset growth than 58% of similar nonprofits.

2016 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2015 to 2016

Revenue Growth

35th percentile

-1.5%

Faster revenue growth than 35% of similar nonprofits.

2016 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2015 to 2016

Assets

Up

$102,651,308

Up $3,278,788 (+3.3%) from 2015

Net Assets

Up

$86,324,388

Up $4,596,326 (+5.6%) from 2015

Liabilities

Down

$16,326,920

Down $1,317,538 (-7.5%) from 2015

Revenue

Down

$42,985,681

Down $637,522 (-1.5%) from 2015

Expenses

Up

$38,389,355

Up $1,001,525 (+2.7%) from 2015

Net Income

Down

$4,596,326

Down $1,639,047 (-26%) from 2015

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

2016

Assets$102,651,308
Liabilities$16,326,920
Net Assets$86,324,388

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

2016

Revenue$42,985,681
Expenses$38,389,355
Net Income$4,596,326
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
Dec 14, 2016
Return Version
2015v2.1
Gross Receipts
$43,315,592
Mission and Program Overview

Mission

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Other Notes and Loans Receivable, Net$35,339,205$38,707,915▲ $3,368,710
Land, Buildings, and Equipment, Net$33,400,165$31,405,349▼ $1,994,816
Cash and Non-Interest-Bearing Accounts$19,992,475$22,244,841▲ $2,252,366
Accounts Receivable$6,093,303$6,075,532▼ $17,771
Investments in Publicly Traded Securities$2,410,889$1,920,108▼ $490,781
Inventories for Sale or Use$1,628,952$1,844,239▲ $215,287
Prepaid Expenses and Deferred Charges$507,531$453,324▼ $54,207
Total Assets$99,372,520$102,651,308▲ $3,278,788
Liabilities
Tax Exempt Bond Liabilities$12,237,903$11,264,742▼ $973,161
Accounts Payable and Accrued Expenses$4,053,060$3,667,604▼ $385,456
Other Liabilities$1,353,495$1,394,574▲ $41,079
Total Liabilities$17,644,458$16,326,920▼ $1,317,538
Net Assets / Fund Balance
Unrestricted Net Assets$81,728,062$86,324,388▲ $4,596,326
Total Net Assets Fund Balance$81,728,062$86,324,388▲ $4,596,326
Total Liabilities and Net Assets / Fund Balance$99,372,520$102,651,308▲ $3,278,788

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$23,490,442$18,862,834$42,353,276
Equipment$6,023,964$17,106,248$23,130,212
Other Land Buildings$1,146,714$1,632,401$2,779,115
Land$744,229-$744,229
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Catherine D ClemonsChief OperatFT$133,036$18,000$151,036
Catherine D ClemonsChief Operating Offi-$133,036$18,000$151,036
Richard DonovanPharmacistFT$121,193$18,000$139,193
Angela GibsonPharmacistFT$136,450-$136,450
David LogsdonChief NursinFT$124,051$6,989$131,040
Anita PleacherPharmacistFT$127,947$1,279$129,226

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Alliant Management ServicesFacility Mgmt CPO BOX 35070, Louisville, KY 40232$695,512
Laboratory CorporationProfessional SePO BOX 12140, Burlington, NC 27216$657,228
Kentucky Hospital Insurance ProgramManagment Servi2501 NELSON MILLER PARKWAY, Louisville, KY 40223$531,476
The Morris Center For Sports MedicinProfessional SePO BOX 6890, Evansville, IN 47719$417,026
Proassurance Casualty CompanyProfessional SePO BOX 952295, Dallas, TX 75395-2295$369,343
Revenue and Support

Revenue Composition

Contributions and Grants
$12,939
Program Service Revenue
$42,251,358
Investment Income
$71,599
Other Revenue
$649,785
All Other Contributions
$12,939
Change in Net Assets
$4,596,326

Audited Revenue Reconciliation

Revenue per Audited Statements
$42,903,468
Revenue Not Reported on Financial Statements
$82,213
Other Revenue Adjustments
$82,213
Total Revenue per Audited Statements
$42,903,468
Total Revenue per Form 990
$42,985,681
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$26,113,154
Salaries, Compensation, and Employee Benefits$12,276,201
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$10,234,228$2,041,973-$12,276,201
All Other Expenses$5,459,109--$5,459,109
Depreciation Depletion$2,647,655$344,722-$2,992,377
Other Expenses$1,160,768$11,099,528-$1,160,768
Interest-$468,245-$468,245
Total Functional Expenses$24,434,887$13,954,468$0$38,389,355

