FURP.ORG / PUBLIC DATA EXPLORER

DEACONESS HOSPITAL INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
DEACONESS HOSPITAL INC (EIN 35-0593390)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-15
IRS object ID
202422289349303707
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-08-15T15:47:10-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 N MERIDIAN ST SUITE 200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN350593390EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DEACONESS HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDEACBusinessNameControlTxt
Phone8124503296PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 MARY STREETAddressLine1Txt
CityEVANSVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP47747ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHAWN W MCCOYPersonNm
Person TitleCEO OF DEACONESS HEALTH SYSTEMPersonTitleTxt
Phone8124503296PhoneNum
Signature2024-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEMILIE M KNIERIEM CPAPreparerPersonNm
PTINP01330194PTIN
Phone3176334705PhoneNum
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSHAWN W MCCOY CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 MARY STREETAddressLine1Txt
CityEVANSVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP47747ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,742,891,135GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DEACONESS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1895FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionPROVIDE QUALITY HEALTH CARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT CONTINUE TO SCH O TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee7311TotalEmployeeCnt
Total Volunteers76TotalVolunteersCnt
Total Gross UBI$41,932,468TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$23,853NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$20,026,347PYContributionsGrantsAmt
CY Contributions Grants$3,870,968CYContributionsGrantsAmt
PY Program Service Revenue$1,078,935,922PYProgramServiceRevenueAmt
CY Program Service Revenue$1,107,127,457CYProgramServiceRevenueAmt
PY Investment Income$12,603,816PYInvestmentIncomeAmt
CY Investment Income$9,080,056CYInvestmentIncomeAmt
PY Other Revenue$128,627,758PYOtherRevenueAmt
CY Other Revenue$187,360,194CYOtherRevenueAmt
PY Total Revenue$1,240,193,843PYTotalRevenueAmt
CY Total Revenue$1,307,438,675CYTotalRevenueAmt
PY Grants And Similar Paid$862,927PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,047,036CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$503,887,232PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$505,444,365CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$503,478CYTotalFundraisingExpenseAmt
PY Other Expenses$625,506,976PYOtherExpensesAmt
CY Other Expenses$664,481,116CYOtherExpensesAmt
PY Total Expenses$1,130,257,135PYTotalExpensesAmt
CY Total Expenses$1,170,972,517CYTotalExpensesAmt
PY Revenues Less Expenses$109,936,708PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$136,466,158CYRevenuesLessExpensesAmt
Total Assets BOY$2,165,494,851TotalAssetsBOYAmt
Total Assets EOY$2,366,520,353TotalAssetsEOYAmt
Total Liabilities BOY$697,949,041TotalLiabilitiesBOYAmt
Total Liabilities EOY$700,362,780TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,467,545,810NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,666,157,573NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE O.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$182,047,096ExpenseAmt
Revenue$492,997,080RevenueAmt
DescPATIENT SERVICE REVENUE. SEE SCHEDULE O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$824,061,073ExpenseAmt
Revenue$610,028,657RevenueAmt
DescCHARITY CARE/SUBSIDIZED CARE. SEE SCHEDULE O.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$14,165,254ExpenseAmt
Revenue$4,101,720RevenueAmt
DescGRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION AND COMMUNITY BENEFIT. SEE SCHEDULE O.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$1,047,036ExpenseAmt
Grant$1,047,036GrantAmt
Revenue$67,083,990RevenueAmt
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,047,036TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$1,047,036TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$67,083,990TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,021,320,459TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow AccountYes (1)EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document359IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee7311EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHERYL A WATHENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8124503296PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 MARY STREETAddressLine1Txt
CityEVANSVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP47747ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SHAWN MCCOY
PRESIDENT / CEO OF DEACONESS30.0025.00Yes (X)Yes (X)$1,551,117$9,600$317,182
SHARON REED WALKER
CHAIRMAN5.005.00Yes (X)$0$6,200$0
NAROTHAMA R AEDDULA MD
DIRECTOR5.0050.00Yes (X)$0$970,108$30,981
SCOTT CORDTS MD
DIRECTOR50.005.00Yes (X)$340,697$5,800$59,764
JAMIE L DAVIDSON MD
DIRECTOR50.000.00Yes (X)$401,852$0$26,612
JEFF JUSTICE
DIRECTOR5.000.00Yes (X)$0$0$0
LARRY KILINSKI MD
DIRECTOR5.005.00Yes (X)$66,656$4,800$0
GLEN MUEHLBAUER
DIRECTOR5.000.00Yes (X)$0$0$0
DAVE PAPARIELLA
DIRECTOR5.005.00Yes (X)$0$7,000$0
DAVID RYON MD
DIRECTOR50.000.00Yes (X)$553,388$1,800$60,454
DANIELA VIDAL
DIRECTOR5.000.00Yes (X)$0$0$0
ANN WHITE PHD
DIRECTOR5.000.00Yes (X)$0$0$0
CHERYL WATHEN
TREASURER / CHIEF FINANCIAL OFFICER30.0035.00Yes (X)$810,574$9,600$201,621
JAMES PORTER MD
PRESIDENT OF DEACONESS HEALTH SYSTEM50.0018.00Yes (X)$1,078,642$4,600$209,328
LYNN LINGAFELTER
PRESIDENT50.0011.00Yes (X)$878,665$4,000$182,889
MELINDA D LEBOFSKY
VICE PRESIDENT50.000.00Yes (X)$513,007$0$74,884
JOANN WOOD MD
CHIEF MEDICAL OFFICER50.0010.00Yes (X)$575,994$0$125,409
MARC FLORENCE
VICE PRESIDENT50.0013.00Yes (X)$590,416$0$135,997
BRADLEY SCHEU MD
VICE PRESIDENT5.0057.00Yes (X)$0$500,579$129,103
JENNIFER CHIUSANO
CHIEF NURSING EXECUTIVE50.000.00Yes (X)$418,573$0$87,781
RAGHAV GUPTA MD
ANESTHESIOLOGIST50.000.00$1,344,264$0$49,151Yes (X)
VENKATESH MADADI MD
ANESTHESIOLOGIST50.000.00$1,125,829$0$63,701Yes (X)
ANDREI TRIPAC MD
ANESTHESIOLOGIST50.000.00$1,320,065$0$51,572Yes (X)
PAUL MICK MD
ANESTHESIOLOGIST50.000.00$1,069,002$0$37,914Yes (X)
MARK H MURRAY MD
ANESTHESIOLOGIST50.000.00$1,055,589$0$46,513Yes (X)
LINDA WHITE
FORMER CEO EMERITA, FOUNDATION0.0071.00$0$212,056$15,832Yes (X)
MAQBOOL AHMED MD
FORMER DIRECTOR0.0055.00$0$670,305$0Yes (X)
MIA HINDI
FORMER DIRECTOR5.0055.00$0$1,192,223$56,769Yes (X)
JOSEPH KLINK MD
DIRECTOR0.0050.00$0$1,070,636$39,442Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,694,330TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,669,307TotReportableCompRltdOrgAmt
Total Other Compensation$2,002,899TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K802IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EVANSVILLE SURGERY CENTER
PO BOX 2185EVANSVILLEIN47728SURGICAL SERVICES$29,049,344
PROGRESSIVEHEALTH OF INDIANA
150 N ROSENBERGER AVEEVANSVILLEIN47712PHYSICAL THERAPY$20,271,835
TRI STATE RADIATION ONCOLOGY
700 N BURKHARDT AVEEVANSVILLEIN47715RADIATION & ONCOLOGY SERVICES$19,348,119
TOTAL MSP LLC
221 W COLLEGE AVE FLOOR 2APPLETONWI54911STAFFING$14,877,640
ORTHOALIGN LLC
4011 GATEWAY BLVDNEWBURGHIN47630MEDICAL SERVICES$13,920,727
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K91CntrctRcvdGreaterThan100KCnt
Fundraising$891,337FundraisingAmt
Related Organizations$717,907RelatedOrganizationsAmt
Government Grants$1,050,972GovernmentGrantsAmt
All Other Contributions$1,210,752AllOtherContributionsAmt
Noncash Contributions$56,208NoncashContributionsAmt
Total Contributions$3,870,968TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business900099BusinessCd
Total Revenue Column$1,107,127,457TotalRevenueColumnAmt
Related Or Exempt Func Income$1,107,127,457RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,107,127,457TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,005,436TotalRevenueColumnAmt
Exclusion$16,005,436ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$21,695,535RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$10,107,565RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$11,587,970RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,587,970TotalRevenueColumnAmt
Exclusion$11,587,970ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$418,166,415SecuritiesAmt
Other$2,960OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$425,003,926SecuritiesAmt
Other$90,829OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$6,837,511SecuritiesAmt
Other-$87,869OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,925,380TotalRevenueColumnAmt
Exclusion-$6,925,380ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$138,159FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$891,337ContriRptFundraisingEventAmt
Fundraising Direct Expenses$250,140FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$111,981TotalRevenueColumnAmt
Exclusion-$111,981ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
OTHER HOSPITAL SERVICE900099$96,318,305$29,450,558$66,867,747
LABORATORY SALES621500$38,667,510$38,667,510
INVESTMENT IN JOINT VE900099$37,633,432$37,633,432

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,264,958TotalRevenueColumnAmt
Unrelated Business Revenue$3,264,958UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$175,884,205OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,307,438,675TotalRevenueColumnAmt
Related Or Exempt Func Income$1,174,211,447RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$41,932,468UnrelatedBusinessRevenueAmt
Exclusion$87,423,792ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,047,036TotalAmt
Program Services$1,047,036ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,987,799TotalAmt
Management And General$7,987,799ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$391,015,892TotalAmt
Program Services$351,435,843ProgramServicesAmt
Management And General$39,288,074ManagementAndGeneralAmt
Fundraising$291,975FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,930,830TotalAmt
Program Services$1,506,651ProgramServicesAmt
Management And General$424,179ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$77,980,565TotalAmt
Program Services$62,704,229ProgramServicesAmt
Management And General$15,276,336ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$26,529,279TotalAmt
Program Services$23,384,260ProgramServicesAmt
Management And General$3,145,019ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,175,468TotalAmt
Management And General$3,175,468ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$52,145TotalAmt
Management And General$52,145ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$97,281TotalAmt
Management And General$97,281ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,407,777TotalAmt
Management And General$1,407,777ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$161,203,676TotalAmt
Program Services$150,922,997ProgramServicesAmt
Management And General$10,258,327ManagementAndGeneralAmt
Fundraising$22,352FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$179,607TotalAmt
Program Services$15,716ProgramServicesAmt
Management And General$163,891ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,391,192TotalAmt
Program Services$8,628,194ProgramServicesAmt
Management And General$1,728,729ManagementAndGeneralAmt
Fundraising$34,269FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,977,307TotalAmt
Program Services$9,413,094ProgramServicesAmt
Management And General$6,564,213ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,413TotalAmt
Fundraising$6,413FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$224,610TotalAmt
Program Services$143,618ProgramServicesAmt
Management And General$80,992ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$14,724,084TotalAmt
Program Services$8,114,450ProgramServicesAmt
Management And General$6,609,634ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$55,053,651TotalAmt
Program Services$35,388,414ProgramServicesAmt
Management And General$19,665,189ManagementAndGeneralAmt
Fundraising$48FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,614,219TotalAmt
Program Services$3,601,641ProgramServicesAmt
Management And General$1,012,578ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL/SURGICAL SUPPLI$242,929,282$242,929,282
MEDICAID ASSESSMENT FEE$52,048,100$52,048,100
EQUIP RENTAL/MAINTENANC$51,131,800$35,144,397$15,987,403
DUES & SUBSCRIPTIONS$1,384,562$26,923$1,312,446$45,193

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$49,879,942TotalAmt
Program Services$34,865,614ProgramServicesAmt
Management And General$14,911,100ManagementAndGeneralAmt
Fundraising$103,228FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,170,972,517TotalAmt
Program Services$1,021,320,459ProgramServicesAmt
Management And General$149,148,580ManagementAndGeneralAmt
Fundraising$503,478FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$225,019,611BOYAmt
EOY$176,664,213EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$153,949,305BOYAmt
EOY$195,741,495EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,798,788BOYAmt
EOY$3,104,354EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,072,497BOYAmt
EOY$11,375,719EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,538,735BOYAmt
EOY$15,791,586EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,353,650,327LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$728,504,546LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$534,953,362BOYAmt
