DEACONESS HOSPITAL INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- DEACONESS HOSPITAL INC (EIN 35-0593390)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-15
- IRS object ID
- 202212279349300516
- Schema version
- 2020v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-15T07:42:29-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N MERIDIAN ST SUITE 200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350593390 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEACONESS HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DEAC | BusinessNameControlTxt |
| Phone | 8124503296 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MARY STREET | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47747 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHAWN W MCCOY | PersonNm |
| Person Title | CEO OF DEACONESS HEALTH SYSTEM | PersonTitleTxt |
| Phone | 8124503296 | PhoneNum |
| Signature | 2022-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SHAWN | PersonFirstNm |
| Person Last | MCCOY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CARRIE A MERRILL CPA | PreparerPersonNm |
| PTIN | P00832283 | PTIN |
| Phone | 3176334705 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SHAWN W MCCOY CEO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MARY STREET | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47747 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,059,175,692 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DEACONESS.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1895 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE 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 Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 6606 | TotalEmployeeCnt |
| Total Volunteers | 57 | TotalVolunteersCnt |
| Total Gross UBI | $16,420,970 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $190,189 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $18,259,180 | PYContributionsGrantsAmt |
| CY Contributions Grants | $17,733,629 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $967,249,119 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,109,634,063 | CYProgramServiceRevenueAmt |
| PY Investment Income | $29,721,186 | PYInvestmentIncomeAmt |
| CY Investment Income | $230,576,845 | CYInvestmentIncomeAmt |
| PY Other Revenue | $86,915,133 | PYOtherRevenueAmt |
| CY Other Revenue | $92,191,665 | CYOtherRevenueAmt |
| PY Total Revenue | $1,102,144,618 | PYTotalRevenueAmt |
| CY Total Revenue | $1,450,136,202 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,157,407 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,696,764 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $394,333,935 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $443,875,875 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $380,743 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $553,580,136 | PYOtherExpensesAmt |
| CY Other Expenses | $609,160,416 | CYOtherExpensesAmt |
| PY Total Expenses | $949,071,478 | PYTotalExpensesAmt |
| CY Total Expenses | $1,054,733,055 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $153,073,140 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $395,403,147 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,921,220,397 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,234,166,045 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $703,989,911 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $639,763,564 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,217,230,486 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,594,402,481 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $192,893,756 | ExpenseAmt |
| Revenue | $554,331,782 | RevenueAmt |
| Desc | PATIENT SERVICE REVENUE. SEE SCHEDULE O. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $712,854,161 | ExpenseAmt |
| Revenue | $549,221,521 | RevenueAmt |
| Desc | CHARITY CARE/SUBSIDIZED CARE. SEE SCHEDULE O. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $21,473,586 | ExpenseAmt |
| Revenue | $7,454,020 | RevenueAmt |
| Desc | GRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION AND COMMUNITY BENEFIT. SEE SCHEDULE O. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,696,764 | ExpenseAmt |
| Grant | $1,696,764 | GrantAmt |
| Revenue | $53,912,059 | RevenueAmt |
| Desc | ALL OTHER ACCOMPLISHMENTS:OTHER PROGRAM SERVICE REVENUE CONSISTS OF DEACONESS HOSPITAL'S INCOME FROM THE INVESTMENT IN JOINT VENTURES. OTHER PROGRAM SERVICE EXPENSES CONSISTED OF COMMUNITY BENEFIT GRANTS/ASSISTANCE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,696,764 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,696,764 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $53,912,059 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $928,918,267 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | Yes (1) | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 290 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 6606 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERYL A WATHEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8124503296 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MARY STREET | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47747 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| SHAWN MCCOY | |||||||||
| CEO OF DEACONESS HEALTH SYSTEM | 33.00 | 24.00 | Yes (X) | Yes (X) | $1,287,715 | $447,940 | $260,327 | ||
| DR LINDA BENNETT | |||||||||
| VICE CHAIRMAN | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL HERMANN | |||||||||
| CHAIRMAN | 3.00 | 2.00 | Yes (X) | $0 | $10,200 | $0 | |||
| SHARON REED WALKER | |||||||||
| TREASURER | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVE PAPARIELLA | |||||||||
| SECRETARY | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MAQBOOL AHMED MD | |||||||||
| DIRECTOR | 3.00 | 52.00 | Yes (X) | $360 | $995,877 | $18,046 | |||
| CURTIS BEGLE | |||||||||
| DIRECTOR | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JEROME BENKERT JR | |||||||||
| DIRECTOR | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT CORDTS MD | |||||||||
| DIRECTOR | 53.00 | 2.00 | Yes (X) | $338,561 | $5,200 | $43,308 | |||
| LEAH CURRY | |||||||||
| DIRECTOR | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MIA HINDI MD | |||||||||
| DIRECTOR | 3.00 | 52.00 | Yes (X) | $15,500 | $1,499,442 | $41,045 | |||
| TERI HOLLANDER ALBIN | |||||||||
| DIRECTOR | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ANTHONY KAISER MD | |||||||||
| DIRECTOR | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| LARRY KILINSKI MD | |||||||||
| DIRECTOR | 3.00 | 52.00 | Yes (X) | $59,478 | $0 | $0 | |||
| KEVIN KOCH | |||||||||
| DIRECTOR | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| RONALD ROCHON MD | |||||||||
| DIRECTOR | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES RYAN III | |||||||||
| DIRECTOR | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ERIC SCHACH | |||||||||
| DIRECTOR | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JONATHAN WEINZAPFEL | |||||||||
| DIRECTOR | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CHERYL WATHEN | |||||||||
| CHIEF FINANCIAL OFFICER | 30.00 | 26.00 | Yes (X) | $514,828 | $275,191 | $179,947 | |||
| JAMES PORTER MD | |||||||||
| PRESIDENT OF DEACONESS HEALTH SYSTEM | 50.00 | 3.00 | Yes (X) | $1,122,932 | $4,091 | $189,162 | |||
| CHERONA HAJEWSKI | |||||||||
| CHIEF NURSING OFFICER | 50.00 | 0.00 | Yes (X) | $569,623 | $0 | $111,714 | |||
| LYNN LINGAFELTER | |||||||||
| CHIEF OPERATION OFFICER | 50.00 | 5.00 | Yes (X) | $672,051 | $56,152 | $147,424 | |||
| JOANN WOOD MD | |||||||||
| CHIEF MEDICAL OFFICER | 50.00 | 3.00 | Yes (X) | $133,600 | $22,500 | $22,198 | |||
| MARC FLORENCE | |||||||||
| VICE PRESIDENT | 50.00 | 8.00 | Yes (X) | $436,801 | $73,545 | $114,628 | |||
| BRADLEY SCHEU MD | |||||||||
| VICE PRESIDENT | 2.00 | 53.00 | Yes (X) | $6,248 | $566,054 | $54,498 | |||
| JENNIFER CHIUSANO | |||||||||
| CHIEF NURSING OFFICER | 50.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RAGHAV GUPTA MD | |||||||||
| ANESTHESIOLOGIST | 50.00 | 0.00 | $1,087,862 | $0 | $35,118 | Yes (X) | |||
| VENKATESH MADADI MD | |||||||||
| ANESTHESIOLOGIST | 50.00 | 0.00 | $983,093 | $0 | $44,959 | Yes (X) | |||
| PAUL MICK MD | |||||||||
| ANESTHESIOLOGIST | 50.00 | 0.00 | $967,734 | $0 | $26,659 | Yes (X) | |||
| RAJESH PATEL MD | |||||||||
