2022-07-15T18:52:25-05:00 2021-08-31 346565596 Ernst & Young US LLP 221 E 4th Street Suite 2900 Cincinnati OH 45202 990 2020-09-01 610654587 Baptist Health Deaconess Madisonville Inc BAPT 2708255201 2701 Eastpoint Parkway Louisville KY 40223 Stephen R Oglesby CFO & Treasurer 5028965000 2022-07-15 1 Stephen Oglesby 999009999 Julie L Sparks P01268401 5136121400 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Stephen R Oglesby 2701 Eastpoint Pkwy Louisville KY 40223 236139457 0 X www.baptisthealthdeaconess.com X 1956 KY Our mission is to demonstrate the love of Christ by providing and coordinating care and improving health in our communities. Our vision is to lead in clinical excellence, compassionate care and growth to meet the needs of our patients. Baptist Health Madisonville will live out its Christ-centered mission and achieve its vision guided by integrity, respect, excellence, collaboration and joy. 8 7 1568 40 0 0 11792372 1622315 189361899 219982312 2909453 -64551042 8911317 3885393 212975041 160938978 509267 204224 0 0 82510921 89704338 0 0 0 103658775 114285929 186678963 204194491 26296078 -43255513 203240586 53107624 35484964 43844884 167755622 9262740 X Our mission is to demonstrate the love of Christ by providing and coordinating care to improve the health of our community, and is rooted in a tradition of Christian service. Baptist Health Madisonville expands access to high quality healthcare that is delivered with a compassionate and nurturing spirit to all. Guided by a values-based culture to deliver clinical and service excellence, Baptist Health Madisonville strives for excellent care, every time. 0 0 191294766 204224 220281875 See Schedule O. 191294766 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 X 0 0 1568 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X Stephen R Oglesby 5028965000 2701 Eastpoint Parkway Louisville KY 40223 James E Armstrong MD Director (Through 12/31/20) 1.00 40.00 X 0 452252 32940 Janet R Berry Chair 1.00 0.00 X X 0 3000 0 Amy Sanderson Director 1.00 0.00 X 0 3000 0 Jason Vincent Vice Chair & Director 1.00 0.00 X X 0 3000 0 Kent T Mills Director (Through 12/31/20) 1.00 0.00 X 0 0 0 Kevin Ray Cotton Director 1.00 0.00 X 0 3000 0 Michael Allen Davenport Director 1.00 0.00 X 0 3000 0 R Steven Cox Director (Through 12/31/20) 1.00 0.00 X 0 0 0 Ron Poole Director 1.00 0.00 X 0 3000 0 Donald L Fishman Director 1.00 0.00 X 0 0 0 Ronald R Gilley MD Director (Effective 5/14/21) 1.00 40.00 X 0 426090 23652 Gerard Colman CEO 1.00 40.00 X 0 3058256 284700 Janet Norton VP and Secretary 1.00 40.00 X 0 1130225 37875 Stephen R Oglesby VP and Treasurer 1.00 40.00 X 0 1059001 140123 Robert Ramey President 40.00 0.00 X 0 569403 18720 Ursula Dugger Assistant Secretary 40.00 0.00 X 57141 0 2173 Margo Ashby Director, Pharmacy 40.00 0.00 X 180933 0 6555 Darlena Jones Program Administrator 40.00 0.00 X 202512 0 30059 William McColl Medical Physicist 40.00 0.00 X 227375 0 25551 Pamela Thurman Asst Program Director 40.00 0.00 X 187957 0 22889 Lorie Oglesby VP, HR and Education 40.00 0.00 X 165129 0 6607 1021047 6713227 631844 51 0 1 0 Laboratory Corporation of America 531 South Spring Street Burlington NC 27215 Hospital Services 3146316 Southeastern Emergency Physicians 3920 Dutchmans Lane Louisville KY 40207 Medical Staffing 3066233 Covenant Anesthesia PLLC 800 Hospital Drive Madisonville KY 42431 Medical Staffing 1656604 One Anesthesia PLLC 320 Whittington Parkway Louisville KY 40222 Medical Staffing 1537724 Trimedx Inc 5451 Lakeview Parkway Indianapolis IN 46268 Management Agreement 1324276 19 1372830 249485 1622315 Patient Service Rev 621110 202916688 202916688 Pharmacy Revenue 446110 5194658 5194658 Home Health & Hospice 621610 5084791 5084791 Fam Practice Residency 611600 3928200 3928200 Other 611600 1965859 1965859 892116 892116 219982312 817082 817082 4122807 1483667 2639140 2639140 2639140 8348688 0 73716812 8348688 -73716812 -65368124 -65368124 Cafeteria Sales 722210 946690 946690 Miscellaneous Revenue 900099 299563 299563 1246253 160938978 220281875 0 -60965212 X 204224 204224 57141 57141 72449468 70311443 2138025 1354196 1333657 20539 10110075 9117811 992264 5733458 5105125 628333 1300200 870759 429441 112503 112503 8860 8860 173397 173397 33470830 29504252 3966578 11735 7500 4235 3135220 2822878 312342 82120 57120 25000 3620932 2702825 918107 104176 63784 40392 5197 3867 1330 154263 154263 8822614 7972596 850018 2738707 1645834 1092873 Medical Supplies 40903519 40903519 Purchased Svcs-Non-Med 11605681 10832611 773070 Provider Tax 5829869 5829869 Administrative Expense 557762 394051 163711 1648344 1553900 94444 204194491 191294766 12899725 0 12861 13309 9292106 1102316 23690772 30355359 4042006 4031046 322251 2036321 7555849 3254553 75838098 4301296 73190243 5269908 16852249 5998069 203240586 53107624 10724394 15127237 4295817 3555367 20464753 25162280 35484964 43844884 X 167691960 8991202 63662 271538 167755622 9262740 203240586 53107624 X -43255513 1594735 -116832104 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 0 1 8860 8860 0 Part II-B, Line 1: The organization and certain employees are members of various associations that attribute a portion of their dues to lobbying expense. These associations include the Kentucky Hospital Association and the Kentucky Medical Association. The organization has disclosed a lobbying expense allocation of $8,860 per Form 990. 63662 207876 271538 473992 189670 600000 63662 309670 164322 473992 115224 194271 175 309670 181325 66101 115224 1.00000 0 0 435109 435109 2894855 435889 2458966 2919654 2608847 310807 1306231 209817 1096414 4301296 Reimbursements Receivable 5875830 Other Assets 108649 ROU Assets - Operating Leases 13590 5998069 Third Party Payables 5005941 Contract Liability - Accelerated Payments 16878769 Other Liabilities 3277570 25162280 X Part V, Line 4: Endowment funds are used to support patient care initiatives. Part X, Line 2: Baptist Healthcare System, Inc. evaluates its uncertain tax positions on an annual basis. A tax benefit from an uncertain position may be recognized when it is more likely than not that the position will be sustained upon examination, including the resolution of any related appeals or litigation processes, based on the technical merit of the position. Baptist has determined that it has no uncertain tax positions that are required to be recorded as of August 31, 2021. Tax years that are open include the years from 2017 to 2020. 1 1 1 X 300.000000000000 1 X 1200.000000000000 1 1 1 0 1 1 3286629 422565 2864064 0.01400 44838170 44838170 48124799 45260735 2864064 0.01400 481982 0 481982 0.00240 8358192 781202 7576990 0.03710 65834422 39366016 26468406 0.12960 230341 230341 0.00110 74904937 40147218 34757719 0.17020 123029736 85407953 37621783 0.18420 1 1822720 0 54142779 70819146 -16676367 X 1 1 1 1 Baptist Health Madisonville 900 Hospital Drive Madisonville KY 42431 www.baptisthealthdeaconess.com 100184 X X X Baptist Health Madisonville 1 0 0 1 X X X X X X X X 20 1 0 0 1 X www.baptisthealthdeaconess.com X X 1 20 1 www.baptisthealthdeaconess.com 0 1 X 300.000000000000 1200.000000000000 X X X X X 1 1 X X X 1 X www.baptisthealthdeaconess.com X www.baptisthealthdeaconess.com X www.baptisthealthdeaconess.com X X X X X X 1 X 0 X X X X X 1 X 0 0 Baptist Health Madisonville Part V, Section B, Line 5: The Baptist Health Madisonville CHNA committee worked closely with a wide variety of community partners and resources to gather, disseminate and prioritize the information needed for the Community Health Needs Assessment. Baptist Health Madisonville formed a community health coalition with other healthcare, civic, governmental and educational organizations in the area to work collaboratively to identify and address the medical and socioeconomic factors affecting the health of the people in our region. Such a community-driven plan of action engages the public and develops partnerships that help promote wellness and healthier communities. There are three separate health departments located in Baptist Health Madisonville's CHNA service area: the Hopkins County Health Department, the Muhlenberg County Health Department and the Green River District Health Department, which serves Webster County. These health departments provide environmental, preventive, curative, and health maintenance services to area citizens through direct healthcare, health education, counseling and enforcement of laws that protect health and the environment. Primary data was collected from these interactions with members of the community coalition and from surveys distributed to the public. To secure a representative sample, the survey was made available in both online and printed formats. The committee designed a more detailed survey than what has been used in the past in order to gather information on medical factors as well as socioeconomic factors that affect health and the ability to access healthcare resources. The survey was widely publicized online and in print publications. Baptist Health Madisonville hosted a link