DEACONESS UNION COUNTY HOSPITAL INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- DEACONESS UNION COUNTY HOSPITAL INC (EIN 86-2614124)
- Tax period
- 2023-10-01 to 2024-09-30
- Filed
- 2025-08-14
- IRS object ID
- 202512269349303101
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-08-14T15:16:45-05:00 | ReturnTs |
| Tax Period End | 2024-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N MERIDIAN ST SUITE 200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 862614124 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEACONESS UNION COUNTY HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DEAC | BusinessNameControlTxt |
| Phone | 2703895000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4604 US HWY 60 | AddressLine1Txt |
| City | MORGANFIELD | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42437 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AMBER POWELL | PersonNm |
| Person Title | CNO | PersonTitleTxt |
| Phone | 2703895085 | PhoneNum |
| Signature | 2025-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EMILIE M KNIERIEM CPA | PreparerPersonNm |
| PTIN | P01330194 | PTIN |
| Phone | 3176334705 | PhoneNum |
| Preparation | 2025-08-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | AMBER POWELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4604 US HWY 60 | AddressLine1Txt |
| City | MORGANFIELD | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42437 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,252,680 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DEACONESS.COM/DEACONESS-UNION-COUNTY-HOSPITAL | WebsiteAddressTxt |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Formation | 2021 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 146 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $26,821 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $29,000,738 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $29,992,547 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,540 | CYInvestmentIncomeAmt |
| PY Other Revenue | $176,189 | PYOtherRevenueAmt |
| CY Other Revenue | $227,772 | CYOtherRevenueAmt |
| PY Total Revenue | $29,176,927 | PYTotalRevenueAmt |
| CY Total Revenue | $30,252,680 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $289 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,763,638 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,865,742 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,131,429 | PYOtherExpensesAmt |
| CY Other Expenses | $12,553,896 | CYOtherExpensesAmt |
| PY Total Expenses | $22,895,067 | PYTotalExpensesAmt |
| CY Total Expenses | $21,419,927 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,281,860 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,832,753 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $34,287,050 | TotalAssetsBOYAmt |
| Total Assets EOY | $38,835,079 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,711,726 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,424,500 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,575,324 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,410,579 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $18,061,051 | ExpenseAmt |
| Grant | $289 | GrantAmt |
| Revenue | $29,992,547 | RevenueAmt |
| Desc | DEACONESS HOSPITAL UNION COUNTY IS A CRITICAL ACCESS HOSPITAL IN UNION COUNTY, KY. DURING FY 2024, DEACONESS UNION COUNTY HOSPITAL SERVED 358 INPATIENTS FOR A TOTAL OF 2,697 INPATIENT DAYS. UNION COUNTY ALSO PROVIDED 588 EMERGENCY ROOM VISITS. | Desc |
