Search icon

BAPTIST HEALTH DEACONESS MADISONVILLE, INC.

Company Details

Name: BAPTIST HEALTH DEACONESS MADISONVILLE, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 06 Dec 1956 (68 years ago)
Organization Date: 06 Dec 1956 (68 years ago)
Last Annual Report: 29 Jun 2024 (a year ago)
Organization Number: 0052442
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 42431
City: Madisonville
Primary County: Hopkins County
Principal Office: 900 HOSPITAL DRIVE, MADISONVILLE, KY 42431
Place of Formation: KENTUCKY

Officer

Name Role
MICHAEL ALLAN DAVENPORT (Chair) Officer
ROGER STEVEN COX (Vice Chair) Officer
URSULA DUGGER (Asst. Secretary) Officer
KIM ASHBY (Asst. Treasurer) Officer

Director

Name Role
ROGER STEVEN COX Director
ROBERT ROOSEVELT CARTER III Director
PAULL S. TROVER Director
GERARD J COLMAN Director
JON JASON HAWKINS Director
LYNN C LINGAFELTER Director
SHAWN W MCCOY Director
DEVALKUMAR RAJYAGURU MD Director
KENT WAIDE Director
LOMAN C. TROVER Director

President

Name Role
ALISA COLEMAN President

Secretary

Name Role
JANET M NORTON Secretary

Vice President

Name Role
KIM ASHBY Vice President
JANET M NORTON Vice President
CHERYL WATHEN Vice President

Incorporator

Name Role
FREDERICK A. SCOTT Incorporator
MERLE M. MAHR Incorporator
LOMAN C. TROVER Incorporator
FAULL S. TROVER Incorporator

Treasurer

Name Role
CHERYL WATHEN Treasurer

Registered Agent

Name Role
ALISA COLEMAN Registered Agent

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
MELRQG71F5W7
CAGE Code:
35CH4
UEI Expiration Date:
2025-09-09

Business Information

Division Name:
BAPTIST HEALTH DEACONESS MADISONVILLE INC
Activation Date:
2024-09-10
Initial Registration Date:
2005-01-13

National Provider Identifier

NPI Number:
1629712559
Certification Date:
2023-08-31

Authorized Person:

Name:
RICHARD CARRICO
Role:
CHIEF FINANCIAL OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Former Company Names

Name Action
GREEN RIVER HOSPICE, INC. Merger
HOPKINS COUNTY HOSPITAL Merger
BAPTIST HEALTH MADISONVILLE, INC. Old Name
THE TROVER CLINIC FOUNDATION, INCORPORATED Old Name
FOUNDATION PHYSICIAN SERVICES, INC. Merger

Assumed Names

Name Status Expiration Date
BAPTIST HEALTH DEACONESS SPORTS MEDICINE & REHABILITATION Active 2026-09-28
BAPTIST HEALTH DEACONESS WOUND CARE Active 2026-09-28
BAPTIST HEALTH DEACONESS SLEEP MEDICINE Active 2026-09-28
BAPTIST HEALTH DEACONESS MADISONVILLE OUTPATIENT PHARMACY Active 2026-09-28
BAPTIST HEALTH DEACONESS MERLE M. MAHR CANCER CENTER Active 2026-09-28

Filings

Name File Date
Annual Report 2024-06-29
Registered Agent name/address change 2024-04-26
Annual Report 2023-06-05
Principal Office Address Change 2023-05-31
Certificate of Withdrawal of Assumed Name 2023-05-05

USAspending Awards / Contracts

Procurement Instrument Identifier:
DOLB114R23576
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
11079.00
Base And Exercised Options Value:
11079.00
Base And All Options Value:
11079.00
Awarding Agency Name:
Department of Labor
Performance Start Date:
2011-01-12
Description:
PHYSICALS AND AUDIOGRAMS FOR MSHA EMPLOYEES
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q201: GENERAL HEALTH CARE SERVICES
Procurement Instrument Identifier:
DOLB104R22714
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
13064.00
Base And Exercised Options Value:
13064.00
Base And All Options Value:
13064.00
Awarding Agency Name:
Department of Labor
Performance Start Date:
2009-10-26
Description:
PHYSICALS AND AUDIOGRAMS FOR MSHA INSPECTORS
Naics Code:
621112: OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS
Product Or Service Code:
Q201: GENERAL HEALTH CARE SERVICES
Procurement Instrument Identifier:
DOLB084R22154
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
8002.00
Base And Exercised Options Value:
8002.00
Base And All Options Value:
8002.00
Awarding Agency Name:
Department of Labor
Performance Start Date:
2008-10-01
Naics Code:
621112: OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS
Product Or Service Code:
Q201: GENERAL HEALTH CARE SERVICES