| ANESTHESIOLOGIST | 50.00 | 0.00 | $761,478 | $0 | $30,511 | Yes (X) | |||
| MARK MURRAY MD | |||||||||
| ANESTHESIOLOGIST | 50.00 | 0.00 | $758,497 | $0 | $21,564 | Yes (X) | |||
| LINDA WHITE | |||||||||
| FORMER CEO EMERITA, FOUNDATION EXEC. DIRECTOR | 30.00 | 30.00 | $8,295 | $172,440 | $7,461 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,724,656 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,128,632 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,348,569 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 438 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EVANSVILLE SURGERY CENTER | |||||
| PO BOX 2185 | EVANSVILLE | IN | 47728 | SURGICAL SERVICES | $29,915,061 |
| PROGRESSIVEHEALTH OF INDIANA | |||||
| 150 N ROSENBERGER AVE | EVANSVILLE | IN | 47712 | PHYSICAL THERAPY | $16,516,316 |
| TRI STATE RADIATION ONCOLOGY | |||||
| 700 N BURKHARDT AVE | EVANSVILLE | IN | 47715 | RADIATION & ONCOLOGY SERVICES | $15,615,460 |
| ORTHOALIGN LLC | |||||
| 4011 GATEWAY BLVD | NEWBURGH | IN | 47630 | MEDICAL SERVICES | $14,347,979 |
| EVOLENT HEALTH LLC | |||||
| 800 GLEBE RD SUITE 500 | ARLINGTON | VA | 22203 | CONSULTING SERVICES | $9,061,891 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 381 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $260,729 | FundraisingAmt |
| Government Grants | $16,835,600 | GovernmentGrantsAmt |
| All Other Contributions | $637,300 | AllOtherContributionsAmt |
| Noncash Contributions | $40,327 | NoncashContributionsAmt |
| Total Contributions | $17,733,629 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,109,634,063 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,109,634,063 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,109,634,063 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,499,623 | TotalRevenueColumnAmt |
| Exclusion | $14,499,623 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,972,167 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,729,021 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,243,146 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,243,146 | TotalRevenueColumnAmt |
| Exclusion | $5,243,146 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,819,263,594 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,603,185,269 | SecuritiesAmt |
| Other | $1,103 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $216,078,325 | SecuritiesAmt |
| Other | -$1,103 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $216,077,222 | TotalRevenueColumnAmt |
| Exclusion | $216,077,222 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $33,900 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $260,729 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $124,097 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$90,197 | TotalRevenueColumnAmt |
| Exclusion | -$90,197 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| INVESTMENT IN JOINT VENTURES | 900099 | $41,018,684 | $41,018,684 | ||
| OTHER HOSPITAL SERVICES | 900099 | $29,587,093 | $14,266,635 | $15,320,458 | |
| LABORATORY SALES | 621500 | $12,969,501 | $12,969,501 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,463,438 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $3,451,469 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,969 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $87,038,716 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,450,136,202 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,164,919,382 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $16,420,970 | UnrelatedBusinessRevenueAmt |
| Exclusion | $251,062,221 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,696,764 | TotalAmt |
| Program Services | $1,696,764 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,550,805 | TotalAmt |
| Management And General | $5,550,805 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338,105,248 | TotalAmt |
| Program Services | $307,094,463 | ProgramServicesAmt |
| Management And General | $30,789,410 | ManagementAndGeneralAmt |
| Fundraising | $221,375 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,739,966 | TotalAmt |
| Program Services | $11,278,428 | ProgramServicesAmt |
| Management And General | $1,461,538 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,849,819 | TotalAmt |
| Program Services | $55,209,943 | ProgramServicesAmt |
| Management And General | $10,639,876 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,630,037 | TotalAmt |
| Program Services | $19,507,129 | ProgramServicesAmt |
| Management And General | $2,122,908 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $418,828 | TotalAmt |
| Program Services | $390 | ProgramServicesAmt |
| Management And General | $418,438 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,970 | TotalAmt |
| Management And General | $38,970 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,455 | TotalAmt |
| Management And General | $91,455 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,267,503 | TotalAmt |
| Management And General | $2,267,503 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,762,331 | TotalAmt |
| Program Services | $140,154,156 | ProgramServicesAmt |
| Management And General | $10,575,115 | ManagementAndGeneralAmt |
| Fundraising | $33,060 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,053,320 | TotalAmt |
| Program Services | $25,386 | ProgramServicesAmt |
| Management And General | $1,027,934 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,979,309 | TotalAmt |
| Program Services | $10,569,457 | ProgramServicesAmt |
| Management And General | $1,382,166 | ManagementAndGeneralAmt |
| Fundraising | $27,686 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,531,227 | TotalAmt |
| Program Services | $11,686,626 | ProgramServicesAmt |
| Management And General | $7,844,601 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,249,497 | TotalAmt |
| Program Services | $8,333,953 | ProgramServicesAmt |
| Management And General | $5,915,544 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $258,439 | TotalAmt |
| Program Services | $203,736 | ProgramServicesAmt |
| Management And General | $54,703 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,000 | TotalAmt |
| Program Services | $86,733 | ProgramServicesAmt |
| Management And General | $50,599 | ManagementAndGeneralAmt |
| Fundraising | $668 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,279,949 | TotalAmt |
| Program Services | $6,660,479 | ProgramServicesAmt |
| Management And General | $4,619,470 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,667,726 | TotalAmt |
| Program Services | $33,259,886 | ProgramServicesAmt |
| Management And General | $18,407,791 | ManagementAndGeneralAmt |
| Fundraising | $49 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,117,461 | TotalAmt |
| Program Services | $4,107,552 | ProgramServicesAmt |
| Management And General | $1,009,909 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL/SURGICAL SUPPLI | $221,585,134 | $222,294,470 | -$709,336 | |
| MEDICAID ASSESSMENT FEE | $39,736,645 | $39,736,645 | ||
| EQUIP RENTAL/MAINTENANC | $24,303,133 | $18,166,668 | $6,136,465 | |
| DUES & SUBSCRIPTIONS | $854,048 | $345,704 | $480,270 | $28,074 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,827,441 | TotalAmt |
| Program Services | $38,499,699 | ProgramServicesAmt |
| Management And General | $15,257,911 | ManagementAndGeneralAmt |
| Fundraising | $69,831 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,054,733,055 | TotalAmt |
| Program Services | $928,918,267 | ProgramServicesAmt |
| Management And General | $125,434,045 | ManagementAndGeneralAmt |
| Fundraising | $380,743 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,180,059 | BOYAmt |
| EOY | $229,670,204 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,630,180 | BOYAmt |
| EOY | $178,461,608 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,785,214 | BOYAmt |
| EOY | $1,576,444 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,511,488 | BOYAmt |
| EOY | $9,859,049 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,069,480 | BOYAmt |
| EOY | $16,389,635 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,105,731,524 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $610,240,447 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $493,860,563 | BOYAmt |
| EOY | $495,491,077 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $844,580,684 | BOYAmt |
