2025-07-30T07:17:42-05:00 2024-09-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2023-10-01 610461767 TJ SAMSON COMMUNITY HOSPITAL TJSA 2706514114 1301 NORTH RACE STREET GLASGOW KY 42141 MEI DENG CFO 2706514114 2025-07-29 1 1 EMILIE M KNIERIEM CPA P01330194 3176334705 2025-07-29 2023 2025-03-06 01:10:19Z MEI DENG 1301 NORTH RACE STREET GLASGOW KY 42141 296000406 0 X WWW.TJREGIONALHEALTH.ORG X 1928 KY TJ SAMSON COMMUNITY HOSPITAL WILL PROMOTE AND PROVIDE FOR THE HEALTH AND WELL-BEING OF THOSE THEY SERVE AND THE HEALTHCARE PROFESSIONALS WHO SERVE THEM. 10 9 1500 10 -26314 0 3000 49651 228637162 249864503 2795503 4593374 5422406 4780070 236858071 259287598 11374096 12839625 0 0 110167153 123058121 0 0 0 108824517 112495932 230365766 248393678 6492305 10893920 222203403 255980874 49412092 57613704 172791311 198367170 TJ SAMSON COMMUNITY HOSPITAL WILL PROMOTE AND PROVIDE FOR THE HEALTH AND WELL-BEING OF THOSE THEY SERVE AND THE HEALTHCARE PROFESSIONALS WHO SERVE THEM. 0 0 203070648 12839625 252736427 TJ SAMSON COMMUNITY HOSPITAL PROVIDES HEALTHCARE SERVICES TO BARREN AND SURROUNDING COUNTIES IN KENTUCKY. ACUTE HOSPITAL AND EMERGENCY ROOM CARE PATIENT DAYS 17,800 AND ER VISITS 24,386 IN FYE 9/30/24. 203070648 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 220 0 1 1500 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 10 9 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 0 0 0 KY X MARGIE GENTRY 2706514114 1301 NORTH RACE STREET GLASGOW KY 42141 T RICH ALEXANDER CHAIRMAN 1.00 3.00 X X 0 0 0 BRENT BILLINGSLEY VICE CHAIRMAN 1.00 3.00 X X 0 0 0 MICHAEL SCOTT YOUNG SECRETARY 1.00 3.00 X X 0 0 0 ERVIN SORRELL TREASURER 1.00 2.00 X 0 0 0 JOEY ALLEN BOTTS DIRECTOR 1.00 3.00 X 0 0 0 BO MATTHEWS DIRECTOR 1.00 2.00 X 0 0 0 HENRY ROYSE DIRECTOR 1.00 4.00 X 16825 0 0 DAN FOUTCH DIRECTOR 1.00 3.00 X 0 0 0 KYLE KISER MD DIRECTOR/VICE CHIEF OF STAFF (END 12/23) 40.00 2.00 X 0 0 0 MICHAEL SARIDAKIS MD DIRECTOR/CHIEF OF STAFF (END 12/23) 40.00 2.00 X 489339 0 38687 AMY NORRIS CASSADY DIRECTOR 1.00 2.00 X 0 0 0 CORNELIUS FAULKNER DIRECTOR 1.00 2.00 X 0 0 0 NEIL THORNBURY CHIEF EXECUTIVE DIRECTOR 5.00 46.00 X 0 584673 60907 MEI DENG CHIEF FINANCIAL OFFICER 5.00 46.00 X 0 367762 30840 VENKATA REDDY PHYSICAN 40.00 0.00 X 1265273 0 23354 HARIKRISHNAN D NAIR PHYSICAN 40.00 0.00 X 1262511 0 28905 MURALIDHAR SANTAPURAM PHYSICAN 40.00 0.00 X 958067 0 31384 BARETT LESSENBERRY PHYSICAN 40.00 0.00 X 1137971 0 26019 BRIAN ELMLINGER PHYSICAN 40.00 0.00 X 861948 0 33347 JOHN P CRADDOCK MD FORMER VICE CHIEF OF STAFF 40.00 2.00 X 612646 0 38687 ERIC FISHER MD FORMER CHIEF OF STAFF 40.00 2.00 X 359113 0 36940 6963693 952435 349070 150 1 1 0 CROTHALL HEALTHCARE 1500 LIBERTY RIDGE DR SUITE 210 WAYNE PA 19087 CONTRACTED HOUSEKEEPING 3799660 HOSPITAL MEDICINE ASSOCIATES LLC