2026-07-15T11:11:30-05:00 2025-08-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2024-09-01 863269008 Baptist Health Deaconess Medical Group BAPT 2708255857 900 Hospital Drive Madisonville KY 42431 Alisa Coleman President 2708255857 2026-07-14 1 1 Kim Hunwardsen CPA P00484560 6122536500 2026-07-09 2024 2025-03-06 01:10:19Z Alisa Coleman 900 Hospital Drive Madisonville KY 42431 50764090 0 X www.baptisthealthdeaconess.com X 2021 KY Provide medical services that promote the health and wellness of our community. 8 8 475 10 0 0 0 0 40709750 50757444 339 6646 0 0 40710089 50764090 0 0 0 0 50108754 56247710 0 0 0 17967935 27932694 68076689 84180404 -27366600 -33416314 6600606 6812224 32198353 65826285 -25597747 -59014061 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 80791205 50757444 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 89 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.Continued on Schedule O.During fiscal year 2025, BHDMG had over 370,000 patient visits at more than 40 locations. 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. In order to meet the health and wellness needs of our communities throughout the Madisonville service area, Baptist Health Deaconess Madisonville, Inc., (BHDM), (a nonprofit Section 501(c)(3) related entity), has historically provided grants to Baptist Health Deaconess Medical Group, Inc. (BHDMG). These grants have allowed BHDMG to continue to provide care and support for Medicaid and charity care patients through primary care centers, rural health centers, urgent care centers and specialty health centers that meet a demonstrated community need. BHDM made these grants on the condition that BHDMG use the grant funds only for the following activities: 1) To provide care for patients participating in Medicaid and other means tested government health programs, including but not limited to the Kentucky Children's Health Insurance (KCHIP) program. 2) To provide care, for free or at discounted rates, to low-income patients who cannot afford the cost of care. 3) To fund the operations of rural health clinics that provide care for the patients described above. 4) To engage in community activities and programs in response to demonstrated community needs to improve community health, including but not limited to health screenings COVID testing vaccinations and community health education 80791205 1 0 0 1 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 0 475 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 Gerard Colman Chair 1.00 2.00 X X 0 0 0 Shawn McCoy 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 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 - until Feb 2.00 41.00 X 0 308168 14198 Cheryl Wathen Treasurer 1.00 1.00 X 0 0 0 Doug Welp Secretary 1.00 1.00 X 0 0 0 Valarie Howard Chief Financial Officer-as of Jan 2.00 41.00 X 0 140538 5659 Tejas Modi MD Hematology 40.00 0.00 X 1258365 0 37797 James Dodds MD Orthopedics 40.00 0.00 X 1113323 0 37797 Devalkumar Rajyaguru MD Clinical Hematology Oncologist 40.00 0.00 X 1072947 0 23918 Puneet Gupta MD Cardiologist 40.00 0.00 X 1067099 0 38168 Adnan Sultan MD Cardiologist 40.00 0.00 X 1254182 0 33262 5765916 448706 190799 108 0 1 0 Deaconess Health System 600 Mary St Evansville IN 47710 Administrative Services 4028905 1 Patient Service Revenue 621110 47228016 47228016 Other Patient Services 621110 2196273 2196273 ER Call Coverage 621110 1333140 1333140 15 15 50757444 6646 6646 50764090 50757444 0 6646 X 48289237 47423317 865920 401059 382749 18310 5985542 5861750 123792 1571872 1504552 67320 5113 5113 18661660 17022165 1639495 368 318 50 398692 383940 14752 3117917 3117108 809 213015 185218 27797 108914 83710 25204 1164471 809087 355384 Medical Supplies 3384973 3237226 147747 Repairs and Maintenance 301367 207156 94211 Dues and Subscriptions 99465 97511 1954 476739 475398 1341 84180404 80791205 3389199 0 4835256 4010898 1051833 1847889 18412 1179926 295057 595997 884869 117520 50156 6600606 6812224 3416495 3644779 28781858 62181506 32198353 65826285 X -25597747 -59014061 -25597747 -59014061 6600606 6812224 -33416314 0 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 5113 5113 0 Part II-B, Line 1: The organization and certain employees are members of various associations that attribute a portion of their dues to lobbying expense. These associations include the American Academy of Family Physicians (AAFP), American Medical Association (AMA), American College of Cardiology (ACC), and Kentucky Medical Association (KMA). The portion of dues attributable to lobbying was $5,113 for the fiscal year. 3751 495 3256 957442 294562 662880 218733 218733 884869 Related Party Payable 62181506 62181506 X 50764090 0 50764090 0 50764090 84180404 0 84180404 0 84180404 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. Baptist Health Deaconess Medical Group has determined that it has no uncertain tax positions that are required to be recorded as of August 31, 2025 or 2024. 0 0 0 0 0 0 0 0 0 Tejas Modi MD Hematology 528117 0 730248 0 0 0 13800 0 23997 0 1296162 0 0 0 Adnan Sultan MD Cardiologist 818298 0 435884 0 0 0 9265 0 23997 0 1287444 0 0 0 James Dodds MD Orthopedics 709291 0 404032 0 0 0 13800 0 23997 0 1151120 0 0 0 Puneet Gupta MD Cardiologist 796731 0 270368 0 0 0 13800 0 24368 0 1105267 0 0 0 Devalkumar Rajyaguru MD Clinical Hematology Oncologist 540385 0 532562 0 0 0 13800 0 10118 0 1096865 0 0 0 Kim Ashby VP of Finance - until Feb 0 260325 0 47843 0 0 0 12680 0 1518 0 322366 0 0 Part I, Line 3 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. Form 990, Part V, Line 1: Baptist Health Deaconess Medical Group does not file Form 1099s. Form 1096 is filed by Baptist Health Deaconess Madisonville, Inc., a related entity, FEIN XXX-XX-XXXX. Form 990, Part VI, Section A, line 2 Kim Ashby, Valarie Howard, Richard Carrico, Patrick Falvey, Gerald Colman, 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 2024 compensation for the President. Compensation $464,565 Retirement $14,399 Benefits $27,329 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 16,716,398. Management and general expenses 1,639,495. Fundraising expenses 0. Total expenses 18,355,893. Professional Fees: Program service expenses 305,767. Management and general expenses 0. Fundraising expenses 0. Total expenses 305,767. 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