2022-08-12T08:47:01-05:00 2021-09-30 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2020-10-01 810893103 TJ HEALTH COLUMBIA INC TJHE 2706514157 1301 N RACE STREET GLASGOW KY 42141 MEI DENG CFO 2706514157 2022-08-11 1 MEI DENG XXX-XX-XXXX NATHAN A RODGERS CPA P01568275 5029923500 2022-08-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MEI DENG 1301 NORTH RACE STREET GLASGOW KY 42141 18081217 0 X WWW.TJREGIONALHEALTH.ORG X 2015 KY T.J. HEALTH COLUMBIA WILL PROMOTE AND PROVIDE FOR THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE AND THE HEALTHCARE PROFESSIONALS WHO SERVE THEM. 12 10 150 0 0 0 4644910 700000 11939574 16853941 12879 7908 31516 518425 16628879 18080274 0 0 0 0 6993342 8394632 0 0 0 5125773 4760022 12119115 13154654 4509764 4925620 6935079 9350172 3650271 1139744 3284808 8210428 X T.J. HEALTH COLUMBIA WILL PROMOTE AND PROVIDE FOR THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE AND THE HEALTHCARE PROFESSIONALS WHO SERVE THEM. THE PAST, PRESENT, AND FUTURE ACTIVITIES OF T. J. HEALTH COLUMBIA INCLUDE ESTABLISHING AND OPERATING A MEDICAL CENTER TO PROVIDE INPATIENT AND OUTPATIENT HOSPITAL AND ANCILLARY HEALTH CARE SERVICES TO THE COMMUNITY OF COLUMBIA, KENTUCKY, ADAIR COUNTY AND THE SOUTH-CENTRAL REGION OF KENTUCKY, REGARDLESS OF ANY PATIENT'S ABILITY TO PAY. 0 0 12176621 16861668 T.J. HEALTH COLUMBIA PROVIDES HEALTHCARE SERVICES TO ADAIR AND SURROUNDING COUNTIES IN KENTUCKY. 1,226 ACUTE HOSPITAL AND EMERGENCY ROOM CARE PATIENT DAYS AND 6,776 ER VISITS IN FYE 9/30/21. 12176621 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 24 0 1 150 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X X THE ORGANIZATION 2706514157 1301 N RACE STREET GLASGOW KY 42141 JOEY ALLEN BOTTS CHAIRMAN 1.00 3.00 X 0 0 0 T RICH ALEXANDER VICE CHAIRMAN 1.00 3.00 X 0 0 0 BRENT BILLINGSLEY TREASURER 1.00 3.00 X 0 0 0 MICHAEL SCOTT YOUNG SECRETARY 1.00 3.00 X 0 0 0 KAREN SMALL MD DIRECTOR 1.00 3.00 X 0 0 0 ERVIN SORRELL DIRECTOR 1.00 2.00 X 0 0 0 MIKE V BRYANT DIRECTOR 1.00 4.00 X 0 0 0 HENRY ROYSE DIRECTOR 1.00 4.00 X 0 14605 0 BO MATTHEWS DIRECTOR 1.00 2.00 X 0 0 0 DAN FOUTCH DIRECTOR 1.00 3.00 X 0 0 0 KYLE KISER MD DIRECTOR/CHIEF OF STAFF (TERM BEG 01/21) 1.00 41.00 X 0 0 0 MICHAEL SARIDAKIS MD DIRECTOR/VICE CHIEF OF STAFF (TERM BEG 01/21) 1.00 41.00 X 0 533833 34341 BUDDY UNDERWOOD DIRECTOR (TERM END 12/20) 1.00 2.00 X 0 0 0 JOHN P CRADDOCK DIRECTOR/VICE CHIEF OF STAFF (TERM END 12/20) 1.00 41.00 X 0 583028 21488 ERIC FISHER MD DIRECTOR/CHIEF OF STAFF (TERM END 12/20) 1.00 41.00 X 0 283965 32828 NEIL THORNBURY CEO 5.00 46.00 X 0 438442 24511 MEI DENG CFO 5.00 46.00 X 0 321818 29920 CLINTON KITECK PHYSICIAN 40.00 0.00 X 307550 0 31677 PAUL DUNN PHYSICIAN 40.00 0.00 X 267182 0 32584 CONSTANCE PROSTKO NURSE PRACTITIONER 40.00 0.00 X 148076 0 11191 EMILY JESSIE NURSE PRACTITIONER 40.00 0.00 X 143835 0 25706 TERESA SHEFFIELD NURSE PRACTITIONER 40.00 0.00 X 155604 0 3847 1022247 2175691 248093 8 0 1 0 SE EMERGENCY PHYSICIANS PO BOX 634850 CINCINNATI OH 45263 ER PHYSICIANS 1250429 FRANK JAMES BRANDON 245 W MILLER ROAD CAMPBELLSVILLE KY 42718 INDEPENDENT PHYSICIAN 177016 ROGERS THOMAS L MD 323 RHINEHART RD CAMPBELLSVILLE KY 42718 INDEPENDENT PHYSICIAN 162197 ALLIANCE IMAGING INC 7530 DOE LANE HENDERSON KY 42420 MEDICAL DIAGNOSTIC IMAGING 127310 4 700000 700000 NET PATIENT REVENUE 621990 14635169 14635169 340B PHARMACY 621990 2218772 2218772 16853941 