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T.J. SAMSON COMMUNITY HOSPITAL

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Company Details

Name: T.J. SAMSON COMMUNITY HOSPITAL
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 08 Dec 1926 (99 years ago)
Organization Date: 08 Dec 1926 (99 years ago)
Last Annual Report: 03 Feb 2025 (6 months ago)
Organization Number: 0046115
Industry: Health Services
Number of Employees: Large (100+)
Principal Office: 1301 NORTH RACE ST., GLASGOW, KY 421413483
Place of Formation: KENTUCKY

Director

Name Role
Bo Matthews Director
J. C. DOWNING Director
EUGENE AHELL Director
GLEN E. ROPP Director
JOHN T. MITCHELL Director
Amy Cassady Director
Cornelius Faulkner Director
Joey Botts Director
Henry Royse Director
Dan Foutch Director

Officer

Name Role
Richard Alexander Officer
Neil C Thornbury Officer
Scott Young Officer
Brent Billingsley Officer
Ervin Sorrell Officer

Incorporator

Name Role
W. L. PORTER Incorporator
F. N. BRADFORD Incorporator
T. J. SAMSON Incorporator
P. W. HOLMAN Incorporator
V. H. BAIRD Incorporator

Registered Agent

Name Role
NEIL C. THORNBURY , PRESIDENT AND CEO Registered Agent

Unique Entity ID

Unique Entity ID:
DGJ2KXJPK6V5
CAGE Code:
3Z0Q4
UEI Expiration Date:
2025-12-17

Business Information

Activation Date:
2024-12-19
Initial Registration Date:
2004-08-13

Commercial and government entity program

CAGE number:
3Z0Q4
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-12-19
CAGE Expiration:
2029-12-19
SAM Expiration:
2025-12-17

Contact Information

POC:
JIM LEE

National Provider Identifier

NPI Number:
1679350847
Certification Date:
2025-04-09

Authorized Person:

Name:
NEIL THORNBURY
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
3336C0002X - Clinic Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2706591778

Form 5500 Series

Employer Identification Number (EIN):
610461767
Plan Year:
2022
Number Of Participants:
34
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
34
Plan Year:
2020
Number Of Participants:
34
Plan Year:
2019
Number Of Participants:
38
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
42
Sponsors Telephone Number:

Former Company Names

Name Action
THE COMMUNITY HOSPITAL Old Name

Assumed Names

Name Status Expiration Date
T. J. AMBULATORY CARE Active 2029-09-12
T. J. HEALTH PAVILION Active 2029-09-12
T.J. SAMSON PAVILION REHABILITATION AGENCY Inactive 2023-06-10
T.J. SAMSON AMBULATORY CARE CENTER Inactive 2018-06-10

Filings

Name File Date
Annual Report 2025-02-03
Certificate of Assumed Name 2024-09-12
Certificate of Assumed Name 2024-09-12
Annual Report 2024-03-06
Annual Report 2023-03-14

USAspending Awards / Contracts

Procurement Instrument Identifier:
AG82A7P090040
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
25000.00
Base And Exercised Options Value:
25000.00
Base And All Options Value:
25000.00
Awarding Agency Name:
Department of Agriculture
Performance Start Date:
2009-08-26
Description:
URGENT CARE SERVICES FOR GREAT ONYX JOB CORPS CENTER
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q201: GENERAL HEALTH CARE SERVICES

USAspending Awards / Financial Assistance

Date:
2013-09-23
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
DRUG-FREE COMMUNITIES (DFC) SUPPORT PROGRAM
Obligated Amount:
625000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2008-09-21
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
DRUG FREE COMMUNITIES SUPPORT PROGRAM
Obligated Amount:
91955.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2009-09-23
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS
Obligated Amount:
-3432.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Trademarks

Serial Number:
85317180
Mark:
YOUR COMMUNITY. YOUR HOSPITAL.
Status:
Registration cancelled because registrant did not file an acceptable declaration under Section 8. To view all documents in this file, click on the Trademark Document Retrieval link at the top of this page.
Mark Type:
Service Mark
Application Filing Date:
2011-05-10
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
YOUR COMMUNITY. YOUR HOSPITAL.

Goods And Services

For:
Health care
First Use:
2011-01-10
International Classes:
044 - Primary Class
Class Status:
SECTION 8 - CANCELLED

OSHA's Inspections within Industry

Inspection Summary

Date:
1991-03-21
Type:
Complaint
Address:
N JACKSON HWY BOX 257, GLASGOW, KY, 42141
Safety Health:
Health
Scope:
Partial

Tax Exempt

Employer Identification Number (EIN) :
61-0461767
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1979-03
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Motor Carrier Census

Carrier Operation:
Intrastate Non-Hazmat
Fax:
(270) 651-4862
Add Date:
2000-09-20
Operation Classification:
Private(Property)
power Units:
2
Drivers:
3
Inspections:
0
FMCSA Link:

Court Cases

Court Case Summary

Filing Date:
2013-06-21
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Defendant demands jury
Nature Of Suit:
Trademark

Parties

Party Name:
FROEDGE,
Party Role:
Defendant
Party Name:
T.J. SAMSON COMMUNITY HOSPITAL
Party Role:
Plaintiff
Party Role:
Defendant

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Financial Incentive

Program Program Status Average Hourly Wage Project Cost Incentive Amount Initial Jobs New Jobs Date of Action Approval Type
GIA/BSSC Active 37.04 $875,999 $75,000 1111 25 2024-08-07 Final
GIA/BSSC Inactive 32.15 $699,714 $75,000 997 288 2022-08-03 Final
GIA/BSSC Inactive 31.75 $446,425 $75,000 1000 1 2021-01-27 Final
GIA/BSSC Inactive 23.99 $0 $40,354 0 0 2011-03-30 Final

Sources: Kentucky Secretary of State