to the online survey and distributed paper surveys. The final survey consisted of 62 questions and took approximately 16 minutes to complete. Five hundred twenty-one (521) area residents took the survey from May 12, 2021 to June 11, 2021. The Hopkins County Health Department collected more than 200 paper surveys from their clients. Participants were asked their zip code, gender, race, education and income levels as well as a variety of questions regarding health care and social determinants of health. Secondary data obtained from national, state and local demographic and socioeconomic sources was used, including Kentucky vital statistics, disease prevalence studies, outcome measures and health indicators and statistics. The most recent data came from the Robert Wood Johnson County Health rankings, which were published in 2020. Data regarding health outcomes, health behaviors, clinical care availability, socioeconomic factors and physical environment risks for each county in Baptist Health Madisonville's service area was analyzed.The Community Health Needs Assessment Committee included senior hospital leadership and specific department directors. The committee reviewed the information gathered through the primary and secondary data sources combined with the information obtained through community partners, and the comprehensive list of community health needs were documented. The committee then prioritized how and where Baptist Health Madisonville should concentrate its resources over the next three years to most effectively address these pressing health needs that create hardships for our residents and stress on agencies throughout our communities. The final CHNA and SIP were approved by the administrative Board of Directors of the hospital and by the Baptist Healthcare System Board of Directors. Baptist Health Madisonville Part V, Section B, Line 7d: Results from the 2022-2024 Community Health Needs Assessment are made widely available through various communication methods. The written report of the assessment is posted on the hospital's website; local community organizations have posted a link on their websites to the CHNA on Baptist Health Madisonville's website and the website address where the document can be accessed has been disseminated through local media. Paper copies of the CHNA are available at the hospital or by request. The 2022-2024 Community Health Needs Assessment will remain available until a subsequent assessment is made. www.baptisthealthdeaconess.com Baptist Health Madisonville Part V, Section B, Line 11: The CHNA committee's purpose was to identify health challenges and risk factors that can be modified or prevented to improve the health of our community. Based upon the data collected and analyzed through this assessment, the committee identified and prioritized community needs for the service area that Baptist Health Madisonville can address and affect by implementing programs, providing educational support and sponsoring preventive screenings. The following are the primary health issues that the hospital will focus on over the next three years: access to healthcare; mental health; obesity and COVID-19.Six of the top ten survey responses regarding family health issues were related to access to health care services. These include access to primary care; access to specialists; the availability of behavioral/mental health treatment resources and the availability of substance abuse treatment programs. The joint management agreement between Baptist Health and Deaconess Health systems will help significantly to alleviate a number of these access issues and a partnership with BluMine Health Direct Primary Care will help us to better identify the specialty care needs of our residents. We continue to offer extensive teaching, training and clinical experience for medical and nursing students that provide opportunities for future service to our community. Mental health illnesses and the related health effects on individuals and families was the second highest priority health concern identified by the CHNA committee. Mental illness has a significant impact on overall health and well-being, and can contribute to other health issues such as obesity and substance abuse disorders. Over 40% of survey respondents view the mental health of the community as 'unhealthy or 'very unhealthy'. The committee members discussed the services Baptist Health Madisonville already provides as well as goals to improve access for outpatient mental health wellness programs. To drive improved quality outcomes for our patients, Baptist Health recognizes the importance of integrating behavioral health care into all aspects of care. We also realize the importance of reducing the stigma of seeking behavioral health care services. As a result, we are expanding access and creating new avenues for people to receive care. These efforts include a network of providers who will work in collaboration with our treatment team and a Virtual Care hub for behavioral health that provides services to nearly 50 primary care locations. By the end of fiscal year 2021-22, these services will be embedded into every Baptist Health Medical Group primary care location. Additional behavioral health risk assessment tools, expanded treatment options and the combined efforts of medical professionals, schools, churches and government agencies will contribute to our success in reducing the stigma around mental health care and educating and engaging individuals to seek better care for themselves and their loved ones.Obesity and related illness prevention continue to be primary health concerns in our community. All three of Baptist Health Madisonville's service area counties have a higher percentage of obesity than the average in Kentucky, which is known for having one of the worst ratings in the U.S for obesity. Over 45% of survey respondents viewed themselves as overweight. To increase the awareness of obesity as a health threat to our service area residents and to encourage healthier living through diet, exercise and other means remains a top priority. Obesity can cause serious health problems, including Type 2 diabetes, heart disease, high cholesterol, high blood pressure, asthma, osteoarthritis and several forms of cancer. Failing to diminish obesity in the community will lead to higher mortality rates, increased healthcare costs and a decrease in the quality of life for families in our community. We continually work with other community agencies to promote healthy living lifestyles through diet, exercise and education.COVID-19 continues to be a significant health concern in our communities. Even though incidence rates and mortalities have dropped considerably, the impact of COVID-19 is still lingering in our communities. The community as a whole has lower vaccination rates than the average in Kentucky due to continued vaccination hesitancy. These low vaccination rates, combined with the socioeconomic impacts of COVID-19 raise many health concerns. Baptist Health Madisonville service locations continue to provide testing, vaccines and care for all COVID-19 patients. An increase in the availability of virtual care visits; continuous monitoring of all service locations to reduce the likelihood of further transmission of the virus and increased public education and awareness of the dangers of COVID-19 will help minimize the impact of COVID-19 on our communities moving forward. It is not within the scope of Baptist Health Madisonville's services, expertise or resources to be able to address all of the risk factors that have been identified as influencers of our community's health status. However, it is through networking, partnerships and collaboration with other community stakeholder organizations and agencies that these issues are being addressed. Increasing communication between community service providers, enhancing the public's awareness of the agencies and services available and promoting assistance provided by local community partners is a common goal of our healthcare and civic leaders. Baptist Health Madisonville works collaboratively with other community resources to provide support and to serve as a referral source to address the additional identified health needs that fall below the significant prevalence level for our service area. Impact issues such as unemployment and uninsured populations are being managed by economic development groups, the Kentucky Chamber of Commerce, city and county governments and county health departments. Baptist Health Madisonville Part V, Section B, Line 13b: Based on the information provided in the Financial Assistance Policy application and/or through the presumptive eligibility process, a patient or guarantor whose income plus liquid assets are less than 300% of the current federal poverty level for his or her family size may be eligible for a full discount under the FAP after all other healthcare payment resources have been utilized and exhausted. A patient or guarantor whose family income plus liquid assets is between 300% and 1200% of the current federal poverty level for his or her family size may be eligible for partial assistance. Patients have a total yearly obligation of 10% of their annual income plus liquid assets. Patient or guarantors whose family income plus liquid assets is above 1200% have a total yearly obligation of 20% of their annual income plus liquid assets. If a patient is uninsured or their health insurance does not cover emergency or medically necessary care provided by a Baptist Health hospital, then the patient will be allowed a discount that limits payment responsibility to the amounts generally billed to individuals who have insurance covering such care. Baptist Health Madisonville Part V, Section B, Line 20e: Prior to referring individuals to a collection agency, Baptist Health Madisonville processes all self-pay accounts through an external scoring application to determine additional eligibility for financial assistance. Part V, Section B, Line 3e The hospital facility did include a prioritized list of the community's significant health needs in its CHNA report. 