2024-08-15T14:40:36-05:00 2023-09-30 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2022-10-01 610461753 METHODIST HEALTH INC METH 2708277700 PO BOX 48 HENDERSON KY 424190048 LINDA WHITE CAO 2708277700 2024-08-15 1 0 EMILIE M KNIERIEM CPA P01330194 5029923500 2024-08-15 2022 2024-08-08 14:25:15Z DEACONESS HENDERSON HOSPITAL LINDA WHITE PO BOX 48 HENDERSON KY 424190048 138753950 0 X SEE SCHEDULE O X 1948 KY METHODIST HEALTH PROVIDES QUALITY HEALTHCARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE. AT METHODIST HEALTH, OUR VALUES ARE BASED ON OUR COMMITMENT TO QUALITY. WE DEFINE QUALITY AS THE CONTINUOUS IMPROVEMENT OF SERVICES TO MEET THE NEEDS AND EXCEED THE EXPECTATIONS OF THE CUSTOMERS WE SERVE. OUR VALUES ARE QUALITY IN EVERYTHING WE DO, RESPECT FOR ALL PEOPLE, EFFICIENCY AND EFFECTIVENESS IN THE USE OF RESOURCES, INNOVATION TOWARD CONTINUOUS SYSTEM IMPROVEMENT, PARTNERSHIP WITH THOSE WE SERVE AND WITH SUPPLIERS, EDUCATION FOR CONTINUOUS GROWTH AND KNOWLEDGE AND PRIDE IN WORKMANSHIP. TO ACCOMPLISH ITS MISSION, METHODIST HEALTH IS COMMITTED TO IMPROVING THE QUALITY OF LIFE FOR THE PEOPLE OF THE TRI-STATE BY DEMONSTRATING EXCELLENCE IN HEALTHCARE SERVICES, PROVIDING ACCESS TO HEALTHCARE, PROVIDING CHARITY CARE TO THOSE IN NEED, PROMOTING HEALTHY LIFESTYLES, OFFERING SPIRITUAL AND PSYCHOLOGICAL SUPPORT, SUPPORTING HEALTH RELATED 9 4 755 0 0 0 2002426 0 127298389 132045581 371609 505997 2119105 2259303 131791529 134810881 90498 201238 0 0 45353030 45637788 0 0 0 73667444 76369379 119110972 122208405 12680557 12602476 108215491 96914788 58117455 33680150 50098036 63234638 X METHODIST HEALTH PROVIDES QUALITY HEALTHCARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE. AT METHODIST HEALTH, OUR VALUES ARE BASED ON OUR COMMITMENT TO QUALITY. WE DEFINE QUALITY AS THE CONTINUOUS IMPROVEMENT OF SERVICES TO MEET THE NEEDS AND EXCEED THE EXPECTATIONS OF THE CUSTOMERS WE SERVE. OUR VALUES ARE QUALITY IN EVERYTHING WE DO, RESPECT FOR ALL PEOPLE, EFFICIENCY AND EFFECTIVENESS IN THE USE OF RESOURCES, INNOVATION TOWARD CONTINUOUS SYSTEM IMPROVEMENT, PARTNERSHIP WITH THOSE WE SERVE AND WITH SUPPLIERS, EDUCATION FOR CONTINUOUS GROWTH AND KNOWLEDGE AND PRIDE IN WORKMANSHIP. TO ACCOMPLISH ITS MISSION, METHODIST HEALTH IS COMMITTED TO IMPROVING THE QUALITY OF LIFE FOR THE PEOPLE OF THE TRI-STATE BY DEMONSTRATING EXCELLENCE IN HEALTHCARE SERVICES, PROVIDING ACCESS TO HEALTHCARE, PROVIDING CHARITY CARE TO THOSE IN NEED, PROMOTING HEALTHY LIFESTYLES, OFFERING SPIRITUAL AND PSYCHOLOGICAL SUPPORT, SUPPORTING HEALTH RELATED 0 0 103069416 201238 132741734 METHODIST HEALTH, INC. OFFERS A BROAD RANGE OF INPATIENT AND OUTPATIENT MEDICAL SERVICES