| 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 2015 DUE TO CONTRACTUAL AGREEMENTS WITH PAYERS AMOUNTED TO 82,827,594. 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 3,860,222. 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 2,456 INPATIENTS AND 96,692 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 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. 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. TEDDY BEAR CLINIC - PROVIDED HEALTH AND SAFETY INFORMATION TO YOUNG CHILDREN F. SPONSORS THE AMERICAN RED CROSS BLOOD MOBILE TWO OR THREE TIMES EACH YEAR G. PROVIDED HEALTH INFORMATION AT THE RELAY FOR LIFE H. HEALTHY HEART EXPO PROVIDED HEART HEALTH INFORMATION AND FREE SCREENINGS 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 THE GRAYSON COUNTY CAREER FAIR J. PARTICIPATED IN THE HEAD START SAFETY RESOURCE FAIR K. PARTICIPATED IN THE COMMUNITY HALLOWEEN SAFE SPOT L. PARTICIPATED IN THE WRECC SCHOOL SAFETY DAYS M. PARTICIPATED IN OPERATION PREPARATION N. ASSISTED IN PROVIDING TRANSLATION SERVICES O. PARTICIPATED IN WILKEY ELEMENTARY HEALTH FAIR AND CAREER DAY P. PARTICIPATED IN MID-PARK HEALTH FAIR Q. PARTICIPATED IN CPR FAMILY & FRIENDS AT HARDINSBURG BAPTIST CHURCH R. PARTICIPATED IN DIABETES CLASS S. PROVIDED SPEAKERS FOR MANY HEALTH FAIRS, SCHOOLS, AND COMMUNITY EVENTS IN ADDITION TO SERVING OUR LOCAL COMMUNITY NEEDS, TLRMC HAS ALSO TAKEN ON MEASURES TO IMPROVE AMERICA. BY PARTICIPATING IN THE CODE GREEN - RECYCLING PROJECT, TLRMC HOPES TO REDUCE WASTE AND IMPROVE THE ENVIRONMENT. TWIN LAKES REGIONAL MEDICAL CENTER'S BOARD OF DIRECTORS HAS PLEDGED TO BUY AMERICAN-MADE PRODUCTS WHEN WE CAN FIND A PRODUCT OF EQUAL OR GREATER QUALITY. TLRMC ENCOURAGES OTHER COMPANIES AND INDIVIDUALS TO DO THE SAME. |
| FORM 990, 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. |
| FORM 990, PART IX, LINE 24E |
PROVISION FOR BAD DEBTS 1,127,668 0 0 MEDICAL & SURGICAL 854,635 0 0 SURGERY 772,071 0 0 WOUND CARE 443,420 0 0 RADIOLOGY 352,401 0 0 EMERGENCY ROOM 345,436 0 0 PHYSICAL THERAPY 275,186 0 0 NUCLEAR MEDICINE 153,522 0 0 MRI 127,561 0 0 SLEEP CENTER 125,313 0 0 RESPIRATORY THERAPY 120,549 0 0 ANESTHESIOLOGY 90,310 0 0 OBSTETRICS 87,896 0 0 INTENSIVE CARE 86,417 0 0 CT SCANS 82,180 0 0 SPECIALTY CLINIC 20,221 0 0 PAIN MANAGEMENT 18,739 0 0 INFUSION CENTER 17,520 0 0 CARDIAC 10,595 0 0 OCCUPATIONAL THERAPY 620 0 0 |
| FORM 990, PART XI, LINE 9 |
OPERATING LOSS REPORTED UNDER ID 61-1269278 -4,399,292 VALUE OF DONATED ITEMS -11,138 DONATED SERVICES -69,020 DONATED SERVICES 69,020 USE OF DONATED ITEMS 11,138 |
| FORM 990, PART XI, LINE 9 |
OPERATING LOSS REPORTED BY TLMF 4,399,292 |
Attach to Form 990 or 990-EZ.