2022-08-15T07:42:29-05:00 2021-09-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2020-10-01 350593390 DEACONESS HOSPITAL INC DEAC 8124503296 600 MARY STREET EVANSVILLE IN 47747 SHAWN W MCCOY CEO OF DEACONESS HEALTH SYSTEM 8124503296 2022-08-15 1 SHAWN MCCOY 999009999 CARRIE A MERRILL CPA P00832283 3176334705 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z SHAWN W MCCOY CEO 600 MARY STREET EVANSVILLE IN 47747 3059175692 0 X WWW.DEACONESS.COM X 1895 IN PROVIDE QUALITY HEALTH CARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT CONTINUE TO SCH O TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE. 19 13 6606 57 16420970 190189 18259180 17733629 967249119 1109634063 29721186 230576845 86915133 92191665 1102144618 1450136202 1157407 1696764 0 0 394333935 443875875 0 0 380743 553580136 609160416 949071478 1054733055 153073140 395403147 1921220397 2234166045 703989911 639763564 1217230486 1594402481 X SEE SCHEDULE O. 0 0 192893756 554331782 PATIENT SERVICE REVENUE. SEE SCHEDULE O. 712854161 549221521 CHARITY CARE/SUBSIDIZED CARE. SEE SCHEDULE O. 21473586 7454020 GRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION AND COMMUNITY BENEFIT. SEE SCHEDULE O. 1696764 1696764 53912059 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. 1696764 1696764 53912059 928918267 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 1 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 0 0 0 1 290 0 1 6606 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 19 13 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X CHERYL A WATHEN 8124503296 600 MARY STREET EVANSVILLE IN 47747 SHAWN MCCOY CEO OF DEACONESS HEALTH SYSTEM 33.00 24.00 X X 1287715 447940 260327 DR LINDA BENNETT VICE CHAIRMAN 3.00 2.00 X 0 0 0 DANIEL HERMANN CHAIRMAN 3.00 2.00 X 0 10200 0 SHARON REED WALKER TREASURER 3.00 2.00 X 0 0 0 DAVE PAPARIELLA SECRETARY 3.00 2.00 X 0 0 0 MAQBOOL AHMED MD DIRECTOR 3.00 52.00 X 360 995877 18046 CURTIS BEGLE DIRECTOR 3.00 2.00 X 0 0 0 JEROME BENKERT JR DIRECTOR 3.00 2.00 X 0 0 0 SCOTT CORDTS MD DIRECTOR 53.00 2.00 X 338561 5200 43308 LEAH CURRY DIRECTOR 3.00 2.00 X 0 0 0 MIA HINDI MD DIRECTOR 3.00 52.00 X 15500 1499442 41045 TERI HOLLANDER ALBIN DIRECTOR 3.00 2.00 X 0 0 0 ANTHONY KAISER MD DIRECTOR 3.00 2.00 X 0 0 0 LARRY KILINSKI MD DIRECTOR 3.00 52.00 X 59478 0 0 KEVIN KOCH DIRECTOR 3.00 2.00 X 0 0 0 RONALD ROCHON MD DIRECTOR 3.00 2.00 X 0 0 0 JAMES RYAN III DIRECTOR 3.00 2.00 X 0 0 0 ERIC SCHACH DIRECTOR 3.00 2.00 X 0 0 0 JONATHAN WEINZAPFEL DIRECTOR 3.00 2.00 X 0 0 0 CHERYL WATHEN CHIEF FINANCIAL OFFICER 30.00 26.00 X 514828 275191 179947 JAMES PORTER MD PRESIDENT OF DEACONESS HEALTH SYSTEM 50.00 3.00 X 1122932 4091 189162 CHERONA HAJEWSKI CHIEF NURSING OFFICER 50.00 0.00 X 