T J REGIONAL HEALTH INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- T J REGIONAL HEALTH INC (EIN 27-3988336)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-08-11
- IRS object ID
- 202602239349300805
- Schema version
- 2024v5.5
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-11T07:27:29-05:00 | ReturnTs |
| Tax Period End | 2025-09-30 | 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 | 500 N MERIDIAN ST SUITE 200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273988336 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TJ REGIONAL HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TJRE | BusinessNameControlTxt |
| Phone | 2706514444 | PhoneNum |
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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MEI DENG | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2706514444 | PhoneNum |
| Signature | 2026-08-10 | 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 | 3176334705 | PhoneNum |
| Preparation | 2026-08-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | 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 | $14,499,584 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://WWW.TJREGIONALHEALTH.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | TO PROMOTE AND PROVIDE FOR THE WELL-BEING OF THOSE WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 53 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $12,753,160 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,408,102 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $32,709 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $42,285 | PYOtherRevenueAmt |
| CY Other Revenue | $58,773 | CYOtherRevenueAmt |
| PY Total Revenue | $12,795,445 | PYTotalRevenueAmt |
| CY Total Revenue | $14,499,584 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $196,953 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $292,686 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,309,089 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,957,708 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,100,369 | PYOtherExpensesAmt |
| CY Other Expenses | $7,751,706 | CYOtherExpensesAmt |
| PY Total Expenses | $12,606,411 | PYTotalExpensesAmt |
| CY Total Expenses | $15,002,100 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $189,034 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$502,516 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $379,882 | TotalAssetsBOYAmt |
| Total Assets EOY | $341,836 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $934,768 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,399,238 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$554,886 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$1,057,402 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROMOTE AND PROVIDE FOR THE WELL-BEING OF THOSE WE SERVE. TJ REGIONAL HEALTH, INC. SERVES AS A SUPPORTING ORGANIZATION FOR TJ SAMSON COMMUNITY HOSPITAL AND TJ HEALTH COLUMBIA. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,549,635 | ExpenseAmt |
| Grant | $292,686 | GrantAmt |
| Revenue | $84,534 | RevenueAmt |
| Desc | TO SUPPORT TJ SAMSON COMMUNITY HOSPITAL, INC. AND TJ HEALTH COLUMBIA IN PROVIDING HEALTHCARE TO BARREN AND ADAIR COUNTIES AND THEIR SURROUNDING COUNTIES IN KENTUCKY. | Desc |
| Total Program Service Expenses | $11,549,635 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | 0 | 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 | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 59 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 53 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARGIE GENTRY | PersonNm |
| Phone | 2706514114 | PhoneNum |
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 |
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 | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BRENT BILLINGSLEY | |||||||||
| VICE CHAIRMAN | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $15,914 | ||
| MICHAEL SCOTT YOUNG | |||||||||
