Twin Lakes Regional Medical Center

| Name | Title | Area of Expertise | |------------------------|---------------------------------------------------------|-------------------------------------------------------------------------------------| | Ashley Herrington | Chief Operating Officer | Healthcare leadership, service line expansion, revenue cycle improvement, compliance | | Cathy Stewart | VP / Patient Care Services & Chief Nursing Officer | Nursing leadership, patient care quality, and operational management | | Brittany Clemons | Chief Quality Officer | Quality assurance, patient safety, and addiction services program development | | Kenneth Green, MD | Chief Medical Officer | Medical leadership and healthcare service delivery |

Department	Average Fees	Common Procedures	Cost Variations	Financial Assistance
Cardiology	$3,500 - $15,000	- Echocardiogram: $3,500 - Angioplasty: $12,000 - Stress Test: $4,500	Higher costs for interventional procedures like stent placements.	Discounts up to 35% for uninsured; financial aid available based on income.
Neurology	$2,500 - $20,000	- EEG: $2,500 - MRI Brain Scan: $5,000 - Stroke Care: $20,000	Varies by diagnostic tests; inpatient stroke care significantly higher.	Sliding scale based on income; assistance for uninsured available.
Oncology	$5,000 - $50,000	- Chemotherapy: $5,000/session - Radiation Therapy: $30,000/course - PET Scan: $6,000	Costs depend on treatment cycles and therapy type.	Payment plans offered; financial aid for those meeting eligibility.
Orthopedics	$5,000 - $25,000	- Joint Replacement: $18,000 - Arthroscopy: $7,500 - Fracture Repair: $10,000	Complex surgeries or additional therapy raise costs.	Up to 100% assistance for qualifying low-income patients.
Outpatient Services	$250 - $5,000	- Lab Tests: $250-500 - X-rays: $500 - Physical Therapy: $200/session	Costs vary by service complexity and frequency.	Prompt-pay discount of 10%; additional financial aid possible.

| Special Program | Details | |-------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Financial Assistance | Patients with incomes up to 300% of the federal poverty level are eligible for 100% assistance, with a minimum of 80% assistance for incomes up to 400%. Applications require proof of family size, income, and medical bills. | | Home Health Services | Includes Alzheimer´s and dementia care, chronic disease management, skilled nursing, infusion therapy, occupational therapy, physical therapy, pain management, and personal emergency response systems. | | Day Care & Memory Support | Memory support programs offer assistance with daily living, medication management, and dementia-trained staff. Includes Memory Care Café events, educational speaker series, and support groups. | | Palliative Care | Focus on symptom management, stress relief for patients and loved ones, and providing emotional support. Suitable for patients with serious illnesses and integrated with other ongoing treatments. | | Medical Social Work and Support | Social workers assist with patient and caregiver training, discharge planning, and connecting patients to additional resources or support networks. | | Nutritional Counseling | Provides in-home assessments and dietary advice tailored to individual health needs. | | Behavioral Health Nursing | Support for psychological well-being, including managing anxiety and depression associated with chronic or severe illnesses. | | Smooth Transition from Hospital to Home | Assistance in transitioning patients effectively from hospital stays to home care, ensuring continuity of care and rehabilitation. |

markdown | Payment Plan Option | Details | |------------------------------------|---------------------------------------------------------------------------------------------------------------| | Flexible Payment Schedules | Offers customized schedules based on patient needs and balance amount. May range from 3 to 60 months. | | Interest-Free Payment Plans | Patients can pay the original cost of care over a set period without any additional interest or fees. | | Installment Payments | Payments can be split into smaller, manageable amounts to be paid monthly. | | Third-Party Financing | Medical credit card options or third-party services may provide financing, with interest applied in some cases.| | Upfront Payment Options | Some plans may require a partial upfront payment, particularly for uninsured patients. | | Zero Credit Check Plans | Payment plans available without credit checks, making them accessible to all patients. | | Automatic Monthly Payments | Monthly payments can be automatically debited from bank accounts or credit cards. | | No Payment Limit Plans | No restrictions on the number of bills included in the flexible payment plans. | | Financial Assistance Programs | Eligibility-based assistance may cover partial or full bills for qualifying patients. | | Deferred Interest Plans | Payments begin interest-free, but interest may apply if balance isn’t cleared by the end of a specified period.| | Multiple Payment Channels | Accepts payment via personal check, debit/credit cards, money orders, or automatic bank drafts. |

