T J HEALTH COLUMBIA INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- T J HEALTH COLUMBIA INC (EIN 81-0893103)
- Tax period
- 2023-10-01 to 2024-09-30
- Filed
- 2025-07-30
- IRS object ID
- 202502119349300905
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-07-30T07:29:41-05:00 | ReturnTs |
| Tax Period End | 2024-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2650 EASTPOINT PKWY SUITE 300 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40223 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810893103 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TJ HEALTH COLUMBIA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TJHE | BusinessNameControlTxt |
| Phone | 2706514157 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 N RACE STREET | AddressLine1Txt |
| City | GLASGOW | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42141 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MEI DENG | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2706514157 | PhoneNum |
| Signature | 2025-07-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EMILIE M KNIERIEM CPA | PreparerPersonNm |
| PTIN | P01330194 | PTIN |
| Phone | 5029923500 | PhoneNum |
| Preparation | 2025-07-29 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MEI DENG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 NORTH RACE STREET | AddressLine1Txt |
| City | GLASGOW | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42141 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,039,824 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TJREGIONALHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2015 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 170 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $130,770 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,702,253 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $21,840,888 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,281 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,025 | CYInvestmentIncomeAmt |
| PY Other Revenue | $59,366 | PYOtherRevenueAmt |
| CY Other Revenue | $61,141 | CYOtherRevenueAmt |
| PY Total Revenue | $19,764,900 | PYTotalRevenueAmt |
| CY Total Revenue | $22,039,824 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $235,451 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,272,661 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,909,114 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,830,031 | PYOtherExpensesAmt |
| CY Other Expenses | $5,948,800 | CYOtherExpensesAmt |
| PY Total Expenses | $16,338,143 | PYTotalExpensesAmt |
| CY Total Expenses | $17,857,914 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,426,757 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,181,910 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,024,365 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,068,368 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $935,560 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $797,653 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,088,805 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $20,270,715 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $14,073,605 | ExpenseAmt |
| Revenue | $21,840,888 | RevenueAmt |
| Desc | T.J. HEALTH COLUMBIA PROVIDES HEALTHCARE SERVICES TO ADAIR AND SURROUNDING COUNTIES IN KENTUCKY. 1,494 ACUTE HOSPITAL AND EMERGENCY ROOM CARE PATIENT DAYS AND 8,363 ER VISITS IN FYE 9/30/24. | Desc |
| Total Program Service Expenses | $14,073,605 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 31 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 170 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2706514157 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 N RACE STREET | AddressLine1Txt |
| City | GLASGOW | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42141 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| T RICH ALEXANDER | |||||||||
| CHAIRMAN | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BRENT BILLINGSLEY | |||||||||
| VICE CHAIRMAN | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ERVIN SORRELL | |||||||||
| TREASURER | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL SCOTT YOUNG | |||||||||
| SECRETARY | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOEY ALLEN BOTTS | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| HENRY ROYSE | |||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $16,825 | $0 | |||
| BO MATTHEWS | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DAN FOUTCH | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| KYLE KISER MD | |||||||||
| DIRECTOR/VICE CHIEF OF STAFF (END 12/23) | 1.00 | 41.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL SARIDAKIS MD | |||||||||