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$42,233,257
Total Expenses per Form 990$38,389,355
Expenses per Audited Statements$38,307,142
Expenses Not Reported on Form 990$3,926,115
Expenses Not Reported on Financial Statements$82,213
Other Expense Adjustments$82,213
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$175,000
Dr Tarek El-masriDirectorRent of Pharmacy SpaNo$52,524
-DirectorRent of Office SpaceNo$37,884
-DirectorPurchase of Bldg MatNo$3,669
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Capital Lease$1,176,231
Long-term Debt$218,343

Bond Issues

BondIssuerIssuedIssue PricePurpose
BGrayson County Public Hospital Dist2014-08-28$9,970,000Refund existing 2009 bond issue.
AGrayson County Public Hospital Dist2007-04-15$5,930,000Refund existing 1978, 1993 & 1999 bonds and surgery department renovation

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$9,970,000-$200,000$131,358
A$5,755,733-$4,435,258$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
Corrective action procedures
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
Yes
Other officer compensation reviewed
Yes
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 15A

Alliant management services, acting as the management company, brings comparable national data to the board of directors for the board to determine what compensation is to be paid.

Form 990, Page 6, Part VI, Line 15B

Alliant management services, acting as the management company, brings comparable national data to the board of directors for the board to determine what compensation is to be paid.

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
2702599509
Address
910 WALLACE AVE, LEITCHFIELD, KY 42754
Doing Business As
Dba Twin Lakes Regional Medical

Signing Officer

Name
Scott Arndell
Title
CFO
Phone
2702599400
Signed
2016-12-14

Organization Details

Principal Officer
Scott Arndell
Formed
1956
Legal Domicile
Ky
Voting Board Members
10
Independent Board Members
10
Employees
509
Volunteers
45

Preparer

Firm
Buckles Travis Vanmeter & Hart Pllc
Address
PO BOX 4069, LEITCHFIELD, KY 42755-4069
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 2016 due to contractual agreements with payers amounted to 89,190,839. 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 4,163,652. 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 2,314 inpatients and 94,937 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. Based on the results of our latest community health needs assessment (chna), twin lakes regional medical center created the population health committee. This group is made up of hospital employees and representatives from the local health department, school system, local factories, extension service leaders, government officials and others. The committee meets monthly at the hospital and led the effort to get a smoke free community ordinance passed. The group is now working on making positive differences in the health of our community in such topics as diabetes, exercise, nutrition and general health. The hospital partnered with the university of kentucky cooperative extension service and hosted a local farmer's market on the hospital campus. Time and some advertising budget were given to promoting this effort to support local farmers and to make fresh vegetables more readily available to the community. 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. Countywide baby shower in grayson county - provides information to women who are pregnant or want to become pregnant d. Community-wide baby shower in breckinridge county - 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. Participated in united way meetngs h. Cpr classes at crosspoint church in leitchfield 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: i. Participated in operation preparation j. Assisted in providing translation services k. Participated in wilkey elementary health fair and career day l. Participated in mid-park health fair m. Participated in plastikon health fair n. Participated in health fair at hardinsburg elementary school o. Participated in nutrition day at clarkson elementary school p. Provided speakers for many health fairs, schools, and community events q. Participated in caneyville elementary school health fair in addition to serving our local community needs, tlrmc has also taken on measures to improv

Form 990, Part IX, Line 24E

Medical & surgical 929,063 0 0 materials management 886,297 0 0 surgery 780,417 0 0 physical therapy 715,602 0 0 wound care 470,372 0 0 emergency room 359,176 0 0 radiology 314,504 0 0 nuclear medicine 147,049 0 0 pain management 125,760 0 0 mri 123,173 0 0 sleep center 119,696 0 0 respiratory therapy 113,466 0 0 obstetrics 81,715 0 0 anesthesiology 80,546 0 0 ct scans 71,836 0 0 intensive care 70,148 0 0 specialty clinic 23,601 0 0 infusion center 19,201 0 0 cardiac 13,529 0 0 use of donated items 12,939 0 0 occupational therapy 872 0 0 fitness center 147 0 0

Form 990, Part XI, Line 9

Value of donated items -12,939 donated services -69,274 operating loss reported under id 61-1269278 -3,926,115 donated services 69,274 use of donated items 12,939 total -3,926,115

