2025-08-13T17:04:07-05:00 2024-08-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2023-09-01 863269008 Baptist Health Deaconess Medical Group BAPT 2708255857 900 Hospital Drive Madisonville KY 42431 Alisa Coleman President 2708255857 2025-08-13 1 1 Kim Hunwardsen CPA P00484560 6122536500 2025-08-11 2023 2025-03-06 01:10:19Z Alisa Coleman 900 Hospital Drive Madisonville KY 42431 40711344 0 X www.baptisthealthdeaconess.com X 2021 KY Provide medical services that promote the health and wellness of our community. 8 8 778 11 0 0 0 0 40891292 40709750 0 339 1186297 0 42077589 40710089 0 0 0 0 50094166 50108754 0 0 0 11734990 17967935 61829156 68076689 -19751567 -27366600 6859699 6600606 6912636 32198353 -52937 -25597747 X Rooted in a tradition of Christian service, Baptist Health Deaconess Madisonville expands access to high quality healthcare delivered with a compassionate and nurturing spirit to all. 0 0 64650281 40709750 Baptist Health Deaconess Medical Group, Inc. ("BHDMG") is a professional medical services company organized and operated to benefit Baptist Health Deaconess Madisonville, Inc. ("BHDM") hospital and the surrounding community. BHDMG is a comprehensive network of primary and specialty care physician practices in Madisonville, Kentucky that includes more than 80 primary care physicians, specialist physicians and advance practice clinicians. Providers represent more than 50 specialties, including primary care and family medicine, internal medicine, osteopathic medicine, emergency medicine, general surgery and a wide range of surgical specialties offering advanced treatments and care. During fiscal year 2024, BHDMG had over 338,000 patient visits at more than 40 locations. Statement continued on Schedule O.BHDMG also operates urgent care centers, rural health clinics and occupational medicine facilities. BHDMG's primary and specialty care physicians, urgent care centers, occupational medicine facilities and rural health centers offer more convenient and less costly quality care services to patients and help to maintain sufficient physician expertise and capacity to deliver efficient, appropriate and compassionate patient care in the communities BHDMG serves. Our physicians play key leadership roles in determining the direction and development of patient services, they spearhead innovation by leading clinical research and they help to bring advanced treatments and technology to our facilities. 64650281 1 0 0 0 0 0 0 0 0 0 1 0 0 0 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 X 0 0 778 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 1 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 KY X Valarie Howard 2703266133 900 Hospital Drive Madisonville KY 42431 Shawn McCoy Chair 1.00 2.00 X X 0 0 0 Gerard Colman Director 1.00 2.00 X 0 0 0 Isaac J Myers II MD Director 1.00 1.00 X 0 0 0 James Porter MD Director 1.00 1.00 X 0 0 0 Jared Florence Director 1.00 1.00 X 0 0 0 Jody Prather MD Director (Until mid-year) 1.00 1.00 X 0 0 0 Patrick Falvey Director 1.00 3.00 X 0 0 0 Richard Carrico Director 1.00 3.00 X 0 0 0 Lynn Lingafelter Director 1.00 2.00 X 0 0 0 Alisa Coleman President 2.00 41.00 X 0 0 0 Kim Ashby VP of Finance 2.00 41.00 X 0 294342 11469 Cheryl Wathen Treasurer 1.00 1.00 X 0 0 0 Doug Welp Secretary 1.00 1.00 X 0 0 0 Tejas Modi Hematology 40.00 0.00 X 1304737 0 38135 James Dodds Orthopedics 40.00 0.00 X 1150209 0 37797 Adnan Sultan Cardiologist 40.00 0.00 X 1026242 0 40493 Sumalatha Satoor MD Gastroenterology 40.00 0.00 X 995600 0 20130 Thomas Stanfield MD Cardiothoracic Surgery 40.00 0.00 X 985263 0 40890 5462051 294342 188914 188 0 1 1 0 Patient Service Revenue 621110 37225401 37225401 Other Patient Services 621110 2139087 2139087 ER Call Coverage 621111 1344140 1344140 1122 1122 40709750 1594 1594 1255 -1255 -1255 -1255 40710089 40709750 0 339 X 43467021 42567389 899632 349064 335966 13098 5429943 5315754 114189 862726 810733 51993 9721718 8190392 1531326 356901 341600 15301 3171502 2433954 737548 179887 162080 17807 92712 71241 21471 1095065 1094793 272 Medical Supplies 2924595 2924471 124 Repairs and Maintenance 224462 224259 203 Dues and Subscriptions 87039 86771 268 114054 90878 23176 68076689 64650281 3426408 0 350 4921200 4835256 1051833 782140 186143 542709 595997 1395440 117520 6859699 6600606 5137447 3416495 1775189 28781858 6912636 32198353 X -52937 -25597747 -52937 -25597747 6859699 6600606 X -27366600 1821790 X 0 1 X 1 0 X 3751 425 3326 691647 185718 505929 86742 86742 595997 Related Party Payable 28781858 28781858 X 40710089 0 40710089 0 40710089 68076689 0 68076689 0 68076689 Part X, Line 2: Baptist Health Deaconess Medical Group evaluates its uncertain tax positions on an annual basis. A tax benefit from an uncertain position may be recognized when it is more likely than not that the position will be sustained upon examination, including resolution of any related appeals or litigation processes, based on the technical merit of the position. The Organization has determined that it has no uncertain tax positions that are required to be recorded as of August 31, 2024 or 2023. 