INCLUDING INTENSIVE CARE, OBSTETRICAL SERVICES, NEONATOLOGY, EMERGENCY CARE, SURGICAL SERVICES, AMBULATORY CARE, RADIOLOGY SERVICES, LABORATORY SERVICES, THERAPY SERVICES, SLEEP DISORDERS, AND WOUND CARE SERVICES. THE COMMUNITIES WE SERVE INCLUDE HENDERSON, UNION, AND WEBSTER COUNTIES. DEACONESS HENDERSON HOSPTITAL IS AN ACUTE CARE HOSPITAL LOCATED IN HENDERSON, KY WITH 192 LICENSED BEDS. DURING THE FISCAL YEAR ENDING SEPTEMBER 20, 2023, DEACONESS HENDERSON HOSPITAL SERVED 3,319 INPATIENTS FOR A TOTAL OF 13,423 INPATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED 25,735 EMERGENCY ROOM VISITS. 103069416 1 0 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 1 109 0 1 755 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 4 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X X CHERYL A WATHEN 8124503296 600 MARY STREET EVANSVILLE IN 47747 GREGORY ALAN RISCH CHAIRMAN 5.00 0.00 X 0 1800 0 CURTIS MICHAEL WEBB VICE CHAIR 5.00 50.00 X 0 222290 50664 SUSAN E PARSONS TREASURER 5.00 0.00 X 0 0 0 CHARLES S AUSTIN SECRETARY 5.00 0.00 X 0 0 0 KELLI MATTHEW MD DIRECTOR & CHIEF OF STAFF 50.00 0.00 X X 823085 7020 0 PHILLIP SHIELDS DIRECTOR 5.00 0.00 X 0 0 0 WESLEY SIGHTS DIRECTOR 5.00 0.00 X 0 0 0 JAMES FRANK VINCENT SR DIRECTOR 5.00 0.00 X 0 0 0 LYNN LINGAFELTER COO 5.00 60.00 X X 0 882665 182889 LINDA E WHITE CAO 50.00 21.00 X 207256 4800 15832 CHERYL WATHEN VP & CFO 5.00 60.00 X 0 820174 201621 STEPHANIE JENKINS INTEGRATION DIRECTOR 50.00 0.00 X 176263 0 8865 KRISTOPHER BEICKMAN MD PHYSICIAN 50.00 0.00 X 526092 0 45201 SARAH O'NAN PHYSICIAN 50.00 0.00 X 473188 0 36820 AMBER KOON MD PHYSICIAN 50.00 0.00 X 444141 0 44082 RICARDO MADDELA MD PHYSICIAN 50.00 0.00 X 414743 0 19779 QUANG L NGUYEN MD PHYSICIAN 50.00 0.00 X 219835 0 7485 DENNIS BECK MD DIRECTOR & ASSOC. CMO 0.00 0.00 X 0 447930 49010 DIRK MORGAN FORMER CFO 0.00 0.00 X 0 253679 15310 CLAUDIA EISENMANN FORMER CEO 0.00 60.00 X 0 399486 27027 3284603 3039844 704585 60 1 1 0 PROGRESSIVE HEALTH OF INDIANA 150 N ROSENBERGER EVANSVILLE IN 47710 THERAPY SERVICES 1470994 SARAH KUNG DO PLLC 1611 RALEIGH RD LEXINGTON KY 40505 PULMONOLOGY SERVICES 867649 CRAIG ANESTHESIOLOGY SVCS LLC 4641 BRIGHTON CT NEWBURGH IN 47630 ANESTHESIA SERVICES 715996 YIUKA PITT MD 657 W BLUE RIDGE DR EVANSVILLE IN 47714 ANESTHESIA SERVICES 649959 DA ROSEN HEALTHCARE PLLC 2033 FRONT ST DURHAM NC 27705 HOSPITALIST SERVICES 506910 35 NET PATIENT SERVICES 621110 126914273 126914273 FAMILY PHARMACY REVENUE 621110 5131308 5131308 132045581 362914 362914 1272929 0 1272929 1272929 1272929 4086152 3943069 143083 143083 143083 CAFETERIA 900099 290221 290221 GAIN ON JOINT VENTURES 900099 14774 14774 681379 681379 986374 