2023-08-15T15:30:02-05:00 2022-09-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2021-10-01 862614124 DEACONESS UNION COUNTY HOSPITAL INC DEAC 2703895000 4604 US HWY 60 MORGANFIELD KY 42437 AMBER POWELL CNO 2703895085 2023-08-15 1 AMBER POWELL 999009999 EMILIE M KNIERIEM CPA P01330194 3176334705 2023-08-15 0 AAL1 IAL1 2021 2023-04-26 12:10:37Z X X AMBER POWELL 4604 US HWY 60 MORGANFIELD KY 42437 27377740 0 X WWW.DEACONESS.COM/DEACONESS-UNION-COUNTY-HOSPITAL X 2021 KY DEACONESS UNION COUNTY HOSPITAL OFFERS A 24-HOUR EMERGENCY DEPARTMENT, A HOSPITAL-BASED AMBULANCE SERVICE AND A FULL RANGE OF DIAGNOSTIC SERVICES INCLUDING LAB, IMAGING, AND MAMMOGRAPHY, AS WELL PHYSICAL THERAPY, CARDIOPULMONARY CARE, AND SURGICAL SERVICES. 8 4 123 5 0 0 232938 27117332 182 27288 27377740 0 0 11474610 0 0 14110077 25584687 1793053 27282215 17988751 9293464 SAME AS ABOVE 0 0 21501304 27117332 DEACONESS HOSPITAL UNION COUNTY IS A CRITICAL ACCESS HOSPITAL IN UNION COUNTY, KY. DURING FY 2022, DEACONESS UNION COUNTY HOSPITAL SERVED 460 INPATIENTS FOR A TOTAL OF 3,324 INPATIENT DAYS. UNION COUNTY ALSO PROVIDED 6,643 EMERGENCY ROOM VISITS. 21501304 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 26 0 1 123 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 4 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X X CHERYL A WATHEN 8124503296 600 MARY STREET EVANSVILLE IN 47747 ADAM O'NAN CHAIRPERSON 2.00 0.00 X X 0 0 0 PATRICIA SHEFFER VICE CHAIRPERSON 2.00 0.00 X X 0 0 0 TESSA GOUGH SECRETARY / TREASURER 2.00 0.00 X X 0 0 0 GARLAND CERTAIN MEMBER 2.00 0.00 X 0 0 0 DR WILLIAM ALLEN WHITE MEMBER 2.00 56.00 X 0 421689 82077 MARC JARED FLORENCE MEMBER 2.00 66.00 X 0 572429 128115 JARED SIMPSON MEMBER 2.00 0.00 X 0 212463 6299 PAMELA HUNT SR. EXEC. ASST 50.00 0.00 X X 0 0 0 CLAUDIA EISENMANN VP CRITICAL ACCESS HOSP. 35.00 25.00 X 199169 199169 29340 JESSICA R LATHAM CFO - TERM BEGAN 12/22 50.00 0.00 X 99850 0 9599 AMBER N POWELL CNO 50.00 0.00 X 0 132830 37416 JANET G JAMES INTERIM CAO - TERM 4/22-11/22 50.00 0.00 X 0 138194 14689 AUDREY O'NAN DIRECTOR OF HR 50.00 0.00 X 0 0 0 299019 1676774 307535 1 0 1 0 CONCORD MEDICAL GROUP 1602 AVE Q LUBBOCK TX 79401 EMERGENCY SERVICES 306488 PROGRESSIVE HEALTH OF INDIANA 150 N ROSENBERGER EVANSVILLE IN 47710 THERAPY SERVICES 245932 2 223879 9059 232938 OUTPATIENT 621400 46570563 46570563 INPATIENT 621400 10661338 10661338 PHYSICIAN SERVICES 621400 6174118 6174118 ALL OTHER 621400 58664 58664 CONTRACTUAL ALLOWANCES / BAD DEBT 621400 -36347351 -36347351 27117332 182 182 27288 0 27288 27288 27288 27377740 27117332 0 27470 X 299019 266127 32892 8810206 7841083 969123 154990 137941 17049 1500191 1335170 165021 710204 632082 78122 80079 80079 6010751 4147418 1863333 23909 21279 2630 2388257 2125549 262708 145116 133507 11609 828698 737541 91157 11548 10278 