| Total Program Service Expenses | $18,061,051 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 39 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 146 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERYL A WATHEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8124503296 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MARY STREET | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47747 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| ADAM O'NAN | |||||||||
| CHAIRPERSON | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PATRICIA SHEFFER | |||||||||
| VICE CHAIRPERSON | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TESSA GOUGH | |||||||||
| SECRETARY / TREASURER | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DR WILLIAM ALLEN WHITE | |||||||||
| MEMBER | 2.00 | 56.00 | Yes (X) | $0 | $0 | $0 | |||
| SUSAN BRUMLEY | |||||||||
| MEMBER | 2.00 | 40.00 | Yes (X) | $0 | $267,494 | $47,096 | |||
| RONALD BURKINS | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| TERRA HANCOCK | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| STEPHANIE JENKINS | |||||||||
| MEMBER | 2.00 | 40.00 | Yes (X) | $0 | $183,130 | $8,509 | |||
| GARLAND CERTAIN | |||||||||
| MEMBER PARTIAL TERM | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JARED M STIMPSON | |||||||||
| MEMBER | 2.00 | 40.00 | Yes (X) | $0 | $254,300 | $44,491 | |||
| AMBER N POWELL | |||||||||
| CNO | 50.00 | 1.00 | Yes (X) | $97,276 | $63,598 | $41,584 | |||
| JESSYCA D CARDWELL | |||||||||
| STAFF NURSE RN CAH | 40.00 | 0.00 | $131,810 | $0 | $26,050 | Yes (X) | |||
| NELSON W CARTWRIGHT | |||||||||
| TEAM LEADER RN CAH | 40.00 | 0.00 | $140,674 | $0 | $29,050 | Yes (X) | |||
| BRANDI M CLEMENTS | |||||||||
| TEAM LEADER RN CAH | 40.00 | 0.00 | $125,738 | $0 | $23,564 | Yes (X) | |||
| TRACIE L PRIDE | |||||||||
| STAFF NURSE RN CAH | 40.00 | 0.00 | $119,484 | $0 | $28,273 | Yes (X) | |||
| STACY PARSONS | |||||||||
| REGISTERED NURSE | 40.00 | 0.00 | $123,025 | $0 | $7,778 | Yes (X) | |||
| MARC JARED FLORENCE | |||||||||
| FORMER BOARD MEMBER | 2.00 | 61.00 | $0 | $666,289 | $152,374 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $738,007 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,434,811 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $408,769 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CONCORD MEDICAL GROUP | |||||
| 1602 AVE Q | LUBBOCK | TX | 79401 | EMERGENCY SERVICES | $1,322,967 |
| PROGRESSIVE HEALTH OF INDIANA | |||||
| 150 N ROSENBERGER | EVANSVILLE | IN | 47710 | THERAPY SERVICES | $1,071,584 |
| SOUTH CENTRAL PHYSICIANS PLLC | |||||
| 1602 AVE Q | LUBBOCK | TX | 79401 | MEDICAL PRO FEES | $243,108 |
| ALLIDED UNIVERSAL DBA UNIVERSAL PROTECTI | |||||
| PO BOX 277469 | ATLANTA | GA | 30384 | SECURITY SERVICES | $170,644 |
| TOTAL MSP LLC | |||||
| 221 W COLLEGE AVE FLOOR 2 | APPLETON | WI | 54911 | STAFFING | $170,644 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $26,821 | GovernmentGrantsAmt |
| Total Contributions | $26,821 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET OUTPATIENT | 621400 | $20,873,107 | $20,873,107 |
| INPATIENT | 621400 | $8,627,074 | $8,627,074 |
| PHYSICIAN SERVICES | 621400 | $398,307 | $398,307 |
| ALL OTHER | 621400 | $94,059 | $94,059 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $29,992,547 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,540 | TotalRevenueColumnAmt |
| Exclusion | $5,540 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $227,772 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $227,772 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $227,772 | TotalRevenueColumnAmt |
| Exclusion | $227,772 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,252,680 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,992,547 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $233,312 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $289 | TotalAmt |
