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Deaconess Union County Hospital, Inc.

Company Details

Name: Deaconess Union County Hospital, Inc.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 12 Mar 2021 (4 years ago)
Organization Date: 12 Mar 2021 (4 years ago)
Last Annual Report: 02 May 2024 (a year ago)
Organization Number: 1138669
Industry: Health Services
Number of Employees: Medium (20-99)
Principal Office: 600 Mary Street, Evansville, IN 47747
Place of Formation: KENTUCKY

Registered Agent

Name Role
CT Corporation System Registered Agent

Officer

Name Role
Patricia Sheffer Officer
Adam O'Nan Officer

Secretary

Name Role
Tessa Gough Secretary

Treasurer

Name Role
Tessa Gough Treasurer

Director

Name Role
Ronald Burkins Director
Dr. Allen White Director
Garland Certain Director
Tessa Gough Director
Susan Brumley Director
Stephanie Jenkins Director
Allen White Director
Jared Florence Director
Shawn McCoy Director

Incorporator

Name Role
Jared Florence Incorporator

National Provider Identifier

NPI Number:
1508595794
Certification Date:
2022-05-25

Authorized Person:

Name:
CHERYL ANNETTE WATHEN
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2703890526

Filings

Name File Date
Annual Report 2024-05-02
Annual Report 2024-05-02
Annual Report 2023-05-16
Amended and Restated Articles 2022-10-19
Annual Report 2022-05-17

Tax Exempt

Employer Identification Number (EIN) :
86-2614124
In Care Of Name:
% JENNA WILL
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, 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:
2023-11
National Taxonomy Of Exempt Entities:
Health Care: Hospital, General
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

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 - $2,906,777 $1,000,000 90 - 2023-01-26 Final

Sources: Kentucky Secretary of State