2023-11-02T07:49:22-05:00 2022-12-31 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2022-01-01 208963925 TRIAD HEALTH SYSTEMS INC TRIA 8595671271 PO BOX 845 WARSAW KY 41095 ADAM CRAFT CEO 8595671271 2023-10-25 1 ADAM CRAFT 999009999 0 EMILIE M KNIERIEM CPA P01330194 5029923500 2023-10-25 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ADAM CRAFT PO BOX 845 WARSAW KY 41095 10762217 0 X HTTPS://TRIADHEALTHSYSTEMS.COM/ X 2008 KY TO MEET THE NEEDS OF THE UNDERSERVED BY PROMOTING WELLNESS AND PREVENTION 10 10 100 10 0 0 4340761 5791574 4125131 4643245 133 292 168944 111637 8634969 10546748 0 0 0 0 5411906 5941704 0 0 0 2804856 3098050 8216762 9039754 418207 1506994 7319417 12378150 2268382 5820121 5051035 6558029 TO MEET THE NEEDS OF THE UNDERSERVED BY PROMOTING WELLNESS AND PREVENTION AND PROVIDING THE HIGHEST QUALITY MEDICAL SERVICES POSSIBLE FOR THE THREE COUNTY AREAS OF CARROLL, OWEN, AND GALLATIN. 0 0 7046925 0 4754882 PROVIDE MEDICAL, MENTAL HEALTH, DENTAL, AND OPTOMETRY SERVICES TO THE RESIDENTS OF GALLATIN, OWEN AND CARROLL COUNTIES WITH AN EMPHASIS ON SERVICES TO THE UNINSURED AND UNDERINSURED. THE SYSTEM PROVIDED APPROXIMATELY $202,357 IN CHARITY CARE. 7046925 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 1 100 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X THE ORGANIZATION 8595671271 PO BOX 845 WARSAW KY 41095 DOUG SMALARA PHYSICIAN 40.00 X 252550 0 22276 LARRY JOHNSON PHYSICIAN 40.00 X 252348 0 35963 ERIC BAUMANN PHYSICIAN 40.00 X 252215 0 46095 ALEXIS MCKENDALL DENTIST 40.00 X 211873 0 13494 BARBARA NEWELL PHYSICIAN 32.00 X 200082 0 6534 ADAM CRAFT CEO 40.00 X 158791 0 22757 MARK MILLER MEDICAL DIRECTOR 32.00 X 122951 0 3688 CHERYL FOSTER CHAIRWOMAN 1.00 X X 0 0 0 BONNIE HUMPHRIES VICE CHAIRWOMAN 1.00 X X 0 0 0 MARYANN GAGEL SECRETARY/TREASURER 1.00 X X 0 0 0 LORA BETH SADLER TREASURER (END 02/22) 1.00 X X 0 0 0 DIANNE COLEMAN DIRECTOR 1.00 X 0 0 0 MARY JANE DAY DIRECTOR 1.00 X 0 0 0 JUSTIN ALEXANDER DIRECTOR (BEG 01/22) 1.00 X 0 0 0 DONNIE DAWES DIRECTOR (BEG 02/22) 1.00 X 0 0 0 JUSTIN PITTMAN DIRECTOR (BEG 05/22) 1.00 X 0 0 0 MICHAEL RAMSEY DIRECTOR (BEG 03/22) 1.00 X 0 0 0 JANICE K RIDDLE DIRECTOR (BEG 03/22) 1.00 X 0 0 0 FELICIA JUETT DIRECTOR (END 02/22) 1.00 X 0 0 0 ROB STAFFORD DIRECTOR (END 03/22) 1.00 X 0 0 0 MARK WIHLOITE DIRECTOR (END 04/22) 1.00 X 0 0 0 ROGER WILLIAMS CFO 36.00 X 0 0 0 1450810 0 150807 14 0 1 0 QUORUM HEALTH RESOURCES LLC 105 CONTINENTAL PLACE BRENTWOOD TN 37027 CONTRACTED ADMINISTRATIVE SERVICES 265917 1 5791574 5791574 PATIENT SERVICE REVENUE 621399 3787860 3787860 340B PHARMACY REVENUE 621399 855385 855385 4643245 292 292 210530 215469 -4939 -4939 PAYER BONUS REVENUE 900099 84139 84139 PROVIDER BONUS REVENUE 900099 18615 18615 PHYSICIAN SERVICES REVENUE 900099 6000 6000 7822 7822 116576 10546748 4754882 0 292 308186 270669 37517 4733255 4157045 576210 95819 84154 11665 421827 370475 51352 382617 336039 46578 57047 57047 322518 322518 559052 149532 409520 12763 3414 9349 152529 126004 26525 305589 284683 20906 620003 481246 138757 5158 1568 3590 44771 13614 31157 67521 52410 15111 330663 256661 74002 75048 22820 52228 MEDICAL SUPPLIES AND DR 430521 401067 29454 DUES AND SUBSCRIPTIONS 63706 19372 44334 RECRUITING