PO BOX 634850 CINCINNATI OH 45263 CONTRACTED PHYSICIANS 2937191 MORRISON MANAGEMENT SPEC PO BOX 102289 ATLANTA GA 30368 CONTRACTED FOOD SERVICES 2570904 QUALIVIS LLC PO BOX 123847 DALLAS TX 75312 CONTRACT LABOR 2457476 SE EMERGENCY PHYSICIANS PO BOX 634850 CINCINNATI OH 45263 ER/URGENT CARE CONTRACTED PHYSICIANS 2316273 43 49651 49651 NET PATIENT REVENUE 621999 245817552 245844202 -26650 340B PHARMACY 621399 4046951 4046951 249864503 3845025 3845025 1663721 96167 1567554 1567554 1567554 37364990 36616641 748349 748349 748349 INSURANCE SETTLEMENT 900099 958866 958866 CAFETERIA SALES 722310 797448 797448 PREMIER PARTNERSHIP INCOME 900099 317170 317170 1139032 1088960 336 49736 3212516 259287598 252736427 -26314 6527834 X 12753704 12753704 85921 85921 1474385 1150020 324365 473746 369522 104224 97165432 75789037 21376395 3614874 2819602 795272 13527589 10551519 2976070 6802095 5305634 1496461 34069928 29487144 4582784 146431 58572 87859 8999748 3599900 5399848 7955909 7160318 795591 3703772 2333376 1370396 586209 234484 351725 3192 1277 1915 168215 67286 100929 10082380 7057666 3024714 2753458 2478112 275346 MEDICAL SUPPLIES & DRUG 35636669 35636669 REPAIRS AND MAINTENANCE 3650668 2811015 839653 PROVIDER TAX 2164325 2164325 FOOD 418444 292911 125533 2156584 862634 1293950 248393678 203070648 45323030 0 24715 35185 9990721 15832430 21835887 21745630 1594341 2589860 4026079 4705616 3198456 3721895 243855557 181862047 59475357 61993510 1692141 1873805 545865 461886 119819841 143021057 222203403 255980874 25245602 35097011 2223711 3190902 1314797 1092569 4886631 3804586 15741351 14428636 49412092 57613704 X 64030889 98204707 108760422 100162463 172791311 198367170 222203403 255980874 X 10893920 14229689 -430860 883110 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 6762 6762 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. 5702314 5702314 61626620 37998043 23628577 169206460 141833264 27373196 7320163 2030740 5289423 61993510 DUE FROM RELATED PARTY 1211505 OTHER ASSETS 89674 LIMITED USE ASSETS (AWUIL) 121678653 ROU ASSET - FINANCING LEASE 6743734 ESTIMATED DUE TO GOVERNMENT PROGRAMS 12714723 ROU ASSET - OPERATING LEASE 582768 143021057 ACCRUED PENSION 11156313 FINANCE LEASE LIABILITY 2689555 OPERATING LEASE LIABILITY 582768 14428636 X PART X, LINE 2: 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 339250 339250 0.00140 1 60761906 77735521 0 0.00000 1 61101156 77735521 339250 0.00140 140 344676 338942 9785 329157 0.00130 1383 32294 169835 0 169835 0.00070 1523 376970 508777 9785 498992 0.00200 1524 376970 61609933 77745306 838242 0.00340 2 502 562 562 0.00000 15 5791 16472 16472 0.00010 17 6293 17034 17034 0.00010 1 7498746 35877630 40848231 -4970601 X 1 1 1 1 TJ SAMSON COMMUNITY HOSPITAL INC 1301 NORTH RACE STREET GLASGOW KY 42141 WWW.TJREGIONALHEALTH.ORG 720185 X X X TJ SAMSON COMMUNITY HOSPITAL INC 1 0 0 1 X X X X X X X X X 22 1 1 0 1 X HTTPS://WWW.TJREGIONALHEALTH.