2024-10-08T13:57:46-05:00 2023-12-31 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2023-01-01 208963925 TRIAD HEALTH SYSTEMS INC TRIA 8595671271 PO BOX 845 WARSAW KY 41095 ADAM CRAFT CEO 8595671271 2024-10-08 1 1 EMILIE M KNIERIEM CPA P01330194 5029923500 2024-10-08 2023 2024-10-15 13:58:12Z ADAM CRAFT PO BOX 845 WARSAW KY 41095 11605983 0 X HTTPS://TRIADHEALTHSYSTEMS.COM/ X 2008 KY TO MEET THE NEEDS OF THE UNDERSERVED BY PROMOTING WELLNESS AND PREVENTION 10 10 104 10 0 0 5791574 3837648 4643245 5358824 292 2167 111637 817543 10546748 10016182 0 0 0 0 5941704 6887117 0 0 0 3098050 3397409 9039754 10284526 1506994 -268344 12378150 11705957 5820121 5097493 6558029 6608464 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 7994901 6176367 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 $779,021 IN CHARITY CARE. 7994901 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 7 0 1 104 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 ERIC BAUMANN BEG 0223 PHYSICIAN/MEDICAL DIRECTOR 40.00 X 267955 0 57168 DOUG SMALARA BEG 0223 PHYSICIAN/MEDICAL DIRECTOR 40.00 X 267690 0 34125 LARRY JOHNSON PHYSICIAN 40.00 X 259317 0 45528 ALEXIS MCKENDALL NGUYEN DENTIST 40.00 X 202661 0 22144 BARBARA NEWELL PHYSICIAN 40.00 X 199782 0 6410 LUCAS SHELTON PHYSICIAN 40.00 X 192692 0 39333 ADAM CRAFT CEO 40.00 X 172275 0 21093 ELIZABETH ST CYR PHARMACIST 40.00 X 139254 0 7740 MARK MILLER DO MEDICAL DIRECTOR (END 2/10/23) 40.00 X 26505 0 150 ROGER WILLIAMS CFO (END 12/23) 40.00 X 0 0 0 DIANNE COLEMAN CHAIRWOMEN 1.00 X X 0 0 0 JUSTIN PITTMAN VICE CHAIR 1.00 X X 0 0 0 MICHAEL RAMSEY SECRETARY/TREASURER 1.00 X X 0 0 0 MARYANN GAGEL SECRETARY/TREASURER (END 04/23) 1.00 X X 0 0 0 JUSTIN ALEXANDER DIRECTOR 1.00 X 0 0 0 DONNIE DAWES DIRECTOR 1.00 X 0 0 0 MARY JANE DAY DIRECTOR 1.00 X 0 0 0 JANICE K RIDDLE DIRECTOR 1.00 X 0 0 0 SHIRLEY WARNICK DIRECTOR (BEG 01/23) 1.00 X 0 0 0 KIMBERLY JONES DIRECTOR (BEG 01/23) 1.00 X 0 0 0 VERONICA GAYLE DIRECTOR (BEG 07/23) 1.00 X 0 0 0 FELICIA JUETT DIRECTOR (END 11/23) 1.00 X 0 0 0 1728131 0 233691 16 0 1 0 OVATION HEALTHCARE 1573 MALLORY LANE 200 BRENTWOOD TN 37027 CONTRACTED ADMINISTRATIVE SERVICES 207311 1 3837648 3837648 PATIENT SERVICE REVENUE 621399 4517908 4517908 340B PHARMACY REVENUE 621399 840916 840916 5358824 2167 2167 2204631 1589801 614830 614830 PAYER BONUS REVENUE 900099 200473 200473 MEDICAL RECORDS 900099 1528 1528 MISCELLANEOUS 900099 712 712 202713 10016182 6176367 0 2167 846962 743856 103106 4953484 4350465 603019 12832 11270 1562 518105 455033 63072 555734 488081 67653 68452 68452 269165 269165 699378 187066 512312 61220 16375 44845 175110 144291 30819 292354 272353 20001 703908 546373 157535 14685 4465 10220 55879 16992 38887 66066 51281 14785 313646 243452 70194 107896 32809 75087 MEDICAL SUPPLIES AND DR 423164 394214 28950 DUES AND SUBSCRIPTIONS 44811 13626 31185 RECRUITING EXPENSES 14577 4433 10144 TAXES AND LICENSES 11259 3424 7835 75839 15042 60797 10284526 7994901 2289625 0 2821772 558136 890735 2953996 1017000 609476 1001257 924682 694193 796141 134351 180815 4945470 2106911 2886705 2838559 113640 90912 2818497 2753240 12378150 11705957 882259 854021 318779 0 1810680 1499873 2808403 2743599 5820121 5097493 X 6558029 6608464 6558029 6608464 12378150 11705957 -268344 318779 0 X 0 1 X 1 1 1 X 3580131 6703372 4340761 5791574 3837648 24253486 3580131 6703372 4340761 5791574 3837648 24253486 24253486 119 457 133 292 2167 3168 67134 75182 168944 116576 202713 630549 24887203 27919696 0.97450 0.98110 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 67,134. 2020 AMOUNT: $ 75,182. 2021 AMOUNT: $ 168,944. 2022 AMOUNT: $ 116,576. 2023 AMOUNT: $ 202,713. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 183965 183965 2778965 993442 1785523 1818215 1074677 743538 164325 38792 125533 2838559 THIRD PARTY RECEIVABLE 9641 ROU ASSET - OPERATING LEASE 2743599 2753240 OPERATING LEASE LIABILITY 2743599 2743599 X 10016182 0 10016182 0 10016182 10284526 0 10284526 0 10284526 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, 2023 AND 2022, 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 ERIC BAUMANN BEG 0223 PHYSICIAN/MEDICAL DIRECTOR 267705 0 250 0 0 0 23135 0 34033 0 325123 0 0 0 DOUG SMALARA BEG 0223 PHYSICIAN/MEDICAL DIRECTOR 267440 0 250 0 0 0 22985 0 11140 0 301815 0 0 0 LARRY JOHNSON PHYSICIAN 259067 0 250 0 0 0 23135 0 22393 0 304845 0 0 0 ALEXIS MCKENDALL NGUYEN DENTIST 202411 0 250 0 0 0 22144 0 0 0 224805 0 0 0 BARBARA NEWELL PHYSICIAN 199532 0 250 0 0 0 6007 0 403 0 206192 0 0 0 LUCAS SHELTON PHYSICIAN 192442 0 250 0 0 0 12596 0 26737 0 232025 0 0 0 ADAM CRAFT CEO 172275 0 0 0 0 0 12570 0 8523 0 193368 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.