| EOY | $1,073,492,234 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,478,236 | BOYAmt |
| EOY | $56,288,309 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,206,614 | BOYAmt |
| EOY | $48,218,553 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,917,879 | BOYAmt |
| EOY | $124,718,932 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,921,220,397 | BOYAmt |
| EOY | $2,234,166,045 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,455,955 | BOYAmt |
| EOY | $107,353,783 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,600,383 | BOYAmt |
| EOY | $1,759,250 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $288,892,997 | BOYAmt |
| EOY | $281,980,796 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,040,576 | BOYAmt |
| EOY | $248,669,735 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $703,989,911 | BOYAmt |
| EOY | $639,763,564 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,211,096,598 | BOYAmt |
| EOY | $1,587,995,646 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,133,888 | BOYAmt |
| EOY | $6,406,835 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,217,230,486 | BOYAmt |
| EOY | $1,594,402,481 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,921,220,397 | BOYAmt |
| EOY | $2,234,166,045 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $395,403,147 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$18,231,152 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $12,000 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $12,000 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,745,525 | BeginningYearBalanceAmt |
| Contributions | $1,100 | ContributionsAmt |
| Investment Earnings Or Losses | $1,041,502 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $154,521 | OtherExpendituresAmt |
| End Year Balance | $9,633,606 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,037,280 | BeginningYearBalanceAmt |
| Contributions | $1,075 | ContributionsAmt |
| Investment Earnings Or Losses | $867,885 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $160,715 | OtherExpendituresAmt |
| End Year Balance | $8,745,525 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,914,040 | BeginningYearBalanceAmt |
| Contributions | $1,075 | ContributionsAmt |
| Investment Earnings Or Losses | $195,423 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $73,258 | OtherExpendituresAmt |
| End Year Balance | $8,037,280 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,389,906 | BeginningYearBalanceAmt |
| Contributions | $120 | ContributionsAmt |
| Investment Earnings Or Losses | $606,614 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $82,600 | OtherExpendituresAmt |
| End Year Balance | $7,914,040 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,877,438 | BeginningYearBalanceAmt |
| Contributions | $1,200 | ContributionsAmt |
| Investment Earnings Or Losses | $705,719 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $194,451 | OtherExpendituresAmt |
| End Year Balance | $7,389,906 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.13000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.87000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $6,328,718 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $17,787,616 | OtherCostOrOtherBasisAmt |
| Book Value | $24,116,334 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $54,284,953 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $693,634,273 | OtherCostOrOtherBasisAmt |
| Depreciation | $391,285,853 | DepreciationAmt |
| Book Value | $356,633,373 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $296,088,442 | OtherCostOrOtherBasisAmt |
| Depreciation | $218,954,594 | DepreciationAmt |
| Book Value | $77,133,848 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,607,522 | OtherCostOrOtherBasisAmt |
| Book Value | $37,607,522 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $495,491,077 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RELATED ORGANIZATION RECEIVABLES | $76,712,324 |
| OTHER ASSETS | $16,619,729 |
| RIGHT OF USE ASSET | $31,386,879 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $124,718,932 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED RETIREMENT BENEFITS | $80,606,365 |
| RELATED ORGANIZATION PAYABLES | $4,102,458 |
| TAXABLE BOND- SERIES 2016 | $48,300,000 |
| DEBT ISSUE COSTS | -$128,957 |
| RIGHT OF USE ASSETS | $31,419,150 |
| MEDICARE ADVANCED FUNDING | $77,544,186 |
| CARES ACT LIABILITY | $38,311 |
| ESTIMATED THIRD PARTY SETTLEMENT | $6,788,222 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $248,669,735 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2021 AND 2020, 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | DH PARTY OF YR | Event1Nm |
| Gross Receipts Event1 | $164,514 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $146,114 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $18,400 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $10,834 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $20,461 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $17,100 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $17,147 | OtherDirectExpensesEvent1Amt |
| Event2 | DH CLASSIC | Event2Nm |
| Gross Receipts Event2 | $130,115 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $114,615 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $15,500 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $5,985 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $27,577 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $273 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $1,570 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $23,150 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $294,629 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $260,729 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $33,900 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $5,985 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $38,411 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $20,734 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $18,670 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $40,297 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $124,097 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$90,197 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,320,785 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,320,785 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01260 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $205,393,987 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $162,917,887 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,476,100 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04030 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $218,714,772 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $162,917,887 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $55,796,885 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05290 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,015,465 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,015,465 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,438,012 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,469,784 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,968,228 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $272,381 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,943 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $267,438 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,408,074 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $44,526 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,363,548 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,133,932 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,519,253 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,614,679 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01010 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $231,848,704 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $165,437,140 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $66,411,564 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06300 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,160 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $26,160 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,890 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,890 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58,050 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $58,050 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,951,935 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $242,171,297 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $221,305,096 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $20,866,201 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DEACONESS HOSPITAL INC | ||||||||||