7908 7908 8670 943 7727 7727 7727 VOLUME DECREASE ADJUSTMENT 900099 473797 473797 HEDIS REVENUE 900099 29661 29661 7240 7240 510698 18080274 16861668 0 518606 X 6426214 5912117 514097 191602 176274 15328 1320977 1215299 105678 455839 419372 36467 2043764 1880263 163501 133108 122459 10649 223632 205741 17891 504144 463812 40332 26305 24201 2104 9357 8608 749 407560 374955 32605 13421 12347 1074 DRUGS 680510 680510 SUPPLIES 335801 308937 26864 PROVIDER TAX 248737 248737 REPAIRS & MAINT 63343 58276 5067 70340 64713 5627 13154654 12176621 978033 0 277868 152228 2923397 2653867 1194957 1731542 19327 10577 167454 211428 109728 37938 4705429 2323394 2234081 2382035 8267 2170557 6935079 9350172 907018 1119071 2743253 20673 3650271 1139744 X 0 0 0 0 3284808 8210428 3284808 8210428 6935079 9350172 4925620 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1020 1020 0 PART II-B, LINE 1: THE HOSPITAL PAYS MEMBERSHIP DUES TO THE KENTUCKY HOSPITAL ASSOCIATION OF WHICH A PORTION OF THE DUES ARE USED FOR LOBBYING PURPOSES. 167576 167576 2887473 1467733 1419740 1624432 854741 769691 25948 920 25028 2382035 DUE FROM RELATED ENTITY 2168419 PTO PURCHASE PROGRAM 2138 2170557 OTHER LIABILITIES 20673 20673 1 1 X 1 X 1 X 1 1 1 0 1 1 87605 87605 0.00670 1 5091936 6207410 0 0.00000 1 5179541 6207410 87605 0.00670 4 595 4 595 5 595 5179541 6207410 87605 0.00670 1 703170 0 2038784 2973413 -934629 X 1 1 1 1 TJ HEALTH COLUMBIA 901 WESTLAKE DRIVE COLUMBIA KY 42728 WWW.TJREGIONALHEALTH.ORG 10001 X X TJ HEALTH COLUMBIA 1 0 0 1 X X X X X X X X X 18 1 1 0 1 X HTTPS://WWW.TJREGIONALHEALTH.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT/ X X 1 18 1 HTTPS://WWW.TJREGIONALHEALTH.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT/ 0 1 X 100.000000000000 200.000000000000 X X X X 1 1 X X X 1 X SEE PAGE 8 PART V SECTION B LINE 16J X SEE PAGE 8 PART V SECTION B LINE 16J X SEE PAGE 8 PART V SECTION B LINE 16J X X X X X X 1 X 0 X X X 1 X 0 0 T.J. HEALTH COLUMBIA PART V, SECTION B, LINE 5: COUNTY ASSESSMENT TEAMS FROM THE DIFFERENT COUNTIES THE HOSPITAL SERVES WERE CREATED TO HELP DISTRIBUTE AND COLLECT COMMUNITY-WIDE SURVEYS AND CONDUCT KEY INFORMANT INTERVIEWS. KEY INFORMANT INTERVIEWS WERE BROKEN UP INTO THREE GROUPS: GROUP A-AFFECTED PEOPLE, GROUP B-POLICY-MAKERS, AND GROUP C-PROVIDERS. GROUP A-AFFECTED PEOPLE INCLUDED INDIVIDUALS DIRECTLY RELATED TO ONE OF THE PRIORITY HEALTH ISSUES. GROUP B-POLICY MAKERS INCLUDED INDIVIDUALS WHO MUST MAKE LEADERSHIP DECISIONS THAT AFFECT THE PRIORITY HEALTH ISSUES AND INCLUDED ELECTED OFFICIALS, HUMAN RESOURCE DIRECTORS, SCHOOL SYSTEM SUPERINTENDENTS, AND LOCAL GOVERNMENT OFFICALS. GROUP C-PROVIDERS INCLUDED HEALTH CARE PROVIDERS SUCH AS PHYSICIANS, SCHOOL NURSES, NUTRITIONISTS, AND HEALTH EDUCATORS. T.J. HEALTH COLUMBIA PART V, SECTION B, LINE 6A: TJ SAMSON COMMUNITY HOSPITAL T.J. HEALTH COLUMBIA PART V, SECTION B, LINE 7D: SOCIAL MEDIA T.J. HEALTH COLUMBIA PART V, SECTION B, LINE 11: T.J. HEALTH COLUMBIA, IN RESPONSE TO THE ASSESSMENT AND PRIORITY HEALTH ISSUE FINDINGS, HAS USED THE DATA COLLECTED TO IDENTIFY AREAS OF OPPORTUNITY TO BETTER MEET THE HEALTH NEEDS THAT IMPACT THE HOSPITAL'S PATIENT POPULATION. THE COMMUNITY HEALTH NEED ASSESSMENT IN PLACE HAS GUIDED THIS ORGANIZATION IN DECISIONS MADE REGARDING PROGRAM IMPLEMENTATION AND PROMOTION, DISEASE MANAGEMENT, COMMUNITY PARTNERSHIPS, AND HEALTH AND AWARENESS CAMPAIGNS ESTABLISHED OVER THE PAST