EOY$625,145,781EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$975,609,207BOYAmt
EOY$955,756,769EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$59,985,410BOYAmt
EOY$168,680,216EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$48,218,553BOYAmt
EOY$48,218,553EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$140,349,383BOYAmt
EOY$166,041,667EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,165,494,851BOYAmt
EOY$2,366,520,353EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$111,486,885BOYAmt
EOY$125,142,686EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$9,451BOYAmt
EOY$1,981,319EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$108,234,746BOYAmt
EOY$101,950,473EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$478,217,959BOYAmt
EOY$471,288,302EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$697,949,041BOYAmt
EOY$700,362,780EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,458,032,820BOYAmt
EOY$1,656,851,867EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,512,990BOYAmt
EOY$9,305,706EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,467,545,810BOYAmt
EOY$1,666,157,573EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,165,494,851BOYAmt
EOY$2,366,520,353EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$136,466,158ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$54,633,471NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$7,512,134OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$54,707DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$42,574OtherActivitiesAmt
Total Lobbying Expenditures$97,281TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationLOBBYING EXPENDITURES CONSISTED OF A PORTION OF MEMBERSHIP DUES TO PROFESSIONAL ORGANIZATIONS IN WHICH DEACONESS HOSPITAL AND ITS EMPLOYEES ARE MEMBERS. THE LOBBYING PORTION OF THE DUES IS NOTED ON THE MEMBERSHIP APPLICATION OR BILLING STATEMENT.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,787,991BeginningYearBalanceAmt
Contributions$10,551ContributionsAmt
Investment Earnings Or Losses$1,430,429InvestmentEarningsOrLossesAmt
Grants Or Scholarships-$1,000GrantsOrScholarshipsAmt
Other Expenditures$276,743OtherExpendituresAmt
End Year Balance$8,953,228EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,633,606BeginningYearBalanceAmt
Contributions$1,075ContributionsAmt
Investment Earnings Or Losses-$1,370,697InvestmentEarningsOrLossesAmt
Other Expenditures$475,993OtherExpendituresAmt
End Year Balance$7,787,991EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,745,525BeginningYearBalanceAmt
Contributions$1,100ContributionsAmt
Investment Earnings Or Losses$1,041,502InvestmentEarningsOrLossesAmt
Other Expenditures$154,521OtherExpendituresAmt
End Year Balance$9,633,606EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,037,280BeginningYearBalanceAmt
Contributions$1,075ContributionsAmt
Investment Earnings Or Losses$867,885InvestmentEarningsOrLossesAmt
Other Expenditures$160,715OtherExpendituresAmt
End Year Balance$8,745,525EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,914,040BeginningYearBalanceAmt
Contributions$1,075ContributionsAmt
Investment Earnings Or Losses$195,423InvestmentEarningsOrLossesAmt
Other Expenditures$73,258OtherExpendituresAmt
End Year Balance$8,037,280EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.12000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.88000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$4,544,159InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$23,608,102OtherCostOrOtherBasisAmt
Book Value$28,152,261BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$58,657,062InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$888,612,434OtherCostOrOtherBasisAmt
Depreciation$459,231,904DepreciationAmt
Book Value$488,037,592BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$330,733,423OtherCostOrOtherBasisAmt
Depreciation$265,128,562DepreciationAmt
Book Value$65,604,861BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,495,147OtherCostOrOtherBasisAmt
Depreciation$4,144,080DepreciationAmt
Book Value$43,351,067BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$625,145,781TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescOTHER SECURITIESDesc
Book Value$168,680,216BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$168,680,216TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
RELATED ORGANIZATION RECEIVABLES$123,148,939
OTHER ASSETS$16,413,832
RIGHT OF USE ASSET$26,478,896
FieldValueIRS element (for citing)
Total Book Value Other Assets$166,041,667TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
ACCRUED RETIREMENT BENEFITS$31,917,656
RELATED ORGANIZATION PAYABLES-$6,601,236
TAXABLE BOND- SERIES 2016$44,100,000
DEBT ISSUE COSTS-$2,207,270
RIGHT OF USE ASSETS$26,326,752
ESTIMATED THIRD PARTY SETTLEMENT-$804,875
TAXABLE BOND- SERIES 2021$327,985,000
TWH NOTE PAYABLE$40,572,275
LONG TERM DEBT TSHC$10,000,000
FieldValueIRS element (for citing)
Total Liability$471,288,302TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE DEACONESS HOSPITAL FOUNDATION UTILIZES ENDOWMENT FUNDS TO SUPPORT AND BENEFIT THE MISSION OF DEACONESS HOSPITAL. SPECIFICALLY, ENDOWMENT FUNDS ARE USED TO HELP SUPPORT ACTIVITIES OR PROJECTS THAT HELP TO PROVIDE QUALITY HEALTH CARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE.
PART X, LINE 2:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART VII AND IX:SECTIONS ARE NOT REQUIRED AS THE TOTALS FOR EACH LINE ARE LESS THAN 5% OF THE TOTAL ASSETS LISTED ON FORM 990, PART X, LINE 16.
PART XI AND XII:SECTIONS ARE NOT REQUIRED AS THE ORGANIZATION IS PART OF A CONSOLIDATED FINANCIAL STATEMENT. THE CONSOLIDATED FINANCIAL STATEMENT IS AUDITED BY AN INDEPENDENT ACCOUNTING FIRM AND IS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DH PARTY OF YREvent1Nm
Gross Receipts Event1$819,916GrossReceiptsEvent1Amt
Charitable Contri Event1$698,572CharitableContriEvent1Amt
Gross Revenue Event1$121,344GrossRevenueEvent1Amt
Rent Facility Costs Event1$82,016RentFacilityCostsEvent1Amt
Entertainment Event1$26,501EntertainmentEvent1Amt
Other Direct Expenses Event1$57,096OtherDirectExpensesEvent1Amt
Event2DH CLASSICEvent2Nm
Gross Receipts Event2$209,580GrossReceiptsEvent2Amt
Charitable Contri Event2$192,765CharitableContriEvent2Amt
Gross Revenue Event2$16,815GrossRevenueEvent2Amt
Non Cash Prizes Event2$45,245NonCashPrizesEvent2Amt
Rent Facility Costs Event2$33,720RentFacilityCostsEvent2Amt
Entertainment Event2$2,048EntertainmentEvent2Amt
Other Direct Expenses Event2$3,514OtherDirectExpensesEvent2Amt
Gross Receipts Total$1,029,496GrossReceiptsTotalAmt
Charitable Contributions Tot$891,337CharitableContributionsTotAmt
Gross Revenue Total Events$138,159GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$45,245NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$115,736RentFcltyCostsTotalEventsAmt
Entertainment Total Events$28,549EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$60,610OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$250,140DirectExpenseSummaryEventsAmt
Net Income Summary-$111,981NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent350Yes (X)Percent350Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,101,233TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$14,101,233NetCommunityBenefitExpnsAmt
Total Expense0.01200TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$230,612,138TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$182,707,772DirectOffsettingRevenueAmt
Net Community Benefit Expns$47,904,366NetCommunityBenefitExpnsAmt
Total Expense0.04090TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$244,713,371TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$182,707,772DirectOffsettingRevenueAmt
Net Community Benefit Expns$62,005,599NetCommunityBenefitExpnsAmt
Total Expense0.05290TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,145,614TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,145,614NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,603,222TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,601,601DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,001,621NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$320,958TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,279DirectOffsettingRevenueAmt
Net Community Benefit Expns$299,679NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,087,783TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$53,655DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,034,128NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,157,577TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,676,535DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,481,042NetCommunityBenefitExpnsAmt
Total Expense0.00810TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$256,870,948TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$185,384,307DirectOffsettingRevenueAmt
Net Community Benefit Expns$71,486,641NetCommunityBenefitExpnsAmt
Total Expense0.06100TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,250TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,250NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,046TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$34,046NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,716TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$22,716NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,089TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$59,089NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$117,101TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$117,101NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$12,518,806BadDebtExpenseAmt
Reimbursed By Medicare$243,154,708ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$216,734,767CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$26,419,941MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
DEACONESS HOSPITAL INC
1600 MARY STREETEVANSVILLEIN47747WWW.DEACONESS.COM23-005074-1Yes (X)Yes (X)Yes (X)Yes (X)A
DEACONESS GATEWAY HOSPITAL
24011 GATEWAY BLVDNEWBURGHIN47630WWW.DEACONESS.COM23-005074-1Yes (X)Yes (X)Yes (X)Yes (X)A
DEACONESS CROSS POINTE
37200 E INDIANA STREETEVANSVILLEIN47715WWW.DEACONESS.COM23-005074-1Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP - ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.DEACONESS.COM/CHNAOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTP://WWW.DEACONESS.COM/CHNAStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART VFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART VFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART VFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (23 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: DEACONESS HOSPITAL, INC, - FACILITY 2: DEACONESS GATEWAY HOSPITAL, - FACILITY 3: DEACONESS CROSS POINTE
GROUP A-FACILITY 1 -- DEACONESS HOSPITAL, INC. PART V, SECTION B, LINE 5:THREE APPROACHES WERE USED TO COLLECT PRIMARY AND SECONDARY DATA. DIEHL CONSULTING GROUP (DCG) WAS CONTRACTED TO PROVIDE SUPPORT FOR THESE METHODS. THIS INCLUDED COMPILING EXISTING SECONDARY DATA, ADMINISTERING PROVIDER/STAKEHOLDER SURVEYS, AND CONDUCTING FOCUS GROUPS. DCG ANALYZED AND SUMMARIZED DATA FROM THESE METHODS AND ASSISTED IN THE PRIORITIZATION AND FINAL REPORTING PROCESS.METHODS ARE SUMMARIZED BELOW AND FURTHER DETAILED IN EACH OF THE RESPECTIVE RESULTS SECTIONS OF THIS REPORT AND APPENDIX A. TO SUPPORT PRIORITIZATION, A SYNTHESIS OF KEY FINDINGS FROM DATA COLLECTION PROCESSES WAS PRESENTED AND SUMMARY DOCUMENTS PRODUCED TO GUIDE DISCUSSION.SECONDARY DATA SOURCES WERE REVIEWED TO BETTER UNDERSTAND THE HEALTH NEEDS AND SOCIAL, ECONOMIC, AND DEMOGRAPHIC CHARACTERISTICS OF THOSE LIVING IN THE SERVICE AREA. SOURCES INCLUDED (A) THE 2021 VERSION OF COUNTY HEALTH RANKINGS & ROADMAPS, (B) THE INDIANA STATE DEPARTMENT OF HEALTH, (C) THE U.S. CENSUS, (D) THE WELBORN BAPTIST FOUNDATION 2021 GREATER EVANSVILLE HEALTH SURVEY, AND (E) OTHER LOCAL DATA SOURCES PROVIDED BY COMMUNITY PARTNERS. PROVIDER/STAKEHOLDER SURVEYS WERE ADMINISTERED TO GATHER INSIGHTS INTO THE HEALTH ISSUES IMPACTING THE COMMUNITY. PARTICIPANTS WERE PROVIDED A LIST OF TWENTY (20) HEALTH ISSUES AND SOCIAL DETERMINANTS OF HEALTH, AS WELL AS AN OPPORTUNITY TO WRITE-IN OTHER ISSUES NOT INCLUDED ON THE LIST. PARTICIPANTS SELECTED FIVE (5) ISSUES THEY CONSIDERED TO BE HIGHEST PRIORITY NEEDS IN THE COUNTY. RESPONDENTS THEN RANKED THE FIVE (5) ISSUES BASED ON PRIORITY. FOR EACH ISSUE IDENTIFIED, RESPONDENTS WERE THEN ASKED TO PROVIDE FEEDBACK ON THE PERCEIVED TREND OF THE ISSUE SINCE 2018, THE ADEQUACY OF RESOURCES DEVOTED TO ADDRESSING THE ISSUE, AND ANY PERCEIVED BARRIERS TO ADDRESSING THE ISSUE.PROVIDER/STAKEHOLDER FOCUS GROUPS WERE CONDUCTED VIRTUALLY WITH 75 PARTICIPANTS ACROSS 14 GROUPS REPRESENTING MEDICAL/HEALTHCARE ORGANIZATIONS AND ORGANIZATIONS WITH UNIQUE PERSPECTIVES ON PUBLIC SERVICE, NONPROFIT SERVICES, CHILD/YOUTH DEVELOPMENT, HEALTH EQUITY, AND BUSINESS/ECONOMIC DEVELOPMENT. FOCUS GROUPS EXPANDED ON INFORMATION COLLECTED THROUGH THE SURVEYS BY PROVIDING ADDITIONAL INSIGHT ON THE HIGHEST RANKED PRIORITY NEEDS IDENTIFIED THROUGH THE SURVEYS.LISTINGS OF THOSE COMMUNITY PARTNERS ARE INCLUDED IN THE APPENDICES SECTION OF THE CHNA REPORT (APPENDIX B) AND ALSO LISTED IN THE PRIORITIZATION PROCESS SECTION AS APPLICABLE (SECTION 6).
GROUP A-FACILITY 1 -- DEACONESS HOSPITAL, INC. PART V, SECTION B, LINE 6A:BOTH HEALTH SYSTEMS IN VANDERBURGH AND WARRICK COUNTY WORKED TOGETHER TO ADMINISTER THE SAME CHNA SURVEY TO RESIDENTS IN BOTH COUNTIES. PARTICIPATING HEALTH SYSTEMS (IN ADDITION TO DEACONESS HEALTH SYSTEM) INCLUDED ASCENSION/ST. VINCENT.