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT/ X X 1 22 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 1 0 X X X X 1 X 0 0 TJ SAMSON COMMUNITY HOSPITAL INC 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. TJ SAMSON COMMUNITY HOSPITAL INC PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS: BARREN RIVER DISTRICT HEALTH DEPARTMENT, CAVERNA MEMORIAL HOSPITAL, THE MEDICAL CENTER AT BOWLING GREEN, THE MEDICAL CENTER AT FRANKLIN, THE MEDICAL CENTER AT SCOTTSVILLE, AND THE MONROE COUNTY MEDICAL CENTER, AND T.J. SAMSON REGIONAL HEALTH. TJ SAMSON COMMUNITY HOSPITAL INC PART V, SECTION B, LINE 7D: SOCIAL MEDIA TJ SAMSON COMMUNITY HOSPITAL INC PART V, SECTION B, LINE 11: T.J. SAMSON COMMUNITY HOSPITAL, 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 TJSCH SERVICES AREAS ARE CARDIOVASCULAR DISEASES, DIABETES, OBESITY, LUNG CANCER, AND DRUG ABUSE & ADDICTION. TJSCH 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 TJSC HELD OUR ANNUAL COMMUNITY HEALTH FAIR IN COLUMBIA ON OCTOBER 28TH SERVING OVER 600 PATIENTS WITH DIRECT CARE SERVES FOR BOTH EVENTS COMBINED. T.J. HEALTH FAIRS OFFER A WIDE VARIETY OF EARLY DETECTION INFORMATION, EDUCATIONAL BOOTHS, AND PREVENTIVE HEALTH SCREENINGS. PREVENTIVE SCREENINGS INCLUDE: BASIC LIPID PANEL, HEIGHT/WEIGHT, BODY FAT ANALYSIS/BODY MASS INDEX, BLOOD PRESSURE AND MORE. T.J. ALSO OFFERED A FREE SPORT PHYSICALS FOR 400 STUDENTS IN GRADES 6 THROUGH 12. T.J. SAMSON COMMUNITY HOSPITAL OFFERED MONTHLY LUNCH AND LEARN EVENTS THAT PROVIDE HEALTH INFORMATION TO STAFF AND THE GENERAL PUBLIC TO OVER 250 PEOPLE CONCERNING CURRENT HEALTH TOPICS FACING THE COMMUNITY. THE PRESENTATIONS SPECIFICALLY FOCUSED ON NUTRITION, PHYSICAL ACTIVITY, AND LIFESTYLE.DRUG & ALCOHOL ABUSE AND ADDICTION: T.J. SAMSON COMMUNITY HOSPITAL, IN AN EFFORT TO JOIN THE FIGHT AGAINST DRUG AND ALCOHOL ABUSE AND ADDICTION, WILL CONTINUE TO FACILITATE THE GRANTS FOR THE KENTUCKY AGENCY FOR SUBSTANCE ABUSE POLICY (KY-ASAP) PROGRAM. CURRENTLY THE HOSPITAL OVERSEE TWO MULTI- THOUSAND DOLLAR GRANTS THAT TOTAL OVER $80,000 THAT GO IN THE COMMUNITIES TO FUND ACTIVITIES SUCH AS THE PRESCRIPTION DRUG DISPOSALS, NAXOLONE/NARCAN KITS AND TRAININGS FOR FIRST RESPONDERS AND COMMUNITY MEMBERS, SCHOOL ACTIVITIES (RED RIBBON WEEK, AFTER PROM/GRADUATION) AND OTHER SCHOOL EVENTS CENTERED AROUND SUBSTANCE ABUSE.LUNG CANCER: TJ SAMSON/KY ASAP OFFER COMMUNITY AND SCHOOL ACTIVITIES THROUGHOUT THE YEAR CENTERED ON PREVENTION AND EDUCATION ON TOBACCO, SECOND HAND SMOKING, AND E-CIGARETTES. T.J. SAMSON COMMUNITY HOSPITAL OFFERED MONTHLY CANCER SUPPORT GROUPS. TJ SAMSON COMMUNITY HOSPITAL INC PART V, SECTION B, LINE 16J: HTTPS://WWW.TJREGIONALHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE-PRICING/FINANCIAL-ASSISTANCE/ 5 1 - TJ HEALTH PAVILION 310 N L ROGERS WELLS BLVD GLASGOW KY 42141 OUTPATIENT SERVICES 2 - CAVE CITY CLINIC 400 N DIXIE HIGHWAY CAVE CITY KY 42127 PRIMARY CARE 3 - SLEEP DISORDERS CLINIC 1301 N RACE STREET GLASGOW KY 42141 PRIMARY CARE 4 - RESIDENCY CLINIC 1325 N RACE STREET GLASGOW KY 42141 PRIMARY CARE 5 - SPECIALTY CLINIC 1337 C NORTH RACE STREET LOWER LEVEL GLASGOW KY 42141 CLINIC PART I, LINE 3C: TJ SAMSON COMMUNITY HOSPITAL'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 SAMSON COMMUNITY HOSPITAL 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: TJS'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY THE ORGANIZATION SERVES BY OFFERING THE FOLLOWING:- BATRIATRIC SUPPORT GROUP- CAMP TJ KIDS- EARLY INTERVENTION GROUPS- HART OF AUTISM SUPPORT GROUP- LUNCH & LEARNS- SLEEP MASK FITTING- TUITION REIMBURSEMENT- ANNUAL HEALTH FAIRS- SENIOR CITIZEN ACTIVITIES- EDUCATION AT LERA B MITCHELL CLUBHOUSE- ASAP YOUTH COALITION - FISCAL AGENT BHM KY-ASAP-BIRTHING CLASSES- STROKE AHEAD SUPPORT GROUP 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 HOSPITAL BELIEVES THAT 100% OF THE SHORTFALL IS COMMUNITY BENEFIT AND IT IS AN UNREIMBURSED COST TO THE HOSPITAL FOR PROVIDING THE GOVERNMENT PROGRAM. THE MEDICARE (SHORTFALL)/SURPLUS IS CALCULATED BASED ON THE 9/30/24 FILED COST REPORT. PART III, LINE 9B: THE HOSPITAL PROVIDES ASSISTANCE TO PATIENTS THAT QUALIFY UNDER THE GUIDELINES. PART VI, LINE 2: NEEDS ASSESSMENT - TJSCH 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, 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 NEED. 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, LUNCH AND LEARNS, PROSTATE SCREENINGS, GLUCOSE CHECKS, CPR, CHOLESTEROL TESTS, BLOOD PRESSURE SCREENINGS, BMI CHECK, CANCER SUPPORT, DIABETIC SUPPORT, BEREAVEMENT SUPPORT, CHILD BIRTH CLASSES, AND COMMUNITY SUPPORT GROUPS. TJSCH 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 REALITY FAIR, CAREER FAIRS, AND SCHOOL HEALTH EVENTS. TJSCH INVITES PROGRAM ATTENDEES TO ROUND THROUGHOUT THE FACILITY TO MEET WITH STAFF. WE PROVIDE TEACHERS WITH KNOWLEDGE TO EDUCATE STUDENTS WHO ARE INTERESTED IN HEALTHCARE CAREERS; REALIZING THAT OPPORTUNITIES EXIST OUTSIDE THE CAREERS OF A DOCTOR OR A NURSE. TJSCH ALONG WITH BUSINESS, EDUCATIONAL, COMMUNITY AND OTHER HEALTHCARE LEADERS WORK ALONGSIDE THE BARREN RIVER DISTRICT HEALTH DEPARTMENT TO FACILITATE AN EVIDENCED-BASED COMMUNITY HEALTH ASSESSMENT PROCESS CALLED MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS). EVIDENCE SUPPORTS THAT THE POOR HEALTH STATUS OF KENTUCKY IMPACTS THE CURRENT/FUTURE WORKFORCE, OUR LOCAL ECONOMY AND OUR QUALITY OF LIFE. THE COALITION WILL WORK TO ADDRESS THE ISSUES AT HAND. THE OUTCOME OF THE COLLABORATION WILL PRODUCE A REGIONAL COMMUNITY HEALTH PLAN THAT WILL INVOLVE COMMITMENTS FROM STAKEHOLDERS. 