134810881 132741734 0 2069147 X 201238 201238 1300392 1300392 33932392 30277243 3655149 1237027 1103776 133251 6470593 5773590 697003 2697384 2406825 290559 30873 30873 22389786 19977990 2411796 53329 47585 5744 590670 527044 63626 881187 786267 94920 5892670 5257920 634750 36334 27250 9084 24998 18749 6249 1324576 1181895 142681 6975307 6223937 751370 835360 745376 89984 MEDICAL SUPPLIES 21843181 21843181 OVERHEAD ALLOCATION 8685978 8685978 PROVIDER TAX 5542240 5542240 DIETARY EXPENSES 587265 524006 63259 675625 603304 72321 122208405 103069416 19138989 0 9608274 8153705 12188964 12274702 111225 0 178327 272383 1975354 1695840 808756 740931 76047025 22305238 58378664 53741787 13868305 14892042 11097622 5143398 108215491 96914788 12176698 12898362 23942065 21596088 21998692 -814300 58117455 33680150 X 50098036 63234638 50098036 63234638 108215491 96914788 12602476 534126 0 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 5479 5479 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. 874959 874959 53059890 9974125 43085765 19895119 12331113 7564006 2217057 2217057 53741787 INVESTMENT IN PREMIER 15357 C SELF INSURED INSURANCE RETENTION 4621361 C AWUIL TRUSTEE HELD 10255324 C 14892042 RIGHT OF USE ASSET 2082394 OTHER RECEIVABLES 147445 RELATED PARTY RECEIVABLES 2852720 PHYSICIAN 457F 60839 5143398 OTHER LIABILITIES -88497 RIGHT OF USE LIABILITY 2082394 THIRD PARTY PAYABLE -2808197 -814300 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. 1 1 X 1 X 1 X 1 1 0 1 1 1580603 1580603 0.01290 34590313 41812714 0 0.00000 36170916 41812714 1580603 0.01290 1238 103619 103619 0.00080 77 67180 67180 0.00050 10036 202811 202811 0.00170 11351 373610 373610 0.00300 11351 36544526 41812714 1954213 0.01590 7985 42543 42543 0.00030 7985 42543 42543 0.00030 1 1231249 46940246 50502662 -3562416 X 1 1 1 1 DEACONESS HENDERSON HOSPITAL 1305 N ELM STREET HENDERSON KY 42420 100173 X X X DEACONESS HENDERSON HOSPITAL 1 0 0 1 X X X X X X X X X X 22 1 0 1 1 X WWW.DEACONESS.COM/CHNA X X 1 22 1 WWW.DEACONESS.COM/CHNA 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 HENDERSON 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- HEALTHY HENDERSON HEALTH COALITION- RIVER VALLEY BEHAVIORAL HEALTH- HENDERSON COMMUNITY SCHOOLS- HENDERSON COUNTY COOPERATIVE EXTENSION- UNITED WAY OF HENDERSON COUNTY- MATTHEW 25 AIDS SERVICES - KENTUCKY CANCER PROGRAM- HENDERSON DIABETES COALITION- KENTUCKY CANCER PROGRAMTO INCLUDE THE VOICES OF PEOPLE REPRESENTING THE COMMUNITY, SURVEYS WERE SENT TO ORGANIZATIONS SERVING HENDERSON COUNTY WITH UNIQUE PERSPECTIVES ON ISSUES IMPACTING HEALTH AND SOCIAL DETERMINANTS OF HEALTH AMONG RESIDENTS47 PARTICIPANTS PROVIDED SURVEY