2024-08-15T15:47:10-05:00 2023-09-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2022-10-01 350593390 DEACONESS HOSPITAL INC DEAC 8124503296 600 MARY STREET EVANSVILLE IN 47747 SHAWN W MCCOY CEO OF DEACONESS HEALTH SYSTEM 8124503296 2024-08-15 1 0 EMILIE M KNIERIEM CPA P01330194 3176334705 2022 2024-08-08 14:25:15Z SHAWN W MCCOY CEO 600 MARY STREET EVANSVILLE IN 47747 1742891135 0 X WWW.DEACONESS.COM X 1895 IN PROVIDE QUALITY HEALTH CARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT CONTINUE TO SCH O TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE. 12 6 7311 76 41932468 23853 20026347 3870968 1078935922 1107127457 12603816 9080056 128627758 187360194 1240193843 1307438675 862927 1047036 0 0 503887232 505444365 0 0 503478 625506976 664481116 1130257135 1170972517 109936708 136466158 2165494851 2366520353 697949041 700362780 1467545810 1666157573 X SEE SCHEDULE O. 0 0 182047096 492997080 PATIENT SERVICE REVENUE. SEE SCHEDULE O. 824061073 610028657 CHARITY CARE/SUBSIDIZED CARE. SEE SCHEDULE O. 14165254 4101720 GRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION AND COMMUNITY BENEFIT. SEE SCHEDULE O. 1047036 1047036 67083990 1047036 1047036 67083990 1021320459 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 1 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 0 0 0 1 359 0 1 7311 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 12 6 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IN X CHERYL A WATHEN 8124503296 600 MARY STREET EVANSVILLE IN 47747 SHAWN MCCOY PRESIDENT / CEO OF DEACONESS 30.00 25.00 X X 1551117 9600 317182 SHARON REED WALKER CHAIRMAN 5.00 5.00 X 0 6200 0 NAROTHAMA R AEDDULA MD DIRECTOR 5.00 50.00 X 0 970108 30981 SCOTT CORDTS MD DIRECTOR 50.00 5.00 X 340697 5800 59764 JAMIE L DAVIDSON MD DIRECTOR 50.00 0.00 X 401852 0 26612 JEFF JUSTICE DIRECTOR 5.00 0.00 X 0 0 0 LARRY KILINSKI MD DIRECTOR 5.00 5.00 X 66656 4800 0 GLEN MUEHLBAUER DIRECTOR 5.00 0.00 X 0 0 0 DAVE PAPARIELLA DIRECTOR 5.00 5.00 X 0 7000 0 DAVID RYON MD DIRECTOR 50.00 0.00 X 553388 1800 60454 DANIELA VIDAL DIRECTOR 5.00 0.00 X 0 0 0 ANN WHITE PHD DIRECTOR 5.00 0.00 X 0 0 0 CHERYL WATHEN TREASURER / CHIEF FINANCIAL OFFICER 30.00 35.00 X 810574 9600 201621 JAMES PORTER MD PRESIDENT OF DEACONESS HEALTH SYSTEM 50.00 18.00 X 1078642 4600 209328 LYNN LINGAFELTER PRESIDENT 50.00 11.00 X 878665 4000 182889 MELINDA D LEBOFSKY VICE PRESIDENT 50.00 0.00 X 513007 0 74884 JOANN WOOD MD CHIEF MEDICAL OFFICER 50.00 10.00 X 575994 0 125409 MARC FLORENCE VICE PRESIDENT 50.00 13.00 X 590416 0 135997 BRADLEY SCHEU MD VICE PRESIDENT 5.00 57.00 X 0 500579 129103 JENNIFER CHIUSANO CHIEF NURSING EXECUTIVE 50.00 0.00 X 418573 0 87781 RAGHAV GUPTA MD ANESTHESIOLOGIST 50.00 0.00 X 1344264 0 49151 VENKATESH MADADI MD