1270 22733 20232 2501 278627 247978 30649 1390453 1237503 152950 160330 142694 17636 OH ALLOCATION 2026839 1803887 222952 TAX EXPENSE 315653 280931 34722 REPAIRS AND MAINTENANCE 220516 196259 24257 DUES & SUB 32723 29123 3600 173845 154722 19123 25584687 21501304 4083383 0 11193647 2075406 481072 89012 11116078 3117553 0 7998525 0 5444553 0 27282215 2422659 5595149 0 9970943 0 17988751 X 0 9293464 0 9293464 0 27282215 X 1793053 7500411 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1205 1205 0 PART II-B, LINE 1, LOBBYING ACTIVITIES MEMBERSHIP DUES TO HOSPITAL ASSOCIATION OF WHICH A PORTION OF THE DUES ARE USED FOR LOBBYING EXPENSES BY THE TRADE ORGANIZATION. 16018 16018 7198971 1153173 6045798 3814251 1964380 1849871 86838 86838 7998525 OTHER A/R 6628 INTERCOMPANY REC. 5316333 RIGHT OF USE ASSET 108763 OTHER 12829 5444553 INTERCOMPANY PAYABLES 9004012 RIGHT OF USE LEASE 108763 OTHER 858168 9970943 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM 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 THE SYSTEM AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 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 CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 1 1 X 1 X 1 X 1 1 1 0 1 1 437588 437588 0.01710 5794048 7784788 0 0.00000 6231636 7784788 437588 0.01710 198 3054 3054 0.00010 10 22596 22596 0.00090 1471 1422 1422 0.00010 1679 27072 27072 0.00110 1679 6258708 7784788 464660 0.01820 50 390 390 0.00000 544 544 0.00000 50 934 934 0.00000 1 233306 13724805 13388173 336632 X 1 1 1 1 DEACONESS UNION COUNTY HOSPITAL 4604 US HWY 60 W MORGANFIELD KY 42437 600057 X X X DEACONESS UNION COUNTY HOSPITAL 1 0 0 1 X X X X X X X X X X 21 1 0 1 1 X WWW.DEACONESSS.COM/CHNA X X 1 21 1 WWW.DEACONESS.COM/CHNA 0 1 X 200.000000000000 350.000000000000 X X 1 1 X X X X 1 X HTTPS://WWW.DEACONESS.COM/PAY-MY-BILL/FINANCIAL-ASSISTANCE X HTTPS://WWW.DEACONESS.COM/PAY-MY-BILL/FINANCIAL-ASSISTANCE X HTTPS://WWW.DEACONESS.COM/PAY-MY-BILL/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 1 DEACONESS UNION COUNTY HOSPITAL PART V, SECTION B, LINE 5: DEACONESS UNION COUNTY HOSPITAL CONSULTED WITH THE FOLLOWING GROUPS TO GATHER INPUT AND DATA: DEACONESS HEALTH SYSTEM GREEN RIVER DISTRICT HEALTH DEPARTMENT UNION COUNTY FAMILY DENTAL UNION COUNTY HEALTH CENTER UNION COUNTY SENIOR SERVICESA DIVERSE AND COMPREHENSIVE RANGE OF ACTIVITIES WERE INITIATED TO COLLECT AND CONSIDER DATA THAT PROVIDED VALUABLE INSIGHTS FOR DECISION MAKING. A FOUNDATIONAL ACTIVITY INCLUDED THE REVIEW OF EXISTING SECONDARY DATA TO BETTER UNDERSTAND THE HEALTH NEEDS AND SOCIAL, ECONOMIC, AND DEMOGRAPHIC CHARACTERISTICS OF THOSE LIVING IN THE SERVICE AREA. ADDITIONALLY, TO ENSURE THE CONSIDERATION OF COMMUNITY MEMBER INSIGHTS INTO THE HEALTH ISSUES IMPACTING THEIR COMMUNITIES, A PROVIDER/STAKEHOLDER SURVEY