TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) Michael Allen Davenport...................................................................... Chair	1.00 ................. 0.00	X	X		0	0	0
(2) R Steven Cox...................................................................... Vice Chair	1.00 ................. 0.00	X	X		0	0	0
(3) Devalkumar Rajyaguru MD...................................................................... Director	41.00 ................. 0.00	X			0	865,559	9,498
(4) Gerard Colman...................................................................... Director	1.00 ................. 2.00	X			0	0	0
(5) Jon J Hawkins...................................................................... Director	1.00 ................. 0.00	X			0	0	0
(6) Kent Waide...................................................................... Director	1.00 ................. 0.00	X			0	0	0
(7) Lynn C Lingafelter...................................................................... Director	1.00 ................. 2.00	X			0	0	0
(8) Patrick Falvey...................................................................... Director	1.00 ................. 3.00	X			0	0	0
(9) Robert R Carter...................................................................... Director	1.00 ................. 0.00	X			0	0	0
(10) Shawn McCoy...................................................................... Director	1.00 ................. 2.00	X			0	0	0
(11) Janet Norton...................................................................... Secretary	1.00 ................. 1.00		X		0	0	0
(12) Richard F Carrico...................................................................... Treasurer	1.00 ................. 3.00		X		0	0	0
(13) Ursula Duggar...................................................................... Assistant Secretary	40.00 ................. 0.00		X		71,671	0	1,115
(14) Alisa Coleman...................................................................... President	40.00 ................. 3.00		X		0	0	0
(15) Kim Ashby...................................................................... VP Finance & Assistant Treasurer	40.00 ................. 3.00		X		294,342	0	11,469
(16) William McColl...................................................................... Medical Physicist	40.00 ................. 0.00			X	253,744	0	26,984
(17) Caitlin Embrey...................................................................... RN	40.00 ................. 0.00			X	224,059	0	33,901

(A) Name and business address	(B) Description of services	(C) Compensation
Covenant Anesthesia PLL 800 Hospital Drive Madisonville,KY42431	Medical Staffing	3,744,452
MEDICAL SOLUTIONS LLC 1010 N 102nd St Suite 300 Omaha,NE68114	Medical Services	2,772,965
JACKSON & COKER LOCUMTENENS LLC PO Box 277638 Atlanta,GA303847638	Medical Staffing	1,314,544
Deaconess Health System 600 Mary St Evansville,IN47710	Management, IT, Admin Services	884,678
LOCUMTENENS COM LLC 2655 Northwinds Parkway Alpharetta,GA30009	Medical Staffing	540,445
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 19

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

Baptist Health Deaconess Madisonville

Employer identification number

61-0654587

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Name of the organization

Baptist Health Deaconess Madisonville

Employer identification number

61-0654587

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization Baptist Health Deaconess Madisonville

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization Baptist Health Deaconess Madisonville		Employer identification number 61-0654587

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization Baptist Health Deaconess Madisonville			Employer identification number 61-0654587
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Baptist Health Deaconess Madisonville

Employer identification number

61-0654587

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2022

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2022

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Yes

13,139

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

13,139

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
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 Kentucky Hospital Association and the Kentucky Medical Association. The portion of dues attibutable to lobbying was $13,139 for the fiscal year.

Schedule C (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

Baptist Health Deaconess Madisonville

Employer identification number

61-0654587

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	457,423		457,423
b	Buildings ....	2,869,560	388,102	2,481,458
c	Leasehold improvements
d	Equipment ....	11,906,822	2,558,164	9,348,658
e	Other .....	17,124,027	1,035,417	16,088,610
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				28,376,149

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)Estimated third-party payor				24,352,176
(2)Assets held for sale				171,774
(3)Other assets				220,096
(4)Related party receivable				297,185
(5)Right of use assets				6,555,033
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				31,596,264

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Estimated third-party payor settlements	2,350,200
Malpractice liability	5,299,351
Provider tax payable	5,549,929
Operating lease liability	181,007
Financing lease liability	8,360,510




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	21,740,997
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	291,312,031
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	346,243
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................			2e	346,243
3	Subtract line 2e from line 1..................			3	290,965,788
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	20,198
b	Other (Describe in Part XIII.) ...........	4b	-1,337,949
c	Add lines 4a and 4b....................			4c	-1,317,751
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	289,648,037

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	255,294,680
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d	1,337,949
e	Add lines 2a through 2d....................			2e	1,337,949
3	Subtract line 2e from line 1...................			3	253,956,731
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	20,198
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................			4c	20,198
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	253,976,929

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Part X, Line 2:	Baptist Health Deaconess Madisonville, Inc. 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.
Part XI, Line 4b - Other Adjustments:	Rental Exenses reclassed to revenue -1,337,949.
Part XII, Line 2d - Other Adjustments:	Rental Expenses reclassed to revenue 1,337,949.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

Baptist Health Deaconess Madisonville

Employer identification number

61-0654587

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	6,248,606		6,248,606	2.460 %
b	Medicaid (from Worksheet 3, column a) . . . . .
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	6,248,606		6,248,606	2.460 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	403,407		403,407	0.160 %
f	Health professions education (from Worksheet 5) . . .	8,496,320	2,065,889	6,430,431	2.530 %
g	Subsidized health services (from Worksheet 6) . . . .	9,480,750	5,439,786	4,040,964	1.590 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	21,613		21,613	0.010 %
j	Total. Other Benefits . .	18,402,090	7,505,675	10,896,415	4.290 %
k	Total. Add lines 7d and 7j .	24,650,696	7,505,675	17,145,021	6.750 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

10,892,684

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

2,276,571

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

38,172,087

Enter Medicare allowable costs of care relating to payments on line 5.....