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. SAMSON COMMUNITY HOSPITAL 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. SAMSON COMMUNITY HOSPITAL IN AN EFFORT TO PROVIDE SUPERIOR PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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 T.J. SAMSON. 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: COMMUNITY INFORMATION SERVICE AREA AND DEMOGRAPHICS OVERVIEW: TJSCH'S 196 BEDS ARE LOCATED IN GLASGOW, KENTUCKY, THE COUNTY SEAT OF BARREN COUNTY. BARREN COUNTY IS ONE OF THE MAIN HUBS FOR THE BARREN RIVER AREA DEVELOPMENT DISTRICT (BRADD), WITH DIRECT ACCESS TO INTERSTATE 65, RAILWAY SERVICE AND AN AIRPORT. TJSCH IS CONVENIENTLY SITUATED HALFWAY BETWEEN LOUISVILLE, KENTUCKY AND NASHVILLE, TENNESSEE. THE PRIMARY SERVICE AREA (PSA) INCLUDES BARREN, HART AND METCALFE COUNTIES WITH 74,353 RESIDENTS IN A 1,200 SQUARE MILE AREA. THE SECONDARY SERVICE AREA (SSA) INCLUDES ADAIR, ALLEN, CLINTON, CUMBERLAND, EDMONSON, GREEN, MONROE, RUSSELL, TAYLOR, AND WARREN COUNTIES WITH 266,042 RESIDENTS IN 3,000 SQUARE MILES. IN TOTAL, TJSCH'S THIRTEEN-COUNTY SERVICE AREA OF APPROXIMATELY 4,200 SQUARE MILES EXTENDS BEYOND THE BRADD COUNTIES-PROVIDING HEALTH CARE SERVICES TO OVER 330,000 RESIDENTS.THE PERCENT OF PERSONS IN POVERTY FOR TJSCH'S PRIMARY AND SECONDARY SERVICE AREAS RANGED FROM 17.3%-22.1% WITH 11 OF THE 13 COUNTIES BEING ABOVE THE STATE AVERAGE OF 16.5%. WHEN LOOKING AT THE INCOME PER CAPITA IN THE PAST 12 MONTHS THE AVERAGE MEDIAN INCOME FOR THE TJSCH SERVICES AREAS WAS $22,502, WHICH IS WELL UNDER STATE AVERAGE OF $29,123. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH OUR MISSION: T.J. REGIONAL HEALTH WILL PROMOTE AND PROVIDE FOR THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE AND THE HEALTHCARE PROFESSIONALS WHO SERVE THEM. OUR VISION: T.J. REGIONAL HEALTH WILL UTILIZE AVAILABLE RESOURCES TO ANTICIPATE AND EXCEED THE HEALTHCARE NEEDS OF THE REGION WITH A FOCUS ON QUALITY AND COMPASSION. OUR GOALS: * CLINICAL QUALITY * CUSTOMER SERVICE * QUALITY WORK-LIFE * FINANCIAL PERFORMANCE ORGANIZATIONAL VALUES: SERVICE *EXCELLENCE *RESPONSIVE *VISION *INNOVATION *COMPASSION *ETHICSETHICS STATEMENT OF COMMUNITY COMMITMENT: TJSCH 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 TJSCH 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. THE 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. OTHER COMMUNITY HEALTH EFFORTS TJSCH CLINICAL STAFF COMPLETED THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ) PATIENT SAFETY CULTURE SURVEY ANNUALLY. OUR NURSING DEPARTMENT HOLDS MEMBERSHIP WITH THE NATIONAL DATABASE OF NURSING QUALITY INDICATORS (NDNQI) SINCE 2008. WE CURRENTLY