Financial Statement Notes

Schedule D, Page 3, Part X

The hospital as well as the foundation are not-for-profit corporations as described in section 501(c)(3) of the internal revenue code and are 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 or foundation during the current or prior reporting periods that would jeopardize or otherwise call into question the hospital or foundation'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 2014, 2015 and 2016 are subject to examination by the internal revenue service for three years after they were filed. Currently, the hospital and foundation have no reporting requirements with any state or local tax jurisdictions. The hospital has investment interest in three companies as described in note 8. 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 and foundation'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 4B

Value of donated items 12,939 donated services 69,274

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

Operating loss reported under id 61-1269278 3,926,115

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

Donated services 69,274 use of donated items 12,939

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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. ADDITIONAL CHARGES ARE WRITTEN OFF DUE TO ARRANGEMENTS WITH MEDICARE, MEDICAID, AND OTHER THIRD PARTIES. THE TOTAL UNREIMBURSED CHARGES FORGONE IN FISCAL YEAR 2016 DUE TO CONTRACTUAL AGREEMENTS WITH PAYERS AMOUNTED TO 89,190,839. 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 4,163,652. 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 2,314 INPATIENTS AND 94,937 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. BASED ON THE RESULTS OF OUR LATEST COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), TWIN LAKES REGIONAL MEDICAL CENTER CREATED THE POPULATION HEALTH COMMITTEE. THIS GROUP IS MADE UP OF HOSPITAL EMPLOYEES AND REPRESENTATIVES FROM THE LOCAL HEALTH DEPARTMENT, SCHOOL SYSTEM, LOCAL FACTORIES, EXTENSION SERVICE LEADERS, GOVERNMENT OFFICIALS AND OTHERS. THE COMMITTEE MEETS MONTHLY AT THE HOSPITAL AND LED THE EFFORT TO GET A SMOKE FREE COMMUNITY ORDINANCE PASSED. THE GROUP IS NOW WORKING ON MAKING POSITIVE DIFFERENCES IN THE HEALTH OF OUR COMMUNITY IN SUCH TOPICS AS DIABETES, EXERCISE, NUTRITION AND GENERAL HEALTH. THE HOSPITAL PARTNERED WITH THE UNIVERSITY OF KENTUCKY COOPERATIVE EXTENSION SERVICE AND HOSTED A LOCAL FARMER'S MARKET ON THE HOSPITAL CAMPUS. TIME AND SOME ADVERTISING BUDGET WERE GIVEN TO PROMOTING THIS EFFORT TO SUPPORT LOCAL FARMERS AND TO MAKE FRESH VEGETABLES MORE READILY AVAILABLE TO THE COMMUNITY. 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. COUNTYWIDE BABY SHOWER IN GRAYSON COUNTY - PROVIDES INFORMATION TO WOMEN WHO ARE PREGNANT OR WANT TO BECOME PREGNANT D. COMMUNITY-WIDE BABY SHOWER IN BRECKINRIDGE COUNTY - 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. PARTICIPATED IN UNITED WAY MEETNGS H. CPR CLASSES AT CROSSPOINT CHURCH IN LEITCHFIELD UPON REQUEST, THE HOSPITAL ALSO PARTICIPATES IN LOCAL EDUCATION BY PROVIDING HOS
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE HOSPITAL AS WELL AS THE FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE 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 OR FOUNDATION DURING THE CURRENT OR PRIOR REPORTING PERIODS THAT WOULD JEOPARDIZE OR OTHERWISE CALL INTO QUESTION THE HOSPITAL OR FOUNDATION'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 2014, 2015 AND 2016 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR THREE YEARS AFTER THEY WERE FILED. CURRENTLY, THE HOSPITAL AND FOUNDATION HAVE NO REPORTING REQUIREMENTS WITH ANY STATE OR LOCAL TAX JURISDICTIONS. THE HOSPITAL HAS INVESTMENT INTEREST IN THREE COMPANIES AS DESCRIBED IN NOTE 8. 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 AND FOUNDATION'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/ExplanationTxt1VALUE OF DONATED ITEMS 12,939 DONATED SERVICES 69,274
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2OPERATING LOSS REPORTED UNDER ID 61-1269278 3,926,115
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt3DONATED SERVICES 69,274 USE OF DONATED ITEMS 12,939
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 3, PART X
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE D, PAGE 4, PART XI, LINE 4B
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2SCHEDULE D, PAGE 4, PART XII, LINE 2D
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc3SCHEDULE D, PAGE 4, PART XII, LINE 4B
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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