FEEDBACK.THREE (3) FOCUS GROUPS WERE ALSO HELD VIA ZOOM (DUE TO ONGOING COVID RESTRICTIONS) TO GATHER INPUT FROM COMMUNITY MEMBERS AND EXPERTS. DEACONESS HENDERSON 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 HENDERSON HOSPITAL PART V, SECTION B, LINE 7D: DEACONESS HENDERSON HOSPITAL PRESENTED ITS CHNA TO THE HEALTHY HENDERSON COALITION AND 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 WWW.DEACONESS.COM/CHNA. DEACONESS HENDERSON HOSPITAL PART V, SECTION B, LINE 11: THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2022 CHNA ARE SIMILAR TO THOSE ADOPTED IN PREVIOUS PLANS MENTAL HEALTH; OBESITY/DIABETES/PHYSICAL ACTIVITY; AND SUBSTANCE ABUSE OF ALCOHOL/TOBACCO/OTHER DRUGS. HOWEVER, THE CURRENT CHNA ALSO INCLUDES THE CONSIDERATION OF HEALTH EQUITY AND ACCESS TO EACH NEED.DEACONESS HENDERSON HOSPITAL HAS RESUMED IN-PERSON MONTHLY MEETINGS OF THE HEALTHY HENDERSON COALITION, WHICH ALSO HAS INCLUDED THE RECREATION OF COMMITTEES TO HELP ADDRESS THE IDENTIFIED NEEDS. THEY ALSO WORKED TOGETHER TO HOLD A COMMUNITY WIDE HEALTH FAIR AND SCREENING EVENT. SEVERAL DEACONESS PROVIDERS PARTICIPATED PROVIDING SKIN CANCER SCREENINGS AND INFORMATION ON COLONOSCOPIES AND LUNG CANCER SCREENINGS. IN ADDITION, IN THE TAX YEAR, HENDERSON COMMUNITY SCHOOLS HAVE INCREASED ITS MENTAL HEALTH COUNSELORS TO EIGHT (8); MENTAL HEALTH FIRST AID TRAINING COURSES HAVE BEEN PROVIDED; A COMMUNITY SUICIDE AWARENESS CAMPAIGN WAS LAUNCHED; A DIABETES/A1C SCREENING EVENT WAS HELD (THE FIRST SINCE 2019); THE COMMUNITY DIABETES SUPPORT GROUP HAS STARTED MEETING AGAIN; SMOKING CESSATION PROGRAMS HAVE RESUMED; AND THE HENDERSON COUNTY HEALTH DEPT. HELD A FREE NARCAN GIVEAWAY.MORE EVENTS AND TRAININGS ARE BEING PLANNED FOR THE UPCOMING CHNA/TAX YEARS. DEACONESS HENDERSON HOSPITAL PART V, SECTION B, LINE 15E: WELLFUND IS AVAILABLE TO DEACONESS HENDERSON HOSPITAL PATIENTS TO ASSIST WITH APPLYING FOR MEDICAID OR EXCHANGE PRODUCTS. DEACONESS HENDERSON HOSPITAL PART V, SECTION B, LINE 16J: OTHER METHOD USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY: DEACONESS HENDERSON 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 HENDERSON 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 HENDERSON HOSPITAL PART V, SECTION B, LINE 24: ALL PAYERS, INCLUDING ENTITLEMENT PROGRAMS, INSURANCE COMPANIES AND PATIENTS WITHOUT INSURANCE ARE BILLED AT 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. 2 2 - WOMEN'S HEALTH SERVICES-HENDERSON 736 ELM STREET HENDERSON KY 42420 WOMEN'S HEALTH PHYSICIAN SVCS 3 - METHODIST SURGICAL SERVICES 1413 N ELM STREET SUITE 201 HENDERSON KY 42420 ORTHOPEDIC PHYSICIAN SVCS PART I, LINE 7: A COST TO CHARGE RATIO WAS USED FOR MOST OF THE CALCULATIONS FOR THE TABLE. WORKSHEET 2 WAS USED FOR THIS CALCULATION. PART I, LN 7 COL(F): BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING PERCENTAGE IN THIS COLUMN IS $0.00. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES INCLUDE THE HOSPITAL'S PARTICIPATION WITH GREEN RIVER AREA DISTRICT DEVELOPMENT, A LOCAL GROUP DEDICATED TO ADDRESSING THE HEALTHCARE NEEDS OF COMMUNITIES SERVED. ALSO, A PART OF COMMUNITY BUILDING ACTIVITIES, VARIOUS HOSPITAL ADMINISTRATION STAFF VOLUNTEER TIME AS BOARD MEMBERS OR MEMBERS OF COMMUNITY ORGANIZATION AND COALITIONS TO KEEP ABREAST OF HEALTHCARE NEEDS, CONCERNS AND ISSUES WITHIN THE AREA. PART III, LINE 2: THE HOSPITAL HAS AGREEMENTS WITH THIRD PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES, AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD PARTY PAYORS, AND OTHER FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD PARTY PAYORS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. THE HOSPITAL ESTIMATES AN ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE BASED ON EVALUATION OF THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS AND OTHER FACTORS UNIQUE TO THE SERVICE AREA AND THE HEALTHCARE INDUSTRY. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON LINE 2 IS USING THE COST-TO-CHARGE RATIO. THE RATIO WAS CALCULATED FROM WORKSHEET A, ESTIMATED BAD DEBT EXPENSE (AT COST). PART III, LINE 4: THE FOOTNOTE DESCRIBING BAD DEBT EXPENSE IS INCLUDED IN THE ATTACHED AUDITED FINANCIAL STATEMENTS UNDER FOOTNOTE "PATIENT ACCOUNTS RECEIVABLE" ON PAGE 10 AND "CHARITY CARE, COMMUNITY BENEFIT AND ASSISTANCE TO THE UNINSURED" STARTING ON PAGE 11. PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE DERIVED FROM UTILIZING THE COST TO CHARGE RATIO FOR THE 9/30/2023 FISCAL YEAR. THE CALCULATION INCLUDED MEDICARE INPATIENT AND OUTPATIENT COSTS LESS MEDICARE REIMBURSEMENT. THE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT AS THE REIMBURSEMENT RECEIVED DID NOT COVER THE COST OF PROVIDING SERVICES. 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 KENTUCKY TO SERVE THE INDIGENT CARE NEEDS OF ALL PATIENTS WITHOUT ANY TYPE OF HEALTH INSURANCE. PATIENTS MUST COMPLETE A DSH APPLICATION AND MEET THE KENTUCKY 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: FOR THIS ASSESSMENT, DEACONESS DESCRIBES ITS COMMUNITY AS ALL PEOPLE LIVING IN HENDERSON COUNTY IN KY AT ANY TIME DURING THE YEAR.HENDERSON COUNTY IS LOCATED IN WESTERN KENTUCKY ALONG THE OHIO RIVER. POPULATION ESTIMATES (FROM CENSUS.GOV) FOR THE 2020 DECENNIAL CENSUS INCLUDE A GENERAL POPULATION OF 44,793 PEOPLE. THE COUNTY IDENTIFIES AS 84.0% WHITE, 8.2% BLACK OR AFRICAN AMERICAN, 3.1% HISPANIC OR LATINO, AND 