2026-08-17T17:47:25-05:00 2025-09-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2024-10-01 862614124 DEACONESS UNION COUNTY HOSPITAL INC DEAC 2703895000 4604 US HWY 60 MORGANFIELD KY 42437 GREG MOORE CAO & CFO 2703895085 2026-08-17 1 1 EMILIE M KNIERIEM CPA P01330194 3176334705 2026-08-15 2024 2025-03-06 01:10:19Z AMBER POWELL 4604 US HWY 60 MORGANFIELD KY 42437 37018233 0 X SEE SCHEDULE O 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. 8 5 146 15 0 0 26821 10704 29992547 36775744 5540 140 227772 133871 30252680 36920459 289 20395 0 0 8865742 9687177 0 0 0 12553896 13373971 21419927 23081543 8832753 13838916 38835079 52297916 14424500 14048421 24410579 38249495 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 19542805 20395 36775744 DEACONESS HOSPITAL UNION COUNTY IS A CRITICAL ACCESS HOSPITAL IN UNION COUNTY, KY. DURING FY 2025, DEACONESS UNION COUNTY HOSPITAL SERVED 510 INPATIENTS FOR A TOTAL OF 3,247 INPATIENT DAYS. UNION COUNTY ALSO PROVIDED 6,867 EMERGENCY ROOM VISITS. 19542805 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 32 0 1 146 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 KY X CHERYL A WATHEN 8124503296 600 MARY STREET EVANSVILLE IN 47747 X ADAM O'NAN CHAIRPERSON 1.00 0.00 X X 0 0 0 PATRICIA SHEFFER VICE CHAIRPERSON 1.00 0.00 X X 0 0 0 TESSA GOUGH SECRETARY / TREASURER 1.00 0.00 X X 0 0 0 DR WILLIAM ALLEN WHITE MEMBER 1.00 40.00 X 0 4164 0 SUSAN BRUMLEY MEMBER 5.00 60.00 X 0 357357 32562 RONALD BURKINS MEMBER 1.00 0.00 X 0 0 0 GARLAND CERTAIN MEMBER (PARTIAL YR) 1.00 0.00 X 0 0 0 TERRA HANCOCK MEMBER 1.00 0.00 X 0 0 0 STEPHANIE JENKINS MEMBER 5.00 40.00 X 0 213671 8041 JARED M STIMPSON MEMBER (PARTIAL YR) 5.00 0.00 X 0 0 0 AMBER N POWELL CAO 50.00 0.00 X 170339 0 40619 NELSON W CARTWRIGHT TEAM LEADER RN CAH 40.00 0.00 X 147402 0 30753 BRANDI M CLEMENTS TEAM LEADER RN CAH 40.00 0.00 X 133197 0 21940 ALLISON HEBERT STAFF NURSE RN CAH 40.00 0.00 X 127908 0 38082 AMBER CROSS REGISTERED NURSE 40.00 0.00 X 126169 0 38511 705015 575192 210508 11 0 1 0 CONCORD MEDICAL GROUP OF KY PLLC 1602 AVENUE Q LUBBOCK TX 794014732 EMERGENCY SERVICES 1234746 PROGRESSIVE HEALTH OF INDIANA L 150 N ROSENBERGER EVANSVILLE IN 47710 THERAPY SERVICES 1067921 SOUTH CENTRAL PHYSICIANS PLLC 1602 AVENUE Q LUBBOCK TX 794014732 MEDICAL PROF FEES 472945 UNIVERSAL PROTECTION SERVICE LP PO BOX 277469 ATLANTA GA 303847469 SECURITY SERVICES 229752 EMA ANESTHESIA PSC 4622 NORTHRIDGE CIRCLE CRESTWOOD KY 40014 ANESTHESIA SERVICES 150345 5 10704 10704 NET OUTPATIENT 621400 27415300 27415300 INPATIENT 621400 8756088 8756088 PHYSICIAN SERVICES 621400 486054 486054 ALL OTHER 621400 118302 118302 36775744 140 140 231645 97774 133871 133871 133871 36920459 36775744 0 134011 X 20395 20395 151982 135264 16718 7390122 6577208 