SUBMIT NURSING QUALITY INDICATORS FOR PRESSURE ULCERS, PATIENT FALLS, CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTIONS, CATHETER RELATED URINARY TRACT INFECTIONS, AND VENTILATOR ACQUIRED PNEUMONIA. WE ALSO INITIATED PARTICIPATION IN THE RN STAFF SATISFACTION SURVEY THE FALL OF 2010. TJSCH HAS RECEIVED BETTER THAN THE NATIONAL AVERAGE FOR HOSPITAL CONSUMER ASSESSMENT FOR HEALTHCARE PROVIDER SERVICES (HCAHPS) FOR THE PAST THREE REPORTING QUARTERS IN ALL TEN COMPOSITE INDICATORS. TJSCH IS A MEMBER OF PREMIER PURCHASING PARTNERS FOR THE PURPOSE OF GROUP PURCHASING. TJSCH IS VERY INVOLVED IN THE COMMUNITY AND HAS LED THE CHARGE IN BRINGING SEVERAL COALITIONS TOGETHER FOR STATE PROGRAMS. IN FALL 2003, BARREN, HART AND METCALFE COUNTIES RECEIVED AN AWARD OF $175,000 IN FEDERAL FUNDING TO CREATE A COALITION TO STUDY SUBSTANCE ABUSE IN THEIR COUNTIES. THE COALITION NOW ONLY RECEIVES UP TO $20,000 IN STATE FUNDING PER COUNTY SERVED FROM THE KY OFFICE OF DRUG CONTROL POLICY AGENCY FOR SUBSTANCE ABUSE PREVENTION (ASAP) GRANT. TJSCH SERVED AS THE LEAD ENTITY IN FORMING THE COALITION AND PROCURING THE FUNDING TO IDENTIFY AND DEVELOP POLICIES AND TREATMENT OPTIONS FOR INDIVIDUALS IN NEED OF EDUCATION AND TREATMENT FOR SUBSTANCE ABUSE. UPON RECEIPT OF THE FUNDS TJSCH HIRED A BOARD COORDINATOR TO EXECUTE THE STRATEGIC PLAN THAT WAS DEVELOPED DURING THE GRANT APPLICATION PROCESS. TJSCH SERVES AS THE FISCAL AGENT FOR THE DISTRIBUTION AND RECORD KEEPER OF THESE RESOURCES. THE MAIN GOAL OF THE COALITION IS TO PROVIDE COMMUNITY EDUCATION AND SUBSTANCE ABUSE PREVENTION EFFORTS IN THE TRI-COUNTY SERVICE AREA. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: TJ REGIONAL HEALTH INC. : AS OF JANUARY 1, 2011, TJSCH BECAME A SUBSIDIARY OF A NEWLY FORMED ORGANIZATION, 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. AT THE SAME TIME A SECOND SUBSIDIARY OF T. J. REGIONAL HEALTH WAS FORMED, T. J. HEALTH PARTNERS, LLC. T. J. HEALTH PARTNERS, LLC, OPERATES PHYSICIAN CLINICS THAT INCLUDE FAMILY MEDICINE, INTERNAL MEDICINE, OB/GYN, ONCOLOGY, PULMONOLOGY, NEPHROLOGY, 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. 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. BARREN-METCALFE EMS IS A MEDICAL TRANSPORT SERVICE COMPANY PROVIDING LOCAL MEDICAL TRANSPORTATION IN BARREN AND METCALFE COUNTY. IT OFFERS A FULL RANGE OF MEDICAL TRANSPORTATION SERVICES. THE HOSPITAL HAS TWO REPRESENTATIVES THAT SERVE ON THE AMBULANCE BOARD AND PROVIDES FINANCIAL SUPPORT TO COVER 20% OF THE DEFICIT INCURRED AT MONTH END. TJSCH IS HOME TO THE LOUISVILLE MEDICAL CENTER'S AIR METHODS. AIR METHODS IS A COMPREHENSIVE MEDICAL TRANSPORTATION SYSTEM THAT INCLUDES EMERGENCY HELICOPTER, FIXED-WING (AIRPLANE) AIRCRAFT, AND GROUND MOBILE INTENSIVE CARE VEHICLES. AIR METHODS IS NOT A REPLACEMENT