2026-08-25T17:03:55-04:00 2026-06-30 611189912 BUCKLES TRAVIS & HART PLLC PO BOX 4069 LEITCHFIELD KY 427554069 990 2025-07-01 610523298 GRAYSON COUNTY HOSPITAL FOUNDATION GRAY 2702593159 130 E MARKET STREET LEITCHFIELD KY 42754 TREVOR RAY PRESIDENT 2708601127 2026-07-08 true BRADLEY K TRAVIS P01224802 2702595604 2026-07-09 2025 2025-03-06 01:10:19Z TREVOR RAY 130 E MARKET ST LEITCHFIELD KY 42754 808613 false X N/A X 1956 KY TO PROVIDE QUALITY MEDICAL HEALTHCARE TO THE GRAYSON COUNTY, KENTUCKY AREA. 5 5 0 0 0 0 309656 36649 754558 771964 1064214 808613 6154222 2958414 0 0 0 0 122114 180392 6276336 3138806 -5212122 -2330193 3268951 938758 619549 619549 2649402 319209 X TO PROVIDE QUALITY MEDICAL HEALTHCARE TO THE GRAYSON COUNTY, KENTUCKY AREA. false false 3109529 2958414 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. 3109529 true false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false false true 2 0 0 false false false false false false false false X 5 5 false true false false true true false true true false false true true true true true true false false false X COMPANY OFFICIALS 2702593159 130 E MARKET ST LEITCHFIELD KY 42754 X DAVID DOWNS VICE-PRESIDE 1.00 X 0 0 0 DENNIS FENTRESS DIRECTOR 1.00 X 0 0 0 EDWIN MCKINNEY SECRETARY/TR 1.00 X 0 0 0 BRETT ABNEY OD DIRECTOR 1.00 X 0 0 0 TREVOR RAY PRESIDENT 1.00 X 0 0 0 false false false 36649 36649 KHIC OWNER EQUITY PARTIAL PAY 532754 532754 OTHER INCOME 238131 238131 DSH SETTLEMENTS 1079 1079 771964 808613 771964 36649 2958414 2958414 178 178 11 11 109308 109308 PROFESSIONAL FEES 41807 41807 BAD DEBT 27890 27890 DUES AND SUBSCRIPTIONS 695 695 COST REPORT SETTLEMENTS 500 500 3 3 3138806 3109529 29277 0 1075777 936578 2157478 27945 7751 2180 3268951 938758 619549 619549 619549 619549 X 2649402 319209 2649402 319209 3268951 938758 -2330193 X false false false X 3514347 3514347 540951 3199 557097 759872 771964 2633083 4055298 3199 557097 759872 771964 6147430 6147430 3602 101245 279281 304342 36649 725119 3602 101245 279281 304342 36649 725119 12577 155686 168263 4071477 260130 836378 1064214 808613 7040812 0.87310 0.86250 0.10000 0.11000 X PART III, LINE 12 OTHER INCOME 168,263 false GRAYSON COUNTY HEALTHCARE FOUNDATIO 100 WABUCK DRIVE SUITE B LEITCHFIELD KY 42754 851907825 2958414 FMV N/A SUCCESSOR TRANSFER 1 SCHEDULE I, PAGE 4, PART IV GRAYSON COUNTY HOSPITAL FOUNDATION, INC. SOLD ITS ASSETS JANUARY 1, 2021 TO OWENSBORO HEALTH. THE HOSPITAL FOUNDATION REMAINED OPEN DUE TO LEGAL REASONS AS THEY WOUND DOWN ALL UNSOLVED MATTERS. IT WAS THE INTENT OF THE HOSPITAL FOUNDATION THAT ALL FUNDS WOULD BE TRANSFERRED TO THE GRAYSON COUNTY HEALTHCARE FOUNDATION, INC. AS THE HOSPITAL FOUNDATION CONTINUED TO WIND DOWN THEIR OPERATIONS; THEREBY ACCOUNTING FOR OTHER ASSISTANCE TO DOMESTIC ORGANIZATIONS. DUE TO THE UNIQUENESS OF THIS ARRANGEMENT, THE HOSPITAL FOUNDATION DOES NOT HAVE A MONITORING PLAN IN PLACE FOR THE ASSISTANCE, NOR ARE THERE ANY ELIGIBILITY REQUIREMENTS OR A SPECIFIC SELECTION PROCESS FOR AWARDING ASSISTANCE. THE GRAYSON COUNTY HEALTHCARE FOUNDATION, INC. WAS CREATED TO MONITOR HOSPITAL OPERATING ACTIVITIES TO INSURE CONTINUED COMPLIANCE WITH THE TERMS OF THE ASSET PURCHASE AGREEMENT WITH OWENSBORO HEALTH, STATEGIC MANAGEMENT AND INVESTMENT OF FUNDS RECEIVED FROM THE AFOREMENTIONED ASSET PURCHASE, EVALUATE HEALTHCARE NEEDS AND GRANTING FINANCIAL SUPPORT FOR THE BENEFIT OF LEITCHFIELD AND GRAYSON COUNTY, KENTUCKY RESIDENTS. 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. 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.