812914 263567 234574 28993 1332800 1186192 146608 548706 488349 60357 104 104 5021928 3465130 1556798 10651 9479 1172 499464 444523 54941 82997 76357 6640 491845 437742 54103 9914 8824 1090 19285 17163 2122 208227 185322 22905 774798 689570 85228 189215 168402 20813 OH ALLOCATION 3956072 3520905 435167 MEDICAL SUPPLIES 1610388 1433222 177166 TAX EXPENSE 279788 249011 30777 REPAIRS AND MAINTENANCE 184890 164552 20338 34405 30621 3784 23081543 19542805 3538738 0 21829821 17361039 2240567 3450430 401204 344223 51035 58653 13542167 4819896 7824903 8722271 6487549 22361300 38835079 52297916 6502413 2023149 5204119 6142951 2717968 5882321 14424500 14048421 X 24410579 38249495 24410579 38249495 38835079 52297916 13838916 0 X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 4218 4218 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. 27447 27447 7224414 2062701 5161713 4007199 2757195 1250004 2283107 2283107 8722271 INTERCOMPANY REC. 22175745 RIGHT OF USE ASSET 185555 22361300 RIGHT OF USE LIABILITIES 185555 ACCRUED INTEREST PAYABLE 1018975 ESTIMATED THIRD PARTY SETTLEMENT 4677791 5882321 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, 2025 AND 2024, 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 179149 179149 0.00780 4468927 12047379 0 0.00000 4648076 12047379 179149 0.00780 20668 20668 0.00090 43970 43970 0.00190 239276 239276 0.01040 177880 177880 0.00770 481794 481794 0.02090 5129870 12047379 660943 0.02870 1 915680 16565818 11119118 5446700 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 24 1 0 1 1 X WWW.DEACONESS.COM/CHNA X X 1 24 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 UNION COUNTY HOSPITAL PART V, SECTION B, LINE 5: DEACONESS HEALTH SYSTEM CONDUCTED THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN PARTNERSHIP WITH VARIOUS COMMUNITY STAKEHOLDERS. THE 2024 CHNA PROVIDES INSIGHTS INTO THE HEALTH NEEDS OF COMMUNITIES WITHIN THE DEACONESS SERVICE AREA AND PROVIDES GUIDANCE TO THE DEVELOPMENT OF HEALTH-PROMOTING PROGRAMS AND SERVICES. THIS REPORT PROVIDES A COMPREHENSIVE OVERVIEW OF THE METHODS USED TO CONDUCT THE CHNA, SUMMARIES OF DATA THAT WERE CONSIDERED, AND A DESCRIPTION OF THE PROCESS AND OUTCOMES OF A PRIORITIZATION PROCESS TO ESTABLISH THE HEALTH PRIORITIES THAT WILL DRIVE THE HOSPITAL'S ACTIVITIES IN SUBSEQUENT YEARS. A DIVERSE AND COMPREHENSIVE RANGE OF ACTIVITIES WERE INITIATED TO COLLECT AND CONSIDER DATA THAT PROVIDED VALUABLE INSIGHTS FOR DECISION MAKING. A FOUNDATIONAL ACTIVITY INCLUDED THE REVIEW OF EXISTING SECONDARY DATA TO BETTER UNDERSTAND THE HEALTH NEEDS AND SOCIAL, ECONOMIC, AND DEMOGRAPHIC CHARACTERISTICS OF THOSE LIVING IN THE SERVICE AREA. ADDITIONALLY, TO ENSURE THE CONSIDERATION OF COMMUNITY MEMBER INSIGHTS INTO THE HEALTH ISSUES IMPACTING THEIR