| DIRECTOR/CHIEF OF STAFF (END 12/23) | 1.00 | 41.00 | Yes (X) | $0 | $489,339 | $38,687 | |||
| AMY NORRIS CASSADY | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CORNELIUS FAULKNER | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| NEIL THORNBURY | |||||||||
| CEO | 5.00 | 46.00 | Yes (X) | $0 | $584,673 | $60,907 | |||
| MEI DENG | |||||||||
| CFO | 5.00 | 46.00 | Yes (X) | $0 | $367,762 | $30,840 | |||
| CLINTON KITECK | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $312,712 | $0 | $36,287 | Yes (X) | |||
| PATRICIA DOOLIN | |||||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $205,564 | $0 | $14,056 | Yes (X) | |||
| ASHLEY MATNEY | |||||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $331,909 | $0 | $25,496 | Yes (X) | |||
| EMILY JESSIE | |||||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $184,539 | $0 | $19,226 | Yes (X) | |||
| TERESA SHEFFIELD | |||||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $183,842 | $0 | $5,214 | Yes (X) | |||
| JOHN CRADDOCK | |||||||||
| FORMER VICE CHIEF OF STAFF | 1.00 | 41.00 | $0 | $612,646 | $38,687 | Yes (X) | |||
| ERIC FISHER | |||||||||
| FORMER CHIEF OF STAFF | 1.00 | 41.00 | $0 | $359,113 | $36,940 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,218,566 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,430,358 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $306,340 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SE EMERGENCY PHYSICIANS LLC | |||||
| PO BOX 634850 | CINCINNATI | OH | 45263 | ER/URGENT CARE CONTRACTED PHYSICIANS | $1,025,840 |
| HOSPITAL MEDICINE ASSOCIATES LLC | |||||
| PO BOX 634850 | CINCINNATI | OH | 45263 | CONTRACTED PHYSICIANS | $444,471 |
| ALLIANCE HEALTHCARE SERVICE INC | |||||
| PO BOX 735714 | DALLAS | TX | 75373 | RADIOLOGY SERVICES | $201,268 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $130,770 | RelatedOrganizationsAmt |
| Total Contributions | $130,770 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621999 | $20,541,899 | $20,541,899 |
| 340B PHARMACY REVENUE | 621399 | $1,298,989 | $1,298,989 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $21,840,888 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,025 | TotalRevenueColumnAmt |
| Exclusion | $7,025 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| REV SHARE COMMERCE BANK | 900099 | $2,241 | $2,241 |
| PHOTO COPY REVENUE | 900099 | $2,043 | $2,043 |
| PURCHASE DISCOUNTS | 900099 | $1,090 | $1,090 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $55,767 | TotalRevenueColumnAmt |
| Exclusion | $55,767 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $61,141 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,039,824 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,840,888 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $68,166 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,586,555 | TotalAmt |
| Program Services | $7,477,513 | ProgramServicesAmt |
| Management And General | $2,109,042 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,931 | TotalAmt |
| Program Services | $225,366 | ProgramServicesAmt |
| Management And General | $63,565 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,367,002 | TotalAmt |
| Program Services | $1,066,262 | ProgramServicesAmt |
| Management And General | $300,740 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $666,626 | TotalAmt |
| Program Services | $519,968 | ProgramServicesAmt |
| Management And General | $146,658 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,922,418 | TotalAmt |
| Program Services | $2,480,811 | ProgramServicesAmt |
| Management And General | $441,607 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $401,126 | TotalAmt |
| Program Services | $160,450 | ProgramServicesAmt |
| Management And General | $240,676 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,100 | TotalAmt |
| Program Services | $66,690 | ProgramServicesAmt |
| Management And General | $7,410 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $600,647 | TotalAmt |
| Program Services | $378,408 | ProgramServicesAmt |
| Management And General | $222,239 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,080 | TotalAmt |
| Program Services | $10,832 | ProgramServicesAmt |
| Management And General | $16,248 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,783 | TotalAmt |
| Program Services | $4,313 | ProgramServicesAmt |
| Management And General | $6,470 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59 | TotalAmt |
| Program Services | $24 | ProgramServicesAmt |
| Management And General | $35 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $476,762 | TotalAmt |
