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GRAYSON COUNTY HOSPITAL FOUNDATION, INC.

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Company Details

Name: GRAYSON COUNTY HOSPITAL FOUNDATION, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 24 Apr 1956 (69 years ago)
Organization Date: 24 Apr 1956 (69 years ago)
Last Annual Report: 25 Feb 2025 (6 months ago)
Organization Number: 0020434
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42754
City: Leitchfield
Primary County: Grayson County
Principal Office: 130 EAST MARKET ST., LEITCHFIELD, KY 42754
Place of Formation: KENTUCKY

Incorporator

Name Role
OTIS BRYANT Incorporator
R. E. HUGHES, JR. Incorporator
FRANK ADAMS Incorporator
ROY CARTER Incorporator
DAMON MAJORS Incorporator

President

Name Role
Trevor Ray President

Secretary

Name Role
Edwin McKinney Secretary

Vice President

Name Role
David Downs Vice President

Director

Name Role
Brett Abney Director
Dennis Fentress Director
Trevor Ray Director
David Downs Director
Edwin McKinney, Jr. Director
R. E. HUGHES, JR. Director
OTIS BRYANT Director
B. H. MCBEATH Director

Registered Agent

Name Role
WAYNE MERIWETHER Registered Agent

Unique Entity ID

CAGE Code:
4LAH3
UEI Expiration Date:
2018-08-02

Business Information

Doing Business As:
TWIN LAKES REGIONAL MEDICAL CENTER
Activation Date:
2017-08-02
Initial Registration Date:
2006-11-08

Commercial and government entity program

CAGE number:
4LAH3
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-06-05
CAGE Expiration:
2022-08-03

Contact Information

POC:
DENEACE CLEMONS
Corporate URL:
https://www.tlrmc.com

National Provider Identifier

NPI Number:
1104454834
Certification Date:
2020-03-30

Authorized Person:

Name:
CYNTHIA R BAILEY
Role:
REIMBURSEMENT ANAL;YST
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
2702599536

Assumed Names

Name Status Expiration Date
TWIN LAKES REGIONAL MEDICAL CENTER Inactive 2018-07-15

Filings

Name File Date
Annual Report 2025-02-25
Annual Report 2024-03-04
Annual Report 2023-03-21
Annual Report 2022-03-07
Annual Report 2021-06-24

USAspending Awards / Contracts

Procurement Instrument Identifier:
V603DC1032
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
47388.69
Base And Exercised Options Value:
60000.00
Base And All Options Value:
300000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2011-05-31
Description:
RADIOLOGY SERVICES
Naics Code:
621512: DIAGNOSTIC IMAGING CENTERS
Product Or Service Code:
Q522: RADIOLOGY SERVICES
Procurement Instrument Identifier:
V603C00022
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
30694.04
Base And Exercised Options Value:
30694.04
Base And All Options Value:
30694.04
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2010-12-23
Description:
RADIOLOGY SERVICES
Naics Code:
621512: DIAGNOSTIC IMAGING CENTERS
Product Or Service Code:
Q522: RADIOLOGY SERVICES
Procurement Instrument Identifier:
V603C10010
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
102000.00
Base And Exercised Options Value:
300000.00
Base And All Options Value:
300000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2010-10-01
Description:
RADIOLOGY SERVICES
Naics Code:
621512: DIAGNOSTIC IMAGING CENTERS
Product Or Service Code:
Q522: RADIOLOGY SERVICES

USAspending Awards / Financial Assistance

Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
3731400.00
Total Face Value Of Loan:
3731400.00

Paycheck Protection Program

Jobs Reported:
459
Initial Approval Amount:
$3,731,400
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$3,731,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$3,578,326.06
Servicing Lender:
The Cecilian Bank
Use of Proceeds:
Payroll: $3,731,400

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Financial Incentive

Program Program Status Average Hourly Wage Project Cost Incentive Amount Initial Jobs New Jobs Date of Action Approval Type
GIA/BSSC Inactive 21.44 $50,236 $25,000 254 - 2017-03-29 Final
GIA/BSSC Inactive 27.94 $0 $11,550 241 15 2011-01-26 Final

Sources: Kentucky Secretary of State