markdown | Department | Financial Counseling Services Offered | |---------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Billing and Financial Assistance | Owensboro Health Twin Lakes Medical Center offers financial counseling services Monday through Friday, 8:00 AM - 4:30 PM. Assistance includes reviewing eligibility for financial aid and guidance on available solutions to manage costs. Incomes up to 300% of the federal poverty level may qualify for 100% financial assistance, with scaled aid available for incomes up to 400% of the poverty level. Uninsured patients receive automatic discounts ranging from 10% to 35%. Financial counselors can also assist in applying for Medicaid or Social Security Disability. | | Pricing and Estimates | The hospital provides a cost estimate tool to help patients understand treatment costs prior to care. Patients can request a "Good Faith Estimate" in writing at least one business day before scheduled medical services. This estimate includes costs for medical items, related services, and facilities. | | Additional Financial Support | Prompt-pay discounts of 10% are available for most out-of-pocket expenses. Payment plans and options for flexible schedules are also offered. |

| Category | Accommodations | |-----------------------------|-------------------------------------------------------------------------------------------------------------------------| | Physical Accessibility | Wheelchair-accessible entrances, elevators, and restrooms; designated parking spaces for patients with disabilities. | | Assistive Devices | Access to mobility aids such as wheelchairs and walkers, along with adaptive equipment for patient care as needed. | | Communication Aids | Availability of interpreters, including sign language interpreters; access to communication boards and assistive listening devices. | | Priority Services | Expedited services for patients with severe disabilities or urgent special needs; tailored admission procedures. | | Staff Training | Specialized training for staff on providing inclusive care to patients with disabilities, including sensitivity and accessibility best practices. |

Department	Digital Health Service	Details	Support for Patient Care
Patient Portal	MyChart	Allows patients to access medical records, medications, test results, appointments, and billing information.	Enhances accessibility by centralizing patient information and supports seamless follow-up care.
Telemedicine	Virtual Consultations	Provides real-time consultations through video or telephone for chronic or acute care needs.	Improves accessibility for patients unable to attend in-person visits and ensures continuity of care.
Remote Monitoring	Vital Sign Monitoring	Daily monitoring of vital signs such as heart rate, oxygen levels, blood pressure, temperature, and weight via digital devices.	Allows early identification of health changes, reducing the need for hospital visits.
Virtual Observation	MedSitter Program	Enables two-way audio-visual observation of at-risk patients to ensure safety and timely interventions.	Enhances patient safety while reducing in-room observation demands on nursing staff.
Chronic Care Management	Health Coaching	Personalized guidance and education to help patients manage conditions and interpret health metrics.	Empowers patients in managing chronic conditions and promotes preventive care.
Integrated Services	Epic EHR System	Integrates hospital and clinic visits, lab work, and imaging into one shared record accessible through the patient portal.	Ensures cohesive care delivery and simplifies healthcare management for patients and providers.
Specialty Care	Home-Based Monitoring	Provides remote monitoring tailored to specific conditions such as cardiac care and post-surgical recovery.	Supports recovery and condition management at home, reducing hospital readmissions.

Department	Educational Programs	Details
Pediatrics	Rotation Programs	Focus on neonatal care and pediatrics under supervision.
Cardiology	Rotation Programs	Includes practical sessions on cardiac diagnostics and treatments.
Psychiatry	Rotation Programs	Focus on mental health assessment and psychiatric care.
Family Medicine	Rotation & Core Training	Primary care focus with patient-centric approaches.
Internal Medicine	Core Rotations	In-depth training in internal medical conditions and therapeutics.
Surgery	Practical Training	Hands-on surgical training in various specialties.
Emergency Medicine	Selective Rotations	Emergency care with exposure to critical cases.
Women’s Health	Core Rotations	Practical experience with gynecology and obstetrics.
Radiology	Clinical Education	Involves observation, assistance, and hands-on radiographic techniques.
Infectious Diseases	Elective Rotations	Focuses on diagnostic and treatment strategies for infections.