COMMUNITIES, A PROVIDER/STAKEHOLDER SURVEY WAS CONDUCTED. LASTLY, FOCUS GROUPS THAT INCLUDED COMMUNITY MEMBERS AND STAKEHOLDERS REPRESENTING ORGANIZATIONS PROVIDING SERVICES ON THE FRONT LINES OF PUBLIC HEALTH IN THEIR COMMUNITIES WERE CONDUCTED. A PRIORITIZATION SESSION WAS HELD TO DISCUSS FINDINGS AND IDENTIFY AREAS OF FOCUS FOR SUBSEQUENT YEARS. THIS RESULTED IN FIVE IDENTIFIED PRIORITIES.THREE APPROACHES WERE USED TO COLLECT PRIMARY AND SECONDARY DATA. DIEHL CONSULTING GROUP (DCG) WAS CONTRACTED TO PROVIDE SUPPORT TO THESE METHODS. THIS INCLUDED COMPILING EXISTING SECONDARY DATA, ADMINISTERING PROVIDER/STAKEHOLDER SURVEYS, AND CONDUCTING FOCUS GROUPS. DCG ANALYZED AND SUMMARIZED DATA FROM THESE METHODS AND ASSISTED IN THE PRIORITIZATION AND FINAL REPORTING PROCESS. METHODS ARE SUMMARIZED BELOW AND FURTHER DETAILED IN EACH OF THE RESPECTIVE RESULTS SECTIONS OF THIS REPORT AND APPENDIX A. TO SUPPORT PRIORITIZATION, A SYNTHESIS OF KEY FINDINGS FROM DATA COLLECTION PROCESSES WAS PRESENTED AND SUMMARY DOCUMENTS WERE PRODUCED TO GUIDE DISCUSSION (APPENDIX D).SECONDARY DATA SOURCES WERE REVIEWED TO BETTER UNDERSTAND THE HEALTH NEEDS AND SOCIAL, ECONOMIC, AND DEMOGRAPHIC CHARACTERISTICS OF THOSE LIVING IN THE SERVICE AREA. SOURCES INCLUDED (A) THE 2025 VERSION OF COUNTY HEALTH RANKINGS & ROADMAPS, A PROJECT OF THE POPULATION HEALTH INSTITUTE OF THE UNIVERSITY OF WISCONSIN THAT IS SUPPORTED BY THE ROBERT WOOD JOHNSON FOUNDATION, (B) THE KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES, (C) THE U.S. CENSUS AMERICAN COMMUNITY SURVEY (5-YEAR ESTIMATES, 2019-2023), (D) THE ANNIE E. CASEY FOUNDATION: KIDS COUNT DATA CENTER, (E) KENTUCKY INCENTIVES FOR PREVENTION, AND (F) CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WONDER.PROVIDER/STAKEHOLDER SURVEYS WERE ADMINISTERED TO GATHER INSIGHTS INTO THE HEALTH ISSUES IMPACTING THE COMMUNITY. PARTICIPANTS WERE PROVIDED A LIST OF SIXTEEN (16) HEALTH ISSUES AND SOCIAL DETERMINANTS OF HEALTH, AS WELL AS AN OPPORTUNITY TO WRITE IN OTHER ISSUES NOT INCLUDED ON THE LIST. PARTICIPANTS SELECTED FIVE (5) ISSUES THEY CONSIDERED TO BE HIGHEST PRIORITY NEEDS IN THE COUNTY. RESPONDENTS THEN RANKED THE FIVE (5) ISSUES BASED ON PRIORITY. FOR EACH ISSUE IDENTIFIED, RESPONDENTS WERE THEN ASKED TO PROVIDE FEEDBACK ON THE PERCEIVED TREND OF THE ISSUE SINCE 2021, THE ADEQUACY OF RESOURCES DEVOTED TO ADDRESSING THE ISSUE, AND ANY PERCEIVED BARRIERS TO ADDRESSING THE ISSUE.PROVIDER/STAKEHOLDER FOCUS GROUPS WERE CONDUCTED VIRTUALLY WITH 12 PARTICIPANTS ACROSS 2 GROUPS REPRESENTING MEDICAL/HEALTHCARE ORGANIZATIONS AS WELL AS ORGANIZATIONS WITH UNIQUE PERSPECTIVES ON PUBLIC SERVICE, CHILD/YOUTH DEVELOPMENT, HEALTH EQUITY, AND BUSINESS/ECONOMIC DEVELOPMENT (APPENDIX B). FOCUS GROUPS EXPANDED ON INFORMATION