WAS CONDUCTED. LASTLY, VIRTUAL FOCUS GROUPS THAT INCLUDED COMMUNITY MEMBERS AND STAKEHOLDERS REPRESENTING ORGANIZATIONS PROVIDING SERVICES ON THE FRONT LINES OF PUBLIC HEALTH IN THEIR COMMUNITIES WERE CONDUCTED. A PRIORITIZATION SESSION WAS HELD TO DISCUSS FINDINGS AND IDENTIFY AREAS OF FOCUS FOR SUBSEQUENT YEARS. THIS RESULTED IN FOUR IDENTIFIED PRIORITIES. DEACONESS UNION COUNTY HOSPITAL PART V, SECTION B, LINE 6B: KEY PARTNER ORGANIZATIONS INCLUDED GREEN RIVER DISTRICT HEALTH DEPARTMENT, GREEN RIVER REGIONAL HEALTH COUNCIL, HEALTHY HENDERSON HEALTH COALITION, RIVER VALLEY BEHAVIORAL HEALTH, UNION COUNTY HEALTH COALITION, WEBSTER COUNTY EXTENSION OFFICE, AND WEBSTER COUNTY HEALTH COALITION. DEACONESS UNION COUNTY HOSPITAL PART V, SECTION B, LINE 7D: COPIES ARE AVAILABLE AT DEACONESS.COM/CHNA TO RECEIVE A PAPER COPY OF THE REPORT AT ZERO COST, EMAIL CAN BE SENT TO CHNA@DEACONESS.COM. DEACONESS UNION COUNTY HOSPITAL PART V, SECTION B, LINE 11: THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2021 CHNA ARE SIMILAR TO THOSE ADOPTED IN PREVIOUS PLANS: ACCESS TO CARE, MENTAL HEALTH, SENIOR CARE, AND SUBSTANCE ABUSE/ALCOHOL/TOBACCO USE. THE CURRENT CHNA ALSO INCLUDES THE CONSIDERATION OF HEALTH EQUITY AND ACCESS TO EACH NEED.MOST COMMUNITY EVENTS HAD PICKED BACK UP DURING THIS YEAR. DEACONESS UNION COUNTY HOSPITAL WAS ABLE TO HAVE A COMMUNITY HEALTH FAIR WHERE HEALTH INFORMATION WAS DISTRIBUTED AND FREE HEALTH SCREENINGS WERE CONDUCTED. - DIABETES - BLOOD PRESSURE - STROKE SCREENINGDEACONESS UNION COUNTY ALSO PARTICIPATED IN A COMMUNITY WIDE BABY SHOWER WITH INFORMATION PRESENTED BY LOCAL OB/GYN PROVIDERS. THIS WAS AN EDUCATION EVENT FOR PREGNANT MOTHERS ON PRE-NATAL CARE. MORE EDUCATIONS EVENTS ARE BEING PLANNED THE COMING YEAR.SEVERAL HEALTH EDUCATION POSTS ARE DISTRIBUTED THROUGHOUT THE YEAR ON SOCIAL MEDIA. DEACONESS UNION COUNTY HOSPITAL PART V, SECTION B, LINE 15E: WELLFUND IS AVAILABLE TO DEACONESS UNION COUNTY HOSPITAL PATIENTS TO ASSIST WITH APPLYING FOR MEDICAID OR EXCHANGE PRODUCTS. DEACONESS UNION COUNTY HOSPITAL PART V, SECTION B, LINE 24: ALL PAYERS, INCLUDING ENTITLEMENT PROGRAMS, INSURANCE COMPANIES AND PATIENTS WITHOUT INSURANCE ARE BILLED AT THE HOSPITAL'S STANDARD RATE. REIMBURSEMENT AND DISCOUNTS ARE BASED ON ENTITLEMENT ALLOWABLE CONTRACTUALLY, MUTUALLY AGREEABLE REDUCTIONS OF CHARGES WITH INSURANCE COMPANIES AND MUTUALLY AGREEABLE REDUCTIONS OF CHARGES WITH PATIENTS. PART I, LINE 7: A COST TO CHARGE RATIO WAS USED FOR MOST OF THE CALCULATIONS FOR THE TABLE. WORKSHEET 2 WAS USED FOR THIS CALCULATION. PART I, LN 7 COL(F): BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING PERCENTAGE IN THIS COLUMN IS $0.00. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES INCLUDE THE HOSPITAL'S PARTICIPATION WITH GREEN RIVER AREA DISTRICT DEVELOPMENT, A LOCAL GROUP DEDICATED TO ADDRESSING THE HEALTHCARE NEEDS OF COMMUNITIES SERVED. ALSO, A PART OF COMMUNITY BUILDING ACTIVITIES, VARIOUS HOSPITAL ADMINISTRATION STAFF VOLUNTEER TIME AS BOARD MEMBERS OR MEMBERS OF COMMUNITY ORGANIZATION AND COALITIONS TO KEEP ABREAST OF HEALTHCARE NEEDS, CONCERNS AND ISSUES WITHIN THE AREA. PART III, LINE 2: THE HOSPITAL HAS AGREEMENTS WITH THIRD PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES, AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD PARTY PAYORS, AND OTHER FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD PARTY PAYORS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. THE HOSPITAL ESTIMATES AN ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE BASED ON EVALUATION OF THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS AND OTHER FACTORS UNIQUE TO THE SERVICE AREA AND THE HEALTHCARE INDUSTRY. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON LINE 2 IS USING THE COST-TO-CHARGE RATIO. THE RATIO WAS CALCULATED FROM WORKSHEET A, ESTIMATED BAD DEBT EXPENSE (AT COST). PART III, LINE 4: THE FOOTNOTE DESCRIBING BAD DEBT EXPENSE IS INCLUDED IN THE ATTACHED AUDITED FINANCIAL STATEMENTS UNDER FOOTNOTE "PATIENT ACCOUNTS RECEIVABLE" ON PAGE 10 AND "CHARITY CARE, COMMUNITY BENEFIT AND ASSISTANCE TO THE UNINSURED" STARTING ON PAGE 11. PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE DERIVED FROM UTILIZING THE COST TO CHARGE RATIO FOR THE 9/30/2022 FISCAL YEAR. THE CALCULATION INCLUDED MEDICARE INPATIENT AND OUTPATIENT COSTS LESS MEDICARE REIMBURSEMENT. PART III, LINE 9B: HOSPITAL POLICY ON CHARITY CARE PROVIDES GUIDANCE ON HOW TO PROVIDE FINANCIAL ASSISTANCE FOR PATIENTS IN NEED. HOSPITAL POLICY ON INDIGENT CARE OUTLINES THE DISPROPORTIONATE SHARE HOSPITAL (DSH) PROGRAM THROUGH THE STATE OF INDIANA TO SERVE THE INDIGENT CARE NEEDS OF ALL PATIENTS WITHOUT ANY TYPE OF HEALTH INSURANCE. PATIENTS MUST COMPLETE A DSH APPLICATION AND MEET THE INDIANA DEPARTMENT OF MEDICAID SERVICES DSH PROGRAM MANUAL GUIDELINES. PART VI, LINE 2: DEACONESS UTILIZES A VARIETY OF SOURCES TO GATHER DATA ON LOCAL HEALTH CARE NEEDS. WE USE DATA FROM THE UNITED WAY OF SOUTHWESTERN INDIANA'S COMPREHENSIVE NEEDS ASSESSMENT, COUNTY HEALTH RANKINGS WEBSITE, INDIANA STATE DEPARTMENT OF HEALTH, KENTUCKY DEPARTMENT FOR PUBLIC HEALTH, CENTERS FOR DISEASE CONTROL AND PREVENTION, NATIONAL CENTER FOR HEALTH STATISTICS, AND THE U.S. CENSUS BUREAU. ADDITIONAL INFORMATION COMES FROM OUR OWN ELECTRONIC MEDICAL RECORD SYSTEM AND THROUGH OUR INTERACTION WITH LOCAL SERVICE PROVIDERS AND OTHER NON-PROFIT ORGANIZATIONS. PART VI, LINE 3: HOSPITAL HAS FINANCIAL COUNSELORS TO INTERVIEW PATIENTS WHO MAY HAVE FINANCIAL NEED. THE PROCESS IS PART OF PATIENT REGISTRATION. AN INTERVIEW CAN TAKE PLACE AT ANY TIME THE PATIENT IS IN THE HOSPITAL. AFTER THE