Department	Clinical Trials	Development of Treatments/Devices	Impact on Healthcare Professionals
Cardiology	Evaluation of milvexian´s impact on reducing major adverse cardiovascular events.	Study includes novel anticoagulant therapies in cardiovascular care.	Advances knowledge in anticoagulant management and cardiovascular risk assessment.
Cancer	Participation in ComboMATCH genetic screening trials and others with University of Kentucky Markey Cancer Center and SWOG Cancer Research Networks.	Development of targeted therapies and genetic-based treatment protocols for solid tumors and other cancers.	Improves oncologists’ expertise in genetic testing and precision medicine approaches.
Wound Care	No specific clinical trial listed.	Use of hyperbaric oxygen therapy and advanced biological dressings for chronic wounds.	Enhances skills in applying state-of-the-art wound care and customized treatment protocols.

Department	Affiliations	Professional Development Programs
Cardiology	Accredited by The Joint Commission	- Certifications in ACLS provided at no cost - Tuition reimbursement for further education
Emergency Medicine	Accredited by The Joint Commission	- Nurse Residency Programs - Training in Basic Life Support (BLS)
Nursing	Affiliated with Owensboro Health System	- Nurse Extern Program - Nursing Professional Advancement Program - Collaboration with University of Louisville for BSN Program
Wound Care	Healogics Center of Distinction	- Specialized wound care training - Clinical Excellence Programs
Medical Laboratory	Part of Owensboro Health System	- Medical Laboratory Scientist Program
Family Medicine	Part of Owensboro Health System	- Family Medicine Residency Program

Department	Certification/Accreditation	Accrediting Body
Emergency Medicine	Level IV Trauma Center	American College of Surgeons (ACS)
General Hospital Services	Gold Seal of Approval®	The Joint Commission
Wound Healing	Center of Distinction	Healogics

Department	Opportunity	Details
Exercise Science	Internship	Available for students to gain hands-on experience in exercise science-related fields.
Physical Therapy	Internship	Includes supervised practice in physical therapy at Twin Lakes facilities.
Physical Therapy	Volunteer/Observation Opportunities	Opportunities for students to observe and learn about physical therapy practices.
Allied Health	Volunteer/Observation Opportunities	Exposure to various allied health practices under supervision.
General Medical	Volunteer/Observation Opportunities	Offers observation experiences in clinical and non-clinical settings.

Department	Awards Received
Wound Healing Center	- 2020 Center of Distinction Award by Healogics - 2020 Clinical Excellence Award by Healogics - 2022 Center of Distinction Award by Healogics - 2021 Center of Distinction Award by Healogics
Hospital	- Chartis Top 100 Rural & Community Hospitals (2025) - Kentucky Hospital Association (KHA) Quality Award (2020)
Addiction Services	Kentucky Hospital Association (KHA) Quality Award recognition for opioid program (2020)
Primary Care	2024 Twin Lakes Best of the Best, Best Primary Care Physician (Dr. George Lawrence)

Department	Icon
Adolescent Medicine
Allergy & Immunology
Anesthesiology
Cardiovascular Disease
Critical Care Medicine
Diagnostic Radiology
Emergency Medicine
Family Medicine
Gastroenterology
Hematology/Oncology
Hip & Knee Orthopedic Surgery
Hospital Medicine
Internal Medicine
Internal Medicine/Pediatrics
Neurology
Nuclear Medicine
Nurse Practitioner
Obstetrics & Gynecology
Occupational Medicine
Oncology
Ophthalmology
Optometry
Orthopedic Surgery
Pain Medicine
Pathology
Pediatrics
Physical Medicine & Rehabilitation
Psychiatry
Public Health & General Preventive Medicine
Pulmonology
Radiology
Sports Medicine
Surgery
Urology
Vascular & Interventional Radiology