COLLECTED THROUGH THE SURVEYS BY PROVIDING ADDITIONAL INSIGHT INTO THE HIGHEST RANKED PRIORITY NEEDS IDENTIFIED THROUGH THE SURVEYS.LISTINGS OF THOSE COMMUNITY PARTNERS ARE INCLUDED IN THE APPENDICES SECTION OF THE CHNA REPORT (APPENDIX B) AND ALSO LISTED IN THE PRIORITIZATION PROCESS SECTION AS APPLICABLE (SECTION 6). DEACONESS UNION COUNTY HOSPITAL PART V, SECTION B, LINE 6B: KEY PARTNER ORGANIZATIONS INCLUDED FIRST BAPTIST CHURCH & GREEN RIVER HEALTH DEPARTMENT. DEACONESS UNION COUNTY HOSPITAL PART V, SECTION B, LINE 11: THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2024 CHNA ARE:ACCESS TO CARETHE HOSPITAL SUPPORTED SEVERAL COMMUNITY EVENTS, INCLUDING AGRICULTURE SAFETY DAYS AND THE CORN FESTIVAL, AIMED AT DELIVERING HEALTHCARE TO THE COMMUNITY IN NON-TRADITIONAL WAYS.MENTAL HEALTHTHE HOSPITAL IS IN THE PLANNING STAGES OF "HEALTHY UNION COUNTY," A COALITION TO DEVELOP AN INVENTORY OF AVAILABLE RESOURCES AND PROVIDE COMMUNITY EDUCATION.OLDER ADULT CAREIN ADDITION TO OTHER COMMUNITY EVENTS AS DESCRIBED, THE HOSPITAL PARTICIPATED IN THE UNION COUNTY SENIOR CITIZENS HEALTH FAIR.SUBSTANCE USETHE HOSPITAL IS IN THE PLANNING STAGES OF "HEALTHY UNION COUNTY," A COALITION TO DEVELOP AN INVENTORY OF AVAILABLE RESOURCES AND PROVIDE COMMUNITY EDUCATION.COMMUNITY COLLABORATION & EDUCATIONDEACONESS UNION COUNTY TAUGHT CONCUSSION CLASS FOR SEVERAL COACHES/ATHLETIC TRAINERS. ADDITIONALLY, THE HOSPITAL PROVIDES AN ANNUAL DONATION TO UNION COUNTY PUBLIC SCHOOLS FOR ATHLETIC TRAINER SUPPORT TO ASSIST WITH PREVENTION OF SPORTS RELATED INJURIES. 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: THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED VARY ACCORDING TO THE INFORMATION REQUESTED AND THE MOST ACCURATE MEANS OF GATHERING THE REQUIRED INFORMATION. THE IRS PROVIDED WORKSHEET NUMBER 2 WAS USED TO CALCULATE A COST TO CHARGE RATIO USING INFORMATION FROM THE ORGANIZATION'S GENERAL LEDGER AND COST REPORTS. THAT RATIO WAS THEN USED IN CONJUNCTION WITH IRS WORKSHEET NUMBER 1 TO CALCULATE THE COST OF FINANCIAL ASSISTANCE PROVIDED AND WORKSHEET NUMBER 3 WAS USED TO CALCULATE UNREIMBURSED MEDICAID AMOUNTS. HEALTH IMPROVEMENT AND COMMUNITY BENEFIT PROGRAMS, HEALTH EDUCATION AND CONTRIBUTIONS ARE CALCULATED BASED ON ACTUAL COSTS. 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 10 AND "CHARITY CARE, COMMUNITY BENEFIT AND ASSISTANCE TO THE UNINSURED" STARTING ON PAGE 12 IN THE AFS. PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE DERIVED FROM UTILIZING THE COST TO CHARGE RATIO FOR THE 9/30/2025 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. SOURCES INCLUDE (A) THE 2025 VERSION OF COUNTY HEALTH RANKINGS & ROADMAPS, A PROJECT OF THE POPULATION HEALTH INSTITUTE OF THE UNIVERSITY OF WISCONSIN THAT IS SUPPORTED