GROUP A-FACILITY 1 -- DEACONESS HOSPITAL, INC. PART V, SECTION B, LINE 6B:2022 CHNA CONDUCTED COLLABORATIVELY BY DEACONESS HEALTH SYSTEM, ASCENSION ST. VINCENT EVANSVILLE HOSPITAL, ECHO COMMUNITY HEALTHCARE, VANDERBURGH COUNTY HEALTH DEPARTMENT, UNITED WAY OF SOUTHWESTERN INDIANA, AND THE WELBORN BAPTIST FOUNDATION.
GROUP A-FACILITY 1 -- DEACONESS HOSPITAL, INC. PART V, SECTION B, LINE 11:VANDERBURGH COUNTY:FROM THE FIVE ENDORSED ISSUES IDENTIFIED FOR PRIORITIZATION, THE GROUP SELECTED BEHAVIORAL HEALTH, MATERNAL CHILD HEALTH, AND EXERCISE, WEIGHT & NUTRITION AS OUR PRIMARY POINTS OF FOCUS FOR THE NEXT CHNA PERIOD. COVID-19 RESPONSE IS SOMETHING THAT WE WILL CONTINUE TO ADDRESS AND ACCESS TO CARE WILL BE REVIEWED IN CONTEXT OF THESE SELECTED ISSUES.THE BROAD CATEGORIES OF BEHAVIORAL HEALTH, MATERNAL CHILD HEALTH, AND EXERCISE, WEIGHT & NUTRITION WERE SUBSEQUENTLY NARROWED DOWN TO THE FOLLOWING, MORE SPECIFIC, STRATEGIES. SUBJECT EXPERTS AND GROUPS CURRENTLY CONDUCTING WORK IN THESE FIELDS WILL CONTINUE TO MEET TO IDENTIFY METRICS AND OUTCOME MEASURES AS WELL AS ASSIGN TASKS FOR THE THREE-YEAR CHNA PERIOD.BEHAVIORAL HEALTH1. REVIEW AND REVISE REGIONAL MENTAL HEALTH SERVICES MAP (CREATED IN 2017) TO IDENTIFY SERVICES, GAPS, BARRIERS, ETC. IN ORDER TO ADDRESS ACCESS TO CARE ISSUES.2. IDENTIFY EXISTING COMMITTEES AND GROUPS AND RELAUNCH/REVITALIZE EFFORTS TO SPEARHEAD INITIATIVES THAT IMPACT BEHAVIORAL HEALTH.A. SUCH AS SUPPORTING THE REINSTATEMENT OF THE VCHD'S RECIDIVISM REDUCTION PROGRAM.MATERNAL CHILD HEALTH1. WORK WITH THE COMMUNITY ACTION TEAM (CAT) AS IT IMPLEMENTS RECOMMENDATIONS IN OUR COMMUNITY AS IDENTIFIED BY THE FETAL INFANT MORTALITY REVIEW TEAM DATA AND FINDINGS.2. IDENTIFY AND SUPPORT PROGRAMS THAT ADDRESS THE SOCIAL DETERMINANTS OF HEALTH ON MATERNAL AND CHILD OUTCOMES.EXERCISE, WEIGHT & NUTRITION1. USE PROGRAMS AND PROJECTS SUCH AS A MOBILE MARKET, FARMER'S/POP-UP MARKETS, AND COMMUNITY GARDENS TO INCREASE THE AVAILABILITY OF FRESH PRODUCE AND OTHER HEALTHY FOOD OPTIONS IN "HEALTHY FOOD PRIORITY AREAS."2. SUPPORT AND EXPAND COMMUNITY ACTIVE LIVING PROGRAMS, SUCH AS STORY TRAILS, COMPLETE STREETS, WARRICK TRAILS, AND ADDITIONAL UPGRADE IN SCHOOL ACTIVITIES.3. MAP OUT PROGRAMS AND SERVICES TO PROVIDE EDUCATION ON AVAILABILITY OF HEALTHY FOOD ASSISTANCE, DIABETES PROGRAMS, ACTIVE LIVING PROGRAMS, ETC.WARRICK COUNTY: FROM THE FOUR ENDORSED ISSUES IDENTIFIED FOR PRIORITIZATION, THE GROUP SELECTED BEHAVIORAL HEALTH, ACCESS TO CARE, AND OBESITY & HEALTHY FOOD ACCESS AS OUR PRIMARY POINTS OF FOCUS FOR THE NEXT CHNA PERIOD. COVID-19 RESPONSE IS SOMETHING THAT WE WILL CONTINUE TO ADDRESS. HEALTHY FOOD ACCESS WAS WRAPPED INTO THE BROADER HEADING OF "EXERCISE, WEIGHT & NUTRITION."THE BROAD CATEGORIES OF BEHAVIORAL HEALTH, ACCESS TO CARE, AND EXERCISE, WEIGHT & NUTRITION WERE SUBSEQUENTLY NARROWED DOWN TO THE FOLLOWING, MORE SPECIFIC, STRATEGIES. SUBJECT EXPERTS AND GROUPS CURRENTLY CONDUCTING WORK IN THESE FIELDS WILL CONTINUE TO MEET TO IDENTIFY METRICS AND OUTCOME MEASURES AS WELL AS ASSIGN TASKS FOR THE THREE-YEAR CHNA PERIOD.BEHAVIORAL HEALTH1. REVIEW AND REVISE REGIONAL MENTAL HEALTH SERVICES MAP (CREATED IN 2017) TO IDENTIFY SERVICES, GAPS, BARRIERS, ETC. IN ORDER TO ADDRESS ACCESS TO CARE ISSUES.2. IDENTIFY EXISTING COMMITTEES AND GROUPS AND RELAUNCH/REVITALIZE EFFORTS TO SPEARHEAD INITIATIVES THAT IMPACT BEHAVIORAL HEALTH.A. SUCH AS SUPPORTING THE REINSTATEMENT OF THE VCHD'S RECIDIVISM REDUCTION PROGRAM.ACCESS TO CARE1. WORK CONDUCT A TRANSPORTATION STUDY FOR THE GREATER EVANSVILLE REGION, WITH SPECIFIC FOCUS ON VANDERBURGH AND WARRICK COUNTIES, FOR MEDICALLY RELATED APPOINTMENTS AND ACTIVITIES.2. FOCUS ON THE UNIQUE NEEDS OF RESIDENTS OF RURAL WARRICK COUNTY BY IDENTIFYING OPPORTUNITIES TO BRING SERVICES AND PROGRAMS TO THEM.EXERCISE, WEIGHT & NUTRITION1. USE PROGRAMS AND PROJECTS SUCH AS A MOBILE MARKET, FARMER'S/POP-UP MARKETS, AND COMMUNITY GARDENS TO INCREASE THE AVAILABILITY OF FRESH PRODUCE AND OTHER HEALTHY FOOD OPTIONS IN "HEALTHY FOOD PRIORITY AREAS."2. SUPPORT AND EXPAND COMMUNITY ACTIVE LIVING PROGRAMS, SUCH AS STORY TRAILS, COMPLETE STREETS, WARRICK TRAILS, AND ADDITIONAL UPGRADE IN SCHOOL ACTIVITIES.3. MAP OUT PROGRAMS AND SERVICES TO PROVIDE EDUCATION ON AVAILABILITY OF HEALTHY FOOD ASSISTANCE, DIABETES PROGRAMS, ACTIVE LIVING PROGRAMS, ETC.
GROUP A-FACILITY 1 -- DEACONESS HOSPITAL, INC. PART V, SECTION B, LINE 15E:WELL FUND IS AVAILABLE TO DEACONESS HEALTH SYSTEM PATIENTS TO ASSIST WITH APPLYING FOR MEDICAID OR EXCHANGE PRODUCTS.
GROUP A-FACILITY 1 -- DEACONESS HOSPITAL, INC. PART V, SECTION B, LINE 16J:OTHER METHOD USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY: DEACONESS HOSPITAL SEEKS OUT THE PATIENTS THAT ARE SELF-PAY AND INTERVIEWS THESE PATIENTS WHILE THEY ARE IN THE FACILITY. THE FINANCIAL ASSISTANCE POLICY IS PROMOTED TO PATIENTS. DEACONESS HOSPITAL SEEKS OUT THOSE PATIENTS THAT WOULD QUALIFY FOR THE FINANCIAL ASSISTANCE POLICY. COLLECTABILITY SCORING IS ALSO COMPLETED AND ALLOWANCES ARE MADE BASED UPON THESE SCORES.
GROUP A-FACILITY 2 -- DEACONESS GATEWAY HOSPITAL PART V, SECTION B, LINE 5:DESCRIPTION OF COMMUNITY INPUT IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
GROUP A-FACILITY 2 -- DEACONESS GATEWAY HOSPITAL PART V, SECTION B, LINE 6A:OTHER HOSPITAL FACILITIES CHNA WAS CONDUCTED WITH IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
GROUP A-FACILITY 2 -- DEACONESS GATEWAY HOSPITAL PART V, SECTION B, LINE 6B:OTHER ORGANIZATIONS CHNA WAS CONDUCTED WITH IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
GROUP A-FACILITY 2 -- DEACONESS GATEWAY HOSPITAL PART V, SECTION B, LINE 11:HOW THE SIGNIFICANT NEEDS ARE BEING ADDRESSED IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
GROUP A-FACILITY 2 -- DEACONESS GATEWAY HOSPITAL PART V, SECTION B, LINE 15E:OTHER METHOD USED FOR APPLYING FOR FINANCIAL ASSISTANCE IS THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
GROUP A-FACILITY 2 -- DEACONESS GATEWAY HOSPITAL PART V, SECTION B, LINE 16J:OTHER METHOD USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
GROUP A-FACILITY 3 -- DEACONESS CROSS POINTE PART V, SECTION B, LINE 5:DESCRIPTION OF COMMUNITY INPUT IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
GROUP A-FACILITY 3 -- DEACONESS CROSS POINTE PART V, SECTION B, LINE 6A:OTHER HOSPITAL FACILITIES CHNA WAS CONDUCTED WITH IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
GROUP A-FACILITY 3 -- DEACONESS CROSS POINTE PART V, SECTION B, LINE 6B:OTHER ORGANIZATIONS CHNA WAS CONDUCTED WITH IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
GROUP A-FACILITY 3 -- DEACONESS CROSS POINTE PART V, SECTION B, LINE 11:HOW THE SIGNIFICANT NEEDS ARE BEING ADDRESSED IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
GROUP A-FACILITY 3 -- DEACONESS CROSS POINTE PART V, SECTION B, LINE 15E:OTHER METHOD USED FOR APPLYING FOR FINANCIAL ASSISTANCE IS THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
GROUP A-FACILITY 3 -- DEACONESS CROSS POINTE PART V, SECTION B, LINE 16J:OTHER METHOD USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
PART V, SECTION B, LINE 16A, FAP WEBSITE:THE FINANCIAL ASSISTANCE POLICY (FAP) FOR ALL THREE HOSPITAL FACILITIES IS MADE WIDELY AVAILABLE ON THE FOLLOWING WEBSITE:HTTPS://WWW.DEACONESS.COM/PAY-MY-BILL/FINANCIAL-ASSISTANCE
PART V, SECTION B, LINE 16B, FAP APPLICATION WEBSITE:THE FINANCIAL ASSISTANCE POLICY (FAP) APPLICATION FOR ALL THREE HOSPITAL FACILITIES IS MADE WIDELY AVAILABLE ON THE FOLLOWING WEBSITE:HTTPS://WWW.DEACONESS.COM/PAY-MY-BILL/FINANCIAL-ASSISTANCE
PART V, SECTION B, LINE 16B, FAP PLAIN LANGUAGE SUMMARY WEBSITE:THE FINANCIAL ASSISTANCE POLICY (FAP) PLAIN LANGUAGE SUMMARY FOR ALL THREE HOSPITAL FACILITIES IS MADE WIDELY AVAILABLE ON THE FOLLOWING WEBSITE:HTTPS://WWW.DEACONESS.COM/PAY-MY-BILL/FINANCIAL-ASSISTANCE
FieldValueIRS element (for citing)
Facility35FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (35 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - CARDIAC REHAB
4015 GATEWAY BLVD SUITE 2122NEWBURGHIN47630OUTPATIENT SERVICES
2 - DEACONESS CLINIC GATEWAY REG LAB
4233 GATEWAY BLVD SUITE 201NEWBURGHIN47630DIAGNOSTIC CENTER
3 - DEACONESS COMPREHENSIVE PAIN CTR & MED
4600 W LLOYD EXPRESSWAY SUITE AEVANSVILLEIN47712OUTPATIENT SERVICES
4 - DEACONESS COMPREHENSIVE PAIN CTR-GATEWAY