3 1 - Baptist Health Sports Medicine & Rehab 950 Hospital Drive Madisonville KY 42431 Rehab Services 2 - Baptist Health Hospice 200 Clinic Drive Madisonville KY 42431 Hospice Care 3 - Baptist Health Transitional Care 900 Hospital Drive Madisonville KY 42431 Skilled Nursing Facility Part I, Line 7: Costing Methodology:Baptist Health Madisonville utilizes a sophisticated cost accounting system that identifies the cost of delivering care at the individual procedure and item (supply) level for direct costs and a detailed step-down methodology to allocate overhead costs as accurately as possible. Costs are determined for each patient based upon the specific procedures performed and items used for each patient. Patients are also categorized by: 1. Patient type (inpatient and outpatient), 2. Payer plan (Charity, state-sponsored charity and the uninsured are among the uniquely identified payer plans), and 3. Clinical service (52 unique clinical services). The cost of care for uninsured patients who qualify for "full" charity care (under a State-sponsored or BHM sponsored charity program) is determined by calculating the cost of each uninsured charity patient (at the procedure and item level) and accumulating the cost of each patient. For insured patients who also qualify for partial charity under the BHS sponsored charity program, costs are allocated to each portion (insurance, partial charity, patient payments and bad debt) using the patient's payer plan cost-to-charge ratio (CCR). For example, this CCR is multiplied by the charges covered by insurance to determine the cost of insurance, multiplied by charges covered by partial charity to determine the cost of partial charity, multiplied by patient payments to determine the cost of paid services and multiplied by unpaid charges to determine the cost of bad debt.The cost of care for uninsured patients who do NOT qualify for charity care (full or partial bad debt accounts) are allocated to each portion (patient paid portion and unpaid portion) using the patient's uninsured payer plan CCR. For example, this CCR is multiplied by patient payments to determine the cost of paid services and multiplied by unpaid charges to determine the cost of bad debt. Much care is taken to ensure that costs used for community benefit reporting are directly related to exempt-purpose patient care and that costs are reported accurately. For example, the cost of charity and Medicaid are removed from the calculation of the loss on subsidized services. Part I, Line 7g: In order to meet the health and wellness needs of our communities throughout Kentucky, Baptist Health Madisonville (BHM), provides grants to Baptist Health Medical Group, Inc., (BHMG), a nonprofit Section 501(c)(3) entity that is organized and operated to provide healthcare facilities and services. These grants allow BHMG to continue to provide support and care for Medicaid and charity care patients through primary care centers, rural health clinics, urgent care centers and specialty health clinics that meet a demonstrated community need. BHM makes these grants on the condition that BHMG use the grant funds only for the following activities:1. To provide care for patients participating in Medicaid and other means-tested government health programs, including but not limited to the Kentucky Children's Health Insurance (KCHIP) program.2. To provide care, for free or at discounted rates, to low-income patients who cannot afford the cost of care.3. To fund the operations of rural health clinics that provide care for the patients described above.4. To engage in community activities and programs in response to demonstrated community needs to improve community health, including but not limited to health screenings; COVID testing; vaccinations and community health education. The expenses related to the above activities are included in Schedule H, Part I, Line 7a, Financial Assistance at Cost, Line 7b, Medicaid and Line 7g; Subsidized Health Services. Part III, Line 2: As a result of certain changes required by Accounting StandardsUpdate(ASU) 2014-09, the majority of Baptist's provision for uncollectibleaccounts is recorded as a direct reduction to net patient service revenueinstead of being presented as a separate line on the consolidatedstatements of operations.The core principle of the guidance in ASU No. 2014-09 is that an entityshould recognize revenue to depict the transfer of promised goods orservices to customers in an amount that reflects the consideration towhich the entity expects to be entitled in exchange for those goods orservices. For Baptist's health care operations, the adoption of ASU No.2014-09 resulted in changes to the presentation for and disclosure ofrevenue related to uninsured and underinsured patients. Under ASU No.2014-09, the estimated uncollectible amounts due from these patients aregenerally considered an implicit price concession and are a directreduction to patient service revenue. Part III, Line 3: Rationale for including other bad debt amount in community benefit:No other bad debt amounts have been included as community benefit. The hospital educates patients with limited ability to pay regarding financial assistance and for this reason, the organization believes it accurately captures all charity care deductions provided according to the financial assistance policy, and the amount of bad debt expense attributable to patients eligible under the organization's charity care policy is negligible. Part III, Line 4: Bad debt expense footnote:Per the financial statements of Baptist Healthcare System, Inc. (which include the activity of Baptist Health Madisonville, Inc.), there is no bad debt footnote for the current year. The amount on line 2 was calculated using a cost-to-charge ratio. Part III, Line 8: Treatment of Medicare shortfall as community benefit: Medicare revenues and allowable costs were taken from the 'as-filed' Medicare cost report. Much care is taken to ensure that all adjustments to remove non-allowable costs are taken. Due to the fact that Medicare rates are established by the government and are non-negotiable, all of the shortfall for Medicare should be included as community benefit. Part III, Line 9b: COLLECTION PRACTICES:Patients and guarantors who qualify for a "full" charity discount will not be billed once the charity determination is made. Patients and guarantors who qualify for a "partial" charity discount will be billed only for the non-discounted portion of their account. Guarantors who have an ability to pay for services will be billed based on the following guidelines: - Patients or guarantors may be asked to pay an estimated patient liability at point of service. - BHS facilities will accept and file claims for all insurances assigned to the organization with adequate proof of coverage. This assignment does not relieve the guarantor of responsibility for payment if the insurer fails to pay as prescribed by regulation, statute or patient-insurance contract. Deductibles, co-payments and non-covered services will be the responsibility of guarantors. - Statements will be sent to guarantors once patient liability is determined for insured or uninsured patients and necessary billing follow-up calls will be made by BHS Patient Financial Services and/or a designated external early out vendor over a period of time averaging from 90 to 120 days. All statements will contain information regarding the availability of financial assistance. If applicable, effort will be made to assist uninsured patients to secure coverage through any governmental or other assistance programs. - Patients requesting detailed charge information will be provided an itemized bill. - BHS Patient Financial Services will provide all patients the same information concerning services and charges. - Patient accounts not resolved at the end of this cycle will be considered for placement with external collection agencies. Collection