BY THE ROBERT WOOD JOHNSON FOUNDATION, (B) THE KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES, (C) THE U.S. CENSUS AMERICAN COMMUNITY SURVEY (5-YEAR ESTIMATES, 2019-2023), (D) THE ANNIE E. CASEY FOUNDATION: KIDS COUNT DATA CENTER, (E) KENTUCKY INCENTIVES FOR PREVENTION, AND (F) CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WONDER. PART VI, LINE 3: INFORMATION REGARDING AVAILABLE FINANCIAL ASSISTANCE IS LISTED ON OUR WEBSITE AT HTTPS://WWW.DEACONESS.COM/PAY-MY-BILL/FINANCIAL-ASSISTANCE AND IS POSTED IN EVERY CLINIC OFFICE AND FACILITY. PART VI, LINE 4: DEACONESS DEFINES ITS COMMUNITY AS ALL PEOPLE LIVING IN UNION COUNTY IN KENTUCKY ANY TIME DURING THE YEAR.DEMOGRAPHIC CHARACTERISTICS PROVIDE IMPORTANT INSIGHTS FOR THE DEVELOPMENT AND DELIVERY OF HEALTH-RELATED SERVICES AND PROGRAMS. OF THE 13,379 RESIDENTS OF UNION COUNTY, 50.6% ARE MALE. FURTHER, 88.9% ARE WHITE, 8.1% ARE BLACK OR AFRICAN AMERICAN, AND 2.3% ARE TWO OR MORE RACES. OF ANY RACE, 1.6% ARE OF HISPANIC OR LATINO ETHNICITY. AMONG ALL UNION COUNTY RESIDENTS, 1.3% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. PART VI, LINE 5: DEACONESS PROMOTED SERVICES AND INFORMATION THAT HELPED US ADDRESS THE GREATEST HEALTH NEEDS OF THE COMMUNITY AS DEFINED BY OUR MOST RECENT CHNA, AS WELL AS ENCOURAGE PEOPLE TO GET THE PREVENTIVE SCREENINGS THEY NEED.DEACONESS HOSTED AND ATTEND PUBLIC EVENTS, SUCH AS OUR ANNUAL ORAL, HEAD AND NECK CANCER SCREENINGS; COLON CANCER SCREENINGS, LOW DOSE CT SCREENINGS AND MORE OUTLINED BELOW. ADDITIONALLY, WE CREATED AND DISTRIBUTED WRITTEN AND VISUAL CONTENT THAT ADDRESSED SPECIFIC ISSUES AND HEALTH CONCERNS FOR OUR COMMUNITY.SOCIAL MEDIA POSTS:BREAST CANCER AWARENESS 10/1/2024WISE CHOICE 10/8/2024MENTAL HEALTH AWARENESS 10/10/2024PRIMARY CARE WEEK 10/11/2024GLOBAL HANDWASHING DAY 10/15/2024NATIONAL MAMMOGRAPHY DAY 10/18/2024MEGA BREAST TOUR 10/18/2024BREAST CANCER SURVIVOR TESTIMONY 10/25/2024BREAST CANCER SURVIVOR TESTIMONY 10/31/2024LUNG CANCER AWARENESS 11/1/2024LUNG CANCER SCREENING 11/8/2024WORLD DIABETES DAY 11/14/2024GREAT AMERICAN SMOKEOUT 11/24/2024WORLD AIDS DAY SCREENING 11/22/2024NO SHAVE NOVEMBER 11/22/2024SAFE TOYS AND GIFTS MONTH 12/2/2024SAFESITTER 12/4/2024HAND HYGIENE 12/6/2024ANXIETY 12/6/2024WHOOPING COUGH (PERTUSSIS) VACCINE AWARENESS 12/10/2024WHOOPING COUGH (PERTUSSIS) VACCINE AWARENESS 12/18/2024CROHN'S DISEASE AWARENESS 12/19/2024WHOOPING COUGH (PERTUSSIS) VACCINE AWARENESS 12/23/2024ANXIETY 1/3/2025WINTER STORM PREPAREDNESS 1/5/2025SLEDDING SAFETY 1/10/2025WEIGHT LOSS 1/10/2025HEAD AND NECK CANCER AWARENESS 1/15/2025LUNG DISEASE SUPPORT 1/16/2025FROSTBITE/HYPOTHERMIA AWARENESS 1/20/2025MOBILE MAMMOGRAM 1/29/2025GO RED FOR WOMEN (HEART DISEASE) 1/31/2025GO RED FOR WOMEN (HEART DISEASE) 