50,956,979

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-12,784,892

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2023

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	Baptist Health Deaconess Madisonville Inc 900 Hospital Drive Madisonville,KY42431 www.baptisthealthdeaconess.com 100184	X	X	X

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Baptist Health Deaconess Madisonville
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Part V, Section C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): See Part V, Section C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Baptist Health Deaconess Madisonville
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 350.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

See Part V, Section C

The FAP application form was widely available on a website (list url):

See Part V, Section C

A plain language summary of the FAP was widely available on a website (list url):
See Part V, Section C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	Baptist Health Deaconess Madisonville
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	Baptist Health Deaconess Madisonville
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Baptist Health Deaconess Madisonville	Part V, Section B, Line 5: The Baptist Health Deaconess Madisonville CHNA committee worked closely with a wide variety of community partners and resources to gather, disseminate, and prioritize the information needed for the Community Health Needs Assessment. Baptist Health Deaconess Madisonville formed a community health coalition with other healthcare, civic, governmental, and educational organizations in the area to work collaboratively to identify and address the medical and socioeconomic factors affecting the health of the people in our region. There are three separate health departments located in Baptist Health Deaconess Madisonville's CHNA service area: the Hopkins County Health Department, the Muhlenberg County Health Department, and the Green River District Health Department, which serves Webster County. These health departments provide environmental, preventive, curative, and health maintenance services to area citizens through direct healthcare, health education, counseling and enforcement of laws that protect health and the environment.
Baptist Health Deaconess Madisonville	Part V, Section B, Line 7d: Results from the 2022-2024 Community Health Needs Assessment are made widely available through various communication methods. Local community organizations have posted a link on their websites to the CHNA on Baptist Health Deaconess Madisonville's website. The website address where the document can be accessed has been disseminated through local media. Paper copies of the CHNA are available at the hospital or by request.
Baptist Health Deaconess Madisonville	Part V, Section B, Line 11: The CHNA committee's purpose was to identify health challenges and risk factors that can be modified or prevented to improve the health of our community. Based upon the data collected and analyzed through this assessment, the committee identified and prioritized community needs for the service area that Baptist Health Deaconess Madisonville can address and affect by implementing programs, providing educational support and sponsoring preventive screenings. The following are the primary health issues that the hospital will focus on over the next three years: 1. Access to healthcare; 2. Mental health; 3. Obesity and COVID-19.Access to HealthcareSix of the top ten survey responses regarding family health issues were related to access to health care services. These include access to primary care; access to specialists; the availability of behavioral/mental health treatment resources and the availability of substance abuse treatment programs. The joint management agreement between Baptist Health and Deaconess Health systems will help significantly to alleviate a number of these access issues and a partnership with BluMine Health Direct Primary Care will help us to better identify the specialty care needs of our residents. We continue to offer extensive teaching, training and clinical experience for medical and nursing students that provide opportunities for future service to our community.Mental HealthMental health illnesses and the related health effects on individuals and families were the second highest priority health concern identified by the CHNA committee. Mental illness has a significant impact on overall health and well-being, and can contribute to other health issues such as obesity and substance abuse disorders. Over 40% of survey respondents view the mental health of the community as 'unhealthy or 'very unhealthy'. The committee members discussed the services Baptist Health Deaconess Madisonville already provides as well as goals to improve access for outpatient mental health wellness programs. To drive improved quality outcomes for our patients, Baptist Health Deaconess Madisonville recognizes the importance of integrating behavioral health care into all aspects of care. We also realize the importance of reducing the stigma of seeking behavioral health care services. As a result, we are expanding access and creating new avenues for people to receive care. These efforts include a network of providers who will work in collaboration with our treatment team and a Virtual Care hub for behavioral health that provides services to nearly 50 primary care locations. We are working to have these services embedded into every Baptist Health Deaconess Medical Group primary care location. Additional behavioral health risk assessment tools, expanded treatment options and the combined efforts of medical professionals, schools, churches and government agencies will contribute to our success in reducing the stigma around mental health care and educating and engaging individuals to seek better care for themselves and their loved ones. Additionally, our organization was awarded the RCORP NAS grant which provides funding to support education and prevention of NAS. This grant was awarded for three years. The grant funds have been utilized to support personnel and providers in providing services to address and prevent factors leading to NAS in newborns.Obesity Obesity and related illness prevention continue to be primary health concerns in our community. All three of Baptist Health Deaconess Madisonville's service area counties have a higher percentage of obesity than the average in Kentucky, which is known for having one of the worst ratings in the U.S for obesity. Over 45% of survey respondents viewed themselves as overweight. To increase the awareness of obesity as a health threat to our service area residents and to encourage healthier living through diet, exercise and other means remains a top priority. Obesity can cause serious health problems, including Type 2 diabetes, heart disease, high cholesterol, high blood pressure, asthma, osteoarthritis and several forms of cancer. Failing to diminish obesity in the community will lead to higher mortality rates, increased healthcare costs and a decrease in the quality of life for families in our community. We continually work with other community agencies to promote healthy living lifestyles through diet, exercise and education. One of our existing general surgeons began providing bariatric surgery to further address this concern.It is not within the scope of Baptist Health Deaconess Madisonville's services, expertise or resources to be able to address all of the risk factors that have been identified as influencers of our community's health status. However, it is through networking, partnerships and collaboration with other community stakeholder organizations and agencies that these issues and numerous others are being addressed. Increasing communication between community service providers, enhancing the public's awareness of the agencies and services available and promoting assistance provided by local community partners is a common goal of our healthcare and civic leaders. Baptist Health Deaconess Madisonville works collaboratively with other community resources to provide support and to serve as a referral source to help address the additional identified health needs and concerns of our communities. Substance abuse, childcare services and protection from and treatment for sexually transmitted diseases are community concerns that fall below the significant prevalence level for our service area. Other impact issues such as unemployment and uninsured populations are being managed by economic development groups, the Kentucky Chamber of Commerce, city and county governments and county health departments.
Baptist Health Deaconess Madisonville	Part V, Section B, Line 13h: In the event there is no evidence to support a patient's eligibility for charity care, Baptist Health Deaconess could, for patients above 200% of the Federal Poverty Guidelines, use outside agencies in determining collectability scoring for the basis of determining charity care eligibility. Presumptive eligibility may also be determined on the basis of individual life circumstances that may include:1. Homeless or received care from a homeless clinic.2. Food stamp eligibility.3. Patient is deceased with no known estate.Patients whose family income exceeds 350% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of Baptist Health Deaconess.
Baptist Health Deaconess Madisonville	Part V, Section B, Line 15e: Well Fund is available to Baptist Health Deaconess Madisonville patients to assist with applying for Medicaid or exchange products.
Baptist Health Deaconess Madisonville	Part V, Section B, Line 16j: Baptist Health Deaconess Madisonville seeks out the patients that are self-pay and interviews these patients while they are in the facility. The FAP is promoted to patients. BHDM seeks outs those patients that would qualify for the financial assistance policy. Collectability scoring is also completed and allowances are made based upon these scores.
Schedule H, Part V, Line 7 and 10:	https://baptisthealthdeaconess.com/About-Us/Community-Health-and-Outreach/Community-Health-Needs-Assessmenthttps://baptisthealthdeaconess.com/About-Us/Community-Health-and-Outreach/Community-Health-Needs-Assessment
Schedule H, Part V, Line 16a-c:	https://baptisthealthdeaconess.com/Billing/Financial-Assistancehttps://baptisthealthdeaconess.com/Billing/Financial-Assistancehttps://baptisthealthdeaconess.com/Billing/Financial-Assistance