agencies will continue to pursue patient balances while maintaining compliance with the Fair Debt Collection Practices Act and the ACA International's Code of Ethics and Professional Responsibility. Part VI, Line 2: NEEDS ASSESSMENT: Baptist Health Madisonville used a strategic planning model as the framework for the Community Health Needs Assessment. The hospital's service area was determined by utilizing inpatient and outpatient data regarding patient origin for the period April 2020 through March 2021, and by the nature of the communities served, which are primarily rural. Population demographics and socioeconomic characteristics of the community were gathered through various third party data. Information on the leading causes of death and morbidity information was analyzed in conjunction with data obtained from public surveys and our community partner organizations. All data was compiled and reviewed, then ranked utilizing a weighted method and prioritized to determine the most prominent health issues affecting our communities and the potential degree of influence Baptist Health Madisonville has to positively affect those health and social needs. In addition to assessing the health needs of our communities, the committee compiled a comprehensive list of available and accessible health care facilities and local community resource agencies in our region and calculated the potential need for physicians, advanced care providers and hospital services to meet the growing needs of our communities. Representatives from Baptist Health Madisonville continue to play key roles within the Access for Rural Community Health (ARCH) coalition throughout the year. ARCH is a multidisciplinary community health coalition composed of organizations throughout the region who play a role in the medical and socioeconomic determinants of health. The coalition is very active in community health literacy and health screening programs, as well as identifying and addressing root causes of poor health in individuals and families in the community. Baptist Health Madisonville is also very involved with the western Kentucky community and Hopkins County, collaborating with over 30 area organizations to help meet the needs of our residents. We continue to encourage our community members to be as healthy as they can be through screenings, educational programs and other various internal and external efforts. It is important for us to give back to the community that seeks care from us at important times in their lives. Part VI, Line 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:The organization identifies uninsured patients by requesting insurance information at the time of the appointment request. If the patient has no insurance benefits, appointment scheduling staff will inform the patient of the self-pay policy. Except for emergency room visits, new patients who are unable to pay at the time of service are provided services by financial counselors for education and assistance. Emergency department patients are not asked for payment or insurance upon registration or admission. During financial counseling, patients will be informed of the Kentucky Physicians Care Program (KPC) in coordination with the Disproportionate Share Hospital (DSH) Program. They will also be counseled on potential eligibility for Medicaid and disability programs. Patients will also be advised of the financial assistance policy and applications will be provided. Part VI, Line 4: COMMUNITY INFORMATION:The organization is based in Madisonville, Kentucky (Hopkins County) near Interstate 69, approximately 50 miles south of Evansville, Indiana. The majority of the community's population is concentrated in and around the city of Madisonville, with portions of the nearby counties of Webster and Muhlenberg also having significant patient discharge numbers. There are 28 points of care in the city of Madisonville, 12 in Hopkinsville and 15 in Powderly, Dawson Springs and Princeton. Approximately 25.4% of the community's population falls in the under 21 age range and approximately 19.1% are over the age of 65. The area's healthy business climate boasts a strong employment rate. The average unemployment rate for the service area is 3.5%, compared to 4.7% for the state of Kentucky and the national average of 5.3% for 2021. The emphasis on economic development and the support of local government and community partners continues to have a positive impact on the health of the local community. Part VI, Line 5: PROMOTION OF COMMUNITY HEALTH:The Baptist Health Madisonville Board of Directors is comprised of local representatives who, along with the hospital's management and employees, understand that they are responsible for providing high quality health care services to the communities they serve. Operating healthcare facilities in today's environment requires a delicate balance between producing a sufficient margin to allow for adequate staffing and investment in new technologies, while also providing enough resources to absorb the cost of care for those patients who do not have the ability to pay for the services. Baptist Health Madisonville continues to re-invest in the communities we serve through new technology, new construction, facility renovations and systems improvements. Baptist Health Madisonville is committed to the health and well-being of the community. By putting the patient at the center of everything we do, we also serve the needs of patients' families, health care providers and our current and future employees - providing information, tools and resources.Baptist Health Madisonville reaches out to the community in many ways through: - Conducting health fairs for local schools, businesses and churches. - Participating in fund-raising and other events and donating to local agencies such as the American Heart Association, Metro United Way, American Cancer Society, March of Dimes, United Way of the Coalfield, Habitat for Humanity and the Christian Food Bank.- Participating on community health needs assessment teams that are dedicated to identifying and addressing local health needs in each of the counties we serve. - Hosting educational programs, including our pre-natal classes, breastfeeding classes, a diabetes educational program, smoking cessation and numerous others.- Maintaining necessary, but unprofitable services that meet community needs. - Helping to recruit physicians to underserved areas and extending medical staff privileges to all qualified physicians in our community for some or all of our departments and specialties.- Helping patients coordinate services with other healthcare providers. - Providing resources and donating hospital space for community group meetings and support groups, such as cancer recovery groups. - Promoting and providing preventive care services. - Monitoring clinical outcomes in order to ensure quality care. - Committing resources to improving safety and processes of care. - Providing services conveniently accessible by patients. Not only is Baptist Health Madisonville as an organization involved in the community, but our staff and employees are very involved as well. Baptist Health Madisonville employees volunteer thousands of hours in community services and leadership. Our support for community activities underscores our commitment to improving the lives of those served. Team members are active in local civic clubs and sit on the boards of Habitat for Humanity, Salvation Army, Women's Triangle Recovery House, Hopkins County Community Clinic, United Way and Happy Feet. Our staff members volunteer at numerous health literacy and health screening events in the area throughout the year, as well as the Breaking Bread Food Ministry, a local kitchen/food bank. Because Baptist Health Madisonville and our employees contribute so much of their time, talent and resources to serve others, communities served by Baptist Health Madisonville are better, healthier places to live and work.Quantification of many of the community benefits is detailed elsewhere in this schedule. However, what the quantifiable amount does not measure is the economic benefit derived by the community from Baptist Health Madisonville being one of the major employers in the area. The economic impact of the wages paid to our employees is significant considering the dollars they spend on food, housing, services and other products. The Internal Revenue Service Revenue Ruling 69-545 provides that a hospital can demonstrate it has met the community benefit standard by having a full-time emergency room open to the public regardless of ability to pay for services received. The Baptist Health Madisonville hospital operates an emergency department that is open 24 hours a day, 365 days a year and treated over 24,000 emergency patients during fiscal year 2021. The emergency department posts policies stating that patients will be treated regardless of their ability to pay. Depending on the severity of a patient's condition, as a service to the patient Baptist Health