ANESTHESIOLOGIST 50.00 0.00 X 1125829 0 63701 ANDREI TRIPAC MD ANESTHESIOLOGIST 50.00 0.00 X 1320065 0 51572 PAUL MICK MD ANESTHESIOLOGIST 50.00 0.00 X 1069002 0 37914 MARK H MURRAY MD ANESTHESIOLOGIST 50.00 0.00 X 1055589 0 46513 LINDA WHITE FORMER CEO EMERITA, FOUNDATION 0.00 71.00 X 0 212056 15832 MAQBOOL AHMED MD FORMER DIRECTOR 0.00 55.00 X 0 670305 0 MIA HINDI FORMER DIRECTOR 5.00 55.00 X 0 1192223 56769 JOSEPH KLINK MD DIRECTOR 0.00 50.00 X 0 1070636 39442 13694330 4669307 2002899 802 1 1 0 EVANSVILLE SURGERY CENTER PO BOX 2185 EVANSVILLE IN 47728 SURGICAL SERVICES 29049344 PROGRESSIVEHEALTH OF INDIANA 150 N ROSENBERGER AVE EVANSVILLE IN 47712 PHYSICAL THERAPY 20271835 TRI STATE RADIATION ONCOLOGY 700 N BURKHARDT AVE EVANSVILLE IN 47715 RADIATION & ONCOLOGY SERVICES 19348119 TOTAL MSP LLC 221 W COLLEGE AVE FLOOR 2 APPLETON WI 54911 STAFFING 14877640 ORTHOALIGN LLC 4011 GATEWAY BLVD NEWBURGH IN 47630 MEDICAL SERVICES 13920727 91 891337 717907 1050972 1210752 56208 3870968 NET PATIENT REVENUE 900099 1107127457 1107127457 1107127457 16005436 16005436 21695535 10107565 11587970 11587970 11587970 418166415 2960 425003926 90829 -6837511 -87869 -6925380 -6925380 138159 891337 250140 -111981 -111981 OTHER HOSPITAL SERVICE 900099 96318305 29450558 66867747 LABORATORY SALES 621500 38667510 38667510 INVESTMENT IN JOINT VE 900099 37633432 37633432 3264958 3264958 175884205 1307438675 1174211447 41932468 87423792 X 1047036 1047036 7987799 7987799 391015892 351435843 39288074 291975 1930830 1506651 424179 77980565 62704229 15276336 26529279 23384260 3145019 3175468 3175468 52145 52145 97281 97281 1407777 1407777 161203676 150922997 10258327 22352 179607 15716 163891 10391192 8628194 1728729 34269 15977307 9413094 6564213 6413 6413 224610 143618 80992 14724084 8114450 6609634 55053651 35388414 19665189 48 4614219 3601641 1012578 MEDICAL/SURGICAL SUPPLI 242929282 242929282 MEDICAID ASSESSMENT FEE 52048100 52048100 EQUIP RENTAL/MAINTENANC 51131800 35144397 15987403 DUES & SUBSCRIPTIONS 1384562 26923 1312446 45193 49879942 34865614 14911100 103228 1170972517 1021320459 149148580 503478 0 0 225019611 176664213 153949305 195741495 1798788 3104354 10072497 11375719 15538735 15791586 1353650327 728504546 534953362 625145781 975609207 955756769 59985410 168680216 48218553 48218553 140349383 166041667 2165494851 2366520353 111486885 125142686 9451 1981319 108234746 101950473 478217959 471288302 697949041 700362780 X 1458032820 1656851867 9512990 9305706 1467545810 1666157573 2165494851 2366520353 X 136466158 54633471 7512134 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 54707 0 1 42574 97281 0 PART II-B, LINE 1: LOBBYING 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. 