569623 0 111714 LYNN LINGAFELTER CHIEF OPERATION OFFICER 50.00 5.00 X 672051 56152 147424 JOANN WOOD MD CHIEF MEDICAL OFFICER 50.00 3.00 X 133600 22500 22198 MARC FLORENCE VICE PRESIDENT 50.00 8.00 X 436801 73545 114628 BRADLEY SCHEU MD VICE PRESIDENT 2.00 53.00 X 6248 566054 54498 JENNIFER CHIUSANO CHIEF NURSING OFFICER 50.00 0.00 X 0 0 0 RAGHAV GUPTA MD ANESTHESIOLOGIST 50.00 0.00 X 1087862 0 35118 VENKATESH MADADI MD ANESTHESIOLOGIST 50.00 0.00 X 983093 0 44959 PAUL MICK MD ANESTHESIOLOGIST 50.00 0.00 X 967734 0 26659 RAJESH PATEL MD ANESTHESIOLOGIST 50.00 0.00 X 761478 0 30511 MARK MURRAY MD ANESTHESIOLOGIST 50.00 0.00 X 758497 0 21564 LINDA WHITE FORMER CEO EMERITA, FOUNDATION EXEC. DIRECTOR 30.00 30.00 X 8295 172440 7461 9724656 4128632 1348569 438 1 1 0 EVANSVILLE SURGERY CENTER PO BOX 2185 EVANSVILLE IN 47728 SURGICAL SERVICES 29915061 PROGRESSIVEHEALTH OF INDIANA 150 N ROSENBERGER AVE EVANSVILLE IN 47712 PHYSICAL THERAPY 16516316 TRI STATE RADIATION ONCOLOGY 700 N BURKHARDT AVE EVANSVILLE IN 47715 RADIATION & ONCOLOGY SERVICES 15615460 ORTHOALIGN LLC 4011 GATEWAY BLVD NEWBURGH IN 47630 MEDICAL SERVICES 14347979 EVOLENT HEALTH LLC 800 GLEBE RD SUITE 500 ARLINGTON VA 22203 CONSULTING SERVICES 9061891 381 260729 16835600 637300 40327 17733629 NET PATIENT REVENUE 900099 1109634063 1109634063 1109634063 14499623 14499623 10972167 5729021 5243146 5243146 5243146 1819263594 1603185269 1103 216078325 -1103 216077222 216077222 33900 260729 124097 -90197 -90197 INVESTMENT IN JOINT VENTURES 900099 41018684 41018684 OTHER HOSPITAL SERVICES 900099 29587093 14266635 15320458 LABORATORY SALES 621500 12969501 12969501 3463438 3451469 11969 87038716 1450136202 1164919382 16420970 251062221 X 1696764 1696764 5550805 5550805 338105248 307094463 30789410 221375 12739966 11278428 1461538 65849819 55209943 10639876 21630037 19507129 2122908 418828 390 418438 38970 38970 91455 91455 2267503 2267503 150762331 140154156 10575115 33060 1053320 25386 1027934 11979309 10569457 1382166 27686 19531227 11686626 7844601 14249497 8333953 5915544 258439 203736 54703 138000 86733 50599 668 11279949 6660479 4619470 51667726 33259886 18407791 49 5117461 4107552 1009909 MEDICAL/SURGICAL SUPPLI 221585134 222294470 -709336 MEDICAID ASSESSMENT FEE 39736645 39736645 EQUIP RENTAL/MAINTENANC 24303133 18166668 6136465 DUES & SUBSCRIPTIONS 854048 345704 480270 28074 53827441 38499699 15257911 69831 1054733055 928918267 125434045 380743 222180059 229670204 144630180 178461608 1785214 1576444 8511488 9859049 14069480 16389635 1105731524 610240447 493860563 495491077 844580684 1073492234 55478236 56288309 48206614 48218553 87917879 124718932 1921220397 2234166045 100455955 107353783 1600383 1759250 288892997 281980796 313040576 