| 1 | 600 MARY STREET | EVANSVILLE | IN | 47747 | WWW.DEACONESS.COM | 20-005074-1 | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| DEACONESS GATEWAY HOSPITAL | ||||||||||
| 2 | 4011 GATEWAY BLVD | NEWBURGH | IN | 47630 | WWW.DEACONESS.COM | 20-005074-1 | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| DEACONESS CROSS POINTE | ||||||||||
| 3 | 7200 E INDIANA STREET | EVANSVILLE | IN | 47715 | WWW.DEACONESS.COM | 20-005074-1 | Yes (X) | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Other MethodOtherMethodInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEACONESS HOSPITAL INC | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 18 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | HTTP://WWW.DEACONESS.COM/CHNA | Yes (X) | Yes (1) | 18 | Yes (1) | HTTP://WWW.DEACONESS.COM/CHNA | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | SEE PART V | Yes (X) | SEE PART V | Yes (X) | SEE PART V | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| DEACONESS GATEWAY HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 18 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | HTTP://WWW.DEACONESS.COM/CHNA | Yes (X) | Yes (1) | 18 | Yes (1) | HTTP://WWW.DEACONESS.COM/CHNA | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | SEE PART V | Yes (X) | SEE PART V | Yes (X) | SEE PART V | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| DEACONESS CROSS POINTE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 18 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | HTTP://WWW.DEACONESS.COM/CHNA | Yes (X) | Yes (1) | 18 | Yes (1) | HTTP://WWW.DEACONESS.COM/CHNA | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | SEE PART V | Yes (X) | SEE PART V | Yes (X) | SEE PART V | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
Supplemental Information SupplementalInformationGrp (21 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DEACONESS HOSPITAL, INC. | PART V, SECTION B, LINE 5: PARTNERS CONDUCTING THE CHNA COLLABORATED WITH A WIDE RANGE OF PUBLIC HEALTH AND SOCIAL SERVICE PARTNERS TO ENSURE THAT DIVERSE SCIENTIFIC AND COMMUNITY-BASED INSIGHTS WERE INCLUDED THROUGHOUT THE PROCESS. OF PARTICULAR IMPORTANCE WAS THE INCLUSION OF INDIVIDUALS WHO DIRECTLY OR INDIRECTLY REPRESENTED THE NEEDS OF THREE IMPORTANT GROUPS: 1) THOSE WITH PARTICULAR EXPERTISE IN PUBLIC HEALTH PRACTICE AND RESEARCH, 2) THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR CONSIDERED AMONG THE MINORITY POPULATIONS SERVED BY THE HOSPITAL, AND 3) THE BROADER COMMUNITY AT LARGE AND THOSE WHO REPRESENT THE BROAD INTERESTS AND NEEDS OF THE COMMUNITY SERVED.KEY PARTNER ORGANIZATIONS INCLUDED: -THE UNIVERSITY OF EVANSVILLE. FACULTY, STAFF, AND STUDENTS IN PUBLIC HEALTH AREAS COLLABORATED WITH THE HOSPITAL ON THE DATA-ORIENTED ASPECTS OF THE PROJECT. -INDIANA UNIVERSITY SCHOOL OF PUBLIC HEALTH. FACULTY AND STUDENTS COLLABORATED WITH THE HOSPITAL THROUGHOUT THE SURVEY PROCESS. -INDIANA UNIVERSITY CENTER FOR SURVEY RESEARCH. FACULTY AND STAFF PROVIDED IN-DEPTH TECHNICAL ASSISTANCE AND GUIDANCE THROUGHOUT THE SURVEY PROCESS, AND WORKED CLOSELY WITH THE HOSPITALS AND THE UNIVERSITY OF EVANSVILLE TO FIELD THE COMMUNITY HEALTH SURVEY. SURVEY PROCESS AND METHODS - 8 KEY PARTNER ORGANIZATIONS -MEASURES MATTER, LLC. MEASURES MATTER IS A COMMUNITY-BASED RESEARCH CONSULTING FIRM BASED IN BLOOMINGTON, INDIANA AND PALM SPRINGS, CALIFORNIA. MEASURES MATTER CONDUCTED AN INDEPENDENT ANALYSIS OF THE SURVEY DATA AND ALSO FACILITATED THE PRIORITIZATION PROCESS WITH THE HOSPITAL AND ITS PARTNERS. -COUNTY HEALTH DEPARTMENTS. REPRESENTATIVES OF THE VANDERBURGH COUNTY HEALTH DEPARTMENT WERE PARTNERS IN THE LARGER NETWORK OF ORGANIZATIONS AND HOSPITALS THAT WORKED TO ENHANCE CONSISTENCY IN STATEWIDE CHNA ACTIVITIES, PARTICULARLY THE CHNA COMMUNITY SURVEY AND FOCUS GROUPS. ADDITIONALLY, GIVEN THAT THE SURVEY PROCESS WAS COORDINATED IN CONJUNCTION WITH MULTIPLE OTHER HOSPITAL SYSTEMS AND LOCAL ORGANIZATIONS THROUGHOUT THE STATE, OTHER HEALTH DEPARTMENTS INVOLVED IN THE PROCESS INCLUDED THOSE FROM TIPPECANOE, CLAY, FOUNTAIN, WARREN, HOWARD, JENNINGS, LAWRENCE, MADISON, RANDOLPH, WASHINGTON, WARRICK, HAMILTON, AND MARION COUNTIES. -COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS. A WIDE RANGE OF COMMUNITY-BASED HEALTH AND SOCIAL SERVICE ORGANIZATIONS COLLABORATED THROUGHOUT THE CHNA PROCESS TO CONSIDER DATA FROM THE CHNA, MAKE DECISIONS REGARDING HEALTH PRIORITIES, AND INITIATE CONSIDERATIONS OF SUBSEQUENT ACTIONS BASED ON THE CHNA.CHNA PRIORITIZATION PROCESS ATTENDEES:LISA MAISH, DEACONESSLISA MEYER, ST. VINCENT EVVASHLEY TENBARGE, ST. VINCENT EVVLORI GRIMM, DEACONESS THE WOMEN'S HOSPITALDR. KEN SPEAR, VANDERBURGH COUNTY HEALTH DEPARTMENTJILL BUTTRY, DEACONESSANDREA HAYS, WELBORN BAPTIST FOUNDATIONAMY CANTERBURY, UNITED WAY OF SWIDR. CHAD PERKINS, ST. VINCENT EVVSANDEE STRADER-MCMILLEN, ECHO HEALTHPAM HIGHT, DEACONESSJANET RAISOR, ST. VINCENT EVVDR. MARIA DEL RIO HOOVER, ST. VINCENT EVVSABRINA JONES, ST. VINCENT EVVSCOTT BRANAM, DEACONESS CROSS POINTEASHLEY JOHNSON, DEACONESSJENNA ALVIA ST. VINCENT WARRICKDR. CARRIE ANN LAWRENCE, IU SCHOOL OF PUBLIC HEALTH - FACILITATOR |
| DEACONESS GATEWAY HOSPITAL | PART V, SECTION B, LINE 5: DESCRIPTION OF COMMUNITY INPUT IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). |
| DEACONESS CROSS POINTE | PART V, SECTION B, LINE 5: DESCRIPTION OF COMMUNITY INPUT IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). |
| DEACONESS HOSPITAL, INC. | PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES CHNA WAS CONDUCTED WITH:EIGHT HEALTH SYSTEMS WORKED TOGETHER TO ADMINISTER THE SAME CHNA SURVEY TO RESIDENTS IN 31 INDIANA COUNTIES. PARTICIPATING HEALTH SYSTEMS (IN ADDITION TO DEACONESS HEALTH SYSTEM) INCLUDED ASCENSION/ST. VINCENT, GIBSON GENERAL HOSPITAL, FRANCISCAN HEALTH, NORTH CENTRAL HEALTH SERVICES D.B.A. RIVER BEND HOSPITAL, IU HEALTH, COMMUNITY HEALTH NETWORK, AND RIVERVIEW HEALTH. |
| 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). |
| 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). |
| DEACONESS HOSPITAL, INC. | PART V, SECTION B, LINE 6B: KEY PARTNER ORGANIZATIONS INCLUDED THE UNIVERSITY OF EVANSVILLE, INDIANA UNIVERSITY SCHOOL OF PUBLIC HEALTH, INDIANA UNIVERSITY CENTER FOR SURVEY RESEARCH, MEASURES MATTER, LLC. OTHER LOCAL ORGANIZATIONS PARTICIPATED IN OUR FOCUS GROUPS AND PRIORITIZATION SESSIONS. |
| 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). |
| 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). |
| DEACONESS HOSPITAL, INC. | PART V, SECTION B, LINE 11: WE CONTINUE TO USE OUR IMPLEMENTATION PLAN TO GUIDE WORK IN THE IDENTIFIED AREAS OF NEED. CHNA PROJECTS WERE SIGNIFICANTLY DERAILED DUE TO COVID-19.VANDERBURGH COUNTY - FROM THE FIVE ENDORSED ISSUES IDENTIFIED FOR PRIORITIZATION, THE GROUP SELECTED MENTAL HEALTH, SUBSTANCE ABUSE, AND FOOD INSECURITY AS OUR PRIMARY POINTS OF FOCUS. IMPROVEMENT IN CHRONIC HEALTH CONDITIONS SHOULD BE A BY-PRODUCT OF SUCCESSFUL WORK IN THE OTHER THREE AREAS AND "POVERTY" CONSISTS OF MORE VARIABLES THAN THIS GROUP CAN ADDRESS. DURING 2020-2021, SPECIAL ATTENTION CONTINUED TO BE FOCUSED ON FOOD INSECURITY WITH PARTNERSHIPS WITH THE FEED EVANSVILLE, PROMISE ZONE, URBAN SEEDS, AND THE JUNIOR LEAGUE OF EVANSVILLE, AND A 5-YEAR $500,000 PLEDGE TO SUPPORT THE TRI-STATE FOOD BANK.RELATED TO SUBSTANCE ABUSE, THE WOMEN'S HOSPITAL CONTINUED TO SCREEN PREGNANT WOMEN AT PRESENTATION FOR DELIVERY USING THE 5PS SCREENING TOOL. THEY SUBMIT DATA TO THE INDIANA STATE DEPARTMENT OF HEALTH TO MONITOR THE PREVALENCE OF SUBSTANCE EXPOSURE IN NEWBORNS AND MEET QUARTERLY TO IDENTIFY CHALLENGES AND OPPORTUNITIES THAT CAN BE ADDRESSED. AFTER EXAMINATION, A GROUP OF PHYSICIANS AND CLINICAL OFFICE STAFF DECIDED NOT TO EMPLOY THE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) TOOL IN PRIMARY CARE PRACTICES.DEACONESS CONTINUED TO USE ITS PUBLIC-FACING WEBPAGE, WHICH WAS CREATED IN EARLY 2020 TO PROVIDE INFORMATION AND RESOURCES RELATED TO MENTAL HEALTH