Schedule H (Form 990) 2023

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?3
Name and address		Type of Facility (describe)
1	1 - Baptist Health Sports Medicine & Rehab 950 Hospital Drive Madisonville,KY42431	Rehab Services
2	2 - Baptist Health Hospice 200 Clinic Drive Madisonville,KY42431	Hospice Care
3	3 - Baptist Health Transitional Care 900 Hospital Drive Madisonville,KY42431	Skilled Nursing Facility
4
5
6
7
8
9
10

Schedule H (Form 990) 2023

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Part I, Line 3c:	In the event there is no evidence to support a patient's eligibility for charity care, Baptist Health Deaconess could, for patients above 200% of the Federal Poverty Guidelines, use outside agencies in determining collectability scoring for the basis of determining charity care eligibility. Presumptive eligibility may also be determined on the basis of individual life circumstances that may include:1. Homeless or received care from a homeless clinic.2. Food stamp eligibility.3. Patient is deceased with no known estate.Patients whose family income exceeds 350% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of Baptist Health Deaconess.
Part I, Line 7:	Charity care expense was converted to cost on line 7a based on the cost-to-charge ratio derived from Worksheet 2. Community health improvement services, line 7e, health professions education, line 7f , and cash and in-kind contributions, line 7i, are reported based on expenses recorded in the general ledger and compiled in the CBISA software. The cost for subsidized health services reported on line 7g was determined using the general ledger.
Part III, Line 2:	The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concession based on its historical collection experience with this class of patients.
Part III, Line 3:	The estimated amount of the Organization's implicit price concession that may be considered charity care is calculated based on the percentage of residents with income below the poverty level. In 2023, the percentage was 20.9% compared to 16.4% in state of Kentucky.
Part III, Line 4:	The footnote to the Organization's financial statements can be found on pages 13-15 of the attached audited financial statements.
Part III, Line 8:	Baptist Health Deaconess Madisonville, Inc. provides services to Medicare patients regardless if there is a shortfall or surplus. Healthcare and individual's health is important to the Hospital. The Medicare shortfall is considered a community benefit. Both the total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by the Centers for Medicare and Medicaid Services.
Part III, Line 9b:	Patients and guarantors who qualify for a full charity discount will not be billed once the charity determination is made. Patients and guarantors who qualify for a partial charity discount will be billed only for the non-discounted portion of their account. Statements will be sent to guarantors once patient liability is determined for insured or uninsured patients and necessary billing follow-up calls will be made by BHDM Patient Financial Services and/or a designated external early-out vendor over a period of time averaging from 90 to 120 days. All statements will contain information regarding the availability of financial assistance. If applicable, effort will be made to assist uninsured patients to secure coverage through any governmental or other assistance programs.Patient accounts not resolved at the end of this cycle will be considered for placement with external collection agencies. Collection agencies will continue to pursue patient balances while maintaining compliance with the Fair Debt Collection Practices Act and the ACA International's Code of Ethics and Professional Responsibility.ECAs may only begin after 120 days from the time the first post-discharge statement was provided. These ECAs will not include reporting adverse information to credit reporting agencies and/or credit bureaus. A written notice is provided to patients 30 days before any ECAs are initiated. Accounts will remain with a primary collection agency for approximately 250 days. Accounts that are not satisfied, on a payment arrangement or pending garnishment after 250 days may be recalled and placed with a secondary collection agency.If a patient disputes the account and requests documentation regarding the bill, the information requested will be provided and the account can be placed on a 30 day hold against any further collection activity.A patient may apply for financial assistance at any time during the life of the account.
Part VI, Line 2:	Along with the CHNA, the Hospital accesses the needs of the community through community surveys for input as well as a steering committee.
Part VI, Line 3:	The organization identifies uninsured patients by requesting insurance information at the time of the appointment request. If the patient has no insurance benefits, appointment scheduling staff will inform the patient of the self-pay policy. Except for emergency room visits, new patients who are unable to pay at the time of service are provided services by financial counselors for education and assistance. Emergency department patients are not asked for payment or insurance upon registration or admission. During financial counseling, patients will be informed of the Kentucky Physicians Care Program (KPC) in coordination with the Disproportionate Share Hospital (DSH) Program. They will also be counseled on potential eligibility for Medicaid and disability programs. Patients will also be advised of the financial assistance policy and applications will be provided.
Part VI, Line 4:	Baptist Health Deaconess Madisonville, as part of a joint venture between Baptist Health and Deaconess Health systems, serves western Kentucky residents with 35 points of care to meet the needs of Kentuckians close to home. As an integrated healthcare provider, Baptist Health Deaconess Madisonville includes more than 100 primary care and specialist physicians, a 410-bed hospital with an advanced 20-bed Critical Care unit, an Education division with a Family Medicine Residency program, award-winning Women's Health, advanced Cancer Care, and a progressive Heart & Vascular Center.The organization is based in Madisonville, Kentucky (Hopkins County) near Interstate 69, approximately 50 miles south of Evansville, Indiana. The majority of the community's population is concentrated in and around the city of Madisonville, with portions of the nearby counties of Webster and Muhlenberg also having significant patient discharge numbers. There are 28 points of care in the city of Madisonville, 12 in Hopkinsville and 15 in Powderly, Dawson Springs and Princeton. Approximately 25% of the community's population falls in the under 18 age range and approximately 18% are over the age of 65. The area has a healthy business climate with a strong employment rate. The average unemployment rate for the service area is 4.5%, compared to 4% for the state of Kentucky and the national average of 3.9% through August 2023. The emphasis on economic development and the support of local government and community partners continues to have a positive impact on the health of the local community.