YEARS. THE PRIORITY HEALTH ISSUES IDENTIFIED FOR TJHC SERVICES AREAS ARE CHRONIC DISEASE PREVENTION, PHYSICAL ACTIVITY, OBESITY, HEALTH LIVING, AND SUBSTANCE ABUSE. TO PROVIDE MORE FOCUS TJ HEALTH COLUMBIA HAS BROKEN DOWN THE PRIORITIES HEALTH AND FOCUSED AROUND OBESITY, DIABETES, CARDIOVASCULAR, DRUG & ALCOHOL ABUSE AND ADDICTION AND LUNG CANCER. TJHC OFFERS AND HOST MANY COMMUNITY FUNCTIONS THROUGHOUT THE YEAR TO PATIENTS IN THE COMMUNITY. THE COMMUNITY HEALTH FAIRS ARE THE LARGEST AND MOST WELL ATTENDED EVENTS THAT ARE OFFERED THROUGHOUT THE YEAR.OBESITY, DIABETES, AND CARDIOVASCULAR DISEASE: WHEN ADDRESSING OBESITY IN OUR COMMUNITIES TJ HEALTH COLUMBIA HOLDS AN ANNUAL HEALTH COMMUNITY HEALTH FAIR IN COLUMBIA SERVING OVER 1,700 PATIENTS WITH DIRECT CARE SERVES FOR BOTH EVENTS COMBINED. THE COLUMBIA HEALTH FAIR INCLUDED FIVE PRE-DRAW DAYS AND A SATURDAY HEALTH FAIR DAY FOR COMMUNITY MEMBERS TO PICK UP THEIRS RESULTS AND HAVE THEM REVIEWED BY TJ HEALTH COLUMBIA PROVIDERS. T.J. HEALTH FAIRS OFFERED A WIDE VARIETY OF EARLY DETECTION INFORMATION, EDUCATIONAL BOOTHS, AND PREVENTIVE HEALTH SCREENINGS. PREVENTIVE SCREENINGS INCLUDE: BASIC LAB PANEL, LIPID PANEL, HEIGHT/WEIGHT/BMI, BLOOD PRESSURE, NUTRITION COUNSELING, FLU SHOTS, BONE DENSITY SCREENINGS AND MORE. T.J. ALSO OFFERS FREE SPORT PHYSICALS FOR STUDENTS IN GRADES 6 THROUGH 12 AT THE T.J. SAMSON COMMUNITY HOSPITAL HEALTH FAIR. T.J. SAMSON COMMUNITY HOSPITAL OFFERED MONTHLY LUNCH AND LEARN EVENTS THAT PROVIDE HEALTH INFORMATION TO STAFF AND THE GENERAL PUBLIC CONCERNING CURRENT HEALTH TOPICS FACING THE COMMUNITY. THE PRESENTATIONS SPECIFICALLY ARE FOCUSED ON NUTRITION, PHYSICAL ACTIVITY, AND LIFESTYLE. THE LUNCH & LEARN EVENTS ARE HELD IN GLASGOW BUT COLUMBIA COMMUNITY MEMBERS AND STAFF ARE WELCOMED AND ENCOURAGED TO ATTEND. TJ REGIONAL HEALTH IS CURRENTLY WORKING ON PROVIDING MORE PRESENTATIONS WITHIN THE COLUMBIA AREA. TJSCH OFFERED COMMUNITY QUARTERLY SCREENINGS THROUGHOUT THE YEAR TO OVER 20 PATIENTS. THE PATIENTS INCLUDE THOSE THAT ARE UNDERINSURANCE OR DO NOT HAVE INSURANCE. THE PREVENTIVE SCREENINGS INCLUDE: GLUCOSE, LIPID PANEL, TOTAL CHOLESTEROL, BONE DENSITY, HEIGHT/WEIGHT, BODY FAT ANALYSIS/BODY MASS INDEX AND BLOOD PRESSURE. T.J. SAMSON COMMUNITY HOSPITAL OFFERED MONTHLY BARIATRIC SUPPORT GROUPS AND SEMINARS. TJ REGIONAL HEALTH IS WORKING ON EXTENDED THESE SERVICES TO THE COLUMBIA AREA.TJSCH HOSTED AN ANNUAL HEART WALK EVENT IN SEPTEMBER IN CONJUNCTION WITH THE AMERICAN HEART ASSOCIATION. IN 2017 T.J. SAMSON EMPLOYEES KICKED OFF A MASSIVE FUNDRAISING INITIATIVE TO HELP FIGHT AGAINST THIS COUNTRY'S NO.1 AND NO.5 KILLERS, HEART DISEASE AND STROKE. OVER 316 EMPLOYEES RAISED IN EXCESS OF $46,000 TO GO TOWARD LIFESAVING TREATMENTS AND RESEARCH. DRUG & ALCOHOL ABUSE AND ADDICTION: TJ HEALTH COLUMBIA IS PROUD TO SERVE ON THE WORKING ACTIVELY TOWARD COMMUNITY HEALTH (WATCH) COALITION/ADAIR COUNTY ASAP (AGENCY ABUSE PREVENTION) COALITION, WHICH IS A HEALTH COLLABORATIVE FOCUSED ON IMPROVING THE HEALTH OF ADAIR COUNTY. TJ REGIONAL HEALTH CURRENTLY DOESN'T HAVE THE ADEQUATE RESOURCES TO INITIATE CHANGE IN THIS AREA. HOWEVER, WE PLAN TO ADDRESS THIS IN THE COMING YEAR. LUNG CANCER: TJSCH OFFERED THREE FREEDOM FROM SMOKING CLASS IN JUNE, OCTOBER, AND JANUARY IN AN EFFORTS TO HELP OVER 20 PARTICIPANTS LIVE HEALTHIER LIFESTYLES AND QUIT USING TOBACCO. TJ REGIONAL HEALTH IS WORKING ON OFFERING CLASSES IN THE