Madisonville may verify insurance prior to rendering services in the emergency department. Under no circumstances is emergency care delayed by discussions regarding insurance coverage or ability to pay for services. In addition, Baptist Health Madisonville does not convey or intimate in any way to any emergency medical transportation service an unwillingness to treat any particular patient in need of medical attention. Part VI, Line 6: AFFILIATED HEALTH CARE SYSTEMS:Through 8/31/2021, Baptist Health Madisonville was 100% owned and operated by Baptist Healthcare System, Inc., a non-profit health system that owns and operates eight hospitals in Kentucky and Indiana. Effective 9/1/2021, Baptist Healthcare System, Inc. and Deaconess Health Kentucky, Inc. formed the joint venture Baptist Health Deaconess, LLC which owns Baptist Health Deaconess Madisonville, Inc. hospital and Baptist Health Deaconess Medical Group, Inc. which operates physician practices and outpatient clinics. Through this joint venture, Baptist Healthcare System, Inc. and Deaconess Health Kentucky, Inc. bring capital and expertise that will provide enhanced health care services to the Madisonville community. Part VI, Line 7, Reports Filed With States KY Form 990, Schedule H, Impact of COVID-19 Baptist Health Madisonville reached out to our state and our communities:Clinical leaders from Baptist Health, the largest health system in the Commonwealth of Kentucky, played a principal role as advisors to the Commissioner for Public Health, the Cabinet for Health and Family Services ("CHFS"), Office of Inspector General, and other state agencies in response to the unprecedented needs of our community during the COVID-19 pandemic. In conjunction with leadership teams from other health systems and the Kentucky Hospital Association, Baptist Health played a lead role in advising and developing the State's COVID-19 policies and its guidelines on multiple matters including: --- Initial planning at the beginning of the COVID-19 pandemic to ensure the safety of patients, first responders and healthcare workers by establishing guidelines for the suspension of elective procedures, non-urgent/emergent radiology, therapy and ambulatory visits. --- Collaboration with the CHFS to help manage the nursing home and post-acute care setting emergencies that became a focal point of the COVID-19 pandemic. Baptist Health worked closely with the State to provide on-site resources in support of facilities that were in crisis, in an effort to help stabilize those facilities and provide care to vulnerable residents. --- Provided critical PPE and other necessary materials to fellow healthcare providers when the State was unable to secure much needed supplies. --- Coordinated key vendor relationships that allowed the State to secure high quality PPE products with fluid deliveries. These products were ultimately made available to nursing homes and other facilities that provided care and aid to indigent members of our community. --- The development of guidelines for restarting all non-emergent clinical services including the appropriate phasing and criteria required of hospitals to resume elective care, both in ambulatory and acute care settings.Two Baptist Health executives joined the Kentucky Procurement Advisory Committee to support entrepreneurs and small businesses that began producing PPE during the COVID 19 pandemic, allowing for the possibility of producing PPE on a permanent basis. The benefits of having a source of critical supplies in the US and within the State are significant. Healthcare and non-healthcare companies came together through this committee to develop an inventory system for the State to ensure that adequate inventory levels of appropriate supplies would be maintained in preparation for any future state of emergencies.The Baptist Health Back to Work Program was developed to help employers implement a safe return to work plan for their employees through convenient and easy-to-use screening and monitoring tools, including COVID-19 Testing Solutions, a web-based screening application, and a MyChart-based home monitoring and case management platform. Baptist Health is the only major health system in Kentucky or southern Indiana that offers customized COVID-19 solutions for employers. Baptist Health ensured the safety of patients, providers and employees:Baptist Health acted swiftly and efficiently to the COVID-19 pandemic by responding to the needs of our communities, our patients and our staff members through implementing disaster readiness protocols and the following: --- In early March 2020, Baptist Health began to secure PPE to meet the expected COVID-related demand throughout each of its markets and developed system-wide warehousing and logistics plans to manage and distribute critical equipment and PPE to ensure that all facilities had adequate supplies at all times.--- Established local incident command operations in each market, with hospital and medical groups coordinating in to a single unit. The System Crisis Management Team coordinates efforts and all communications across the System to ensure safety, best practices and consistency of implementation.--- Baptist Health hospitals created respiratory evaluation centers to triage patients to specific COVID-19 testing sites away from emergency room and other facility entryways. --- Baptist Health created a central, system-wide respirator inventory to serve as a supply source in order to deploy equipment to specific locations based on need in the event of COVID-19 surge activity. At no time during the COVID-19 pandemic was any Baptist Health hospital without adequate respirator equipment.--- Baptist Health secured additional testing supplies and more rapid testing capabilities, and developed specific screening, testing and treatment protocols. --- Baptist Health continues to make a concerted effort to support our communities by providing frequent education and assistance to community members and local businesses who have questions regarding operating in a COVID-19 environment.--- Our quick pivot to enhanced digital/virtual healthcare solutions, with the creation of new processes and procedures and the enhancement of existing services, allowed us to provide healthcare services for patients to address their immediate medical needs, all while ensuring the safety of patients, staff and physicians. Video teleconferencing services proved to be a valuable tool as it became a lifeline for our behavioral health patients. Remote patient monitoring technology has been used extensively to support patients with COVID-19 recovering at home, patients with chronic obstructive pulmonary disease and patients suffering from congestive heart failure. A telestroke program that links specialists at Baptist Health's two stroke-certified centers to patients in other locations has also been a lifesaving tool. In a short span of time, we advanced digital health services by years and have seen our patients embrace this change. Telehealth, telemedicine and digital health solutions continue to be utilized effectively to reach patients who otherwise may not seek care and to improve patient experience. In addition to all the COVID endeavors on a system basis, Baptist Health Madisonville also contributed to our local community with the following unique support:---Team members (CMO, CNO, Pharmacists, CCU and COVID unit RNs), attended Facebook Live events sponsored by the Hopkins County Judge Executive and Mayor of the City of Madisonville to educate the community about COVID.---PPE, scrubs and gowns were provided to the Ridgewood Terrace Nursing Home SWAT team sent by the state during an outbreak. ---Hospital and clinical staff members attended Coalfield Comments and Western KY Live radio events to educate listeners and answer questions from the community on COVID topics.---Baptist Health Madisonville collaborated with local partners to produce PPE during the early stages of the pandemic. Berry Plastics produced face shields for our staff and Madisonville Community College utilized 3D printing to generate face shields and CAPR clips.--- Members of our leadership team served as liaison between state government officials and local health department leadership.---Baptist Health Medical Group Madisonville very quickly transitioned to telehealth options at the start of the pandemic. Through August 31, 2021, BHMG Madisonville served patients through over 18,000 phone visits and 10,000 video visits.Navigating the COVID-19 pandemic has accelerated the growth and development of innovations in the delivery of healthcare services that will positively affect how care is provided in the future. Baptist Health Deaconess Madisonville continuously monitors COVID-19 health data, statistics, trends, clinical information and research in order to reevaluate and reassess current policies and procedures so that we can maintain the highest safety standards and provide peak levels of care to our patients. Through 8/31/2021, Baptist Health Madisonville facilities administered approximately 25,000 COVID-related diagnostic tests and screenings, over 24,000 COVID vaccines and treated over 3,300 COVID-19 patients. 