| Program Services | $289 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,783,692 | TotalAmt |
| Program Services | $6,037,486 | ProgramServicesAmt |
| Management And General | $746,206 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,662 | TotalAmt |
| Program Services | $23,729 | ProgramServicesAmt |
| Management And General | $2,933 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,519,125 | TotalAmt |
| Program Services | $1,352,021 | ProgramServicesAmt |
| Management And General | $167,104 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $536,263 | TotalAmt |
| Program Services | $477,274 | ProgramServicesAmt |
| Management And General | $58,989 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,024,080 | TotalAmt |
| Program Services | $3,466,615 | ProgramServicesAmt |
| Management And General | $1,557,465 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,889 | TotalAmt |
| Program Services | $7,911 | ProgramServicesAmt |
| Management And General | $978 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,929,066 | TotalAmt |
| Program Services | $1,716,869 | ProgramServicesAmt |
| Management And General | $212,197 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,967 | TotalAmt |
| Program Services | $64,370 | ProgramServicesAmt |
| Management And General | $5,597 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $535,426 | TotalAmt |
| Program Services | $476,529 | ProgramServicesAmt |
| Management And General | $58,897 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,524 | TotalAmt |
| Program Services | $11,147 | ProgramServicesAmt |
| Management And General | $1,377 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,054 | TotalAmt |
| Program Services | $23,188 | ProgramServicesAmt |
| Management And General | $2,866 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,279 | TotalAmt |
| Program Services | $200,498 | ProgramServicesAmt |
| Management And General | $24,781 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,245,622 | TotalAmt |
| Program Services | $1,108,603 | ProgramServicesAmt |
| Management And General | $137,019 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,576 | TotalAmt |
| Program Services | $122,443 | ProgramServicesAmt |
| Management And General | $15,133 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OH ALLOCATION | $2,754,016 | $2,451,075 | $302,941 |
| TAX EXPENSE | $346,559 | $308,437 | $38,122 |
| REPAIRS AND MAINTENANCE | $186,954 | $166,389 | $20,565 |
| DUES & SUBSCRIPTIONS | $26,049 | $23,183 | $2,866 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,835 | TotalAmt |
| Program Services | $22,995 | ProgramServicesAmt |
| Management And General | $2,840 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,419,927 | TotalAmt |
| Program Services | $18,061,051 | ProgramServicesAmt |
| Management And General | $3,358,876 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,389,820 | BOYAmt |
| EOY | $21,829,821 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,551,256 | BOYAmt |
| EOY | $2,240,567 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $360,550 | BOYAmt |
| EOY | $401,204 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,149 | BOYAmt |
| EOY | $51,035 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,804,704 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,979,801 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,762,530 | BOYAmt |
| EOY | $7,824,903 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,745 | BOYAmt |
| EOY | $6,487,549 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,287,050 | BOYAmt |