COMING YEAR IN COLUMBIA. T.J. HEALTH COLUMBIA PART V, SECTION B, LINE 16J: HTTPS://WWW.TJREGIONALHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE-PRICING/FINANCIAL-ASSISTANCE/ 5 1 - TJ HEALTH COLUMBIA CLINIC 902 WESTLAKE DRIVE COLUMBIA KY 42728 PHYSICIAN CLINIC 2 - TJ HEALTH COLUMBIA -PRIMARY CARE 810 JAMESTOWN STREET COLUMBIA KY 42728 PRIMARY CARE 3 - TJ HEALTH EDMONTON 112 SARTIN DRIVE LOT 1 EDMONTON KY 42129 PHYSICIAN CLINIC 4 - TJ HEALTH RUSSELL SPRINGS LAKEWAY DRIVE RUSSELL SPRINGS KY 42642 PHYSICIAN CLINIC 5 - TJ HEALTH GREENSBURG 603 COLUMBIA HIGHWAY GREENSBURG KY 42743 PHYSICIAN CLINIC PART I, LINE 3C: TJ HEALTH COLUMBIA, INC.'S FINANCIAL ASSISTANCE POLICY USES THE FOLLOWING ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IN ADDITION TO THE FPG: ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS. PART I, LINE 7: TJ HEALTH COLUMBIA, INC. CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS USING THE COST-TO-CHARGE RATIO DERIVED FROM IRS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. PART II, COMMUNITY BUILDING ACTIVITIES: T.J. HEALTH COLUMBIA'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY THE ORGANIZATION SERVES BY OFFERING THE FOLLOWING:- HEALTH FAIR- KIDS SAFETY DAY- TJ HEALTH COLUMBIA COMMUNITY HEALTH NEEDS PART III, LINE 2: PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. THE HOSPITAL MAINTAINS ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS AND FOR ESTIMATED LOSSES RESULTING FROM A PAYOR'S INABILITY TO PAY. MANAGEMENT ESTIMATES THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON THEIR ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL AND CURRENT BUSINESS AND ECONOMIC FACTORS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE. PART III, LINE 3: THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN CHARITY CARE, CANDIDATES MUST COOPERATE FULLY. IN ADDITION, THE HOSPITAL EDUCATES PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. FOR THIS REASON, THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY, AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE. PART III, LINE 4: THE FOOTNOTE EXPLANATION FOR BAD DEBT EXPENSE IS ON PAGES 13 AND 14 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 9B: THE HOSPITAL PROVIDES ASSISTANCE TO PATIENTS THAT QUALIFY UNDER THE GUIDELINES. PART VI, LINE 2: NEEDS ASSESSMENT- T.J. HEALTH COLUMBIA (TJHC) HAS AN ORGANIZATIONAL COMMITMENT TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES THAT WE SERVE. THE HEALTH NEEDS OF OUR COMMUNITY ARE ASSESSED IN A NUMBER OF WAYS. QUARTERLY MARKET SHARE REPORTS ARE UTILIZED TO IDENTIFY INPATIENT AND OUTPATIENT TRENDS AND MIGRATION OF PATIENTS. THIS METHOD IS USED TO IDENTIFY SERVICES THAT ARE CURRENTLY NEEDED OR IN HIGH DEMAND FOR EXPANSION. IN ADDITION, BY STUDYING COMMUNITY HEALTH REPORTING CONDUCTED BY IOWA DEPARTMENT OF PUBLIC HEALTH, WE ARE ABLE TO IDENTIFY AREAS THAT NEED TO BE ADDRESSED WITHIN OUR COMMUNITY. CURRENTLY, PLANS ARE DEVELOPED UTILIZING HOSPITAL COMMUNITY HEALTH EDUCATORS TO SCREEN AND EDUCATE THE COMMUNITY AND TARGET THOSE SPECIFIC DEMOGRAPHICS IN NEEDS. A DEDICATED LOCATION IN THE COMMUNITY HAS BEEN DESIGNATED TO HOUSE THE EDUCATORS. IT WAS DETERMINED THAT A SEPARATE LOCATION AWAY FROM THE HOSPITAL WAS APPEALING TO OUR CONSUMERS AND ALLOWED THE COMMUNITY EDUCATORS PLENTY OF SPACE TO PROVIDE SERVICES. OUR COMMUNITY HEALTH EDUCATORS PARTNER WITH LOCAL BUSINESSES AND INDUSTRIES TO