Department	Icon
Adolescent Medicine
Addiction Medicine
Allergy & Immunology
Anesthesiology
Cardiology
Critical Care Medicine
Diagnostic Radiology
Emergency Medicine
Family Medicine
Gastroenterology
General Surgery
Hematology/Oncology
Internal Medicine
Neurology
OB/GYN
Occupational Medicine
Oncology
Orthopedic Surgery
Pain Medicine
Pediatrics
Psychiatry
Pulmonology
Radiology
Sports Medicine
Urology

| Department/Service | Financial Assistance Program Details | Payment Plans | Emergency Care Guarantee | Discounted Services | Alternative Insurance Guidance | |--------------------------------------|---------------------------------------------------------------------------------------------|-----------------------|---------------------------------------|--------------------------------------|--------------------------------------------| | Financial Counseling | Financial counseling available Mon-Fri 8am-4:30pm. Applications and help provided. | Yes, upon request | No advance payment required for emergency care | Automatic 10% discount for uninsured. Up to 35% total discount possible (additional 25%) even without full aid qualification. | Assistance with Medicaid/Social Security Disability applications for eligible patients. | | Financial Assistance Application | Form available online, by mail, and at hospital or business offices. Requires documentation of income, assets, household size. | Yes, if not eligible for full financial assistance | Free emergency and medically necessary care if household income is =300% Federal Poverty Level and no other assets to pay. | Discounted emergency/medically necessary care for incomes =400% Federal Poverty Level. Never pay more than insured patients for same care. | Patient advocacy and guidance on applying for Medicaid/other public coverage programs. | | Billing & Collections | Policy and plain language summary provided in English and Spanish. | Yes | No delays or denial for emergency care due to inability to pay. | 10% prompt-pay discount for most out-of-pocket amounts. | Guidance provided by Patient Financial Advocates. | | Patient Financial Advocate | Staff available in clinics, hospital, business center, by phone or email. | Yes | Available 24/7 in Emergency Department. | All financial assistance info available free in person, online, or by mail. | Assistance identifying public and other insurance programs. | | Emergency Department | Open 24/7. Financial assistance and advocacy available onsite. | Not required for emergencies | No advance payment or arrangement needed for emergency care. | Free or discounted care for eligible uninsured. | Help with charity care and public insurance eligibility. | | Uninsured Discounts | 10% automatic discount for uninsured. Up to 35% total discount possible. | Yes | N/A | Applies even if not eligible for financial aid via program. | Help applying for coverage and information on health exchange options.| | Prompt-Pay Discount | 10% discount for prompt payment of out-of-pocket amounts. | Yes | N/A | Discount applies regardless of financial aid status. | N/A |

Department	Research Institution or Lab	Affiliated Universities or Research Centers	Collaboration Details
Affiliations	Owensboro Health	None specified	Partnership to enhance healthcare delivery in Grayson County and surrounding areas. Includes shared resources and management practices.
Broadband for Care	Grayson County Healthcare Foundation	None specified	Invested in expanding broadband internet to improve telehealth, remote monitoring, and access to medical education and research.

markdown | Department | Mentorship Program Description | Structured for Trainees or Recent Graduates? | |--------------------------|----------------------------------------------------------------------------------------------------------------|---------------------------------------------| | Graduate Medical Education | Structured mentorship program across 16 residency and fellowship programs, including training of mentors and accountability mechanisms. Offers career planning, networking, and skill advancement support. | Yes | | Nursing | Structured mentorship lasting 6 months to a year focused on transition to professional roles, skill-building, and stress management. Includes mentor training and ongoing program support. | Yes | | Clinical Research | NIH-funded R25 summer training program for underserved trainees, offering 10-week research experience, career development, and long-term mentoring. | Yes | | Rehabilitation Services | Career and mentorship opportunities for new nursing and therapy professionals in entry-level roles. Specific details not outlined. | Yes |