2/1/2025AMERICAN HEART MONTH 2/3/2025GO RED FOR WOMEN (HEART DISEASE) 2/5/2025GO RED FOR WOMEN (HEART DISEASE) 2/6/2025HEART ATTACK SIGNS AND SYMPTOMS 2/8/2025IMPELLA HEART PUMP 2/11/2025CARDIAC REHAB 2/15/2025WINTER WEATHER SAFETY 2/18/2025NATIONAL CAREGIVERS DAY 2/21/2025COLON CANCER SCREENING 3/3/2025MEDICARE SEMINAR 3/3/2025NATIONAL KIDNEY MONTH 3/6/2025COLON CANCER AWARENESS MONTH 3/6/2025COLONOSCOPY AWARENESS 3/7/2025KIDNEY HEALTH 3/11/2025WORLD KIDNEY DAY / CHRONIC KIDNEY DISEASE 3/13/2025PULMONARY REHAB EDUCATION 3/15/2025FLU SEASON AWARENESS 3/18/2025KIDNEY DISEASE AWARENESS 3/20/2025AMERICAN DIABETES ALERT DAY 3/20/2025KIDNEY HEALTH 3/25/2025COLON CANCER SCREENING 3/26/2025HEAD AND NECK CANCER AWARENESS 4/1/2025HEAD AND NECK CANCER SCREENINGS 4/7/2025HEAD AND NECK CANCER SCREENINGS 4/15/2025STRESS AND ALCOHOL USE 4/18/2025STROKE AWARENESS MONTH 5/1/2025SPOT A STROKE F.A.S.T. 5/2/2025WORLD OVARIAN CANCER DAY 5/8/2025MENTAL HEALTH AND NURSING 5/9/2025SANE EDUCATION 5/9/2025SKIN CANCER AWARENESS 5/14/2025F.A.S.T. EXPERIENCE 5/14/2025STROKE AWARENESS MONTH 5/21/2025MENTAL HEALTH FOR WOMEN 5/22/2025BLOOD DONATION 5/24/2025CANCER SURVIVORSHIP 6/1/2025MEN'S HEALTH AWARENESS MONTH 6/2/2025MEN'S HEALTH AWARENESS MONTH 6/4/2025MEN'S HEALTH AWARENESS MONTH 6/9/2025MEN'S HEALTH AWARENESS MONTH 6/11/2025MEN'S HEALTH AWARENESS MONTH 6/12/2025MEN'S HEALTH AWARENESS MONTH 6/12/2025WORLD BLOOD DONATION DAY 6/14/2025HEAT SAFETY AWARENESS 6/23/2025MEN'S CANCERS 6/24/2025MEN'S HEALTH AWARENESS MONTH 6/27/2025SUMMER SAFETY 6/28/2025MEN'S HEALTH AWARENESS MONTH 6/30/2025FIREWORKS SAFETY 7/2/2025SKIN HEALTH AWARENESS 7/17/2025PEDIATRIC PHYSICAL THERAPY 7/18/2025HEATH SAFETY 7/19/2025BLOOD DONATION 7/21/2025INFANT MORTALITY 7/23/2025UV SAFETY AWARENESS 7/25/2025BACK-TO-SCHOOL HEALTH 7/28/2025PEDIATRIC PHYSICAL THERAPY 7/30/2025BACK-TO-SCHOOL HEALTH 7/30/2025WORLD LUNG CANCER DAY 8/1/2025NATIONAL BREASTFEEDING MONTH 8/16/2025BITE THERAPY 9/4/2025WORLD SEPSIS DAY 9/13/2025TIF PROCEDURE FOR GERD 9/17/2025BLOOD DONATION 9/17/2025BREAST CANCER AWARENESS 9/19/2025PROSTATE CANCER DETECTION 9/23/2025COCHLEAR IMPLANTS 9/26/2025MAMMOGRAMS 9/29/2025COMMUNITY EVENTSOCTOBER 6-12, 2024 HEALTHY EATING MESSAGES WITH WISE CHOICE AT THE FALL FESTIVAL.OCTOBER 6-12, 2024 SNUGGLE STATION AND FIRST AID AT FALL FESTIVALFEBRUARY 5, 2025 BABYPALOOZAAPRIL 3, 2025 HOMELESS CONNECT (SCREENING BOOTH)APRIL 12, 2025 - BABYPALOOZAAPRIL 26, 2025 CANCER SURVIVOR HOPEFESTMAY 17, 2025 HEART WALKJUNE 8, 2025 CANCER PATHWAYS SURVIVOR'S DAYJUNE 14, 2025 COLON SCREENING FOR LIFE 5KJUNE 28, 2025 WELLNESS SUPER SATURDAY AT EVANSVILLE MUSEUMJULY 2, 2025 BABYPALOOZAJULY 10, 2025 75 AEDS DISTRIBUTED TO COMMUNITY ORGANIZATIONSJULY 12, 2025 DESTINATION WELLNESS AT CHILDREN'S MUSEUM OF