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Nonprofiteer
← T J SAMSON COMMUNITY HOSPITAL

Form 990 for tax year 2023

Filed by T J SAMSON COMMUNITY HOSPITAL.

Totals

Total revenue
$259,287,598
Total expenses
$248,393,678
Contributions and grants received
$49,651
Grants paid
$12,839,625
Program service revenue
$249,864,503
Investment income
$4,593,374
Other revenue
$4,780,070
Total assets, end of year
$255,980,874
Total liabilities, end of year
$57,613,704
Net assets or fund balances, end of year
$198,367,170
Program services expenses (Part IX)
$203,070,648
Management and general expenses
$45,323,030
Fundraising expenses
$0
Program service expenses (Part III)
$203,070,648

Program services were 81.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $49,651

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $245,817,552 · related or exempt $245,844,202 · unrelated business -$26,650

  • 2b · Program service revenue: 340B PHARMACY

    total $4,046,951 · related or exempt $4,046,951

  • 3 · Investment income

    total $3,845,025 · excluded $3,845,025

  • 6a · Gross rents

    real property $1,663,721

  • 6b · Less rental expenses

    real property $96,167

  • 6c · Rental income or loss

    real property $1,567,554

  • 6d · Net rental income or loss

    total $1,567,554 · excluded $1,567,554

  • 7a · Gross sales of assets other than inventory

    securities $37,364,990

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

    securities $36,616,641

  • 7c · Gain or loss

    securities $748,349

  • 7d · Net gain or loss

    total $748,349 · excluded $748,349

  • 11a · Other revenue: INSURANCE SETTLEMENT

    total $958,866 · related or exempt $958,866

  • 11b · Other revenue: CAFETERIA SALES

    total $797,448 · related or exempt $797,448

  • 11c · Other revenue: PREMIER PARTNERSHIP INCOME

    total $317,170 · excluded $317,170

  • 11d · All other revenue

    total $1,139,032 · related or exempt $1,088,960 · unrelated business $336 · excluded $49,736

  • 11e · Other revenue, total

    $3,212,516

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $12,753,704 · program services $12,753,704

  • 2 · Grants to domestic individuals

    total $85,921 · program services $85,921

  • 5 · Compensation of officers, directors and key employees

    total $1,474,385 · program services $1,150,020 · management and general $324,365

  • 6 · Compensation of disqualified persons

    total $473,746 · program services $369,522 · management and general $104,224

  • 7 · Other salaries and wages

    total $97,165,432 · program services $75,789,037 · management and general $21,376,395

  • 8 · Pension plan contributions

    total $3,614,874 · program services $2,819,602 · management and general $795,272

  • 9 · Other employee benefits

    total $13,527,589 · program services $10,551,519 · management and general $2,976,070

  • 10 · Payroll taxes

    total $6,802,095 · program services $5,305,634 · management and general $1,496,461

  • 11g · Fees: other

    total $34,069,928 · program services $29,487,144 · management and general $4,582,784

  • 12 · Advertising and promotion

    total $146,431 · program services $58,572 · management and general $87,859

  • 13 · Office expenses

    total $8,999,748 · program services $3,599,900 · management and general $5,399,848

  • 14 · Information technology

    total $7,955,909 · program services $7,160,318 · management and general $795,591

  • 16 · Occupancy

    total $3,703,772 · program services $2,333,376 · management and general $1,370,396

  • 17 · Travel

    total $586,209 · program services $234,484 · management and general $351,725

  • 19 · Conferences, conventions and meetings

    total $3,192 · program services $1,277 · management and general $1,915

  • 20 · Interest

    total $168,215 · program services $67,286 · management and general $100,929

  • 22 · Depreciation, depletion and amortization

    total $10,082,380 · program services $7,057,666 · management and general $3,024,714

  • 23 · Insurance

    total $2,753,458 · program services $2,478,112 · management and general $275,346

  • 24a · Other expenses: MEDICAL SUPPLIES & DRUG

    total $35,636,669 · program services $35,636,669

  • 24b · Other expenses: REPAIRS AND MAINTENANCE

    total $3,650,668 · program services $2,811,015 · management and general $839,653

  • 24c · Other expenses: PROVIDER TAX

    total $2,164,325 · program services $2,164,325

  • 24d · Other expenses: FOOD

    total $418,444 · program services $292,911 · management and general $125,533

  • 24e · All other expenses

    total $2,156,584 · program services $862,634 · management and general $1,293,950

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $24,715 · end of year $35,185

  • 2 · Savings and temporary cash investments

    beginning of year $9,990,721 · end of year $15,832,430

  • 4 · Accounts receivable

    beginning of year $21,835,887 · end of year $21,745,630

  • 7 · Other notes and loans receivable

    beginning of year $1,594,341 · end of year $2,589,860

  • 8 · Inventories for sale or use

    beginning of year $4,026,079 · end of year $4,705,616

  • 9 · Prepaid expenses and deferred charges

    beginning of year $3,198,456 · end of year $3,721,895

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

    $243,855,557

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

    $181,862,047

  • 10c · Land, buildings and equipment, net

    beginning of year $59,475,357 · end of year $61,993,510

  • 13 · Investments: program-related

    beginning of year $1,692,141 · end of year $1,873,805

  • 14 · Intangible assets

    beginning of year $545,865 · end of year $461,886

  • 15 · Other assets

    beginning of year $119,819,841 · end of year $143,021,057

  • 17 · Accounts payable and accrued expenses

    beginning of year $25,245,602 · end of year $35,097,011

  • 19 · Deferred revenue

    beginning of year $2,223,711 · end of year $3,190,902

  • 23 · Secured mortgages and notes payable

    beginning of year $1,314,797 · end of year $1,092,569

  • 24 · Unsecured notes and loans payable

    beginning of year $4,886,631 · end of year $3,804,586

  • 25 · Other liabilities

    beginning of year $15,741,351 · end of year $14,428,636

  • 27 · Net assets without donor restrictions

    beginning of year $64,030,889 · end of year $98,204,707

  • 28 · Net assets with donor restrictions

    beginning of year $108,760,422 · end of year $100,162,463

Mission and programs · 2023

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.