Part VI, Line 5:	The Baptist Health Deaconess Madisonville Board of Directors is comprised of local representatives who, along with the hospital's management and employees, understand they are responsible for providing high quality health care services to the communities they serve. Operating healthcare facilities in today's environment requires a delicate balance between producing a sufficient margin to allow for adequate staffing and investment in new technologies, while also providing enough resources to absorb the cost of care for those patients who do not have the ability to pay for the services. Baptist Health Deaconess Madisonville continues to re-invest in the communities we serve through new technology, new construction, facility renovations and systems improvements.Baptist Health Deaconess Madisonville is committed to the health and well-being of the community. By putting the patient at the center of everything we do, we also serve the needs of patients' families, health care providers and our current and future employees providing information, tools and resources. Baptist Health Deaconess Madisonville reaches out to the community in many ways through:- Conducting health fairs for local schools, businesses and churches.- Participating in fund-raising and other events and donating to local agencies such as the American Heart Association, Metro United Way, American Cancer Society, March of Dimes, United Way of the Coalfield, Habitat for Humanity and the Christian Food Bank.- Participating on community health needs assessment teams that are dedicated to identifying and addressing local health needs in each of the counties we serve.- Hosting educational programs, including our pre-natal classes, breastfeeding classes, a diabetes educational program, smoking cessation and numerous others.- Maintaining necessary, but unprofitable services that meet community needs.- Helping to recruit physicians to underserved areas and extending medical staff privileges to all qualified physicians in our community for some or all of our departments and specialties.- Helping patients coordinate services with other healthcare providers.- Providing resources and donating hospital space for community group meetings and support groups, such as cancer recovery groups.- Promoting and providing preventive care services.- Monitoring clinical outcomes in order to ensure quality care.- Committing resources to improving safety and processes of care.- Providing services conveniently accessible by patients.Not only is Baptist Health Deaconess Madisonville as an organization involved in the community, but our staff and employees are very involved as well. Baptist Health Deaconess Madisonville employees volunteer thousands of hours in community services and leadership. Our support for community activities underscores our commitment to improving the lives of those served. Team members are active in local civic clubs and sit on the boards of Habitat for Humanity, Salvation Army, Women's Triangle Recovery House, Hopkins County Community Clinic, United Way and Happy Feet. Our staff members volunteer at numerous health literacy and health screening events in the area throughout the year, as well as the Breaking Bread Food Ministry, a local kitchen/food bank. Because Baptist Health Deaconess Madisonville and our employees contribute so much of their time, talent and resources to serve others, communities served by Baptist Health Deaconess Madisonville are better, healthier places to live and work. Quantification of many of the community benefits is detailed elsewhere in this schedule. However, what the quantifiable amount does not measure is the economic benefit derived by the community from Baptist HealthDeaconess Madisonville being one of the major employers in the area. The economic impact of the wages paid to our employees is significant considering the dollars they spend on food, housing, services and other products.The Internal Revenue Service Revenue Ruling 69-545 provides that a hospital can demonstrate it has met the community benefit standard by having a full-time emergency room open to the public regardless of ability to pay for services received. The Baptist Health Deaconess Madisonville hospital operates an emergency department that is open 24 hours a day, 365 days a year and treated over 28,000 emergency patients during fiscal year 2024. The emergency department posts policies stating that patients will be treated regardless of their ability to pay. Depending on the severity of a patient's condition, as a service to the patient Baptist Health Deaconess Madisonville may verify insurance prior to rendering services in the emergency department. Under no circumstances is emergency care delayed by discussions regarding insurance coverage or ability to pay for services. In addition, Baptist Health Deaconess Madisonville does not convey or intimate in any way to any emergency medical transportation service an unwillingness to treat any particular patient in need of medical attention.
Part VI, Line 6:	Baptist Healthcare System, Inc. and Deaconess Health Kentucky, Inc. formed the joint venture Baptist Health Deaconess, LLC which owns Baptist Health Deaconess Madisonville, Inc. hospital and Baptist Health Deaconess Medical Group, Inc. which operates physician practices and outpatient clinics. Through this joint venture, Baptist Healthcare System, Inc. and Deaconess Health Kentucky, Inc. bring capital and expertise that will provide enhanced health care services to the Madisonville community.

Schedule H (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
Baptist Health Deaconess Madisonville

Employer identification number
61-0654587

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) Baptist Health Deaconess Madisonville Foundation Inc 900 Hospital Drive Madisonville,KY42431	47-2893430	501(c)(3)	33,794	General Support
(2) Hopkins County Board of Education 320 South Seminary Street Madisonville,KY42431	61-6001319	Hopkins County	14,865	General Support
(3) Hopkins County Regional Chamber of Commerce 15 E Center St Madisonville,KY42431	61-0561820	501(c)(6)	6,280	General Support

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2023

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
Part I, Line 2:	There is a committee that is responsible for approving all grants. The committee selects the organization based on nonprofit criteria. An annual budget is established to determine the total amount of funds to be distributed each year.