0 0 0 0 0 0 1 0 0 Tejas Modi Hematology 1195827 0 108910 0 0 0 9730 0 28405 0 1342872 0 0 0 James Dodds Orthopedics 1100209 0 50000 0 0 0 9392 0 28405 0 1188006 0 0 0 Adnan Sultan Cardiologist 967521 0 58721 0 0 0 12088 0 28405 0 1066735 0 0 0 Thomas Stanfield MD Cardiothoracic Surgery 938763 0 46500 0 0 0 12485 0 28405 0 1026153 0 0 0 Sumalatha Satoor MD Gastroenterology 964280 0 31320 0 0 0 10012 0 10118 0 1015730 0 0 0 Kim Ashby VP of Finance 0 250925 0 42992 0 425 0 9951 0 1518 0 305811 0 0 Part I, Line 4 Alisa Coleman, President, is compensated by Deaconess Health System, an unrelated organization for services to the Medical Group and related entities. Deaconess Health System uses some of the processes described in Part I, Question 3 to help determine appropriate compensation for the President. Compensation approval is done by the Board of Directors or Compensation Committee of Deaconess Health System. Part I, Line 6 Incentive compensation is based on operating margin performance which is affected by the net earnings. If the operating margin is low there is no payout. The incentive payment is also based on the successful achievement of established inpatient satisfaction measures, outpatient satisfaction measures, and compliance with publicly reported quality indicators, as well as other technical and personal functional goals of the related organizations. The incentive compensation programs are formulated to reward behavior that balances patient needs and the efficient delivery of patient care to ensure the best outcomes are achieved. Form 990, Part V, Line 1: Form 1096 is filed by Baptist Health Deaconess Madisonville, Inc., FEIN XXX-XX-XXXX. Form 990, Part VI, Section A, line 2 Kim Ashby, Richard Carrico, Patrick Falvey, Gerald Coleman, Lynn C. Lingafelter, and Shawn McCoy have a business relationship. Form 990, Part VI, Section A, line 3 Alisa Coleman, President, is employed by Deaconess Health System, an unrelated organization. Compensation for the President is provided by Deaconess Health System through a management agreement for services to Baptist Health Deaconess Madisonville, Baptist Health Deaconess Medical Group, and Baptist Health Deaconess of Madisonville Foundation. All three are related entities. This position has the responsibility of supervising the management, administration and operation of the Medical Group, Baptist Health Deaconess Foundation, and Baptist Health Deaconess Madisonville. Below is the calendar year 2023 compensation for the President. Compensation $451,153 Retirement 22,914 Benefits 22,722 Form 990, Part VI, Section A, line 6 Baptist Health Deaconess, LLC is the sole member of the corporation. Form 990, Part VI, Section A, line 7a The Board of Directors of Baptist Health Deaconess Medical Group are the same individuals as those serving on the Baptist Health Deaconess, LLC, the sole member. Baptist Healthcare System, Inc. and Deaconess Health Kentucky, Inc. each appoint 50% of the governing board of Baptist Health Deaconess, LLC. The Directors may be removed at any time, with or without cause, by the System that appointed them. As such, Baptist Healthcare System, Inc and Deaconess Health Kentucky effectively appoint the board of this entity. Form 990, Part VI, Section A, line 7b Approval to take any of the following actions shall require the affirmative vote of a majority of the BHSI Directors and a majority of the DHKY Directors: (a) sell or agree to sell or otherwise dispose of all or a substantial part of the assets of the Corporation or any investment or interest in any business enterprise; (b) amend, repeal or alter the articles of incorporation or these bylaws of the Corporation; (c) merge or consolidate or agree to merge or consolidate the Corporation with or into any other organization; (d) liquidate, dissolve, reorganize, or recapitalize the Corporation, or take any actions