248669735 703989911 639763564 X 1211096598 1587995646 6133888 6406835 1217230486 1594402481 1921220397 2234166045 X 395403147 -18231152 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 12000 12000 0 PART II-B, LINE 1: LOBBYING EXPENDITURES CONSISTED OF A PORTION OF MEMBERSHIP DUES TO PROFESSIONAL ORGANIZATIONS IN WHICH DEACONESS HOSPITAL AND ITS EMPLOYEES ARE MEMBERS. THE LOBBYING PORTION OF THE DUES IS NOTED ON THE MEMBERSHIP APPLICATION OR BILLING STATEMENT. 8745525 1100 1041502 154521 9633606 8037280 1075 867885 160715 8745525 7914040 1075 195423 73258 8037280 7389906 120 606614 82600 7914040 6877438 1200 705719 194451 7389906 0.13000 0.87000 0 0 6328718 17787616 24116334 54284953 693634273 391285853 356633373 296088442 218954594 77133848 37607522 37607522 495491077 RELATED ORGANIZATION RECEIVABLES 76712324 OTHER ASSETS 16619729 RIGHT OF USE ASSET 31386879 124718932 ACCRUED RETIREMENT BENEFITS 80606365 RELATED ORGANIZATION PAYABLES 4102458 TAXABLE BOND- SERIES 2016 48300000 DEBT ISSUE COSTS -128957 RIGHT OF USE ASSETS 31419150 MEDICARE ADVANCED FUNDING 77544186 CARES ACT LIABILITY 38311 ESTIMATED THIRD PARTY SETTLEMENT 6788222 248669735 X PART V, LINE 4: THE DEACONESS HOSPITAL FOUNDATION UTILIZES ENDOWMENT FUNDS TO SUPPORT AND BENEFIT THE MISSION OF DEACONESS HOSPITAL. SPECIFICALLY, ENDOWMENT FUNDS ARE USED TO HELP SUPPORT ACTIVITIES OR PROJECTS THAT HELP TO PROVIDE QUALITY HEALTH CARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 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. DH PARTY OF YR 164514 146114 18400 10834 20461 17100 17147 DH CLASSIC 130115 114615 15500 5985 27577 273 1570 23150 294629 260729 33900 5985 38411 20734 18670 40297 124097 -90197 1 1 X 1 X 1 X 1 1 1 0 1 1 13320785 13320785 0.01260 205393987 162917887 42476100 0.04030 218714772 162917887 55796885 0.05290 1015465 0 1015465 0.00100 9438012 2469784 6968228 0.00660 272381 4943 267438 0.00030 0 0 2408074 44526 2363548 0.00220 13133932 2519253 10614679 0.01010 231848704 165437140 66411564 0.06300 10000 10000 0.00000 26160 26160 0.00000 5000 5000 0.00000 16890 16890 0.00000 58050 58050 0.00000 1 10951935 242171297 221305096 20866201 X 1 1 3 1 DEACONESS HOSPITAL INC 600 MARY STREET EVANSVILLE IN 47747 WWW.DEACONESS.COM 20-005074-1 X X X X 2 DEACONESS GATEWAY HOSPITAL 4011 GATEWAY BLVD NEWBURGH IN 47630 WWW.DEACONESS.COM 20-005074-1 X X X X 3 DEACONESS CROSS POINTE 7200 E INDIANA STREET EVANSVILLE IN 47715 WWW.DEACONESS.COM 20-005074-1 X DEACONESS HOSPITAL INC 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X HTTP://WWW.DEACONESS.COM/CHNA X 1 18 1 HTTP://WWW.DEACONESS.COM/CHNA 0 1 X 200.000000000000 400.000000000000 X X 1 1 X X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X X 1 X 0 X X X X 