| SECRETARY | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ERVIN SORRELL | |||||||||
| TREASURER | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $10,105 | ||
| JOEY ALLEN BOTTS | |||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BO MATTHEWS | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DAN FOUTCH | |||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| HENRY ROYSE | |||||||||
| DIRECTOR | 2.00 | 3.00 | Yes (X) | $0 | $0 | $19,699 | |||
| DR KYLE KISER MD | |||||||||
| DIRECTOR/CHIEF OF STAFF | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DR MICHAEL SARIDAKIS MD | |||||||||
| DIRECTOR/VICE CHIEF OF STAFF | 1.00 | 41.00 | Yes (X) | $0 | $503,578 | $44,691 | |||
| 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 | |||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 11.00 | Yes (X) | $738,163 | $0 | $36,830 | |||
| MEI DENG | |||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 11.00 | Yes (X) | $371,138 | $0 | $34,873 | |||
| JAMIE WILKERSON | |||||||||
| CNO | 40.00 | 0.00 | $195,502 | $0 | $35,703 | Yes (X) | |||
| LADONNA G RODGERS | |||||||||
| EVP - HUMAN RESOURCES | 40.00 | 0.00 | $204,257 | $0 | $31,352 | Yes (X) | |||
| JENNIFER M CERWINSKE | |||||||||
| EVP - PRACTICE MANAGEMENT | 40.00 | 0.00 | $233,156 | $0 | $37,525 | Yes (X) | |||
| BRANDON DICKEY | |||||||||
| CHIEF QUALITY OFFICER | 40.00 | 0.00 | $304,270 | $0 | $28,855 | Yes (X) | |||
| JODIE M HOLGATE | |||||||||
| EVP PATIENT CARE SERVICES | 40.00 | 0.00 | $201,866 | $0 | $29,006 | Yes (X) | |||
| JOHN CRADDOCK | |||||||||
| FORMER VICE CHIEF OF STAFF | 1.00 | 41.00 | $0 | $586,203 | $41,901 | Yes (X) | |||
| ERIC FISHER | |||||||||
| FORMER CHIEF OF STAFF | 1.00 | 41.00 | $0 | $335,444 | $41,095 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,248,352 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,425,225 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $407,549 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 14 | 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 (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BLUE & CO LLC | |||||
| 2650 EASTPOINT PARKWAY | LOUISVILLE | KY | 40223 | ACCOUNTING SERVICES | $973,698 |
| PRESS GANEY ASSOCIATES INC | |||||
| PO BOX 88335 | MILWAUKEE | WI | 53288 | SUBSCRIPTION SERVICES | $473,889 |
| ENGLISH LUCAS PRIEST OWSLEY | |||||
| 1101 COLLEGE ST | BOWLING GREEN | KY | 42101 | LEGAL SERVICES | $225,286 |
| THE CHARTIS GROUP | |||||
| 5 CHERRY HILL DRIVE STE 200 | DANVERS | MA | 01923 | HEALTHCARE ADVISORY SERVICES | $172,803 |
| SITES & HARBISON PLLC | |||||
| 400 W MARKET ST STE 1800 | LOUISVILLE | KY | 402023352 | LEGAL SERVICES | $158,240 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $14,408,102 | RelatedOrganizationsAmt |
| Total Contributions | $14,408,102 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | WOMENS CONFERENCE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $32,709 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $32,709 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $32,709 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| REV SHARE COMMERCE BANK | 900099 | $51,615 | $51,615 | |
| EMPLOYEE ACTIVITIES | 900099 | $6,948 | $6,948 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $210 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $210 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $58,773 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,499,584 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $84,534 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,948 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292,686 | TotalAmt |
| Program Services | $292,686 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,221,628 | TotalAmt |
| Program Services | $1,732,870 | ProgramServicesAmt |
| Management And General | $488,758 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,306,099 | TotalAmt |
| Program Services | $2,578,757 | ProgramServicesAmt |