4099 GATEWAY BLVDNEWBURGHIN47630OUTPATIENT SERVICES
5 - DEACONESS CROSS POINTE
445 CROSS POINTE BLVDEVANSVILLEIN47715OUTPATIENT PHYSICIAN CLINIC
6 - DEACONESS FAMILY MEDICINE RESIDENCY
415 W COLUMBIA ST SUITE 110EVANSVILLEIN47710OUTPATIENT PHYSICIAN CLINIC
7 - DEACONESS GATEWAY GASTROENTEROLOGY
4133 GATEWAY BLVD SUITE 290NEWBURGHIN47630OUTPATIENT SERVICES
8 - DEACONESS HOSPITAL ANTICOAGMED THERAPY
350 W COLUMBIA ST SUITE 210EVANSVILLEIN47747OUTPATIENT SERVICES
9 - DEACONESS HOSPITAL BREAST CENTER
520 MARY STREET SUITE 140EVANSVILLEIN47710DIAGNOSTIC CENTER
10 - DEACONESS HOSPITAL CANCER SERVICES
4055 GATEWAY BLVDNEWBURGHIN47630OUTPATIENT SERVICES
11 - DEACONESS HOSPITAL ENDOSCOPYSPECIALTY
4219 GATEWAY BLVD SUITE 1005NEWBURGHIN47630OUTPATIENT SERVICES
12 - DEACONESS HOSPITAL INFUSION CTRPHARMACY
4111 GATEWAY BLVDNEWBURGHIN47630OUTPATIENT SERVICES
13 - DEACONESS HOSPITAL LAB & EKGDIABETES ED
520 MARY STREET SUITE 330EVANSVILLEIN47710DIAGNOSTIC CENTER
14 - DEACONESS HOSPITAL LAB & RADIOLOGY
4209 GATEWAY BLVDNEWBURGHIN47630DIAGNOSTIC CENTER
15 - DEACONESS HOSPITAL LABRADIOLOGY
4219 GATEWAY BLVD SUITE 1004NEWBURGHIN47630DIAGNOSTIC CENTER
16 - DEACONESS HOSPITAL PAIN CTRMED THERAPY
4015 GATEWAY BLVD SUITE 2120NEWBURGHIN47630OUTPATIENT SERVICES
17 - DEACONESS HOSPITAL PHYS MED-OA
10455 ORTHOPAEDIC DRIVENEWBURGHIN47630OUTPATIENT SERVICES
18 - DEACONESS HOSPITAL PHYSICAL MEDICINE
4600 W LLOYD EXPRESSWAY SUITE BEVANSVILLEIN47715OUTPATIENT SERVICES
19 - DEACONESS HOSPITAL PHYSICAL MEDICINE
520 MARY STREET SUITE 280EVANSVILLEIN47747OUTPATIENT SERVICES
20 - DEACONESS HOSPITAL RADIOLOGY EXPRESS
4087 GATEWAY BLVDNEWBURGHIN47630DIAGNOSTIC CENTER
21 - DEACONESS HOSPITAL SPECIALTY
4219 GATEWAY BLVD SUITE 2003NEWBURGHIN47630OUTPATIENT SERVICES
22 - DEACONESS HOSPITAL SPECIALTY CLINIC
120 SE 4TH STREET SUITE 3200EVANSVILLEIN47708DIAGNOSTIC CENTER
23 - DEACONESS HOSPITAL WEIGHT LOSS SOLUTIONS
4219 GATEWAY BLVD SUITE 2001NEWBURGHIN47630OUTPATIENT SERVICES
24 - DEACONESS LAB & RADIOLOGY
120 SE 4TH STREET SUITE 1100EVANSVILLEIN47708DIAGNOSTIC CENTER
25 - DEACONESS PRIMARY CARE FOR SENIORS
1750 OAK HILL ROADEVANSVILLEIN47710OUTPATIENT PHYSICIAN CLINIC
26 - DEACONESS PRIMARY CARE FOR SENIORS
4498 FIRST AVENUEEVANSVILLEIN47710OUTPATIENT PHYSICIAN CLINIC
27 - DEACONESS RADIOLOGY LAB & RADIOLOGY
8600 NORTH KENTUCKY AVENUEEVANSVILLEIN47725DIAGNOSTIC CENTER
28 - DEACONESS REGIONAL LABORATORY
4133 GATEWAY BLVD SUITE 110NEWBURGHIN47630DIAGNOSTIC CENTER
29 - DEACONESS REGIONAL LABORATORY
4494 N FIRST AVENUEEVANSVILLEIN47710DIAGNOSTIC CENTER
30 - DEACONESS SLEEP CENTER
350 W COLUMBIA STREET SUITE 100EVANSVILLEIN47710OUTPATIENT SERVICES
31 - DEACONESS SLEEP CENTER-EAST
7307 E COLUMBIA STEVANSVILLEIN47715DIAGNOSTIC CENTER
32 - DEACONESS SLEEP LAB
350 W COLUMBIA STREET SUITE LL-10EVANSVILLEIN47710DIAGNOSTIC CENTER
33 - DEACONESS WEIGHT LOSS SOLUTIONS
310 W IOWA STREETEVANSVILLEIN47710OUTPATIENT PHYSICIAN CLINIC
34 - DEACONESS WOUND CARE CENTER
350 W COLUMBIA STREET SUITE 350EVANSVILLEIN47710OUTPATIENT SERVICES
35 - MT VERNON MEDICAL CENTER LAB & RADIOLOGY
1900 W FOURTH STREETMT VERNONIN47620DIAGNOSTIC CENTER

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:DEACONESS HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT IS MADE AVAILABLE ON THE DEACONESS WEBSITE AT HTTP://WWW.DEACONESS.COM/CHNA
PART I, LINE 7:A COST TO CHARGE RATIO WAS USED FOR MOST OF THE CALCULATIONS FOR THE TABLE. IRS INSTRUCTION'S WORKSHEET 2 WAS USED FOR THIS CALCULATION. WE DID NOT USE THE COST TO CHARGE RATIO FOR LINE 7G AS IT WAS NOT RELEVANT TO THESE SERVICES. THE ACTUAL COST FROM OUR COSTING SYSTEM WAS USED WHEN AVAILABLE. THE COST TO CHARGE RATIO FOR EACH SERVICE TYPE WAS USED TO ESTIMATE COST WHEN NOT AVAILABLE FROM OUR INTERNAL COSTING SYSTEM.
PART I, LINE 7G:SUBSIDIZED HEALTH SERVICES ATTRIBUTED TO PHYSICIAN CLINICS HAVE A COST OF $5,330.
PART I, LN 7 COL(F):BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING PERCENTAGE IN THIS COLUMN IS $0.00.
PART II, COMMUNITY BUILDING ACTIVITIES:DEACONESS PROVIDES SUPPORT TO NUMEROUS ORGANIZATIONS THAT FOCUS ON EDUCATION, COMMUNITY IMPROVEMENTS, AND LEADERSHIP DEVELOPMENT. DEACONESS BELIEVES THAT IN SUPPORTING THESE LOCAL SCHOOLS AND ORGANIZATIONS WE ARE PROVIDING ASSISTANCE IN BETTERING OUR COMMUNITY AND OUR PATIENTS.DEACONESS DID PROVIDE SUPPORT TO OUR LOCAL CHAMBER OF COMMERCE TO HOST NUMEROUS LUNCHEONS AND AWARD CEREMONIES THAT PROMOTES LEADERSHIP DEVELOPMENT AND THE IMPORTANCE OF COMMUNITY AND GOVERNMENT INVOLVEMENT. DEACONESS ALSO PROVIDED SUPPORT TO IMPORTANT COMMUNITY ORGANIZATIONS SUCH AS LOCAL SCHOOLS, WISE CHOICE FALL FESTIVAL COMMUNITY FORUM, AND OUR ZOO TO SHOW OUR SUPPORT OF THEIR MISSIONS.
PART III, LINE 2:THE SYSTEM ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE SIGNIFICANT AND DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY, DETERMINED ON A PORTFOLIO BASIS, ARE RECORDED AS BAD DEBT EXPENSE. CONSISTENT WITH THE SYSTEM'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, THE SYSTEM HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE SYSTEM EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS.
PART III, LINE 3:DEACONESS HOSPITAL DOES NOT ATTRIBUTE ANY BAD DEBT EXPENSE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY (FAP), THEREFORE NO PORTION OF BAD DEBT ATTRIBUTABLE TO FAP-ELIGIBLE INDIVIDUALS IS CONSIDERED A COMMUNITY BENEFIT.
PART III, LINE 4:THE FOOTNOTE DESCRIBING BAD DEBT EXPENSES IS INCLUDED IN THE ATTACHED AUDITED FINANCIAL STATEMENTS UNDER FOOTNOTE "CHARITY CARE, COMMUNITY BENEFIT AND ASSISTANCE TO THE UNINSURED" STARTING ON PAGE 13 AND "PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE" STARTING ON PAGE 11.
PART III, LINE 8:THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, LINE 8: THE MEDICARE TOTAL REVENUE AND ALLOWABLE COSTS WERE ACTUAL BASED UPON THE 2023 MEDICARE COST REPORT.
PART III, LINE 9B:DEACONESS HOSPITAL MAKES A DISTINCTION BETWEEN CHARITY AND BAD DEBT. IN DETERMINING AN INDIVIDUAL OR FAMILY'S ABILITY TO PAY, DEACONESS HOSPITAL EVALUATES WHETHER OR NOT THE RESPONSIBLE PARTY HAS SUFFICIENT RESOURCES FOR PAYMENT. IF AN INDIVIDUAL IS DETERMINED TO NOT HAVE SUFFICIENT RESOURCES TO PAY, THEY WILL BE CONSIDERED ELIGIBLE FOR CHARITY CARE AND WILL NOT BE PROCESSED THROUGH EITHER INTERNAL OR EXTERNAL COLLECTIONS. ACCOUNTS OF CHARITY CARE PATIENTS WHO ARE UNABLE TO PAY DO NOT RESULT IN BAD DEBT AND ARE NOT COLLECTED UPON.
PART VI, LINE 2:NEEDS ASSESSMENT PROCESS: DEACONESS UTILIZES A VARIETY OF SOURCES TO GATHER DATA ON LOCAL HEALTH CARE NEEDS. WE USE DATA FROM THE UNITED WAY OF SOUTHWESTERN INDIANA'S COMPREHENSIVE NEEDS ASSESSMENT, WELBORN BAPTIST FOUNDATION'S GREATER EVANSVILLE HEALTH SURVEY, COUNTY HEALTH RANKINGS WEBSITE, INDIANA STATE DEPARTMENT OF HEALTH, CENTERS FOR DISEASE CONTROL AND PREVENTION, NATIONAL CENTER FOR HEALTH STATISTICS, AND THE U.S. CENSUS BUREAU. ADDITIONAL INFORMATION COMES FROM OUR OWN ELECTRONIC MEDICAL RECORD SYSTEM AND THROUGH OUR INTERACTION WITH LOCAL SERVICE PROVIDERS AND OTHER NON-PROFIT ORGANIZATIONS. THAT INCLUDES "PROMISE ZONE" INITIATIVES THAT KEEP US AWARE OF CHANGING NEEDS IN OUR MOST DISENFRANCHISED POPULATION.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: DEACONESS HOSPITAL UTILIZES FINANCIAL COUNSELORS TO EDUCATE, INFORM AND ASSIST PATIENTS AND FAMILIES IN UNDERSTANDING THEIR FINANCIAL OBLIGATION, ABILITY TO QUALIFY FOR FINANCIAL ASSISTANCE THROUGH DEACONESS HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND PAYMENT OPTIONS. SPECIFICALLY, FINANCIAL COUNSELORS STAFF THE EMERGENCY DEPARTMENT, REGISTRATION AREAS, CASHIER AREA, AS WELL AS, FLOAT AMONG INPATIENT AREAS TO ENSURE EACH AND EVERY PATIENT REQUIRING ASSISTANCE IS REACHED. IN ADDITION TO THE PERSONAL AND INDIVIDUALIZED COUNSELING PROVIDED BY THE FINANCIAL COUNSELORS, VARIOUS FORMS OF MEDIA ARE DISTRIBUTED THROUGHOUT DEACONESS HOSPITAL EXPLAINING THE FINANCIAL ASSISTANCE PROCESS. ADDITIONALLY, POLICIES FOR FINANCIAL ASSISTANCE ARE POSTED WIDELY THROUGHOUT DEACONESS HOSPITAL AND ON THE INTERNET AT WWW.DEACONESS.COM. HTTPS://WWW.DEACONESS.COM/FOR-YOU/PATIENTS-AND-VISITORS/PATIENTS/FINANCIAL-ASSISTANCE. IN ADDITION TO THE VARIOUS PLACES THAT THE PROGRAM IS PUBLISHED, IT IS ALSO REFERENCED ON OUR PATIENT STATEMENT AND PHONE MESSAGE WHEN THE PATIENT CALL THE BILLING PHONE NUMBER.
