T J SAMSON COMMUNITY HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: T J SAMSON COMMUNITY HOSPITAL (EIN 61-0461767)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-11
IRS object ID: 202632239349301103
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-11T07:51:17-05:00	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	610461767	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TJ SAMSON COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	TJSA	BusinessNameControlTxt
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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MEI DENG	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2706514114	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	$396,101,574	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	1928	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	1500	TotalEmployeeCnt
Total Volunteers	8	TotalVolunteersCnt
Total Gross UBI	$289,737	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$49,651	PYContributionsGrantsAmt
CY Contributions Grants	$103,158	CYContributionsGrantsAmt
PY Program Service Revenue	$249,864,503	PYProgramServiceRevenueAmt
CY Program Service Revenue	$273,856,442	CYProgramServiceRevenueAmt
PY Investment Income	$4,593,374	PYInvestmentIncomeAmt
CY Investment Income	$7,610,659	CYInvestmentIncomeAmt
PY Other Revenue	$4,780,070	PYOtherRevenueAmt
CY Other Revenue	$8,048,835	CYOtherRevenueAmt
PY Total Revenue	$259,287,598	PYTotalRevenueAmt
CY Total Revenue	$289,619,094	CYTotalRevenueAmt
PY Grants And Similar Paid	$12,839,625	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$14,631,575	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$123,058,121	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$133,378,128	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$112,495,932	PYOtherExpensesAmt
CY Other Expenses	$121,570,705	CYOtherExpensesAmt
PY Total Expenses	$248,393,678	PYTotalExpensesAmt
CY Total Expenses	$269,580,408	CYTotalExpensesAmt
PY Revenues Less Expenses	$10,893,920	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$20,038,686	CYRevenuesLessExpensesAmt
Total Assets BOY	$255,980,874	TotalAssetsBOYAmt
Total Assets EOY	$285,971,446	TotalAssetsEOYAmt
Total Liabilities BOY	$57,613,704	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$55,237,118	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$198,367,170	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$230,734,328	NetAssetsOrFundBalancesEOYAmt
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$223,605,168	ExpenseAmt
Grant	$14,631,575	GrantAmt
Revenue	$278,401,550	RevenueAmt
Desc	TJ SAMSON COMMUNITY HOSPITAL PROVIDES HEALTHCARE SERVICES TO BARREN AND SURROUNDING COUNTIES IN KENTUCKY. ACUTE HOSPITAL AND EMERGENCY ROOM CARE PATIENT DAYS 16,333 AND ER VISITS 24,140 IN FYE 9/30/25.	Desc
Total Program Service Expenses	$223,605,168	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	Yes (1)	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	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	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	Yes (1)	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	220	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1500	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
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	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
HARIKRISHNAN D NAIR
PHYSICAN	40.00	0.00	Yes (X)	$1,547,661	$0	$39,078
BARETT LESSENBERRY
PHYSICAN	40.00	0.00	Yes (X)	$1,497,819	$0	$31,673
VENKATA REDDY
PHYSICAN	40.00	0.00	Yes (X)	$1,301,717	$0	$25,054
BRIAN ELMLINGER
PHYSICAN	40.00	0.00	Yes (X)	$1,097,554	$0	$33,686
ZAKURE SALIFU MD
PHYSICAN	40.00	0.00	Yes (X)	$888,987	$0	$41,901
NEIL THORNBURY
CHIEF EXECUTIVE DIRECTOR	5.00	46.00		$0	$738,164	$36,830	Yes (X)
JOHN P CRADDOCK MD
FORMER VICE CHIEF OF STAFF	40.00	2.00		$586,203	$0	$41,901		Yes (X)
DR MICHAEL SARIDAKIS MD
DIRECTOR/VICE CHIEF OF STAFF	40.00	2.00		$503,578	$0	$44,691			Yes (X)
MEI DENG
CHIEF FINANCIAL OFFICER	5.00	46.00		$0	$371,138	$34,873	Yes (X)
ERIC FISHER MD
FORMER CHIEF OF STAFF	40.00	2.00		$335,444	$0	$41,095		Yes (X)
HENRY ROYSE
DIRECTOR	1.00	4.00		$0	$0	$19,699			Yes (X)
T RICH ALEXANDER
CHAIRMAN	1.00	3.00		$0	$0	$0	Yes (X)		Yes (X)
BRENT BILLINGSLEY
VICE CHAIRMAN	1.00	3.00		$0	$0	$15,914	Yes (X)		Yes (X)
ERVIN SORRELL
TREASURER	1.00	2.00		$0	$0	$10,105			Yes (X)
MICHAEL SCOTT YOUNG
SECRETARY	1.00	3.00		$0	$0	$0	Yes (X)		Yes (X)
BO MATTHEWS
DIRECTOR	1.00	2.00		$0	$0	$0			Yes (X)
JOEY ALLEN BOTTS
DIRECTOR	1.00	3.00		$0	$0	$0			Yes (X)
DAN FOUTCH
DIRECTOR	1.00	3.00		$0	$0	$0			Yes (X)
DR KYLE KISER MD
DIRECTOR/CHIEF OF STAFF	1.00	2.00		$0	$0	$0			Yes (X)
AMY NORRIS CASSADY
DIRECTOR	1.00	2.00		$0	$0	$0			Yes (X)
CORNELIUS FAULKNER
DIRECTOR	1.00	2.00		$0	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,758,963	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,109,302	TotReportableCompRltdOrgAmt
Total Other Compensation	$416,500	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	158	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
CROTHALL HEALTHCARE
1500 LIBERTY RIDGE DR SUITE 210	WAYNE	PA	19087	CONTRACTED HOUSEKEEPING	$4,145,199
HOSPITAL MEDICINE ASSOCIATES LLC
PO BOX 634850	CINCINNATI	OH	45263	CONTRACTED PHYSICIANS	$4,137,628
CULINARY SERVICES GROUP LLC
1135 BUSINESS PARKWAY SOUTH STE 10	WESTMINSTER	MD	21157	CONTRACTED FOOD SERVICES	$4,137,628
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	753972633	CONTRACTED PHYSICIANS	$1,306,029
INFINITY TELERADIOLOGY
17365 LOOKOUT DRIVE	CHAGRIN FALLS	OH	44023	CONTRACTED RADIOLOGY SERVICES	$1,276,985

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	42	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$103,158	AllOtherContributionsAmt
Total Contributions	$103,158	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$249,657,419	$249,368,495	$288,924
RETAIL PHARMACY REVENUE	456110	$19,873,090	$19,873,090
340B PHARMACY	456110	$4,325,933	$4,325,933

