Civic Intelligence

Grayson County Hospital Foundation

990 • Fiscal year 2024 • EIN 61-0523298

Jul 01, 2023 to Jun 30, 2024 • Filed on Aug 13, 2024

130 E Market StLeitchfield, KY 42754

(270) 259-3159

Siviq Scores

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

Liabilities / Assets

52nd percentile

0.14x

Higher debt load relative to assets than 52% of similar nonprofits.

2024 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2024

Liabilities / Revenue

89th percentile

1.52x

Higher debt load relative to revenue than 89% of similar nonprofits.

2024 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2024

Net Margin

93rd percentile

61%

Higher net margin than 93% of similar nonprofits.

2024 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2024

Top Officer Pay

22nd percentile

$0

Higher top officer pay than 22% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2024 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2024

Asset Growth

52nd percentile

5.3%

Faster asset growth than 52% of similar nonprofits.

2024 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Revenue Growth

96th percentile

222%

Faster revenue growth than 96% of similar nonprofits.

2024 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Assets

Up

$9,132,072

Up $462,015 (+5.3%) from 2023

Net Assets

Up

$7,861,524

Up $513,145 (+7.0%) from 2023

Liabilities

Down

$1,270,548

Down $51,130 (-3.9%) from 2023

Revenue

Up

$836,378

Up $576,245 (+222%) from 2023

Expenses

Down

$323,233

Down $283,645 (-47%) from 2023

Net Income

Up

$513,145

Up $859,890 (+248%) from 2023

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

2024

Assets$9,132,072
Liabilities$1,270,548
Net Assets$7,861,524

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

2024

Revenue$836,378
Expenses$323,233
Net Income$513,145
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Aug 13, 2024
Return Version
2023v5.0
Gross Receipts
$836,378
Mission and Program Overview

Mission

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments-$5,375,136-
Cash and Non-Interest-Bearing Accounts$8,456,642$3,733,683▼ $4,722,959
Prepaid Expenses and Deferred Charges$213,415$23,253▼ $190,162
Total Assets$8,670,057$9,132,072▲ $462,015
Liabilities
Accounts Payable and Accrued Expenses$1,321,678$1,270,548▼ $51,130
Total Liabilities$1,321,678$1,270,548▼ $51,130
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$7,348,379$7,861,524▲ $513,145
Total Net Assets Fund Balance$7,348,379$7,861,524▲ $513,145
Total Liabilities and Net Assets / Fund Balance$8,670,057$9,132,072▲ $462,015
Compensation and Service Providers

Board Members and Trustees

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

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$319,552
Other Revenue
$516,826
Change in Net Assets
$513,145
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$323,233
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Insurance$221,166--$221,166
Office Expenses-$138-$138
Other Expenses$101,290$118-$118
Fees for Services Legal-$9-$9
Total Functional Expenses$322,456$777$0$323,233
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

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

Governance Checklist

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

Governance Explanations

Form 990, Page 6, Part VI, Line 3

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

Form 990, Page 6, Part VI, Line 6

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

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

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

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

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

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

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

Form 990, Page 6, Part VI, Line 19

Governing documents are made available upon request.

Filing and Contact Details

Filer

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

Signing Officer

Name
Trevor Ray
Title
President
Phone
2708601127
Signed
2024-08-13
Discuss with paid preparer
Yes