7787991 10551 1430429 -1000 276743 8953228 9633606 1075 -1370697 475993 7787991 8745525 1100 1041502 154521 9633606 8037280 1075 867885 160715 8745525 7914040 1075 195423 73258 8037280 0.12000 0.88000 0 0 4544159 23608102 28152261 58657062 888612434 459231904 488037592 330733423 265128562 65604861 47495147 4144080 43351067 625145781 OTHER SECURITIES 168680216 C 168680216 RELATED ORGANIZATION RECEIVABLES 123148939 OTHER ASSETS 16413832 RIGHT OF USE ASSET 26478896 166041667 ACCRUED RETIREMENT BENEFITS 31917656 RELATED ORGANIZATION PAYABLES -6601236 TAXABLE BOND- SERIES 2016 44100000 DEBT ISSUE COSTS -2207270 RIGHT OF USE ASSETS 26326752 ESTIMATED THIRD PARTY SETTLEMENT -804875 TAXABLE BOND- SERIES 2021 327985000 TWH NOTE PAYABLE 40572275 LONG TERM DEBT TSHC 10000000 471288302 X 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. DH PARTY OF YR 819916 698572 121344 82016 26501 57096 DH CLASSIC 209580 192765 16815 45245 33720 2048 3514 1029496 891337 138159 45245 115736 28549 60610 250140 -111981 1 1 X 1 X 1 X 1 1 1 0 1 1 14101233 14101233 0.01200 230612138 182707772 47904366 0.04090 244713371 182707772 62005599 0.05290 1145614 1145614 0.00100 8603222 2601601 6001621 0.00510 320958 21279 299679 0.00030 2087783 53655 2034128 0.00170 12157577 2676535 9481042 0.00810 256870948 185384307 71486641 0.06100 1250 1250 0.00000 34046 34046 0.00000 22716 22716 0.00000 59089 59089 0.00010 117101 117101 0.00010 1 12518806 243154708 216734767 26419941 X 1 1 3 1 DEACONESS HOSPITAL INC 600 MARY STREET EVANSVILLE IN 47747 WWW.DEACONESS.COM 23-005074-1 X X X X A 2 DEACONESS GATEWAY HOSPITAL 4011 GATEWAY BLVD NEWBURGH IN 47630 WWW.DEACONESS.COM 23-005074-1 X X X X A 3 DEACONESS CROSS POINTE 7200 E INDIANA STREET EVANSVILLE IN 47715 WWW.DEACONESS.COM 23-005074-1 X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 21 1 1 1 1 X HTTP://WWW.DEACONESS.COM/CHNA X 1 21 1 HTTP://WWW.DEACONESS.COM/CHNA 0 1 X 200.000000000000 350.000000000000 X X X X 1 1 X X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY 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 35 1 - CARDIAC REHAB 4015 GATEWAY BLVD SUITE 2122 NEWBURGH IN 47630 OUTPATIENT SERVICES 2 - DEACONESS CLINIC GATEWAY REG LAB 4233 GATEWAY BLVD SUITE 201 NEWBURGH IN 47630 DIAGNOSTIC CENTER 3 - DEACONESS COMPREHENSIVE PAIN CTR & MED 4600 W LLOYD EXPRESSWAY SUITE A EVANSVILLE IN 47712 OUTPATIENT SERVICES 4 - DEACONESS COMPREHENSIVE PAIN CTR-GATEWAY 4099 GATEWAY BLVD NEWBURGH IN 47630 OUTPATIENT SERVICES 5 - DEACONESS CROSS POINTE 445 CROSS POINTE BLVD EVANSVILLE IN 47715 OUTPATIENT PHYSICIAN CLINIC 6 - DEACONESS FAMILY MEDICINE RESIDENCY 415 W COLUMBIA ST SUITE 110 EVANSVILLE IN 47710 OUTPATIENT PHYSICIAN CLINIC 7 - DEACONESS GATEWAY GASTROENTEROLOGY 4133 GATEWAY BLVD SUITE 290 NEWBURGH IN 47630 OUTPATIENT SERVICES 8 - DEACONESS