Field	Value	IRS element (for citing)
Total Program Service Revenue	$273,856,442	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,320,677	TotalRevenueColumnAmt
Exclusion	$4,320,677	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,205,133	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$120,163	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,084,970	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,084,970	TotalRevenueColumnAmt
Exclusion	$2,084,970	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$109,446,718	SecuritiesAmt
Other	$500	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$106,157,236	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,289,482	SecuritiesAmt
Other	$500	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,289,982	TotalRevenueColumnAmt
Exclusion	$3,289,982	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$197,729	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$205,081	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$7,352	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$7,352	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
INSURANCE SETTLEMENT	900099	$2,455,053	$2,455,053
MED SPA REVENUE	900099	$1,401,776	$1,401,776
FOOD SALES	722514	$845,683		$845,683

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,268,705	TotalRevenueColumnAmt
Related Or Exempt Func Income	$984,555	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$813	UnrelatedBusinessRevenueAmt
Exclusion	$283,337	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,971,217	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$289,619,094	TotalRevenueColumnAmt
Related Or Exempt Func Income	$278,401,550	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$289,737	UnrelatedBusinessRevenueAmt
Exclusion	$10,824,649	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	$14,413,227	TotalAmt
Program Services	$14,413,227	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$218,348	TotalAmt
Program Services	$218,348	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,471,833	TotalAmt
Program Services	$1,148,030	ProgramServicesAmt
Management And General	$323,803	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$463,046	TotalAmt
Program Services	$361,176	ProgramServicesAmt
Management And General	$101,870	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$104,312,134	TotalAmt
Program Services	$81,363,464	ProgramServicesAmt
Management And General	$22,948,670	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,611,783	TotalAmt
Program Services	$2,817,191	ProgramServicesAmt
Management And General	$794,592	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,812,935	TotalAmt
Program Services	$13,114,089	ProgramServicesAmt
Management And General	$3,698,846	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,706,397	TotalAmt
Program Services	$5,230,990	ProgramServicesAmt
Management And General	$1,475,407	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$7,835	TotalAmt
Program Services	$7,051	ProgramServicesAmt
Management And General	$784	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$35,159,271	TotalAmt
Program Services	$30,543,943	ProgramServicesAmt
Management And General	$4,615,328	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,278,547	TotalAmt
Program Services	$4,933,968	ProgramServicesAmt
Management And General	$2,344,579	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,675,853	TotalAmt
Program Services	$6,773,098	ProgramServicesAmt
Management And General	$2,902,755	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,540,775	TotalAmt
Program Services	$2,448,191	ProgramServicesAmt
Management And General	$1,092,584	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$717,038	TotalAmt
Program Services	$290,070	ProgramServicesAmt
Management And General	$426,968	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$22,194	TotalAmt
Program Services	$8,978	ProgramServicesAmt
Management And General	$13,216	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$161,138	TotalAmt
Program Services	$65,187	ProgramServicesAmt
Management And General	$95,951	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,504,599	TotalAmt
Program Services	$7,353,219	ProgramServicesAmt
Management And General	$3,151,380	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,823,945	TotalAmt
Program Services	$3,441,551	ProgramServicesAmt
Management And General	$382,394	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUG	$43,050,047	$43,050,047
REPAIRS AND MAINTENANCE	$3,769,653	$2,902,633	$867,020
PROVIDER TAX	$2,181,313	$2,181,313
DUES AND SUBSCRIPTIONS	$797,210	$322,503	$474,707

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$881,287	TotalAmt
Program Services	$616,901	ProgramServicesAmt
Management And General	$264,386	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$269,580,408	TotalAmt
Program Services	$223,605,168	ProgramServicesAmt
Management And General	$45,975,240	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$35,185	BOYAmt
EOY	$73,584	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,832,430	BOYAmt
EOY	$28,848,428	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$21,745,630	BOYAmt
EOY	$24,020,951	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,589,860	BOYAmt
EOY	$1,736,284	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,705,616	BOYAmt
EOY	$5,256,479	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,721,895	BOYAmt
EOY	$4,466,389	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$254,489,953	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$190,003,021	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$61,993,510	BOYAmt
EOY	$64,486,932	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$461,886	BOYAmt
EOY	$377,906	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$144,894,862	BOYAmt
EOY	$156,704,493	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$255,980,874	BOYAmt
