2024-08-15T10:29:24-05:00 2023-09-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2022-10-01 830966826 DEACONESS HEALTH KENTUCKY INC DEAC 8124502220 600 MARY STREET EVANSVILLE IN 47747 SHAWN MCCOY CEO OF DEACONESS HEALTH SYSTEM 8124502220 2024-08-15 1 1 EMILIE M KNIERIEM CPA P01330194 3176334705 2024-08-14 2022 2024-08-08 14:25:15Z SHAWN MCCOY 600 MARY STREET EVANSVILLE IN 47747 24352676 0 X WWW.DEACONESS.COM X 2017 KY DEACONESS HEALTH KENTUCKY WILL DELIVER OR SUPPORT THE DELIVERY OF QUALITY, COST-EFFECTIVE HEALTH CARE AND MEDICAL SERVICES TO THE PUBLIC AND OTHER ACTIVITIES DESIGNED TO PROMOTE THE HEALTH CARE NEEDS AND WELFARE OF COMMUNITIES IN THE STATE OF KENTUCKY. 3 0 0 0 0 0 0 0 12514086 24232676 0 0 90000 120000 12604086 24352676 0 0 0 0 0 0 0 0 0 7005208 307278 7005208 307278 5598878 24045398 71031420 105551361 4239077 16693550 66792343 88857811 DEACONESS HEALTH KENTUCKY WILL DELIVER OR SUPPORT THE DELIVERY OF QUALITY, COST-EFFECTIVE HEALTH CARE AND MEDICAL SERVICES TO THE PUBLIC AND OTHER ACTIVITIES DESIGNED TO PROMOTE THE HEALTH CARE NEEDS AND WELFARE OF COMMUNITIES IN THE STATE OF KENTUCKY. 0 0 275157 24352676 DEACONESS KENTUCKY WORKS TO INCREASE ACCESS TO HEALTHCARE SERVICES WITHIN OUR COMMUNITY THROUGH METHODIST HEALTH INC., DBA DEACONESS HENDERSON HOSPITAL AND DEACONESS UNION COUNTY HOSPITAL. DEACONESS HENDERSON AND UNION COUNTY HOSPITALS ARE DEDICATED TO PROVIDING QUALITY PATIENT CARE WITH UNRELENTING ATTENTION TO CLINICAL EXCELLENCE, PATIENT SAFETY AND AN UNPARALLELED PASSION AND COMMITMENT TO ASSURE THE VERY BEST HEALTHCARE FOR THE PATIENTS SERVED. DEACONESS UNION COUNTY IS A CRITICAL ACCESS HOSPITAL OFFERING INPATIENT, EMERGENCY ROOM SERVICES, AND EXTENDED CARE FACILITIES TO RURAL COMMUNITIES IN KENTUCKY. DEACONESS KENTUCKY PROVIDES FINANCIAL SUPPORT FOR THE OPERATIONS OF THE HOSPITALS FOR THE BENEFIT OF THE COMMUNITIES SERVED BY THE HOSPITALS. 275157 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X CHERYL A WATHEN 8124503296 600 MARY STREET EVANSVILLE IN 47747 SHAWN MCCOY CEO DEACONESS HEALTH SYSTE 5.00 50.00 X 0 1560717 317182 CHERYL WATHEN CHIEF FINANCIAL OFFICER 5.00 60.00 X 0 820174 201621 MARC J FLORENCE VICE PRESIDENT 5.00 58.00 X 0 590416 135997 0 2971307 654800 0 0 1 0 0 METHODIST HEALTH REVENUE 621999 13136627 13136627 UNION REVENUE 621999 6281656 6281656 BAPTIST HEALTH REVENUE 621999 4250175 4250175 RED REVENUE 900099 500000 500000 KENTUCKY EMS REVENUE 621999 64218 64218 24232676 MANAGEMENT FEES 900099 120000 120000 120000 24352676 24352676 0 0 1100 1013 87 978 665 313 305200 273479 31721 307278 275157 32121 0 258811 803241 418402 951987 70354207 103796133 71031420 105551361 4239077 16693550 4239077 16693550 X 66792343 88857811 66792343 88857811 71031420 105551361 X 24045398 -1979930 X X 0 1 X 1 0 X 14883905 12514086 24232676 51630667 14883905 12514086 24232676 51630667 0 0 0 51630667 516160 516160 516160 516160 90000 120000 210000 516160 14883905 12604086 24352676 52356827 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MANAGEMENT FEES - 2021 AMOUNT: $ 90,000. 2022 AMOUNT: $ 120,000. 0 INVESTMENT IN METHODIST HOSPITAL 63234634 INVESTMENT IN BAPTIST HEALTH 31718907 INVESTMENT IN KENTUCKY EMS -7724632 INVESTMENT IN DEACONESS UNION 15575324 INVESTMENT IN LIVINGSTON HOSPITAL 991900 103796133 DUE TO DEACONESS HENDERSON 1841509 DUE TO HOSPITAL 14852041 16693550 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, 2023 AND 2022, 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. 