| EOY | $38,835,079 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,028,444 | BOYAmt |
| EOY | $6,502,413 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,399,634 | BOYAmt |
| EOY | $5,204,119 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,283,648 | BOYAmt |
| EOY | $2,717,968 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,711,726 | BOYAmt |
| EOY | $14,424,500 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,575,324 | BOYAmt |
| EOY | $24,410,579 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,575,324 | BOYAmt |
| EOY | $24,410,579 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,287,050 | BOYAmt |
| EOY | $38,835,079 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $8,832,753 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $2,502 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,297 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,297 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II-B, LINE 1: | MEMBERSHIP DUES TO HOSPITAL ASSOCIATIONS OF WHICH A PORTION OF THE DUES ARE USED FOR LOBBYING EXPENSES BY THE TRADE ORGANIZATION. |
| PART II-B, LINE 1, LOBBYING ACTIVITIES | MEMBERSHIP DUES TO HOSPITAL ASSOCIATIONS OF WHICH A PORTION OF THE DUES ARE USED FOR LOBBYING EXPENSES BY THE TRADE ORGANIZATION. |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,447 | OtherCostOrOtherBasisAmt |
| Book Value | $27,447 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,224,414 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,565,632 | DepreciationAmt |
| Book Value | $5,658,782 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,889,018 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,414,169 | DepreciationAmt |
| Book Value | $1,474,849 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $663,825 | OtherCostOrOtherBasisAmt |
| Book Value | $663,825 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,824,903 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY REC. | $6,216,041 |
| RIGHT OF USE ASSET | $249,559 |
| OTHER | $21,949 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,487,549 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| RIGHT OF USE LIABILITIES | $64,004 |
| ACCRUED INTEREST PAYABLE | $861,766 |
| OTHER LIABILITIES | $1,792,198 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,717,968 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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, 2024 AND 2023, 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. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $138,294 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $138,294 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,155,666 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,369,070 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,293,960 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,369,070 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $138,294 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,486 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,486 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,776 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,776 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,913 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,913 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,175 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $38,175 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,332,135 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,369,070 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $176,469 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00830 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $14,892,312 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $10,682,704 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $4,209,608 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEACONESS UNION COUNTY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4604 US HWY 60 W | AddressLine1Txt |