PATIENT LEAVES THE HOSPITAL, CONTACT IS MADE IN AN EFFORT TO ASSIST THE INDIVIDUAL WITH APPLYING FOR GOVERNMENT ENTITLEMENT PROGRAMS. EACH PATIENT REGISTERED AS A SELF-PAY AUTOMATICALLY RECEIVES PRINTED INFORMATION TITLED "ELIGIBILITY FOR FINANCIAL ASSISTANCE." THIS DOCUMENT EXPLAINS ABOUT THE KENTUCKY MEDICAID DISPROPORTIONATE SHARE HOSPITAL DSH PROGRAM. IT CONTAINS A LIST OF INFORMATION THE PATIENT IS REQUIRED TO PROVIDE WITH THE DSH APPLICATION, ELIGIBILITY FOR THE PROGRAM IS DETERMINED FROM THE SUBMITTED DOCUMENTS. IF THE PATIENT DOES NOT QUALIFY FOR THE DSH PROGRAM THEN THE DOCUMENTATION IS USED BY THE HOSPITAL FOR FINANCIAL ASSISTANCE DETERMINATION. IN ADDITION, DISCUSSION WITH PATIENTS CONCERNING VARIOUS PROGRAMS, HOSPITAL ASSISTANCE, ETC. PART VI, LINE 4: UNION COUNTY IS LOCATED IN WESTERN KENTUCKY AND BORDERS SOUTHEASTERN ILLINOIS. THE GREEN RIVER DISTRICT COMMUNITY HEALTH ASSESSMENT 2021 UPDATE ESTIMATES A GENERAL POPULATION AT 14,381. THE COUNTY IDENTIFIES AS 86.9% WHITE, 7.6% BLACK, OR AFRICAN AMERICAN, 1.4% HISPANIC OR LATINO, 4.3% TWO OR MORE RACES. COUNTY HEALTH RANKINGS 2021 REPORTS UNION COUNTY AS #88 OUT OF 120 COUNTIES FOR HEALTH OUTCOMES AND #69 OUT OF 120 COUNTIES FOR HEALTH FACTORS. STATISTICS FOR LOW BIRTHWEIGHT, ACCESS TO EXERCISE OPPORTUNITIES, INJURY DEATH, FIREARM FATALITIES, AND SUICIDE RANK HIGHER THAN THE STATE AVERAGE. UNION COUNTY IS MORE RURAL THAN MOST OF THE STATE (65.3% AND 40.8% RESPECTIVELY). PART VI, LINE 5: THE COVID-19 CONTINUED TO BE A PRIORITY AND THE CONSTANT CONCERN THROUGHOUT THE YEAR. WE SHIFTED FROM PRIMARY VACCINATIONS TO BOOSTERS FOR ADULTS AND CHILDREN AT ON-SITE AND DRIVE UP CLINICS. DEACONESS CONTINUED TO LEAD THE COVID-19 RESPONSE FOR SOUTHWEST INDIANA AND NEIGHBORING COUNTIES IN KENTUCKY AND ILLINOIS. WE ALSO CONTINUED TO SHARE ALL THE MOST CURRENT INFORMATION ABOUT COVID INPATIENT NUMBERS, TESTING, VACCINES, AND THE CONSTANTLY CHANGING REGULATIONS. AND OUR COPING WITH COVID WEBPAGE LINKED PEOPLE TO A VARIETY OF RESOURCES ABOUT MENTAL AND EMOTIONAL HEALTH CONTINUED TO BE A RESOURCE USED BY THE PUBLIC. AS WE STARTED TO OPEN BACK UP AND HOLD A FEW PUBLIC EVENTS WE HELD OUR ANNUAL ORAL, HEAD AND NECK CANCER SCREENING EVENT. ADDITIONALLY, WE CREATED AND DISTRIBUTED WRITTEN AND VISUAL CONTENT THAT ADDRESSED SPECIFIC ISSUES AND HEALTH CONCERNS FOR OUR COMMUNITY.WE WERE ALSO LOCAL SPONSORSHIPS USING $1,422 AND 1,471 PEOPLE.E-NEWSLETTER ARTICLES:SEPTEMBER 2022 COVID-19 VACCINES AND CHILDRENAUGUST 2022 COVID-19 VARIANTS AND VACCINESMARCH 2022 MEDICARE AND COVIDSOCIAL MEDIA POSTS:MULTIPLE POSTS ABOUT COVID VACCINES AND BOOSTERS NOVEMBER 5, 2021 CHILDREN COVID VACCINESNOVEMBER 15, 2021 DIABETES AWARENESSNOVEMBER 17, 2021 COPD VIDEO WITH DR. GUPTADECEMBER 2, 2021 PREGNANCY DURING COVID DECEMBER 6, 2021 INFLUENZA WEEK GET YOUR FLU