| Management And General | $727,342 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,707 | TotalAmt |
| Program Services | $144,071 | ProgramServicesAmt |
| Management And General | $40,636 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $870,697 | TotalAmt |
| Program Services | $679,144 | ProgramServicesAmt |
| Management And General | $191,553 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $374,577 | TotalAmt |
| Program Services | $292,170 | ProgramServicesAmt |
| Management And General | $82,407 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,526 | TotalAmt |
| Program Services | $345,173 | ProgramServicesAmt |
| Management And General | $38,353 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $973,698 | TotalAmt |
| Program Services | $876,328 | ProgramServicesAmt |
| Management And General | $97,370 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,594,531 | TotalAmt |
| Program Services | $1,407,388 | ProgramServicesAmt |
| Management And General | $187,143 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,390,302 | TotalAmt |
| Program Services | $562,432 | ProgramServicesAmt |
| Management And General | $827,870 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,886 | TotalAmt |
| Program Services | $58,720 | ProgramServicesAmt |
| Management And General | $25,166 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,576 | TotalAmt |
| Program Services | $85,118 | ProgramServicesAmt |
| Management And General | $9,458 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,825 | TotalAmt |
| Program Services | $57,220 | ProgramServicesAmt |
| Management And General | $33,605 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,513 | TotalAmt |
| Program Services | $49,561 | ProgramServicesAmt |
| Management And General | $72,952 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,122 | TotalAmt |
| Program Services | $27,153 | ProgramServicesAmt |
| Management And General | $39,969 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,917 | TotalAmt |
| Program Services | $62,942 | ProgramServicesAmt |
| Management And General | $26,975 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,196,547 | TotalAmt |
| Program Services | $1,976,892 | ProgramServicesAmt |
| Management And General | $219,655 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DUES AND SUBSCRIPTIONS | $365,950 | $148,041 | $217,909 |
| MEDICAL SUPPLIES AND DR | $59,058 | $59,058 | |
| FOOD EXPENSE | $57,957 | $40,570 | $17,387 |
| TAXES AND LICENSES | $52,774 | $21,349 | $31,425 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,524 | TotalAmt |
| Program Services | $51,992 | ProgramServicesAmt |
| Management And General | $76,532 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,002,100 | TotalAmt |
| Program Services | $11,549,635 | ProgramServicesAmt |
| Management And General | $3,452,465 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,484 | BOYAmt |
| EOY | $8,484 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,642 | BOYAmt |
| EOY | $64,372 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132 | BOYAmt |
| EOY | $132 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,790 | BOYAmt |
| EOY | $178,931 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $486,033 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $486,033 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,834 | BOYAmt |
| EOY | $89,917 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $379,882 | BOYAmt |
| EOY | $341,836 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $934,768 | BOYAmt |
| EOY | $1,399,238 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $934,768 | BOYAmt |
| EOY | $1,399,238 | 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 | -$554,886 | BOYAmt |
| EOY | -$1,057,402 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$554,886 | BOYAmt |
| EOY | -$1,057,402 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $379,882 | BOYAmt |