USAspending Awards / Financial Assistance

Date:
2024-12-30
Awarding Agency Name:
Delta Regional Authority
Transaction Description:
FUNDING TO REPLACE AND UPDATE EQUIPMENT WITHIN THEIR FACILITIES
Obligated Amount:
140887.27
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-09-18
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION
Obligated Amount:
515000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-08-10
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – NEONATAL ABSTINENCE SYNDROME
Obligated Amount:
1000000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-08-28
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA) - PROJECT ABSTRACT ORGANIZATION NAME: BAPTIST HEALTH DEACONESS MADISONVILLE, INC. ADDRESS: 200 CLINIC DRIVE, MADISONVILLE, KY 42431 FACILITY/ENTITY TYPE: HOSPITAL/CLINIC WEBSITE ADDRESS: HTTPS://BAPTISTHEALTHDEACONESS.COM PROJECT DIRECTOR NAME & TITLE: KELCEY RUTLEDGE, PROJECT DIRECTOR CONTACT PHONE NUMBERS: OFFICE 270-824-3736; FAX 270-824-3582 E-MAIL ADDRESS: KELCEY.RUTLEDGE@BHSI.COM PROJECT TITLE: BAPTIST HEALTH DEACONESS SCHOOL WELLNESS INITIATIVE PROJECT GOAL: TO ENHANCE THE CULTURE OF WELLNESS IN SERVICE AREA SCHOOLS BY INVOLVING SCHOOL STAFF, STUDENTS, PARENTS, AND COMMUNITY ORGANIZATIONS PROPOSED SERVICE REGION: KENTUCKY SERVICE REGION A TARGET POPULATION: OVER 65,000 STUDENTS AND OVER 9,500 TEACHERS ACROSS ALL 130 SERVICE AREA PUBLIC ELEMENTARY, MIDDLE, AND HIGH SCHOOLS. PRIMARY FOCUS AREA: ANTI-OBESITY SCHOOL WELLNESS PROMOTION NETWORK PARTNERSHIPS: THE ALLIANCE FOR A HEALTHIER GENERATION (AHG), A WELLNESS PROMOTION AGENCY, WORKS WITH SCHOOLS, YOUTH-SERVING ORGANIZATIONS, BUSINESSES, AND COMMUNITIES NATIONALLY TRANSFORMING SCHOOLS INTO HEALTHIER ENVIRONMENTS. AHG WILL TRAIN SCHOOLS ON CLASSROOM PHYSICAL ACTIVITY. BHDM AND AHG HAVE A SIGNED AGREEMENT AFFORDING REPORTING AND DATA ACCESS. WEST AREA HEALTH EDUCATION CENTER (WEST AHEC), A REGIONAL COMMUNITY HEALTH AGENCY, EIGHT SERVICE AREA COUNTIES. IT PROVIDES COMMUNITY HEALTH EDUCATION, CAREER PROMOTION AND CONTINUING EDUCATION. WEST AHEC WILL BE THE REFERRAL AGENCY FOR INITIATIVE EVENT ACCREDITATION AND ASSIST TRAINING EVENT FACILITATION. AHG AND WEST AHEC HAVE SIGNED NETWORK AGREEMENTS. CAPACITY TO SERVE RURAL UNDERSERVED POPULATIONS AHG IS NATIONAL SERVING OVER 44,500 SCHOOLS, HAS WELLNESS COMMITTEE DEVELOPMENT AND PHYSICAL ACTIVITY EXPERIENCE AND HAS BEEN IN THE NETWORK FOR SEVEN YEARS. WEST AHEC IS REGIONAL, HAS EXPERIENCE IN COMMUNITY HEALTH EDUCATION, AND HAS BEEN IN THE NETWORK FOR SIXTEEN YEARS. EVIDENCE-BASED OR PROMISING PRACTICE MODEL THE PROPOSED SCHOOL WELLNE SS FRAMEWORK IS PATTERNED AFTER AHG’S “HEALTHY SCHOOLS PROGRAM FRAMEWORK COORDINATED SCHOOL HEALTH PROGRAM PROMISING PRACTICE MODEL.” EVIDENCE-BASED GONOODLE® ONLINE MOVEMENT VIDEOS WILL BE PROVIDED TO ELEMENTARY SCHOOLS. MIDDLE AND HIGH SCHOOLS WILL BE AIDED IN SIXTY DAILY PHYSICAL ACTIVITY