SHOTFEBRUARY 9, 2022 WARNING SIGNS OF AFIB VIDEO DR. KUMBARFEBRUARY 18, 2022 WARNING SIGNS OF A HEART ATTACK DR. KUMBARFEBRUARY 25, 2022 HEART HEALTH PATIENT STORY VIDEOFEBRUARY 26, 2022 HEART HEALTH PATIENT STORY VIDEOMARCH 1, 2022 COLON CANCER AWARENESSMARCH 4, 2022 FACEBOOK LIVE DRS AHMED AND TETANGCO COLORECTAL CANCERMARCH 11, 2022 BREAST CANCER AWARENESS DR. JULIE FRANZMARCH 17, 2022 BRAIN INJURY AWARENESS WEAR A HELMETMARCH 22, 2022 MISSED MAMMOGRAMS DUE TO PANDEMIC VIDEOAPRIL 20, 2022 ORAL HEAD AND NECK CANCER APRIL 21, 2022 DIABETES MANAGEMENT VIDEOAPRIL 22, 2022 MENTAL HEALTH VIDEO WITH SCOTT BRANUMMAY 5, 2022 ARTHRITIS AWARENESSMAY 19, 2022 STROKE AWARENESSMAY 24, 2022 MENTAL HEALTH AWARENESS WHERE TO GO FOR HELPMAY 24, 2022 COVID BOOSTER SHOTS FOR CHILDRENMAY 26, 2022 SKIN CANCER AWARENESS TIPSJUNE 14, 2022 HEAT RELATED SAFETY TIPS WITH DR. GINA HUHNKEJUNE 30, 2022 STAYING SAFE OVER THE 4TH OF JULY WITH DR. GINA HUHNKEJULY 7 2022 ORGAN DONATIONS INFORMATIONAUGUST 9 2022 IMMUNIZATIONS AND VACCINATIONSAUGUST 9, 2022 BONE HEALTH VIDEO WITH NP, ALICIA WHEATLEYAUGUST 11, 2022 BONE HEALTHAUGUST 17, 2022 BACK TO SCHOOL SAFETYAUGUST 18, 2022 IMMUNIZATION AWARENESS SEPTEMBER 2, 2022 HOW TO WASH YOUR HANDS CORRECTLYSEPTEMBER 8, 2022 SUICIDE AWARENESSSEPTEMBER 9, 2022 PROSTATE CANCER AWARENESSSEPTEMBER 23, 2022 DRIVE THRU FLU CLINICS AND COVID BOOSTERSSEPTEMBER 6, 13, 20, 27, 2022 SEPSIS AWARENESS POSTSSEPTEMBER 28, 2022 FLU SHOT CLINICSEPTEMBER 29, 2022 HEALTHY AGING TIPS PART VI, LINE 7, REPORTS FILED WITH STATES KY 1 X X X X 0 1 0 0 0 0 0 1 0 MARC JARED FLORENCE MEMBER 0 388454 0 115908 0 68067 0 93649 0 34466 0 700544 0 64307 DR WILLIAM ALLEN WHITE MEMBER 0 271719 0 93777 0 56193 0 48296 0 33781 0 503766 0 44141 CLAUDIA EISENMANN VP CRITICAL ACCESS HOSP. 167226 167226 30691 30691 1252 1252 9592 9592 5078 5078 213839 213839 0 0 JARED SIMPSON MEMBER 0 182442 0 30021 0 0 0 14089 0 18455 0 245007 0 0 AMBER N POWELL CNO 0 116196 0 12112 0 4522 0 9265 0 28151 0 170246 0 0 JANET G JAMES INTERIM CAO - TERM 4/22-11/22 0 122098 0 15483 0 613 0 7823 0 6866 0 152883 0 0 PART I, LINE 4B SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS: SEVERANCE NONQUALIFIED EQUITY-BASED W. ALLEN WHITE, MD $ -0- $ 19,500 $ -0- MARC FLORENCE $ -0- $ 19,500 $ -0- PART 1, LINE 4B: WILLIAM WHITE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF 37,856. SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF 44,141. MARC FLORENCE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF 70,093. SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF 64,307. PART I, LINE 7 PHYSICIANS ARE ELIGIBLE FOR INCENTIVE COMPENSATION. THE PHYSICIAN IS COMPENSATED FOR EACH WORK RVU PERFORMED BY A PHYSICIAN IN A CALENDAR YEAR IN EXCESS OF THE PHYSICIAN'S WORK RVU INCENTIVE THRESHOLD FOR THE CALENDAR YEAR