Schedule I (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

Baptist Health Deaconess Madisonville

Employer identification number

61-0654587

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Yes

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Devalkumar Rajyaguru MD Director	(i) (ii)	0 ------------- 819,092	0 ------------- 46,042	0 ------------- 425	0 ------------- 0	0 ------------- 9,498	0 ------------- 875,057	0 ------------- 0
2Kim Ashby VP Finance & Assistant Treasurer	(i) (ii)	250,925 ------------- 0	42,992 ------------- 0	425 ------------- 0	9,951 ------------- 0	1,518 ------------- 0	305,811 ------------- 0	0 ------------- 0
3William McColl Medical Physicist	(i) (ii)	253,250 ------------- 0	0 ------------- 0	494 ------------- 0	9,076 ------------- 0	17,908 ------------- 0	280,728 ------------- 0	0 ------------- 0
4Lorie Oglesby VP HR and Education	(i) (ii)	213,702 ------------- 0	37,026 ------------- 0	425 ------------- 0	9,628 ------------- 0	1,518 ------------- 0	262,299 ------------- 0	0 ------------- 0
5Caitlin Embrey RN	(i) (ii)	224,059 ------------- 0	0 ------------- 0	0 ------------- 0	6,467 ------------- 0	27,434 ------------- 0	257,960 ------------- 0	0 ------------- 0
6Christy Littrell VP Chief Nursing Officer	(i) (ii)	180,653 ------------- 0	31,431 ------------- 0	425 ------------- 0	8,206 ------------- 0	9,693 ------------- 0	230,408 ------------- 0	0 ------------- 0
7Leslie Rice Pharmacist	(i) (ii)	203,980 ------------- 0	0 ------------- 0	209 ------------- 0	6,398 ------------- 0	17,272 ------------- 0	227,859 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

Part I, Line 3

Alisa Coleman, President, is compensated by Deaconess Health System, an unrelated organization, through a management agreement for services to the Hospital and related entities. Deaconess Health System uses some of the processes described in Part I, Question 3 to determine compensation, including comparability data and an independent compensation consultant. 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 both the organization and 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.