relating to bankruptcy or receivership; (e) create or incur any indebtedness with BHSI or DHKY, or with any third party in an amount exceeding $500,000; (f) make any capital expenditure requiring the payment of more than $500,000; (g) authorize the execution of any contract, agreement, or similar instrument by which the Corporation may be obligated to pay more than $500,000 or as otherwise specified in a policy adopted by the board in accordance with the voting requirements of this Section 2.09; (h) acquire any stock of any corporation or invest in or acquire any interest in any business enterprise; (i) approve the annual operating budget and capital expenditures budget of the Corporation, as well as any capital expenditures over $500,000; (j) approve the mission, vision, and values of the Corporation and amendments thereto; (k) approve strategic plans of the Corporation; (l) establish appropriate reserves (consistent with operational needs and strategic initiatives for the community) and/or make any distributions or charitable donations; (m) make any material changes to the Corporation's core services; and n) take action on any issue identified at any time as a key decision for Member action by a Member representative on the Corporation's board. Form 990, Part VI, Section A, line 8b The Medical Group does not have committees with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b The Form 990 will be provided to each voting member of the Board of Directors prior to filing with the IRS. The CFO reviews the Form 990 before it is filed with the IRS. Form 990, Part VI, Section B, line 12c Annually, the Secretary of Baptist Health Deaconess LLC. (BHD) sends out a Conflict of Interest questionnaire to each of the officers and directors serving on the Board of Baptist Health Deaconess Medical Group, Inc. (BHDMG). After completion, they are returned to the Secretary and reviewed by the Board or the Governance Effectiveness Committee for any potential conflicts. A conflict of interest is any circumstance, relationship (financial or otherwise), activity or decision (made in the course of governance, management or professional responsibilities or otherwise) that adversely influences or appears to adversely influence the ability of a Covered Person to: 1) make objective decisions on behalf of BHDMG and/or 2) act in the best interests of BHDMG in a manner consistent with the tax exempt purposes of BHDMG. The Board or Committee will determine by a majority vote of disinterested directors whether the disclosed financial or special interest may result in a conflict of interest. Form 990, Part VI, Section B, line 15 Compensation for the President is provided by Deaconess Health System, an unrelated organization for services to the Medical Group and the related entities. Deaconess Health System, an unrelated organization, and Baptist Health Deaconess Madisonville, a related organization, have a management agreement in place for services provided. Deaconess Health System uses comparability data, an independent compensation committee, and substantiation to determine the compensation of the President. This is completed on an annual basis. Compensation for the VP of Finance is provided by Baptist Health Deaconess Madisonville, a related organization. Baptist health Deaconess Madisonville uses comparability data, independent persons, and substantiation to determine the compensation of the VP of Finance. This is completed on an annual basis. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part IX, line 11g Contract Services: Program service expenses 7,275,160. Management and general expenses 1,520,326. Fundraising expenses 0. Total expenses 8,795,486. Professional Fees: Program service expenses 915,232. Management and general expenses 11,000. Fundraising expenses 0. Total expenses 926,232. Form 990, Part XI, line 9: Net Assets received from Baptist Health Deaconess Madisonville, Inc. 1,821,790. Baptist Health Deaconess Madisonville Foundation Inc 900 Hospital Drive Madisonville KY 42431 472893430 Support BHDM KY 501(c)(3) Line 12a, I 0 Baptist Health Deaconess Madisonville Inc 900 Hospital Drive Madisonville KY 42431 610654587 Healthcare Services KY 501(c)(3) Line 3 0 Baptist Health Deaconess LLC 900 Hospital Drive Madisonville KY 42431 872361058 Management KY N/A 0 0 Baptist Health Deaconess Home Care LLC 200 Clinic Drive Suite 210 Madisonville KY 42431 933197463 Home Care Services OH N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 1 0