| City | MORGANFIELD | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42437 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 600057 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEACONESS UNION COUNTY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.DEACONESS.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.DEACONESS.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.DEACONESS.COM/PAY-MY-BILL/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.DEACONESS.COM/PAY-MY-BILL/FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.DEACONESS.COM/PAY-MY-BILL/FINANCIAL-ASSISTANCE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DEACONESS UNION COUNTY HOSPITAL | PART V, SECTION B, LINE 5: DEACONESS HENDERSON HOSPITAL CONSULTED WITH THE FOLLOWING GROUPS TO GATHER INPUT AND DATA:- GREEN RIVER HEALTH DISTRICT HEALTH DEPARTMENT- HEALTH FIRST CHC - MORGANFIELD- UNION COUNTY SENIOR SERVICES- UNION COUNTY SCHOOLS- UNION COUNTY ADULT EDUCATION- EARLE C. CLEMENTS JOB CORP- UNION COUNTY FAMILY DENTAL- UNION COUNTY HEALTH CENTERTO INCLUDE THE VOICES OF PEOPLE REPRESENTING THE COMMUNITY, SURVEYS WERE SENT TO ORGANIZATIONS SERVING UNION COUNTY WITH UNIQUE PERSPECTIVES ON ISSUES IMPACTING HEALTH AND SOCIAL DETERMINANTS OF HEALTH AMONG RESIDENTS 24 PARTICIPANTS PROVIDED SURVEY FEEDBACK.TWO (2) FOCUS GROUPS WERE ALSO HELD VIA ZOOM (DUE TO ONGOING COVID RESTRICTIONS) TO GATHER INPUT FROM COMMUNITY MEMBERS AND EXPERTS. |
| 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: DEACONESS UNION COUNTY HOSPITAL PRESENTED ITS CHNA TO THE REPRESENTATIVES OF THE GREEN RIVER AREA HEALTH DISTRICT, WHICH REPRESENTS SEVEN (7) WESTERN KENTUCKY COUNTY HEALTH DEPARTMENTS, INCLUDING HENDERSON, UNION AND WEBSTER COUNTIES, TO KEEP AVAILABLE IN THE COUNTY OFFICE.PAPER COPIES ARE ALSO AVAILABLE UPON REQUEST AT HTTPS://WWW.DEACONESS.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. |
| DEACONESS UNION COUNTY HOSPITAL | PART V, SECTION B, LINE 11: THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2022 CHNA ARE ACCESS TO CARE; MENTAL HEALTH; SUBSTANCE ABUSE/ALCOHOL & TOBACCO USE/VAPING; AND SENIOR CARE. HOWEVER, SENIOR CARE WAS NOT SELECTED AS A PRIORITY FOR THE THREE-YEAR CHNA PERIOD AS IT WAS FELT THAT ACCESS TO CARE, MENTAL HEALTH, SUBSTANCE ABUSE/ALCOHOL & TOBACCO USE/VAPING WERE AREAS THAT THE HOSPITAL COULD IMPACT THE GREATEST DURING THE CHNA PERIOD. SENIOR CARE WILL BE TAKEN INTO CONSIDERATION WHEN PLANNING HOSPITAL SERVICES, PROGRAMS AND EDUCATIONAL OFFERINGS, BUT IT WILL TAKE ADDITIONAL PLANNING AND RESOURCES AND FINDING THE RIGHT PARTNERS TO PROPERLY IMPACT ISSUES SUCH AS TRANSPORTATION, HOME REPAIR ASSISTANCE, HOME SERVICE AND END-OF-LIFE CARE., ETC.A MENTAL HEALTH FIRST AID TRAINING HAS BEEN HELD WITHIN THE COMMUNITY TO HELP BUSINESS LEADERS IDENTIFY, UNDERSTAND AND RESPOND TO THE SIGNS OF MENTAL ILLNESS AND SUBSTANCE ABUSE. THEY HAVE ALSO WORKED HARD TO PROVIDE INFORMATION AND RESOURCES FOR SUICIDE AWARENESS AND PREVENTION. THE HOSPITAL HAS WORKED TO ENSURE THAT SENIORS HAVE HAD LOCAL ACCESS TO CARE. AS WELL AS CLOSE-TO- OME INPATIENT REHABILITATION THROUGH ITS SWING BED PROGRAM. AND DEACONESS UNION COUNTY CONTINUES TO REVIEW ACCESSIBLE SERVICE OFFERINGS, SUCH AS OFFERING GASTROENTEROLOGY, INFUSION THERAPY AND 3-D MAMMOGRAPHY SERVICES AT THE HOSPITAL.MORE EVENTS, TRAININGS AND SERVICE EXPANSIONS ARE BEING PLANNED FOR THE UPCOMING CHNA/TAX YEARS. |