MINUTES INTEGRATION. PROJECT ACTIVITIES/SERVICES THE INITIATIVE WILL SERVING SCHOOLS ASSISTING: ESTABLISHING SUSTAINABLE SCHOOL WELLNESS LEADERSHIP GROUP ESTABLISHMENT; ACADEMIC CLASSROOM PHYSICAL ACTIVITY BEYOND REQUIRED PHYSICAL EDUCATION; WELLNESS POLICY ENHANCEMENT; SCHOOL STAFF PROFESSIONAL DEVELOPMENT AND WELLNESS PROMOTION; AND COMMUNITY WELLNESS EVENTS. GOAL OBJECTIVES INCLUDE: 1) MAINTAIN CURRENT SCHOOL PARTICIPATION; 2) EXPAND FRAMEWORK TO ALL SERVICE AREA ELEMENTARY, MIDDLE, AND HIGH SCHOOLS; AND 3) PROMOTE COMMUNITY WELLNESS THROUGHOUT THE SERVICE AREA. THE INITIATIVE AIMS TO REACH DIFFERENT DEMOGRAPHIC SEGMENTS INCLUDING GEOGRAPHICALLY CHALLENGED AND LOW-INCOME RESIDENTS. AS ENHANCEMENTS, WELLNESS POLICY ASSISTANCE AND SCHOOL WELLNESS PROMOTION WILL BE OFFERED TO SCHOOLS. SCHOOLS MEETING PARTICIPATION REQUIREMENTS WILL BE ELIGIBLE FOR WELLNESS STRENGTHENING INCENTIVES. EXPECTED OUTCOMES 1) RETAINED SCHOOL PARTICIPATION; 2) SCHOOL COMMITMENT TO CONTINUED WELLNESS ACTIVITY INTEGRATION INTO SCHOOL CULTURE; 3)SUSTAINABLE SCHOOL WELLNESS LEADERSHIP GROUP GOVERNANCE STRUCTURE; 4) RETENTION OF SCHOOL AND/OR CLASSROOM-BASED PHYSICAL ACTIVITY BEYOND REQUIRED SCHOOL HEALTH AND PHYSICAL EDUCATION; 5) SCHOOL STAFF HEALTH ASSESSMENTS AND BIOMETRIC SCREENINGS; 6) SCHOOL WELLNESS POLICY ENHANCEMENT; 7) SCHOOL WELLNESS ACTION PLANNING PREPAREDNESS; 8) INCREASED INITIATION OF HEALTHY LIFESTYLE ACTIVITIES; AND 9) COMMUNITY EDUCATION ON ANTI-OBESITY, SELF-CARE, AND OVERALL WELLNESS AS IT RELATES TO HEALTHY LIVING, HEALTHY EATING, EXERCISE AND PHYSICAL ACTIVITY. FUNDING PREFERENCE NO FUNDING PREFERENCE
Obligated Amount:
2264160.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-05-01
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)
Obligated Amount:
3265855.24
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
61-0654587
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1966-02
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2025-02-10 2025 Cabinet of the General Government Department Of Veterans Affairs Non Pro Contract Lab Tests & Anal Fees 1099 Rep 484.77
Executive 2025-01-31 2025 Cabinet of the General Government Department Of Military Affairs Fin Assist/Non-State Agencies Grants-In-Aid Federal 65669.82
Executive 2025-01-24 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 4636.28
Executive 2025-01-13 2025 Cabinet of the General Government Department Of Veterans Affairs Non Pro Contract Lab Tests & Anal Fees 1099 Rep 336.05
Executive 2024-12-12 2025 Cabinet of the General Government Department Of Veterans Affairs Non Pro Contract Lab Tests & Anal Fees 1099 Rep 1057.02

Financial Incentive

Program Program Status Average Hourly Wage Project Cost Incentive Amount Initial Jobs New Jobs Date of Action Approval Type
KRHLP - Kentucky Rural Hospital Loan Program Active - $975,000 $975,000 967 - 2022-03-31 Final

Sources: Kentucky Secretary of State