1 Baptist Health Foundation Madisonville Inc 2701 Eastpoint Parkway Louisville KY 40223 472893430 501(c)(3) 188649 General Support Baptist Health Medical Group Inc 2701 Eastpoint Parkway Louisville KY 40223 205497203 501(c)(3) 23851858 Subsidize Services 2 0 Part I, Line 2: There is a committee that is responsible for approving all donations. The committee selects the organization based on nonprofit criteria. An annual budget is established to determine the total amount of funds to be distributed each year. Part II, Line 1 In order to meet the health and wellness needs of our communities throughout Kentucky, Baptist Health Madisonville, Inc. (BHM), provides grants to Baptist Health Medical Group, Inc., (BHMG) that allow BHMG to continue to provide support and care for Medicaid and charity care patients through primary care centers, rural health clinics, urgent care centers and specialty health clinics that meet a demonstrated community need. These amounts are reported in various lines of Form 990, Part IX, Statement of Functional Expenses. 0 1 0 0 0 0 0 0 0 Gerard Colman CEO 0 1277574 0 1761830 0 18852 0 256204 0 28496 0 3342956 0 0 Stephen R Oglesby VP and Treasurer 0 607880 0 436019 0 15102 0 113058 0 27065 0 1199124 0 0 Janet Norton VP and Secretary 0 542699 0 407264 0 180262 0 8550 0 29325 0 1168100 0 0 Robert Ramey President 0 356651 0 201130 0 11622 0 8550 0 10170 0 588123 0 0 James E Armstrong MD Director (Through 12/31/20) 0 439174 0 11137 0 1941 0 8550 0 24390 0 485192 0 0 Ronald R Gilley MD Director (Effective 5/14/21) 0 319508 0 104959 0 1623 0 4275 0 19377 0 449742 0 0 William McColl Medical Physicist 225960 0 250 0 1165 0 6706 0 18845 0 252926 0 0 0 Darlena Jones Program Administrator 199427 0 250 0 2835 0 6119 0 23940 0 232571 0 0 0 Pamela Thurman Asst Program Director 185535 0 250 0 2172 0 2888 0 20001 0 210846 0 0 0 Margo Ashby Director, Pharmacy 177951 0 250 0 2732 0 5212 0 1343 0 187488 0 0 0 Lorie Oglesby VP, HR and Education 141708 0 21555 0 1866 0 4301 0 2306 0 171736 0 0 0 Part I, Line 3 Baptist Healthcare System, Inc., a related organization of Baptist Health Madisonville, Inc., uses the following to establish the compensation of the organization's CEO: - Compensation committee - Independent compensation consultant - Form 990 of other organizations - Written employment contract - Compensation survey or study - Approval by the Board or Compensation Committee. Part I, Line 4b Two current officers who participated in the Supplemental Executive Retirement Plan accrued amounts for 2020 which is a portion of the amount reported as deferred compensation in Schedule J, Column C. Other retirement and deferred compensation reported in Schedule J, Column C include amounts for the Retirement Accumulation Plan and Thrift Plan. The following individuals participated in and accrued amounts from the Supplemental Executive Retirement Plan: Stephen R. Oglesby $104,508 Gerard J. Colman $247,654 The following individual received a payout from the Supplemental Executive Retirement Plan, a nonqualified deferred compensation plan, as she is fully vested in the plan: Janet Norton $163,738 Form 990, Part III, Line 4a: Statement of Program Service Accomplishments: Baptist Health Madisonville is a tertiary acute care hospital, serving numerous rural communities in western Kentucky and offering over 35 points of care and a broad range of inpatient and outpatient services. As an integrated healthcare provider, Baptist Health Madisonville includes more than 100 primary care and specialist physicians, a 410-bed hospital with an advanced 20-bed Critical Care unit; an extensive education division that trains students in numerous capacities to provide medical care in rural areas; award-winning women's health services; advanced cancer care and a progressive heart and vascular center. The hospital also has clinics conveniently located in nearby communities to provide care close to home for our patients. Baptist Health Madisonville provided care for 5,965 inpatient adult, pediatric and nursery admissions with 32,453 patient days, 746 live births, 199,957 outpatient visits and 10,159 surgery visits during fiscal year 2021. Baptist Health Madisonville's Mahr Cancer Center is Kentucky's oldest community hospital cancer program to consistently hold accreditation with the American College of Surgeons Commission on Cancer, receiving the No. 1 overall rating. The Merle M. Mahr Cancer Center is focused on preventing cancer, diagnosing cancer and treating it with the most aggressive, advanced therapies available. With state-of-the-art treatments, best-practice therapies and innovative clinical trials, the center delivers help and hope to people with cancer. The Mahr Center provided over 20,000 treatments to patients during fiscal year 2021, including chemotherapy and infusion; radiation oncology services; surgical services and advanced diagnostic and screening procedures. With skilled hands and compassionate hearts, the Jack L. Hamman Heart & Vascular Center encompasses the best in technology and facility design under one roof. The Center provides a complete range of services for diagnosis, treatment, and recovery from heart disease, as well as programs for assuring and maintaining wellness. The cardiac catheterization lab offers numerous procedures including the diagnosis and treatment of blood clots; implantation of permanent pacemakers; the use of stents to expand vessels and the removal of deposits from vessel walls. The Pacemaker/Defibrillator Clinic provides ongoing care for all pacemaker patients from practitioners who are assisted by technology experts to help ensure healthy recoveries and consistent, proper device performance. The Cardiac Rehabilitation program is administered by specially trained physiologists and nurses and provides a personalized rehabilitation program to help patients recover strength through exercise. Baptist Health Hospice is dedicated to providing support and care for individuals during their last phase of life, as well as assistance to their families through the death and bereavement process. Through a coordinated and dedicated team approach, the Hospice staff and volunteers provide physical, emotional and spiritual assistance to those with a life-limiting illness by focusing on the quality of life. We provide terminally ill patients of all ages virtually all of the services of a healthcare facility, but in the privacy of their own home. The Hospice team has more than 160 years of combined experience and is made up of physicians, registered nurses, social workers, chaplains, certified nursing assistants, ancillary staff including physical and occupational therapists and volunteers. Education has played vital role in the history and growth of Baptist Health Madisonville. From elementary school students to health professionals and physicians, Baptist Health Madisonville offers a wide range of learning opportunities. The Baptist Health Madisonville Medical Education and Research Center provides numerous educational programs that benefit the communities of western Kentucky. --- Established in 1971, the Baptist Health Family Medicine Residency Program has been dedicated to helping provide well-educated and expertly trained family physicians to rural western Kentucky and beyond. We have a proud tradition of quality residency training, with graduates practicing all over the country, in both rural and metropolitan areas. The diversity of our program's population and the rural community and lifestyle are instrumental in developing quality family physicians. The education and skills our residents have received serve them well as they practice on the front lines of medicine. Our residency program is an important part of our vision to lead in clinical excellence, compassionate care and growth to meet the needs of our patients. --- The purpose of the Baptist Health Madisonville post-graduate Pharmacy Residency Program is to build on the Doctor of Pharmacy education and outcomes to contribute to the development of clinical pharmacists responsible for medication-related care of patients with a wide range of conditions. --- Established in 1986, the goal of the West Area Health Education Center, (AHEC), in Madisonville is to improve the recruitment, distribution and retention of healthcare professionals in our region and to improve the health of the communities we serve. The program connects the academic health centers at the University of Kentucky and the University of Louisville with medically under-served communities throughout the Commonwealth to address healthcare access issues in Kentucky. The AHEC program places college healthcare students in training rotations in rural hospitals, health departments, clinics and private offices across its 14-county area in western Kentucky. The program also coordinates student clinical training; provides