| 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 16J: OTHER METHOD USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY: DEACONESS UNION COUNTY HOSPITAL SEEKS OUT THE PATIENTS THAT ARE SELF-PAY AND INTERVIEWS THESE PATIENTS WHILE THEY ARE IN THE FACILITY. THE FINANCIAL ASSISTANCE POLICY IS PROMOTED TO PATIENTS. DEACONESS UNION COUNTY HOSPITAL SEEKS OUT THOSE PATIENTS THAT WOULD QUALIFY FOR THE FINANCIAL ASSISTANCE POLICY. COLLECTABILITY SCORING IS ALSO COMPLETED AND ALLOWANCES ARE MADE BASED UPON THESE SCORES. |
| 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. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. THE "PATIENT ACCOUNTS RECEIVABLE" ON PAGE 11 AND "CHARITY CARE, COMMUNITY BENEFIT AND ASSISTANCE TO THE UNINSURED" STARTING ON PAGE 13 IN THE AFS. |
| PART III, LINE 8: | MEDICARE ALLOWABLE COSTS ARE DERIVED FROM UTILIZING THE COST TO CHARGE RATIO FOR THE 9/30/2024 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 THE STATES OF ILLINOIS AND INDIANA. AS OF THE 2020 CENSUS, THE POPULATION WAS 13,668 WITH THE MEDIAN AGE OF 41.3. 18.8% OF THE POPULATION IS 65 YEARS OR OLDER AND THE MEDIAN HOUSEHOLD INCOME IF $58,260. 88% OF POPULATION IS WHITE, 9% BLACK AND 2% HISPANIC. 90.6 OF POPULATION IS A HIGH SCHOOL GRADUATE OR HIGHER.18.8% OF THE POPULATION FOR WHOM POVERTY STATUS IS DETERMINED IN UNION COUNTY, KY (2.49K OUT OF 13.2K PEOPLE) LIVE BELOW THE POVERTY LINE, A NUMBER THAT IS HIGHER THAN THE NATIONAL AVERAGE OF 12.5%. THE LARGEST DEMOGRAPHIC LIVING IN POVERTY ARE MALES 18 - 24, FOLLOWED BY FEMALES 25 - 34 AND THEN FEMALES 18 - 24. 94.4% OF THE POPULATION OF UNION COUNTY, KY HAS HEALTH COVERAGE, WITH 44.8% ON EMPLOYEE PLANS, 18.1% ON MEDICAID, 16.3% ON MEDICARE, 13.8% ON NON-GROUP PLANS, AND 1.35% ON MILITARY OR VA PLANS.IN 2022, THE PERCENTAGE OF THE ADULT POPULATION (AGE 18 AND OLDER) THAT REPORTS A BODY MASS INDEX (BMI) GREATER THAN OR EQUAL TO 30 KG/M2 (AGE-ADJUSTED) WAS 36.8% IN UNION COUNTY, KY. |
| PART VI, LINE 5: | NO NEWSLETTER DUE TO VENDOR ISSUE/CHANGESSOCIAL MEDIA POSTS:OCTOBER 1-7, 2022 DAILY POSTS REGARDING HEALTHY FOOD OPTIONS AT THE ANNUAL FALL FESTIVAL. MULTIPLE POSTS IN OCTOBER REGARDING MAMMOGRAMSOCTOBER 6, 2022 BREAST CANCER AWARENESS MONTH VIDEO: HENDERSON MAMMOGRAM BLITZ WITH DR. AMBER KOON.OCTOBER 10, 2022 MENTAL HEALTH AWARENESS DAY VIDEO: WARNING SIGNS OF TEEN DEPRESSION WITH DR. GARRETT KOON.OCTOBER 11, 2022 REMINDER TO BEGIN SCHEDULING FLU SHOT AT A DEACONESS FLU SHOT CLINIC.OCTOBER 13, 2022 IMPROVING ACCESS: DEACONESS CLINIC URGENT CARE WEST NOW OPEN.OCTOBER 15, 2022 BREAST CANCER AWARENESS MONTH VIDEO: THE IMPORTANCE OF PRIORITIZING BREAST HEALTH WITH JENNIFER SMALL.OCTOBER 19, 2022 BREAST CANCER AWARENESS MONTH: BRA DAY BREAST CANCER RECONSTRUCTION WITH DR. KATE KOTTWITZ.OCTOBER 20, 2022 VIDEO: HOW FLU SHOTS CAN SAVE LIVES WITH DR. CHASE MORAN.OCTOBER 21, 2022 BREAST CANCER AWARENESS MONTH VIDEO: THE DANGERS OF SKIPPING A MAMMOGRAM WITH JENNIFER SMALL.OCTOBER 22, 2022 RSV-WHEN TO CALL YOUR PEDIATRICIAN.OCTOBER 23, 2022 BONE & JOINT HEALTH VIDEO: HOW DEXA SCAN MEASURES BONE LOSS WITH CHERYL LINNEMAN.OCTOBER 24, 2022 BEHAVIORAL HEALTH VIDEO: TIPS FOR CHILDREN WHO ARE BEING BULLIED OR ARE BULLYING OTHERS WITH SCOTT BRANAM.OCTOBER 25, 2022 DRIVE THRU FLU SHOT AND COVID BOOSTER CLINIC.OCTOBER 26, 2022 VIDEO: HOW TO DISTINGUISH RSV FROM THE COMMON COLD/FLU WITH DR. JONATHAN PHILLIPS.OCTOBER 27, 2022 VIDEO: THE IMPORTANCE OF KIDS GETTING FLU SHOTS WTH DR. GARRETT KOON.OCTOBER 29, 2022 VIDEO: SIGNS & SYMPTOMS OF STROKE WITH ANGIE BLACK.OCTOBER 30, 2022 BEHAVIORAL HEALTH VIDEO: WARNING SIGNS OF