0 1 0 0 0 0 0 0 0 SHAWN MCCOY CEO DEACONESS HEALTH SYSTE 0 1004638 0 322989 0 233090 0 273802 0 43380 0 1877899 0 216756 CHERYL WATHEN CHIEF FINANCIAL OFFICER 0 577576 0 134675 0 107923 0 159494 0 42127 0 1021795 0 92511 MARC J FLORENCE VICE PRESIDENT 0 418131 0 95606 0 76679 0 98824 0 37173 0 726413 0 72580 PART I, LINE 4B SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS: SEVERANCE NONQUALIFIED EQUITY-BASED SHAWN MCCOY $ -0- $ 20,500 $ -0- CHERYL WATHEN $ -0- $ 20,500 $ -0- MARC J. FLORENCE $ -0- $ 20,500 $ -0- PART I, 4B: SHAWN MCCOY: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $247,426. SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $216,756. CHERYL WATHEN: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $119,207. SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $92,511. MARC J. FLORENCE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $77,614. SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $72,580. FORM 990, PART VI, SECTION A, LINE 6 DEACONESS HEALTH SYSTEM, INC. A TAX EXEMPT 501(C)(3) ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF DEACONESS HEALTH KENTUCKY, INC. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF MEMBERS AND THEIR RIGHTS: DEACONESS HEALTH SYSTEM, INC. HAS THE POWER TO APPOINT EACH PERSON ON THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS: DEACONESS HEALTH SYSTEM MAY APPOINT OR REMOVE THE CORPORATION'S DIRECTORS AS WELL AS THE CORPORATION'S SECRETARY AND TREASURER. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS THAT DEACONESS HEALTH KENTUCKY, INC. UTILIZES TO PRESENT THE FORM 990 TO ITS GOVERNING BODY PRIOR TO FILING IS TO PRESENT THE FORM 990 TO THE CONTROLLER, CFO AND CEO OF THE ORGANIZATION FOR REVIEW. AFTER THIS REVIEW IS PERFORMED AND ALL QUESTIONS ARE ANSWERED, THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS OF DEACONESS HEALTH SYSTEM AT THE BOARD MEETING PRIOR TO THE FILING DATE OF THE FORM 990. ANY ADDITIONAL QUESTIONS ARE ANSWERED AND THE FINAL FILING IS THEN 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 HOSPITAL'S CORPORATE COMPLIANCE OFFICER. UPON APPOINTMENT, AND ANNUALLY THEREAFTER, OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES, ALSO KNOWN AS INTERESTED PERSONS, ARE REQUIRED TO COMPLETE "THE CONFLICTS OF INTEREST QUESTIONNAIRE AND/OR THE "THE DISCLOSURE QUESTIONNAIRE". THESE DOCUMENTS SERVE TO ENSURE INTERESTED PERSONS OR COMMITTEE MEMBERS WITH BOARD DELEGATED POWERS HAVE AN APPROPRIATE AND TIMELY MANNER IN WHICH TO DISCLOSE ANY POTENTIAL CONFLICTS. CONFLICTS ARE CONSIDERED WITH RESPECT TO OUTSIDE INTEREST, INVESTMENTS, OUTSIDE ACTIVITIES, AND BUSINESS INTERESTS AMONG THE INTERESTED PERSONS AS WELL AS THEIR FAMILY MEMBERS. ON A PERIODIC BASIS, REVIEWS OCCUR TO ENSURE THE CORPORATION 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: SALARIES AND BENEFITS OF OFFICERS AND PHYSICIANS AT DEACONESS HEALTH KENTUCKY, INC. ARE APPROVED BY THE DEACONESS HEALTH SYSTEM COMPENSATION COMMITTEE. DEACONESS HEALTH KENTUCKY BOARD CAN ONLY MAKE RECOMMENDATION TO THE DEACONESS HEALTH SYSTEM COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS OF DEACONESS HEALTH SYSTEM INC. AND MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE SEC. THE COMMITTEE HAS THE POWER AND AUTHORITY TO: 1. ANNUALLY REVIEW, APPROVE, AND RECOMMEND TO THE BOARD OF DIRECTORS FOR ITS FINAL APPROVAL FOR THE VICE PRESIDENT AND EACH OTHER EXECUTIVE OFFICERS 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, VICE PRESIDENT 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 DEACONESS HEALTH KENTUCKY'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE SECRETARY OF STATE'S WEBSITE. GOVERNING DOCUMENTS, ASIDE FROM THE ARTICLES OF INCORPORATION, AND THE CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE FOR PUBLIC INSPECTION. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS -1,979,930. FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. 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