PART VI, LINE 4:DEACONESS DEFINES ITS COMMUNITY AS ALL PEOPLE LIVING IN VANDERBURGH AND WARRICK COUNTIES IN INDIANA ANY TIME DURING THE YEAR.VANDERBURGH COUNTYVANDERBURGH COUNTY IS MORE DIVERSE THAN MUCH OF INDIANA IN TERMS OF RACIAL AND ETHNIC CHARACTERISTICS, EVENLY SPLIT WITH REGARD TO GENDER, WITH THE MAJORITY OF INDIVIDUALS LIVING IN AREAS CONSIDERED URBAN. VANDERBURGH COUNTY'S POPULATION OF 180,136 PERSONS IS SIMILAR TO THE STATEWIDE POPULATION, WITH ABOUT 80.6% OF THE POPULATION BEING WHITE, 9.8% BLACK/AFRICAN AMERICAN, 1.4% ASIAN, AND THE REMAINDER BEING OF OTHER OR 2 OR MORE RACES. HOWEVER, VANDERBURGH COUNTY REPORTS A 3.5% HISPANIC POPULATION COMPARED TO 8.2% FOR THE STATE. VANDERBURGH COUNTY IS ALSO ONE OF THE MORE URBAN AREAS WITH A 9.2% RURAL RATING COMPARED TO THE INDIANA AVERAGE OF 27.6%. ACCORDING TO THE 2021 COUNTY HEALTH RANKINGS, VANDERBURGH COUNTY RANKS 82 OUT OF 92 INDIANA COUNTIES FOR HEALTH OUTCOMES AND 47 OUT OF 92 INDIANA COUNTIES FOR HEALTH FACTORS. INSTANCES OF VIOLENT CRIME, INJURY DEATHS, SEXUALLY TRANSMITTED INFECTIONS, AND CHILDREN LIVING IN POVERTY ARE HIGHER IN VANDERBURGH COUNTY THAN THE INDIANA AVERAGE. THIS INFORMATION MATCHES OUR CHNA DATA.WARRICK COUNTY - CONVERSELY, WARRICK COUNTY RANKS 9 OUT OF 92 INDIANA COUNTIES FOR HEALTH OUTCOMES AND 6 OUT OF 92 INDIANA COUNTIES FOR HEALTH FACTORS ON THE 2021 COUNTY HEALTH RANKINGS. INCIDENTS OF VIOLENT CRIME, INJURY DEATHS, SEXUALLY TRANSMITTED INFECTIONS, AND CHILDREN LIVING IN POVERTY ARE SIGNIFICANTLY LOWER THAN THE STATE AVERAGE. WARRICK COUNTY HAS LESS DIVERSITY THAN VANDERBURGH COUNTY AND THE STATE OF INDIANA. MORE THAN 90% OF PEOPLE THERE IDENTIFY AS WHITE COMPARED TO 77% FOR INDIANA. ONLY 1.7% OF THE POPULATION IS LISTED AS BLACK/AFRICAN AMERICAN AND 2.2% AS HISPANIC. THAT'S COMPARED TO STATE AVERAGES OF 9.6% AND 8.2% RESPECTIVELY. WARRICK COUNTY IS ALSO MORE RURAL THAN THE AVERAGE INDIANA COUNTY (29.3% RURAL IN WARRICK COUNTY COMPARED TO 27.6% STATE AVERAGE).
PART VI, LINE 5:WITH COVID-19 NO LONGER BEING THE PRIMARY ISSUE IMPACTING HEALTH AND HOSPITAL CARE, WE WERE ABLE TO RETURN TO PROMOTING SERVICES AND INFORMATION THAT HELPED US ADDRESS THE GREATEST HEALTH NEEDS OF THE COMMUNITY AS DEFINED BY OUR MOST RECENT CHNA, AS WELL AS ENCOURAGE PEOPLE TO GET THE PREVENTIVE SCREENINGS THEY NEED AND MAY HAVE PUT OFF DUE TO PANDEMIC CONCERNS.WITH FEWER COVID RESTRICTIONS, WE WERE ABLE TO HOST AND ATTEND PUBLIC EVENTS, SUCH AS OUR ANNUAL ORAL, HEAD AND NECK CANCER SCREENINGS; COLON CANCER SCREENINGS, HAND-ONLY CPR TRAINING, ETC. ADDITIONALLY, WE CREATED AND DISTRIBUTED WRITTEN AND VISUAL CONTENT THAT ADDRESSED SPECIFIC ISSUES AND HEALTH CONCERNS FOR OUR COMMUNITY.E-NEWSLETTER ARTICLES:NO NEWSLETTER DUE TO VENDOR ISSUE/CHANGESSOCIAL MEDIA POSTS:OCTOBER 1-7, 2022 DAILY POSTS REGARDING HEALTHY FOOD OPTIONS AT THE ANNUAL FALL FESTIVALMULTIPLE POSTS IN OCTOBER REGARDING MAMMOGRAMS OCTOBER 6, 2022 BREAST CANCER AWARENESS MONTH VIDEO: HENDERSON MAMMOGRAM BLITZ WITH DR. AMBER KOON OCTOBER 10, 2022 MENTAL HEALTH AWARENESS DAY VIDEO: WARNING SIGNS OF TEEN DEPRESSION WITH DR. GARRETT KOONOCTOBER 11, 2022 REMINDER TO BEGIN SCHEDULING FLU SHOT AT A DEACONESS FLU SHOT CLINICOCTOBER 13, 2022 IMPROVING ACCESS: DEACONESS CLINIC URGENT CARE WEST NOW OPENOCTOBER 15, 2022 BREAST CANCER AWARENESS MONTH VIDEO: THE IMPORTANCE OF PRIORITIZING BREAST HEALTH WITH JENNIFER SMALLOCTOBER 19, 2022 BREAST CANCER AWARENESS MONTH: BRA DAY BREAST CANCER RECONSTRUCTION WITH DR. KATE KOTTWITZOCTOBER 20, 2022 VIDEO: HOW FLU SHOTS CAN SAVE LIVES WITH DR. CHASE MORANOCTOBER 21, 2022 BREAST CANCER AWARENESS MONTH VIDEO: THE DANGERS OF SKIPPING A MAMMOGRAM WITH JENNIFER SMALLOCTOBER 22, 2022 RSV-WHEN TO CALL YOUR PEDIATRICIANOCTOBER 23, 2022 BONE & JOINT HEALTH VIDEO: HOW DEXA SCAN MEASURES BONE LOSS WITH CHERYL LINNEMANOCTOBER 24, 2022 BEHAVIORAL HEALTH VIDEO: TIPS FOR CHILDREN WHO ARE BEING BULLIED OR ARE BULLYING OTHERS WITH SCOTT BRANAMOCTOBER 25, 2022 DRIVE THRU FLU SHOT AND COVID BOOSTER CLINICOCTOBER 26, 2022 VIDEO: HOW TO DISTINGUISH RSV FROM THE COMMON COLD/FLU WITH DR. JONATHAN PHILLIPSOCTOBER 27, 2022 VIDEO: THE IMPORTANCE OF KIDS GETTING FLU SHOTS WTH DR. GARRETT KOONOCTOBER 29, 2022 VIDEO: SIGNS & SYMPTOMS OF STROKE WITH ANGIE BLACKOCTOBER 30, 2022 BEHAVIORAL HEALTH VIDEO: WARNING SIGNS OF DOMESTIC VIOLENCE AND WHERE TO GET HELP WITH ELISSA JONESOCTOBER 31, 2022 VIDEO: HALLOWEEN SAFETY WITH DR. JONATHAN PHILLIPSNOVEMBER 2, 2022 FLU SHOT CLINICNOVEMBER 3, 2022 IMPROVING ACCESS VIDEO: DEACONESS VIDEO VISITS WITH DR. AMANDA BOHLEBERNOVEMBER 7, 2022 BLOG POST: DIABETES 101 BY ANNA SMITHNOVEMBER 14, 2022 VIDEO: HOW TO MANAGE DIABETES WITH DANIELLE HUDAKNOVEMBER 17, 2022 SMOKING FACTSNOVEMBER 23, 2022 VIDEO: HEALTHY, DIABETES-FRIENDLY THANKSGIVING TIPS WITH MOLLIE FRANCISNOVEMBER 30, 2022 VIDEO: KEEPING SKIN HEALTHY DURING THE WINTER WITH DR. DYLAN GREENEYDECEMBER 1, 2022 WHERE TO GO FOR FLUDECEMBER 2, 2022 FLU SHOT REMINDERDECEMBER 6, 2022 FLU SHOT REMINDERDECEMBER 7, 2022 FLU SHOT REMINDERDECEMBER 9, 2022 - FLU SHOT REMINDERDECEMBER 19, 2022 VIDEO: ER OR URGENT CARE WITH DR. GINA HUHNKEDECEMBER 21, 2022 VIDEO: WINTER HEALTH TIPS WITH DR. GINA HUHNKEDECEMBER 28, 2022 MENTAL HEALTH VIDEO: COPING WITH THE WINTER BLUES WITH SCOTT BRANAMDECEMBER 30, 2022 VIDEO: NEW YEAR'S EVE SAFETY WITH DR. TODD BURRYJANUARY 8, 2023 EXERCISE & NUTRITION VIDEO: LIFESTYLE CHANGES WITH BROOKE MCCARTNEYJANUARY 10, 2023 DEACONESS BEHAVIORAL HEALTHJANUARY 13, 2023 PEDIATRIC WEIGHT MANAGEMENT PROGRAMJANUARY 17, 2023 VIDEO: CARDIAC ARREST AND AORTIC ANEURYSM WITH DR. LEE WAGMEISTERJANUARY 19, 2023 MENTAL HEALTH VIDEO: GOOD GRIEF PATROL AND HELPING CHILDREN COPE WITH GRIEFJANUARY 24, 2023 VIDEO: CERVICAL CANCER AND PREVENTION WITH DR. SARAH O'NANCOMMUNITY EVENTSOCTOBER 1-7, 2022 HEALTHY EATING MESSAGES WITH WISE CHOICE AT THEFALL FESTIVAL.MARCH 1, 2023 CARDIOVASCULAR SYMPOSIUMMARCH 4, 2023 HANDS-ONLY CPR TRAININGMARCH 18, 2023 DRIVE-THRU COLON CANCER SCREENINGAPRIL 1, 2023 WALKING FOR HEALTH: ORAL CANCER AWARENESS MONTH W/ DR. WARD HARBINSCREENING MAMMOGRAMS VIA MOBILE BREAST CENTERAPRIL 7, 2023 WALKING FOR HEALTH: SEXUAL ASSAULT PREVENTION & WELLNESS WITH DR. PEARL QUARTEYAPRIL 14, 2023 WALKING FOR HEALTH: NATIONAL MINORITY HEALTH MONTH WITH DR. WARD HARBINAPRIL 20, 2023 ORAL, HEAD AND NECK CANCER SCREENINGAPRIL 20, 2023 CAR SEAT CHECKS AND EDUCATION AT IVY TECH HEALTH & WELLNESS FAIRAPRIL 27, 2023 WOUND & STROKE TEAM AT HOMELESS CONNECT AT ONB EVENTS PLAZAMAY 8, 2023 WALKING FOR HEALTH: WOMEN'S HEALTH WITH DR. JARED CERNYMAY 10, 2023 FREE SKIN CANCER SCREENINGSMAY 27, 2023 WALKING FOR HEALTH: OSTEOPOROSIS2022 MOBILE SCREENING MAMMOGRAMSOCTOBER--320NOVEMBER--228DECEMBER--241FY23 MOBILE SCREENING MAMMOGRAMS JANUARY--162FEBRUARY--204 MARCH--250APRIL--176MAY--256 JUNE-192 JULY--225 AUGUST--231 SEPTEMBER--196PATIENT CARE - MEDICATION ASSISTANCE AND FAMILY MEDICINE RESIDENCY CLINICDEACONESS PROVIDES FREE AND REDUCED CARE WITHIN OUR HOSPITAL BUILDINGS. THROUGH OUR MEDICATION ASSISTANCE PROGRAM (MAP) AND OUR FAMILY PRACTICE RESIDENCY CLINIC, PATIENTS CAN ACCESS THE HIGH QUALITY HEALTH CARE THEY NEED IN CONVENIENT LOCATIONS AND AT A PRICE THEY CAN AFFORD. IN FY 22-23, OUR RESIDENTS TREATED MORE THAN 15,562 PATIENTS AT A COST TO THE HOSPITAL OF $2,282,688. SIMILARLY, THE MAP SERVICED 2,920 INDIVIDUALS FOR 4,905 UNIQUE MEDICATIONS/PRESCRIPTIONS PROVIDED AT A TOTAL DOLLAR VALUE OF MORE THAN $87,730,541 IN FREE DRUGS TO PATIENTS. AN ADDITIONAL $272,342 IN COPAY/FOUNDATION ASSISTANCE WAS ALSO PROVIDED.BEHAVIORAL HEALTH AND SUICIDE PREVENTION--STAFF FROM DEACONESS CROSS POINTE EDUCATED OVER 6,762 PEOPLE IN THE SURROUNDING COMMUNITY ABOUT BEHAVIORAL HEALTH, RELATED RESOURCES, AND SUICIDE PREVENTION.LOCAL SPONSORSHIPS - IN FY22-23, DEACONESS SPONSORED PROGRAMS AND ACTIVITIES FOR MORE THAN 170,000 PEOPLE, CONTRIBUTING $1.2 MILLION IN SUPPORT OF CLUBS, GROUPS, SOCIAL SERVICE ORGANIZATIONS, AND OTHERS STRIVING TO MAKE OUR COMMUNITY A BETTER PLACE.HANDS ONLY CPR TRAINING 2/16/23 FREE COMMUNITY TRAINED OVER 300 PEOPLE IN HOW TO USE HANDS ONLY CPR.