HOSPITAL ANTICOAGMED THERAPY 350 W COLUMBIA ST SUITE 210 EVANSVILLE IN 47747 OUTPATIENT SERVICES 9 - DEACONESS HOSPITAL BREAST CENTER 520 MARY STREET SUITE 140 EVANSVILLE IN 47710 DIAGNOSTIC CENTER 10 - DEACONESS HOSPITAL CANCER SERVICES 4055 GATEWAY BLVD NEWBURGH IN 47630 OUTPATIENT SERVICES 11 - DEACONESS HOSPITAL ENDOSCOPYSPECIALTY 4219 GATEWAY BLVD SUITE 1005 NEWBURGH IN 47630 OUTPATIENT SERVICES 12 - DEACONESS HOSPITAL INFUSION CTRPHARMACY 4111 GATEWAY BLVD NEWBURGH IN 47630 OUTPATIENT SERVICES 13 - DEACONESS HOSPITAL LAB & EKGDIABETES ED 520 MARY STREET SUITE 330 EVANSVILLE IN 47710 DIAGNOSTIC CENTER 14 - DEACONESS HOSPITAL LAB & RADIOLOGY 4209 GATEWAY BLVD NEWBURGH IN 47630 DIAGNOSTIC CENTER 15 - DEACONESS HOSPITAL LABRADIOLOGY 4219 GATEWAY BLVD SUITE 1004 NEWBURGH IN 47630 DIAGNOSTIC CENTER 16 - DEACONESS HOSPITAL PAIN CTRMED THERAPY 4015 GATEWAY BLVD SUITE 2120 NEWBURGH IN 47630 OUTPATIENT SERVICES 17 - DEACONESS HOSPITAL PHYS MED-OA 10455 ORTHOPAEDIC DRIVE NEWBURGH IN 47630 OUTPATIENT SERVICES 18 - DEACONESS HOSPITAL PHYSICAL MEDICINE 4600 W LLOYD EXPRESSWAY SUITE B EVANSVILLE IN 47715 OUTPATIENT SERVICES 19 - DEACONESS HOSPITAL PHYSICAL MEDICINE 520 MARY STREET SUITE 280 EVANSVILLE IN 47747 OUTPATIENT SERVICES 20 - DEACONESS HOSPITAL RADIOLOGY EXPRESS 4087 GATEWAY BLVD NEWBURGH IN 47630 DIAGNOSTIC CENTER 21 - DEACONESS HOSPITAL SPECIALTY 4219 GATEWAY BLVD SUITE 2003 NEWBURGH IN 47630 OUTPATIENT SERVICES 22 - DEACONESS HOSPITAL SPECIALTY CLINIC 120 SE 4TH STREET SUITE 3200 EVANSVILLE IN 47708 DIAGNOSTIC CENTER 23 - DEACONESS HOSPITAL WEIGHT LOSS SOLUTIONS 4219 GATEWAY BLVD SUITE 2001 NEWBURGH IN 47630 OUTPATIENT SERVICES 24 - DEACONESS LAB & RADIOLOGY 120 SE 4TH STREET SUITE 1100 EVANSVILLE IN 47708 DIAGNOSTIC CENTER 25 - DEACONESS PRIMARY CARE FOR SENIORS 1750 OAK HILL ROAD EVANSVILLE IN 47710 OUTPATIENT PHYSICIAN CLINIC 26 - DEACONESS PRIMARY CARE FOR SENIORS 4498 FIRST AVENUE EVANSVILLE IN 47710 OUTPATIENT PHYSICIAN CLINIC 27 - DEACONESS RADIOLOGY LAB & RADIOLOGY 8600 NORTH KENTUCKY AVENUE EVANSVILLE IN 47725 DIAGNOSTIC CENTER 28 - DEACONESS REGIONAL LABORATORY 4133 GATEWAY BLVD SUITE 110 NEWBURGH IN 47630 DIAGNOSTIC CENTER 29 - DEACONESS REGIONAL LABORATORY 4494 N FIRST AVENUE EVANSVILLE IN 47710 DIAGNOSTIC CENTER 30 - DEACONESS SLEEP CENTER 350 W COLUMBIA STREET SUITE 100 EVANSVILLE IN 47710 OUTPATIENT SERVICES 31 - DEACONESS SLEEP CENTER-EAST 7307 E COLUMBIA ST EVANSVILLE IN 47715 DIAGNOSTIC CENTER 32 - DEACONESS SLEEP LAB 350 W COLUMBIA STREET SUITE LL-10 EVANSVILLE IN 47710 DIAGNOSTIC CENTER 33 - DEACONESS WEIGHT LOSS SOLUTIONS 310 W IOWA STREET EVANSVILLE IN 47710 OUTPATIENT PHYSICIAN CLINIC 34 - DEACONESS WOUND CARE CENTER 350 W COLUMBIA STREET SUITE 350 EVANSVILLE IN 47710 OUTPATIENT SERVICES 35 - MT VERNON MEDICAL CENTER LAB & RADIOLOGY 1900 W FOURTH STREET MT VERNON IN 47620 DIAGNOSTIC CENTER 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 1 AMERICAN RED CROSS 29 S STOCKWELL RD EVANSVILLE IN 47714 530196605 501(C)(3) 10000 0 GENERAL SUPPORT & MIDWEST TORNADOS AURORA INC 1001 MARY STREET EVANSVILLE IN 47710 351759576 501(C)(3) 16900 0 HOMELESS OUTREACH BAPTIST HEALTH DEACONESS MADISONVILLE INC 900 HOSPITAL DRIVE MADISONVILLE KY 42431 610654587 501(C)(3) 150000 0 UNIVERSITY OF LOUISVILLE OFF CAMPUS MED SCHOOL PROGRAM BOYS & GIRLS CLUB OF EVANSVILLE IN PO BOX 6311 EVANSVILLE IN 47719 351007558 501 (C) (3) 13100 0 GENERAL SUPPORT & HEALTHY HABITS PROGRAM CHEMO BUDDIES 3700 BELLEMEADE AVE EVANSVILLE IN 47714 453043243 501(C)(3) 47284 0 GENERAL SUPPORT & SHUTTLE BUS SPONSORSHIP ECHO COMMUNITY HEALTH CARE 315 MULBERRY STREET EVANSVILLE IN 47713 351791786 501(C)(3) 20000 0 PEDIATRIC/OB PLEDGE FOR PRIMARY HEALTH CARE EVANSVILLE EMERGENCY FOOD PANTRY CONSORTIUM INC PO BOX 2536 EVANSVILLE IN 47728 371697515 501(C)(3) 20000 0 FOOD FOR FOOD PANTRIES EVANSVILLE REGIONAL BUSINESS COMMITTEE INC 211 NW RIVERSIDE DR EVANSVILLE IN 47708 030408032 501(C)(6) 15000 0 GENERAL SUPPORT EVANSVILLE REGIONAL ECONOMIC PARTNERSHIP 318 MAIN STREET SUITE 400 EVANSVILLE IN 47708 350298180 501(C)(6) 25000 0 GENERAL SUPPORT EVANSVILLE-VANDERBURGH COUNTY CONVENTION & VISITORS COMMISSION SPORTS COMP 4300 HECKEL ROAD EVANSVILLE IN 47725 472582515 501 (C) (3) 26250 0 SUPPORT HEALTH TRAIL GOLF GIVES BACK INC ONE MAIN STREET SUITE 100 EVANSVILLE IN 47708 814223347 501(C)(3) 7000 0 GENERAL SUPPORT GRANTED INC 4445 COMMERCE STREET EVANSVILLE IN 47710 311154659 501(C)(3) 33333 0 GRANTED HOUSE OF HOPE CAPITAL CAMPAIGN IMPACT EVANSVILLE INC 1201 S BEDFORD AVE EVANSVILLE IN 47713 863629886 501(C)(3) 25000 0 GENERAL SUPPORT & BEDFORD COLLAB PROJECT INDIANA FIRE CHIEF'S ASSOCIATION PO BOX 305 CAMBY IN 46113 356035820 501(C)(6) 10000 0 GENERAL SUPPORT ISAIAH 117 HOUSE 1705 STATE LINE RD PO BOX 842 ELIZABETHTON TN 37643 820631497 501(C)(3) 10000 0 GENERAL SUPPORT IVY TECH FOUNDATION 3501 N 1ST AVENUE EVANSVILLE IN 47710 237073977 501(C)(3) 50000 0 GENERAL SUPPORT & GRANT DONATION JUNIOR ACHIEVEMENT OF SW INDIANA 431 E DIAMOND AVENUE EVANSVILLE IN 47711 356048156 501 (C) (3) 11940 0 INSPIRING OUR YOUTH & GENERAL SUPPORT LEADERSHIP EVERYONE PO BOX 2449 EVANSVILLE IN 47722 310883858 501(C)(3) 10000 0 GENERAL SUPPORT & REGIONAL VOICE PERRY COUNTY COMMUNITY FOUNDATION PO BOX 13 TELL CITY IN 47586 351830262 501(C)(3) 8000 0 GENERAL SUPPORT & SGT. H. GLENN MEMORIAL FUND RILEY CHILDREN'S FOUNDATION PO BOX 3356 INDIANAPOLIS IN 46206 350868147 501(C)(3) 25000 0 GENERAL SUPPORT & RACING TO RESPOND DOCUMENTARY RONALD MCDONALD HOUSE CHARITIES OF THE OHIO VALLEY 