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BAPTIST HEALTH DEACONESS MEDICAL GROUP, INC.

Company Details

Name: BAPTIST HEALTH DEACONESS MEDICAL GROUP, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 08 Apr 2021 (4 years ago)
Organization Date: 08 Apr 2021 (4 years ago)
Last Annual Report: 18 Apr 2024 (a year ago)
Organization Number: 1143881
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

Treasurer

Name Role
CHERYL WATHEN Treasurer

Director

Name Role
GERARD COLMAN Director
PATRICK FALVEY Director
JODY PRATHER MD Director
JARED FLORENCE Director
LYNN LINGAFELTER Director
SHAWN MCCOY Director
JAMES PORTER MD Director
JODY PRATHER M.D. Director
PATRICK FALVEY Director
STEPHEN R. OGLESBY Director

Incorporator

Name Role
JANET M. NORTON Incorporator

Registered Agent

Name Role
ALISA COLEMAN Registered Agent

Officer

Name Role
SHAWN MCCOY Officer

President

Name Role
ALISA COLEMAN President

Secretary

Name Role
DOUGLAS WELP Secretary

National Provider Identifier

NPI Number:
1972320430
Certification Date:
2025-02-18

Authorized Person:

Name:
KIMBERLY ASHBY
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LA2100X - Acute Care Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
Yes

Contacts:

Fax:
2708243675

Filings

Name File Date
Registered Agent name/address change 2024-04-26
Annual Report 2024-04-18
Annual Report 2023-06-05
Principal Office Address Change 2023-05-31
Registered Agent name/address change 2023-01-26

Tax Exempt

Employer Identification Number (EIN) :
86-3269008
In Care Of Name:
% TAX
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:
2022-09
National Taxonomy Of Exempt Entities:
Health Care: Health Treatment Facilities, Primarily Outpatient
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2025-02-05 2025 Education and Labor Cabinet Department For Workforce Investment Fin Assist/Non-State Emp Rehab-Client Serv Cst-1099 Rpt 6664.4
Executive 2024-12-06 2025 Education and Labor Cabinet Department For Workforce Investment Fin Assist/Non-State Emp Rehab-Client Serv Cst-1099 Rpt 5611.83
Executive 2024-10-25 2025 Education and Labor Cabinet Department For Workforce Investment Fin Assist/Non-State Emp Rehab-Client Serv Cst-1099 Rpt 141.83
Executive 2024-10-07 2025 Education and Labor Cabinet Department For Workforce Investment Fin Assist/Non-State Emp Rehab-Client Serv Cst-1099 Rpt 141.83
Executive 2024-09-03 2025 Education and Labor Cabinet Department For Workforce Investment Fin Assist/Non-State Emp Rehab-Client Serv Cst-1099 Rpt 3900

Sources: Kentucky Secretary of State