EVANSVILLEJULY 20-26, 2025 SNUGGLE STATION AND FIRST AID AT VANDERBURGH COUNTY FAIRAUGUST 5, 2025 NATIONAL NIGHT OUTAUGUST 8, 2025 NIGHT MARKETSEPTEMBER 12, 2025 NIGHT MARKETOCTOBER 18, 2025 - BABYPALOOZAOCTOBER 25, 2025 WALK-THRU BOONOVEMBER 2, 2025 TRI-STATE MS WALKPATIENT CARESIMILARLY, THE MAP FOR DEACONESS UNION COUNTY PROVIDED 704 PATIENTS WITH $3,665,315.79 IN ASSISTANCE.BEHAVIORAL HEALTH AND SUICIDE PREVENTION STAFF FROM DEACONESS CROSS POINTE EDUCATED THOUSANDS OF PEOPLE PEOPLE IN THE SURROUNDING COMMUNITY ABOUT BEHAVIORAL HEALTH, RELATED RESOURCES, AND SUICIDE PREVENTION.LOCAL SPONSORSHIPSAS A SYSTEM IN FY 24-25, DEACONESS SPONSORED PROGRAMS AND ACTIVITIES FOR MORE THAN 170,000 PEOPLE, CONTRIBUTING $2.1 MILLION IN SUPPORT OF CLUBS, GROUPS, SOCIAL SERVICE ORGANIZATIONS, AND OTHERS STRIVING TO MAKE OUR COMMUNITY A BETTER PLACE. PART VI, LINE 6: DEACONESS UNION COUNTY HOSPITAL IS AFFILIATED WITH DEACONESS HEALTH SYSTEM, COOPERATING TO PROVIDE HEALTH CARE SERVICES TO THEIR COMMUNITIES. ADDITIONALLY, THE HOSPITAL DOES PARTICIPATE IN SEVERAL COALITIONS AND COOPERATIVES WITH OTHER PROVIDERS AND OFTEN COLLABORATES WITH THE LARGER SYSTEM IN THE EVANSVILLE AREA TO PROVIDE ACCESS TO SERVICES THE HOSPITAL CANNOT PROVIDE SUCH AS CARDIAC AND NEUROLOGICAL SURGERY. 1 UNION COUNTY PUBLIC SCHOOLS 4500 US 60 MORGANFIELD KY 42437 610001327 GOV'T 5100 0 ATHLETIC TRAINER 1 0 PART I, LINE 2: UNION COUNTY CONFIRMS ALL RECIPIENTS OF FUNDS ARE ORGANIZATIONS WHOSE GOALS COINCIDE WITH UNION COUNTY'S MISSION. THE ORGANIZATIONS PROVIDE NEEDED SERVICES TO OUR COMMUNITY TO IMPROVE HEALTH AND WELLNESS FOR THE CITIZENS IN THE SURROUNDING AREA. 1 0 1 0 0 0 0 0 1 0 SUSAN BRUMLEY MEMBER 0 282904 0 72944 0 1509 0 13973 0 18589 0 389919 0 0 STEPHANIE JENKINS MEMBER 0 177597 0 35928 0 146 0 7473 0 568 0 221712 0 0 AMBER N POWELL CAO 142931 0 26143 0 1265 0 6260 0 34359 0 210958 0 0 0 NELSON W CARTWRIGHT TEAM LEADER RN CAH 116076 0 30907 0 419 0 5368 0 25385 0 178155 0 0 0 ALLISON HEBERT STAFF NURSE RN CAH 119357 0 7347 0 1204 0 2760 0 35322 0 165990 0 0 0 AMBER CROSS REGISTERED NURSE 118167 0 7704 0 298 0 4720 0 33791 0 164680 0 0 0 BRANDI M CLEMENTS TEAM LEADER RN CAH 119614 0 12647 0 936 0 4770 0 17170 0 155137 0 0 0 PART I, LINE 3 THE FOLLOWING METHODS WERE USED BY DEACONESS HEALTH SYSTEM, A RELATED NON-PROFIT ORGANIZATION, TO DETERMINE THE COMPENSATION FOR THE CEO: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION STUDY OR SURVEY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B NONQUALIFIED PAYMENTS: MARC FLORENCE $23,000 PART 1, LINE 4B: MARC FLORENCE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $ 99,171 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $ 92,724 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 89636 COMPENSATION 