EOY	$285,971,446	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$35,097,011	BOYAmt
EOY	$37,277,524	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,190,902	BOYAmt
EOY	$5,889,881	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,092,569	BOYAmt
EOY	$870,341	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$3,804,586	BOYAmt
EOY	$2,373,902	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,428,636	BOYAmt
EOY	$8,825,470	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$57,613,704	BOYAmt
EOY	$55,237,118	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	$98,204,707	BOYAmt
EOY	$130,571,865	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$100,162,463	BOYAmt
EOY	$100,162,463	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$198,367,170	BOYAmt
EOY	$230,734,328	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$255,980,874	BOYAmt
EOY	$285,971,446	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$20,038,686	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,618,860	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$5,709,612	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	$7,835	OtherActivitiesAmt
Total Lobbying Expenditures	$7,835	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	$9,231,536	OtherCostOrOtherBasisAmt
Book Value	$9,231,536	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$66,298,200	OtherCostOrOtherBasisAmt
Depreciation	$41,527,150	DepreciationAmt
Book Value	$24,771,050	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$176,103,501	OtherCostOrOtherBasisAmt
Depreciation	$148,475,871	DepreciationAmt
Book Value	$27,627,630	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,856,716	OtherCostOrOtherBasisAmt
Book Value	$2,856,716	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$64,486,932	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM RELATED PARTY	$3,627,833
OTHER ASSETS	$89,674
LIMITED USE ASSETS (AWUIL)	$133,847,724
ROU ASSET - FINANCING LEASE	$5,101,625
ESTIMATED DUE TO GOVERNMENT PROGRAMS	$11,467,853
ROU ASSET - OPERATING LEASE	$894,866
INVESTMENT IN CANCER CENTER JOINT VENTURE	$1,674,918

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$156,704,493	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ACCRUED PENSION	$5,385,338
FINANCE LEASE LIABILITY	$2,545,266
OPERATING LEASE LIABILITY	$894,866

Field	Value	IRS element (for citing)
Total Liability	$8,825,470	TotalLiabilityAmt
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. 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 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	$1,183,465	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,183,465	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,377,482	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$83,902,644	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,560,947	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$83,902,644	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,183,465	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,300,960	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,300,960	NetCommunityBenefitExpnsAmt
Total Expense	0.00850	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,345,685	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$734,315	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,611,370	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$22,519,581	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,388,598	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,130,983	NetCommunityBenefitExpnsAmt
Total Expense	0.02270	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$725,041	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$725,041	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	23	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$27,891,267	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,122,913	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,768,354	NetCommunityBenefitExpnsAmt
Total Expense	0.03990	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	23	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$94,452,214	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$101,025,557	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,951,819	NetCommunityBenefitExpnsAmt
Total Expense	0.04430	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	4225	PersonsServedCnt
Total Community Benefit Expns	$6,050	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,050	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	4225	PersonsServedCnt
Total Community Benefit Expns	$6,050	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,050	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$10,347,197	BadDebtExpenseAmt
Reimbursed By Medicare	$29,489,014	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$33,971,853	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,482,839	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 SAMSON COMMUNITY HOSPITAL INC	BusinessNameLine1Txt

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)
Website Address	WWW.TJREGIONALHEALTH.ORG	WebsiteAddressTxt
State License	720185	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
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 SAMSON COMMUNITY HOSPITAL INC	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	25	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	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
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	25	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
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
TJ SAMSON COMMUNITY HOSPITAL INC	PART V, SECTION B, LINE 5: KEY INFORMANT INTERVIEWS WERE COMPLETED WITH 9 KEY COUNTY LEADERS FROM THE SERVICE AREA. PARTICIPANTS REPRESENTED A DIVERSE RANGE OF ETHNIC, RACIAL, RELIGIOUS, AND SOCIOECONOMIC BACKGROUNDS. T.J. HEALTH RECRUITED PARTICIPANTS THROUGH HOSPITAL COMMUNITY PARTNERSHIPS AND UTILIZED BRIGHT COALITION SURVEY RESPONSES.