| EOY | $341,836 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$502,516 | 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) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 2 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (2 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| TJ SAMSON COMMUNITY HOSPITAL | ||||
| 610461767 | 3 | 0 | $10,423,901 | $0 |
| TJ HEALTH COLUMBIA | ||||
| 810893103 | 3 | 0 | $833,048 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 2 | SupportedOrganizationsTotalCnt |
| Support Sum | $11,256,949 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | 0 | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (1) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (1) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | Yes (1) | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Parent Supported Org | Yes (X) | ParentSupportedOrgInd |
| Appoint Elect Majority Officer | Yes (1) | AppointElectMajorityOfficerInd |
| Exercise Direction Policies | Yes (1) | ExerciseDirectionPoliciesInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, SECTION D, LINE 3: | THE CORPORATION IS ORGANIZED AND AT ALL TIMES SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF TJ SAMSON COMMUNITY HOSPITAL AND TJ HEALTH COLUMBIA. THE CORPORATION SHALL BE OPERATED, SUPERVISED, AND/OR CONTROLLED BY OR IN CONNECTION WITH THE HOSPITALS. THE CORPORATION SHALL BE RESPONSIVE TO THE NEEDS OR DEMANDS OF, AND SHALL BE AN INTEGRAL PART OF OR MAINTAIN A SIGNIFICANT INVOLVEMENT IN, THE OPERATIONS OF THE HOSPITALS. THE ORGANIZATIONS SHARE A MAJORITY OF THE SAME BOARD MEMBERS. |
| PART IV, SECTION E, LINE 3A: | THE CORPORATION IS ORGANIZED AND AT ALL TIMES SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF TJ SAMSON COMMUNITY HOSPITAL AND TJ HEALTH COLUMBIA. THE CORPORATION SHALL BE OPERATED, SUPERVISED, AND/OR CONTROLLED BY OR IN CONNECTION WITH THE HOSPITALS. THE CORPORATION SHALL BE RESPONSIVE TO THE NEEDS OR DEMANDS OF, AND SHALL BE AN INTEGRAL PART OF OR MAINTAIN A SIGNIFICANT INVOLVEMENT IN, THE OPERATIONS OF THE HOSPITALS. THE ORGANIZATIONS SHARE A MAJORITY OF THE SAME BOARD MEMBERS. |
| PART IV, SECTION E, LINE 3B: | THE CORPORATION SHALL BE RESPONSIVE TO THE NEEDS OR DEMANDS OF, AND SHALL BE AN INTEGRAL PART OF OR MAINTAIN A SIGNIFICANT INVOLVEMENT IN, THE OPERATIONS OF THE HOSPITALS. THE ORGANIZATIONS SHARE A MAJORITY OF THE SAME BOARD MEMBERS. |
| PART IV, SECTION A, LINE 1: | THESE ENTITIES ARE NOT SPECIFICALLY LISTED IN THE ORGANIZING DOCUMENTS BUT ARE REFERENCED. THE ARTICLES STATE THE CORPORATION IS ORGANIZED: (I) TO OWN AND OPERATE HOSPITAL FACILITIES, NURSING HOMES, PHYSICIAN ORGANIZATIONS, AMBULATROY FACILITIES, CLINICS AND ORGANIZATIONS FOR THE PROVISION OF HEALTHCARE ITEMS, GOODS AND SERVICES. |
| PART I, LINE 12G, COLUMN IV | THESE ENTITIES ARE NOT SPECIFICALLY LISTED IN THE ORGANIZING DOCUMENTS BUT ARE REFERENCED. THE ARTICLES STATE THE CORPORATION IS ORGANIZED: (I) TO OWN AND OPERATE HOSPITAL FACILITIES, NURSING HOMES, PHYSICIAN ORGANIZATIONS, AMBULATROY FACILITIES, CLINICS AND ORGANIZATIONS FOR THE PROVISION OF HEALTHCARE ITEMS, GOODS AND SERVICES. |
| PART I, LINE 12G, COLUMN IV | THESE ENTITIES ARE NOT SPECIFICALLY LISTED IN THE ORGANIZING DOCUMENTS BUT ARE REFERENCED. THE ARTICLES STATE THE CORPORATION IS ORGANIZED: (I) TO OWN AND OPERATE HOSPITAL FACILITIES, NURSING HOMES, PHYSICIAN ORGANIZATIONS, AMBULATROY FACILITIES, CLINICS AND ORGANIZATIONS FOR THE PROVISION OF HEALTHCARE ITEMS, GOODS AND SERVICES. |
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 D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $486,033 | OtherCostOrOtherBasisAmt |
| Depreciation | $486,033 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
| 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, 2025, 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 I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| BARREN COUNTY ECONOMIC AUTHORITY | ||||||||
| PO BOX 1703 | GLASGOW | KY | 42142 | 611064852 | BARREN COUNTY | $0 | $25,000 | PROGRAM SUPPORT |