Schedule J (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

Baptist Health Deaconess Madisonville

Employer identification number

61-0654587

Return Reference	Explanation
Form 990, Part III, Line 4a	(Continuation of Statement of Program Service Accomplishments #1) - We have worked closely with Madisonville Community College (MCC) and Hopkins County Schools for many years to support and expand nursing and allied health training programs in the area. This partnership provides career training for local students and helps fill the pipeline for the health workers and caregivers required in our communities. We have also collaborated with MCC to develop and operate two innovative training facilities. We have a high-level simulation hospital that is used to train health science students throughout western Kentucky. This facility is being expanded to include critical care and surgery simulation capabilities. We also built a new home health training facility that is located adjacent to our hospital campus. The facility is designed as a house with both a standard, typical home layout and with an ADA-compliant layout. This facility provides real-life, hands-on training for home health workers, therapists, nursing students and others. Other educational events sponsored or supported by the organization include the First Step Nursing Program, the Dr. Loman C. Trover Symposium and the Oral Health Summit. COMMUNITY PROGRAMS, EVENTS AND DONATIONS: Baptist Health Deaconess Madisonville has always been an organization that the community looks to for support of community events. Whether it is financial support, the human resources of our employees, or both, the people of western Kentucky have come to rely on the organization to help make community events successful. In order to improve the general wellbeing of the communities we serve, the organization is involved in numerous community events, working with local organizations, schools and businesses to promote health and education through various events. Baptist Health Deaconess Madisonville's real passion is health care. For that reason, emphasis is placed on helping organizations with health care missions. Baptist Health Deaconess Madisonville served thousands of individuals through community educational events, health fairs and screenings during the 2024 fiscal year. Blood sugar and blood pressure screenings are provided regularly at satellite locations and The Mahr Cancer Center provided prostate, lung and colorectal cancer screenings working with the Kentucky Cancer Program. Free mammograms are provided to uninsured and underinsured members of the community through the Think Pink Breast Cancer Awareness programs. Additionally, we sponsor the "4th Fest" Family Night, an annual event in our wellness park that we maintain for use by the community; free sports physicals are provided to high school students in our service area counties and we operate and maintain a full-time dedicated research center, established to ensure that the community has early access to promising new medicine and medical treatments. The support groups offered by the organization, at no cost to the community, are staffed by hospital employees and served hundreds of patients and their families. These groups discuss health issues such as Alzheimer's disease, cancer, diabetes, fibromyalgia, multiple sclerosis, asthma and numerous other health and wellness topics. To enhance access, some support groups are held at satellite locations and via teleconference for the convenience and safety of the participants. Oftentimes our team members work additional hours above their normal workloads to staff these events and programs. The organization employs a full-time chaplain who is available for our patients, guests and employees; as well as a full-time chaplain for the Hospice program. These services, provided at a cost to the organization of over $80,000, include consultation, pastoral care, counseling and in-service seminars. In 2024 Baptist Health Deaconess Madisonville volunteers gave thousands of hours to the community. The volunteer program exists solely for service and is not a fund-raising group for the organization. Volunteers provide services to aid community members who use numerous hospital facilities, including the waiting rooms, the information desk and other areas. Volunteers also deliver mail to patients. Baptist Health Deaconess Madisonville supports its communities through financial and in-kind donations. Examples of supported events include giveaways for local school events, hospital tours, in-class speakers, support to the local Board of Education for health care education programs for high school students and financial support for community events at the Glema Mahr Center for the Arts. Baptist Health Deaconess Madisonville also supports the March of Dimes, the Salvation Army, United Way of the Coalfield, Habitat for Humanity, the Christian Food Bank, local 4-H Councils, the Boy Scouts and numerous other organizations. CHARITY AND COMMUNITY BENEFIT CARE: Baptist Health Deaconess Madisonville provides care to patients who meet guidelines established in the organization's charity care policy at no charge or at charges less than established rates. Other uncompensated care relates principally to contractual allowances for government payors, discounts taken by commercial payors and bad debts. Community benefit expense represents approximately 6.75% of the total organization's expense for the period ended August 31, 2024.
Form 990, Part VI, Section A, line 1a	The Executive Committee consists of the Chairperson of the Board, and three (3) members of the Board of Directors. The President is an ex officio non-voting member of the Executive Committee. Members of the Committee are appointed by the Chairperson of the Board at the annual meeting of the Board, and serve for a one year term. The Executive Committee has and may exercise the powers of the Board of Directors to appoint and reappoint members to the Medical Staff of the Corporation and report regularly at each meeting of the Board of Directors.
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 Baptist Health Deaconess Madisonville, Baptist Health Deaconess Medical Group, and Baptist Health Deaconess Foundation. 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	The sole member is Baptist Health Deaconess LLC, a Kentucky nonprofit limited liability company. Baptist Health Deaconess LLC is organized and operated exclusively to further the nonprofit and charitable purposes of Baptist Healthcare System, Inc. and Deaconess Health Kentucky, Inc., each of which are public charities under Section 501(c)(3) of the Internal Revenue Code of 1986.
Form 990, Part VI, Section A, line 7a	Baptist Healthcare System, Inc. and Deaconess Health Kentucky, Inc., in their capacity as members of the Corporation's sole Member, each appoint two Directors to the Board. The remaining Directors will be elected by the sole Member, Baptist Health Deaconess LLC., as provided in the Member's Operating Agreement.
Form 990, Part VI, Section A, line 7b	Notwithstanding any other provision of the Bylaws, approval of the Member shall be required for the Corporation to take any of the following actions, which may be via approval of a recommendation by the Board of the Corporation or via direct action by the Member: (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 the 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 or such higher amount as provided in a policy adopted by the Member from time to time; (f) make any capital expenditure requiring the payment of more than $500,000 or such higher amount as provided in a policy adopted by the Member from time to time; (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 such higher amount as provided in a policy adopted by the Member from time to time; (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 or such higher amount as provided in a policy adopted by the Member from time to time; (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; (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; (o) approve the appointment, removal, and the compensation and evaluation of the President of the Corporation; (p) appoint or remove, with or without cause, the members of the Board of Directors of the Corporation, and appointment and removal shall not require the recommendation of the Corporation's Board; (q) appoint or remove, with or without cause, the Chair of the Board of the Corporation, and appointment and removal shall not require a recommendation of the Corporation's Board; and (r) except as otherwise specified, exercise any rights on behalf of the Corporation as the sole member of the Foundation.
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	Conflict of Interest statements are completed for each board member, principal officer and committee member with board delegated powers. The Chair of the Board of Directors is responsible for being familiar with the statements and identifying existing or contemplated transactions or relationships which may give rise to a conflict of interest. Affected board members, officers, and committee members are also responsible for bringing conflicts which they may be a part of to the attention of the Board. Such affected parties are required to withdraw from the meetings for the time in which the matter continues under discussion. If the matter is brought to a vote, the affected party will not vote on it. If the matter requires a special called meeting, the affected party will not be counted in establishing a quorum. The Board will also appoint a non-interested person to investigate alternatives to the proposed transaction.
Form 990, Part VI, Section B, line 15	Compensation for the President is provided by Deaconess Health System, an unrelated organization, 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. The compensation for the VP Finance is determined based on market data for like positions in similar sized hospitals. Gallagher Consulting conducted a review and that was compared to the Kentucky Hospital Association survey. The President has final approval of the compensation. Documentation of the review and compensation adjustment is provided in Human Resources and personnel file. The last review was completed in the fall of 2024.
Form 990, Part VI, Section C, line 19	The organization's governing documents, conflict of interest policy and financial statements are available upon request in the organization's administrative office.
Form 990, Part IX, line 11g	Contract Services: Program service expenses 16,470,856. Management and general expenses 6,139,820. Fundraising expenses 0. Total expenses 22,610,676. Professional Fees: Program service expenses 7,422,503. Management and general expenses 3,952,459. Fundraising expenses 0. Total expenses 11,374,962.
Form 990, Part XI, line 9:	Net Asset Transfer to Baptist Health Deaconess Medical Group -1,821,790.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

Baptist Health Deaconess Madisonville

Employer identification number

61-0654587

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Baptist Health Deaconess Madisonville Foundation Inc 900 Hospital Drive Madisonville,KY42431 47-2893430	Support Baptist Health Deaconess Madisonville	KY	501(c)(3)	Line 12a, I	Baptist Health Deaconess Madisonville Inc	Yes
(2)Baptist Health Deaconess Medical Group Inc 900 Hospital Drive Madisonville,KY42431 86-3269008	Physician Services	KY	501(c)(3)	Line 3			No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) Baptist Health Deaconess LLC 900 Hospital Drive Madisonville,KY42431 87-2361058	Management	KY	N/A					No			No
(2) Baptist Health Deaconess Home Care LLC 200 Clinic Drive Suite 210 Madisonville,KY42431 93-3197463	Home Care Services	OH	Baptist Health Deaconess of Madisonville Inc	Related	161,871	730,265		No			No	50.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) Charitable Remainder Trust (1)	Charitable income	IN	N/A	T					No

Schedule R (Form 990) 2023

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Baptist Health Deaconess Foundation	C	309,371	General Ledger