AND COPING WITH VARIOUS COVID ISSUES. ADDITIONAL MESSAGING ABOUT "CARING FOR THE CAREGIVERS" WAS SENT ON TUESDAYS AND THURSDAYS EACH WEEK TO ALL HEALTH SYSTEM STAFF. BEHAVIORAL HEALTH PROVIDERS CONTINUED PROVIDING APPOINTMENTS ONLINE AND THE EMPLOYEE ASSISTANCE PROGRAM SAW AN INCREASE IN PARTICIPATION. WARRICK COUNTY FROM THE FOUR ENDORSED ISSUES IDENTIFIED FOR PRIORITIZATION, THE GROUP SELECTED MENTAL HEALTH, SUBSTANCE ABUSE, AND ACCESS TO CARE AS OUR PRIMARY POINTS OF FOCUS FOR THE NEXT CHNA PERIOD. IMPROVEMENT IN CHRONIC HEALTH CONDITIONS SHOULD BE A BY-PRODUCT OF SUCCESSFUL WORK IN THE OTHER THREE AREAS. EFFORTS AND SUCCESSES MENTIONED FOR VANDERBURGH ALSO COUNT FOR WARRICK COUNTY AS THEY ARE BOTH PART OF THE DEACONESS HEALTHY SYSTEM EFFORTS. WHILE AN ANALYSIS OF COUNTY-WIDE TRANSPORTATION ISSUES CONTINUED TO BE POSTPONED DUE TO COVID, DEACONESS WAS PROUD TO SUPPORT AND SPONSOR LOCAL ORGANIZATIONS, SUCH AS CHEMO BUDDIES AND KOMEN EVANSVILLE, THAT OFFER TRANSPORTATION ASSISTANCE TO PATIENTS TO GET TO AND FROM THEIR TREATMENTS. IN ADDITION, THE MATERNAL AND NEONATAL TRANSPORT TEAM ACQUIRED A NEW STATE-OF-THE-ART AMBULANCE FOR TRANSPORTING EXPECTANT MOTHERS WITH OBSTETRIC EMERGENCIES AND HIGH-RISK PREGNANCIES, AS WELL AS PREMATURE AND SICK NEWBORNS IN NEED OF CRITICAL CARE. |
| 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). |
| 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). |
| DEACONESS HOSPITAL, INC. | PART V, SECTION B, LINE 15E: MED ASSIST IS AVAILABLE TO DEACONESS HEALTH SYSTEM PATIENTS TO ASSIST WITH APPLYING FOR MEDICAID OR EXCHANGE PRODUCTS. |
| 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). |
| 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). |
| 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. DEACONESS HOSPITAL FOR FISCAL YEAR 20 IMPACTED THE LIVES OF MORE THAN 18,411 MEMBERS OF OUR COMMUNITY BY HELPING THEM OBTAIN INSURANCE OR PROVIDE ASSISTANCE FOR THE UNDERINSURED. |
| 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). |
| 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 FOUR 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 FOUR 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 FOUR HOSPITAL FACILITIES IS MADE WIDELY AVAILABLE ON THE FOLLOWING WEBSITE:HTTPS://WWW.DEACONESS.COM/PAY-MY-BILL/FINANCIAL-ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 31 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (31 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - CARDIAC REHAB | ||||
| 4015 GATEWAY BLVD SUITE 2122 | NEWBURGH | IN | 47630 | OUTPATIENT SERVICES |
| 2 - DEACONESS FAMILY MEDICINE RESIDENCY | ||||
| 415 W COLUMBIA ST SUITE 110 | EVANSVILLE | IN | 47710 | OUTPATIENT PHYSICIAN CLINIC |
| 3 - DEACONESS HOSPITAL ANTICOAGMED THERAPY | ||||
| 350 W COLUMBIA ST SUITE 210 | EVANSVILLE | IN | 47747 | OUTPATIENT SERVICES |
| 4 - DEACONESS HOSPITAL BREAST CENTER | ||||
| 520 MARY STREET SUITE 140 | EVANSVILLE | IN | 47710 | DIAGNOSTIC CENTER |
| 5 - DEACONESS HOSPITAL CANCER SERVICES | ||||
| 4055 GATEWAY BLVD | NEWBURGH | IN | 47630 | OUTPATIENT SERVICES |
| 6 - DEACONESS COMPREHENSIVE PAIN CTR-GATEWAY | ||||
| 4099 GATEWAY BLVD | NEWBURGH | IN | 47630 | OUTPATIENT SERVICES |
| 7 - DEACONESS COMPREHENSIVE PAIN CTR & PROG | ||||
| 4600 W LLOYD EXPRESSWAY SUITE A | EVANSVILLE | IN | 47712 | OUTPATIENT SERVICES |
| 8 - DEACONESS CROSS POINTE OUTPATIENT CLINIC | ||||
| 445 CROSS POINTE BLVD | EVANSVILLE | IN | 47715 | OUTPATIENT PHYSICIAN CLINIC |
| 9 - DEACONESS GATEWAY GASTROENTEROLOGY | ||||
| 4133 GATEWAY BLVD SUITE 290 | NEWBURGH | IN | 47630 | OUTPATIENT SERVICES |
| 10 - DEACONESS LAB & RADIOLOGY | ||||
| 120 SE 4TH STREET SUITE 1100 | EVANSVILLE | IN | 47708 | DIAGNOSTIC CENTER |
| 11 - DEACONESS HOSPITAL INFUSION CTRPHARMACY | ||||
| 4111 GATEWAY BLVD | NEWBURGH | IN | 47630 | OUTPATIENT SERVICES |
| 12 - DEACONESS MIDWEST RADIOLOGICAL IMAGING | ||||
| 10455 ORTHOPAEDIC DRIVE | NEWBURGH | IN | 47630 | DIAGNOSTIC CENTER |
| 13 - DEACONESS HOSPITAL PHYSICAL MEDICINE | ||||
| 520 MARY STREET SUITE 280 | EVANSVILLE | IN | 47747 | OUTPATIENT SERVICES |
| 14 - DEACONESS HOSPITAL PHYS MED-OA | ||||
| 10455 ORTHOPAEDIC DRIVE | NEWBURGH | IN | 47630 | OUTPATIENT SERVICES |
| 15 - DEACONESS HOSPITAL PHYSICAL MEDICINE | ||||
| 4600 W LLOYD EXPRESSWAY SUITE B | EVANSVILLE | IN | 47715 | OUTPATIENT SERVICES |
| 16 - DEACONESS PRIMARY CARE FOR SENIORS | ||||
| 1750 OAK HILL ROAD | EVANSVILLE | IN | 47710 | OUTPATIENT PHYSICIAN CLINIC |
| 17 - DEACONESS PRIMARY CARE FOR SENIORS | ||||
| 4498 FIRST AVENUE | EVANSVILLE | IN | 47710 | OUTPATIENT PHYSICIAN CLINIC |
| 18 - DEACONESS PROCEDURE CENTER | ||||
| 421 CHESTNUT STREET | EVANSVILLE | IN | 47713 | OUTPATIENT SERVICES |
| 19 - DEACONESS HOSPITAL RADIOLOGY EXPRESS | ||||
| 4087 GATEWAY BLVD | NEWBURGH | IN | 47630 | DIAGNOSTIC CENTER |
| 20 - DEACONESS CLINIC GATEWAY REG LAB | ||||
| 4233 GATEWAY BLVD SUITE 201 | NEWBURGH | IN | 47630 | DIAGNOSTIC CENTER |
| 21 - DEACONESS HOSPITAL LAB & EKGDIABETES ED | ||||
| 520 MARY STREET SUITE 330 | EVANSVILLE | IN | 47710 | DIAGNOSTIC CENTER |
| 22 - DEACONESS RADIOLOGY LAB & RADIOLOGY | ||||
| 8600 NORTH KENTUCKY AVENUE | EVANSVILLE | IN | 47725 | DIAGNOSTIC CENTER |
| 23 - DEACONESS REGIONAL LABORATORY | ||||
| 4494 N FIRST AVENUE | EVANSVILLE | IN | 47710 | DIAGNOSTIC CENTER |
| 24 - DEACONESS HOSPITAL LAB & RADIOLOGY | ||||
| 4209 GATEWAY BLVD | NEWBURGH | IN | 47630 | DIAGNOSTIC CENTER |
| 25 - MT VERNON MEDICAL CENTER LAB & RADIOLOGY | ||||
| 1900 W FOURTH STREET | MT VERNON | IN | 47620 | DIAGNOSTIC CENTER |
| 26 - DEACONESS REGIONAL LABORATORY | ||||
| 4133 GATEWAY BLVD SUITE 110 | NEWBURGH | IN | 47630 | DIAGNOSTIC CENTER |
| 27 - DEACONESS SLEEP CENTER | ||||
| 350 W COLUMBIA STREET SUITE 100 | EVANSVILLE | IN | 47710 | OUTPATIENT SERVICES |
| 28 - DEACONESS SLEEP CENTER-EAST | ||||
| 7307 E COLUMBIA ST | EVANSVILLE | IN | 47715 | DIAGNOSTIC CENTER |
| 29 - DEACONESS SLEEP LAB | ||||
| 350 W COLUMBIA STREET SUITE LL-10 | EVANSVILLE | IN | 47710 | DIAGNOSTIC CENTER |
| 30 - DEACONESS WEIGHT LOSS SOLUTIONS | ||||
| 310 W IOWA STREET | EVANSVILLE | IN | 47710 | OUTPATIENT PHYSICIAN CLINIC |
| 31 - DEACONESS WOUND CARE CENTER | ||||
| 350 W COLUMBIA STREET SUITE 350 | EVANSVILLE | IN | 47710 | OUTPATIENT SERVICES |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $2,960. |
| 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.NORMAL ACTIVITIES SUCH AS OUR HEALTH SCIENCE INSTITUTE IN WHICH LOCAL HIGH SCHOOL STUDENTS LIVE ON CAMPUS AND LEARN ABOUT HEALTHCARE CAREERS HAD TO BE CANCELLED THIS YEAR DUE TO COVID-19. DEACONESS STILL INCURRED COSTS OF $8,715 FOR THE PROGRAM AND PLANS TO HOST THE INSTITUTE IN 2021.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 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 11 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 2021 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 AT ANY TIME DURING THE YEAR.VANDERBURGH COUNTY VANDERBURGH 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: | THE COVID-19 PANDEMIC WAS PRIMARY PRIORITY AND THE CONSTANT CONCERN THROUGHOUT THE YEAR AS WE PERSEVERED THROUGH TWO SIGNIFICANT COVID-19 WAVES, RECORD PATIENT ADMISSIONS AND TRANSFERS, AND A HISTORIC VACCINATION EFFORT. DEACONESS CONTINUED TO LEAD THE COVID-19 RESPONSE FOR SOUTHWEST INDIANA AND NEIGHBORING COUNTIES IN KENTUCKY AND ILLINOIS.THE PUBLIC AND BUSINESSES TRUSTED US AS WE SHARED THE MOST CURRENT INFORMATION ABOUT COVID INPATIENT NUMBERS, TESTING, VACCINES, AND THE CONSTANTLY CHANGING REGULATIONS. AND OUR COPING WEBPAGE THAT LINKED PEOPLE TO A VARIETY OF RESOURCES ABOUT MENTAL AND EMOTIONAL HEALTH CONTINUED TO BE A RESOURCE USED BY THE PUBLIC.COVID-19 VACCINES (FIRST PFIZER, VIA EMERGENCY USE AUTHORIZATION, BECAME AVAILABLE TO HEALTHCARE WORKERS IN MID-DECEMBER, AND MORE THAN 600 FRONTLINE EMPLOYEES GETTING VACCINATED ON THE FIRST DAY THEY BECAME AVAILABLE. THOUSANDS MORE EMPLOYEES RECEIVED THEIR FIRST DOSE BEFORE THE END OF THE YEAR. MULTIPLE PUBLIC VACCINATION SITES WERE CREATED IN AN EFFORT TO MEET DEMAND, AND EMPLOYEES FROM ALL OVER THE SYSTEM STEPPED IN TO ASSIST. ONLINE SCHEDULES FILLED QUICKLY AND WAIT LISTS WERE CREATED FOR "EXTRA DOSES" AT THE END OF THE DAY. BY THE END OF MARCH 2021, DEACONESS HAD GIVEN 100,000 DOSES. IN ADDITION TO THE VACCINE SITES, OUR DRIVE-THRU TEST SITES REMAINED BUSY DURING THE WAVES, AS DEACONESS REGIONAL LAB