DOMESTIC VIOLENCE AND WHERE TO GET HELP WITH ELISSA JONES.OCTOBER 31, 2022 VIDEO: HALLOWEEN SAFETY WITH DR. JONATHAN PHILLIPS.NOVEMBER 2, 2022 FLU SHOT CLINIC.NOVEMBER 3, 2022 IMPROVING ACCESS VIDEO: DEACONESS VIDEO VISITS WITH DR. AMANDA BOHLEBER.NOVEMBER 7, 2022 BLOG POST: DIABETES 101 BY ANNA SMITH.NOVEMBER 14, 2022 VIDEO: HOW TO MANAGE DIABETES WITH DANIELLE HUDAK.NOVEMBER 17, 2022 SMOKING FACTS.NOVEMBER 23, 2022 VIDEO: HEALTHY, DIABETES-FRIENDLY THANKSGIVING TIPS WITH MOLLIE FRANCIS.NOVEMBER 30, 2022 VIDEO: KEEPING SKIN HEALTHY DURING THE WINTER WITH DR. DYLAN GREENEY.DECEMBER 1, 2022 WHERE TO GO FOR FLU.DECEMBER 2, 2022 FLU SHOT REMINDER.DECEMBER 6, 2022 FLU SHOT REMINDER.DECEMBER 7, 2022 FLU SHOT REMINDER.DECEMBER 9, 2022 - FLU SHOT REMINDER.DECEMBER 19, 2022 VIDEO: ER OR URGENT CARE WITH DR. GINA HUHNKE.DECEMBER 21, 2022 VIDEO: WINTER HEALTH TIPS WITH DR. GINA HUHNKE.DECEMBER 28, 2022 MENTAL HEALTH VIDEO: COPING WITH THE WINTER BLUES WITH SCOTT BRANAM.DECEMBER 30, 2022 VIDEO: NEW YEAR'S EVE SAFETY WITH DR. TODD BURRY.JANUARY 8, 2023 EXERCISE & NUTRITION VIDEO: LIFESTYLE CHANGES WITH BROOKE MCCARTNEY.JANUARY 10, 2023 DEACONESS BEHAVIORAL HEALTH.JANUARY 13, 2023 PEDIATRIC WEIGHT MANAGEMENT PROGRAM.JANUARY 17, 2023 VIDEO: CARDIAC ARREST AND AORTIC ANEURYSM WITH DR. LEE WAGMEISTER.JANUARY 19, 2023 MENTAL HEALTH VIDEO: GOOD GRIEF PATROL AND HELPING CHILDREN COPE WITH GRIEF.JANUARY 24, 2023 VIDEO: CERVICAL CANCER AND PREVENTION WITH DR. SARAH O'NAN.COMMUNITY EVENTS:MAY 2023 HEALTH FAIR AT HOSPITALJUNE 2023 COMMUNITY BABY SHOWERJULY 2023 SUICIDE AWARENESS CAMPAIGN |
| PART VI, LINE 7, REPORTS FILED WITH STATES | KY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARC JARED FLORENCE | ||||||||||||||
| FORMER BOARD MEMBER | $0 | $462,519 | $0 | $133,997 | $0 | $69,773 | $0 | $111,701 | $0 | $40,673 | $0 | $818,663 | $0 | $65,642 |
| SUSAN BRUMLEY | ||||||||||||||
| MEMBER | $0 | $221,772 | $0 | $44,327 | $0 | $1,395 | $0 | $25,893 | $0 | $21,203 | $0 | $314,590 | $0 | $0 |
| JARED M STIMPSON | ||||||||||||||
| MEMBER | $0 | $218,177 | $0 | $34,849 | $0 | $1,274 | $0 | $13,535 | $0 | $30,956 | $0 | $298,791 | $0 | $0 |
| AMBER N POWELL | ||||||||||||||
| CNO | $96,582 | $38,577 | $0 | $24,650 | $694 | $371 | $7,049 | $2,350 | $22,996 | $9,189 | $127,321 | $75,137 | $0 | $0 |
| STEPHANIE JENKINS | ||||||||||||||
| MEMBER | $0 | $159,311 | $0 | $23,709 | $0 | $110 | $0 | $8,509 | $0 | $0 | $0 | $191,639 | $0 | $0 |
| NELSON W CARTWRIGHT | ||||||||||||||
| TEAM LEADER RN CAH | $104,400 | $0 | $29,543 | $0 | $6,731 | $0 | $6,453 | $0 | $22,597 | $0 | $169,724 | $0 | $0 | $0 |
| JESSYCA D CARDWELL | ||||||||||||||
| STAFF NURSE RN CAH | $115,065 | $0 | $9,587 | $0 | $7,158 | $0 | $3,315 | $0 | $22,735 | $0 | $157,860 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS: SEVERANCE NONQUALIFIED EQUITY-BASED WILLIAM ALLEN WHITE, MD $ -0- $ $ -0- MARC FLORENCE $ -0- $ 22,500 $ -0- PART 1, LINE 4B: WILLIAM WHITE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $. SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $. MARC FLORENCE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF 83,789. SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $65,642. |
| 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. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ALLISON JOSE | |||
| FAMILY MEMBER OF DR. WILLIAM ALLEN WHITE, BOARD MEMBER | $83,529 | COMPENSATION | 0 |
| LILLIAN BEAVEN | |||
| FAMILY MEMBER OF TESSA GOUGH, BOARD MEMBER | $61,233 | COMPENSATION | 0 |
| AUDREY O'NAN | |||
| FAMILY MEMBER OF ADAM O'NAN, BOARD MEMBER | $60,782 | COMPENSATION | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 3,466,615. MANAGEMENT AND GENERAL EXPENSES 1,557,465. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,024,080. |