CONDUCT HEALTH EVENTS. SOME EXAMPLES OF SERVICES PROVIDED TO THE COMMUNITY ARE; HEALTH FAIRS, PROSTATE SCREENINGS, GLUCOSE CHECKS, CPR, CHOLESTEROL TESTS, BLOOD PRESSURE SCREENINGS, BMI CHECK, CANCER SUPPORT, DIABETIC SUPPORT, BEREAVEMENT SUPPORT, CHILD BIRTH CLASSES, CHILD SAFETY SEAT TRAINING, AND COMMUNITY SUPPORT GROUPS. TJHC PROUDLY SPONSORS EVENTS CONDUCTED BY AREA SCHOOL SYSTEMS. OUR VISION IS TO INVEST IN THE YOUTH BY PROVIDING INFORMATION AND EDUCATION AT AN EARLY AGE CAUSING STUDENTS TO BE PROACTIVE ABOUT THEIR HEALTH. EXAMPLES OF EVENTS INCLUDE SPORTS BOWLS, CAREER FAIRS, AND SCHOOL HEALTH EVENTS. THE HOSPITAL ALSO UTILIZES COMMUNITY MEMBERS TO FORM THE PATIENT ADVISORY COUNCIL TO WORK AS A SOUNDING BOARD FOR NEW AND EXPANDING SERVICES AS WELL AS TO IDENTIFY PATIENT EXPERIENCES THAT NEED IMPROVEMENT. ANNUALLY, T.J. HEALTH COLUMBIA WORKS THROUGH STRATEGIC PLANNING AND CONSUMER PREFERENCE DATA (AN ONLINE SERVICING TOOL) TO HELP IDENTIFY AND PRIORITIZE SERVICES THAT NEED TO BE IMPROVED OR CREATED IN ORDER TO BETTER MEET THE HEALTH NEEDS OF THE COMMUNITY. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: T.J. HEALTH COLUMBIA INFORMS EACH PERSON BILLED FOR SERVICES ON THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, AND LOCAL GOVERNMENT. UPON ADMISSION EACH PATIENT IS PROVIDED WITH A PACKET THAT INCLUDES A BROCHURE THAT IS A GUIDE TO THEIR HOSPITAL BILL. THIS GUIDE EDUCATES THAT PATIENT ON INSURANCE BILLING INFORMATION AS WELL AS PAYMENT ARRANGEMENTS OFFERED BY THE HOSPITAL. OPTIONS INCLUDE A DISPROPORTIONATE SHARE HOSPITAL PROGRAM (DSH), FIRST SOURCE WHICH PROVIDES INFORMATION AND EDUCATION ON FEDERAL ASSISTANCE PROGRAMS, CHARITY AND FINANCIAL AID ASSISTANCE APPLICATIONS, AND PAYMENT SCHEDULE ARRANGEMENTS. PART VI, LINE 4: TJ HEALTH COLUMBIA IS LOCATED IN COLUMBIA, KENTUCKY, WHICH IS THE COUNTY SEAT OF ADAIR COUNTY. ADAIR COUNTY IS LOCATED IN THE HEART OF SOUTH CENTRAL KENTUCKY AND HAS A POPULATION OF OVER 19,000. ADAIR COUNTY IS KNOWN FOR ITS IDEAL LOCATION BETWEEN GREEN RIVER RESERVOIR, DALE HALLOW LAKE STATE PARK, BARREN RIVER STATE PARK, AND LAKE CUMBERLAND STATE PARK. TJ HEALTH COLUMBIA SIX-COUNTY SERVICE AREA OF APPROXIMATELY 2,000 SQUARE MILES EXTENDS BEYOND THE HEALTH CARE SERVICES TO OVER 129,000 RESIDENTS. TJ HEALTH COLUMBIA DEFINES ITS PRIMARY SERVICE AREA BASED ON THE LOCATION OF WHERE THE MAJORITY OF OUR INPATIENTS RESIDE. TJHC PRIMARY SERVICE AREAS ARE ADAIR AND METCALFE COUNTIES. THE SECONDARY SERVICE AREAS ARE BARREN, GREEN COUNTY, TAYLOR, AND RUSSELL COUNTIES. THE PERCENT OF PERSONS IN POVERTY FOR TJHC'S PRIMARY AND SECONDARY SERVICE AREAS RANGED FROM 15.9%-22.1% WITH 6 OF THE 6 COUNTIES BEING ABOVE THE STATE AVERAGE OF 14.9%. WHEN LOOKING AT THE INCOME PER CAPITA IN THE PAST 12 MONTHS THE AVERAGE MEDIAN INCOME FOR THE TJHC SERVICES AREAS WAS $22,187, WHICH IS WELL UNDER STATE AVERAGE OF $27,503. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH OUR MISSION: TJHC WILL PROMOTE AND PROVIDE FOR THE HEALTH AND WELL BEING OF THOSE WE SERVE. OUR VISION: AS A REGIONAL PROVIDER, TJHC TAKES PRIDE IN BEING GOOD STEWARDS OF OUR AVAILABLE RESOURCES AND UTILIZING THEM TO ANTICIPATE AND EXCEED THE HEALTH NEEDS OF THE REGION BY PROMOTING HEALTH IN OUR COMMUNITIES AND DELIVERING QUALITY, APPROPRIATE AND COMPASSIONATE CARE. OUR GOALS: * CLINICAL QUALITY * CUSTOMER SERVICE * QUALITY WORK-LIFE * FINANCIAL PERFORMANCE ORGANIZATIONAL