1 X 0 0 DEACONESS GATEWAY HOSPITAL 2 0 0 1 X X X X X X X X X 18 1 1 1 1 X HTTP://WWW.DEACONESS.COM/CHNA X 1 18 1 HTTP://WWW.DEACONESS.COM/CHNA 0 1 X 200.000000000000 400.000000000000 X X 1 1 X X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X X 1 X 0 X X X X 1 X 0 0 DEACONESS CROSS POINTE 3 0 0 1 X X X X X X X X X 18 1 1 1 1 X HTTP://WWW.DEACONESS.COM/CHNA X 1 18 1 HTTP://WWW.DEACONESS.COM/CHNA 0 1 X 200.000000000000 400.000000000000 X X 1 1 X X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X X 1 X 0 X X X X 1 X 0 0 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 31 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 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 1 AMERICAN RED CROSS 29 S STOCKWELL RD EVANSVILLE IN 47714 530196605 501(C)(3) 86000 GENERAL SUPPORT & BIOMEDICAL FUNDRAISING AURORA INC 1001 MARY STREET EVANSVILLE IN 47710 351759576 501(C)(3) 15000 HOMELESS OUTREACH BOYS & GIRLS CLUB OF EVANSVILLE PO BOX 6311 EVANSVILLE IN 47719 351007558 501(C)(3) 12500 GENERAL SUPPORT & HEALTHY HABITS PROGRAM CANCER PATHWAYS MIDWEST INC 5740 VOGEL ROAD EVANSVILLE IN 47715 291932741 501(C)(3) 18481 GENERAL SUPPORT & INTEGRATIVE ONCOLOGY PROGRAM CHEMO BUDDIES 3700 BELLEMEADE AVE EVANSVILLE IN 47714 453043243 501(C)(3) 12280 GENERAL SUPPORT & SHUTTLE BUS SPONSORSHIP CITY OF EVANSVILLE PARKS SPECIAL DISTRICT 1 NW MARTIN LUTHER KING BLVD ROOM 300 EVANSVILLE IN 47708 356001021 285714 AQUATIC CENTER CAPITAL CAMPAIGN ECHO COMMUNITY HEALTH CARE 315 MULBERRY STREET EVANSVILLE IN 47713 351791786 501(C)(3) 30000 FAMILY PRACTCE - MULTICULTURAL CLINIC ECONOMIC DEVELOPMENT COALITION OF SOUTHWEST INDIANA 318 MAIN STREET SUITE 400 EVANSVILLE IN 47708 320152563 501(C)(6) 25000 ONE REGION-ONE ECONOMY-ONE VOICE CAMPAIGN EVANSVILLE REGIONAL BUSINESS COMMITTEE INC ONE VECTREN SQUARE EVANSVILLE IN 47708 030408032 501(C)(3) 15000 GENERAL SUPPORT EVANSVILLE VANDERBURGH SCHOOL CORP 1 SE NINTH STREET EVANSVILLE IN 47708 351071682 501(C)(3) 6150 CLASSROOM SUPPLIES EVANSVILLE-VANDERBURGH COUNTY CONVENTION & VISITORS COMMISSION 4300 HECKEL ROAD EVANSVILLE IN 47725 472582515 501(C)(3) 50000 SUPPORT HEALTH TRAIL FAIRFIELD MEMORIAL HOSPITAL FOUNDATION 303 NW 11TH STREET FAIRFIELD IL 62837 371185754 501(C)(3) 50000 CAPITAL CAMPAIGN GOLF GIVES BACK ONE VECTREN SQUARE EVANSVILLE IN 47708 814223347 501(C)(3) 8000 GENERAL SUPPORT HABITAT FOR HUMANITY OF EVANSVILLE 560 E DIAMOND AVENUE EVANSVILLE IN 47711 351602775 501(C)(3) 100000 GENERAL SUPPORT INDIANA UNIVERSITY FOUNDATION PO BOX 500 BLOOMINGTON IN 47402 356018940 501(C)(3) 200000 IUSM-EVANSVILLE FURNITURE & FIXTURE FUND ISAIAH 117 HOUSE 1705 STATE LINE RD PO BOX 842 ELIZABETHTON TN 37643 820631497 501(C)(3) 10000 GENERAL SUPPORT IVY TECH FOUNDATION 