MULTIPLIED BY THE INCENTIVE RVU PAYMENT. ALLISON JOSE FAMILY MEMBER OF DR. WILLIAM ALLEN WHITE, BOARD MEMBER 14632 COMPENSATION 0 CELESTE BEAVEN FAMILY MEMBER OF TESSA GOUGH, BOARD MEMBER 15082 COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 6 DEACONESS HEALTH KENTUCKY, INC. IS THE SOLE CORPORATE MEMBER OF METHODIST HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7A FIVE INDIVIDUALS ARE APPOINTED TO THE BOARD BY THE SOLE MEMBER, DEACONESS HEALTH OF KENTUCKY, INC. FOUR INDIVIUDALS ARE APPOINTED TO THE BOARD BY A MAJORITY VOTE OF THE MEMBERS PRESEENT AT A MEETING OF THE ADVISORY BOARD CALLED FOR SUCH PURPOSE AT WHICH A QUORUM IS PRESENT AND COLLECTIVELY WITH THE DHKY DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE IRS FORM 990 IS PRESENTED TO DH CFO AND CEO OF THE ORGANIZATION FOR REVIEW. AFTER THIS REVIEW AND ALL QUESTIONS HAVE BEEN ANSWERED, THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS OF DEACONESS HEALTH SYSTEM PRIOR TO FILING. ANY ADDITIONAL QUESTIONS ARE ANSWERED AND THE FILING OF THE FORM IS COMPLETED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST REVIEW AND COMPLIANCE ACTIVITIES ARE CONDUCTED THROUGHOUT THE YEAR UNDER THE DIRECTION OF DEACONESS HEALTH'S CORPORATE COMPLIANCE OFFICER. UPON APPOINTMENT AND ANNUALLY THERAFTER, OFFICERS, TRUSTEES, DIRECTORS, AND KEY EMPLOYEES, ALSO KNOWN AS INTERESTED PERSONS ARE REQUIRED TO COMPLETE THE CONFLICTS OF INTEREST AND/OR THE DISCLOSURE QUESTIONNAIRE. THESE DOCUMENTS SERVE TO ENSURE INTERESTED PERSONS HAVE AN APPROPRIATE AND TIMELY MANNER IN WHICH TO DISCLOSE ANY POTENTIAL CONFLICTS. CONFLICTS ARE CONSIDERED WITH RESPECT TO OUSTIDE INTEREST, INVESTMENTS, OUTSIDE ACTIVITIES, AND BUSINESS INTERESTS AMONG THE INTERESTED PERSONS AS WELL AS THEIR FAMILY MEMBERS ON A PERIODIC BASES. REVIEWS OCCUR TO ENSURE METHODST HEALTH OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSE. SUBJECTS THAT ARE REVIEWED ON A PERIODIC BASIS INCLUDE COMPENSATION, PHYSICIAN RELATIONSHIPS, PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR TOP OFFICIALS AND OTHER OFFICERS METHODIST HEALTH UTILIZES THE DEACONESS HEALTH COMPENSATION COMMITTEE TO APPROVE EXECUTIVE, DIRECTOR AND PHYSICIAN COMPENSATION AS WELL AS EXECUTIVE AND PHYSICIAN BENEFITS PROGRAMS. THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS OF DEACONESS HEALTH AND MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE SEC THE COMMITTEE HAS THE POWER AND AUTHORITY TO: 1) ANNUALLY REVIEW AND APPROVE AND RECOMMEND TO THE BOARD OF DIRECTORS FOR ITS FINAL APPROVAL FOR THE CEO AND EACH OTHER EXECUTIVE OFFICER OF THE SYSTEM ALL ELEMENTS OF EXECUTIVE COMPENSATION 2) MONITOR BROADLY THE STRUCTURE, PHILOSOPHY OR COMPETITIVENESS OF THE SYSTEM'S GENERAL HIRING OR COMPENSATION PRACTICES 3) OVERSEE THE ESTABLISHMENT AND ADMINISTRATION OF THE COMPANY'S