Schedule R (Form 990) 2023

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: To provide advanced medical services that focus on the wellness and dignity of the patient.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	2,881
6	Total number of volunteers (estimate if necessary) .............	6	31
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,758,551	2,368,951
9	Program service revenue (Part VIII, line 2g) .........	255,910,182	284,268,774
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,092,260	204,062
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,679,810	2,806,250
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	264,440,803	289,648,037
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	306,805	54,939
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	112,642,576	106,315,266
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	122,767,356	147,606,724
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	235,716,737	253,976,929
19	Revenue less expenses. Subtract line 18 from line 12.......	28,724,066	35,671,108
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	91,227,108	122,505,696
21	Total liabilities (Part X, line 26).............	37,961,084	35,044,111
22	Net assets or fund balances. Subtract line 21 from line 20.....	53,266,024	87,461,585

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 184,991,511 including grants of $ 54,939 ) (Revenue $ 284,268,774 )
	Baptist Health Deaconess Madisonville is a tertiary acute care hospital, serving numerous rural communities in western Kentucky and offering over 35 points of care and a broad range of inpatient and outpatient services. As an integrated healthcare provider, Baptist Health Deaconess Madisonville includes more than 131 primary care and specialist providers, a 410-bed hospital with an advanced 20-bed Critical Care unit; an extensive education division that trains students in numerous capacities to provide medical care in rural areas; award-winning women's health services; advanced cancer care and a progressive heart and vascular center. (Continued on Schedule O)The hospital also has clinics conveniently located in nearby communities to provide care close to home for our patients. Baptist Health Deaconess Madisonville provided care for 5,615 inpatient adult, pediatric and nursery admissions, 649 live births, 242,487 outpatient visits, and 10,186 surgery visits during fiscal year 2024. Baptist Health Deaconess Madisonville's Mahr Cancer Center is Kentucky's oldest community hospital cancer program to consistently hold accreditation with the American College of Surgeons Commission on Cancer, receiving the No. 1 overall rating. The Merle M. Mahr Cancer Center is focused on preventing cancer, diagnosing cancer and treating it with the most aggressive, advanced therapies available. With state-of-the-art treatments, best-practice therapies and innovative clinical trials, the center delivers help and hope to people with cancer. The Mahr Center provided over 27,000 treatments to patients during fiscal year 2024, including chemotherapy and infusion; radiation oncology services; surgical services and advanced diagnostic and screening procedures. With skilled hands and compassionate hearts, the Jack L. Hamman Heart & Vascular Center encompasses the best in technology and facility design under one roof. The Center provides a complete range of services for diagnosis, treatment, and recovery from heart disease, as well as programs for assuring and maintaining wellness. The cardiac catheterization lab offers numerous procedures including the diagnosis and treatment of blood clots; implantation of permanent pacemakers; the use of stents to expand vessels and the removal of deposits from vessel walls. The Pacemaker/Defibrillator Clinic provides ongoing care for all pacemaker patients from practitioners who are assisted by technology experts to help ensure healthy recoveries and consistent, proper device performance. The Cardiac Rehabilitation program is administered by specially trained physiologists and nurses and provides a personalized rehabilitation program to help patients recover strength through exercise. Baptist Health Deaconess Madisonville Hospice is dedicated to providing support and care for individuals during their last phase of life, as well as assistance to their families through the death and bereavement process. Through a coordinated and dedicated team approach, the Hospice staff and volunteers provide physical, emotional and spiritual assistance to those with a life-limiting illness by focusing on the quality of life. We provide terminally ill patients of all ages virtually all of the services of a healthcare facility, but in the privacy of their own home. The Hospice team has more than 160 years of combined experience and is made up of physicians, registered nurses, social workers, chaplains, certified nursing assistants, ancillary staff including physical and occupational therapists and volunteers. Education has played vital role in the history and growth of Baptist Health Deaconess Madisonville. From elementary school students to health professionals and physicians, Baptist Health Deaconess Madisonville offers a wide range of learning opportunities. The Baptist Health Deaconess Madisonville Medical Education and Research Center provides numerous educational programs that benefit the communities of western Kentucky. - Established in 1971, the Baptist Health Deaconess Madisonville Family Medicine Residency Program has been dedicated to helping provide well-educated and expertly trained family physicians to rural western Kentucky and beyond. We have a proud tradition of quality residency training, with graduates practicing all over the country, in both rural and metropolitan areas. The diversity of our program's population and the rural community and lifestyle are instrumental in developing quality family physicians. The education and skills our residents have received serve them well as they practice on the front lines of medicine. Our residency program is an important part of our vision to lead in clinical excellence, compassionate care and growth to meet the needs of our patients.- The purpose of the post-graduate Pharmacy Residency Program is to build on the Doctor of Pharmacy education and outcomes to contribute to the development of clinical pharmacists responsible for medication-related care of patients with a wide range of conditions.- Established in 1986, the goal of the West Area Health Education Center, (AHEC), in Madisonville is to improve the recruitment, distribution and retention of healthcare professionals in our region and to improve the health of the communities we serve. The program connects the academic health centers at the University of Kentucky and the University of Louisville with medically under-served communities throughout the Commonwealth to address healthcare access issues in Kentucky. The AHEC program places college healthcare students in training rotations in rural hospitals, health departments, clinics and private offices across its 14-county area in western Kentucky. The program also coordinates student clinical training; provides continuing education for health professionals close to home; works with local schools to promote careers in health care and supports library networks to meet the information needs of students and healthcare practitioners.- The University of Louisville School of Medicine Trover Campus is a regional teaching center of the university located on the BHD Madisonville hospital campus that offers medical students the opportunity to complete the last two years of medical school in a rural community. - Baptist Health Deaconess Madisonville also collaborates with Murray State University to offer the only program in Kentucky for Nurse Anesthesia Training. The hospital campus serves as one of the primary clinical sites for the program. The program is dedicated to graduating nurse anesthetists with the highest professional competence who are committed to returning to rural areas to practice. Upon completion of the program, the graduates hold a Doctor of Nursing Practice (DNP) degree and are qualified to apply for the national certification exam to become Certified Registered Nurse Anesthetists.- The Delta Rural Network Center is located in the Dr. Loman C. Trover Medical Education and Research Center on the BHD Madisonville hospital campus. It is funded by a Delta States Rural Development Network grant program from the U.S. Department of Health and Human Services. The Kentucky Delta Rural Project is a community health and wellness program administered by Baptist Health Deaconess Madisonville. The goal of the project is to enhance the culture of wellness in our service area schools by involving school staff, students, parents and community organizations. The initiative promotes wellness activities in 74 elementary, 26 middle and 26 high schools. The principal objective is to assist the schools with establishing sustainable wellness committees to focus on wellness initiatives and to promote healthy lifestyle habits. The School Wellness Initiative is an HRSA-funded anti-obesity wellness promotion program that serves 20 rural Mississippi Delta Region counties. Through this initiative, the Delta Rural Network Center helps elementary, middle and high schools in the area, establish sustainable school wellness leadership teams to assess and address health and wellness activity. The initiative also focuses on the retention of academic classroom-based physical activity beyond required health and physical education; providing professional development training for school staff; healthy lifestyle activities and presentations for students and residents, and wellness policy development and review.- Centering Pregnancy Smiles is a partnership between the University of Kentucky, the Baptist Health Deaconess Madisonville Education and Research Center, the Hopkins County Health Department, the national Centering Pregnancy initiative and other federal, state and local leaders. The alliance, established to end the cycle of preterm births, low birth weight, and poor oral health in Kentucky, has already saved Kentucky more than $2 million in direct health costs. The Center offers tours, classes and seminars, and participates in community educational events.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses184,991,511