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 COST BARRIERS TO CARE, ACCESS TO CARE AND PROVIDER AVAILABILITY, MENTAL HEALTH AND SUBSTANCE ABUSE, CHRONIC DISEASES OBESITY AND PHYSICAL INACTIVITY, AND SENIOR HEALTH AND AGING SUPPORT. TJSCH OFFERS AND HOSTS 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, AND CHRONIC: WHEN ADDRESSING OBESITY IN OUR COMMUNITIES TJSC HELD OUR ANNUAL COMMUNITY HEALTH FAIR IN COLUMBIA ON OCTOBER 28TH SERVING OVER 250 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, NALOXONE/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.
TJ SAMSON COMMUNITY HOSPITAL INC	PART V, SECTION B, LINE 16J: HTTPS://WWW.TJREGIONALHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE-PRICING/FINANCIAL-ASSISTANCE/

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
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	GLASGOW	KY	42141	CLINIC	LEVEL

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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:	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED VARY ACCORDING TO THE INFORMATION REQUESTED AND THE MOST ACCURATE MEANS OF GATHERING THE REQUIRED INFORMATION. THE COST-TO-CHARGE RATIO WAS DERIVED FROM THE MEDICARE COST REPORT.. THAT RATIO WAS THEN USED IN CONJUNCTION WITH IRS WORKSHEET NUMBER 1 TO CALCULATE THE COST OF FINANCIAL ASSISTANCE PROVIDED AND WORKSHEET NUMBER 3 WAS USED TO CALCULATE UNREIMBURSED MEDICAID AMOUNTS. SUBSIDIZED HEALTH SERVICES WERE ANALYZED BASED ON CHARGES AND PAYMENTS BY SERVICE LINES. THE COST ASSOCIATED WITH A SERVICE LINE WAS BASED ON COST TO CHARGE RATIOS PER THE COST REPORT APPLIED TO CHARGES BY SERVICE TYPE. ACTUAL COST OF HEALTH IMPROVEMENT AND COMMUNITY BENEFIT PROGRAMS ARE STATED AT ACTUAL COST. THE COST OF THESE ITEMS ARE TRACKED THROUGHOUT THE GENERAL LEDGER PROCESS AND THROUGH OTHER ACCOUNTING SOFTWARE. COST FOR GRADUATE MEDICAL EDUCATION WAS BASED ON AMOUNTS REPORTED ON THE COST REPORT FOR GME COSTS AND GME REIMBURSEMENTS. COSTS RELATED TO UNDERGRADUATE CLINICAL TRAINING WAS BASED ON ESTIMATED LOST PRODUCTIVITY OF HOSPITAL STAFF IN TRAINING UNDERGRADUATE STUDENTS. DONATIONS ARE COMPRISED OF ACTUAL AMOUNTS GIVEN TO ORGANIZATIONS.
PART I, LINE 7G:	COSTS RELATED TO THE RURAL HEALTH CLINICS REPORTED ON LINE 7G AS SUBSIDIZED HEALTH SERVICES ARE $1,056,889.
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 SUPPORT ACTIVITIES ARE COMPRISED PRIMARILY OF SPONSORSHIPS AND SUPPORT OF COMMUNITY ORGANIZATIONS, EVENTS AND SCHOOL PROGRAMS.
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 9-11 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 9/30/25 FILED COST REPORT.
PART III, LINE 9B:	THE HOSPITAL PROVIDES ASSISTANCE TO PATIENTS THAT QUALIFY UNDER THE GUIDELINES.