0 LILLIAN BEAVEN FAMILY MEMBER OF TESSA GOUGH, BOARD MEMBER 62346 COMPENSATION 0 FORM 990, PART I, ITEM J WWW.DEACONESS.COM/DEACONESS-UNION-COUNTY-HOSPITAL FORM 990, PART VI, SECTION A, LINE 6 DEACONESS HEALTH KENTUCKY, INC. IS THE SOLE CORPORATE MEMBER OF DEACONESS UNION COUNTY HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A DEACONESS UNION COUNTY HOSPITAL, INC. HAS A SOLE CORPORATE MEMBER, DEACONESS HEALTH KENTUCKY, INC. PURSUANT TO THE BYLAWS, CERTAIN DECISIONS OF THE BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY THE SOLE CORPORATE MEMBER, INCLUDING SPECIFIED STRATEGIC, FINANCIAL, GOVERNANCE, COMPENSATION, ORGANIZATIONAL, AND EXTRAORDINARY TRANSACTION MATTERS RESERVED TO THE MEMBER, AS WELL AS APPROVAL OF OFFICERS ELECTED BY THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE CORPORATION HAS ONE SOLE CORPORATE MEMBER, DEACONESS HEALTH KENTUCKY, INC. PURSUANT TO ARTICLE III, SECTION 3.16 OF THE CORPORATION'S BYLAWS, CERTAIN ACTIONS OF THE BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY THE SOLE MEMBER. THE MEMBER'S RESERVED POWERS INCLUDE, AMONG OTHER MATTERS, APPROVAL OF STRATEGIC PLANS AND BUDGETS, SIGNIFICANT CONTRACTS AND TRANSACTIONS EXCEEDING ESTABLISHED THRESHOLDS, ACQUISITIONS AND DISPOSITIONS OF ASSETS, BORROWINGS, INVESTMENTS, AMENDMENTS TO ORGANIZATIONAL DOCUMENTS, MERGERS, REORGANIZATIONS, DISSOLUTIONS, AFFILIATIONS, FORMATION OF NEW ENTITIES, CHANGES IN EXECUTIVE OFFICER COMPENSATION, AND OTHER MATTERS DESIGNATED BY THE MEMBER. ACCORDINGLY, CERTAIN DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE CORPORATION'S SOLE MEMBER. 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 THEREAFTER, 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 OUTSIDE 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 DEACONESS UNION COUNTY HOSPITAL 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: DEACONESS UNION COUNTY 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 DEACONESS UNION COUNTY HOSPITAL'S ARTICLES OF INCORPORATION ARE ON THE SECRETARY OF STATE'S WEBSITE. DEACONESS UNION COUNTY HOSPITAL 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 VII & SCHEDULE J, PART II: WE DO NOT USE A COMMON PAYMASTER. ALL SHARED STAFF AND DUAL-OFFICERS ARE PAID AND W-2'D SOLELY BY DHS. DEACONESS UNION COUNTY HOSPITAL REPORTS ALL SUCH COMPENSATION AS RELATED ORGANIZATION COMPENSATION IN PART VII COL (E) AND SCHEDULE J ROW (II). THE INTERCOMPANY ALLOCATION AND SUBSIDY ARE REPORTED AS OPERATIONAL TRANSFERS/ALLOCATIONS, NOT AS DIRECT COMPENSATION BY THE SUBSIDIARY. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,465,130. MANAGEMENT AND GENERAL EXPENSES 1,556,798. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,021,928. 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