BROAD-BASED BENEFIT PLANS AND PROGRAMS 4) REVIEW OR APPROVE SIGNIFICANT AMENDMENTS OR CHANGES TO THE PLANS AND PROGRAMS 5) RETAIN AND TERMINATE ANY COMPENSATION CONSULTANT TO BE USED TO ASSIST IN THE EVALUATION OF DIRECTOR, CEO OR EXECUTIVE OFFICE COMPENSATION 6) SOLE AUTHORITY TO APPROVE THE CONSULTANT'S FEES AND OTHER RETENTION TERMS 7) OBTAIN ADVICE AND ASSISTANCE FROM INTERNAL OR EXTERNAL LEGAL, ACCOUNTING OR OTHER ADVISORS 8) APPROVE ALL PHYSICIAN AND PHYSICIAN RELATED CONTRACTS 9) MAKE REGULAR REPORTS TO THE BOARD FORM 990, PART VI, SECTION C, LINE 19 METHODIST HEALTH'S ARTICLES OF INCORPORATION ARE ON THE SECRETARY OF STATE'S WEBSITE. METHODIST HEALTH IS PART OF A CONSOLIDATED FINANCIAL STATEMENT WHICH IS AVAILABLE WITH THE PUBLIC DISCLOSURE COPY OF THE IRS FORM 990. GOVERNING DOCUMENTS, ASIDE FROM THE ARTICLES OF INCORPORATION, AND THE CONFLICT-OF-INTEREST POLICY ARE NOT AVAILABLE FOR PUBLIC INSPECTION. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,147,418. MANAGEMENT AND GENERAL EXPENSES 1,863,333. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,010,751. FORM 990, PART XI, LINE 9: TRANSFER 7,500,411. FORM 990, PART XII THE BOARD OF DIRECTORS OF DEACONESS HEALTH, INC. ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THE BOARD OF DIRECTORS OF METHODIST HEALTH SHALL TAKE NECESSARY STEPS TO ENSURE IMPLEMENTATION OF AND COMPLIANCE WITH THE RECOMMENDATIONS OF THE DEACONESS BOARD. DEACONESS CLINIC INC 600 MARY STREET EVANSVILLE IN 47747 263083364 HEALTHCARE IN 501(C)3 LINE 3 DEACONESS HEALTH SYSTEM INC 0 DEACONESS GIBSON HOSPITAL 1808 SHERMAN DR PRINCETON IN 47670 350877575 HEALTHCARE IN 501(C)3 LINE 3 DEACONESS HEALTH SYSTEM INC 0 DEACONESS HEALTH KENTUCKY INC 600 MARY STREET EVANSVILLE IN 47747 830966826 HEALTHCARE IN 501(C)3 LINE 3 DEACONESS HEALTH SYSTEM INC 0 DEACONESS HEALTH SYSTEM INC 600 MARY STREET EVANSVILLE IN 47747 351532889 HEALTHCARE IN 501(C)3 LINE 12A, I N/A 0 DEACONESS HOSPITAL INC 600 MARY STREET EVANSVILLE IN 47747 350593390 HEALTHCARE IN 501(C)3 LINE 3 DEACONESS HEALTH SYSTEM INC 0 DEACONESS REGIONAL HEALTHCARE SERVICES 600 MARY STREET EVANSVILLE IN 47747 810693478 HEALTHCARE IN 501(C)3 LINE 3 DEACONESS HEALTH SYSTEM INC 0 DEACONESS SPECIALTY PHYSICIANS INC 600 MARY STREET EVANSVILLE IN 47747 824503095 HEALTHCARE IN 501(C)3 LINE 3 DEACONESS HEALTH SYSTEM INC 0 DEACONESS VNA PLUS LLC 610 E WALNUT ST EVANSVILLE IN 47713 465223267 HEALTHCARE IN 501(C)3 LINE 10 DEACONESS HEALTH SYSTEM INC 0 HENDERSON REGIONAL HOSPITAL FOUNDATION 1305 NORTH ELM ST HENDERSON KY 42420 610944432 SUPPORT THE HOSPITAL KY 501(C)3 LINE 11 DEACONESS HEALTH KY 0 UNION COUNTY METHODIST HOSPITAL FOUNDATION 4604 US HWY 60 WEST MORGANFIELD KY 42437 611230297 SUPPORT THE HOSPITAL KY 501(C)3 LINE 11 DEACONESS HEALTH KY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0