| BARREN COUNTY ATC | ||||||||
| 1204 GREENSBURG ST | COLUMBIA | KY | 42728 | 610600439 | BARREN COUNTY | $0 | $40,872 | PROGRAM SUPPORT |
| ADAIR COUNTY BOARD OF EDUCATION | ||||||||
| 491 TROJAN TRAIL | GLASGOW | KY | 42141 | 616001263 | ADAIR COUNTY | $0 | $65,000 | PROGRAM SUPPORT |
| TJ COMMUNITY MISSION FOUNDATION | ||||||||
| 1301 N RACE STREET | GLASGOW | KY | 42141 | 472208322 | 501(C)(3) | $0 | $10,000 | PROGRAM SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEIL THORNBURY | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $644,485 | $0 | $93,600 | $0 | $78 | $0 | $8,729 | $0 | $28,101 | $0 | $774,993 | $0 | $0 | $0 |
| JOHN CRADDOCK | ||||||||||||||
| FORMER VICE CHIEF OF STAFF | $0 | $497,185 | $0 | $83,940 | $0 | $5,078 | $0 | $13,800 | $0 | $28,101 | $0 | $628,104 | $0 | $0 |
| DR MICHAEL SARIDAKIS MD | ||||||||||||||
| DIRECTOR/VICE CHIEF OF STAFF | $0 | $424,495 | $0 | $69,005 | $0 | $10,078 | $0 | $13,800 | $0 | $30,891 | $0 | $548,269 | $0 | $0 |
| MEI DENG | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $336,060 | $0 | $35,000 | $0 | $78 | $0 | $13,800 | $0 | $21,073 | $0 | $406,011 | $0 | $0 | $0 |
| ERIC FISHER | ||||||||||||||
| FORMER CHIEF OF STAFF | $0 | $335,366 | $0 | $0 | $0 | $78 | $0 | $11,725 | $0 | $29,370 | $0 | $376,539 | $0 | $0 |
| BRANDON DICKEY | ||||||||||||||
| CHIEF QUALITY OFFICER | $278,965 | $0 | $25,227 | $0 | $78 | $0 | $10,981 | $0 | $17,874 | $0 | $333,125 | $0 | $0 | $0 |
| JENNIFER M CERWINSKE | ||||||||||||||
| EVP - PRACTICE MANAGEMENT | $210,078 | $0 | $23,000 | $0 | $78 | $0 | $9,553 | $0 | $27,972 | $0 | $270,681 | $0 | $0 | $0 |
| LADONNA G RODGERS | ||||||||||||||
| EVP - HUMAN RESOURCES | $187,179 | $0 | $17,000 | $0 | $78 | $0 | $7,362 | $0 | $23,990 | $0 | $235,609 | $0 | $0 | $0 |
| JAMIE WILKERSON | ||||||||||||||
| CNO | $178,424 | $0 | $17,000 | $0 | $78 | $0 | $8,074 | $0 | $27,629 | $0 | $231,205 | $0 | $0 | $0 |
| JODIE M HOLGATE | ||||||||||||||
| EVP PATIENT CARE SERVICES | $184,788 | $0 | $17,000 | $0 | $78 | $0 | $5,428 | $0 | $23,578 | $0 | $230,872 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | PHYSICIANS ARE ELIGIBLE 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. | ExplanationTxt |
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 ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ALL BOARD MEMBERS ARE REQUIRED TO FULLY DISCLOSE ANY CONFLICT OF INTEREST ANNUALLY. IN THE EVENT OF A CONFLICT, THE BOARD MEMBER SHALL OBSTAIN FROM VOTING. |
| FORM 990, PART VI, SECTION B, LINE 15 | LINE 15A: 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. LINE 15B: TJ REGIONAL USES AN INDEPENDENT THIRD PARTY TO HELP ESTABLISH WAGES FOR THE CFO. 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 | COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 328,331. MANAGEMENT AND GENERAL EXPENSES 67,248. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 395,579. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,079,057. MANAGEMENT AND GENERAL EXPENSES 119,895. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,198,952. |
| FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| TJ SAMSON COMMUNITY HOSPITAL | ||||||||||
| 1301 NORTH RACE STREET | GLASGOW | KY | 42141 | 610461767 | HOSPITAL | KY | 501(C)3 | LINE 3 | TJ REGIONAL HEALTH INC | Yes (1) |
| TJ HEALTH COLUMBIA | ||||||||||
| 1301 NORTH RACE STREET | GLASGOW | KY | 42141 | 810893103 | HOSPITAL | KY | 501(C)3 | LINE 3 | TJ REGIONAL HEALTH INC | Yes (1) |
| TJ COMMUNITY MISSION FOUNDATION | ||||||||||
| 1301 NORTH RACE STREET | GLASGOW | KY | 42141 | 472208322 | FOUNDATION | KY | 501(C)3 | LINE 10 | TJ REGIONAL HEALTH INC | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | 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 |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| TJ SAMSON COMMUNITY HOSPITAL | ||
| C | $14,408,102 | CASH |
| TJ HEALTH COLUMBIA | ||
| B | $144,862 | CASH |
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