| Program Services | $333,733 | ProgramServicesAmt |
| Management And General | $143,029 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,257 | TotalAmt |
| Program Services | $44,331 | ProgramServicesAmt |
| Management And General | $4,926 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | $889,620 | $889,620 | |
| PROVIDER TAX | $248,737 | $248,737 | |
| REPAIRS & MAINTENANCE | $181,791 | $139,979 | $41,812 |
| DUES AND SUBSCRIPTIONS | $30,582 | $12,233 | $18,349 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,838 | TotalAmt |
| Program Services | $14,335 | ProgramServicesAmt |
| Management And General | $21,503 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,857,914 | TotalAmt |
| Program Services | $14,073,605 | ProgramServicesAmt |
| Management And General | $3,784,309 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,180 | BOYAmt |
| EOY | $10,213 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,276,272 | BOYAmt |
| EOY | $1,323,721 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,862,901 | BOYAmt |
| EOY | $1,883,454 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $384 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $269,230 | BOYAmt |
| EOY | $405,198 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,189 | BOYAmt |
| EOY | $63,452 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,680,899 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,687,977 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,771,607 | BOYAmt |
| EOY | $4,992,922 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,792,602 | BOYAmt |
| EOY | $12,389,408 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,024,365 | BOYAmt |
| EOY | $21,068,368 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $839,537 | BOYAmt |
| EOY | $797,653 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,023 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $935,560 | BOYAmt |
| EOY | $797,653 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,088,805 | BOYAmt |
| EOY | $20,270,715 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,088,805 | BOYAmt |
| EOY | $20,270,715 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,024,365 | BOYAmt |
| EOY | $21,068,368 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,181,910 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,054 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,054 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL PAYS MEMBERSHIP DUES TO THE KENTUCKY HOSPITAL ASSOCIATION OF WHICH A PORTION OF THE DUES ARE USED FOR LOBBYING PURPOSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $667,576 | OtherCostOrOtherBasisAmt |
| Book Value | $667,576 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,695,893 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,360,552 | DepreciationAmt |
| Book Value | $3,335,341 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,249,515 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,323,511 | DepreciationAmt |
| Book Value | $926,004 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $67,915 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,914 | DepreciationAmt |
| Book Value | $64,001 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,992,922 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED ENTITY | $12,021,394 |
| ESTIMATED THIRD PARTY SETTLEMENT | $368,014 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $12,389,408 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | TJ SAMSON COMMUNITY HOSPITAL (TJS), TJ HEALTH COLUMBIA (TJHC), AND TJ REGIONAL HEALTH (TJR) ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AS SUCH, TJS, TJHC, AND TJR ARE GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, THEY ARE REQUIRED TO FILE FEDERAL FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX WHICH IS AN INFORMATIONAL RETURN ONLY. TJ HEALTH PARTNERS (TJHP) IS AN LLC, AND IS TREATED AS A PARTNERSHIP FOR INCOME TAX PURPOSES. THE LLC'S NET EARNINGS OR LOSSES ARE ALLOCATED TO ITS SOLE OWNER (TJR) AND INCLUDED IN THE OWNER'S INCOME TAX RETURN. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THE FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL, AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2024, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $53,355 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $53,355 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $6,480,710 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,565,428 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $6,534,065 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,565,428 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $53,355 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 2072 | PersonsServedCnt |