VALUES: * SERVICE * EXCELLENCE * RESPONSIVE * VISON * INNOVATION * COMPASSION* ETHICS *ETHICS STATEMENT OF COMMUNITY COMMITMENT: TJHC IS A NONPROFIT, CHARITABLE CORPORATION OPERATED FOR THE SOLE PURPOSE OF PROMOTING AND PROVIDING FOR THE HEALTH OF THE PEOPLE IN ITS SERVICE AREA. IT DOES SO BY MAKING SURE THAT NECESSARY HOSPITAL AND HEALTH SERVICES, APPROPRIATE FOR THE SIZE OF THE COMMUNITY, ARE AVAILABLE TO ALL ON A COST-EFFECTIVE BASIS, WITHOUT REGARD TO THEIR ABILITY TO PAY. THESE INCLUDE SUCH ESSENTIAL SERVICES SUCH AS A 24-HOUR EMERGENCY ROOM, OBSTETRICS, CRITICAL CARE CAPABILITIES, AND DISASTER PREPAREDNESS.TO BE ABLE TO CONTINUE TO OFFER THESE SERVICES AT A LEVEL OF SAFETY THE COMMUNITY HAS A RIGHT TO EXPECT, THIS ORGANIZATION MUST BE ABLE TO GENERATE SUFFICIENT VOLUME AND SUFFICIENT REVENUE TO SUPPORT THOSE ESSENTIAL SERVICES WHICH, DUE TO INSUFFICIENT REIMBURSEMENT OR HIGH EXPENSES ASSOCIATED WITH THE TYPE OF SERVICE OR PATIENT INVOLVED, CANNOT SUSTAIN THEMSELVES. IT MUST ALSO RELY ON THE SUPPORT OF A HIGH QUALITY STAFF OF PHYSICIANS, NURSES AND OTHER PROFESSIONALS WHO NOT ONLY DELIVER CARE, BUT ALSO MONITOR AND WORK TO IMPROVE THE QUALITY AND EFFECTIVENESS OF THE SERVICES PROVIDED TO THE COMMUNITY. ALL POLICIES AND ACTIONS OF TJHC SHALL BE IN FURTHERANCE OF IDENTIFYING AND MEETING THE HEALTH NEEDS OF THOSE THAT WE SERVE. WITH DEDICATED STAFF POSITIONED LOCALLY, THE COMMUNITY CAN BE ASSURED ACCESS TO PRIMARY CARE. PHYSICIANS STRATEGICALLY ALIGNED WITH THE RURAL PROVIDER CAN SUCCESSFULLY MANAGE THEIR PRACTICE AND THE HEALTH OF THE LOCAL COMMUNITY. PAST STRATEGIES RECOMMENDED THAT RURAL HOSPITALS AFFILIATE WITH LARGER, URBAN HOSPITALS OR HEALTH SYSTEMS TO INCREASE THE FACILITY'S ACCESS TO CAPITAL, ADVANCED HEALTH CARE AND IMPROVED COMMUNITY HEALTH OPTIONS. TO DIRECTLY INFLUENCE ITS OWN OPERATIONS, THE DEVELOPMENT OF STRONG SPECIALTY CLINICS SHOULD INCREASE ANCILLARY UTILIZATION AND IMPROVE LOCAL CONFIDENCE IN THE HOSPITAL'S ABILITY TO MEET THE LOCAL COMMUNITY'S HEALTH DEMANDS. IN ORDER TO MEET INCREASED DEMAND FOR ANCILLARY SERVICES, RURAL HOSPITALS NEED TO EXPAND AND GROW OUTPATIENT BUSINESS. THIS IS DONE SO BY PURCHASING THE TECHNOLOGY AND LABORATORY EQUIPMENT TO KEEP TESTING IN-HOUSE. BY EXPANDING THE OUTPATIENT SERVICES OFFERED TO THE COMMUNITY AND INVESTING IN THE EQUIPMENT TO PROVIDE THOSE SERVICES, A RURAL HOSPITAL IS ABLE TO TAKE FULL ADVANTAGE OF THE BUSINESS DRIVEN BY THE SPECIALTY CLINICS. MARKETING A SITUATION WHERE YOUR CARE CAN BE MANAGED LOCALLY DRIVES FACILITY CONFIDENCE LOCALLY. THE COMMUNITY WILL BE AWARE OF THE MANY SERVICES AVAILABLE THROUGH THE HOSPITAL, ITS OUTPATIENT CENTERS AND ITS SPECIALTY CLINICS. HE AGING COMMUNITY OPENS THE DOOR TO INCREASED DEMAND FOR SUB-ACUTE HEALTHCARE. HOME HEALTH, SKILLED NURSING, AND REHABILITATION SERVICES PROVIDE AN INPATIENT HOSPITAL WITH A CONTINUUM OF CARE TO SERVE THE COMMUNITY BEYOND THE ACUTE ENVIRONMENT. EVEN IF A RESIDENT NEEDS TO SEEK SPECIALTY CARE OUT OF MARKET, EXTENSIVE SUB-ACUTE SERVICES WILL RETURN THE PATIENT TO THEIR COMMUNITY WHERE THEY ARE COMFORTABLE AND FAMILIAR TO THE SURROUNDINGS. TJHC IS VERY INVOLVED IN THE COMMUNITY. * AMERICAN CANCER SOCIETY-RELAY FOR LIFE * AMERICAN HEART ASSOCIATION-HEART WALK AND WEAR RED DAY * HEALTH EDUCATION THEATRE * MARCH OF DIMES WALK AMERICA * SUSAN G. KOMEN * UNITED WAY * LINDSEY WILSON COLLEGE PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: TJ REGIONAL HEALTH INC. : AS OF DECEMBER 2015, TJHC BECAME A SUBSIDIARY OF T. J. REGIONAL HEALTH, INC. THIS ORGANIZATION SERVES AS THE PARENT ORGANIZATION AND WAS FORMED TO HELP FACILITATE THE ORGANIZATIONS PLANS TO BECOME MORE REGIONALLY FOCUSED. TJHC ALONG WITH T.J. SAMSON COMMUNITY HOSPITAL AND T. J. HEALTH PARTNERS, LLC ARE ALL SUBSIDIARIES OF T. J. REGIONAL HEALTH, INC. T. J. HEALTH PARTNERS, LLC. OPERATES PHYSICIAN CLINICS THAT INCLUDE FAMILY MEDICINE, INTERNAL MEDICINE, CARDIOLOGY, UROLOGY, NEUROLOGY, GYNECOLOGY AND PAIN MANAGEMENT. T. J. HEALTH PARTNERS, LLC IS A PHYSICIAN MULTI-SPECIALTY CLINIC THAT OFFERS PATIENTS EASY ACCESS TO CARE. THE COMPREHENSIVE SERVICES ALLOW PATIENTS TO REMAIN IN THE COMMUNITY FOR THEIR HEALTHCARE NEEDS. T.J. SAMSON COMMUNITY HOSPITAL IS A 196-BED, ACUTE-CARE FACILITY PROVIDING HEALTHCARE SERVICES TO BARREN AND SURROUNDING COUNTIES. AS COMMUNITY NEEDS ARE IDENTIFIED, ONGOING EFFORTS WILL BE MADE TO EXPAND THE OFFERINGS. SPECIALTIES RANGE FROM PRIMARY CARE TO INVASIVE/INTERVENTIONAL CARDIOLOGY, UROLOGY, PULMONARY, ONCOLOGY, AND NEUROLOGY. EACH OFFICE IS DESIGNED TO MEET AS MANY OF THE PATIENT'S NEEDS IN THE OFFICE SETTING AS POSSIBLE. T.J. HEALTH PAVILION IS AN OUTPATIENT SERVICE FACILITY OWNED AND OPERATED BY T.J. SAMSON COMMUNITY HOSPITAL AND IS DESIGNED TO MEET THE DEMAND OF RISING OUTPATIENT VOLUMES. THE T.J. HEALTH PAVILION HOUSES THE PHYSICIAN GROUP OF T.J. HEALTH PARTNERS AND THE OUTPATIENT SERVICES OF T.J. SAMSON COMMUNITY HOSPITAL. THE FACILITY ALLOWS THE COMMUNITY ACCESS TO A WIDE ARRAY OF SERVICES AND TECHNOLOGY ALL LOCATED IN ONE CONVENIENT LOCATION. SERVICES AND SPECIALTIES INCLUDE; REHABILITATION, DIALYSIS, URGENT CARE SERVICES, LABORATORY, RADIOLOGY, PRIMARY CARE, ONCOLOGY, UROLOGY, PAIN MANAGEMENT, SURGERY PHYSICIANS, OBSTETRICS AND GYNECOLOGY, CARDIOLOGY, AND NEPHROLOGY. T.J. HEALTH COLUMBIA IS A 74-BED, (25 FOR BHU AND 49 FOR ACUTE-CARE) FACILITY PROVIDING HEALTHCARE SERVICES TO ADAIR AND SURROUNDING COUNTIES. THE BHU UNIT WAS CLOSED IN JULY OF 2018. FORM 990, SCHEDULE H, PART VI IN MARCH 2020, THE COVID-19 PANDEMIC BEGAN AFFECTING THE ENTIRE COUNTRY, INCLUDING THE T.J. REGIONAL HEALTH SERVICES AREA. ALL T.J. REGIONAL HEALTH FACILITIES BEGAN TAKING ALL PRECAUTIONS RECOMMENDED BY THE CDC. MASKS WERE REQUIRED IN ALL FACILITIES AT ALL TIMES AND VISITORS WERE RESTRICTED. MANY PEOPLE DIDN'T WANT TO EVEN SEEK MEDICAL SERVICES AT THIS TIME UNLESS ABSOLUTELY NECESSARY. AS 2020 CONTINUED ON INTO THE FALL, THE NUMBERS SEEMED TO PLATEAU AND THERE WAS TALK OF A VACCINE FOR THIS POTENTIALLY DEADLY VIRUS. T.J. REGIONAL HEALTH SAW MANY PATIENTS WITH COVID AND EXPERIENCED MANY DEATHS DURING 2020. IN DECEMBER 2020, A VACCINE WAS RELEASED TO HEALTH CARE WORKERS AND T.J. REGINOAL HEALTH RECEIVED THESE VACCINES. AS EARLY AS FEBRUARY 2021, THE VACCINE WAS RELEASED TO CERTAIN POPULATIONS INCLUDING THOSE OVER 65 AND PEOPLE WITH CHRONIC UNDERLYING HEALTH ISSUES. A DECISION WAS MADE THAT T.J. REGIONAL HEALTH WOULD PROVIDE VACCINES CLINICS TO OUR COMMUNITIES THAT WE SERVE. A PHONE BANK WAS STARTED AND PHONE CALLS BEGAN ROLLING IN TO SCHEDULE A VACCINE APPOINTMENT IN MARCH AND APRIL 2021 WHEN THE VACCINE WAS RELEASED TO THE GENERAL PUBLIC. T.J. REGIONAL HEALTH PROVIDED CLINICS AT T.J. SAMSON COMMUNITY HOSPITAL, T.J. HEALTH PAVILION AND T.J. HEALTH COLUMBIA. THE CLINICS FOR COLUMBIA AND SURROUNDING AREAS WERE HELD AT THE VFW