3540 WASHINGTON AVENUE EVANSVILLE IN 47714 351748468 501(C)(3) 12500 0 GENERAL SUPPORT SOUTHERN INDIANA GRADUATE MEDICAL EDUCATION CONSORTIUM INC 515 WALNUT STREET SUITE 4134 EVANSVILLE IN 47708 472044966 501 (C) (3) 100000 0 GENERAL SUPPORT THE POTTER'S WHEEL INC 333 JEFFERSON AVENUE EVANSVILLE IN 47713 743105998 501(C)(3) 25000 0 GENERAL SUPPORT TRAIL HEADS-SOUTHWEST INDIANA 3855 DEER RUN CT BOONVILLE IN 47601 473452266 501(C)(3) 14000 0 PARKS & TRAILS PROJECT TRI-STATE FOOD BANK 2504 LYNCH ROAD EVANSVILLE IN 47711 351539870 501 (C) (3) 100000 0 GENERAL SUPPORT TULIP TREE HEALTH SERVICES 123 N MCCREARY FORT BRANCH IN 47648 352055749 501 (C) (3) 10000 0 GENERAL SUPPORT UNITED CARING SHELTERS 324 NW SIXTH STREET EVANSVILLE IN 47708 351892153 501(C)(3) 32500 0 HOMELESS MEDICAL RESPITE & GENERAL SUPPORT YOUTH FIRST 111 SE THIRD STREET STE 405 EVANSVILLE IN 47708 352050168 501(C)(3) 16860 0 GENERAL SUPPORT YWCA 118 VINE STREET EVANSVILLE IN 47708 350869075 501 (C) (3) 11820 0 GENERAL SUPPORT 26 3 PART I, LINE 2: DEACONESS 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. X 1 1 X X X X X 0 1 0 0 0 1 1 0 0 SHAWN MCCOY PRESIDENT / CEO OF DEACONESS 1004638 0 322989 0 223490 9600 273802 0 43380 0 1868299 9600 216756 0 RAGHAV GUPTA MD ANESTHESIOLOGIST 1224151 0 62820 0 57293 0 16580 0 32571 0 1393415 0 0 0 ANDREI TRIPAC MD ANESTHESIOLOGIST 1248772 0 14000 0 57293 0 16580 0 34992 0 1371637 0 0 0 JAMES PORTER MD PRESIDENT OF DEACONESS HEALTH SYSTEM 632974 0 174754 0 270914 4600 172267 0 37061 0 1287970 4600 267465 0 MIA HINDI FORMER DIRECTOR 0 982969 0 161680 0 47574 0 21210 0 35559 0 1248992 0 0 VENKATESH MADADI MD ANESTHESIOLOGIST 1082716 0 0 0 43113 0 33057 0 30644 0 1189530 0 0 0 JOSEPH KLINK MD DIRECTOR 0 899372 0 163013 0 8251 0 13890 0 25552 0 1110078 0 0 PAUL MICK MD ANESTHESIOLOGIST 954491 0 0 0 114511 0 16580 0 21334 0 1106916 0 0 0 MARK H MURRAY MD ANESTHESIOLOGIST 1012712 0 0 0 42877 0 16580 0 29933 0 1102102 0 0 0 LYNN LINGAFELTER PRESIDENT 608584 0 168260 0 101821 4000 151033 0 31856 0 1061554 4000 97784 0 CHERYL WATHEN TREASURER / CHIEF FINANCIAL OFFICER 577576 0 134675 0 98323 9600 159494 0 42127 0 1012195 9600 92511 0 NAROTHAMA R AEDDULA MD DIRECTOR 0 789364 0 126890 0 53854 0 30981 0 0 0 1001089 0 0 MARC FLORENCE VICE PRESIDENT 418131 0 95606 0 76679 0 98824 0 37173 0 726413 0 72580 0 JOANN WOOD MD CHIEF MEDICAL OFFICER 462273 0 106786 0 6935 0 106362 0 19047 0 701403 0 2691 0 MAQBOOL AHMED MD FORMER DIRECTOR 0 358692 0 141493 0 170120 0 0 0 0 0 670305 0 0 BRADLEY SCHEU MD VICE PRESIDENT 0 395518 0 102385 0 2676 0 92726 0 36377 0 629682 0 0 DAVID RYON MD DIRECTOR 469103 0 40680 0 43605 1800 30720 0 29734 0 613842 1800 0 0 MELINDA D LEBOFSKY VICE PRESIDENT 315517 0 195768 0 1722 0 47338 0 27546 0 