5.2% TWO OR MORE RACES.COUNTY HEALTH RANKINGS 2021 REPORTS HENDERSON AS #60 OUT OF 120 COUNTIES FOR HEALTH OUTCOMES AND #31 OUT OF 120 COUNTIES FOR HEALTH FACTORS. STATISTICS FOR DIABETES PREVALENCE, TEEN BIRTHS, AND SUICIDE RANK HIGHER THAN THE STATE AVERAGE. PART VI, LINE 5: THE COVID-19 CONTINUED TO BE A PRIORITY AND THE CONSTANT CONCERN THROUGHOUT THE YEAR. WE SHIFTED FROM PRIMARY VACCINATIONS TO BOOSTERS FOR ADULTS AND CHILDREN AT ON-SITE AND DRIVE UP CLINICS. DEACONESS CONTINUED TO LEAD THE COVID-19 RESPONSE FOR SOUTHWEST INDIANA AND NEIGHBORING COUNTIES IN KENTUCKY AND ILLINOIS. WE ALSO CONTINUED TO SHARE ALL THE MOST CURRENT INFORMATION ABOUT COVID INPATIENT NUMBERS, TESTING, VACCINES, AND THE CONSTANTLY CHANGING REGULATIONS. AND OUR COPING WITH COVID WEBPAGE LINKED PEOPLE TO A VARIETY OF RESOURCES ABOUT MENTAL AND EMOTIONAL HEALTH CONTINUED TO BE A RESOURCE USED BY THE PUBLIC. AS WE STARTED TO OPEN BACK UP AND HOLD A FEW PUBLIC EVENTS WE HELD OUR ANNUAL ORAL, HEAD AND NECK CANCER SCREENING EVENT. ADDITIONALLY, WE CREATED AND DISTRIBUTED WRITTEN AND VISUAL CONTENT THAT ADDRESSED SPECIFIC ISSUES AND HEALTH CONCERNS FOR OUR COMMUNITY.SOCIAL MEDIA POSTS:OCTOBER 1-7, 2022 DAILY POSTS REGARDING HEALTHY FOOD OPTIONS AT THE ANNUAL FALL FESTIVALMULTIPLE POSTS IN OCTOBER REGARDING MAMMOGRAMS OCTOBER 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 KOONOCTOBER 11, 2022 REMINDER TO BEGIN SCHEDULING FLU SHOT AT A DEACONESS FLU SHOT CLINICOCTOBER 13, 2022 IMPROVING ACCESS: DEACONESS CLINIC URGENT CARE WEST NOW OPENOCTOBER 15, 2022 BREAST CANCER AWARENESS MONTH VIDEO: THE IMPORTANCE OF PRIORITIZING BREAST HEALTH WITH JENNIFER SMALLOCTOBER 19, 2022 BREAST CANCER AWARENESS MONTH: BRA DAY BREAST CANCER RECONSTRUCTION WITH DR. KATE KOTTWITZOCTOBER 20, 2022 VIDEO: HOW FLU SHOTS CAN SAVE LIVES WITH DR. CHASE MORANOCTOBER 21, 2022 BREAST CANCER AWARENESS MONTH VIDEO: THE DANGERS OF SKIPPING A MAMMOGRAM WITH JENNIFER SMALLOCTOBER 22, 2022 RSV-WHEN TO CALL YOUR PEDIATRICIANOCTOBER 23, 2022 BONE & JOINT HEALTH VIDEO: HOW DEXA SCAN MEASURES BONE LOSS WITH CHERYL LINNEMANOCTOBER 24, 2022 BEHAVIORAL HEALTH VIDEO: TIPS FOR CHILDREN WHO ARE BEING BULLIED OR ARE BULLYING OTHERS WITH SCOTT BRANAMOCTOBER 25, 2022 DRIVE THRU FLU SHOT AND COVID BOOSTER CLINICOCTOBER 26, 2022 VIDEO: HOW TO DISTINGUISH RSV FROM THE COMMON COLD/FLU WITH DR. JONATHAN PHILLIPSOCTOBER 27, 2022 VIDEO: THE IMPORTANCE OF KIDS GETTING FLU SHOTS WTH DR. GARRETT KOONOCTOBER 29, 2022 VIDEO: SIGNS & SYMPTOMS OF STROKE WITH ANGIE BLACKOCTOBER 30, 2022 BEHAVIORAL HEALTH VIDEO: WARNING SIGNS OF DOMESTIC VIOLENCE AND WHERE TO GET HELP WITH ELISSA JONESOCTOBER 31, 2022 VIDEO: HALLOWEEN