2024-07-26T07:46:58-05:00 2023-09-30 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2022-10-01 472208322 TJ COMMUNITY MISSION FOUNDATION TJCO 2706514348 1301 N RACE STREET GLASGOW KY 42141 MEI DENG CFO 2706514114 2024-07-24 1 0 EMILIE M KNIERIEM CPA P01330194 5029923500 2024-07-24 2022 2024-08-08 14:25:15Z MEI DENG 1301 N RACE STREET GLASGOW KY 42141 628982 0 X TJMISSIONFUND.ORG X 2014 KY THE T.J. COMMUNITY MISSION FOUNDATION MISSION IS TO HELP ENGAGE OUR COMMUNITY MORE FULLY IN EXCEPTIONAL SPECIALIZED HEALTHCARE PROGRAMS, PATIENT CARE AND TECHNOLOGY. 11 8 0 8 0 0 680635 346721 0 0 9489 24001 -19371 -7815 670753 362907 22068 263 0 0 35184 46015 0 0 0 54492 101032 111744 147310 559009 215597 1036666 980421 1869316 1558311 -832650 -577890 THE T.J. COMMUNITY MISSION FOUNDATION MISSION IS TO HELP ENGAGE OUR COMMUNITY MORE FULLY IN EXCEPTIONAL SPECIALIZED HEALTHCARE PROGRAMS, PATIENT CARE AND TECHNOLOGY. 0 0 95827 263 T.J. COMMUNITY MISSION FOUNDATION IS ORGANIZED TO HELP FURTHER ADVANCE EXCELLENCE IN HEALTHCARE TO THOSE WE SERVE IN THE REGION. 95827 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 10 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 11 8 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 KY X MARGIE GENTRY 2706514114 1301 NORTH RACE STREET GLASGOW KY 42141 DOUG LANDERS CHAIRMAN 1.00 X X 0 0 0 OWEN LAMBERT VICE CHAIRMAN 1.00 X X 0 0 0 WILLIAM TWYMAN SECRETARY/TREASURER 1.00 X X 0 0 0 SHARON GILSON DIRECTOR (TERM END 03/23) 1.00 X 0 0 0 DR BENNY LILE DIRECTOR 1.00 X 0 0 0 JANNELL PEDIGO DIRECTOR 1.00 X 0 0 0 DR BRENT WRIGHT DIRECTOR (TERM END 09/22) 1.00 X 0 0 0 BARRETT METZGER DIRECTOR 1.00 X 0 0 0 HENRY ROYSE DIRECTOR 1.00 4.00 X 0 14997 0 LARRY GLASS DIRECTOR 1.00 X 0 0 0 NEIL THORNBURY PRESIDENT/CEO TJ SAMSON HOSPITAL 1.00 50.00 X X 0 524340 58990 MEI DENG DIRECTOR/CFO TJ SAMSON HOSPITAL 1.00 50.00 X X 0 345720 32832 DR MATT RILEY DIRECTOR (TERM BEG 05/23) 1.00 X 0 0 0 0 885057 91822 0 0 1 0 0 141816 204905 346721 20024 20024 218127 214150 3977 3977 3977 44110 141816 51925 -7815 -7815 362907 0 0 16186 263 263 41230 32159 9071 1598 1246 352 3187 2486 701 11640 11640 1632 1632 31 12 19 6718 4232 2486 49 20 29 OTHER EVENT EXPENSES 38672 15469 23203 DRUGS 36460 36460 REPAIRS AND MAINTENANCE 2266 1745 521 SUPPLIES 1030 721 309 2534 1014 1520 147310 95827 51483 0 100 853218 866680 183448 113641 1036666 980421 54506 50563 1814810 1507748 1869316 1558311 X -832650 -577890 -832650 -577890 1036666 980421 215597 22506 16657 0 X 0 1 X 1 0 X X X 1 TJ SAMSON COMMUNITY HOSPITAL 610461767 3 1 263 0 1 263 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO RELATED PARTY 1507748 1507748 X PART X, LINE 2: TJ SAMSON COMMUNITY HOSPITAL (TJS), TJ HEALTH COLUMBIA (TJHC), AND TJ REGIONAL HEALTH (TJR) ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AS SUCH, TJS, TJHC, AND TJR ARE GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, THEY ARE REQUIRED TO FILE FEDERAL FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX WHICH IS AN INFORMATIONAL RETURN ONLY. TJ HEALTH PARTNERS (TJHP) IS AN LLC, AND IS TREATED AS A PARTNERSHIP FOR INCOME TAX PURPOSES. THE LLC'S NET EARNINGS OR LOSSES ARE ALLOCATED TO ITS SOLE OWNER (TJR) AND INCLUDED IN THE OWNER'S INCOME TAX RETURN. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THE FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL, AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2023, 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. NYE BASH 121589 86500 35089 1911 17162 17315 8954 CMC CAMPAIGN 64337 55316 9021 2460 3221 241 661 185926 141816 44110 4371 3221 17403 17315 9615 51925 -7815 0 0 0 0 0 0 0 0 0 NEIL THORNBURY PRESIDENT/CEO TJ SAMSON HOSPITAL 0 483882 0 40458 0 0 0 34739 0 24251 0 583330 0 0 MEI DENG DIRECTOR/CFO TJ SAMSON HOSPITAL 0 327720 0 18000 0 0 0 12200 0 20632 0 378552 0 0 PART I, LINE 3 THE ORGANIZATION'S OFFICERS ARE PAID BY A RELATED ORGANIZATION. TJ REGIONAL HEALTH, INC., A RELATED ORGANIZATION OF TJ COMMUNITY MISSION FOUNDATION USES THE FOLLOWING METHOD TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: - COMPENSATION SURVEY OR STUDY FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S CHIEF FINANCIAL OFFICER. THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ALL BOARD MEMBERS ARE REQUIRED TO FULLY DISCLOSE ANY CONFLICT OF INTEREST ANNUALLY. STATEMENTS ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. EACH DIRECTOR SHALL ABSTAIN FROM VOTING ON ANY MATTER WITH RESPECT TO WHICH HE HAS A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. 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 SAMSON COMMUNITY HOSPITAL 1301 NORTH RACE STREET GLASGOW KY 42141 610461767 HOSPITAL KY 501(C)(3) LINE 3 TJ REGIONAL HEALTH INC 0 TJ HEALTH COLUMBIA 1301 NORTH RACE STREET GLASGOW KY 42141 810893103 HOSPITAL KY 501(C)(3) LINE 3 TJ REGIONAL HEALTH INC 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0