PART VI, LINE 6:N/A

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (29 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
AMERICAN RED CROSS
29 S STOCKWELL RDEVANSVILLEIN47714530196605501(C)(3)$10,000$0GENERAL SUPPORT & MIDWEST TORNADOS
AURORA INC
1001 MARY STREETEVANSVILLEIN47710351759576501(C)(3)$16,900$0HOMELESS OUTREACH
BAPTIST HEALTH DEACONESS MADISONVILLE INC
900 HOSPITAL DRIVEMADISONVILLEKY42431610654587501(C)(3)$150,000$0UNIVERSITY OF LOUISVILLE OFF CAMPUS MED SCHOOL PROGRAM
BOYS & GIRLS CLUB OF EVANSVILLE IN
PO BOX 6311EVANSVILLEIN47719351007558501 (C) (3)$13,100$0GENERAL SUPPORT & HEALTHY HABITS PROGRAM
CHEMO BUDDIES
3700 BELLEMEADE AVEEVANSVILLEIN47714453043243501(C)(3)$47,284$0GENERAL SUPPORT & SHUTTLE BUS SPONSORSHIP
ECHO COMMUNITY HEALTH CARE
315 MULBERRY STREETEVANSVILLEIN47713351791786501(C)(3)$20,000$0PEDIATRIC/OB PLEDGE FOR PRIMARY HEALTH CARE
EVANSVILLE EMERGENCY FOOD PANTRY CONSORTIUM INC
PO BOX 2536EVANSVILLEIN47728371697515501(C)(3)$20,000$0FOOD FOR FOOD PANTRIES
EVANSVILLE REGIONAL BUSINESS COMMITTEE INC
211 NW RIVERSIDE DREVANSVILLEIN47708030408032501(C)(6)$15,000$0GENERAL SUPPORT
EVANSVILLE REGIONAL ECONOMIC PARTNERSHIP
318 MAIN STREET SUITE 400EVANSVILLEIN47708350298180501(C)(6)$25,000$0GENERAL SUPPORT
EVANSVILLE-VANDERBURGH COUNTY CONVENTION & VISITORS COMMISSION SPORTS COMP
4300 HECKEL ROADEVANSVILLEIN47725472582515501 (C) (3)$26,250$0SUPPORT HEALTH TRAIL
GOLF GIVES BACK INC
ONE MAIN STREET SUITE 100EVANSVILLEIN47708814223347501(C)(3)$7,000$0GENERAL SUPPORT
GRANTED INC
4445 COMMERCE STREETEVANSVILLEIN47710311154659501(C)(3)$33,333$0GRANTED HOUSE OF HOPE CAPITAL CAMPAIGN
IMPACT EVANSVILLE INC
1201 S BEDFORD AVEEVANSVILLEIN47713863629886501(C)(3)$25,000$0GENERAL SUPPORT & BEDFORD COLLAB PROJECT
INDIANA FIRE CHIEF'S ASSOCIATION
PO BOX 305CAMBYIN46113356035820501(C)(6)$10,000$0GENERAL SUPPORT
ISAIAH 117 HOUSE
1705 STATE LINE RD PO BOX 842ELIZABETHTONTN37643820631497501(C)(3)$10,000$0GENERAL SUPPORT
IVY TECH FOUNDATION
3501 N 1ST AVENUEEVANSVILLEIN47710237073977501(C)(3)$50,000$0GENERAL SUPPORT & GRANT DONATION
JUNIOR ACHIEVEMENT OF SW INDIANA
431 E DIAMOND AVENUEEVANSVILLEIN47711356048156501 (C) (3)$11,940$0INSPIRING OUR YOUTH & GENERAL SUPPORT
LEADERSHIP EVERYONE
PO BOX 2449EVANSVILLEIN47722310883858501(C)(3)$10,000$0GENERAL SUPPORT & REGIONAL VOICE
PERRY COUNTY COMMUNITY FOUNDATION
PO BOX 13TELL CITYIN47586351830262501(C)(3)$8,000$0GENERAL SUPPORT & SGT. H. GLENN MEMORIAL FUND
RILEY CHILDREN'S FOUNDATION
PO BOX 3356INDIANAPOLISIN46206350868147501(C)(3)$25,000$0GENERAL SUPPORT & RACING TO RESPOND DOCUMENTARY
RONALD MCDONALD HOUSE CHARITIES OF THE OHIO VALLEY
3540 WASHINGTON AVENUEEVANSVILLEIN47714351748468501(C)(3)$12,500$0GENERAL SUPPORT
SOUTHERN INDIANA GRADUATE MEDICAL EDUCATION CONSORTIUM INC
515 WALNUT STREET SUITE 4134EVANSVILLEIN47708472044966501 (C) (3)$100,000$0GENERAL SUPPORT
THE POTTER'S WHEEL INC
333 JEFFERSON AVENUEEVANSVILLEIN47713743105998501(C)(3)$25,000$0GENERAL SUPPORT
TRAIL HEADS-SOUTHWEST INDIANA
3855 DEER RUN CTBOONVILLEIN47601473452266501(C)(3)$14,000$0PARKS & TRAILS PROJECT
TRI-STATE FOOD BANK
2504 LYNCH ROADEVANSVILLEIN47711351539870501 (C) (3)$100,000$0GENERAL SUPPORT
TULIP TREE HEALTH SERVICES
123 N MCCREARYFORT BRANCHIN47648352055749501 (C) (3)$10,000$0GENERAL SUPPORT
UNITED CARING SHELTERS
324 NW SIXTH STREETEVANSVILLEIN47708351892153501(C)(3)$32,500$0HOMELESS MEDICAL RESPITE & GENERAL SUPPORT
YOUTH FIRST
111 SE THIRD STREET STE 405EVANSVILLEIN47708352050168501(C)(3)$16,860$0GENERAL SUPPORT
YWCA
118 VINE STREETEVANSVILLEIN47708350869075501 (C) (3)$11,820$0GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org26Total501c3OrgCnt
Total Other Org3TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationDEACONESS HOSPITAL CONFIRMS ALL RECIPIENTS OF FUNDS ARE ORGANIZATIONS WHOSE GOALS COINCIDE WITH DEACONESS' MISSION OF PROVIDING QUALITY HEALTH CARE WITH A COMPASSIONATE AND CARING SPIRIT. THE ORGANIZATIONS PROVIDE NEEDED SERVICES TO OUR COMMUNITY TO IMPROVE HEALTH AND WELLNESS FOR THE CITIZENS IN THE SURROUNDING AREA.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SHAWN MCCOY
PRESIDENT / CEO OF DEACONESS$1,004,638$0$322,989$0$223,490$9,600$273,802$0$43,380$0$1,868,299$9,600$216,756$0
RAGHAV GUPTA MD
ANESTHESIOLOGIST$1,224,151$0$62,820$0$57,293$0$16,580$0$32,571$0$1,393,415$0$0$0
ANDREI TRIPAC MD
ANESTHESIOLOGIST$1,248,772$0$14,000$0$57,293$0$16,580$0$34,992$0$1,371,637$0$0$0
JAMES PORTER MD
PRESIDENT OF DEACONESS HEALTH SYSTEM$632,974$0$174,754$0$270,914$4,600$172,267$0$37,061$0$1,287,970$4,600$267,465$0
MIA HINDI
FORMER DIRECTOR$0$982,969$0$161,680$0$47,574$0$21,210$0$35,559$0$1,248,992$0$0
VENKATESH MADADI MD
ANESTHESIOLOGIST$1,082,716$0$0$0$43,113$0$33,057$0$30,644$0$1,189,530$0$0$0
JOSEPH KLINK MD
DIRECTOR$0$899,372$0$163,013$0$8,251$0$13,890$0$25,552$0$1,110,078$0$0
PAUL MICK MD
ANESTHESIOLOGIST$954,491$0$0$0$114,511$0$16,580$0$21,334$0$1,106,916$0$0$0
MARK H MURRAY MD
ANESTHESIOLOGIST$1,012,712$0$0$0$42,877$0$16,580$0$29,933$0$1,102,102$0$0$0
LYNN LINGAFELTER
PRESIDENT$608,584$0$168,260$0$101,821$4,000$151,033$0$31,856$0$1,061,554$4,000$97,784$0
CHERYL WATHEN
TREASURER / CHIEF FINANCIAL OFFICER$577,576$0$134,675$0$98,323$9,600$159,494$0$42,127$0$1,012,195$9,600$92,511$0
NAROTHAMA R AEDDULA MD
DIRECTOR$0$789,364$0$126,890$0$53,854$0$30,981$0$0$0$1,001,089$0$0
MARC FLORENCE
VICE PRESIDENT$418,131$0$95,606$0$76,679$0$98,824$0$37,173$0$726,413$0$72,580$0
JOANN WOOD MD
CHIEF MEDICAL OFFICER$462,273$0$106,786$0$6,935$0$106,362$0$19,047$0$701,403$0$2,691$0
MAQBOOL AHMED MD
FORMER DIRECTOR$0$358,692$0$141,493$0$170,120$0$0$0$0$0$670,305$0$0
BRADLEY SCHEU MD
VICE PRESIDENT$0$395,518$0$102,385$0$2,676$0$92,726$0$36,377$0$629,682$0$0
DAVID RYON MD
DIRECTOR$469,103$0$40,680$0$43,605$1,800$30,720$0$29,734$0$613,842$1,800$0$0
MELINDA D LEBOFSKY
VICE PRESIDENT$315,517$0$195,768$0$1,722$0$47,338$0$27,546$0$587,891$0$0$0
JENNIFER CHIUSANO
CHIEF NURSING EXECUTIVE$337,149$0$77,880$0$3,544$0$69,080$0$18,701$0$506,354$0$0$0
JAMIE L DAVIDSON MD
DIRECTOR$382,602$0$6,240$0$13,010$0$25,840$0$772$0$428,464$0$0$0
SCOTT CORDTS MD
DIRECTOR$258,287$0$53,167$0$29,243$5,800$30,470$0$29,294$0$400,461$5,800$0$0
LINDA WHITE
FORMER CEO EMERITA, FOUNDATION$0$177,170$0$27,529$0$7,357$0$5,002$0$10,830$0$227,888$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ASOCIAL CLUB DUES ARE PAID FOR LINDA WHITE AND SHAWN MCCOY FOR ORGANIZATION BUSINESS ONLY. ANY PERSONAL USE OF THE CLUB MUST BE PAID BY THE EMPLOYEES.
PART I, LINE 4BNONQUALIFIED PAYMENTS: NAROTHAMA AEDDULA $20,500 JAMIE DAVISON $20,500 SHAWN MCCOY $20,500 DAVID RYON $20,500 CHERYL WATHEN $20,500 JAMES PORTER $20,500 JENNIFER CHIUSANO $20,500 JOANN WOOD $20,500 LYNN LINGAFELTER $20,500 MARC FLORENCE $20,500 BRADLEY SCHEU $20,500 MELINDA LEBOFSKY $5,000 RAGHAV GUPTA $20,500 ANDREI TRIPAC $20,500 VENKATESH MADADI $20,500 PAUL MICK $20,500 MARK MURRAY $20,500 LINDA WHITE $20,500 MIA HINDI $20,500 MAQBOOL AHMED $20,500 JOSEPH KLINK $20,500 PART 1, 4B: SHAWN MCCOY: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $247,426.22 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $216,756.32 CHERYL WATHEN: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $119,207.04 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $92,510.50 JAMES PORTER: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $138,747.43 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $267,465.17 LYNN LINGAFELTER: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $126,485.28 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $97,783.51 JOANN WOOD SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $89,782.42 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $2,691.33 MARC FLORENCE: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $77,613.72 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $72,579.88 JENNIFER CHIUSANO: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $52,500.40 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $0.00 BRADLEY SCHEU: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $71,515.95 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $0.00 MELINDA LEBOFSKY: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $47,338.40 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $0.00
PART I, LINE 6COMPENSATION CONTINGENT UPON NET EARNINGS: INCENTIVE COMPENSATION PAYMENTS MADE BY THE ORGANIZATION ARE BASED UPON SUCCESSFUL ACHIEVEMENT OF ESTABLISHED INPATIENT SATISFACTION MEASURES, OUTPATIENT SATISFACTION MEASURES, COMPLIANCE WITH PUBLICLY REPORTED QUALITY INDICATORS, OPERATING MARGIN AS WELL AS OTHER TECHNICAL AND PERSONAL FUNCTIONAL GOALS OF BOTH THE ORGANIZATION AND RELATED ORGANIZATIONS. DEACONESS HOSPITAL'S INCENTIVE COMPENSATION PROGRAMS ARE FORMULATED TO REWARD BEHAVIOR THAT BALANCES PATIENT NEEDS AND EFFICIENT DELIVERY OF PATIENT CARE TO ENSURE THE BEST OUTCOMES ARE ACHIEVED.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
INDIANA FINANCE AUTHORITY-2021B
A35160231645506EDH32021-10-28$36,810,000REFUND 2013C ISSUED 7/23/13000
INDIANA FINANCE AUTHORITY-2016A
B35160231645506DXT72016-10-05$109,999,091NEW MONEY PROJECTSYes (1)00
INDIANA FINANCE AUTHORITY-2015A
C35160231645506DUL72015-07-09$49,772,34103/6/2009 REFUNDINGYes (1)00
INDIANA FINANCE AUTHORITY-2013B
D3516023160000000002013-03-05$21,440,0005/27/04 REFUNDING000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndBond DefeasedBondDefeasedAmtCapitalized InterestCapitalizedInterestAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmt
A$2,790,000$36,810,000$135,400$36,674,6002021Yes (1)0Yes (1)Yes (1)
B$405,000$111,373,335$935,528201800Yes (1)Yes (1)$54,760,000$4,660,332$2,885,418$102,892,057
C$2,015,000$49,772,341$601,847$49,170,49420150Yes (1)Yes (1)Yes (1)$38,890,000
D$11,920,000$21,440,000$125,000$21,315,0002013Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)
C000000Yes (1)
D000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
(no name)
A00Yes (1)0Yes (1)000Yes (1)
(no name)
B000Yes (1)0000Yes (1)
(no name)
C000Yes (1)0000Yes (1)
FIFTH THIRD
D00Yes (1)0Yes (1)Yes (1)00Yes (1)15.00000000000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, COLUMN B, LINE 3:THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE DUE THE INVESTMENT EARNINGS ON THE PROJECT FUND IN THE AMOUNT OF $1,374,244
PART II, COLUMN D, LINE 11:THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW.