SAFETY WITH DR. JONATHAN PHILLIPSNOVEMBER 2, 2022 FLU SHOT CLINICNOVEMBER 3, 2022 IMPROVING ACCESS VIDEO: DEACONESS VIDEO VISITS WITH DR. AMANDA BOHLEBERNOVEMBER 7, 2022 BLOG POST: DIABETES 101 BY ANNA SMITHNOVEMBER 14, 2022 VIDEO: HOW TO MANAGE DIABETES WITH DANIELLE HUDAKNOVEMBER 17, 2022 SMOKING FACTSNOVEMBER 23, 2022 VIDEO: HEALTHY, DIABETES-FRIENDLY THANKSGIVING TIPS WITH MOLLIE FRANCISNOVEMBER 30, 2022 VIDEO: KEEPING SKIN HEALTHY DURING THE WINTER WITH DR. DYLAN GREENEYDECEMBER 1, 2022 WHERE TO GO FOR FLUDECEMBER 2, 2022 FLU SHOT REMINDERDECEMBER 6, 2022 FLU SHOT REMINDERDECEMBER 7, 2022 FLU SHOT REMINDERDECEMBER 9, 2022 - FLU SHOT REMINDERDECEMBER 19, 2022 VIDEO: ER OR URGENT CARE WITH DR. GINA HUHNKEDECEMBER 21, 2022 VIDEO: WINTER HEALTH TIPS WITH DR. GINA HUHNKEDECEMBER 28, 2022 MENTAL HEALTH VIDEO: COPING WITH THE WINTER BLUES WITH SCOTT BRANAMDECEMBER 30, 2022 VIDEO: NEW YEAR'S EVE SAFETY WITH DR. TODD BURRYJANUARY 8, 2023 EXERCISE & NUTRITION VIDEO: LIFESTYLE CHANGES WITH BROOKE MCCARTNEYJANUARY 10, 2023 DEACONESS BEHAVIORAL HEALTHJANUARY 13, 2023 PEDIATRIC WEIGHT MANAGEMENT PROGRAMJANUARY 17, 2023 VIDEO: CARDIAC ARREST AND AORTIC ANEURYSM WITH DR. LEE WAGMEISTERJANUARY 19, 2023 MENTAL HEALTH VIDEO: GOOD GRIEF PATROL AND HELPING CHILDREN COPE WITH GRIEFJANUARY 24, 2023 VIDEO: CERVICAL CANCER AND PREVENTION WITH DR. SARAH O'NAN PART VI, LINE 7, REPORTS FILED WITH STATES KY 0 HENDERSON COMMUNITY COLLEGE 2660 SOUTH GREEN STREET HENDERSON KY 42420 611320380 N/A 50000 0 EDUCATION EXCELLENCE HENDERSON ECONOMIC DEVELOPMENT CORP PO BOX 874 HENDERSON KY 42419 822574175 501C6 20000 0 ECONOMIC DEVELOPMENT HABITAT FOR HUMANITY HENDERSON 1030 3RD ST HENDERSON KY 42420 611191876 501C3 10000 0 COMMUNITY BUILDING CLIFF HAGAN BOYS & GIRLS CLUB 3415 BUCKLAND SQUARE OWENSBORO KY 42303 610663746 501C3 10000 0 CAPITAL CAMPAIGN 2 2 1 X X X X X 0 1 0 0 0 1 1 1 0 LYNN LINGAFELTER COO 0 608584 0 168260 0 105821 0 151033 0 31856 0 1065554 0 97784 CHERYL WATHEN VP & CFO 0 577576 0 134675 0 107923 0 159494 0 42127 0 1021795 0 92511 KELLI MATTHEW MD DIRECTOR & CHIEF OF STAFF 0 0 0 0 823085 7020 0 0 0 0 823085 7020 0 0 KRISTOPHER BEICKMAN MD PHYSICIAN 475656 0 18489 0 31947 0 16580 0 28621 0 571293 0 0 0 SARAH O'NAN PHYSICIAN 421835 0 21989 0 29364 0 16580 0 20240 0 510008 0 0 0 DENNIS BECK MD DIRECTOR & ASSOC. CMO 0 388057 0 57837 0 2036 0 16580 0 32430 0 496940 0 0 AMBER KOON MD PHYSICIAN 371006 0 35000 0 38135 0 16580 0 27502 0 488223 0 0 0 RICARDO MADDELA MD PHYSICIAN 369368 0 7750 0 37625 0 16580 0 3199 0 434522 0 0 0 CLAUDIA EISENMANN FORMER CEO 0 343460 0 52803 0 3223 0 16580 0 10447 0 426513 0 0 CURTIS MICHAEL WEBB VICE CHAIR 0 190530 0 30317 0 