Civic Intelligence

Grayson County Hospital Foundation

990 • Fiscal year 2018 • EIN 61-0523298

Jul 01, 2017 to Jun 30, 2018 • Filed on May 09, 2019

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

28th percentile

0.13x

Higher debt load relative to assets than 28% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Liabilities / Revenue

37th percentile

0.31x

Higher debt load relative to revenue than 37% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Net Margin

66th percentile

9.5%

Higher net margin than 66% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Top Officer Pay

6th percentile

$149,294

Higher top officer pay than 6% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Asset Growth

51st percentile

3.2%

Faster asset growth than 51% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2017 to 2018

Revenue Growth

59th percentile

7.8%

Faster revenue growth than 59% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2017 to 2018

Assets

Up

$105,923,455

Up $3,287,101 (+3.2%) from 2017

Net Assets

Up

$92,321,560

Up $4,194,417 (+4.8%) from 2017

Liabilities

Down

$13,601,895

Down $907,316 (-6.3%) from 2017

Revenue

Up

$44,216,448

Up $3,214,844 (+7.8%) from 2017

Expenses

Up

$40,022,031

Up $823,182 (+2.1%) from 2017

Net Income

Up

$4,194,417

Up $2,391,662 (+133%) from 2017

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

2018

Assets$105,923,455
Liabilities$13,601,895
Net Assets$92,321,560

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

2018

Revenue$44,216,448
Expenses$40,022,031
Net Income$4,194,417
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 9, 2019
Return Version
2017v2.3
Gross Receipts
$44,534,371
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$42,145,706$46,408,868▲ $4,263,162
Land, Buildings, and Equipment, Net$29,369,002$27,328,387▼ $2,040,615
Cash and Non-Interest-Bearing Accounts$21,173,806$21,882,393▲ $708,587
Accounts Receivable$5,712,173$6,023,179▲ $311,006
Investments in Publicly Traded Securities$2,016,379$2,104,453▲ $88,074
Inventories for Sale or Use$1,822,850$1,672,239▼ $150,611
Prepaid Expenses and Deferred Charges$396,438$503,936▲ $107,498
Total Assets$102,636,354$105,923,455▲ $3,287,101
Liabilities
Tax Exempt Bond Liabilities$10,356,581$9,405,000▼ $951,581
Accounts Payable and Accrued Expenses$3,080,764$3,540,345▲ $459,581
Other Liabilities$1,071,866$656,550▼ $415,316
Total Liabilities$14,509,211$13,601,895▼ $907,316
Net Assets / Fund Balance
Unrestricted Net Assets$88,127,143$92,321,560▲ $4,194,417
Total Net Assets Fund Balance$88,127,143$92,321,560▲ $4,194,417
Total Liabilities and Net Assets / Fund Balance$102,636,354$105,923,455▲ $3,287,101

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$21,828,549$21,681,920$43,510,469
Equipment$3,799,547$20,106,732$23,906,279
Other Land Buildings$1,046,062$1,753,553$2,799,615
Land$654,229-$654,229
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Catherine D ClemonsChief OperatFT$139,046$10,248$149,294
Angela GibsonDirector ofFT$139,736$4,192$143,928
Richard DonovanPharmacist-$126,709$16,472$143,181
Anita PleacherPharmacistFT$130,011$1,300$131,311

Board Members and Trustees

NameTitle
Trevor RayPresident
Becky MillerDirector
Glenna BlackDirector
Joel BernardDirector
Kevin BrooksDirector
Linda FrenchDirector
Ryan BratcherDirector
Sam Buck MdDirector
Wayne MeriwetherCEO
Edwin MckinneySecretary/tr
David DownsVice-preside

Highest Paid Contractors

ContractorServicesLocationCompensation
Laboratory Corporation Of AmericaProfessional SePO BOX 12140, Burlington, NC 27216$527,201
Samer BleibelProfessional Se304 WALLACE AVE, Leitchfield, KY 42754$417,340
Andrew Jenkins MdProfessional Se223 BYRTLE GROVE RD, Leitchfield, KY 42754$291,760
Rhino Medical ServicesProfessional Se2000 E LAMAR BLVD STE 250, Arlington, TX 76006$278,234
Johnson Controls INCProfessional SePO BOX 730068, Dallas, TX 75373$146,832
Revenue and Support