EXPENSES 10334 3142 7192 TAXES AND LICENSES 10107 3073 7034 30720 9937 20783 9039754 7046925 1992829 0 2388919 2821772 358659 890735 568769 1017000 880109 1001257 567530 694193 182433 102756 4748475 1861770 1957186 2886705 136368 113640 279444 2850092 7319417 12378150 695968 882259 0 318779 1572414 1810680 0 2808403 2268382 5820121 X 5051035 6558029 5051035 6558029 7319417 12378150 1506994 0 X X 0 1 X 1 1 1 X 3169982 3580131 6703372 4340761 5791574 23585820 3169982 3580131 6703372 4340761 5791574 23585820 23585820 120 119 457 133 292 1121 24744 67134 75182 168944 116576 452580 24039521 21472410 0.98110 0.98410 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 24,744. 2019 AMOUNT: $ 67,134. 2020 AMOUNT: $ 75,182. 2021 AMOUNT: $ 168,944. 2022 AMOUNT: $ 116,576. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 183965 183965 2739709 862503 1877206 1444153 999267 444886 380648 380648 2886705 DEPOSITS 31595 THIRD PARTY RECEIVABLE 10094 ROU ASSET - OPERATING LEASE 2808403 2850092 OPERATING LEASE LIABILITY 2808403 2808403 X 10546748 0 10546748 0 10546748 9039754 0 9039754 0 9039754 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THS AND RECOGNIZE A TAX LIABILITY IF THS HAS TAKEN AN UNCERTAIN 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 THS, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2022 AND 2021, 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. THS IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. HOWEVER, AS OF THE DATE THE FINANCIAL STATEMENTS WERE AVAILABLE TO BE ISSUED, THERE WERE NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. X X 0 0 0 0 0 0 0 0 0 DOUG SMALARA PHYSICIAN 252000 0 550 0 0 0 12628 0 9648 0 274826 0 0 0 LARRY JOHNSON PHYSICIAN 251798 0 550 0 0 0 16500 0 19463 0 288311 0 0 0 ERIC BAUMANN PHYSICIAN 251665 0 550 0 0 0 16500 0 29595 0 298310 0 0 0 ALEXIS MCKENDALL DENTIST 211323 0 550 0 0 0 13494 0 0 0 225367 0 0 0 BARBARA NEWELL PHYSICIAN 199532 0 550 0 0 0 6016 0 518 0 206616 0 0 0 ADAM CRAFT CEO 158641 0 150 0 0 0 13500 0 9257 0 181548 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE CFO POSITION IS CONTRACTED THROUGH QUORUM HEALTH RESOURCES. THE CFO WORKS 36 HOURS PER WEEK FOR THE ORGANIZATION. THE BOARD OF DIRECTORS RETAINS COMPLETE AUTHORITY AND CONTROL OVER THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 IS EMAILED TO ALL BOARD MEMBERS PRIOR TO FILING AND IS REVIEWED AT A SUBSEQUENT BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL DISCLOSURE AND ATTESTATION IS REQUIRED TO MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A: COMPENSATION FOR THE CEO IS SET BY THE BOARD OF DIRECTORS, WHO UTILIZES COMPENSATION INFORMATION FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC). THIS PROCESS IS DOCUMENTED AND REVIEWED ANNUALLY. LINE 15B: COMPENSATION FOR ALL OTHER OFFICERS OF THE ORGANIZATION IS ALSO SET BY THE BOARD OF DIRECTORS, WHO UTILIZES COMPENSATION INFORMATION FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC). THIS PROCESS IS DOCUMENTED AND REVIEWED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE DISCRETION OF THE BOARD OF DIRECTORS AND MANAGEMENT. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE OF BOARD OF DIRECTORS THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.