Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1f · All other contributions, gifts and grants

  $3,000

• 2a · Program service revenue: NET PATIENT REVENUE

  total $211,401,968 · related or exempt $211,399,442 · unrelated business $2,526

• 2b · Program service revenue: RETAIL PHARMACY REVENUE

  total $8,912,769 · related or exempt $8,912,769

• 2c · Program service revenue: 340B PHARMACY

  total $8,322,425 · related or exempt $8,322,425

• 3 · Investment income

  total $2,918,848 · excluded $2,918,848

• 6a · Gross rents

  real property $1,963,150

• 6b · Less rental expenses

  real property $75,946

• 6c · Rental income or loss

  real property $1,887,204

• 6d · Net rental income or loss

  total $1,887,204 · excluded $1,887,204

• 7a · Gross sales of assets other than inventory

  securities $30,479,788

• 7b · Less cost or other basis and sales expenses

  securities $30,603,133

• 7c · Gain or loss

  securities -$123,345

• 7d · Net gain or loss

  total -$123,345 · excluded -$123,345

• 11a · Other revenue: INSURANCE SETTLEMENT

  total $1,412,422 · related or exempt $1,412,422

• 11b · Other revenue: CAFETERIA SALES

  total $676,587 · related or exempt $676,587

• 11c · Other revenue: PREMIER PARTNERSHIP INCOME

  total $317,757 · excluded $317,757

• 11d · All other revenue

  total $1,128,436 · related or exempt $873,611 · unrelated business $64 · excluded $254,761

• 11e · Other revenue, total

  $3,535,202

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $10,951,735 · program services $10,951,735

• 2 · Grants to domestic individuals

  total $422,361 · program services $422,361

• 5 · Compensation of officers, directors and key employees

  total $1,477,872 · program services $1,152,740 · management and general $325,132

• 6 · Compensation of disqualified persons

  total $902,797 · program services $704,182 · management and general $198,615

• 7 · Other salaries and wages

  total $86,171,532 · program services $67,213,795 · management and general $18,957,737

• 8 · Pension plan contributions

  total $2,923,589 · program services $2,280,399 · management and general $643,190

• 9 · Other employee benefits

  total $12,955,708 · program services $10,105,452 · management and general $2,850,256

• 10 · Payroll taxes

  total $5,735,655 · program services $4,473,811 · management and general $1,261,844

• 11g · Fees: other

  total $34,600,993 · program services $29,934,531 · management and general $4,666,462

• 12 · Advertising and promotion

  total $2,425 · program services $970 · management and general $1,455

• 13 · Office expenses

  total $7,983,326 · program services $5,459,384 · management and general $2,523,942

• 14 · Information technology

  total $6,933,914 · program services $6,240,523 · management and general $693,391

• 16 · Occupancy

  total $2,909,049 · program services $1,832,701 · management and general $1,076,348

• 17 · Travel

  total $255,584 · program services $102,234 · management and general $153,350

• 19 · Conferences, conventions and meetings

  total $1,482 · program services $593 · management and general $889

• 20 · Interest

  total $231,240 · program services $92,496 · management and general $138,744

• 22 · Depreciation, depletion and amortization

  total $9,941,224 · program services $6,958,857 · management and general $2,982,367

• 23 · Insurance

  total $1,936,978 · program services $1,743,280 · management and general $193,698

• 24a · Other expenses: MEDICAL SUPPLIES & DRUG

  total $34,816,972 · program services $34,816,972

• 24b · Other expenses: REPAIRS AND MAINTENANCE

  total $3,310,010 · program services $2,548,708 · management and general $761,302

• 24c · Other expenses: PROVIDER TAX

  total $2,151,173 · program services $2,151,173

• 24d · Other expenses: FOOD

  total $1,226,556 · program services $490,623 · management and general $735,933

• 24e · All other expenses

  total $2,523,591 · program services $1,009,437 · management and general $1,514,154

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $24,632 · end of year $24,715

• 2 · Savings and temporary cash investments

  beginning of year $3,003,969 · end of year $9,990,721

• 4 · Accounts receivable

  beginning of year $21,487,188 · end of year $21,835,887

• 7 · Other notes and loans receivable

  beginning of year $1,923,841 · end of year $1,594,341

• 8 · Inventories for sale or use

  beginning of year $4,015,990 · end of year $4,026,079

• 9 · Prepaid expenses and deferred charges

  beginning of year $7,219,749 · end of year $3,198,456

• 10a · Land, buildings and equipment: cost or other basis

  $234,060,093

• 10b · Land, buildings and equipment: accumulated depreciation

  $174,584,736

• 10c · Land, buildings and equipment, net

  beginning of year $66,000,005 · end of year $59,475,357

• 13 · Investments: program-related

  beginning of year $1,693,860 · end of year $1,692,141

• 14 · Intangible assets

  beginning of year $0 · end of year $545,865

• 15 · Other assets

  beginning of year $104,115,174 · end of year $119,819,841

• 17 · Accounts payable and accrued expenses

  beginning of year $15,420,919 · end of year $25,245,602

• 19 · Deferred revenue

  beginning of year $0 · end of year $2,223,711

• 23 · Secured mortgages and notes payable

  beginning of year $1,537,025 · end of year $1,314,797

• 24 · Unsecured notes and loans payable

  beginning of year $2,732,914 · end of year $4,886,631

• 25 · Other liabilities

  beginning of year $31,804,351 · end of year $15,741,351

• 27 · Net assets without donor restrictions

  beginning of year $100,447,013 · end of year $64,030,889

• 28 · Net assets with donor restrictions

  beginning of year $57,542,186 · end of year $108,760,422

The filer's explanations (Part III)

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.