2025-08-14T15:16:45-05:00 2024-09-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2023-10-01 862614124 DEACONESS UNION COUNTY HOSPITAL INC DEAC 2703895000 4604 US HWY 60 MORGANFIELD KY 42437 AMBER POWELL CNO 2703895085 2025-08-14 1 0 EMILIE M KNIERIEM CPA P01330194 3176334705 2025-08-14 2023 2025-03-06 01:10:19Z AMBER POWELL 4604 US HWY 60 MORGANFIELD KY 42437 30252680 0 X WWW.DEACONESS.COM/DEACONESS-UNION-COUNTY-HOSPITAL X 2021 KY DEACONESS UNION COUNTY HOSPITAL OFFERS A 24-HOUR EMERGENCY DEPARTMENT, A HOSPITAL-BASED AMBULANCE SERVICE AND A FULL RANGE OF DIAGNOSTIC SERVICES INCLUDING LAB, IMAGING, AND MAMMOGRAPHY, AS WELL PHYSICAL THERAPY, CARDIOPULMONARY CARE, AND SURGICAL SERVICES. 7 5 146 6 0 0 0 26821 29000738 29992547 0 5540 176189 227772 29176927 30252680 0 289 0 0 9763638 8865742 0 0 0 13131429 12553896 22895067 21419927 6281860 8832753 34287050 38835079 18711726 14424500 15575324 24410579 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. 0 0 18061051 289 29992547 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. 18061051 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 39 0 1 146 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X X CHERYL A WATHEN 8124503296 600 MARY STREET EVANSVILLE IN 47747 ADAM O'NAN CHAIRPERSON 2.00 0.00 X X 0 0 0 PATRICIA SHEFFER VICE CHAIRPERSON 2.00 0.00 X X 0 0 0 TESSA GOUGH SECRETARY / TREASURER 2.00 0.00 X X 0 0 0 DR WILLIAM ALLEN WHITE MEMBER 2.00 56.00 X 0 0 0 SUSAN BRUMLEY MEMBER 2.00 40.00 X 0 267494 47096 RONALD BURKINS MEMBER 2.00 0.00 X 0 0 0 TERRA HANCOCK MEMBER 2.00 0.00 X 0 0 0 STEPHANIE JENKINS MEMBER 2.00 40.00 X 0 183130 8509 GARLAND CERTAIN MEMBER PARTIAL TERM 2.00 0.00 X 0 0 0 JARED M STIMPSON MEMBER 2.00 40.00 X 0 254300 44491 AMBER N POWELL CNO 50.00 1.00 X 97276 63598 41584 JESSYCA D CARDWELL STAFF NURSE RN CAH 40.00 0.00 X 131810 0 26050 NELSON W CARTWRIGHT TEAM LEADER RN CAH 40.00 0.00 X 140674 0 29050 BRANDI M CLEMENTS TEAM LEADER RN CAH 40.00 0.00 X 125738 0 23564 TRACIE L PRIDE STAFF NURSE RN CAH 40.00 0.00 X 119484 0 28273 STACY PARSONS REGISTERED NURSE 40.00 0.00 X 123025 0 7778 MARC JARED FLORENCE FORMER BOARD MEMBER 2.00 61.00 X 0 666289 152374 738007 1434811 408769 5 1 1 0 CONCORD MEDICAL GROUP 1602 AVE Q LUBBOCK TX 79401 EMERGENCY SERVICES 1322967 PROGRESSIVE HEALTH OF INDIANA 150 N ROSENBERGER EVANSVILLE IN 47710 THERAPY SERVICES 1071584 SOUTH CENTRAL PHYSICIANS PLLC 1602 AVE Q LUBBOCK TX 79401 MEDICAL PRO FEES 243108 ALLIDED UNIVERSAL DBA UNIVERSAL PROTECTI PO BOX 277469 ATLANTA GA 30384 SECURITY SERVICES 170644 TOTAL MSP LLC 221 W COLLEGE AVE FLOOR 2 APPLETON WI 54911 STAFFING 170644 6 26821 26821 NET OUTPATIENT 621400 20873107 20873107 INPATIENT 621400 8627074 8627074 PHYSICIAN SERVICES 621400 398307 398307 ALL OTHER 621400 94059 94059 29992547 5540 5540 227772 0 227772 227772 227772 30252680 29992547 0 233312 X 289 289 6783692 6037486 746206 26662 23729 2933 1519125 1352021 167104 536263 477274 58989 5024080 3466615 1557465 8889 7911 978 1929066 1716869 212197 69967 64370 5597 535426 476529 58897 12524 11147 1377 26054 23188 2866 225279 200498 24781 1245622 1108603 137019 137576 122443 15133 OH ALLOCATION 2754016 2451075 302941 TAX EXPENSE 