587891 0 0 0 JENNIFER CHIUSANO CHIEF NURSING EXECUTIVE 337149 0 77880 0 3544 0 69080 0 18701 0 506354 0 0 0 JAMIE L DAVIDSON MD DIRECTOR 382602 0 6240 0 13010 0 25840 0 772 0 428464 0 0 0 SCOTT CORDTS MD DIRECTOR 258287 0 53167 0 29243 5800 30470 0 29294 0 400461 5800 0 0 LINDA WHITE FORMER CEO EMERITA, FOUNDATION 0 177170 0 27529 0 7357 0 5002 0 10830 0 227888 0 0 PART I, LINE 1A SOCIAL 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 4B NONQUALIFIED 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 6 COMPENSATION 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. A INDIANA FINANCE AUTHORITY-2021B 351602316 45506EDH3 2021-10-28 36810000 REFUND 2013C ISSUED 7/23/13 0 0 0 B INDIANA FINANCE AUTHORITY-2016A 351602316 45506DXT7 2016-10-05 109999091 NEW MONEY PROJECTS 1 0 0 C INDIANA FINANCE AUTHORITY-2015A 351602316 45506DUL7 2015-07-09 49772341 03/6/2009 REFUNDING 1 0 0 D INDIANA FINANCE AUTHORITY-2013B 351602316 000000000 2013-03-05 21440000 5/27/04 REFUNDING 0 0 0 A 2790000 36810000 135400 36674600 2021 1 0 1 1 B 405000 54760000 111373335 4660332 935528 2885418 102892057 2018 0 0 1 1 C 2015000 38890000 49772341 601847 49170494 2015 0 1 1 1 D 11920000 21440000 125000 21315000 2013 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 1 0 1 1 FIFTH THIRD 15.000000000000 0 0 0 0 1 A 1 B 1 C 1 D 1 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. ABBY PAPARIELLA SEE PART V 90608 COMP. 0 JESSICA COX SEE PART V 366125 COMP. 0 JOAN MCCOY SEE PART V 61450 COMP. 0 SHERRI MCCOY SEE PART V 23767 COMP. 0 SOUTH WESTERN COMMUNICATIONS SEE PART V 302098 TELECOMMUNICATION SERVICES 0 LARRY KILINSKI SEE PART V 26320 ANESTHESIA SERVICES 0 KRISTEN WATHEN SEE PART V 7147 COMP. 0 ANNA MCCOY SEE PART V 8589 COMP. 0 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. X 4 12576 FMV X OTHER 40 43632 FMV 0 1 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. 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 4A PROGRAM 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 4B PROGRAM 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 4C PROGRAM 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 6 CLASS OF MEMBERS OR STOCKHOLDERS: DEACONESS HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER OF DEACONESS HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A ELECTION 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 11B FORM 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 12C COMPLIANCE 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 15 COMPENSATION 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 19 GOVERNING 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 11G PROFESSIONAL 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. 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