2026-08-17T17:49:10-05:00 2025-09-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2024-10-01 830966826 DEACONESS HEALTH KENTUCKY INC DEAC 8124502220 600 MARY STREET EVANSVILLE IN 47747 SHAWN MCCOY CEO OF DEACONESS HEALTH SYSTEM 8124502220 2026-08-17 1 1 EMILIE M KNIERIEM CPA P01330194 3176334705 2026-08-17 2024 2025-03-06 01:10:19Z SHAWN MCCOY 600 MARY STREET EVANSVILLE IN 47747 14548834 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 9973363 14428677 256 157 120000 120000 10093619 14548834 0 0 0 0 4776267 5573745 0 0 0 2295583 2288998 7071850 7862743 3021769 6686091 42592081 49155110 33399190 40022196 9192891 9132914 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 349823 8339493 DEACONESS KENTUCKY WORKS TO INCREASE ACCESS TO HEALTHCARE SERVICES WITHIN OUR COMMUNITY THROUGH METHODIST HEALTH INC., DOING BUSINESS AS DEACONESS HENDERSON HOSPITAL AND DEACONESS UNION COUNTY HOSPITAL. THESE HOSPITALS ARE DEDICATED TO PROVIDING QUALITY PATIENT CARE WITH A FOCUS ON CLINICAL EXCELLENCE AND PATIENT SAFETY. DEACONESS UNION COUNTY IS A CRITICAL ACCESS HOSPITAL OFFERING INPATIENT, EMERGENCY ROOM AND EXTENDED CARE SERVICES TO RURAL COMMUNITIES IN KENTUCKY. DEACONESS KENTUCKY PROVIDES FINANCIAL SUPPORT FOR THE OPERATIONS OF THESE HOSPITALS FOR THE BENEFIT OF THE COMMUNITIES SERVED. 6494154 6209184 DEACONESS KENTUCKY ALSO SUPPORTS EMERGENCY MEDICAL SERVICES IN THE REGION THROUGH ITS EMS PROGRAM, WHICH PROVIDES PREHOSPITAL CARE, INCLUDING 911 RESPONSE AND INTERFACILITY TRANSFERS, ACROSS HENDERSON, UNION AND WEBSTER COUNTIES. THE PROGRAM OPERATES THREE STATIONS, ONE IN EACH COUNTY, AND IS THE SOLE EMS PROVIDER IN THIS SERVICE AREA. IN ADDITION TO EMERGENCY RESPONSE, THE PROGRAM ENGAGES IN COMMUNITY HEALTH AND SAFETY EDUCATION, INCLUDING CHILD SAFETY SEAT CHECKS, CPR TRAINING, INJURY PREVENTION DEMONSTRATIONS AND A BABY SAFE SLEEP PROGRAM CONDUCTED IN PARTNERSHIP WITH DEACONESS HOSPITALS. THE PROGRAM HAS HELD RECOGNITION UNDER THE KENTUCKY EMSC VOLUNTARY EMS PEDIATRIC RECOGNITION PROGRAM SINCE 2023, REFLECTING ITS ONGOING COMMITMENT TO PEDIATRIC READINESS AND PREPAREDNESS. 6843977 1 0 0 0 0 0 0 0 0 0 0 0 1 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 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 KY X CHERYL A WATHEN 8124503296 600 MARY STREET EVANSVILLE IN 47747 SHAWN MCCOY PRESIDENT & CEO DEACONESS HEALTH SYSTEM 5.00 50.00 X X 0 2016238 361449 CHERYL WATHEN TREASURER/CHIEF FINANCIAL OFFICER 5.00 60.00 X X 0 988864 194519 MARC J FLORENCE VICE PRESIDENT 5.00 58.00 X X 0 753379 153958 0 3758481 709926 0 0 1 0 0 BAPTIST HEALTH REVENUE 621999 8159493 8159493 KENTUCKY EMS REVENUE 621999 6209184 6209184 RED REVENUE 900099 60000 60000 14428677 157 157 MANAGEMENT FEES 900099 120000 120000 120000 14548834 14548677 0 157 4306537 3897600 408937 8058 7235 823 1231471 1105716 125755 27679 24852 2827 44939 41373 3566 74923 67136 7787 152020 93693 58327 405 363 42 581 521 60 660986 450026 210960 153325 137389 15936 REPAIRS AND MAINTENANCE 509018 363292 145726 CORPORATE ALLOCATION EX 337921 302800 35121 MEDICAL SUPPLIES 189634 188002 1632 PROVIDER TAX 153063 153063 12183 10916 1267 7862743 6843977 1018766 0 1426767 394866 348043 88680 40130571 48290064 686700 381500 42592081 49155110 33399190 40022196 33399190 40022196 X 9192891 9132914 9192891 9132914 42592081 49155110 X 6686091 -6746068 X 0 1 X 1 1 1 X 14883905 12514086 24232676 9973363 14428677 76032707 14883905 12514086 24232676 9973363 14428677 76032707 0 0 0 76032707 256 157 413 256 157 413 90000 120000 120000 120000 450000 14883905 12604086 24352676 10093619 14548834 76483120 0.99410 0.98610 0.00000 0.00990 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MANAGEMENT FEES - 2021 AMOUNT: $ 90,000. 2022 AMOUNT: $ 120,000. 2023 AMOUNT: $ 120,000. 2024 AMOUNT: $ 120,000. 0 INVESTMENT IN BAPTIST HEALTH DEACONESS JOINT VENTURE 48290064 F 48290064 DUE TO HOSPITAL 19553444 INVESTMENT IN DEACONESS KY EMS 20468752 40022196 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. 0 1 0 0 0 0 0 0 0 SHAWN MCCOY PRESIDENT & CEO DEACONESS HEALTH SYS 0 1238547 0 457318 0 320373 0 316483 0 44966 0 2377687 0 313370 CHERYL WATHEN TREASURER/CHIEF FINANCIAL OFFICER 0 660905 0 178364 0 149595 0 148420 0 46099 0 1183383 0 143448 MARC J FLORENCE VICE PRESIDENT 0 517418 0 139337 0 96624 0 111246 0 42712 0 907337 0 92724 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 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS: NONQUALIFIED: SHAWN MCCOY $23,000 CHERYL WATHEN $23,000 MARC J. FLORENCE $23,000 PART I, 4B: SHAWN MCCOY: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $304,409 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $313,370 CHERYL WATHEN: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $136,345 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $143,448 MARC J. FLORENCE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $99,171 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $92,724 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'S SOLELY BY DHS. DEACONESS HEALTH KENTUCKY 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 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 OFFICER 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 OFFICER 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 -6,746,068. 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