PROCESSED 232,096 PCR TESTSTHE HIGHEST ONE-DAY TESTING NUMBER WAS 1,514. MONOCLONAL ANTIBODY TREATMENT CONTINUED TO BE AVAILABLE FOR THOSE AT HIGH-RISK OF HOSPITALIZATION WITH MORE THAN 4,000 INFUSIONS BEING GIVEN THROUGHOUT THE YEAR.ADDITIONALLY, WE CREATED AND DISTRIBUTED WRITTEN AND VISUAL CONTENT THAT ADDRESSED SPECIFIC ISSUES AND CONCERNS OUR COMMUNITY HAD REGARDING COVID-19.E-NEWSLETTER ARTICLES:FEBRUARY 2021: -COVID-19 VACCINE: FREQUENTLY ASKED QUESTIONS-PARENTING A NEW BABY IN THE PANDEMICJULY 2021: -COVID-19 VARIANTS AND VACCINESAUGUST 2021:-CHILDREN AND THE COVID-19 VACCINESEPT 2021:-IF I'VE ALREADY HAD COVID, WHY SHOULD I GET VACCINATED?SOCIAL MEDIA POSTS:10/16/2020 - DR. BRAD SCHEU ON COVID-19 AND THE FLU11/3/2020 - FB LIVE: COVID-19 UPDATE WITH DR. JAMES PORTER AND DR. DAVID RYON11/9/2020 - DO YOUR PART: AREA HEALTHCARE PROVIDERS CALL ON PEOPLE TO MASK UP AND SOCIAL DISTANCE11/16/2020 - DR. GINA HUHNKE DISCUSSES THE SERIOUSNESS OF COVID-1911/18/2020 - DO YOUR PART: AREA HEALTHCARE PROVIDERS CALL ON PEOPLE TO MASK UP AND SOCIAL DISTANCE 11/21/2020 - AN IMPORTANT MESSAGE FROM DEACONESS COVID-19 FRONTLINE WORKERS11/23/2020 - FB LIVE: COVID-19 UPDATE WITH SHAWN MCCOY AND DR. BRAD SCHEU11/30/2020 - DO YOUR PART: AREA HEALTHCARE PROVIDERS CALL ON PEOPLE TO MASK UP AND SOCIAL DISTANCE12/3/2020 - DO YOUR PART: AREA HEALTHCARE PROVIDERS CALL ON PEOPLE TO MASK UP AND SOCIAL DISTANCE12/3/2020 - DO YOUR PART: AREA HEALTHCARE PROVIDERS CALL ON PEOPLE TO MASK UP AND SOCIAL DISTANCE12/15/2020 - FB LIVE: COVID-19 UPDATE WITH DR. JAMES PORTER AND JEFF STARKEY, PHARMD12/22/2020 - FB LIVE: COVID-19 UPDATE WITH DR. JAMES PORTER AND ANNA GIBSON, PHARMD1/18/2020 - DR. BRAD SCHEU EXPLAINS WHY HE CHOSE TO GET THE COVID-19 VACCINE2/3/2021 - FB LIVE: COVID-19 UPDATE WITH DR. JAMES PORTER AND JEFF STARKEY, PHARMD 2/17/2021 - DR. SARAH RUST DISCUSSES PARENTING NEWBORNS DURING A PANDEMIC2/23/2021 - DR. GINA HUHNKE DISCUSSES MONOCLONAL ANTIBODIES AND TREATMENT2/25/2021 - FB LIVE: COVID-19 UPDATE WITH DR. JAMES PORTER AND DR. APRIL ABBOTT 3/9/2021 - DR. BRAD SCHEU DISCUSSES THE IMPORTANCE OF SCHEDULING HEALTH SCREENINGS DURING THE PANDEMIC4/1/2021 - DR. BRAD SCHEU TALKS ABOUT VACCINATIONS IN YOUNG ADULTS4/21/2021 - DR. BRAD SCHEU TALKS ABOUT THE IMPORTANCE OF WEARING MASKS WHILE AT DEACONESS FACILITIES6/10/2021 - DR. JAMES PORTER TALKS ABOUT SCHEDULING AND MAINTAINING HEALTH SCREENINGS DURING THE PANDEMIC7/17/2021 - FB LIVE: COVID VACCINE AND CHILDREN 12+ PANEL DISCUSSION WITH DR. JAMES PORTER, DR. MAJED KOLEILAT, DR. GARRET KOON AND DR. CAPRI WEYER7/12/2021 - COVID-19 VACCINE UPDATE WITH DR. BRAD SCHEU8/3/2021 - FB LIVE: COVID-19 UPDATE PANEL DISCUSSION WITH DR. JAMES PORTER, DR. BRAD SCHEU, DR. APRIL ABBOTT AND BRIAN SPENCER, PHARMD 8/18/2021 - DR. GINA HUHNKE ON VISITING THE ER DURING THE COVID-19 SURGE8/24/2021 - DR. MATT GILBERT DISCUSSES VISITING THE ER DURING THE COVID-19 SURGESCREENING MAMMOGRAMS VIA MOBILE BREAST CENTER:2020 - NUMBER SCREENEDOCTOBER - 317NOVEMBER - 234DECEMBER - 2042021 - NUMBER SCREENEDJANUARY - 101FEBRUARY - 114MARCH - 152APRIL - 164MAY - 161JUNE - 177JULY - 257AUGUST - 243SEPTEMBER - 211PATIENT CARE:-MEDICATION ASSISTANCE AND FAMILY MEDICINE RESIDENCY CLINIC; DEACONESS 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 FY20-21, OUR RESIDENTS TREATED MORE THAN 17,000 PATIENTS AT A COST TO THE HOSPITAL OF $2.7 MILLION. SIMILARLY, THE MAP SERVICED 2,235 INDIVIDUALS FOR 3,688 UNIQUE MEDICATIONS/PRESCRIPTIONS PROVIDED AT A TOTAL DOLLAR VALUE OF MORE THAN $66.5 MILLION IN FREE DRUGS TO PATIENTS. AN ADDITIONAL $417,702 IN COPAY/FOUNDATION ASSISTANCE WAS ALSO PROVIDED.-BEHAVIORAL HEALTH AND SUICIDE PREVENTION; STAFF FROM DEACONESS CROSS POINTE EDUCATED OVER 14,000 PEOPLE IN THE SURROUNDING COMMUNITY ABOUT BEHAVIORAL HEALTH, RELATED RESOURCES, AND SUICIDE PREVENTION.LOCAL SPONSORSHIPS:IN FY20-21, DEACONESS SPONSORED PROGRAMS AND ACTIVITIES FOR MORE THAN 170,000 PEOPLE, CONTRIBUTING $1.4 MILLION IN SUPPORT OF CLUBS, GROUPS, SOCIAL SERVICE ORGANIZATIONS, AND OTHERS STRIVING TO MAKE OUR COMMUNITY A BETTER PLACE. |
| PART VI, LINE 6: | AFFILIATED HEALTH CARE SYSTEM:DEACONESS HOSPITAL WORKS IN CONCERT WITH DEACONESS HEALTH SYSTEM, DEACONESS CLINIC AND DEACONESS SPECIALTY PHYSICIANS TO PROVIDE HEALTHCARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE. DEACONESS HEALTH SYSTEM WORKS TO INCREASE ACCESS TO HEALTHCARE SERVICES WITHIN OUR COMMUNITY THROUGH DEACONESS HOSPITAL AND DEACONESS CLINIC. DEACONESS HOSPITAL IS A MEDICAL INSTITUTION DEDICATED TO PROVIDING QUALITY PATIENT CARE WITH UNRELENTING ATTENTION TO CLINICAL EXCELLENCE, PATIENT SAFETY AND AN UNPARALLELED PASSION AND COMMITMENT TO ASSURE THE VERY BEST HEALTHCARE FOR THE PATIENTS SERVED. DEACONESS CLINIC PROVIDES EXCELLENT PRIMARY AND MULTI-SPECIALTY HEALTHCARE IN A PERSONALIZED FASHION WITH A DEDICATED FOCUS TO SERVE THE COMMUNITY WITH EXCELLENT, TIMELY AND COMPASSIONATE PATIENT CARE.DEACONESS HEALTH SYSTEM HAS PARTNERED WITH MANY RURAL HOSPITALS TO PROVIDE RESOURCES NEEDED SO THAT RESIDENTS IN THESE COMMUNITIES HAVE ACCESS TO CARE CLOSE TO HOME. THESE HOSPITALS INCLUDE FERRELL HOSPITAL AND LAWRENCE COUNTY HOSPITAL IN ILLINOIS, GIBSON COUNTY HOPSITAL IN INDIANA, AND METHODIST HOSPITAL IN KENTUCKY. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IN |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| AMERICAN RED CROSS | ||||||||
| 29 S STOCKWELL RD | EVANSVILLE | IN | 47714 | 530196605 | 501(C)(3) | $86,000 | GENERAL SUPPORT & BIOMEDICAL FUNDRAISING | |
| AURORA INC | ||||||||
| 1001 MARY STREET | EVANSVILLE | IN | 47710 | 351759576 | 501(C)(3) | $15,000 | HOMELESS OUTREACH | |
| BOYS & GIRLS CLUB OF EVANSVILLE | ||||||||
| PO BOX 6311 | EVANSVILLE | IN | 47719 | 351007558 | 501(C)(3) | $12,500 | GENERAL SUPPORT & HEALTHY HABITS PROGRAM | |
| CANCER PATHWAYS MIDWEST INC | ||||||||
| 5740 VOGEL ROAD | EVANSVILLE | IN | 47715 | 291932741 | 501(C)(3) | $18,481 | GENERAL SUPPORT & INTEGRATIVE ONCOLOGY PROGRAM | |
| CHEMO BUDDIES | ||||||||
| 3700 BELLEMEADE AVE | EVANSVILLE | IN | 47714 | 453043243 | 501(C)(3) | $12,280 | GENERAL SUPPORT & SHUTTLE BUS SPONSORSHIP | |
| CITY OF EVANSVILLE PARKS SPECIAL DISTRICT | ||||||||
| 1 NW MARTIN LUTHER KING BLVD ROOM | EVANSVILLE | IN | 47708 | 356001021 | $285,714 | AQUATIC CENTER CAPITAL CAMPAIGN | 300 | |
| ECHO COMMUNITY HEALTH CARE | ||||||||
| 315 MULBERRY STREET | EVANSVILLE | IN | 47713 | 351791786 | 501(C)(3) | $30,000 | FAMILY PRACTCE - MULTICULTURAL CLINIC | |
| ECONOMIC DEVELOPMENT COALITION OF SOUTHWEST INDIANA | ||||||||
| 318 MAIN STREET SUITE 400 | EVANSVILLE | IN | 47708 | 320152563 | 501(C)(6) | $25,000 | ONE REGION-ONE ECONOMY-ONE VOICE CAMPAIGN | |
| EVANSVILLE REGIONAL BUSINESS COMMITTEE INC | ||||||||
| ONE VECTREN SQUARE | EVANSVILLE | IN | 47708 | 030408032 | 501(C)(3) | $15,000 | GENERAL SUPPORT | |
| EVANSVILLE VANDERBURGH SCHOOL CORP | ||||||||
| 1 SE NINTH STREET | EVANSVILLE | IN | 47708 | 351071682 | 501(C)(3) | $6,150 | CLASSROOM SUPPLIES | |
| EVANSVILLE-VANDERBURGH COUNTY CONVENTION & VISITORS COMMISSION | ||||||||
| 4300 HECKEL ROAD | EVANSVILLE | IN | 47725 | 472582515 | 501(C)(3) | $50,000 | SUPPORT HEALTH TRAIL | |
| FAIRFIELD MEMORIAL HOSPITAL FOUNDATION | ||||||||
| 303 NW 11TH STREET | FAIRFIELD | IL | 62837 | 371185754 | 501(C)(3) | $50,000 | CAPITAL CAMPAIGN | |
| GOLF GIVES BACK | ||||||||
| ONE VECTREN SQUARE | EVANSVILLE | IN | 47708 | 814223347 | 501(C)(3) | $8,000 | GENERAL SUPPORT | |
| HABITAT FOR HUMANITY OF EVANSVILLE | ||||||||
| 560 E DIAMOND AVENUE | EVANSVILLE | IN | 47711 | 351602775 | 501(C)(3) | $100,000 | GENERAL SUPPORT | |
| INDIANA UNIVERSITY FOUNDATION | ||||||||
| PO BOX 500 | BLOOMINGTON | IN | 47402 | 356018940 | 501(C)(3) | $200,000 | IUSM-EVANSVILLE FURNITURE & FIXTURE FUND | |
| ISAIAH 117 HOUSE | ||||||||
| 1705 STATE LINE RD PO BOX 842 | ELIZABETHTON | TN | 37643 | 820631497 | 501(C)(3) | $10,000 | GENERAL SUPPORT | |
| IVY TECH FOUNDATION | ||||||||
| 3501 N 1ST AVENUE | EVANSVILLE | IN | 47710 | 237073977 | 501(C)(3) | $50,000 | GENERAL SUPPORT & SCHOLARSHIPS | |
| JUNIOR ACHIEVEMENT OF SW INDIANA | ||||||||
| 431 E DIAMOND AVENUE | EVANSVILLE | IN | 47711 | 356048156 | 501(C)(3) | $14,000 | INSPIRING OUR YOUTH & GENERAL SUPPORT | |
| OTHERS 5000 | ||||||||
| $159,817 | GENERAL SUPPORT | |||||||
| RONALD MCDONALD HOUSE CHARITIES OF THE OHIO VALLEY | ||||||||
