Bill Alley, chief executive officer of Twin County Regional Healthcare, briefed the Grayson County Board of Supervisors on recent service expansions, capital investments and community outreach at the county meeting.

Alley said Twin County is a 141‑bed licensed facility that typically cares for 25 to 30 inpatients daily but has seen about 15% growth in emergency‑room use. He described new and expanded services: monthly cardiology clinics, a new on‑site mid‑level behavioral‑health provider for inpatients, an increase in ICU capacity from four to six beds (the hospital is licensed for 10 ICU beds), and plans for a four‑bed intermediate‑care unit to sit between medical‑surgical care and the ICU.

"One of the exciting things that we're looking forward to this year is mid‑level type of care... we were looking to put a four‑bed intermediate care within our ICU to fulfill that need," Alley said. He also listed new technologies and services: a water‑jet device for urology procedures the hospital says is unique within a 100‑mile radius, electromyography testing for nerve and muscle studies, and enhanced breast‑biopsy capability for women's health.

Alley told the board the hospital invested about $1.6 million in capital improvements last year, reported roughly $13 million in charity care and paid about $7 million in combined taxes. He said the hospital has added surgical and specialty providers and is intent on keeping more patients in the region.

Alley described a new “lab direct” testing option that allows patients to order certain blood tests directly; he said turnaround can be rapid and a discounted price range is about $60 to $70 for some tests. The hospital encouraged public‑health partnerships and community outreach and invited supervisors to contact Twin County leadership to coordinate efforts. The presentation was informational; no board action was required.