Organization Details

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

Preparer

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

Additional Explanations

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

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

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IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0260130
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt04071477
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt05167985
IRS990/ScheduleBRequiredInd0false
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0TWIN LAKES REGIONAL MEDICAL CENTER PROVIDES QUALITY MEDICAL HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR THE ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND FINANCIAL STABILITY OF TWIN LAKES REGIONAL MEDICAL CENTER, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. IN KEEPING WITH OUR COMMITMENT TO SERVE ALL MEMBERS OF THIS AREA, THE HOSPITAL PROVIDES FREE CARE TO THE MOST INDIGENT OF PATIENTS AND WRITES OFF PORTIONS OF BILLS TO OTHER PATIENTS WHO HAVE DEMONSTRATED THE INABILITY TO PAY FOR ALL HEALTH CARE SERVICES RECEIVED. A LETTER OF INTENT WAS SIGNED ON APRIL 13, 2020 TO TRANSFER THE OPERATING ASSETS OF THE GRAYSON COUNTY HOSPITAL FOUNDATION, INC. (THE "HOSPITAL") AND THE TWIN LAKES MEDICAL FOUNDATION, INC. TO OWENSBORO HEALTH, INC., A NOT FOR PROFIT HEALTH SYSTEM. THE TRANSACTION WAS FINALIZED AND BECAME EFFECTIVE JANUARY 1, 2021. UNDER THE TERMS OF THE AGREEMENT, A PORTION OF THE PROCEEDS WERE USED TO SATISFY THE OUTSTANDING BONDS ISSUED BY THE GRAYSON COUNTY PUBLIC HOSPITAL DISTRICT CORPORATION (THE "CORPORATION"). UPON THE DEFEASANCE OF THE BONDS, THE LAND AND FACILITIES OWNED BY THE CORPORATION WERE TRANSFERRED TO A NEW CORPORATION FORMED BY OWENSBORO HEALTH, OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER, INC., TO OPERATE THE HOSPITAL. THE NET PROCEEDS FROM THE TRANSACTION AND RETAINED ASSETS WERE TRANSFERRED TO THE GRAYSON COUNTY HEALTHCARE FOUNDATION, INC., A NEW NOT FOR PROFIT CORPORATION FORMED TO PROVIDE GRANTS AND SUPPORT HEALTHCARE IN THE COUNTY. AFTER CURRENT OBLIGATIONS ARE FULFILLED, IT IS MANAGEMENT'S INTENT TO DISSOLVE THIS ENTITY; HOWEVER, THE TIME FRAME FOR THE DISSOLUTION IS UNCERTAIN AT THIS TIME.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FOUNDATION HAS CONTRACTED WITH BUCKLES, TRAVIS & HART, PLLC TO MANAGE THE WIND-DOWN ACTIVITIES AND WITH WAYNE MERIWEATHER WITH TWIN LAKES HEALTHCARE CONSULTING, LLC TO CONSULT WITH THE GOVERNING BOARD REGARDING MANAGEMENT DECISIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION HAS STOCKHOLDERS. EACH SHARE OF STOCK IS VALUED AT 25. STOCKHOLDERS MUST BE AT LEAST 18 YEARS OLD AND A RESIDENT OF GRAYSON COUNTY, KENTUCKY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE FIVE MEMBERS OF THE BOARD OF DIRECTORS ARE ELECTED BY THE STOCKHOLDERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE FORM 990 IS SUBMITTED TO THE GOVERNING BOARD FOR REVIEW AND APPROVAL BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5CORPORATE COMPLIANCE REQUIRES EACH BOARD MEMBER TO UPDATE AND SIGN OFF ON A CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 2, PART III, LINE 4A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PAGE 6, PART VI, LINE 19
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IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt08670057
IRS990/TotalAssetsEOYAmt09132072
IRS990/TotalAssetsGrp/BOYAmt08670057
IRS990/TotalAssetsGrp/EOYAmt09132072
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0777
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0322456
IRS990/TotalFunctionalExpensesGrp/TotalAmt0323233
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt01321678
IRS990/TotalLiabilitiesEOYAmt01270548
IRS990/TotalLiabilitiesGrp/BOYAmt01321678
IRS990/TotalLiabilitiesGrp/EOYAmt01270548
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt07348379
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt07861524
IRS990/TotalProgramServiceExpensesAmt0322456
IRS990/TotalRevenueGrp/ExclusionAmt0279281
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0557097
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0836378
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt08670057
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt09132072
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0130 E MARKET ST
IRS990/USAddress/CityNm0LEITCHFIELD
IRS990/USAddress/StateAbbreviationCd0KY
IRS990/USAddress/ZIPCd042754
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt05
IRS990/WebsiteAddressTxt0WWW.TLRMC.COM
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02024-08-08 14:25:15Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0TREVOR RAY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum02708601127
ReturnHeader/BusinessOfficerGrp/SignatureDt02024-08-13
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0GRAYSON COUNTY HOSPITAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0GRAY
ReturnHeader/Filer/EIN0610523298
ReturnHeader/Filer/PhoneNum02702593159
ReturnHeader/Filer/USAddress/AddressLine1Txt0130 E MARKET ST
ReturnHeader/Filer/USAddress/CityNm0LEITCHFIELD
ReturnHeader/Filer/USAddress/StateAbbreviationCd0KY
ReturnHeader/Filer/USAddress/ZIPCd042754
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0611189912
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0BUCKLES TRAVIS & HART PLLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 4069
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0LEITCHFIELD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0KY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0427554069
ReturnHeader/PreparerPersonGrp/PhoneNum02702595604
ReturnHeader/PreparerPersonGrp/PreparationDt02024-08-13
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0BRADLEY K TRAVIS
ReturnHeader/ReturnTs02024-09-09T09:32:35-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02023-07-01
ReturnHeader/TaxPeriodEndDt02024-06-30
ReturnHeader/TaxYr02023

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