Revenue Composition

Contributions and Grants
$10,649
Program Service Revenue
$42,243,675
Investment Income
$382,410
Other Revenue
$1,579,714
All Other Contributions
$10,649
Change in Net Assets
$4,194,417

Audited Revenue Reconciliation

Revenue per Audited Statements
$44,144,965
Revenue Not Reported on Financial Statements
$71,483
Other Revenue Adjustments
$71,483
Total Revenue per Audited Statements
$44,144,965
Total Revenue per Form 990
$44,216,448
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$26,504,646
Salaries, Compensation, and Employee Benefits$13,517,385
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$11,182,233$2,335,152-$13,517,385
All Other Expenses$6,091,512--$6,091,512
Depreciation Depletion$2,254,674$325,635-$2,580,309
Other Expenses$1,866,312$11,290,955-$1,866,312
Interest-$366,793-$366,793
Total Functional Expenses$25,703,496$14,318,535$0$40,022,031

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$42,826,002
Total Expenses per Form 990$40,022,031
Expenses per Audited Statements$39,950,548
Expenses Not Reported on Form 990$2,875,454
Expenses Not Reported on Financial Statements$71,483
Other Expense Adjustments$71,483
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$79,167
Dr Kenneth GreenDirectorRent of Pharmacy SpaNo$52,524
-DirectorRent of Office SpaceNo$18,420
-DirectorPurchase of Bldg MatNo$1,469
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Capital Lease$383,515
Long-term Debt$273,035

Bond Issues

BondIssuerIssuedIssue PricePurpose
AGrayson County Public Hospital Dist2014-08-28$9,970,000Refund existing 2009 bond issue.

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$9,970,000-$565,000$131,358

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
Wayne Meriwether
Title
CEO
Phone
2702599509
Signed
2019-05-09

Organization Details

Principal Officer
Wayne Meriwether
Formed
1956
Legal Domicile
Ky
Voting Board Members
10
Independent Board Members
10
Employees
494
Volunteers
54

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 1, Part I, Line 6

The purpose of the hospital vounteer auxiliary is to render service to twin lakes regional medical center, its patients and staff, and to assist the hospital in promoting the health and welfare of the community in accordance with objectives established by the hospital. The mission of the volunteer auxiliary is to "support twin lakes regional medical center in meeting the health care needs of the people it serves in the most caring, compassionate, and effective manner possible." the auxiliary's primary duty within the hospital is staffing the information desk in the main lobby from 8 a.m. - 4 p.m., monday - friday. Routine duties there include providing general hospital information and directions to patients and the public; making wheelchairs available to visitors and patients; assisting people register using the digital registration kiosk; providing escorts when needed; and delivering flowers to patients. The volunteers also operate the tlrmc gift shop. Proceeds from the gift shop are used by the volunteers to provide scholarships and to purchase equipment for the hospital such as blanket warmers, wheelchairs, televisions, and other items. Members of the auxiliary hand 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. The sock monkey program has been honored by the kentucky hospital association.

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 2018 due to contractual agreements with payers amounted to 92,995,823.53. 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 3,985,132.64. 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 1,985 inpatients and 96,423 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 in three of our communities. 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. Under the leadership of the hospital and the local master gardeners association, the wallace avenue community garden became a reality in the spring of 2018. At the ribbon cutting for the garden in may, wayne meriwether, ceo of twin lakes regional medical center told the forty plus people there the story about how the community garden project came to be. "in the most recent community health needs assessment the hospital performed, nutrition and obesity were two of the top health challenges facing the people living here. When compared nationally and statewide, grayson county ranks low in several key areas including diabetes and diabetes deaths; adult obesity; limited access to healthy food; and the percent of low income residents that do not live close to a grocery store." the population health committee partnered with the master gardeners in building the community garden to help reverse the negative nutrition trends. Research and planning for the community garden had been going on for over three years. The group found several community gardens to base a grayson county program on including ones in owensboro and bowling green. Each gardeneer was assigned either a 48 square foot or 80 square foot raised bed plot to use throughout the growing season for a nominal fee. 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. County-wide baby shower in grayson county - provides information to women who are pregnant or want to become pregnant d. Sponsors the american red cross blood mobile multiple times each year e. Provided health informat