346559 308437 38122 REPAIRS AND MAINTENANCE 186954 166389 20565 DUES & SUBSCRIPTIONS 26049 23183 2866 25835 22995 2840 21419927 18061051 3358876 0 23389820 21829821 2551256 2240567 360550 401204 70149 51035 11804704 3979801 7762530 7824903 152745 6487549 34287050 38835079 6028444 6502413 5399634 5204119 7283648 2717968 18711726 14424500 X 15575324 24410579 15575324 24410579 34287050 38835079 8832753 2502 0 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 1297 1297 0 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. 27447 27447 7224414 1565632 5658782 3889018 2414169 1474849 663825 663825 7824903 INTERCOMPANY REC. 6216041 RIGHT OF USE ASSET 249559 OTHER 21949 6487549 RIGHT OF USE LIABILITIES 64004 ACCRUED INTEREST PAYABLE 861766 OTHER LIABILITIES 1792198 2717968 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 138294 138294 0.00650 4155666 8369070 0 0.00000 4293960 8369070 138294 0.00650 6486 6486 0.00030 22776 22776 0.00110 8913 8913 0.00040 38175 38175 0.00180 4332135 8369070 176469 0.00830 1 14892312 10682704 4209608 X 1 1 1 1 DEACONESS UNION COUNTY HOSPITAL 4604 US HWY 60 W MORGANFIELD KY 42437 600057 X X X DEACONESS UNION COUNTY HOSPITAL 1 0 0 1 X X X X X X X X X X 22 1 0 1 1 X HTTPS://WWW.DEACONESS.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X X 1 22 1 HTTPS://WWW.DEACONESS.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 200.000000000000 350.000000000000 X X X X 1 1 X X X X 1 X HTTPS://WWW.DEACONESS.COM/PAY-MY-BILL/FINANCIAL-ASSISTANCE X HTTPS://WWW.DEACONESS.COM/PAY-MY-BILL/FINANCIAL-ASSISTANCE X HTTPS://WWW.DEACONESS.COM/PAY-MY-BILL/FINANCIAL-ASSISTANCE X X X X X X X 1 X 0 X X X X 1 X 0 0 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. 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 1 X X X X 0 1 0 0 0 0 0 1 0 MARC JARED FLORENCE FORMER BOARD MEMBER 0 462519 0 133997 0 69773 0 111701 0 40673 0 818663 0 65642 SUSAN BRUMLEY MEMBER 0 221772 0 44327 0 1395 0 25893 0 21203 0 314590 0 0 JARED M STIMPSON MEMBER 0 218177 0 34849 0 1274 0 13535 0 30956 0 298791 0 0 AMBER N POWELL CNO 96582 38577 0 24650 694 371 7049 2350 22996 9189 127321 75137 0 0 STEPHANIE JENKINS MEMBER 0 159311 0 23709 0 110 0 8509 0 0 0 191639 0 0 NELSON W CARTWRIGHT TEAM LEADER RN CAH 104400 0 29543 0 6731 0 6453 0 22597 0 169724 0 0 0 JESSYCA D CARDWELL STAFF NURSE RN CAH 115065 0 9587 0 7158 0 3315 0 22735 0 157860 0 0 0 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. ALLISON JOSE FAMILY MEMBER OF DR. WILLIAM ALLEN WHITE, BOARD MEMBER 83529 COMPENSATION 0 LILLIAN BEAVEN FAMILY MEMBER OF TESSA GOUGH, BOARD MEMBER 61233 COMPENSATION 0 AUDREY O'NAN FAMILY MEMBER OF ADAM O'NAN, BOARD MEMBER 60782 COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 6 DEACONESS HEALTH KENTUCKY, INC. IS THE SOLE CORPORATE MEMBER OF METHODIST HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7A FIVE INDIVIDUALS ARE APPOINTED TO THE BOARD BY THE SOLE MEMBER, DEACONESS HEALTH OF KENTUCKY, INC. FOUR INDIVIUDALS ARE APPOINTED TO THE BOARD BY A MAJORITY VOTE OF THE MEMBERS PRESEENT AT A MEETING OF THE ADVISORY BOARD CALLED FOR SUCH PURPOSE AT WHICH A QUORUM IS PRESENT AND COLLECTIVELY WITH THE DHKY DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE IRS FORM 990 IS PRESENTED TO DH CFO AND CEO OF THE ORGANIZATION FOR REVIEW. AFTER THIS REVIEW AND ALL QUESTIONS HAVE BEEN ANSWERED, THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS OF DEACONESS HEALTH SYSTEM PRIOR TO FILING. ANY ADDITIONAL QUESTIONS ARE ANSWERED AND THE FILING OF THE FORM IS COMPLETED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST REVIEW AND COMPLIANCE ACTIVITIES ARE CONDUCTED THROUGHOUT THE YEAR UNDER THE DIRECTION OF DEACONESS HEALTH'S CORPORATE COMPLIANCE OFFICER. UPON APPOINTMENT AND ANNUALLY THERAFTER, OFFICERS, TRUSTEES, DIRECTORS, AND KEY EMPLOYEES, ALSO KNOWN AS INTERESTED PERSONS ARE REQUIRED TO COMPLETE THE CONFLICTS OF INTEREST AND/OR THE DISCLOSURE QUESTIONNAIRE. THESE DOCUMENTS SERVE TO ENSURE INTERESTED PERSONS HAVE AN APPROPRIATE AND TIMELY MANNER IN WHICH TO DISCLOSE ANY POTENTIAL CONFLICTS. CONFLICTS ARE CONSIDERED WITH RESPECT TO OUSTIDE INTEREST, INVESTMENTS, OUTSIDE ACTIVITIES, AND BUSINESS INTERESTS AMONG THE INTERESTED PERSONS AS WELL AS THEIR FAMILY MEMBERS ON A PERIODIC BASES. REVIEWS OCCUR TO ENSURE METHODST HEALTH OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSE. SUBJECTS THAT ARE REVIEWED ON A PERIODIC BASIS INCLUDE COMPENSATION, PHYSICIAN RELATIONSHIPS, PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR TOP OFFICIALS AND OTHER OFFICERS METHODIST HEALTH UTILIZES THE DEACONESS HEALTH COMPENSATION COMMITTEE TO APPROVE EXECUTIVE, DIRECTOR AND PHYSICIAN COMPENSATION AS WELL AS EXECUTIVE AND PHYSICIAN BENEFITS PROGRAMS. THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS OF DEACONESS HEALTH AND MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE SEC THE COMMITTEE HAS THE POWER AND AUTHORITY TO: 1) ANNUALLY REVIEW AND APPROVE AND RECOMMEND TO THE BOARD OF DIRECTORS FOR ITS FINAL APPROVAL FOR THE CEO AND EACH OTHER EXECUTIVE OFFICER OF THE SYSTEM ALL ELEMENTS OF EXECUTIVE COMPENSATION 2) MONITOR BROADLY THE STRUCTURE, PHILOSOPHY OR COMPETITIVENESS OF THE SYSTEM'S GENERAL HIRING OR COMPENSATION PRACTICES 3) OVERSEE THE ESTABLISHMENT AND ADMINISTRATION OF THE COMPANY'S BROAD-BASED BENEFIT PLANS AND PROGRAMS 4) REVIEW OR APPROVE SIGNIFICANT AMENDMENTS OR CHANGES TO THE PLANS AND PROGRAMS 5) RETAIN AND TERMINATE ANY COMPENSATION CONSULTANT TO BE USED TO ASSIST IN THE EVALUATION OF DIRECTOR, CEO OR EXECUTIVE OFFICE COMPENSATION 6) SOLE AUTHORITY TO APPROVE THE CONSULTANT'S FEES AND OTHER RETENTION TERMS 7) OBTAIN ADVICE AND ASSISTANCE FROM INTERNAL OR EXTERNAL LEGAL, ACCOUNTING OR OTHER ADVISORS 8) APPROVE ALL PHYSICIAN AND PHYSICIAN RELATED CONTRACTS 9) MAKE REGULAR REPORTS TO THE BOARD FORM 990, PART VI, SECTION C, LINE 19 METHODIST HEALTH'S ARTICLES OF INCORPORATION ARE ON THE SECRETARY OF STATE'S WEBSITE. METHODIST HEALTH IS PART OF A CONSOLIDATED FINANCIAL STATEMENT WHICH IS AVAILABLE WITH THE PUBLIC DISCLOSURE COPY OF THE IRS FORM 990. GOVERNING DOCUMENTS, ASIDE FROM THE ARTICLES OF INCORPORATION, AND THE CONFLICT-OF-INTEREST POLICY ARE NOT AVAILABLE FOR PUBLIC INSPECTION. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 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. 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