| 3540 WASHINGTON AVENUE | EVANSVILLE | IN | 47714 | 351748468 | 501(C)(3) | $24,000 | GENERAL SUPPORT | |
| SOUTHERN INDIANA GRADUATE MEDICAL EDUCATION CONSORTIUM INC | ||||||||
| 515 WALNUT STREET SUITE 4134 | EVANSVILLE | IN | 47708 | 472044966 | 501(C)(3) | $100,000 | GENERAL SUPPORT | |
| TRI-STATE FOOD BANK | ||||||||
| 2504 LYNCH ROAD | EVANSVILLE | IN | 47711 | 351539870 | 501(C)(3) | $200,000 | END HUNGER NOW CAMPAIGN | |
| UNITED CARING SHELTERS | ||||||||
| 324 NW SIXTH STREET | EVANSVILLE | IN | 47708 | 351892153 | 501(C)(3) | $65,000 | HOMELESS MEDICAL RESPITE & GENERAL SUPPORT | |
| UNITED WAY OF SOUTHWESTERN INDIANA | ||||||||
| PO BOX 18 | EVANSVILLE | IN | 47701 | 350868069 | 501(C)(3) | $10,000 | GENERAL SUPPORT | |
| UNIVERSITY OF EVANSVILLE | ||||||||
| 1800 LINCOLN AVENUE | EVANSVILLE | IN | 47722 | 350868074 | 501(C)(3) | $50,000 | CERTIFIED REGISTERED NURSE ANESTHETIST PROGRAM | |
| YMCA OF SW INDIANA INC | ||||||||
| 516 COURT STREET | EVANSVILLE | IN | 47708 | 350869074 | 501(C)(3) | $12,000 | GENERAL SUPPORT & CAPITAL CAMPAIGN | |
| YOUTH FIRST | ||||||||
| 111 SE THIRD STREET STE 405 | EVANSVILLE | IN | 47708 | 352050168 | 501(C)(3) | $17,000 | GENERAL SUPPORT | |
| YWCA | ||||||||
| 118 VINE ST | EVANSVILLE | IN | 47708 | 350869075 | 501(C)(3) | $12,200 | GENERAL SUPPORT | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 25 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHAWN MCCOY | ||||||||||||||
| CEO OF DEACONESS HEALTH SYSTEM | $451,449 | $439,940 | $316,050 | $0 | $520,216 | $8,000 | $116,510 | $104,297 | $19,760 | $19,760 | $1,423,985 | $571,997 | $256,719 | $256,719 |
| MAQBOOL AHMED MD | ||||||||||||||
| DIRECTOR | $0 | $789,016 | $0 | $46,412 | $360 | $160,449 | $0 | $17,292 | $0 | $754 | $360 | $1,013,923 | $0 | $0 |
| SCOTT CORDTS MD | ||||||||||||||
| DIRECTOR | $255,661 | $0 | $51,498 | $0 | $31,402 | $5,200 | $17,292 | $0 | $26,016 | $0 | $381,869 | $5,200 | $0 | $0 |
| MIA HINDI MD | ||||||||||||||
| DIRECTOR | $0 | $1,059,796 | $0 | $139,778 | $15,500 | $299,868 | $0 | $12,969 | $0 | $28,076 | $15,500 | $1,540,487 | $0 | $0 |
| CHERYL WATHEN | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $270,709 | $266,991 | $139,230 | $0 | $104,889 | $8,200 | $84,752 | $55,349 | $19,923 | $19,923 | $619,503 | $350,463 | $50,282 | $50,282 |
| JAMES PORTER MD | ||||||||||||||
| PRESIDENT OF DEACONESS HEALTH SYSTEM | $613,687 | $891 | $189,484 | $0 | $319,761 | $3,200 | $153,695 | $0 | $35,212 | $255 | $1,311,839 | $4,346 | $316,206 | $0 |
| CHERONA HAJEWSKI | ||||||||||||||
| CHIEF NURSING OFFICER | $335,091 | $0 | $86,671 | $0 | $147,861 | $0 | $91,118 | $0 | $20,596 | $0 | $681,337 | $0 | $140,613 | $0 |
| LYNN LINGAFELTER | ||||||||||||||
| CHIEF OPERATION OFFICER | $468,988 | $51,352 | $132,157 | $0 | $70,906 | $4,800 | $98,560 | $18,605 | $27,233 | $3,026 | $797,844 | $77,783 | $66,902 | $0 |
| JOANN WOOD MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $106,391 | $22,500 | $24,802 | $0 | $2,407 | $0 | $10,186 | $5,435 | $5,262 | $1,315 | $149,048 | $29,250 | $0 | $0 |
| MARC FLORENCE | ||||||||||||||
| VICE PRESIDENT | $294,480 | $73,545 | $94,867 | $0 | $47,454 | $0 | $65,303 | $13,590 | $28,588 | $7,147 | $530,692 | $94,282 | $43,602 | $0 |
| BRADLEY SCHEU MD | ||||||||||||||
| VICE PRESIDENT | $0 | $354,827 | $6,248 | $178,517 | $0 | $32,710 | $0 | $20,434 | $0 | $34,064 | $6,248 | $620,552 | $0 | $0 |
| RAGHAV GUPTA MD | ||||||||||||||
| ANESTHESIOLOGIST | $383,232 | $0 | $657,253 | $0 | $47,377 | $0 | $8,646 | $0 | $26,472 | $0 | $1,122,980 | $0 | $0 | $0 |
| VENKATESH MADADI MD | ||||||||||||||
| ANESTHESIOLOGIST | $889,477 | $0 | $14,591 | $0 | $79,025 | $0 | $17,292 | $0 | $27,667 | $0 | $1,028,052 | $0 | $0 | $0 |
| PAUL MICK MD | ||||||||||||||
| ANESTHESIOLOGIST | $773,467 | $0 | $74,474 | $0 | $119,793 | $0 | $8,646 | $0 | $18,013 | $0 | $994,393 | $0 | $0 | $0 |
| RAJESH PATEL MD | ||||||||||||||
| ANESTHESIOLOGIST | $695,001 | $0 | $14,591 | $0 | $51,886 | $0 | $0 | $0 | $30,511 | $0 | $791,989 | $0 | $0 | $0 |
| MARK MURRAY MD | ||||||||||||||
| ANESTHESIOLOGIST | $650,917 | $0 | $15,098 | $0 | $92,482 | $0 | $8,646 | $0 | $12,918 | $0 | $780,061 | $0 | $0 | $0 |
| LINDA WHITE | ||||||||||||||
| FORMER CEO EMERITA, FOUNDATION EXEC. | $8,295 | $151,625 | $0 | $16,535 | $0 | $4,280 | $0 | $2,457 | $0 | $5,004 | $8,295 | $179,901 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 | SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS: SEVERANCE NONQUALIFIED EQUITY-BASED SHAWN MCCOY $-0- $19,500 $-0- JAMES PORTER, MD 0 19,500 0 CHERONA HAJEWSKI 0 19,500 0 VENKATESH MADADI, MD 0 19,500 0 RAGHAV GUPTA, MD 0 19,500 0 CHERYL WATHEN 0 19,500 0 LYNN LINGAFELTER 0 19,500 0 MAQBOOL AHMED, MD 0 19,500 0 MARC FLORENCE 0 19,500 0 MIA HINDI 0 19,500 0 BRADLEY SCHEU 0 19,500 0 PAUL MICK 0 18,058 0 SEVERANCE NONQUALIFIED EQUITY-BASED RAJESH PATEL $-0- $19,500 $-0- MARK MURRAY 0 19,500 0 PART I, 4B: SHAWN MCCOY: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $194,912 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $513,438 CHERYL WATHEN: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $100,294 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $100,563 JAMES PORTER: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $122,390 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $316,206 CHERONA HAJEWSKI: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $51,816 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $88,798 LYNN LINGAFELTER: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $93,097 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $66,902 JOANN WOOD SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $15,621 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $0 MARC FLORENCE: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $59,084 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $43,602 BRADLEY SCHEU: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $11,788 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $0 |
| 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. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| INDIANA FINANCE AUTHORITY-2016A | ||||||||
| A | 351602316 | 45506DXT7 | 2016-10-05 | $109,999,091 | NEW MONEY PROJECTS | 0 | 0 | 0 |
| INDIANA FINANCE AUTHORITY-2015A | ||||||||
| B | 351602316 | 45506DUL7 | 2015-07-09 | $49,772,341 | 03/6/2009 REFUNDING | 0 | 0 | 0 |
| INDIANA FINANCE AUTHORITY-2013C | ||||||||
| C | 351602316 | 45471ALU4 | 2013-07-23 | $40,180,000 | 3/26/09 REFUNDING | 0 | 0 | 0 |
| INDIANA FINANCE AUTHORITY-2013B | ||||||||
| D | 351602316 | 2013-03-05 | $21,440,000 | 5/27/04 REFUNDING | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | RetiredRetiredAmt | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $111,373,335 | $4,660,332 | $935,528 | $2,885,418 | $102,892,057 | 2018 | 0 | 0 | Yes (1) | Yes (1) | ||
| B | $49,772,341 | $601,847 | 0 | Yes (1) | Yes (1) | Yes (1) | $1,195,000 | $49,170,494 | ||||
| C | $40,180,000 | $180,000 | Yes (1) | 0 | Yes (1) | Yes (1) | $3,535,000 | $40,000,000 | ||||
| D | $21,440,000 | $125,000 | Yes (1) | 0 | Yes (1) | Yes (1) | $9,175,000 | $21,315,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||||
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
| (no name) | ||||||||||||
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | |||
| (no name) | ||||||||||||
| C | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | |||
| FIFTH THIRD | ||||||||||||
| D | 0 | 0 | Yes (1) | 0 | Yes (1) | Yes (1) | 0 | 0 | Yes (1) | 16.000000000000 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: INDIANA FINANCE AUTHORITY-2013A DATE THE REBATE COMPUTATION WAS PERFORMED: 06/22/2015 ISSUER NAME: INDIANA FINANCE AUTHORITY-2012B DATE THE REBATE COMPUTATION WAS PERFORMED: 06/22/2015 |
| PART II, LINE 3, COLUMN A: | THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE DUE THE INVESTMENT EARNINGS ON THE PROJECT FUND. |
| PART II, LINE 11: | THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW. |
| PART IV, LINE 2C, COLUMN C: | A REBATE CALCULATION WAS COMPLETED, WITH NO REBATE DUE, ON JUNE 22, 2015. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| INDIANA FINANCE AUTHORITY-2013A | ||||||||
| A | 351602316 | 45471AKY7 | 2013-03-05 | $71,336,168 | 5/27/04 AND 3/26/09 REFUNDING | 0 | 0 | 0 |
| INDIANA FINANCE AUTHORITY-2012B | ||||||||
| B | 351602316 | 2012-11-20 | $13,005,000 | 1/17/1992 REFUNDING | 0 | 0 | 0 | |