FOR EXISTING GROUND EMERGENCY MEDICAL SERVICES. THE GOAL IS TO COMPLIMENT THE CARE GIVEN BY THE TEAM ON THE GROUND. AIR METHODS IS VERY ACTIVE WITH PUBLIC SAFETY EDUCATION. THIS INCLUDES GOING TO HIGH SCHOOLS TO DISCOURAGE DRINKING AND DRIVING BY PARTICIPATING IN MOCK MOTOR VEHICLE CRASH DEMONSTRATIONS FOR LOCAL SADD CHAPTERS. AIR METHODS ALSO PARTICIPATES IN PROM PROMISE ACTIVITIES AND VICTIM IMPACT PANELS. AIR METHODS FREQUENTLY PROVIDES ASSISTANCE TO LOCAL EMS, FIRE DEPARTMENTS, AND POLICE AGENCIES WITH MOCK MOTOR VEHICLE CRASHES, DISASTER SCENARIOS, AND OTHER TRAINING. TJSCH HAS ON ITS CAMPUS THE UNIVERSITY OF LOUISVILLE FAMILY MEDICINE RESIDENCY PROGRAM. THIS THREE-YEAR PROGRAM TRAINS RESIDENTS TO BECOME FAMILY PRACTITIONERS UNDER THE GUIDANCE OF LOCAL PHYSICIANS. THE RESIDENCY PROGRAM AT TJSCH IS 1 OF ONLY 7 IN KENTUCKY AND TREATS SOME 12,000 PATIENTS ANNUALLY. THE BARREN RIVER REGIONAL CANCER CENTER IS A JOINT VENTURE BETWEEN TJSCH AND THE MEDICAL CENTER. THIS CENTER HAS ALLOWED CANCER SPECIALISTS TO CREATE A CARING AND PERSONAL ENVIRONMENT FOR THOSE PATIENTS WHO REQUIRE RADIATION ONCOLOGY. CANCER TREATMENT IS INDIVIDUALIZED, INNOVATIVE, COMPREHENSIVE, AND DELIVERED WITH CARE AND OPTIMISM. ALL TREATMENT TEAM MEMBERS ARE SPECIALLY CERTIFIED AND STRIVE TO CREATE A RELAXING, COMFORTABLE PLACE IN WHICH TO SEEK TREATMENT. THE CENTER IS STAFFED WITH FULL-TIME ONCOLOGISTS, THERAPISTS AND TECHNICIANS USING THE NEWEST EQUIPMENT TO EFFECTIVELY DIAGNOSE CANCERS AND PLAN THE MOST EFFECTIVE COURSE OF TREATMENT. IN 2017 TJ SAMSON COMMUNITY HOSPITAL BECAME A FULL AFFILIATE MEMBER WITH UK MARKEY CANCER CENTER AFFILIATE NETWORK (MCCAN). THE MARKEY AFFILIATE NETWORK ASSISTS DOCTORS, NURSES, PHARMACISTS AND OTHER MEDICAL STAFF AT LOCAL HOSPITALS THAT PROVIDE EXCELLENT CARE IN THEIR COMMUNITIES. THE MARKEY AFFILIATE NETWORK PROVIDES CANCER-SPECIFIC EDUCATION AND TRAINING PROGRAMS FOR COMMUNITY DOCTORS, NURSES AND STAFF TO ENSURE THE MOST UP-TO-DATE CANCER INFORMATION IS AVAILABLE TO PROVIDERS. WHEN PATIENTS NEED CARE THAT IS NOT AVAILABLE LOCALLY, THEY CAN BE REFERRED TO THE MARKEY CANCER CENTER IN LEXINGTON. WHEN THAT HAPPENS, MARKEY DOCTORS WORK WITH COMMUNITY DOCTORS AND ONCOLOGISTS TO MINIMIZE TRAVEL FOR PATIENTS AND THEIR FAMILIES. COMMUNITY MEDICAL CARE, INC. IS A LOCAL CHARITY ASSISTING BARREN COUNTY'S LOW-INCOME SENIORS WITH PRESCRIPTION MEDICATION, PRESCRIPTION GLASSES, AND HEARING AIDS. COMMUNITY MEDICAL CARE ALSO ASSISTS LOW-INCOME, WORKING UNINSURED ADULTS OF BARREN COUNTY BY PROVIDING PRIMARY HEALTH CARE, PRESCRIPTION MEDICATION, EMERGENCY DENTAL, OPTOMETRIC AND HOSPITAL CARE, AND SPECIALIST CONSULTATION. THE PRIMARY HEALTH CARE IS MADE POSSIBLE THROUGH THE RESIDENCY PROGRAM AT T.J. SAMSON COMMUNITY HOSPITAL. 1 TJ REGIONAL HEALTH INC 1301 NORTH RACE STREET GLASGOW KY 42141 273988336 501(C)(3) 12753160 0 PROGRAM SUPPORT TO TJ REGIONAL 1 0 SCHOLARSHIPS/TUITION REIMBURSEMENT 21 85921 PART I, LINE 2: ALL GRANTS ARE PROVIDED TO PUBLIC CHARITIES FOR GENERAL SUPPORT. TJ SAMSON COMMUNITY HOSPITAL DOES NOT MONITOR THE USE OF THESE FUNDS BY THESE CHARITIES. 0 0 0 0 0 0 0 1 0 HARIKRISHNAN D NAIR PHYSICAN 741477 0 521034 0 0 0 3418 0 25487 0 1291416 0 0 0 VENKATA REDDY PHYSICAN 813422 0 451851 0 0 0 13200 0 10154 0 1288627 0 0 0 BARETT LESSENBERRY PHYSICAN 578525 0 559446 0 0 0 10766 0 15253 0 1163990 0 0 0 MURALIDHAR SANTAPURAM PHYSICAN 497972 0 460095 0 0 0 13200 0 18184 0 989451 0 0 0 BRIAN ELMLINGER PHYSICAN 504295 0 357653 0 0 0 8852 0 24495 0 895295 0 0 0 JOHN P CRADDOCK MD FORMER VICE CHIEF OF STAFF 502078 0 105568 0 5000 0 13200 0 25487 0 651333 0 0 0 NEIL THORNBURY CHIEF EXECUTIVE DIRECTOR 0 505570 0 79103 0 0 0 35420 0 25487 0 645580 0 0 MICHAEL SARIDAKIS MD DIRECTOR/CHIEF OF STAFF (END 12/23) 416895 0 62444 0 10000 0 13200 0 25487 0 528026 0 0 0 MEI DENG CHIEF FINANCIAL OFFICER 0 330262 0 37500 0 0 0 12656 0 18184 0 398602 0 0 ERIC FISHER MD FORMER CHIEF OF STAFF 359113 0 0 0 0 0 11453 0 25487 0 396053 0 0 0 PART I, LINE 3 TJ REGIONAL HEALTH, INC., A RELATED ORGANIZATION OF TJ SAMSON COMMUNITY HOSPITAL, 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. AMELIA KISER WIFE OF BOARD MEMBER 275872 COMPENSATION 0 ALANNA THORNBURY WIFE OF CEO 50734 COMPENSATION 0 BRITTANY TAYLOR SISTER OF BOARD MEMBER 54255 COMPENSATION 0 KENDRA SORRELL WIFE OF BOARD MEMBER 69331 COMPENSATION 0 PARKER CASSADY SON OF BOARD MEMBER 23554 COMPENSATION 0 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 YEARLY THE BOARD REVIEWS THE POLICY AND ENSURES COMPLIANCE BY ALL MEMBERS. EACH MEMBER MUST ANNUALLY DISCLOSE COMPLIANCE. IN THE EVENT OF A CONFLICT, THE BOARD MEMBER SHALL ABSTAIN FROM VOTING. 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 ALL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST FROM THE ORGANIZATION. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,769,509. MANAGEMENT AND GENERAL EXPENSES 196,612. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,966,121. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 13,776,112. MANAGEMENT AND GENERAL EXPENSES 1,530,680. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,306,792. PROFESSIONAL MEDICAL FEES: PROGRAM SERVICE EXPENSES 13,941,523. MANAGEMENT AND GENERAL EXPENSES 2,855,492. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,797,015. FORM 990, PART XI, LINE 9: CHANGE IN FUNDED STATUS OF PENSION 883,110. 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 HEALTH COLUMBIA 1301 NORTH RACE STREET GLASGOW KY 42141 810893103 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 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0