3501 N 1ST AVENUE EVANSVILLE IN 47710 237073977 501(C)(3) 50000 GENERAL SUPPORT & SCHOLARSHIPS JUNIOR ACHIEVEMENT OF SW INDIANA 431 E DIAMOND AVENUE EVANSVILLE IN 47711 356048156 501(C)(3) 14000 INSPIRING OUR YOUTH & GENERAL SUPPORT OTHERS 5000 159817 GENERAL SUPPORT RONALD MCDONALD HOUSE CHARITIES OF THE OHIO VALLEY 3540 WASHINGTON AVENUE EVANSVILLE IN 47714 351748468 501(C)(3) 24000 GENERAL SUPPORT SOUTHERN INDIANA GRADUATE MEDICAL EDUCATION CONSORTIUM INC 515 WALNUT STREET SUITE 4134 EVANSVILLE IN 47708 472044966 501(C)(3) 100000 GENERAL SUPPORT TRI-STATE FOOD BANK 2504 LYNCH ROAD EVANSVILLE IN 47711 351539870 501(C)(3) 200000 END HUNGER NOW CAMPAIGN UNITED CARING SHELTERS 324 NW SIXTH STREET EVANSVILLE IN 47708 351892153 501(C)(3) 65000 HOMELESS MEDICAL RESPITE & GENERAL SUPPORT UNITED WAY OF SOUTHWESTERN INDIANA PO BOX 18 EVANSVILLE IN 47701 350868069 501(C)(3) 10000 GENERAL SUPPORT UNIVERSITY OF EVANSVILLE 1800 LINCOLN AVENUE EVANSVILLE IN 47722 350868074 501(C)(3) 50000 CERTIFIED REGISTERED NURSE ANESTHETIST PROGRAM YMCA OF SW INDIANA INC 516 COURT STREET EVANSVILLE IN 47708 350869074 501(C)(3) 12000 GENERAL SUPPORT & CAPITAL CAMPAIGN YOUTH FIRST 111 SE THIRD STREET STE 405 EVANSVILLE IN 47708 352050168 501(C)(3) 17000 GENERAL SUPPORT YWCA 118 VINE ST EVANSVILLE IN 47708 350869075 501(C)(3) 12200 GENERAL SUPPORT 25 2 PART I, LINE 2: DEACONESS HOSPITAL CONFIRMS ALL RECIPIENTS OF FUNDS ARE ORGANIZATIONS WHOSE GOALS COINCIDE WITH DEACONESS' MISSION OF PROVIDING QUALITY HEALTH CARE WITH A COMPASSIONATE AND CARING SPIRIT. THE ORGANIZATIONS PROVIDE NEEDED SERVICES TO OUR COMMUNITY TO IMPROVE HEALTH AND WELLNESS FOR THE CITIZENS IN THE SURROUNDING AREA. X 1 1 X X X X X 0 1 0 0 0 1 1 0 0 SHAWN MCCOY CEO OF DEACONESS HEALTH SYSTEM 451449 439940 316050 0 520216 8000 116510 104297 19760 19760 1423985 571997 256719 256719 MAQBOOL AHMED MD DIRECTOR 0 789016 0 46412 360 160449 0 17292 0 754 360 1013923 0 0 SCOTT CORDTS MD DIRECTOR 255661 0 51498 0 31402 5200 17292 0 26016 0 381869 5200 0 0 MIA HINDI MD DIRECTOR 0 1059796 0 139778 15500 299868 0 12969 0 28076 15500 1540487 0 0 CHERYL WATHEN CHIEF FINANCIAL OFFICER 270709 266991 139230 0 104889 8200 84752 55349 19923 19923 619503 350463 50282 50282 JAMES PORTER MD PRESIDENT OF DEACONESS HEALTH SYSTEM 613687 891 189484 0 319761 3200 153695 0 35212 255 1311839 4346 316206 0 CHERONA HAJEWSKI CHIEF NURSING OFFICER 335091 0 86671 0 147861 0 91118 0 20596 0 681337 0 140613 0 LYNN LINGAFELTER CHIEF OPERATION OFFICER 468988 51352 132157 0 70906 4800 98560 18605 27233 3026 797844 77783 66902 0 JOANN WOOD MD CHIEF MEDICAL OFFICER 106391 22500 24802 0 2407 0 10186 5435 5262 1315 149048 29250 0 0 MARC FLORENCE VICE PRESIDENT 294480 73545 94867 0 47454 0 65303 