1443 0 21146 0 29518 0 272954 0 0 DIRK MORGAN FORMER CFO 0 202587 0 49878 0 1214 0 13266 0 2044 0 268989 0 0 LINDA E WHITE CAO 177170 0 27529 0 2557 4800 5002 0 10830 0 223088 4800 0 0 QUANG L NGUYEN MD PHYSICIAN 205708 0 0 0 14127 0 0 0 7485 0 227320 0 0 0 STEPHANIE JENKINS INTEGRATION DIRECTOR 155123 0 21026 0 114 0 8334 0 531 0 185128 0 0 0 PART I, LINE 4B NONQUALIFIED PAYMENTS: CHERYL WATHEN $20,500 LYNN LINGAFELTER $20,500 PART 1, 4B: LYNN LINGAFELTER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $126,485.28 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $97,783.51 CHERYL WATHEN: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $119,207.04 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $92,510.50 PART I, LINE 6 COMPENSATION CONTINGENT UPON NET EARNINGS: INCENTIVE COMPENSATION PAYMENTS MADE BY THE ORGANIZATION ARE BASED UPON SUCCESSFUL ACHIEVEMENT OF ESTABLISHED INPATIENT SATISFACTION MEASURES, OUTPATIENT SATISFACTION MEASURES, COMPLIANCE WITH PUBLICLY REPORTED QUALITY INDICATORS, OPERATING MARGIN AS WELL AS OTHER TECHNICAL AND PERSONAL FUNCTIONAL GOALS OF BOTH THE ORGANIZATION AND RELATED ORGANIZATIONS. DEACONESS HOSPITAL'S INCENTIVE COMPENSATION PROGRAMS ARE FORMULATED TO REWARD BEHAVIOR THAT BALANCES PATIENT NEEDS AND EFFICIENT DELIVERY OF PATIENT CARE TO ENSURE THE BEST OUTCOMES ARE ACHIEVED. 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. DREW CLEMENTS RELATED BOARD MEMBER 95861 DREW CLEMENTS IS AN EMPLOYEE OF THE HOSPITAL. HE IS RELATED TO MELISSA CLEMENTS, A FORMER BOARD MEMBER. 0 MELANIE HUMBERT RELATED BOARD MEMBER 13830 SALARY - MELANIE HUMBERT IS AN EMPLOYEE OF THE HOSPITAL. SHE IS ALSO RELATED TO DR. VERNON HUMBERT, A FORMER BOARD MEMBER. 0 TONIA LILES RELATED BOARD MEMBER 57730 SALARY - TONIA LILES IS AN EMPLOYEE OF THE HOSPITAL. SHE IS RELATED TO DR. VERNON HUMBERT, A FORMER BOARD MEMBER. 0 SHARON SHIELDS RELATED BOARD MEMBER 126459 SALARY - SHARON SHIELDS IS AN EMPLOYEE OF DEACONESS CLINIC. SHE IS ALSO RELATED TO PHILLIP SHIELDS, A BOARD MEMBER. 0 GARRETT KOON RELATED BOARD MEMBER 323081 SALARY - GARRETT KOON IS AN EMPLOYEE OF DEACONESS CLINIC. HE IS ALSO RELATED TO AMBER KOON, A BOARD MEMBER. 0 FORM 990, PART I, LINE 1 EDUCATION, AND ADVANCING HEALTH KNOWLEDGE THROUGH RESEARCH. FORM 990, PART III, LINE 1 EDUCATION, AND ADVANCING HEALTH KNOWLEDGE THROUGH RESEARCH. 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 PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 19,977,990. MANAGEMENT AND GENERAL EXPENSES 2,411,796. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,389,786. 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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