SCHEDULE K, PART IV, COLUMN B, LINE 2C:A REBATE CALCULATION WAS COMPLETED, WITH NO REBATE DUE.
PART IV, COLUMN C, LINE 2C:A REBATE CALCULATION WAS COMPLETED, WITH NO REBATE DUE, ON APRIL 17, 2017.
PART I, LINE A, COLUMN F:THE PURPOSE OF THE ISSUE IS TO REFUND THE SERIES 2004A ISSUED: 5/27/2004 AND REFUND SERIES 2009A ISSUED: 3/26/2009.
PART II, COLUMN A, LINE 11:THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW.
PART II, COLUMN C, LINE 11:THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ABBY PAPARIELLA
SEE PART V$90,608COMP.0
JESSICA COX
SEE PART V$366,125COMP.0
JOAN MCCOY
SEE PART V$61,450COMP.0
SHERRI MCCOY
SEE PART V$23,767COMP.0
SOUTH WESTERN COMMUNICATIONS
SEE PART V$302,098TELECOMMUNICATION SERVICES0
LARRY KILINSKI
SEE PART V$26,320ANESTHESIA SERVICES0
KRISTEN WATHEN
SEE PART V$7,147COMP.0
ANNA MCCOY
SEE PART V$8,589COMP.0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCH L, PART IV, ABBREVIATION:COMP. = REPORTABLE COMPENSATION
SCH L, PART V, RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION:INTERESTED PERSON: ABBY PAPARIELLARELATIONSHIP: DAUGHTER OF DAVE PAPARIELLAINTERESTED PERSON: SOUTH WESTERN COMMUNICATIONSRELATIONSHIP: BOARD MEMBER KEVIN KOCH IS THE CHAIRMAN OF SOUTH WESTERN COMMUNICATIONS. SOUTH WESTERN COMMUNICATIONS PROVIDES TELECOMMUNICATION SERVICES.INTERESTED PERSON: JESSICA COXRELATIONSHIP: DAUGHTER TO LYNN LINGAFELTERINTERESTED PERSON: JOAN MCCOYRELATIONSHIP: WIFE OF SHAWN MCCOYINTERESTED PERSON: OLD NATIONAL BANKRELATIONSHIP: BOARD MEMBER JAMES RYAN IS THE CEO OF OLD NATIONAL BANK. OLD NATIONAL BANK PROVIDES INVESTMENT MANAGEMENT SERVICES.INTERESTED PERSON: SHERRI MCCOYRELATIONSHIP: SISTER OF SHAWN MCCOYINTERESTED PERSON: KRISTEN WATHENRELATIONSHIP: DAUGHTER TO CHERYL WATHENINTERESTED PERSON: ANNA MCCOYRELATIONSHIP: DAUGHTER TO SHAWN MCCOYINTERESTED PERSON: LARRY KILINSKIRELATIONSHIP: LARRY KILINSKI, BOARD MEMBER OF THE HOSPITAL, PROVIDES ANESTHESIA SERVICES TO THE HOSPITAL.

Schedule M IRS990ScheduleM

Securities Miscellaneous SecuritiesMiscellaneousGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4ContributionCnt
Noncash Contributions Rpt F990$12,576NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescOTHERDesc
Contribution40ContributionCnt
Noncash Contributions Rpt F990$43,632NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1, ORGANIZATION'S MISSION:DEACONESS HOSPITAL PROVIDES QUALITY HEALTHCARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE. AT DEACONESS HOSPITAL, OUR VALUES ARE BASED ON OUR COMMITMENT TO QUALITY. WE DEFINE QUALITY AS THE CONTINUOUS IMPROVEMENT OF SERVICES TO MEET THE NEEDS AND EXCEED THE EXPECTATIONS OF THE CUSTOMERS WE SERVE. OUR VALUES ARE QUALITY IN EVERYTHING WE DO, RESPECT FOR ALL PEOPLE, EFFICIENCY AND EFFECTIVENESS IN THE USE OF RESOURCES, INNOVATION TOWARD CONTINUOUS SYSTEMS IMPROVEMENT, PARTNERSHIP WITH THOSE WE SERVE AND WITH SUPPLIERS, EDUCATION FOR CONTINUOUS GROWTH AND KNOWLEDGE AND PRIDE IN WORKMANSHIP. TO ACCOMPLISH ITS MISSION, DEACONESS HOSPITAL IS COMMITTED TO IMPROVING THE QUALITY OF LIFE FOR THE PEOPLE OF THE TRI-STATE BY DEMONSTRATING EXCELLENCE IN HEALTHCARE SERVICES, PROVIDING ACCESS TO HEALTHCARE, PROVIDING CHARITY CARE TO THOSE IN NEED, PROMOTING HEALTHY LIFESTYLES, OFFERING SPIRITUAL AND PSYCHOLOGICAL SUPPORT, SUPPORTING HEALTH RELATED EDUCATION, AND ADVANCING HEALTH KNOWLEDGE THROUGH RESEARCH.
FORM 990, PART III, LINE 4APROGRAM SERVICES ACCOMPLISHMENT 1: PATIENT SERVICE REVENUE. DEACONESS HOSPITAL IS A MAJOR REFERRAL CENTER FOR A 26 COUNTY TRI-STATE AREA IN SOUTHWESTERN INDIANA, WESTERN KENTUCKY AND SOUTHEASTERN ILLINOIS. THE HOSPITAL AND ITS FACILITIES ARE LOCATED ON FOUR CAMPUSES WHICH INCLUDE THE MAIN 28-ACRE CAMPUS ON THE NEAR NORTH SIDE OF EVANSVILLE IN VANDERBURGH COUNTY; THE 63-ACRE GATEWAY CAMPUS LOCATED IN WARRICK COUNTY ON THE EASTERN BORDER OF VANDERBURGH COUNTY; AND TWO OTHER EASTSIDE EVANSVILLE LOCATIONS FOR PSYCHIATRIC BEHAVIORAL SERVICES AND REHABILITATION SERVICES. THE HOSPITAL OPERATES A MIDTOWN CAMPUS WITH A TOTAL OF 259 BEDS CONSISTING OF 37 INTENSIVE CARE BEDS, 16 CARDIAC INTENSIVE CARE BEDS, 41 CARDIAC BEDS, 19 STEPDOWN BEDS, 44 ORTHOPAEDIC/ NEUROLOGICAL BEDS, 41 MEDICAL/SURGICAL BEDS, 39 MEDICAL RENAL BEDS, AND 22 BEDS DEDICATED TO PATIENTS IN OBSERVATION. IN ADDITION, THE HOSPITAL PROVIDES A FULL-ARRAY OF COMPREHENSIVE OUTPATIENT AND AMBULATORY SERVICES ON ITS MIDTOWN CAMPUS AND OTHER SPECIFIC SERVICES AT MULTIPLE SITES WITHIN ITS PRIMARY AND SECONDARY SERVICE AREAS. THE HOSPITAL OPERATES THE 254 BED DEACONESS GATEWAY HOSPITAL WHICH WAS OPENED IN JANUARY 2006, ON THE GATEWAY CAMPUS CONSISTING OF 18 ADULT INTENSIVE CARE BEDS, 12 PEDIATRIC AND PEDIATRIC INTENSIVE CARE BEDS, 32 NEUROSURGICAL BEDS, 32 ORTHOPAEDIC BEDS, 32 NEURO INTENSIVE CARE BEDS, 32 SURGICAL ONCOLOGY BEDS, 32 GENERAL MED/ TELEMETRY BEDS, 32 CARDIAC BEDS, AND 32 BEDS DEDICATED TO PATIENTS IN OBSERVATION. THE ORTHOPEDIC NEUROSCIENCE HOSPITAL OPENED ON THE GATEWAY CAMPUS IN MAY OF 2018. THE HOSPITAL OWNS AND OPERATES DEACONESS CROSS POINTE, A FREE-STANDING, 60 BED INPATIENT PSYCHIATRIC HOSPITAL LOCATED APPROXIMATELY 7 MILES EAST OF THE MIDTOWN CAMPUS IN EVANSVILLE.
FORM 990, PART III, LINE 4BPROGRAM SERVICES ACCOMPLISHMENT 2: CHARITY CARE/ SUBSIDIZED CARE. DEACONESS HOSPITAL MAKES A DISTINCTION BETWEEN CHARITY CARE AND BAD DEBT. IN DETERMINING AN INDIVIDUAL OR FAMILY'S ABILITY TO PAY, DEACONESS HOSPITAL EVALUATES WHETHER OR NOT THE RESPONSIBLE PARTY HAS SUFFICIENT RESOURCES AVAILABLE FOR PAYMENT. IF AN INDIVIDUAL IS DETERMINED TO NOT HAVE SUFFICIENT RESOURCES TO PAY, THEY ARE CONSIDERED ELIGIBLE FOR CHARITY CARE AND WILL NOT BE PROCESSED THROUGH EITHER INTERNAL OR EXTERNAL COLLECTIONS. ACCOUNTS OF CHARITY CARE PATIENTS WHO ARE UNABLE TO PAY DO NOT RESULT IN BAD DEBT AND ARE NOT COLLECTED UPON. DEACONESS HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT OF REIMBURSEMENT IS BELOW COST, DEACONESS HOSPITAL ABSORBS THESE COSTS IN MEETING ITS MISSION TO THE COMMUNITY. IN SUPPORT OF ITS MISSION, DEACONESS HOSPITAL PROVIDED $13.3 MILLION OF CHARITY CARE AND $46.6 MILLION OF SUBSIDIZED SERVICES TO THE MEDICAID PROGRAM, AND $130.8 MILLION OF SUBSIDIZED SERVICES TO THE MEDICARE PROGRAM.
FORM 990, PART III, LINE 4CPROGRAM SERVICES ACCOMPLISHMENT 3: GRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION & COMMUNITY BENEFITS. DEACONESS HOSPITAL PLAYS AN ACTIVE ROLE IN MEDICAL EDUCATION, OPERATING A THREE YEAR FAMILY MEDICINE RESIDENCY PROGRAM AND A POST-GRADUATE PHARMACY RESIDENCY PROGRAM. DEACONESS HOSPITAL ALSO PROVIDES CONTINUING MEDICAL EDUCATION PROGRAMS FOR ATTENDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, OTHER ALLIED HEALTH PROGRAMS, COMMUNITY HEALTH PROGRAMS AND A CHAPLAIN RESIDENCY PROGRAM. IN ADDITION TO EDUCATIONAL SERVICES, DEACONESS HOSPITAL PROVIDED $10.1 MILLION IN COMMUNITY BENEFIT ACTIVITIES (ALL ON A COST BASIS), SERVING A MINIMUM OF 1,175,995 PEOPLE WITHIN THE TRI-STATE AREA.