13590 28588 7147 530692 94282 43602 0 BRADLEY SCHEU MD VICE PRESIDENT 0 354827 6248 178517 0 32710 0 20434 0 34064 6248 620552 0 0 RAGHAV GUPTA MD ANESTHESIOLOGIST 383232 0 657253 0 47377 0 8646 0 26472 0 1122980 0 0 0 VENKATESH MADADI MD ANESTHESIOLOGIST 889477 0 14591 0 79025 0 17292 0 27667 0 1028052 0 0 0 PAUL MICK MD ANESTHESIOLOGIST 773467 0 74474 0 119793 0 8646 0 18013 0 994393 0 0 0 RAJESH PATEL MD ANESTHESIOLOGIST 695001 0 14591 0 51886 0 0 0 30511 0 791989 0 0 0 MARK MURRAY MD ANESTHESIOLOGIST 650917 0 15098 0 92482 0 8646 0 12918 0 780061 0 0 0 LINDA WHITE FORMER CEO EMERITA, FOUNDATION EXEC. 8295 151625 0 16535 0 4280 0 2457 0 5004 8295 179901 0 0 PART I, LINE 1A SOCIAL CLUB DUES ARE PAID FOR LINDA WHITE AND SHAWN MCCOY FOR ORGANIZATION BUSINESS ONLY. ANY PERSONAL USE OF THE CLUB MUST BE PAID BY THE EMPLOYEES. PART I, LINE 4B 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. A INDIANA FINANCE AUTHORITY-2016A 351602316 45506DXT7 2016-10-05 109999091 NEW MONEY PROJECTS 0 0 0 B INDIANA FINANCE AUTHORITY-2015A 351602316 45506DUL7 2015-07-09 49772341 03/6/2009 REFUNDING 0 0 0 C INDIANA FINANCE AUTHORITY-2013C 351602316 45471ALU4 2013-07-23 40180000 3/26/09 REFUNDING 0 0 0 D INDIANA FINANCE AUTHORITY-2013B 351602316 2013-03-05 21440000 5/27/04 REFUNDING 0 0 0 A 111373335 4660332 935528 2885418 102892057 2018 0 0 1 1 B 1195000 49772341 601847 49170494 0 1 1 1 C 3535000 40180000 180000 40000000 1 0 1 1 D 9175000 21440000 125000 21315000 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 1 0 1 1 FIFTH THIRD 16.000000000000 0 0 0 0 1 A 1 B 1 C 1 D 1 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. A INDIANA FINANCE AUTHORITY-2013A 351602316 45471AKY7 2013-03-05 71336168 5/27/04 AND 3/26/09 REFUNDING 0 0 0 B INDIANA FINANCE AUTHORITY-2012B 351602316 2012-11-20 13005000 1/17/1992 REFUNDING 0 0 0 C INDIANA FINANCE AUTHORITY-2011A 351602316 45471AES7 2011-12-02 20667197 3/15/99 REFUNDING 0 0 0 A 4105000 71336168 729538 70606631 1 0 1 1 B 11250000 13005000 103657 12901343 1 0 1 1 C 9275000 20667197 397197 20270000 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 ABBY PAPARIELLA SEE PART V 73686 COMP. 0 BRITTNEY PHIPPS SEE PART V 27209 COMP. 0 JESSICA COX SEE PART V 284946 COMP. 0 JOAN MCCOY SEE PART V 56369 COMP. 0 LAUREN WATHEN SEE PART V 61619 COMP. 0 OLD NATIONAL BANK SEE PART V 17167 INVESTMENT MANAGEMENT FEES 0 SHERRI MCCOY SEE PART V 21262 COMP. 0 SOUTH WESTERN COMMUNICATIONS SEE PART V 300529 TELECOMMUNICATION SERVICES 0 UNIVERSITY OF SOUTHERN INDIANA SEE PART V 60204 SUPPORT 0 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 X OTHER 0 40327 FMV 0 1 0 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. 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