PART VI, LINE 2:	(TJSCH) IS COMMITTED TO IMPROVING THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. WE ASSESS THE HEALTH NEEDS OF OUR COMMUNITY THROUGH A VARIETY OF METHODS TO ENSURE OUR SERVICES ALIGN WITH CURRENT AND EMERGING HEALTHCARE NEEDS.QUARTERLY MARKET SHARE REPORTS ARE UTILIZED TO IDENTIFY INPATIENT AND OUTPATIENT TRENDS, AS WELL AS PATIENT MIGRATION PATTERNS. THIS INFORMATION HELPS IDENTIFY SERVICES THAT ARE CURRENTLY NEEDED OR IN HIGH DEMAND FOR EXPANSION. IN ADDITION, COMMUNITY HEALTH REPORTING IS ANALYZED TO IDENTIFY HEALTH ISSUES THAT REQUIRE ATTENTION WITHIN OUR SERVICE AREA.BASED ON THESE FINDINGS, TJSCH DEVELOPS PLANS THAT UTILIZE OUR COMMUNITY HEALTH EDUCATORS TO PROVIDE HEALTH SCREENINGS AND EDUCATIONAL PROGRAMS TARGETED TOWARD SPECIFIC POPULATIONS WITH IDENTIFIED NEEDS. OUR COMMUNITY HEALTH EDUCATORS PARTNER WITH LOCAL BUSINESSES AND INDUSTRIES TO CONDUCT COMMUNITY HEALTH EVENTS. EXAMPLES OF SERVICES PROVIDED INCLUDE HEALTH FAIRS, LUNCH AND LEARNS, PROSTATE SCREENINGS, GLUCOSE CHECKS, CPR TRAINING, CHOLESTEROL TESTING, BLOOD PRESSURE SCREENINGS, BMI ASSESSMENTS, CANCER SUPPORT GROUPS, DIABETIC SUPPORT GROUPS, BEREAVEMENT SUPPORT, CHILDBIRTH CLASSES, AND OTHER COMMUNITY SUPPORT GROUPS.TJSCH ALSO PROUDLY SPONSORS EVENTS CONDUCTED BY AREA SCHOOL SYSTEMS. OUR VISION IS TO INVEST IN THE HEALTH OF OUR YOUTH BY PROVIDING EDUCATION AND INFORMATION AT AN EARLY AGE, ENCOURAGING STUDENTS TO BECOME PROACTIVE ABOUT THEIR HEALTH. EXAMPLES OF THESE EVENTS INCLUDE REALITY FAIR, CAREER FAIRS, AND SCHOOL HEALTH EVENTS.PROGRAM ATTENDEES ARE INVITED TO TOUR THE HOSPITAL AND MEET WITH STAFF MEMBERS. TJSCH ALSO PROVIDES TEACHERS WITH INFORMATION AND RESOURCES TO EDUCATE STUDENTS WHO ARE INTERESTED IN HEALTHCARE CAREERS, HELPING THEM RECOGNIZE THE WIDE RANGE OF OPPORTUNITIES AVAILABLE BEYOND THE TRADITIONAL ROLES OF PHYSICIAN OR NURSE.TJSCH, TOGETHER WITH BUSINESS, EDUCATIONAL, COMMUNITY, AND HEALTHCARE LEADERS, COLLABORATES WITH THE BARREN RIVER DISTRICT HEALTH DEPARTMENT TO FACILITATE AN EVIDENCE-BASED COMMUNITY HEALTH ASSESSMENT PROCESS KNOWN AS MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS). EVIDENCE CONTINUES TO DEMONSTRATE THAT KENTUCKY'S POOR HEALTH STATUS AFFECTS THE CURRENT AND FUTURE WORKFORCE, THE LOCAL ECONOMY, AND THE OVERALL QUALITY OF LIFE. THROUGH THIS COALITION, PARTNERS WORK COLLABORATIVELY TO ADDRESS THESE ISSUES. THE OUTCOME OF THIS COLLABORATION IS A REGIONAL COMMUNITY HEALTH PLAN THAT INCLUDES COMMITMENTS FROM STAKEHOLDERS THROUGHOUT THE REGION.THE HOSPITAL ALSO ENGAGES COMMUNITY MEMBERS THROUGH ITS PATIENT ADVISORY COUNCIL, WHICH SERVES AS A SOUNDING BOARD FOR NEW AND EXPANDING SERVICES WHILE HELPING IDENTIFY OPPORTUNITIES TO IMPROVE THE PATIENT EXPERIENCE.EACH YEAR, T.J. SAMSON COMMUNITY HOSPITAL INCORPORATES STRATEGIC PLANNING AND CONSUMER PREFERENCE DATA COLLECTED THROUGH AN ONLINE SURVEYING TOOL TO IDENTIFY AND PRIORITIZE SERVICES THAT SHOULD BE IMPROVED OR DEVELOPED TO BETTER MEET THE HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE.OBESITY, AND CHRONIC DISEASE: WHEN ADDRESSING OBESITY IN OUR COMMUNITIES TJSC HELD OUR ANNUAL COMMUNITY HEALTH FAIR IN COLUMBIA ON OCTOBER 28TH SERVING OVER 250 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 FATANALYSIS/BODY MASS INDEX, BLOOD PRESSURE AND MORE. T.J. ALSO OFFERED AFREE SPORT PHYSICALS FOR APPROXIMATELY 400 STUDENTS IN GRADES 6 THROUGH 12.
PART VI, LINE 3:	T.J. SAMSON COMMUNITY HOSPITAL IS COMMITTED TO ENSURING THAT PATIENTS ARE INFORMED ABOUT AVAILABLE FINANCIAL ASSISTANCE PROGRAMS AND THEIR ELIGIBILITY FOR ASSISTANCE THROUGH FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS.UPON ADMISSION, EACH PATIENT RECEIVES AN INFORMATION PACKET THAT INCLUDES A BROCHURE SERVING AS A GUIDE TO UNDERSTANDING THEIR HOSPITAL BILL. THIS GUIDE PROVIDES INFORMATION ABOUT INSURANCE BILLING, PAYMENT OPTIONS, AND FINANCIAL ASSISTANCE PROGRAMS AVAILABLE THROUGH T.J. SAMSON COMMUNITY HOSPITAL.FINANCIAL ASSISTANCE RESOURCES INCLUDE THE DISPROPORTIONATE SHARE HOSPITAL (DSH) PROGRAM, FIRST SOURCE, WHICH PROVIDES INFORMATION AND GUIDANCE REGARDING FEDERAL ASSISTANCE PROGRAMS, CHARITY CARE AND FINANCIAL ASSISTANCE APPLICATIONS, AND FLEXIBLE PAYMENT PLAN ARRANGEMENTS. THROUGH THESE RESOURCES, T.J. SAMSON COMMUNITY HOSPITAL STRIVES TO HELP PATIENTS UNDERSTAND THEIR FINANCIAL OPTIONS.
PART VI, LINE 4:	(TJSCH) IS A 196-BED ACUTE CARE HOSPITAL LOCATED IN GLASGOW, KENTUCKY, THE COUNTY SEAT OF BARREN COUNTY. BARREN COUNTY SERVES AS ONE OF THE PRINCIPAL ECONOMIC AND TRANSPORTATION HUBS WITHIN THE BARREN RIVER AREA DEVELOPMENT DISTRICT (BRADD), OFFERING DIRECT ACCESS TO INTERSTATE 65, RAIL SERVICE, AND A REGIONAL AIRPORT. CONVENIENTLY SITUATED BETWEEN LOUISVILLE, KENTUCKY, AND NASHVILLE, TENNESSEE, TJSCH SERVES AS A REGIONAL REFERRAL CENTER FOR SOUTH CENTRAL KENTUCKY.THE HOSPITAL'S PRIMARY SERVICE AREA (PSA) CONSISTS OF BARREN, HART, AND METCALFE COUNTIES. BASED ON 2025 U.S. CENSUS POPULATION ESTIMATES, THESE THREE COUNTIES HAVE A COMBINED POPULATION OF APPROXIMATELY 76,300 RESIDENTS ACROSS ROUGHLY 1,200 SQUARE MILES.TJSCH'S SECONDARY SERVICE AREA (SSA) INCLUDES ADAIR, ALLEN, CLINTON, CUMBERLAND, EDMONSON, GREEN, MONROE, RUSSELL, TAYLOR, AND WARREN COUNTIES. COMBINED WITH THE PRIMARY SERVICE AREA, TJSCH SERVES A THIRTEEN-COUNTY REGION ENCOMPASSING APPROXIMATELY 350,000 RESIDENTS ACROSS MORE THAN 4,200 SQUARE MILES, EXTENDING BEYOND THE BRADD REGION TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES THROUGHOUT SOUTH CENTRAL KENTUCKY.THE COMMUNITIES SERVED BY TJSCH CONTINUE TO EXPERIENCE SIGNIFICANT SOCIOECONOMIC CHALLENGES THAT INFLUENCE HEALTH OUTCOMES. ACCORDING TO THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY, POVERTY RATES THROUGHOUT MUCH OF THE HOSPITAL'S SERVICE AREA REMAIN ABOVE BOTH STATE AND NATIONAL AVERAGES, PARTICULARLY WITHIN SEVERAL OF THE RURAL COUNTIES. LIKEWISE, MEDIAN HOUSEHOLD INCOME AND PER CAPITA INCOME IN MANY COUNTIES SERVED BY TJSCH REMAIN BELOW KENTUCKY AND NATIONAL BENCHMARKS, CONTRIBUTING TO BARRIERS IN HEALTHCARE ACCESS, PREVENTIVE SERVICES, TRANSPORTATION, AND MANAGEMENT OF CHRONIC DISEASE.THESE DEMOGRAPHIC AND ECONOMIC CHARACTERISTICS REINFORCE THE NEED FOR ACCESSIBLE, HIGH-QUALITY HEALTHCARE SERVICES, PREVENTIVE HEALTH INITIATIVES, COMMUNITY EDUCATION, AND STRATEGIC PARTNERSHIPS THROUGHOUT THE REGION. TJSCH REMAINS COMMITTED TO ADDRESSING THESE NEEDS THROUGH COMPREHENSIVE CLINICAL SERVICES, COMMUNITY OUTREACH, HEALTH SCREENINGS, EDUCATIONAL PROGRAMS, AND COLLABORATIVE EFFORTS WITH PUBLIC HEALTH AGENCIES, SCHOOLS, BUSINESSES, AND COMMUNITY ORGANIZATIONS TO IMPROVE THE OVERALL HEALTH OF THE POPULATIONS WE SERVE.
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 OF 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TJ REGIONAL HEALTH INC	BusinessNameLine1Txt

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)
Recipient EIN	273988336	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$14,408,102	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	PROGRAM SUPPORT TO TJ REGIONAL	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS/TUITION REIMBURSEMENT	GrantTypeTxt
Recipient	39	RecipientCnt
Cash Grant	$218,348	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

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
HARIKRISHNAN D NAIR
PHYSICAN	$735,254	$0	$812,329	$0	$78	$0	$10,977	$0	$28,101	$0	$1,586,739	$0	$0	$0
BARETT LESSENBERRY
PHYSICAN	$620,041	$0	$877,700	$0	$78	$0	$13,800	$0	$17,873	$0	$1,529,492	$0	$0	$0
VENKATA REDDY
PHYSICAN	$822,353	$0	$476,978	$0	$2,386	$0	$13,800	$0	$11,254	$0	$1,326,771	$0	$0	$0
BRIAN ELMLINGER
PHYSICAN	$489,541	$0	$607,935	$0	$78	$0	$7,810	$0	$25,876	$0	$1,131,240	$0	$0	$0
ZAKURE SALIFU MD
PHYSICAN	$445,028	$0	$438,881	$0	$5,078	$0	$13,800	$0	$28,101	$0	$930,888	$0	$0	$0
NEIL THORNBURY
CHIEF EXECUTIVE DIRECTOR	$0	$644,486	$0	$93,600	$0	$78	$0	$8,729	$0	$28,101	$0	$774,994	$0	$0
JOHN P CRADDOCK MD
FORMER VICE CHIEF OF STAFF	$497,185	$0	$83,940	$0	$5,078	$0	$13,800	$0	$28,101	$0	$628,104	$0	$0	$0
DR MICHAEL SARIDAKIS MD
DIRECTOR/VICE CHIEF OF STAFF	$424,495	$0	$69,005	$0	$10,078	$0	$13,800	$0	$30,891	$0	$548,269	$0	$0	$0
MEI DENG
CHIEF FINANCIAL OFFICER	$0	$336,060	$0	$35,000	$0	$78	$0	$13,800	$0	$21,073	$0	$406,011	$0	$0
ERIC FISHER MD
FORMER CHIEF OF STAFF	$335,366	$0	$0	$0	$78	$0	$11,725	$0	$29,370	$0	$376,539	$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 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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
AMELIA KISER
WIFE OF BOARD MEMBER	$285,122	COMPENSATION	0
ALANNA THORNBURY
WIFE OF CEO	$51,610	COMPENSATION	0
BRITTANY TAYLOR
SISTER OF BOARD MEMBER	$55,368	COMPENSATION	0
KENDRA SORRELL
WIFE OF BOARD MEMBER	$70,946	COMPENSATION	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE CORPORATION SHALL HAVE ONE MEMBER, WHICH SHALL BE KNOWN AS THE "CORPORATE MEMBER, AND THAT CORPORATE MEMBER SHALL BE T.J. REGIONAL HEALTH, INC., A KENTUCKY NONPROFIT, NONSTOCK CORPORATION, WHICH SHALL ACT AND VOTE THROUGH ITS BOARD OF DIRECTORS EXCLUSIVELY.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS OF THE CORPORATION SHALL CONSIST OF NOT LESS THAN THREE NOR MORE THAN FIFTEEN DIRECTORS, AS SHALL FROM TIME TO TIME BE PRESCRIBED IN A RESOLUTION OF THE CORPORATE MEMBER. IF THE CORPORATE MEMBER DOES NOT ADOPT OR RETAIN IN FORCE A RESOLUTION REGARDING THE NUMBER OF DIRECTORS, THEN THE NUMBER OF DIRECTORS SHALL BE THIRTEEN, INCLUDING TWO EX-OFFICIO, VOTING DIRECTORS. IN THE EVENT THAT THE NUMBER OF DIRECTORS IS AT ANY TIME DECREASED EITHER BY RESOLUTION OF THE BOARD OF THE CORPORATE MEMBER, OR BY THE AMENDMENT OF THE BYLAWS, EACH DIRECTOR SHALL BE PERMITTED TO SERVE OUT THE REMAINDER OF HIS OR HER TERM (UNLESS HE OR SHE IS SOONER REMOVED FROM THE BOARD OF DIRECTORS BY THE CORPORATE MEMBER), AND THE DECREASE IN THE NUMBER OF DIRECTORS SHALL BE ACCOMPLISHED BY NOT REPLACING DIRECTORS AS THEIR TERMS EXPIRE UNTIL THE OVERALL NUMBER OF DIRECTORS REACHES THE APPROPRIATE NUMBER. EXCEPT FOR THE EX-OFFICIO DIRECTORS, EACH DIRECTOR SHALL BE APPOINTED BY THE CORPORATE MEMBER, UPON THE RECOMMENDATION OF THE BOARD OF DIRECTORS, AT THE ANNUAL MEETING OF THE CORPORATE MEMBER FOR A TERM OF NINE YEARS; PROVIDED, HOWEVER, THAT THE BOARD OF DIRECTORS MAY, BY RESOLUTION, DIVIDE THE DIRECTORS INTO TIERS, WITH THE TIERS SERVING STAGGERED TERMS SO THAT AN APPROXIMATELY EQUAL NUMBER OF DIRECTORS IS STANDING FOR ELECTION EACH YEAR.
FORM 990, PART VI, SECTION A, LINE 7B	THE CORPORATE MEMBER SHALL HAVE ALL RIGHTS AND POWERS AS ARE PROVIDED FOR IN THE ARTICLES AND THE BYLAWS, AS THE SAME MAY BE AMENDED AND/OR RESTATED FROM TIME TO TIME, OR BY THE LAWS OF THE COMMONWEALTH OF KENTUCKY, INCLUDING, BUT NOT LIMITED TO, THE EXCLUSIVE POWER: A. TO APPROVE ANY ACTION WHICH MIGHT BE CONSIDERED AS INCONSISTENT WITH THE OBJECTIVES AND PURPOSES AS SET FORTH ON ARTICLES II OF THE ARTICLES B. TO APPROVE THE MISSION AND VISION STATEMENTS FOR THE CORPORATION C. TO AMEND AND/OR RESTATE THE ARTICLES OR BYLAWS D. TO FIX THE NUMBER OF MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION E. TO APPOINT, UPON THE RECOMMENDATION OF THE BOARD OF DIRECTORS OF THE CORPORATION, OR REMOVE, WITH OR WITHOUT CAUSE AND WITH OR WITHOUT A RECOMMENDATION OF THE BOARD OF DIRECTORS, EACH AND ANY MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION F. TO VOTE ON ALL MATTERS WHERE THE VOTE OF MEMBERS WITH VOTING RIGHTS IS REQUIRED UNDER THE ARTICLES, THESE BYLAWS, OR THE LAWS OF THE COMMONWEALTH OF KENTUCKY G. TO APPROVE THE MERGER, DISSOLUTION, CONSOLIDATION, OR REORGANIZATION OF THE CORPORATION H. TO APPROVE THE ACQUISITION, SALE, LEASE, TRANSFER, ASSIGNMENT, MORTGAGE, ENCUMBRANCE, OR OTHER ALIENATION OF ASSETS OF THE CORPORATION, OTHER THAN IN THE USUAL AND REGULAR COURSE OF THE CORPORATION'S BUSINESS I. TO APPROVE ANY ANNUAL OR LONG TERM CAPITAL OR OPERATIONAL BUDGETS J. TO AUTHORIZE THE CORPORATION TO MANY ANY PREVIOUSLY NON-BUDGETED EXPENDITURE IN EXCESS OF $100,000 (THE EXCESS OF ANY PROPOSED EXPENDITURE OVER THE PREVIOUSLY APPROVED BUDGETED AMOUNT SHALL BE DEEMED A NON-BUDGETED EXPENDITURE K. TO APPROVE THE INCURRENCE OF ANY DEBT OR OBLIGATION WHICH WOULD BIND OR OBLIGATE THE CORPORATION IN AN AGGREGATE AMOUNT EXCEEDING THE LESSER OF ONE MILLION DOLLARS OR TEN PERCENT (10%) OF THE BOOK VALUE OF THE CORPORATION'S FIXED ASSETS L. TO APPROVE THE FORMATION OF A SUBSIDIARY ORGANIZATION OF THE CORPORATION M. TO APPROVE ANY MANAGEMENT AGREEMENT FOR ALL OR ANY SUBSTANTIAL PART OF THE CORPORATION'S OPERATIONS; AND N. TO APPROVE THE DISPOSITION OF THE ASSETS OF THE CORPORATION AT TEH TIME OF ITS DISSOLUTION.
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 2,088,692. MANAGEMENT AND GENERAL EXPENSES 232,077. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,320,769. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 15,419,505. MANAGEMENT AND GENERAL EXPENSES 1,713,279. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,132,784. PROFESSIONAL MEDICAL FEES: PROGRAM SERVICE EXPENSES 13,035,746. MANAGEMENT AND GENERAL EXPENSES 2,669,972. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,705,718.
FORM 990, PART XI, LINE 9:	CHANGE IN FUNDED STATUS OF PENSION 4,034,441. CHANGE INTEREST IN FOUNDATION 1,675,171.
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	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	0
TJ HEALTH COLUMBIA
1301 NORTH RACE STREET	GLASGOW	KY	42141	810893103	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	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