| Total Community Benefit Expns | $5,300 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,300 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 514 | ActivitiesOrProgramsCnt |
| Persons Served | 7010 | PersonsServedCnt |
| Total Community Benefit Expns | $8,965 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,965 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 521 | ActivitiesOrProgramsCnt |
| Persons Served | 9082 | PersonsServedCnt |
| Total Community Benefit Expns | $14,265 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,265 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 522 | ActivitiesOrProgramsCnt |
| Persons Served | 9082 | PersonsServedCnt |
| Total Community Benefit Expns | $6,548,330 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,565,428 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $67,620 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 3060 | PersonsServedCnt |
| Total Community Benefit Expns | $439 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $439 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 3060 | PersonsServedCnt |
| Total Community Benefit Expns | $439 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $439 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,114,425 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $2,396,220 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,597,946 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,201,726 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TJ HEALTH COLUMBIA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 WESTLAKE DRIVE | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42728 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.TJREGIONALHEALTH.ORG | WebsiteAddressTxt |
| State License | 10001 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TJ HEALTH COLUMBIA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.TJREGIONALHEALTH.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.TJREGIONALHEALTH.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PAGE 8 PART V SECTION B LINE 16J | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PAGE 8 PART V SECTION B LINE 16J | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PAGE 8 PART V SECTION B LINE 16J | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 AND GLASGOW SERVING OVER 600 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 THEIR 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. THIS YEAR WE ALSO DISPENSED ALMOST $30,000 WORTH OF FREE FLU, COVID, SHINGLES, AND PNEUMONIA VACCINES.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 BOTH GLASGOW AND COLUMBIA LOCATIONS.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. |
| T.J. HEALTH COLUMBIA | PART V, SECTION B, LINE 16J: HTTPS://WWW.TJREGIONALHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE-PRICING/FINANCIAL-ASSISTANCE/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - COLUMBIA CLINIC | ||||
| 902 WESTLAKE DRIVE | COLUMBIA | KY | 42728 | PRIMARY CARE |
| 2 - COLUMBIA PRIMARY CARE CLINIC | ||||
| 810 JAMESTOWN STREET | COLUMBIA | KY | 42728 | PRIMARY CARE |
| 3 - EDMONTON CLINIC | ||||
| 1704 W STOCKTON STREET | EDMONTON | KY | 42129 | PRIMARY CARE |
| 4 - RUSSELL SPRINGS CLINIC | ||||
| 542 STEVE DRIVE | RUSSELL SPRINGS | KY | 42642 | PRIMARY CARE |
| 5 - GREENSBURG CLINIC | ||||
| 603 COLUMBIA HIGHWAY | GREENSBURG | KY | 42743 | PRIMARY CARE |
| 6 - SCOTTSVILLE CLINIC | ||||
| 1084 VETERANS MEMORIAL HIGHWAY | SCOTTSVILLE | KY | 42164 | PRIMARY CARE |
| 7 - TOMPKINSVILLE CLINIC | ||||
| 800 N MAIN STREET | TOMPKINSVILLE | KY | 42167 | PRIMARY CARE |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| SCHEDULE H, PART I, LINE 7 | IN 2019, THE HOSPITAL HAS BEEN PARTICIPATING IN THE MEDICAID HOSPITAL RATE IMPROVEMENT PROGRAM ("HRIP"). THIS PROGRAM WAS DESIGNED TO PROVIDE SUPPLEMENTAL MEDICAID PAYMENTS TO CERTAIN KENTUCKY HOSPITALS TO COVER THE GAP BETWEEN REGULAR INPATIENT MEDICAID PAYMENTS AND MEDICARE ALLOWABLE COSTS. EFFECTIVE JULY 1, 2020, THE PROGRAM WAS MODIFIED TO PROVIDE SUPPLEMENTAL MEDICAID PAYMENTS TO CERTAIN KENTUCKY HOSPITALS TO COVER THE GAP BETWEEN INPATIENT MEDICAID PAYMENTS AND THE AVERAGE COMMERCIAL PAYMENT RATE. THE AMOUNT HOSPITALS RECEIVE IS DETERMINED ANNUALLY PRIOR TO EACH STATE FISCAL YEAR. THE PAYMENTS ARE MADE EACH QUARTER, AND THEY ARE BASED ON PAID CLAIMS, WITH THE STATE MATCHING FUNDS COMING FROM A NEW ASSESSMENT ON HOSPITALS EVERY QUARTER. |
| 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 8-10 OF THE AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE MEDICARE (SHORTFALL)/SURPLUS WAS CALCULATED BASED ON THE FILED 9/30/24 COST REPORT. |