Form 990, Part IX, Line 24E

Materials management 1,080,263 0 0 medical & surgical 973,186 0 0 physical therapy 872,938 0 0 emergency room 634,152 0 0 surgery 601,374 0 0 wound care 441,920 0 0 radiology 335,016 0 0 provider based clinics 213,747 0 0 nuclear medicine 150,716 0 0 respiratory therapy 124,879 0 0 mri 121,665 0 0 obstetrics 104,658 0 0 pain management 101,488 0 0 sleep center 87,477 0 0 ct scans 67,222 0 0 intensive care 59,687 0 0 anesthesiology 53,581 0 0 infusion center 22,257 0 0 specialty clinic 16,484 0 0 cardiac 15,783 0 0 use of donated items 10,624 0 0 occupational medicine 1,887 0 0 occupational therapy 508 0 0 total 6,091,512 0 0

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 2016, 2017 and 2018 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 hosptial 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 10,974 donated services 60,509

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

Operating loss reported under id 61-1269278 2,875,454

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

Donated services 60,509 use of donated items 10,974

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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 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. ADDITIONAL CHARGES ARE WRITTEN OFF DUE TO ARRANGEMENTS WITH MEDICARE, MEDICAID, AND OTHER THIRD PARTIES. THE TOTAL UNREIMBURSED CHARGES FORGONE IN FISCAL YEAR 2018 DUE TO CONTRACTUAL AGREEMENTS WITH PAYERS AMOUNTED TO 92,995,823.53. 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 3,985,132.64. 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 1,985 INPATIENTS AND 96,423 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 IN THREE OF OUR COMMUNITIES. 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. UNDER THE LEADERSHIP OF THE HOSPITAL AND THE LOCAL MASTER GARDENERS ASSOCIATION, THE WALLACE AVENUE COMMUNITY GARDEN BECAME A REALITY IN THE SPRING OF 2018. AT THE RIBBON CUTTING FOR THE GARDEN IN MAY, WAYNE MERIWETHER, CEO OF TWIN LAKES REGIONAL MEDICAL CENTER TOLD THE FORTY PLUS PEOPLE THERE THE STORY ABOUT HOW THE COMMUNITY GARDEN PROJECT CAME TO BE. "IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT THE HOSPITAL PERFORMED, NUTRITION AND OBESITY WERE TWO OF THE TOP HEALTH CHALLENGES FACING THE PEOPLE LIVING HERE. WHEN COMPARED NATIONALLY AND STATEWIDE, GRAYSON COUNTY RANKS LOW IN SEVERAL KEY AREAS INCLUDING DIABETES AND DIABETES DEATHS; ADULT OBESITY; LIMITED ACCESS TO HEALTHY FOOD; AND THE PERCENT OF LOW INCOME RESIDENTS THAT DO NOT LIVE CLOSE TO A GROCERY STORE." THE POPULATION HEALTH COMMITTEE PARTNERED WITH THE MASTER GARDENERS IN BUILDING THE COMMUNITY GARDEN TO HELP REVERSE THE NEGATIVE NUTRITION TRENDS. RESEARCH AND PLANNING FOR THE COMMUNITY GARDEN HAD BEEN GOING ON FOR OVER THREE YEARS. THE GROUP FOUND SEVERAL COMMUNITY GARDENS TO BASE A GRAYSON COUNTY PROGRAM ON INCLUDING ONES IN OWENSBORO AND BOWLING GREEN. EAC
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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 2016, 2017 AND 2018 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 HOSPTIAL 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 10,974 DONATED SERVICES 60,509
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2OPERATING LOSS REPORTED UNDER ID 61-1269278 2,875,454
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt3DONATED SERVICES 60,509 USE OF DONATED ITEMS 10,974
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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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