| INDIANA FINANCE AUTHORITY-2011A | ||||||||
| C | 351602316 | 45471AES7 | 2011-12-02 | $20,667,197 | 3/15/99 REFUNDING | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|
| A | $4,105,000 | $71,336,168 | $729,538 | $70,606,631 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $11,250,000 | $13,005,000 | $103,657 | $12,901,343 | Yes (1) | 0 | Yes (1) | Yes (1) |
| C | $9,275,000 | $20,667,197 | $397,197 | $20,270,000 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (9 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ABBY PAPARIELLA | |||
| SEE PART V | $73,686 | COMP. | 0 |
| BRITTNEY PHIPPS | |||
| SEE PART V | $27,209 | COMP. | 0 |
| JESSICA COX | |||
| SEE PART V | $284,946 | COMP. | 0 |
| JOAN MCCOY | |||
| SEE PART V | $56,369 | COMP. | 0 |
| LAUREN WATHEN | |||
| SEE PART V | $61,619 | COMP. | 0 |
| OLD NATIONAL BANK | |||
| SEE PART V | $17,167 | INVESTMENT MANAGEMENT FEES | 0 |
| SHERRI MCCOY | |||
| SEE PART V | $21,262 | COMP. | 0 |
| SOUTH WESTERN COMMUNICATIONS | |||
| SEE PART V | $300,529 | TELECOMMUNICATION SERVICES | 0 |
| UNIVERSITY OF SOUTHERN INDIANA | |||
| SEE PART V | $60,204 | SUPPORT | 0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCH L, PART IV, ABBREVIATION: | BD MBR = BOARD MEMBERCOMP. = REPORTABLE COMPENSATIONSRVS. = SERVICES |
| SCH L, PART V, RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: | INTERESTED PERSON: ABBY PAPARIELLARELATIONSHIP: DAUGHTER OF DAVE PAPARIELLAINTERESTED PERSON: BRITTNEY PHIPPSRELATIONSHIP: 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: UNIVERSITY OF SOUTHERN INDIANARELATIONSHIP: BOARD MEMBER RON ROCHON IS PRESIDENT OF UNIVERSITY OF SOUTHERN INDIANA. DEACONESS HOSPITAL PROVIDES GENERAL SUPPORT AND HEALTH PROFESSION SCHOLARSHIPS TO THE UNIVERSITY.INTERESTED PERSON: LAUREN WATHERNRELATIONSHIP: DAUGHTER TO CHERYL WATHEN |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | OTHER | Desc |
| Contribution | 0 | ContributionCnt |
| Noncash Contributions Rpt F990 | $40,327 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 MAIN CAMPUS WITH A TOTAL OF 263 BEDS CONSISTING OF 38 INTENSIVE CARE BEDS, 16 CARDIAC INTENSIVE CARE BEDS, 41 CARDIAC BEDS, 23 ONCOLOGY/ PULMONOLOGY BEDS, 44 ORTHOPAEDIC/ NEUROLOGICAL BEDS, 44 MEDICAL/ SURGICAL BEDS, 39 MEDICAL RENAL BEDS, AND 18 BEDS DEDICATED TO PATIENTS IN OBSERVATION. IN ADDITION, THE HOSPITAL PROVIDES A FULL-ARRAY OF COMPREHENSIVE OUTPATIENT AND AMBULATORY SERVICES ON ITS MAIN CAMPUS AND OTHER SPECIFIC SERVICES AT MULTIPLE SITES WITHIN ITS PRIMARY AND SECONDARY SERVICE AREAS. THE HOSPITAL OPERATES THE 278 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, 14 NEUROSURGICAL BEDS, 50 ORTHOPAEDIC BEDS, 50 NEURO INTENSIVE CARE BEDS, 32 SURGICAL ONCOLOGY BEDS, 46 GENERAL MED/ TELEMETRY BEDS, 24 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 MAIN 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 $12.9 MILLION OF CHARITY CARE AND $189.5 MILLION OF SUBSIDIZED SERVICES TO THE MEDICAID PROGRAM, AND $505.4 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 $11.1 MILLION IN COMMUNITY BENEFIT ACTIVITIES (ALL ON A COST BASIS), SERVING A MINIMUM OF 544,376 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 124,220,085. MANAGEMENT AND GENERAL EXPENSES 10,562,908. FUNDRAISING EXPENSES 33,060. TOTAL EXPENSES 134,816,053. PROFESSIONAL FEES- PHYSICIANS: PROGRAM SERVICE EXPENSES 15,934,071. MANAGEMENT AND GENERAL EXPENSES 12,207. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,946,278. |
| FORM 990, PART XI, LINE 9: | CHANGE IN PENSION LIABILITY 41,940,979. FOUNDATION MONIES GRANTED FROM RESTRICTION -585,155. CHANGE IN GENERAL FUND EQUITY -59,586,976. |
| 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | End Of Year AssetsEndOfYearAssetsAmt |
|---|---|---|---|---|---|---|---|---|
| REGIONAL EMERGENCY DEPARTMENT | ||||||||
| 600 MARY ST | EVANSVILLE | IN | 47710 | 463509500 | HEALTHCARE | IN | DEACONESS HOSPITAL | |
| READY DEVELOPMENT OF INDIANA | ||||||||
| 600 MARY ST | EVANSVILLE | IN | 47747 | 472040018 | REAL ESTATE | IN | DEACONESS HOSPITAL | $5,036,521 |
| BASELINE INVESTORS LLC | ||||||||
| 600 MARY ST | EVANSVILLE | IN | 47710 | REAL ESTATE | IN | DEACONESS HOSPITAL | ||
| 533 COLUMBIA LLC | ||||||||
| 600 MARY ST | EVANSVILLE | IN | 47710 | REAL ESTATE | IN | DEACONESS HOSPITAL | ||
| INVESTORS PROPERTY DEVELOPMENT LLC | ||||||||
| 600 MARY ST | EVANSVILLE | IN | 47710 | REAL ESTATE | IN | DEACONESS HOSPITAL | ||
| 7307 E COLUMBIA LLC | ||||||||
| 600 MARY ST | EVANSVILLE | IN | 47710 | REAL ESTATE | IN | DEACONESS HOSPITAL | ||
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DEACONESS HEALTH SYSTEM INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 351532889 | HEALTHCARE | IN | 501(C)(3) | LINE 12A, I | N/A | 0 | |
| DEACONESS CLINIC INC | |||||||||||
| 421 CHESNUT STREET | EVANSVILLE | IN | 47713 | 263083364 | HEALTHCARE | IN | 501(C)(3) | LINE 3 | 0 | DEACONESS HEALTH SYSTEM | |
| DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 810693478 | HEALTHCARE | IL | 501(C)(3) | LINE 10 | 0 | DEACONESS HEALTH SYSTEM | |
| DEACONESS VNA PLUS LLC | |||||||||||
| 610 E WALNUT ST | EVANSVILLE | IN | 47713 | 465223267 | HEALTHCARE | IN | 501(C)(3) | LINE 10 | 0 | DEACONESS HEALTH SYSTEM | |
| DEACONESS SPECIALTY PHYSICIANS INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 824503095 | HEALTHCARE | IN | 501(C)(3) | LINE 3 | 0 | DEACONESS HEALTH SYSTEM | |
| DEACONESS HEALTH KENTUCKY INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 830966826 | HEALTHCARE | IN | 501(C)(3) | LINE 10 | 0 | DEACONESS HEALTH SYSTEM | |
| METHODIST HEALTH INC | |||||||||||
| PO BOX 48 | HENDERSON | KY | 42419 | 610461753 | HEALTHCARE | KY | 501(C)(3) | LINE 3 | 0 | DEACONESS HEALTH SYSTEM | |
| DEACONESS GIBSON HOSPITAL | |||||||||||
| 1808 SHERMAN DR | PRINCETON | IN | 47670 | 350877575 | HEALTHCARE | IN | 501(C)(3) | LINE 3 | 0 | DEACONESS HEALTH SYSTEM | |
| HENDERSON REGIONAL HOSPITAL FOUNDATION | |||||||||||
| 1305 NORTH ELM ST | HENDERSON | KY | 42420 | 610944432 | SUPPORT METHODIST HEALTH | KY | 501(C)(3) | LINE 10 | N/A | 0 | |
| UNION COUNTY METHODIST HOSPITAL FOUNDATION | |||||||||||
| 4604 US HWY 60 WEST | MORGANFIELD | KY | 42437 | 611230297 | SUPPORT METHODIST HEALTH | KY | 501(C)(3) | LINE 10 | N/A | 0 | |
| GIBSON GENERAL HEALTH FOUNDATION INC | |||||||||||
| 1808 SHERMAN DRIVE | PRINCETON | IN | 47670 | 350950175 | SUPPORT GIBSON HOSPITAL | IN | 501(C)(3) | LINE 12A, I | 0 | DEACONESS GIBSON HOSPITAL | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEACONESS HEALTH PLANS LLC | ||||||||||||||
| 350 W COLUMBIA SUITE 400 | EVANSVILLE | IN | 47710 | 383492529 | PREFERRED PROVIDER NETWORK | IN | DEACONESS HOSPITAL | RELATED | $1,006,757 | $2,563,932 | 0 | 0 | 0.95150 | |
| PROGRESSIVE HEALTH OF IN LLC | ||||||||||||||
| 150 N ROSENBERGER | EVANSVILLE | IN | 47712 | 208480988 | OUTPATIENT | IN | DEACONESS HOSPITAL | RELATED | $3,685,819 | $2,448,320 | 0 | 0 | 0.51000 | |
| TRI-STATE RADIATION ONCOLOGY | ||||||||||||||
| 1500 ROSECRANS AVENUE | MANHATTAN BEACH | CA | 90266 | 263706834 | OUTPATIENT | DE | DEACONESS HOSPITAL | RELATED | $5,811,807 | $7,614,460 | 0 | 0 | 0.51000 | |
| MAINSPRING MANAGERS LLC | ||||||||||||||
| 4011 GATEWAY BLVD | NEWBURGH | IN | 47630 | 464601001 | NEUROLOGY SERVICES | IN | DEACONESS HOSPITAL | RELATED | $976,181 | $848,339 | 0 | 0 | 0.51000 | |
| VASCMED LLC | ||||||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 472578168 | VASCULAR SERVICES | IN | DEACONESS HOSPITAL | RELATED | $819,150 | $1,003,518 | 0 | 0 | 0.51000 | |
| ORTHOALIGN LLC | ||||||||||||||
| 4011 GATEWAY BLVD | NEWBURGH | IN | 47630 | 812816013 | HEALTHCARE | IN | DEACONESS HOSPITAL | RELATED | $2,134,477 | $2,180,947 | 0 | 0 | 0.51000 | |
| HEALTHCARE RESOURCE SOLUTIONS | ||||||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 833275390 | HEALTHCARE | IN | 0 | 0 | N/A | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRI-STATE MEDICAL MANAGEMENT INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MARY STREET | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47747 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351875888 | EIN |
| Primary Activities | PHYSICIAN MANAGEMENT | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEACONESS HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| DEACONESS HEALTH PLANS LLC | |
| P | $102,344 |
| MAINSPRING | |
| Q | $62,651 |