| PART III, LINE 9B: | THE HOSPITAL PROVIDES ASSISTANCE TO PATIENTS THAT QUALIFY UNDER THE GUIDELINES. |
| PART VI, LINE 2: | 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 ADDRESSES WITHIN OUR COMMUNITY. CURRENTLY, PLANS ARE DEVELOPED UTILIZING HOSPITAL COMMUNITY HEALTH EDUCATORS TO SCREEN AND EDUCATE THE COMMUNITY AND TARGET THOSE SPECIFIC DEMOGRAPHICS IN NEED. 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 CHECKS, CANCER SUPPORT, DIABETIC SUPPORT, BEREAVEMENT SUPPORT, CHILDBIRTH 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%-22.6% WITH 6 OF THE 6 COUNTIES BEING ABOVE THE STATE AVERAGE OF 16.5%. WHEN LOOKING AT THE INCOME PER CAPITA, THE AVERAGE MEDIAN INCOME FOR THE TJHC SERVICES AREAS WAS $22,813 WHICH IS WELL UNDER STATE AVERAGE OF $29,123. |
| 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN CRADDOCK | ||||||||||||||
| FORMER VICE CHIEF OF STAFF | $0 | $502,078 | $0 | $105,568 | $0 | $5,000 | $0 | $13,200 | $0 | $25,487 | $0 | $651,333 | $0 | $0 |
| NEIL THORNBURY | ||||||||||||||
| CEO | $0 | $505,570 | $0 | $79,103 | $0 | $0 | $0 | $35,420 | $0 | $25,487 | $0 | $645,580 | $0 | $0 |
| MICHAEL SARIDAKIS MD | ||||||||||||||
| DIRECTOR/CHIEF OF STAFF (END 12/23) | $0 | $416,895 | $0 | $62,444 | $0 | $10,000 | $0 | $13,200 | $0 | $25,487 | $0 | $528,026 | $0 | $0 |
| MEI DENG | ||||||||||||||
| CFO | $0 | $330,262 | $0 | $37,500 | $0 | $0 | $0 | $12,656 | $0 | $18,184 | $0 | $398,602 | $0 | $0 |
| ERIC FISHER | ||||||||||||||
| FORMER CHIEF OF STAFF | $0 | $359,113 | $0 | $0 | $0 | $0 | $0 | $11,453 | $0 | $25,487 | $0 | $396,053 | $0 | $0 |
| ASHLEY MATNEY | ||||||||||||||
| NURSE PRACTITIONER | $269,733 | $0 | $51,407 | $0 | $10,769 | $0 | $10,243 | $0 | $15,253 | $0 | $357,405 | $0 | $0 | $0 |
| CLINTON KITECK | ||||||||||||||
| PHYSICIAN | $265,513 | $0 | $42,199 | $0 | $5,000 | $0 | $10,800 | $0 | $25,487 | $0 | $348,999 | $0 | $0 | $0 |
| PATRICIA DOOLIN | ||||||||||||||
| NURSE PRACTITIONER | $115,140 | $0 | $88,424 | $0 | $2,000 | $0 | $4,680 | $0 | $9,376 | $0 | $219,620 | $0 | $0 | $0 |
| EMILY JESSIE | ||||||||||||||
| NURSE PRACTITIONER | $118,296 | $0 | $64,243 | $0 | $2,000 | $0 | $4,229 | $0 | $14,997 | $0 | $203,765 | $0 | $0 | $0 |
| TERESA SHEFFIELD | ||||||||||||||
| NURSE PRACTITIONER | $110,191 | $0 | $71,627 | $0 | $2,024 | $0 | $4,480 | $0 | $734 | $0 | $189,056 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | TJ REGIONAL HEALTH, INC., A RELATED ORGANIZATION OF TJ HEALTH COLUMBIA, INC., USES COMPENSATION SURVEYS/STUDIES AND 990S OF OTHER HOSPITALS SIMILAR IN SIZE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. THIS PROCESS IS REVIEWED AND APPROVED ANNUALLY BY THE EXECUTIVE BOARD. |
| 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S CEO, CFO, AND OFFICERS OF THE BOARD (CHAIRMAN, VICE CHAIRMAN, FINANCE COMMITTEE). |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD REVIEWS THE POLICY AND ENSURES COMPLIANCE BY ALL MEMBERS ANNUALLY. EACH MEMBER MUST ANNUALLY DISCLOSE COMPLIANCE. |
| FORM 990, PART VI, SECTION B, LINE 15 | LINE 15A AND 15B: RELATED ORG, TJ REGIONAL HEALTH, INC., COMPENSATES ALL OFFICERS. TJ REGIONAL USES AN INDEPENDENT THIRD PARTY TO HELP ESTABLISH WAGES FOR THE CEO. COMPARABILITY DATA USED INCLUDED IHA COMPENSATION SURVEYS, AND 990S OF OTHER HOSPITALS SIMILAR IN SIZE. THIS PROCESS IS REVIEWED AND APPROVED BY THE EXECUTIVE BOARD ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST FROM THE ORGANIZATION. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 65,295. MANAGEMENT AND GENERAL EXPENSES 7,255. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,550. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 644,470. MANAGEMENT AND GENERAL EXPENSES 71,608. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 716,078. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,771,046. MANAGEMENT AND GENERAL EXPENSES 362,744. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,133,790. |
| 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| TJ REGIONAL HEALTH INC | |||||||||||
| 1301 NORTH RACE STREET | GLASGOW | KY | 42141 | 273988336 | PARENT ORGANIZATION OF HEALTHCARE FACILITY | KY | 501(C)(3) | LINE 12B, II | N/A | 0 | |
| TJ SAMSON COMMUNITY HOSPITAL | |||||||||||
| 1301 NORTH RACE STREET | GLASGOW | KY | 42141 | 610461767 | HOSPITAL | KY | 501(C)(3) | LINE 3 | 0 | TJ REGIONAL HEALTH INC | |
| TJ COMMUNITY MISSION FOUNDATION | |||||||||||
| 1301 NORTH RACE STREET | GLASGOW | KY | 42141 | 472208322 | FOUNDATION | KY | 501(C)(3) | LINE 10 | 0 | TJ REGIONAL HEALTH INC | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |