2026-08-11T07:42:50-05:00 2025-09-30 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2024-10-01 810893103 TJ HEALTH COLUMBIA INC TJHE 2706514157 1301 N RACE STREET GLASGOW KY 42141 MEI DENG CFO 2706514157 2026-08-10 1 1 EMILIE M KNIERIEM CPA P01330194 5029923500 2026-08-10 2024 2025-03-06 01:10:19Z MEI DENG 1301 NORTH RACE STREET GLASGOW KY 42141 24985468 0 X WWW.TJREGIONALHEALTH.ORG X 2015 KY T.J. HEALTH COLUMBIA WILL PROMOTE AND PROVIDE FOR THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE AND THE HEALTHCARE PROFESSIONALS WHO SERVE THEM. 12 8 31 8 0 0 130770 155566 21840888 24479067 7025 6008 61141 344827 22039824 24985468 0 0 0 0 11909114 13936761 0 0 0 5948800 7794781 17857914 21731542 4181910 3253926 21068368 24941389 797653 1416748 20270715 23524641 X T.J. HEALTH COLUMBIA WILL PROMOTE AND PROVIDE FOR THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE AND THE HEALTHCARE PROFESSIONALS WHO SERVE THEM. THE PAST, PRESENT, AND FUTURE ACTIVITIES OF T. J. HEALTH COLUMBIA INCLUDE ESTABLISHING AND OPERATING A MEDICAL CENTER TO PROVIDE INPATIENT AND OUTPATIENT HOSPITAL AND ANCILLARY HEALTH CARE SERVICES TO THE COMMUNITY OF COLUMBIA, KENTUCKY, ADAIR COUNTY AND THE SOUTH-CENTRAL REGION OF KENTUCKY, REGARDLESS OF ANY PATIENT'S ABILITY TO PAY. 0 0 17439551 24823592 T.J. HEALTH COLUMBIA PROVIDES HEALTHCARE SERVICES TO ADAIR AND SURROUNDING COUNTIES IN KENTUCKY. 1,734 ACUTE HOSPITAL AND EMERGENCY ROOM CARE PATIENT DAYS AND 8,672 ER VISITS IN FYE 9/30/25. 17439551 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 234 0 1 31 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 KY X MEI DENG CFO 2706514157 1301 N RACE STREET GLASGOW KY 42141 NEIL THORNBURY CEO 5.00 46.00 X 0 738164 36830 JOHN CRADDOCK FORMER VICE CHIEF OF STAFF 1.00 41.00 X 0 586203 41901 DR MICHAEL SARIDAKIS MD DIRECTOR/VICE CHIEF OF STAFF 1.00 41.00 X 0 503578 44691 MEI DENG CFO 5.00 46.00 X 0 371138 34873 ERIC FISHER FORMER CHIEF OF STAFF 1.00 41.00 X 0 335444 41095 CLINTON KITECK PHYSICIAN 40.00 0.00 X 304365 0 38064 TRACY COURTNEY PHYSICIAN 40.00 0.00 X 240763 0 22135 EMILY JESSIE NURSE PRACTITIONER 40.00 0.00 X 236232 0 25622 PATRICIA DOOLIN NURSE PRACTITIONER 40.00 0.00 X 228160 0 18698 TERESA SHEFFIELD NURSE PRACTITIONER 40.00 0.00 X 164722 0 6740 T RICH ALEXANDER CHAIRMAN 1.00 3.00 X X 0 0 0 BRENT BILLINGSLEY VICE CHAIRMAN 1.00 3.00 X X 0 0 15914 ERVIN SORRELL TREASURER 1.00 2.00 X X 0 0 10105 MICHAEL SCOTT YOUNG SECRETARY 1.00 3.00 X X 0 0 0 HENRY ROYSE DIRECTOR 1.00 4.00 X 0 0 19699 JOEY ALLEN BOTTS DIRECTOR 1.00 3.00 X 0 0 0 BO MATTHEWS DIRECTOR 1.00 2.00 X 0 0 0 DAN FOUTCH DIRECTOR 1.00 3.00 X 0 0 0 DR KYLE KISER MD DIRECTOR/CHIEF OF STAFF 1.00 2.00 X 0 0 0 AMY NORRIS CASSADY DIRECTOR 1.00 2.00 X 0 0 0 CORNELIUS FAULKNER DIRECTOR 1.00 2.00 X 0 0 0 1174242 2534527 356367 27 1 1 0 SE EMERGENCY PHYSICIANS LLC PO BOX 634850 CINCINNATI OH 45263 ER/URGENT CARE CONTRACTED PHYSICIANS 1820584 HOSPITAL MEDICINE ASSOCIATES LLC PO BOX 634850 CINCINNATI OH 45263 CONTRACTED PHYSICIANS 533225 ALLIANCE HEALTHCARE SERVICE INC PO BOX 735714 DALLAS TX 75373 RADIOLOGY SERVICES 291641 SMYRNA PULMONARY & SLEEP ASSOCIATION 13181 OLD NASHVILLE HWY SUITE 150 SMYRNA TN 37167 CONTRACTED PHYSICIANS 146000 QUALIVIS LLC PO BOX 674913 DALLAS TX 752674913 CONTRACTED LABOR 143795 5 144862 10704 155566 NET PATIENT REVENUE 622110 22991871 22991871 340B PHARMACY REVENUE 622110 1487196 1487196 24479067 6008 6008 HEDIS QUALITY PAYMENT REVENUE 622110 265600 265600 FEMA REIMBURSEMENTS 622110 65926 65926 REV SHARE COMMERCE BANK 900099 2428 2428 10873 10571 302 344827 24985468 24823592 0 6310 X 105603 82370 23233 10965915 8553414 2412501 350889 273693 77196 1706328 1330936 375392 808026 630260 177766 1303 1173 130 3271179 2771715 499464 570841 393290 177551 64060 44842 19218 583800 389132 194668 39725 16070 23655 9411 3807 5604 535309 374716 160593 37160 33444 3716 MEDICAL SUPPLIES & DRUG 2047735 2047735 PROVIDER TAX 248737 248737 REPAIRS & MAINTENANCE 241497 185953 55544 TAXES, LICENSES AND FEE 30218 12224 17994 113806 46040 67766 21731542 17439551 4291991 0 10213 10582 1323721 6807603 1883454 2279786 405198 428640 63452 53348 9085819 4223285 4992922 4862534 12389408 10498896 21068368 24941389 797653 1416748 797653 1416748 X 20270715 23524641 20270715 23524641 21068368 24941389 3253926 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1303 1303 0 PART II-B, LINE 1: THE HOSPITAL PAYS MEMBERSHIP DUES TO THE KENTUCKY HOSPITAL ASSOCIATION OF WHICH A PORTION OF THE DUES ARE USED FOR LOBBYING PURPOSES. 667576 667576 5738161 2700112 3038049 2612167 1506324 1105843 67915 16849 51066 4862534 DUE FROM RELATED ENTITY 9406814 ESTIMATED THIRD PARTY SETTLEMENT 1092082 10498896 X PART X, LINE 2: TJ SAMSON COMMUNITY HOSPITAL (TJS), TJ HEALTH COLUMBIA (TJHC), AND TJ REGIONAL HEALTH (TJR) ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AS SUCH, TJS, TJHC, AND TJR ARE GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, THEY ARE REQUIRED TO FILE FEDERAL FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX WHICH IS AN INFORMATIONAL RETURN ONLY. 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 183491 183491 0.00840 10351841 11862194 0 0.00000 10535332 11862194 183491 0.00840 11500 11500 0.00050 7679595 3624287 4055308 0.18660 7691095 3624287 4066808 0.18710 18226427 15486481 4250299 0.19550 1 370331 947737 1503649 -555912 X 1 1 1 1 TJ HEALTH COLUMBIA 901 WESTLAKE DRIVE COLUMBIA KY 42728 WWW.TJREGIONALHEALTH.ORG 10001 X X TJ HEALTH COLUMBIA 1 0 0 1 X X X X X X X X X 25 1 0 0 1 X HTTPS://WWW.TJREGIONALHEALTH.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT/ X 1 25 1 HTTPS://WWW.TJREGIONALHEALTH.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT/ 0 1 X 100.000000000000 200.000000000000 X X X X 1 1 X X X 1 X SEE PAGE 8 PART V SECTION B LINE 16J X SEE PAGE 8 PART V SECTION B LINE 16J X SEE PAGE 8 PART V SECTION B LINE 16J X X X X X X X 1 X 0 X X X X 1 X 0 0 T.J. HEALTH COLUMBIA 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 UTILITEC BRIGHT COALITION SURVEY RESPONSES. T.J. HEALTH COLUMBIA PART V, SECTION B, LINE 11: T.J. HEALTH COLUMBIA, IN RESPONSE TO THE ASSESSMENT AND PRIORITY HEALTH ISSUE FINDINGS, HAS USED THE DATA COLLECTED TO IDENTIFY AREAS OF OPPORTUNITY TO BETTER MEET THE HEALTH NEEDS THAT IMPACT THE HOSPITAL'S PATIENT POPULATION. THE COMMUNITY HEALTH NEED ASSESSMENT IN PLACE HAS GUIDED THIS ORGANIZATION IN DECISIONS MADE REGARDING PROGRAM IMPLEMENTATION AND PROMOTION, DISEASE MANAGEMENT, COMMUNITY PARTNERSHIPS, AND HEALTH AND AWARENESS CAMPAIGNS ESTABLISHED OVER THE PAST YEARS. THE PRIORITY HEALTH ISSUES IDENTIFIED FOR TJSCH SERVICES AREAS ARE ECONOMIC INSTABILITY AND POVERTY, UNDERINSURANCE AND COST OF CARE, ACCESS TO CARE, CHRONIC DISEASE, AND OBESITY, AND LOW HEALTH LITERACY. TJHC 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 TJHC 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.TJHC, THROUGH THE TJ COMMUNITY MISSION FOUNDATION AND CMC ADAIR OFFER ASSISTANCE TO SENIORS AND WORKING ADULTS AT OR BELOW 200% OF THE POVERTY LEVEL TO HELP WITH THE COST OF TREATMENTS AND VARIOUS OTHER MEDICAL SUPPLIES EASING THE BURDEN OF THE UNDERINSURED AND UNINSURED. TJHC AND ITS RURAL HEALTH CLINICS HAVE WORKED HARD TO PROVIDED EXTENDING SCHEDULING OPPORTUNITIES AND BRING IN MANY SPECIALIST TO THE TJHC SERVICE AREA. THESE INCLUDE, PULMONOLOGY, WOUND CARE, IV THERAPY, REHAB, ORTHO, CARDIOLOGY, NEUROLOGY, NEPHOLOGY, MENTAL AND BEHAVIORAL HEALTH SERVICES, AND OTHER SERVICE LINES. THIS HAS HELPED INCREASE ACCESS TO CARE IN THE REGION. T.J. HEALTH COLUMBIA PART V, SECTION B, LINE 16J: HTTPS://WWW.TJREGIONALHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE-PRICING/FINANCIAL-ASSISTANCE/ 7 1 - COLUMBIA CLINIC 902 WESTLAKE DRIVE COLUMBIA KY 42728 PRIMARY CARE 2 - COLUMBIA PRIMARY CARE CLINIC 810 JAMESTOWN STREET COLUMBIA KY 42728 PRIMARY CARE 3 - EDMONTON CLINIC 1704 W STOCKTON STREET EDMONTON KY 42129 PRIMARY CARE 4 - RUSSELL SPRINGS CLINIC 542 STEVE DRIVE RUSSELL SPRINGS KY 42642 PRIMARY CARE 5 - GREENSBURG CLINIC 603 COLUMBIA HIGHWAY GREENSBURG KY 42743 PRIMARY CARE 6 - SCOTTSVILLE CLINIC 1084 VETERANS MEMORIAL HIGHWAY SCOTTSVILLE KY 42164 PRIMARY CARE 7 - TOMPKINSVILLE CLINIC 800 N MAIN STREET TOMPKINSVILLE KY 42167 PRIMARY CARE PART I, LINE 3C: TJ HEALTH COLUMBIA, INC.'S FINANCIAL ASSISTANCE POLICY USES THE FOLLOWING ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IN ADDITION TO THE FPG: ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS. PART I, LINE 7: TJ HEALTH COLUMBIA, INC. CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS USING THE COST-TO-CHARGE RATIO DERIVED FROM IRS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. SCHEDULE H, PART I, LINE 7 IN 2019, THE HOSPITAL HAS BEEN PARTICIPATING IN THE MEDICAID HOSPITAL RATE IMPROVEMENT PROGRAM ("HRIP"). THIS PROGRAM WAS DESIGNED TO PROVIDE SUPPLEMENTAL MEDICAID PAYMENTS TO CERTAIN KENTUCKY HOSPITALS TO COVER THE GAP BETWEEN REGULAR INPATIENT MEDICAID PAYMENTS AND MEDICARE ALLOWABLE COSTS. EFFECTIVE JULY 1, 2020, THE PROGRAM WAS MODIFIED TO PROVIDE SUPPLEMENTAL MEDICAID PAYMENTS TO CERTAIN KENTUCKY HOSPITALS TO COVER THE GAP BETWEEN INPATIENT MEDICAID PAYMENTS AND THE AVERAGE COMMERCIAL PAYMENT RATE. THE AMOUNT HOSPITALS RECEIVE IS DETERMINED ANNUALLY PRIOR TO EACH STATE FISCAL YEAR. THE PAYMENTS ARE MADE EACH QUARTER, AND THEY ARE BASED ON PAID CLAIMS, WITH THE STATE MATCHING FUNDS COMING FROM A NEW ASSESSMENT ON HOSPITALS EVERY QUARTER. PART II, COMMUNITY BUILDING ACTIVITIES: T.J. HEALTH COLUMBIA'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY THE ORGANIZATION SERVES BY OFFERING THE FOLLOWING:- HEALTH FAIR- KIDS SAFETY DAY- TJ HEALTH COLUMBIA COMMUNITY HEALTH NEEDS- LUNCH AND LEARNS-BACK TO SCHOOL EVENTS 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: TJ HEALTH COLUMBIA RECOGNIZES THAT IMPROVING COMMUNITY HEALTH REQUIRES STRONG PARTNERSHIPS WITH ORGANIZATIONS THAT SHARE A COMMITMENT TO ADDRESSING LOCAL HEALTH NEEDS. THE HOSPITAL WORKS COLLABORATIVELY WITH COMMUNITY STAKEHOLDERS THROUGHOUT THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS TO IDENTIFY HEALTH PRIORITIES, DEVELOP IMPLEMENTATION STRATEGIES, AND IMPROVE ACCESS TO QUALITY HEALTH CARE SERVICES.ADAIR COUNTY HEALTH DEPARTMENT: THE ADAIR COUNTY HEALTH DEPARTMENT SERVES AS A KEY PUBLIC HEALTH PARTNER BY PROVIDING POPULATION HEALTH DATA, EPIDEMIOLOGICAL INFORMATION, AND EXPERTISE IN COMMUNITY HEALTH PLANNING. THE HEALTH DEPARTMENT COLLABORATES WITH TJ HEALTH COLUMBIA ON COMMUNITY HEALTH ASSESSMENTS, IMMUNIZATION PROGRAMS, HEALTH SCREENINGS, CHRONIC DISEASE PREVENTION INITIATIVES, MATERNAL AND CHILD HEALTH SERVICES, TOBACCO CESSATION EFFORTS, COMMUNICABLE DISEASE SURVEILLANCE, AND PUBLIC HEALTH EDUCATION. THE PARTNERSHIP ALSO STRENGTHENS EMERGENCY PREPAREDNESS PLANNING AND COORDINATED RESPONSES TO PUBLIC HEALTH EMERGENCIES.ADAIR COUNTY EMS (AMBULANCE SERVICE): THE LOCAL EMERGENCY MEDICAL SERVICES (EMS) PROVIDER PLAYS A VITAL ROLE IN ENSURING TIMELY ACCESS TO EMERGENCY CARE THROUGHOUT THE HOSPITAL'S RURAL SERVICE AREA. EMS PERSONNEL COLLABORATE WITH TJ HEALTH COLUMBIA TO IMPROVE EMERGENCY RESPONSE PROTOCOLS, COORDINATE PATIENT TRANSFERS, SUPPORT DISASTER PREPAREDNESS ACTIVITIES, AND IDENTIFY OPPORTUNITIES TO REDUCE PREVENTABLE EMERGENCY DEPARTMENT UTILIZATION. THROUGH ONGOING COMMUNICATION AND QUALITY IMPROVEMENT INITIATIVES, EMS AND HOSPITAL STAFF WORK TOGETHER TO ENHANCE CONTINUITY OF CARE AND IMPROVE PATIENT OUTCOMES.WATCH COALITION: TJ HEALTH COLUMBIA PARTNERS WITH THE WATCH COALITION TO ADDRESS BEHAVIORAL HEALTH CHALLENGES, SUBSTANCE USE PREVENTION, AND OTHER SOCIAL DETERMINANTS OF HEALTH AFFECTING THE REGION. THE COALITION BRINGS TOGETHER REPRESENTATIVES FROM HEALTH CARE, PUBLIC HEALTH, EDUCATION, LAW ENFORCEMENT, SOCIAL SERVICE AGENCIES, LOCAL GOVERNMENT, AND COMMUNITY ORGANIZATIONS TO PROMOTE HEALTH EDUCATION, INJURY PREVENTION, MENTAL HEALTH AWARENESS, SUBSTANCE MISUSE PREVENTION, AND RECOVERY SUPPORT. THROUGH THIS PARTNERSHIP, THE HOSPITAL PARTICIPATES IN COLLABORATIVE PLANNING EFFORTS, COMMUNITY OUTREACH EVENTS, EDUCATIONAL PROGRAMS, AND INITIATIVES DESIGNED TO IMPROVE THE OVERALL HEALTH AND WELL-BEING OF RESIDENTS.LOCAL GOVERNMENT AND COMMUNITY AGENCIES: TJ HEALTH COLUMBIA COLLABORATES WITH COUNTY AND MUNICIPAL GOVERNMENTS THROUGHOUT ITS SERVICE AREA TO PROMOTE COMMUNITY WELLNESS AND IMPROVE ACCESS TO HEALTH RESOURCES. THESE PARTNERSHIPS SUPPORT PUBLIC HEALTH INITIATIVES, EMERGENCY PREPAREDNESS, HEALTH FAIRS, WELLNESS EVENTS, AND EDUCATIONAL PROGRAMS THAT ADDRESS LOCAL HEALTH PRIORITIES. BY WORKING ALONGSIDE LOCAL OFFICIALS AND COMMUNITY AGENCIES, THE HOSPITAL HELPS IDENTIFY EMERGING HEALTH CONCERNS AND DEVELOPS COORDINATED STRATEGIES TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF AREA RESIDENTS.LOCAL SCHOOL SYSTEMS: TJ HEALTH COLUMBIA MAINTAINS STRONG PARTNERSHIPS WITH LOCAL SCHOOL DISTRICTS TO PROMOTE HEALTHY LIFESTYLES AND IMPROVE THE HEALTH OF CHILDREN, ADOLESCENTS, FAMILIES, AND SCHOOL EMPLOYEES. HOSPITAL STAFF PROVIDE EDUCATIONAL PROGRAMS ON NUTRITION, PHYSICAL ACTIVITY, DISEASE PREVENTION, MENTAL HEALTH AWARENESS, INJURY PREVENTION, AND OTHER HEALTH-RELATED TOPICS. THE HOSPITAL ALSO PARTICIPATES IN CAREER EXPLORATION ACTIVITIES, SCHOOL HEALTH FAIRS, ATHLETIC PHYSICALS, WELLNESS SCREENINGS, AND COMMUNITY OUTREACH EVENTS DESIGNED TO ENCOURAGE HEALTHY BEHAVIORS AND INCREASE AWARENESS OF AVAILABLE HEALTH CARE SERVICES.THESE PARTNERSHIPS ARE INSTRUMENTAL THROUGHOUT THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS BY HELPING IDENTIFY EMERGING HEALTH CONCERNS, VALIDATING COMMUNITY HEALTH PRIORITIES, SHARING LOCAL EXPERTISE AND RESOURCES, AND DEVELOPING EVIDENCE-BASED STRATEGIES TO ADDRESS IDENTIFIED NEEDS. THROUGH COLLABORATION WITH PUBLIC HEALTH AGENCIES, EMERGENCY MEDICAL SERVICES, THE WATCH COALITION, LOCAL GOVERNMENTS, SCHOOL SYSTEMS, AND OTHER COMMUNITY ORGANIZATIONS, TJ HEALTH COLUMBIA IS ABLE TO PROVIDE MORE COMPREHENSIVE, COORDINATED, AND PATIENT-CENTERED CARE WHILE IMPROVING HEALTH OUTCOMES ACROSS ITS SIX-COUNTY SERVICE AREA. PART VI, LINE 3: TJ HEALTH COLUMBIA IS COMMITTED TO ENSURING THAT ALL PATIENTS ARE INFORMED OF AVAILABLE FINANCIAL ASSISTANCE PROGRAMS AND PAYMENT OPTIONS. PATIENTS WHO RECEIVE SERVICES ARE PROVIDED INFORMATION REGARDING THEIR POTENTIAL ELIGIBILITY FOR ASSISTANCE THROUGH FEDERAL, STATE, AND LOCAL PROGRAMS, AS WELL AS THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.UPON REGISTRATION OR ADMISSION, PATIENTS RECEIVE MATERIALS EXPLAINING THE HOSPITAL BILLING PROCESS, INSURANCE COVERAGE, AND AVAILABLE PAYMENT OPTIONS. EDUCATIONAL RESOURCES INCLUDE INFORMATION ON FINANCIAL COUNSELING SERVICES, PAYMENT PLANS, AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM FOR ELIGIBLE UNINSURED AND UNDERINSURED PATIENTS.FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST PATIENTS IN DETERMINING ELIGIBILITY FOR PROGRAMS SUCH AS MEDICAID AND OTHER PUBLIC ASSISTANCE PROGRAMS, AS WELL AS TO HELP COMPLETE FINANCIAL ASSISTANCE APPLICATIONS. PATIENTS MAY ALSO BE REFERRED TO FIRST SOURCE OR OTHER ELIGIBILITY ASSISTANCE SERVICES TO IDENTIFY COVERAGE OPTIONS AND CONNECT WITH AVAILABLE COMMUNITY RESOURCES.TJ HEALTH COLUMBIA STRIVES TO REDUCE FINANCIAL BARRIERS TO CARE BY PROVIDING CLEAR INFORMATION, INDIVIDUALIZED FINANCIAL COUNSELING, AND ASSISTANCE IN ACCESSING PROGRAMS THAT HELP PATIENTS OBTAIN THE CARE THEY NEED REGARDLESS OF THEIR ABILITY TO PAY. PART VI, LINE 4: TJ HEALTH COLUMBIA IS LOCATED IN COLUMBIA, KENTUCKY, THE COUNTY SEAT OF ADAIR COUNTY. SITUATED IN THE HEART OF SOUTH-CENTRAL KENTUCKY, ADAIR COUNTY HAS AN ESTIMATED POPULATION OF APPROXIMATELY 19,300 RESIDENTS. THE COUNTY IS STRATEGICALLY LOCATED NEAR SEVERAL OF KENTUCKY'S PREMIER OUTDOOR RECREATION DESTINATIONS, INCLUDING GREEN RIVER LAKE, DALE HOLLOW LAKE, BARREN RIVER LAKE STATE RESORT PARK, AND LAKE CUMBERLAND, MAKING IT AN ATTRACTIVE LOCATION FOR BOTH RESIDENTS AND VISITORS.TJ HEALTH COLUMBIA SERVES A SIX-COUNTY REGION ENCOMPASSING APPROXIMATELY 2,000 SQUARE MILES AND PROVIDES HEALTH CARE SERVICES TO AN ESTIMATED 128,000 RESIDENTS. THE HOSPITAL DEFINES ITS PRIMARY SERVICE AREA BASED ON THE COUNTIES FROM WHICH THE MAJORITY OF ITS INPATIENT ADMISSIONS ORIGINATE. THE PRIMARY SERVICE AREA CONSISTS OF ADAIR AND METCALFE COUNTIES, WHILE THE SECONDARY SERVICE AREA INCLUDES GREEN, RUSSELL, AND TAYLOR COUNTIES.THE COMMUNITIES SERVED BY TJ HEALTH COLUMBIA CONTINUE TO EXPERIENCE SOCIOECONOMIC CHALLENGES THAT IMPACT HEALTH OUTCOMES. BASED ON THE MOST RECENT AMERICAN COMMUNITY SURVEY ESTIMATES, POVERTY RATES ACROSS THE SIX-COUNTY SERVICE AREA RANGE FROM APPROXIMATELY 15% TO 24%, WITH MOST COUNTIES MEETING OR EXCEEDING KENTUCKY'S STATEWIDE POVERTY RATE OF APPROXIMATELY 16%. MEDIAN HOUSEHOLD INCOMES THROUGHOUT THE SERVICE AREA REMAIN SUBSTANTIALLY BELOW BOTH THE KENTUCKY AND NATIONAL AVERAGES, REFLECTING THE PREDOMINANTLY RURAL NATURE OF THE REGION AND THE ONGOING NEED FOR ACCESSIBLE, AFFORDABLE HEALTH CARE SERVICES. THESE ECONOMIC FACTORS REINFORCE THE IMPORTANCE OF TJ HEALTH COLUMBIA'S MISSION TO PROVIDE HIGH-QUALITY CARE REGARDLESS OF A PATIENT'S ABILITY TO PAY AND TO CONNECT PATIENTS WITH FINANCIAL ASSISTANCE AND COMMUNITY RESOURCES WHEN APPROPRIATE. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH OUR MISSION: TJHC WILL PROMOTE AND PROVIDE FOR THE HEALTH AND WELL-BEING OF THOSE WE SERVE. OUR VISION: AS A REGIONAL PROVIDER, TJHC TAKES PRIDE IN BEING GOOD STEWARDS OF OUR AVAILABLE RESOURCES AND UTILIZING THEM TO ANTICIPATE AND EXCEED THE HEALTH NEEDS OF THE REGION BY PROMOTING HEALTH IN OUR COMMUNITIES AND DELIVERING QUALITY, APPROPRIATE AND COMPASSIONATE CARE. OUR GOALS: * CLINICAL QUALITY * CUSTOMER SERVICE * QUALITY WORK-LIFE * FINANCIAL PERFORMANCE ORGANIZATIONAL VALUES: * SERVICE * EXCELLENCE * RESPONSIVE * VISON * INNOVATION * COMPASSION* ETHICS *ETHICS STATEMENT OF COMMUNITY COMMITMENT: TJHC IS A NONPROFIT, CHARITABLE CORPORATION OPERATED FOR THE SOLE PURPOSE OF PROMOTING AND PROVIDING FOR THE HEALTH OF THE PEOPLE IN ITS SERVICE AREA. IT DOES SO BY MAKING SURE THAT NECESSARY HOSPITAL AND HEALTH SERVICES, APPROPRIATE FOR THE SIZE OF THE COMMUNITY, ARE AVAILABLE TO ALL ON A COST-EFFECTIVE BASIS, WITHOUT REGARD TO THEIR ABILITY TO PAY. THESE INCLUDE SUCH ESSENTIAL SERVICES SUCH AS A 24-HOUR EMERGENCY ROOM, OBSTETRICS, CRITICAL CARE CAPABILITIES, AND DISASTER PREPAREDNESS.TO BE ABLE TO CONTINUE TO OFFER THESE SERVICES AT A LEVEL OF SAFETY THE COMMUNITY HAS A RIGHT TO EXPECT, THIS ORGANIZATION MUST BE ABLE TO GENERATE SUFFICIENT VOLUME AND SUFFICIENT REVENUE TO SUPPORT THOSE ESSENTIAL SERVICES WHICH, DUE TO INSUFFICIENT REIMBURSEMENT OR HIGH EXPENSES ASSOCIATED WITH THE TYPE OF SERVICE OR PATIENT INVOLVED, CANNOT SUSTAIN THEMSELVES. IT MUST ALSO RELY ON THE SUPPORT OF A HIGH QUALITY STAFF OF PHYSICIANS, NURSES AND OTHER PROFESSIONALS WHO NOT ONLY DELIVER CARE, BUT ALSO MONITOR AND WORK TO IMPROVE THE QUALITY AND EFFECTIVENESS OF THE SERVICES PROVIDED TO THE COMMUNITY. ALL POLICIES AND ACTIONS OF TJHC SHALL BE IN FURTHERANCE OF IDENTIFYING AND MEETING THE HEALTH NEEDS OF THOSE THAT WE SERVE. WITH DEDICATED STAFF POSITIONED LOCALLY, THE COMMUNITY CAN BE ASSURED 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. TJHC IS VERY INVOLVED IN THE COMMUNITY. * AMERICAN CANCER SOCIETY-RELAY FOR LIFE * AMERICAN HEART ASSOCIATION-HEART WALK AND WEAR RED DAY * HEALTH EDUCATION THEATRE * MARCH OF DIMES WALK AMERICA * SUSAN G. KOMEN * UNITED WAY * LINDSEY WILSON COLLEGE PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: TJ REGIONAL HEALTH INC.: AS OF DECEMBER 2015, TJHC BECAME A SUBSIDIARY OF T. J. REGIONAL HEALTH, INC. THIS ORGANIZATION SERVES AS THE PARENT ORGANIZATION AND WAS FORMED TO HELP FACILITATE THE ORGANIZATIONS PLANS TO BECOME MORE REGIONALLY FOCUSED. TJHC ALONG WITH T.J. SAMSON COMMUNITY HOSPITAL ARE ALL SUBSIDIARIES OF T. J. REGIONAL HEALTH, INC.. TJ REGIONAL HEALTH INC. OPERATES PHYSICIAN CLINICS THAT INCLUDE FAMILY MEDICINE, INTERNAL MEDICINE, CARDIOLOGY, UROLOGY, NEUROLOGY, GYNECOLOGY AND PAIN MANAGEMENT. THE COMPREHENSIVE SERVICES ALLOW PATIENTS TO REMAIN IN THE COMMUNITY FOR THEIR HEALTHCARE NEEDS. T.J. SAMSON COMMUNITY HOSPITAL IS A 196-BED, ACUTE-CARE FACILITY PROVIDING HEALTHCARE SERVICES TO BARREN AND SURROUNDING COUNTIES. AS COMMUNITY NEEDS ARE IDENTIFIED, ONGOING EFFORTS WILL BE MADE TO EXPAND THE OFFERINGS. SPECIALTIES RANGE FROM PRIMARY CARE TO INVASIVE/INTERVENTIONAL CARDIOLOGY, UROLOGY, PULMONARY, ONCOLOGY, AND NEUROLOGY. EACH OFFICE IS DESIGNED TO MEET AS MANY OF THE PATIENT'S NEEDS IN THE OFFICE SETTING AS POSSIBLE. T.J. HEALTH PAVILION IS AN OUTPATIENT SERVICE FACILITY OWNED AND OPERATED BY T.J. SAMSON COMMUNITY HOSPITAL AND IS DESIGNED TO MEET THE DEMAND OF RISING OUTPATIENT VOLUMES. THE T.J. HEALTH PAVILION HOUSES THE PHYSICIAN GROUP OF T.J. HEALTH PARTNERS AND THE OUTPATIENT SERVICES OF T.J. SAMSON COMMUNITY HOSPITAL. THE FACILITY ALLOWS THE COMMUNITY ACCESS TO A WIDE ARRAY OF SERVICES AND TECHNOLOGY ALL LOCATED IN ONE CONVENIENT LOCATION. SERVICES AND SPECIALTIES INCLUDE; REHABILITATION, DIALYSIS, URGENT CARE SERVICES, LABORATORY, RADIOLOGY, PRIMARY CARE, ONCOLOGY, UROLOGY, PAIN MANAGEMENT, SURGERY PHYSICIANS, OBSTETRICS AND GYNECOLOGY, CARDIOLOGY, AND NEPHROLOGY. T.J. HEALTH COLUMBIA IS A 74-BED, (25 FOR BHU AND 49 FOR ACUTE-CARE) FACILITY PROVIDING HEALTHCARE SERVICES TO ADAIR AND SURROUNDING COUNTIES. THE BHU UNIT WAS CLOSED IN JULY OF 2018. 0 0 0 0 0 0 0 1 0 NEIL THORNBURY CEO 0 644486 0 93600 0 78 0 8729 0 28101 0 774994 0 0 JOHN CRADDOCK FORMER VICE CHIEF OF STAFF 0 497185 0 83940 0 5078 0 13800 0 28101 0 628104 0 0 DR MICHAEL SARIDAKIS MD DIRECTOR/VICE CHIEF OF STAFF 0 424495 0 69005 0 10078 0 13800 0 30891 0 548269 0 0 MEI DENG CFO 0 336060 0 35000 0 78 0 13800 0 21073 0 406011 0 0 ERIC FISHER FORMER CHIEF OF STAFF 0 335366 0 0 0 78 0 11725 0 29370 0 376539 0 0 CLINTON KITECK PHYSICIAN 265116 0 34171 0 5078 0 12115 0 25949 0 342429 0 0 0 TRACY COURTNEY PHYSICIAN 205084 0 27524 0 8155 0 6996 0 15139 0 262898 0 0 0 EMILY JESSIE NURSE PRACTITIONER 115309 0 118845 0 2078 0 8588 0 17034 0 261854 0 0 0 PATRICIA DOOLIN NURSE PRACTITIONER 113596 0 112486 0 2078 0 8239 0 10459 0 246858 0 0 0 TERESA SHEFFIELD NURSE PRACTITIONER 110588 0 52056 0 2078 0 6085 0 655 0 171462 0 0 0 PART I, LINE 3 TJ REGIONAL HEALTH, INC., A RELATED ORGANIZATION OF TJ HEALTH COLUMBIA, INC., USES COMPENSATION SURVEYS/STUDIES AND 990S OF OTHER HOSPITALS SIMILAR IN SIZE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. THIS PROCESS IS REVIEWED AND APPROVED ANNUALLY BY THE EXECUTIVE BOARD. PART I, LINE 7 PHYSICIANS ARE ELGIBLE FOR INCENTIVE COMPENSATION. PHYSICIANS MAY EARN ADDITONAL COMPENSATION THROUGH QUARTERLY PRODUCTIVITY BONUSES THAT ARE BASED ON THE CALCULATED DIFFERENCE OF ACTUAL WRVUS FOR THE QUARTER LESS A WRVU QUARTERLY TARGET. THE OFFICER'S BONUSES ARE CALCULATED BASED ON STANDARD PERFORMANCE METRICS AS MEASURED BY ANNUAL CMS PATIENT SATISFACTION SURVEY RESULTS, ANNUAL EMPLOYEE SATISFACTION AND TURNOVER RESULTS, ANNUAL CMS HOSPITAL QUALITY SCORES IMPROVEMENT, FINANCIAL PERFORMANCE TO GOALS, SERVICE LINE GROWTH AND MARKET SHARE EXPANSION, AND COMMUNITY DEVELOPMENT SUPPORT AND PROGRESS. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION SHALL HAVE ONE MEMBER, WHICH 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 BYLAWS, INCLUDING BUT NOT LIMITED TO: A. TO APPROVE ANY ACTION WHICH MIGHT BE CONSIDERED AS INCONSISTENT WITH THE OBJECTIVES AND PURPOSES AS SET FORTH IN ARTICLE II OF THE ARTICLES B. TO APPROVE MISSION AND VISION STATEMENTS FOR THE CORPORATION C. TO AMEND AND/OR RESTATE THE ARTICLES OR THESE 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 FO THE BOARD OF DIRECTORS OF THE CORPORATION F. TO APPOINT, UPON THE RECOMMENDATION OF THE NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS OF THE CORPORATION, OR REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE COMMUNITY, AS DEFINED HEREIN, TO ACT SOLELY IN AN ADVISORY ROLE TO THE BOARD OF DIRECTORS G. TO VOTE ON ALL MATTERS WHERE THE VOTE OF MEMBERS WITH VOTING RIGHTS IS REQUIRED UNDER THE ARTICLES, THE BYLAWS, OR THE LAWS OF THE COMMONWEALTH OF KENTUCKY H. TO APPROVE THE MERGER, DISSOLUTION, CONSOLIDATION, OR REORGANIZATION OF THE CORPORATION I. 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 J. TO APPROVE ANY ANNUAL OR LONG TERM CAPITAL OR OPERATIONAL BUDGETS K. TO AUTHORIZE THE CORPORATION TO MAKE ANY PREVIOUSLY NON-BUDGETED EXPENDITURE IN EXCESS OF $100,000 (THE EXCESS OF ANY PROPOSED EXPENDITURE OVER THE PREVIOUSLY APPROVED BUDGET AMOUNT SHALL BE DEEMED A NON-BUDGETED EXPENDITURE) L. 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 M. TO APPROVE THE FORMATION OF A SUBSIDIARY ORGANIZATION OF THE CORPORATION N. TO APPROVE ANY MANAGEMENT AGREEMENT FOR ALL OR ANY SUBSTANTIAL PART OF THE CORPORATION'S OPERATIONS, AND; O. 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 THE BOARD REVIEWS THE POLICY AND ENSURES COMPLIANCE BY ALL MEMBERS ANNUALLY. EACH MEMBER MUST ANNUALLY DISCLOSE COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A AND 15B: RELATED ORG, TJ REGIONAL HEALTH, INC., COMPENSATES ALL OFFICERS. TJ REGIONAL USES AN INDEPENDENT THIRD PARTY TO HELP ESTABLISH WAGES FOR THE CEO. COMPARABILITY DATA USED INCLUDED IHA COMPENSATION SURVEYS, AND 990S OF OTHER HOSPITALS SIMILAR IN SIZE. THIS PROCESS IS REVIEWED AND APPROVED BY THE EXECUTIVE BOARD ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST FROM THE ORGANIZATION. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 56,596. MANAGEMENT AND GENERAL EXPENSES 6,289. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,885. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 671,595. MANAGEMENT AND GENERAL EXPENSES 74,622. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 746,217. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,043,524. MANAGEMENT AND GENERAL EXPENSES 418,553. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,462,077. 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. 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