continuing education for health professionals close to home; works with local schools to promote careers in health care and supports library networks to meet the information needs of students and healthcare practitioners. --- The University of Louisville School of Medicine Trover Campus is a regional teaching center of the university located on the Baptist Health Madisonville hospital campus that offers medical students the opportunity to complete the last two years of medical school in a rural community. --- Baptist Health also collaborates with Murray State University to offer the only program in Kentucky for Nurse Anesthesia Training. Baptist Health Madisonville serves as the primary clinical site for the program. The program is dedicated to graduating nurse anesthetists with the highest professional competence who are committed to returning to rural areas to practice. Upon completion of the program, the graduates hold a Doctor of Nursing Practice (DNP) degree and are qualified to apply for the national certification exam to become Certified Registered Nurse Anesthetists. --- The Delta Rural Network Center is located in the Dr. Loman C. Trover Medical Education and Research Center on the Baptist Health Madisonville hospital campus. It is funded by a Delta States Rural Development Network grant program from the U.S. Department of Health and Human Services. The Kentucky Delta Rural Project is a community health and wellness program administered by Baptist Health Madisonville. The goal of the project is to enhance the culture of wellness in our service area schools by involving school staff, students, parents and community organizations. The initiative promotes wellness activities in 74 elementary, 26 middle and 26 high schools. The principal objective is to assist the schools with establishing sustainable wellness committees to focus on wellness initiatives and to promote healthy lifestyle habits. The Baptist Health School Wellness Initiative is an HRSA-funded anti-obesity wellness promotion program that serves 20 rural Mississippi Delta Region counties. Through this initiative, the Delta Rural Network Center helps area elementary, middle and high schools establish sustainable school wellness leadership teams to assess and address health and wellness activity. The iniative also focuses on the retention of academic classroom-based physical activity beyond required health and physical education; providing professional development training for school staff; healthy lifestyle activities and presentations for students and residents, and wellness policy development and review. --- Centering Pregnancy Smiles is a partnership between the University of Kentucky, the Baptist Health Madisonville Education and Research Center, the Hopkins County Health Department, the national Centering Pregnancy initiative and other federal, state and local leaders. The alliance, established to end the cycle of preterm births, low birth weight, and poor oral health in Kentucky, has already saved Kentucky more than $2 million in direct health costs. The Center offers tours, classes and seminars, and participates in community educational events. Form 990, Part III, Line 4a: Statement of Program Service Accomplishments: --- We have worked closely with Madisonville Community College (MCC) and Hopkins County Schools for many years to support and expand nursing and allied health training programs in the area. This partnership provides career training for local students and helps fill the pipeline for the health workers and caregivers required in our communities. We have also collaborated with MCC to develop and operate two innovative training facilities. We have a high-level simulation hospital that is used to train health science students throughout western Kentucky. This facility is currently being expanded to include critical care and surgery simulation capabilities. We also built a new home health training facility that is located adjacent to our hospital campus. The facility is designed as a house with both a standard, typical home layout and with an ADA-compliant layout. This facility provides real-life, hands-on training for home health workers, therapists, nursing students and others. Other educational events sponsored or supported by the organization include the First Step Nursing Program, the Dr. Loman C. Trover Symposium and the Oral Health Summit. COMMUNITY PROGRAMS,EVENTS AND DONATIONS: Baptist Health Madisonville has always been an organization that the community looks to for support of community events. Whether it is financial support, the human resources of our employees, or both, the people of western Kentucky have come to rely on the organization to help make community events successful. In order to improve the general wellbeing of the communities we serve, the organization is involved in numerous community events, working with local organizations, schools and businesses to promote health and education through various events. Baptist Health Madisonville's real passion is health care. For that reason, emphasis is placed on helping organizations with health care missions. Baptist Health Madisonville served thousands of individuals through community educational events, health fairs and screenings during the 2021 fiscal year. Blood sugar and blood pressure screenings are provided regularly at satellite locations and The Mahr Cancer Center provided prostate, lung and colorectal cancer screenings working with the Kentucky Cancer Program. Free mammograms are provided to uninsured and underinsured members of the community through the Think Pink Breast Cancer Awareness programs. Additionally, we sponsor the"4th Fest" Family Night, an annual event in our wellness park that we maintain for use by the community; free sports physicals are provided to high school students in our service area counties and we operate and maintain a full-time dedicated research center, established to ensure that the community has early access to promising new medicine and medical treatments. The support groups offered by the organization, at no cost to the community, are staffed by hospital employees and served hundreds of patients and their families. These groups discuss health issues such as Alzheimer's disease, cancer, diabetes, fibromyalgia, multiple sclerosis, asthma and numerous other health and wellness topics. To enhance access, some support groups are held at satellite locations and via teleconference for the convenience and safety of the participants. Oftentimes our team members work additional hours above their normal workloads to staff these events and programs. The organization employs a full-time chaplain who is available for our patients, guests and employees; as well as a full-time chaplain for the Hospice program. These services, provided at a cost to the organization of over $80,000, include consultation, pastoral care, counseling and in-service seminars. In 2021, Baptist Health Madisonville volunteers gave thousands of hours to the community. The volunteer program exists solely for service and is not a fund-raising group for the organization. Volunteers provide services to aid community members who use numerous hospital facilities, including the waiting rooms, the information desk and other areas. Volunteers also deliver mail to patients. Baptist Health Madisonville supports its communities through financial and in-kind donations. Examples of supported events include giveaways for local school events, hospital tours, in-class speakers, support to the local Board of Education for health care education programs for high school students and financial support for community events at the Glema Mahr Center for the Arts. Baptist Health Madisonville also supports the March of Dimes, the Salvation Army, United Way of the Coalfield, Habitat for Humanity, the Christian Food Bank, local 4-H Councils, the Boy Scouts and numerous other organizations. CHARITY AND COMMUNITY BENEFIT CARE: Baptist Health Madisonville provides care to patients who meet guidelines established in the organization's charity care policy at no charge or at charges less than established rates. Other uncompensated care relates principally to contractual allowances for government payors, discounts taken by commercial payors and bad debts. Community benefit expense represents approximately 18.4% of the total organization's expense for the period ended August 31, 2021. Part V, Line 1 Form 1096 is filed by Baptist Healthcare System, Inc., FEIN 61-0444707. Part V, Line 2B All employment tax returns are filed by Baptist Healthcare System, Inc. (61-0444707). Form 990, Part VI, Section A, line 6 Members or stockholders: Through 8/31/2021 the organization's sole member is Baptist Healthcare System, Inc. ("BHS"), a non-profit, tax-exempt corporation organized under and pursuant to the provisions of the law of the Commonwealth of Kentucky. Form 990, Part VI, Section A, line 7a Power to elect or appoint members: The Board of Directors of Baptist Health Madisonville, Inc. is