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) Leslie Rice........................................................................ Pharmacist	40.00 .......................0.00	X	204,189	0	23,670
(19) Lorie Oglesby........................................................................ VP HR and Education	40.00 .......................0.00	X	251,153	0	11,146
(20) Christy Littrell........................................................................ VP Chief Nursing Officer	40.00 .......................0.00	X	212,509	0	17,899

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	1,511,667	865,559	135,682

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	309,371
e	Government grants (contributions)		1e	1,162,018

f	All other contributions, gifts, grants, and similar amounts not included above		1f	897,562

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		2,368,951

		Business Code
2a	Patient Service Revenue	621110	253,955,108	253,955,108
b	Retail Pharmacy Revenue	456110	21,954,663	21,954,663
c	Fam Practice Residency	621110	3,408,176	3,408,176
d	Cafeteria Sales	900099	1,372,865	1,372,865
e	Long Term Acute Care	623000	1,263,633	1,263,633
f	All other program service revenue.		2,314,329	2,314,329
g	Total. Add lines 2a–2f .....		284,268,774

3 Investment income (including dividends, interest, and othersimilar amounts) ......			154,494			154,494
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	4,144,199
b	Less: rental expenses	6b	1,337,949
c	Rental income or (loss)	6c	2,806,250
d	Net rental income or (loss).......			2,806,250			2,806,250
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	18,007	31,561
b	Less: cost or other basis and sales expenses	7b	0	0
c	Gain or (loss)	7c	18,007	31,561
d	Net gain or (loss).........			49,568			49,568
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			289,648,037	284,268,774	0	3,010,312

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	54,939	54,939
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	387,180		387,180
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	82,308,753	67,921,617	14,387,136
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	2,801,435	2,517,866	283,569
9	Other employee benefits .......	15,365,735	11,592,691	3,773,044
10	Payroll taxes ...........	5,452,163	4,997,435	454,728
11	Fees for services (non-employees):
a	Management ......	18,146,371		18,146,371
b	Legal .........
c	Accounting ...........
d	Lobbying ...........	13,139		13,139
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	20,198		20,198
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	33,985,638	23,893,359	10,092,279
12	Advertising and promotion ....	91,599	464	91,135
13	Office expenses .......	4,336,949	3,569,516	767,433
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	2,015,603	1,170,318	845,285
17	Travel ............	188,357	124,438	63,919
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	352,861	302,834	50,027
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	3,629,891	2,967,876	662,015
23	Insurance ...	3,893,696	96,281	3,797,415
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Supplies	60,726,427	60,560,072	166,355
b	Medicaid Assessment Fee	9,800,930	629,178	9,171,752
c	Repairs and Maintenance	5,194,342	3,667,946	1,526,396
d	Dues and Subscriptions	669,806	499,957	169,849
e	All other expenses	4,540,917	424,724	4,116,193
25	Total functional expenses. Add lines 1 through 24e	253,976,929	184,991,511	68,985,418	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			1,247,463	1	16,015
2	Savings and temporary cash investments .........			11,799,165	2	17,756,543
3	Pledges and grants receivable, net ......				3	344,009
4	Accounts receivable, net .............			25,440,618	4	32,360,597
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			4,901,238	8	5,511,432
9	Prepaid expenses and deferred charges ......			1,099,808	9	809,287
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	32,357,832
b	Less: accumulated depreciation	10b	3,981,683	21,640,675	10c	28,376,149
11	Investments—publicly traded securities .			2,927,656	11	4,631,400
12	Investments—other securities. See Part IV, line 11 .....				12	1,104,000
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			22,170,485	15	31,596,264
16	Total assets. Add lines 1 through 15 (must equal line 33)...			91,227,108	16	122,505,696

17	Accounts payable and accrued expenses .....	23,924,009	17	12,377,731
18	Grants payable ...		18
19	Deferred revenue .........		19	23,080
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	9,708,634	23	902,303
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	4,328,441	25	21,740,997
26	Total liabilities. Add lines 17 through 25..	37,961,084	26	35,044,111

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	49,812,931	27	83,328,107
28	Net assets with donor restrictions ...........	3,453,093	28	4,133,478
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	53,266,024	32	87,461,585
33	Total liabilities and net assets/fund balances ........	91,227,108	33	122,505,696