  • TJ SAMSON COMMUNITY HOSPITAL PROVIDES HEALTHCARE SERVICES TO BARREN AND SURROUNDING COUNTIES IN KENTUCKY. ACUTE HOSPITAL AND EMERGENCY ROOM CARE PATIENT DAYS 17,800 AND ER VISITS 24,386 IN FYE 9/30/24.

    Expenses $203,070,648 · Grants $12,839,625 · Revenue $252,736,427

As filed on the 2023 return.

Listed in Part VII

  • T Rich Alexander

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Brent Billingsley

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Michael Scott Young

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Ervin Sorrell

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Joey Allen Botts

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Bo Matthews

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Henry Royse

    DIRECTOR

    Total calculated
    $16,825
    From this org
    $16,825
    From related orgs
    $0
    Other
    $0
    Hours/week
    1 + 4 related
  • Dan Foutch

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Kyle Kiser MD

    DIRECTOR/VICE CHIEF OF STAFF (END 12/23)

    Total calculated
    $0
    Hours/week
    40 + 2 related
  • Michael Saridakis MD

    DIRECTOR/CHIEF OF STAFF (END 12/23)

    Total calculated
    $528,026
    From this org
    $489,339
    From related orgs
    $0
    Other
    $38,687
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $416,895
    Bonus
    $62,444
    Other
    $10,000
    Deferred
    $13,200
    Nontaxable benefits
    $25,487
    Filer's total
    $528,026
  • Amy Norris Cassady

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Cornelius Faulkner

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Neil Thornbury

    CHIEF EXECUTIVE DIRECTOR

    Total calculated
    $645,580
    From this org
    $0
    From related orgs
    $584,673
    Other
    $60,907
    Hours/week
    5 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $505,570 related
    Bonus
    $0 + $79,103 related
    Other
    $0
    Deferred
    $0 + $35,420 related
    Nontaxable benefits
    $0 + $25,487 related
    Filer's total
    $0 + $645,580 related
  • Mei Deng

    CHIEF FINANCIAL OFFICER

    Total calculated
    $398,602
    From this org
    $0
    From related orgs
    $367,762
    Other
    $30,840
    Hours/week
    5 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $330,262 related
    Bonus
    $0 + $37,500 related
    Other
    $0
    Deferred
    $0 + $12,656 related
    Nontaxable benefits
    $0 + $18,184 related
    Filer's total
    $0 + $398,602 related
  • Venkata Reddy

    PHYSICAN

    Total calculated
    $1,288,627
    From this org
    $1,265,273
    From related orgs
    $0
    Other
    $23,354
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $813,422
    Bonus
    $451,851
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $10,154
    Filer's total
    $1,288,627
  • Harikrishnan D Nair

    PHYSICAN

    Total calculated
    $1,291,416
    From this org
    $1,262,511
    From related orgs
    $0
    Other
    $28,905
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $741,477
    Bonus
    $521,034
    Other
    $0
    Deferred
    $3,418
    Nontaxable benefits
    $25,487
    Filer's total
    $1,291,416
  • Muralidhar Santapuram

    PHYSICAN

    Total calculated
    $989,451
    From this org
    $958,067
    From related orgs
    $0
    Other
    $31,384
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $497,972
    Bonus
    $460,095
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $18,184
    Filer's total
    $989,451
  • Barett Lessenberry

    PHYSICAN

    Total calculated
    $1,163,990
    From this org
    $1,137,971
    From related orgs
    $0
    Other
    $26,019
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $578,525
    Bonus
    $559,446
    Other
    $0
    Deferred
    $10,766
    Nontaxable benefits
    $15,253
    Filer's total
    $1,163,990
  • Brian Elmlinger

    PHYSICAN

    Total calculated
    $895,295
    From this org
    $861,948
    From related orgs
    $0
    Other
    $33,347
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $504,295
    Bonus
    $357,653
    Other
    $0
    Deferred
    $8,852
    Nontaxable benefits
    $24,495
    Filer's total
    $895,295
  • John P Craddock MD

    FORMER VICE CHIEF OF STAFF

    Total calculated
    $651,333
    From this org
    $612,646
    From related orgs
    $0
    Other
    $38,687
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $502,078
    Bonus
    $105,568
    Other
    $5,000
    Deferred
    $13,200
    Nontaxable benefits
    $25,487
    Filer's total
    $651,333
  • Eric Fisher MD

    FORMER CHIEF OF STAFF

    Total calculated
    $396,053
    From this org
    $359,113
    From related orgs
    $0
    Other
    $36,940
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $359,113
    Bonus
    $0
    Other
    $0
    Deferred
    $11,453
    Nontaxable benefits
    $25,487
    Filer's total
    $396,053

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
29 July 2025
IRS schema version
2023v6.0
Source object
202512119349300506

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