appointed by Baptist Healthcare System, Inc., (BHS). Form 990, Part VI, Section A, line 7b Decisions reserved to members or stockholders: The consent & approval of the sole member shall be required for all major corporate actions, and any act the result of which would be to: a. Approve the mission, vision, and value of the corporation and amendments thereto; b. Approve amendments to the articles of incorporation and the bylaws of the corporation; c. Approve the strategic plan of the corporation; d. Approve the transfer or disposition of all or substantially all of the corporation's assets or investment or interest in any business enterprise; any merger, combination, or reorganization of the corporation; any liquidation, reorganization, or recapitalization of the corporation; or any agreement to do the foregoing; e. Approve the capital expenditure and operating budgets of the corporation, and any unbudgeted expenditures over $500,000; f. Selection of the corporation's auditor; g. Approve the incurrence of debt of the corporation above $500,000 or other amount established by BHS and the making of any capital expenditure above $500,000 or other amount established by BHS; h. Approve the appointment, removal, and evaluation of the president or chief executive officer of the corporation acting through the president and chief executive officer of BHS; i. Appoint or remove, with or without cause, the members of the board of directors of the corporation. Appointment and removal shall not require a recommendation of the corporation's board; j. Appoint or remove, with or without cause, the chair of the board of the corporation. Appointment and removal shall not require a recommendation of the corporation's board; k. Authorize execution of any contract, agreement, or similar instrument by which the corporation may be obligated to pay more than an amount established by BHS; l. Acquire any stock of any corporation or any equity in another corporate form, or invest in or acquire any interest in any business enterprise. Form 990, Part VI, Section B, line 11b Process used to review the Form 990: The internally prepared Form 990 is reviewed and approved by tax consultants. Copies are given to each voting member of the Board of Directors prior to filing for their review. The Form 990 is then presented at a monthly meeting of the hospital's Board of Directors. Form 990, Part VI, Section B, line 12c Monitoring and enforcement of compliance with conflict of interest policy: Conflict of Interest statements are completed for each board member, principal officer, and committee member with board delegated powers. The chairman of the Board of Directors is responsible for being familiar with the statements and identifying existing or contemplated transactions or relationships which may give rise to a conflict of interest. Affected board members, officers, and committee members are also responsible for bringing conflicts which they may be a part of to the attention of the Board. Such affected parties are required to withdraw from the meetings for the time in which the matter continues under discussion. If the matter is brought to a vote, the affected party will not vote on it. If the matter requires a special called meeting, the affected party will not be counted in establishing a quorum. The Board will also appoint a non-interested person to investigate alternatives to the proposed transaction. Form 990, Part VI, Section B, line 15 Compensation determination process: The President of Baptist Health Madisonville, Inc. is not an employee of Baptist Health Madisonville, Inc. but is an employee of Baptist Healthcare System, Inc., a tax-exempt 501(c)(3) organization which is the sole member of Baptist Health Madisonville, Inc. The President is compensated by Baptist Healthcare System, Inc. Annually in December, the Baptist Healthcare System, Inc. Compensation Committee reviews the compensation, including base compensation and incentive compensation for the President. The Baptist Healthcare System, Inc. Compensation Committee is comprised of independent Board Members. The Committee retains a Compensation Consultant to advise the Committee and who provides data as to comparable compensation for similarly qualified persons in functionally comparable positions at similarly situated healthcare organizations. The Committee reviews this information in approving annual base and incentive compensation and other items of reportable compensation described on Schedule J of the IRS Form 990. The decisions of the Committee regarding compensation are contemporaneously documented in the minutes of the Committee. Annually, the Committee Chairperson and the Compensation Consultant provide a report on executive compensation to the full Board of Directors of Baptist Healthcare System, Inc. The compensation of officers is either reviewed and approved by the Compensation Committee of the Baptist Healthcare System, Inc. Board or is reviewed and approved by the Baptist Healthcare System, Inc. President and CEO or the Baptist Health Madisonville President and CEO. The organization makes every effort to ensure that the compensation of all employees is reasonable and appropriate for the value of the services received by the organization. Form 990, Part VI, Section C, line 19 Process for making documents available to the public: The organization's governing documents, conflict of interest policy and financial statements are available upon request in the organization's administrative office. Form 990, Part IX, line 11g Adminstrative Services: Program service expenses 19,926,502. Management and general expenses 3,949,227. Fundraising expenses 0. Total expenses 23,875,729. Physician Fees: Program service expenses 9,577,750. Management and general expenses 0. Fundraising expenses 0. Total expenses 9,577,750. Consulting Fees: Program service expenses 0. Management and general expenses 17,351. Fundraising expenses 0. Total expenses 17,351. Form 990, Part XI, line 9: Physician Entity Funding -24,687,269. IS Depreciation 2,527,659. Other -3,310,446. Balance Sheet Transfer -91,362,048. Baptist Health Foundation Corbin Inc 2701 Eastpoint Parkway Louisville KY 40223 473033550 Fundraising KY 501(c)(3) Schedule A, Line 12a Baptist Healthcare System Inc 1 Baptist Health Foundation Lexington Inc 1740 Nicholasville Rd Lexington KY 40503 611480774 Fundraising KY 501(c)(3) Schedule A, Line 12a Baptist Healthcare System Inc 1 Baptist Health Foundation MadisonvilleInc 2701 Eastpoint Parkway Louisville KY 40223 472893430 Fundraising KY 501(c)(3) Schedule A, Line 12a Baptist Healthcare System Inc 1 Baptist Health Foundation of Greater Louisville Inc 4000 Kresge Way Louisville KY 402074604 200292291 Fundraising KY 501(c)(3) Schedule A, Line 12a Baptist Healthcare System Inc 1 Baptist Health Foundation Paducah Inc 2501 Kentucky Ave Paducah KY 42003 264057759 Fundraising KY 501(c)(3) Schedule A, Line 12a Baptist Healthcare System Inc 1 Baptist Health Foundation Richmond Inc PO Box 1600 Richmond KY 40476 311506378 Fundraising KY 501(c)(3) Schedule A, Line 12a Baptist Healthcare System Inc 1 Baptist Health Medical GroupInc 2701 Eastpoint Parkway Louisville KY 40223 205497203 Physician Services KY 501(c)(3) Schedule A, Line 3 Baptist Healthcare System Inc 1 Baptist Healthcare Foundation Inc 2701 Eastpoint Parkway Louisville KY 40223 311122867 Fundraising KY 501(c)(3) Schedule A, Line 12a Baptist Healthcare System Inc 1 Baptist Healthcare System Inc 2701 Eastpoint Parkway Louisville KY 40223 610444707 Hospital KY 501(c)(3) Schedule A, Line 3 N/A 0 Medical Center Ambulance Services Inc 629 Lafoon Street Madisonville KY 42431 610946210 Ambulance Services KY 501(c)(3) Schedule A, Line 10 N/A 1 Mercy Regional Emergency Medical System LLC 126 Lone Oak Road Paducah KY 42001 611310466 Ambulance Services KY 501(c)(3) Schedule A, Line 12a Baptist Healthcare System Inc 1 Pattie A Clay Hospital Auxiliary PO Box 1600 Richmond KY 40476 510172717 Support Hospital KY 501(c)(3) Schedule A, Line 12a Baptist Healthcare System Inc 1 Baptist EastMilestone LLC 750 Cypress Station Dr Louisville KY 40207 611355065 Fitness Center KY N/A N/A 0 0 Baptist Physicians' Surgery Center LLC 1720 Nicholasville Rd 101 Lexington KY 405031490 043665929 Ambulatory Surgery Center KY N/A N/A 0 0 Medical Associates of Middletown LLC 4000 Kresge Way Louisville KY 40207 200399400 Medical Office Building KY N/A N/A 0 0 Cumberland Valley Surgical Center LLC PO Box 1620 Corbin KY 40701 611348280 Ambulatory Surgery Center IN N/A N/A 0 0 MS Community Health LLC 2701 Eastpoint Parkway Louisville KY 40223 611303514 Health Clinic KY N/A C 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 1 Baptist Healthcare System Inc R 99100728 Cost Baptist Healthcare System Inc P 26467648 Cost Baptist Health Medical Group Inc S 24995301 Cost Baptist Health Medical Group Inc P 2336809 Cost Baptist Health Medical Group Inc J 3146334 Cost Baptist Health Foundation Madisonville Inc B 188649 Cost Baptist Health Foundation Madisonville Inc S 52932 Cost