POST TO PORVIDE SPACE FOR THE LARGE NUMBERS OF PEOPLE. THESE VACCINES WERE FREE TO ALL PARTICIPANTS. AS THE COVID-19 PANDEMIC CONTINUES INTO 2021, WE HAVE SEEN ANOTHER SURGE IN SUMMER AND A RECORD NUMBER OF DEATHS AND CRITICALLY ILL PATIENTS. WE CONTINUE TO URGE THOSE WHO ARE UNVACCINATED TO PLEASE BE VACCINATED. AS OF 9/10/2021, T.J. REGIONAL HEALTH HAD ADMINISTERED 18,865 DOSES OF THE COVID-19 VACCINE. X 0 0 0 0 0 0 0 1 0 MICHAEL SARIDAKIS MD DIRECTOR/VICE CHIEF OF STAFF (TERM B 0 396102 0 112869 0 24862 0 10507 0 23834 0 568174 0 0 JOHN P CRADDOCK DIRECTOR/VICE CHIEF OF STAFF (TERM E 0 502331 0 79437 0 1260 0 6880 0 14608 0 604516 0 0 ERIC FISHER MD DIRECTOR/CHIEF OF STAFF (TERM END 12 0 253209 0 25000 0 5756 0 8476 0 24352 0 316793 0 0 NEIL THORNBURY CEO 0 414441 0 22741 0 1260 0 5250 0 19261 0 462953 0 0 MEI DENG CFO 0 304886 0 15000 0 1932 0 10451 0 19469 0 351738 0 0 CLINTON KITECK PHYSICIAN 255117 0 51593 0 840 0 8640 0 23037 0 339227 0 0 0 PAUL DUNN PHYSICIAN 230861 0 34553 0 1768 0 7804 0 24780 0 299766 0 0 0 CONSTANCE PROSTKO NURSE PRACTITIONER 100110 0 47551 0 415 0 2542 0 8649 0 159267 0 0 0 EMILY JESSIE NURSE PRACTITIONER 88123 0 55675 0 37 0 2234 0 23472 0 169541 0 0 0 TERESA SHEFFIELD NURSE PRACTITIONER 95110 0 60368 0 126 0 3217 0 630 0 159451 0 0 0 PART I, LINE 3 TJ REGIONAL HEALTH, INC., A RELATED ORGANIZATION OF TJ HEALTH COLUMBIA, INC., USES THE FOLLOWING METHOD TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: - COMPENSATION SURVEY OR STUDY PART I, LINE 7 PHYSICIANS ARE ELGIBLE FOR INCENTIVE COMPENSATION. PHYSICIANS MAY EARN ADDITONAL COMPENSATION THROUGH QUARTERLY PRODUCTIVITY BONUSES THAT ARE BASED ON THE CALCULATED DIFFERENCE OF ACTUAL WRVUS FOR THE QUARTER LESS A WRVU QUARTERLY TARGET. THE OFFICER'S BONUSES ARE CALCULATED BASED ON STANDARD PERFORMANCE METRICS AS MEASURED BY ANNUAL CMS PATIENT SATISFACTION SURVEY RESULTS, ANNUAL EMPLOYEE SATISFACTION AND TURNOVER RESULTS, ANNUAL CMS HOSPITAL QUALITY SCORES IMPROVEMENT, FINANCIAL PERFORMANCE TO GOALS, SERVICE LINE GROWTH AND MARKET SHARE EXPANSION, AND COMMUNITY DEVELOPMENT SUPPORT AND PROGRESS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE CEO AND CFO BEFORE FILED. FORM 990, PART VI, SECTION B, LINE 12C YEARLY THE BOARD REVIEWS THE POLICY AND ENSURES COMPLIANCE BY ALL MEMBERS. EACH MEMBER MUST ANNUALLY DISCLOSE COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15 THE HOSPITAL USES AN OUTSIDE THIRD PARTY AGENCY TO HELP DETERMINE COMPENSATION LEVELS FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST FROM THE ORGANIZATION. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,562,632. MANAGEMENT AND GENERAL EXPENSES 135,881. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,698,513. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 317,631. MANAGEMENT AND GENERAL EXPENSES 27,620. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 345,251. FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR. TJ REGIONAL HEALTH INC 1301 NORTH RACE STREET GLASGOW KY 42141 273988336 PARENT ORGANIZATION OF HEALTHCARE FACILITY KY 501(C)(3) LINE 12B, II 0 TJ SAMSON COMMUNITY HOSPITAL 1301 NORTH RACE STREET GLASGOW KY 42141 610461767 HOSPITAL KY 501(C)(3) LINE 3 TJ REGIONAL HEALTH INC 0 TJ COMMUNITY MISSION FOUNDATION 1301 NORTH RACE STREET GLASGOW KY 42141 472208322 FOUNDATION KY 501(C)(3) LINE 10 TJ REGIONAL HEALTH INC 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 0 1