FORM 990, PART VI, SECTION A, LINE 6CLASS OF MEMBERS OR STOCKHOLDERS: DEACONESS HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER OF DEACONESS HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7AELECTION OF GOVERNING BODY: THE BOARD OF DIRECTORS MAY ELECT ONE OR MORE NON-MEDICAL STAFF MEMBERS OF THE GOVERNING BODY THROUGH AN APPROVED ELECTION AND APPROVAL PROCESS. THE ELECTION AND APPROVAL PROCESS FOR NON-MEDICAL STAFF MEMBERS BEGINS WITH A RECOMMENDATION BY THE GOVERNANCE COMMITTEE FOR MEMBERSHIP TO THE BOARD OF DIRECTORS. THAT RECOMMENDATION IS THEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. DEPENDING ON THE DECISION REACHED BY THE BOARD OF DIRECTORS, MEMBERSHIP MAY OR MAY NOT BE GRANTED TO THAT INDIVIDUAL. MEDICAL STAFF EXECUTIVE COUNCIL LEADERSHIP ARE APPOINTED TO BOARD OF DIRECTOR MEMBERSHIP THROUGH THEIR POSITION AS ELECTED MEDICAL STAFF LEADERS. THROUGH THE ELECTION PROCESS OF THE MEDICAL STAFF EXECUTIVE COUNCIL, THEIR APPOINTMENT IS CONFIRMED AND APPROVED.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 REVIEW PROCESS: THE PROCESS THAT DEACONESS HOSPITAL UTILIZES TO PRESENT THE FORM 990 TO ITS GOVERNING BODY PRIOR TO FILING IS TO PRESENT THE FORM 990 TO THE CFO AND CEO OF THE ORGANIZATION FOR REVIEW. AFTER THIS REVIEW IS PERFORMED AND ALL QUESTIONS ARE ANSWERED, THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS OF DEACONESS HEALTH SYSTEM AT THE BOARD MEETING PRIOR TO THE FILING DATE OF THE FORM 990. ANY ADDITIONAL QUESTIONS ARE ANSWERED AND THE FINAL FILING IS THEN COMPLETED.
FORM 990, PART VI, SECTION B, LINE 12CCOMPLIANCE WITH CONFLICT OF INTEREST POLICY: CONFLICT OF INTEREST REVIEW AND COMPLIANCE ACTIVITIES ARE CONDUCTED THROUGHOUT THE YEAR UNDER THE DIRECTION OF DEACONESS HOSPITAL'S CORPORATE COMPLIANCE OFFICER. UPON APPOINTMENT AND, ANNUALLY, THEREAFTER, OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES, ALSO KNOWN AS INTERESTED PERSONS, ARE REQUIRED TO COMPLETE "THE CONFLICTS OF INTEREST QUESTIONNAIRE AND/OR "THE DISCLOSURE QUESTIONNAIRE". THESE DOCUMENTS SERVE TO ENSURE INTERESTED PERSONS OR COMMITTEE MEMBERS WITH BOARD DELEGATED POWERS HAVE AN APPROPRIATE AND TIMELY MANNER IN WHICH TO DISCLOSE ANY POTENTIAL CONFLICTS. CONFLICTS ARE CONSIDERED WITH RESPECT TO OUTSIDE INTEREST, INVESTMENTS, OUTSIDE ACTIVITIES, AND BUSINESS INTERESTS AMONG THE INTERESTED PERSONS AS WELL AS THEIR FAMILY MEMBERS. ON A PERIODIC BASIS, REVIEWS OCCUR TO ENSURE DEACONESS HOSPITAL OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSE. SUBJECTS THAT ARE REVIEWED ON A PERIODIC BASIS INCLUDE COMPENSATION, PHYSICIAN RELATIONSHIPS, PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION FOR TOP OFFICIALS AND OTHER OFFICERS: DEACONESS HOSPITAL UTILIZES A COMPENSATION COMMITTEE TO APPROVE EXECUTIVE, DIRECTOR AND PHYSICIAN COMPENSATION AS WELL AS EXECUTIVE AND PHYSICIAN BENEFITS PROGRAMS. THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS AND MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE SEC. THE COMMITTEE HAS THE POWER AND AUTHORITY TO: 1. ANNUALLY REVIEW AND APPROVE AND RECOMMEND TO THE BOARD OF DIRECTORS FOR ITS FINAL APPROVAL FOR THE CEO AND EACH OTHER EXECUTIVE OFFICER OF THE SYSTEM ALL ELEMENTS OF EXECUTIVE COMPENSATION. 2. MONITOR BROADLY THE STRUCTURE, PHILOSOPHY OR COMPETITIVENESS OF THE SYSTEM'S GENERAL HIRING OR COMPENSATION PRACTICES. 3. OVERSEE THE ESTABLISHMENT AND ADMINISTRATION OF THE COMPANY'S BROAD-BASED BENEFIT PLANS AND PROGRAMS 4. REVIEW OR APPROVE SIGNIFICANT AMENDMENTS OR CHANGES TO THE PLANS AND PROGRAMS. 5. RETAIN AND TERMINATE ANY COMPENSATION CONSULTANT TO BE USED TO ASSIST IN THE EVALUATION OF DIRECTOR, CEO OR EXECUTIVE OFFICE COMPENSATION 6. SOLE AUTHORITY TO APPROVE THE CONSULTANT'S FEES AND OTHER RETENTION TERMS. 7. OBTAIN ADVICE AND ASSISTANCE FROM INTERNAL OR EXTERNAL LEGAL, ACCOUNTING OR OTHER ADVISORS. 8. APPROVE ALL PHYSICIAN AND PHYSICIAN RELATED CONTRACTS. 9. MAKE REGULAR REPORTS TO THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS DISCLOSURE EXPLANATION: DEACONESS HOSPITAL'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE SECRETARY OF STATE'S WEBSITE. DEACONESS HOSPITAL IS PART OF A CONSOLIDATED FINANCIAL STATEMENT WHICH IS AVAILABLE WITH THE PUBLIC DISCLOSURE COPY OF THE IRS FORM 990. ALSO, AS REQUIRED BY LAW, THE HOSPITAL SUBMITS ITS CONSOLIDATED FINANCIAL STATEMENTS TO THE INDIANA DEPARTMENT OF HEALTH WHICH ARE PUBLISHED ON ITS WEBSITE. GOVERNING DOCUMENTS, ASIDE FROM THE ARTICLES OF INCORPORATION, AND THE CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE FOR PUBLIC INSPECTION.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 134,359,485. MANAGEMENT AND GENERAL EXPENSES 10,253,892. FUNDRAISING EXPENSES 22,352. TOTAL EXPENSES 144,635,729. PROFESSIONAL FEES- PHYSICIANS: PROGRAM SERVICE EXPENSES 16,563,512. MANAGEMENT AND GENERAL EXPENSES 4,435. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,567,947.
FORM 990, PART XI, LINE 9:CHANGE IN PENSION LIABILITY 14,864,393. FOUNDATION MONIES GRANTED FROM RESTRICTION -3,099,872. AFFILIATE TRANSFER -58,072,654. CHANGE IN INVESTMENT IN SWAP 53,736,643. CHANGE IN BENEFICIAL INTEREST 83,624.
FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT:THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
REGIONAL EMERGENCY DEPARTMENT
600 MARY STEVANSVILLEIN47710463509500HEALTHCAREIN$0$0DEACONESS HOSPITAL
READY DEVELOPMENT OF INDIANA
600 MARY STEVANSVILLEIN47747472040018REAL ESTATEIN$0$4,884,855DEACONESS HOSPITAL
BASELINE INVESTORS LLC
600 MARY STEVANSVILLEIN47710REAL ESTATEIN$0$0DEACONESS HOSPITAL
533 COLUMBIA LLC
600 MARY STEVANSVILLEIN47710REAL ESTATEIN$0$0DEACONESS HOSPITAL
INVESTORS PROPERTY DEVELOPMENT LLC
600 MARY STEVANSVILLEIN47710REAL ESTATEIN$0$0DEACONESS HOSPITAL
7307 E COLUMBIA LLC
600 MARY STEVANSVILLEIN47710REAL ESTATEIN$0$0DEACONESS HOSPITAL

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
DEACONESS HEALTH SYSTEM
600 MARY STREETEVANSVILLEIN47747351532889HEALTHCAREIN501(C)(3)LINE 12A, IN/A0
DEACONESS CLINIC INC
421 CHESNUT STREETEVANSVILLEIN47713263083364HEALTHCAREIN501(C)(3)LINE 30DEACONESS HEALTH SYSTEM
DEACONESS VNA PLUS LLC
610 E WALNUT STEVANSVILLEIN47713465223267HEALTHCAREIN501(C)(3)LINE 100DEACONESS HEALTH SYSTEM
DEACONESS SPECIALTY PHYSICIANS INC
600 MARY STREETEVANSVILLEIN47747824503095HEALTHCAREIN501(C)(3)LINE 30DEACONESS HEALTH SYSTEM
DEACONESS HEALTH KENTUCKY INC
600 MARY STREETEVANSVILLEIN47747830966826HEALTHCAREIN501(C)(3)LINE 100DEACONESS HEALTH SYSTEM
METHODIST HEALTH INC
PO BOX 48HENDERSONKY42419610461753HEALTHCAREKY501(C)(3)LINE 30DEACONESS HEALTH KENTUCKY
DEACONESS GIBSON HOSPITAL
1808 SHERMAN DRPRINCETONIN47670350877575HEALTHCAREIN501(C)(3)LINE 30DEACONESS HEALTH SYSTEM
UNION COUNTY METHODIST HOSPITAL FOUNDATION
4604 US HWY 60 WESTMORGANFIELDKY42437611230297SUPPORT METHODIST HEALTHKY501(C)(3)LINE 100DEACONESS HEALTH KENTUCKY
GIBSON GENERAL HEALTH FOUNDATION INC
1808 SHERMAN DRIVEPRINCETONIN47670350950175SUPPORT GIBSON HOSPITALIN501(C)(3)LINE 12A, I0DEACONESS GIBSON HOSPITAL
DEACONESS UNION COUNTY HOSPITAL
4604 US HWY 60 WESTMORGANFIELDKY42437862614124HEALTHCAREKY501(C)(3)LINE 30DEACONESS HEALTH KENTUCKY
DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA LLC
4199 GATEWAY BLVDNEWBURGHIN47630352062016HEALTHCAREIN501(C)(3)LINE 30DEACONESS HEALTH SYSTEM
DEACONESS ILLINOIS SPECIALTY CLINIC
600 MARY STREETEVANSVILLEIN47747920904755HEALTHCAREIN501(C)(3)LINE 100DEACONESS HEALTH SYSTEM
DEACONESS ILLINOIS CLINIC
600 MARY STREETEVANSVILLEIN47747920574205HEALTHCAREIN501(C)(3)LINE 100DEACONESS HEALTH SYSTEM

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
DEACONESS HEALTH PLANS LLC
7100 EAGLE CREST BLVDEVANSVILLEIN47715383492529PREFERRED PROVIDER NETWORKINDEACONESS HOSPITALRELATED$1,238,535$2,833,758000.97610
ENCOMPASS HEALTH DEACONESS REHABILIATION
9001 LIBERTY PARKWAYBIRMINGHAMAL35242721375246OUTPATIENTALDEACONESS HOSPITALRELATED$4,049,415$12,199,783000.27500
MAINSPRING MANAGERS LLC
4011 GATEWAY BLVDNEWBURGHIN47630464601001NEUROLOGY SERVICESINDEACONESS HOSPITALRELATED$1,446,514$1,248,3010Yes (1)0.53620
ORTHOALIGN LLC
4011 GATEWAY BLVDNEWBURGHIN47630812816013HEALTHCAREINDEACONESS HOSPITALRELATED$1,985,007$1,221,209000.51000
PROGRESSIVE HEALTH OF IN LLC
150 N ROSENBERGEREVANSVILLEIN47712208480988OUTPATIENTINDEACONESS HOSPITALRELATED$4,668,806$2,533,509000.51000
TRI - STATE HEALTHCARE CONSULTING LLC
4199 GATEWAY BLVDNEWBURGHIN47630922120911HEALTHCAREINDEACONESS HOSPITALRELATED$5,241$5,241000.51000
TRI-STATE RADIATION ONCOLOGY
PO BOX 819067 TAX DEPTDALLASTX75381263706834OUTPATIENTDEDEACONESS HOSPITALRELATED$7,800,440$10,816,455000.51000
VASCMED LLC
600 MARY STREETEVANSVILLEIN47747472578168VASCULAR SERVICESINDEACONESS HOSPITALRELATED$667,358$611,875000.51000
BURKHARDT CANCER CENTER
4972 LINCOLN AVENUE STE 100EVANSVILLEIN47715300256432HEALTHCAREIN00N/A
BOSTON IVF FERTILITY SERVICES AT THE WOMEN'S HOSPITAL
4199 GATEWAY BLVDNEWBURGHIN47630455549778HEALTHCAREIN00N/A
INNOVATIVE HEALTHCARE COLLABORATIVE OF INDIANA LLC
600 MARY STREETEVANSVILLEIN47747833592473HEALTHCAREIN00N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1TRI-STATE MEDICAL MANAGEMENT INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 MARY STREETAddressLine1Txt
CityEVANSVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP47747ZIPCd
FieldValueIRS element (for citing)
EIN351875888EIN
Primary ActivitiesPHYSICIAN MANAGEMENTPrimaryActivitiesTxt
Legal Domicile StateINLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DEACONESS HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
DEACONESS HEALTH PLANS LLC
P$168,109COST
MAINSPRING
P$3,056,927COST
VASCMED
P$183,287COST
ORTHOALIGN
P$582,310COST
HEALTHCARE RESOURCE SOLUTIONS
P$9,180,210COST
MAINSPRING
Q$8,120,780COST
VASCMED
Q$3,672,190COST
ORTHOALIGN
Q$14,039,106COST