| 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | N/A | |
| DEACONESS HOSPITAL INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 350593390 | 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 | |
| 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 | |
| METHODIST HEALTH INC | |||||||||||
| PO BOX 48 | HENDERSON | KY | 42419 | 610461753 | HEALTHCARE | KY | 501(C)3 | LINE 3 | DEACONESS HEALTH KY | 0 | |
| GIBSON GENERAL HEALTH FOUNDATION INC | |||||||||||
| 1808 SHERMAN DR | PRINCETON | IN | 47670 | 350950175 | SUPPORT DEACONESS GIBSON HOSPITAL | IN | 501(C)(3) | LINE 12A, I | DEACONESS GIBSON HOSPITAL | 0 | |
| DEACONESS ILLINOIS SPECIALTY CLINIC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 920904755 | HEALTHCARE | IL | 501(C)(3) | LINE 10 | DEACONESS HEALTH SYSTEM INC | 0 | |
| DEACONESS ILLINOIS CLINIC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 920574205 | HEALTHCARE | IL | 501(C)(3) | LINE 10 | DEACONESS HEALTH SYSTEM INC | 0 | |
| DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA LLC | |||||||||||
| 4199 GATEWAY BLVD | NEWBURGH | IN | 47630 | 352062016 | HEALTHCARE | IN | 501(C)(3) | LINE 3 | DEACONESS HEALTH SYSTEM INC | 0 | |
| MEMORIAL HOSPITAL & HEALTH CARE CENTER | |||||||||||
| 800 WEST NINTH STREET | JASPER | IN | 47546 | 350985964 | HEALTHCARE | IN | 501(C)(3) | LINE 3 | DEACONESS HEALTH SYSTEM INC | 0 | |
| MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 800 WEST NINTH STREET | JASPER | IN | 47546 | 351359445 | SUPPORT MEMORIAL HOSPITAL & HEALTH CARE CENTER | IN | 501(C)(3) | LINE 12A, I | MEMORIAL HOSPITAL & HEALTH CARE CENTER | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| DEACONESS HEALTH PLANS LLC | |||||||||
| 7100 EAGLE CREST BLVD | EVANSVILLE | IN | 47715 | 383492529 | PREFERRED PROVIDER NETWORK | IN | N/A | 0 | 0 |
| ENCOMPASS HEALTH DEACONESS REHABILIATION | |||||||||
| 9001 LIBERTY PARKWAY | BIRMINGHAM | AL | 35242 | 721375246 | OUTPATIENT | AL | N/A | 0 | 0 |
| MAINSPRING MANAGERS LLC | |||||||||
| 4011 GATEWAY BLVD | NEWBURGH | IN | 47630 | 464601001 | NEUROLOGY SERVICES | IN | N/A | 0 | 0 |
| ORTHOALIGN LLC | |||||||||
| 4011 GATEWAY BLVD | NEWBURGH | IN | 47630 | 812816013 | HEALTHCARE | IN | N/A | 0 | 0 |
| PROGRESSIVE HEALTH OF IN LLC | |||||||||
| 150 N ROSENBERGER | EVANSVILLE | IN | 47712 | 208480988 | OUTPATIENT | IN | N/A | 0 | 0 |
| TRI - STATE HEALTHCARE CONSULTING LLC | |||||||||
| 4199 GATEWAY BLVD | NEWBURGH | IN | 47630 | 922120911 | HEALTHCARE | IN | N/A | 0 | 0 |
| TRI-STATE RADIATION ONCOLOGY | |||||||||
| PO BOX 819067 TAX DEPT | DALLAS | TX | 75381 | 263706834 | OUTPATIENT | DE | N/A | 0 | 0 |
| VASCMED LLC | |||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 472578168 | VASCULAR SERVICES | IN | N/A | 0 | 0 |
| BURKHARDT CANCER CENTER | |||||||||
| 4972 LINCOLN AVENUE STE 100 | EVANSVILLE | IN | 47715 | 300256432 | HEALTHCARE | IN | N/A | 0 | 0 |
| BOSTON IVF FERTILITY SERVICES AT THE WOMEN'S HOSPITAL | |||||||||
| 4199 GATEWAY BLVD | NEWBURGH | IN | 47630 | 455549778 | HEALTHCARE | IN | N/A | 0 | 0 |
| INNOVATIVE HEALTHCARE COLLABORATIVE OF INDIANA LLC | |||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 833592473 | HEALTHCARE | IN | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRI-STATE MEDICAL MANAGEMENT INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MARY STREET | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47747 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351875888 | EIN |
| Primary Activities | PHYSICIAN MANAGEMENT | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |