FURP.ORG / PUBLIC DATA EXPLORER

DEACONESS HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
DEACONESS HOSPITAL INC (EIN 35-0593390)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-02-18
IRS object ID
202010499349300536
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-02-18T11:56:18-06:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 N MERIDIAN ST SUITE 200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN350593390EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHAWN W MCCOYPersonNm
Person TitleCEO OF DEACONESS HEALTH SYSTEMPersonTitleTxt
Phone8124503296PhoneNum
Signature2020-02-18SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCARRIE A MERRILL CPAPreparerPersonNm
PTINP00832283PTIN
Phone3176334705PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address38.109.186.2IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-02-18IPDt
IP Tm09:10:05IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdCF253C16AA79457DBB141110F0942FA5491417DBAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-06 18:47:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSHAWN W MCCOY CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 MARY STREETAddressLine1Txt
CityEVANSVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP47747ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,458,608,651GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DEACONESS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1895FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionPROVIDE QUALITY HEALTH CARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT CONTINUE TO SCH O TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee6386TotalEmployeeCnt
Total Volunteers137TotalVolunteersCnt
Total Gross UBI$15,899,116TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$508,464NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,678,599PYContributionsGrantsAmt
CY Contributions Grants$1,646,761CYContributionsGrantsAmt
PY Program Service Revenue$828,361,410PYProgramServiceRevenueAmt
CY Program Service Revenue$942,375,847CYProgramServiceRevenueAmt
PY Investment Income$24,356,181PYInvestmentIncomeAmt
CY Investment Income$20,915,857CYInvestmentIncomeAmt
PY Other Revenue$82,114,245PYOtherRevenueAmt
CY Other Revenue$82,689,151CYOtherRevenueAmt
PY Total Revenue$936,510,435PYTotalRevenueAmt
CY Total Revenue$1,047,627,616CYTotalRevenueAmt
PY Grants And Similar Paid$1,303,395PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$850,589CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$347,286,715PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$371,491,921CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$537,131CYTotalFundraisingExpenseAmt
PY Other Expenses$433,400,766PYOtherExpensesAmt
CY Other Expenses$515,947,339CYOtherExpensesAmt
PY Total Expenses$781,990,876PYTotalExpensesAmt
CY Total Expenses$888,289,849CYTotalExpensesAmt
PY Revenues Less Expenses$154,519,559PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$159,337,767CYRevenuesLessExpensesAmt
Total Assets BOY$1,596,773,714TotalAssetsBOYAmt
Total Assets EOY$1,654,034,103TotalAssetsEOYAmt
Total Liabilities BOY$524,523,861TotalLiabilitiesBOYAmt
Total Liabilities EOY$550,747,717TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,072,249,853NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,103,286,386NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE O.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$167,975,717ExpenseAmt
Revenue$531,164,965RevenueAmt
DescPATIENT SERVICE REVENUE. SEE SCHEDULE O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$617,757,487ExpenseAmt
Revenue$407,727,651RevenueAmt
DescCHARITY CARE/SUBSIDIZED CARE. SEE SCHEDULE O.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$12,551,818ExpenseAmt
Revenue$3,483,231RevenueAmt
DescGRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION AND COMMUNITY BENEFIT. SEE SCHEDULE O.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$850,589ExpenseAmt
Grant$850,589GrantAmt
Revenue$39,990,164RevenueAmt
DescALL 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
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$850,589TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$850,589TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$39,990,164TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$799,135,611TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow AccountYes (1)EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document279IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee6386EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SHAWN MCCOY
CEO OF DEACONESS HEALTH SYSTEM33.0022.00Yes (X)Yes (X)$776,080$371,300$213,381
DANIEL HERMANN
CHAIRMAN3.002.00Yes (X)$0$0$0
SHARON REED WALKER
TREASURER3.002.00Yes (X)$0$0$0
DR LINDA BENNETT
SECRETARY3.002.00Yes (X)$0$0$0
BRUCE ADYE MD
DIRECTOR3.002.00Yes (X)$3,150$0$0
MAQBOOL AHMED MD
DIRECTOR3.0053.00Yes (X)$720$779,955$42,859
CURTIS BEGLE
DIRECTOR-TERM BEGAN JAN'193.002.00Yes (X)$0$0$0
JEROME BENKERT JR
DIRECTOR-TERM BEGAN OCT'183.002.00Yes (X)$0$0$0
STEVEN CHURCH
DIRECTOR3.002.00Yes (X)$0$0$0
SCOTT CORDTS MD
DIRECTOR-TERM BEGAN OCT'1853.002.00Yes (X)$264,118$0$44,743
TERI HOLLANDER ALBIN
DIRECTOR3.002.00Yes (X)$0$0$0
ANTHONY KAISER MD
DIRECTOR3.002.00Yes (X)$0$0$0
DAVE PAPARIELLA
DIRECTOR-TERM BEGAN OCT'183.002.00Yes (X)$0$0$0
BARRY PHILLIPS MD
DIRECTOR3.0053.00Yes (X)$7,200$456,705$42,831
JAMES RYAN III
DIRECTOR3.002.00Yes (X)$0$0$0
DAVID RYON MD
DIRECTOR53.002.00Yes (X)$427,740$11,950$47,556
ERIC SCHACH
DIRECTOR3.002.00Yes (X)$0$0$0
STEPHEN TITZER CPA
DIRECTOR3.003.00Yes (X)$0$0$0
JONATHAN WEINZAPFEL
DIRECTOR3.002.00Yes (X)$0$0$0
JOHN ENGELBRECHT
TREASURER-TERM ENDED OCT'183.002.00Yes (X)$0$0$0
MATHIAS KOLLECK II MD
DIRECTOR-TERM ENDED OCT'1853.002.00Yes (X)$466,613$6,400$53,099
CHERYL WATHEN
CHIEF FINANCIAL OFFICER30.0025.00Yes (X)$470,210$262,337$168,560
JAMES PORTER MD
PRESIDENT OF DEACONESS HEALTH50.003.00Yes (X)$1,098,818$2,800$176,617
CHERONA HAJEWSKI
CHIEF NURSING OFFICER50.000.00Yes (X)$525,022$0$112,593
LYNN LINGAFELTER
CHIEF OPERATION OFFICER50.004.00Yes (X)$515,346$4,000$95,251
HERMAN BLANTON MD
CHIEF MEDICAL OFFICER50.003.00Yes (X)$460,970$0$103,534
MARC FLORENCE
VICE PRESIDENT50.007.00Yes (X)$383,362$0$94,534
KATHY SCHENK
HR DIRECTOR50.000.00$161,675$0$38,169Yes (X)
KENNETH DICKEN
CONTROLLER, DIRECTOR FINAN50.000.00$287,411$3,400$42,290Yes (X)
RICHARD PERRY
CONTROLLER, PHYSICIAN PRAC50.000.00$214,937$0$27,185Yes (X)
CAROLYN MORTON
PHARMACY AND LAB DIRECTOR50.000.00$216,707$0$45,971Yes (X)
SUSAN BRUMLEY
IMAGING AND CARDIOVASCULAR50.000.00$180,471$0$34,283Yes (X)
DOUGLAS WELP
IN-HOUSE COUNSEL50.000.00$288,702$0$24,829Yes (X)
VENKATESH MADADI MD
ANESTHESIOLOGIST50.000.00$884,891$0$52,671Yes (X)
NIRMAL JOSHI MD
ANESTHESIOLOGIST50.000.00$776,718$0$49,831Yes (X)
KISHWAR NAZ MD
ANESTHESIOLOGIST50.000.00$756,905$0$35,913Yes (X)
RAJESH PATEL MD
ANESTHESIOLOGIST50.000.00$713,024$0$52,237Yes (X)
DAVID FISH MD
ANESTHESIOLOGIST50.000.00$717,809$0$37,763Yes (X)
LINDA WHITE
FORMER CEO EMERITA50.001.00$194,928$4,000$14,796Yes (X)
BRUCE EPMEIER
FORMER OFFICER0.000.00$156,420$2,000$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,949,947TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,904,847TotReportableCompRltdOrgAmt
Total Other Compensation$1,651,496TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K328IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BARTON MALOW COMPANY
26500 AMERICAN DRSOUTHFIELDMI48034CONSTRUCTION SERVICES$42,878,978
EVANSVILLE SURGERY CENTER
PO BOX 2185EVANSVILLEIN47728SURGICAL SERVICES$31,637,919
PROGRESSIVE HEALTH INDIANA LLC
150 N ROSENBERGER AVEEVANSVILLEIN47712PHYSICAL THERAPY$16,153,706
EVOLENT HEALTH LLC
800 GLEBE RD SUITE 500ARLINGTONVA22203CONSULTING SERVICES$13,829,116
ORTHOALIGN LLC
4011 GATEWAY BLVDNEWBURGHIN47630MEDICAL SERVICES$13,751,533
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K166CntrctRcvdGreaterThan100KCnt
Fundraising$344,724FundraisingAmt
Government Grants$129,477GovernmentGrantsAmt
All Other Contributions$1,172,560AllOtherContributionsAmt
Noncash Contributions$93,486NoncashContributionsAmt
Total Contributions$1,646,761TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business900099BusinessCd
Total Revenue Column$942,375,847TotalRevenueColumnAmt
Related Or Exempt Func Income$942,375,847RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$942,375,847TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,160,807TotalRevenueColumnAmt
Exclusion$15,160,807ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$9,741,205RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$5,032,826RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,708,379RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,708,379TotalRevenueColumnAmt
Exclusion$4,708,379ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$374,268,500SecuritiesAmt
Other$37,212,499OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$368,129,652SecuritiesAmt
Other$37,596,297OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$6,138,848SecuritiesAmt
Other-$383,798OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,755,050TotalRevenueColumnAmt
Exclusion$5,755,050ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$145,910FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$344,724ContriRptFundraisingEventAmt
Fundraising Direct Expenses$222,260FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$76,350TotalRevenueColumnAmt
Exclusion-$76,350ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
INVESTMENT IN JOINT VENTURES900099$34,416,255$34,416,255
OTHER HOSPITAL SERVICES900099$27,741,751$5,573,909$22,167,842
LABORATORY SALES621500$12,882,214$12,882,214

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,016,902TotalRevenueColumnAmt
Unrelated Business Revenue$3,016,902UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$78,057,122OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,047,627,616TotalRevenueColumnAmt
Related Or Exempt Func Income$982,366,011RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$15,899,116UnrelatedBusinessRevenueAmt
Exclusion$47,715,728ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$850,589TotalAmt
Program Services$850,589ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,475,213TotalAmt
Management And General$7,475,213ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$280,764,705TotalAmt
Program Services$261,942,907ProgramServicesAmt
Management And General$18,471,953ManagementAndGeneralAmt
Fundraising$349,845FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$15,063,932TotalAmt
Program Services$13,075,051ProgramServicesAmt
Management And General$1,971,846ManagementAndGeneralAmt
Fundraising$17,035FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$49,247,372TotalAmt
Program Services$41,576,154ProgramServicesAmt
Management And General$7,671,218ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$18,940,699TotalAmt
Program Services$17,203,129ProgramServicesAmt
Management And General$1,716,697ManagementAndGeneralAmt
Fundraising$20,873FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,466,226TotalAmt
Management And General$1,466,226ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$195,156TotalAmt
Management And General$195,156ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$32,802TotalAmt
Management And General$32,802ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,805,074TotalAmt
Management And General$1,805,074ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$144,415,931TotalAmt
Program Services$141,328,061ProgramServicesAmt
Management And General$3,071,866ManagementAndGeneralAmt
Fundraising$16,004FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,135,563TotalAmt
Program Services$49,412ProgramServicesAmt
Management And General$1,086,151ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,575,625TotalAmt
Program Services$11,075,810ProgramServicesAmt
Management And General$2,462,953ManagementAndGeneralAmt
Fundraising$36,862FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$16,931,799TotalAmt
Program Services$11,120,312ProgramServicesAmt
Management And General$5,811,487ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$18,403,794TotalAmt
Program Services$11,871,430ProgramServicesAmt
Management And General$6,532,364ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$528,312TotalAmt
Program Services$338,688ProgramServicesAmt
Management And General$186,628ManagementAndGeneralAmt
Fundraising$2,996FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,135,017TotalAmt
Program Services$719,947ProgramServicesAmt
Management And General$411,874ManagementAndGeneralAmt
Fundraising$3,196FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$12,103,020TotalAmt
Program Services$7,134,976ProgramServicesAmt
Management And General$4,968,044ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$50,378,309TotalAmt
Program Services$33,421,615ProgramServicesAmt
Management And General$16,956,645ManagementAndGeneralAmt
Fundraising$49FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,266,259TotalAmt
Program Services$3,253,857ProgramServicesAmt
Management And General$12,402ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL/SURGICAL SUPPLI$177,761,656$177,761,656
MEDICAID ASSESSMENT FEE$37,503,663$37,503,663
EQUIP RENTAL/MAINTENANC$18,214,071$16,471,611$1,742,460
DUES & SUBSCRIPTIONS$736,618$228,931$501,447$6,240

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$16,358,444TotalAmt
Program Services$12,207,812ProgramServicesAmt
Management And General$4,066,601ManagementAndGeneralAmt
Fundraising$84,031FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$888,289,849TotalAmt
Program Services$799,135,611ProgramServicesAmt
Management And General$88,617,107ManagementAndGeneralAmt
Fundraising$537,131FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$72,567,000BOYAmt
EOY$83,582,828EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$138,315,501BOYAmt
EOY$133,412,369EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$3,900,237BOYAmt
EOY$1,549,060EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,085,451BOYAmt
EOY$7,388,324EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,417,895BOYAmt
EOY$12,822,146EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,085,905,976LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$581,074,999LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$510,013,808BOYAmt
EOY$504,830,977EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$736,137,013BOYAmt
EOY$770,685,857EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$42,457,424BOYAmt
EOY$51,664,486EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$48,206,614BOYAmt
EOY$48,206,614EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$23,672,771BOYAmt
EOY$39,891,442EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,596,773,714BOYAmt
EOY$1,654,034,103EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$96,177,167BOYAmt
EOY$89,449,202EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,472,480BOYAmt
EOY$1,643,957EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$300,504,348BOYAmt
EOY$295,600,927EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$126,369,866BOYAmt
EOY$164,053,631EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$524,523,861BOYAmt
EOY$550,747,717EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,065,971,369BOYAmt
EOY$1,097,044,932EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,375,983BOYAmt
EOY$4,375,402EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,902,501BOYAmt
EOY$1,866,052EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,072,249,853BOYAmt
EOY$1,103,286,386EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,596,773,714BOYAmt
EOY$1,654,034,103EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$159,337,767ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$128,301,234OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$32,802OtherActivitiesAmt
Total Lobbying Expenditures$32,802TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,914,040BeginningYearBalanceAmt
Contributions$1,075ContributionsAmt
Investment Earnings Or Losses$195,423InvestmentEarningsOrLossesAmt
Other Expenditures$73,258OtherExpendituresAmt
End Year Balance$8,037,280EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,389,906BeginningYearBalanceAmt
Contributions$120ContributionsAmt
Investment Earnings Or Losses$606,614InvestmentEarningsOrLossesAmt
Other Expenditures$82,600OtherExpendituresAmt
End Year Balance$7,914,040EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,877,438BeginningYearBalanceAmt
Contributions$1,200ContributionsAmt
Investment Earnings Or Losses$705,719InvestmentEarningsOrLossesAmt
Other Expenditures$194,451OtherExpendituresAmt
End Year Balance$7,389,906EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,660,917BeginningYearBalanceAmt
Contributions$50ContributionsAmt
Investment Earnings Or Losses$445,045InvestmentEarningsOrLossesAmt
Other Expenditures$228,574OtherExpendituresAmt
End Year Balance$6,877,438EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,749,437BeginningYearBalanceAmt
Contributions$1,327ContributionsAmt
Investment Earnings Or Losses-$39,488InvestmentEarningsOrLossesAmt
Other Expenditures$50,341OtherExpendituresAmt
Administrative Expenses$18AdministrativeExpensesAmt
End Year Balance$6,660,917EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.13000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.87000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$4,714,090InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$17,708,691OtherCostOrOtherBasisAmt
Book Value$22,422,781BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$55,374,725InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$664,613,885OtherCostOrOtherBasisAmt
Depreciation$351,731,504DepreciationAmt
Book Value$368,257,106BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$303,418,973OtherCostOrOtherBasisAmt
Depreciation$229,343,495DepreciationAmt
Book Value$74,075,478BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,075,612OtherCostOrOtherBasisAmt
Book Value$40,075,612BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$504,830,977TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
ACCRUED RETIREMENT BENEFITS$109,134,507
ESTIMATED THIRD PARTY SETTLEMENTS$1,203,209
RELATED ORGANIZATION PAYABLES$1,276,706
TAXABLE BOND- SERIES 2016$52,500,000
DEBT ISSUE COSTS-$60,791
FieldValueIRS element (for citing)
Total Liability$164,053,631TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE DEACONESS HOSPITAL FOUNDATION UTILIZES ENDOWMENT FUNDS TO SUPPORT AND BENEFIT THE MISSION OF DEACONESS HOSPITAL. SPECIFICALLY, ENDOWMENT FUNDS ARE USED TO HELP SUPPORT ACTIVITIES OR PROJECTS THAT HELP TO PROVIDE QUALITY HEALTH CARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE.
PART X, LINE 2:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE COMPANY AND RECOGNIZE A TAX LIABILITY IF THE COMPANY 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 COMPANY AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2019 AND 2018, 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 COMPANY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART VII AND IX:SECTIONS ARE NOT REQUIRED AS THE TOTALS FOR EACH LINE ARE LESS THAN 5% OF THE TOTAL ASSETS LISTED ON FORM 990, PART X, LINE 16.
PART XI AND XII:SECTIONS ARE NOT REQUIRED AS THE ORGANIZATION IS PART OF A CONSOLIDATED FINANCIAL STATEMENT. THE CONSOLIDATED FINANCIAL STATEMENT IS AUDITED BY AN INDEPENDENT ACCOUNTING FIRM AND IS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DH PARTY OF YREvent1Nm
Gross Receipts Event1$242,100GrossReceiptsEvent1Amt
Charitable Contri Event1$121,350CharitableContriEvent1Amt
Gross Revenue Event1$120,750GrossRevenueEvent1Amt
Non Cash Prizes Event1$6,500NonCashPrizesEvent1Amt
Rent Facility Costs Event1$102,483RentFacilityCostsEvent1Amt
Food And Beverage Event1$1,215FoodAndBeverageEvent1Amt
Entertainment Event1$19,945EntertainmentEvent1Amt
Other Direct Expenses Event1$4,721OtherDirectExpensesEvent1Amt
Event2DH CLASSICEvent2Nm
Gross Receipts Event2$248,534GrossReceiptsEvent2Amt
Charitable Contri Event2$223,374CharitableContriEvent2Amt
Gross Revenue Event2$25,160GrossRevenueEvent2Amt
Cash Prizes Event2$950CashPrizesEvent2Amt
Non Cash Prizes Event2$32,510NonCashPrizesEvent2Amt
Rent Facility Costs Event2$34,833RentFacilityCostsEvent2Amt
Food And Beverage Event2$939FoodAndBeverageEvent2Amt
Entertainment Event2$9,945EntertainmentEvent2Amt
Other Direct Expenses Event2$8,219OtherDirectExpensesEvent2Amt
Gross Receipts Total$490,634GrossReceiptsTotalAmt
Charitable Contributions Tot$344,724CharitableContributionsTotAmt
Gross Revenue Total Events$145,910GrossRevenueTotalEventsAmt
Cash Prizes Total Events$950CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$39,010NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$137,316RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$2,154FoodAndBeverageTotalEventsAmt
Entertainment Total Events$29,890EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$12,940OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$222,260DirectExpenseSummaryEventsAmt
Net Income Summary-$76,350NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,597,815TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,597,815NetCommunityBenefitExpnsAmt
Total Expense0.02090TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$159,113,870TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$121,246,851DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,867,019NetCommunityBenefitExpnsAmt
Total Expense0.04260TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$177,711,685TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$121,246,851DirectOffsettingRevenueAmt
Net Community Benefit Expns$56,464,834NetCommunityBenefitExpnsAmt
Total Expense0.06350TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$914,759TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$914,759NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,578,963TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,428,939DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,150,024NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$211,935TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$211,935NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,699,525TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,041DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,668,484NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,405,182TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,459,980DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,945,202NetCommunityBenefitExpnsAmt
Total Expense0.00890TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$188,116,867TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$123,706,831DirectOffsettingRevenueAmt
Net Community Benefit Expns$64,410,036NetCommunityBenefitExpnsAmt
Total Expense0.07240TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,330TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,330NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,970TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,970NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,477TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$46,477NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,500NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$85,824TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,150DirectOffsettingRevenueAmt
Net Community Benefit Expns$52,674NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$148,101TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,150DirectOffsettingRevenueAmt
Net Community Benefit Expns$114,951NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$22,392,598BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$223,243,321ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$217,875,231CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$5,368,090MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities4HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsInd
DEACONESS HOSPITAL INC
1600 MARY STREETEVANSVILLEIN47747WWW.DEACONESS.COM20-005074-1Yes (X)Yes (X)Yes (X)Yes (X)
DEACONESS GATEWAY HOSPITAL
24011 GATEWAY BLVDNEWBURGHIN47630WWW.DEACONESS.COM20-005074-1Yes (X)Yes (X)Yes (X)Yes (X)
DEACONESS CROSS POINTE
37200 E INDIANA STREETEVANSVILLEIN47715WWW.DEACONESS.COM20-005074-1Yes (X)
THE HEART HOSPITAL
44007 GATEWAY BLVDNEWBURGHIN47630WWW.DEACONESS.COM18-011772-1Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (4 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndRpt Available Thru Other MethodRptAvailableThruOtherMethodIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndOther MethodOtherMethodIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
DEACONESS HOSPITAL INC
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)HTTP://WWW.DEACONESS.COM/CHNAYes (X)Yes (X)Yes (1)18Yes (1)HTTP://WWW.DEACONESS.COM/CHNA0Yes (1)Yes (X)200.000000000000400.000000000000Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)SEE PART VYes (X)SEE PART VYes (X)SEE PART VYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
DEACONESS GATEWAY HOSPITAL
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)HTTP://WWW.DEACONESS.COM/CHNAYes (X)Yes (X)Yes (1)18Yes (1)HTTP://WWW.DEACONESS.COM/CHNA0Yes (1)Yes (X)200.000000000000400.000000000000Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)SEE PART VYes (X)SEE PART VYes (X)SEE PART VYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
DEACONESS CROSS POINTE
300Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)HTTP://WWW.DEACONESS.COM/CHNAYes (X)Yes (X)Yes (1)18Yes (1)HTTP://WWW.DEACONESS.COM/CHNA0Yes (1)Yes (X)200.000000000000400.000000000000Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)SEE PART VYes (X)SEE PART VYes (X)SEE PART VYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
THE HEART HOSPITAL
400Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)HTTP://WWW.DEACONESS.COM/CHNAYes (X)Yes (X)Yes (1)18Yes (1)HTTP://WWW.DEACONESS.COM/CHNA0Yes (1)Yes (X)200.000000000000400.000000000000Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)SEE PART VYes (X)SEE PART VYes (X)SEE PART VYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00

Supplemental Information SupplementalInformationGrp (31 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DEACONESS HOSPITAL, INC.PART V, SECTION B, LINE 5: CHNA PARTNERS CONDUCTING THE CHNA NECESSITATED COLLABORATION 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.-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 HOSPITALPART V, SECTION B, LINE 5: DESCRIPTION OF COMMUNITY INPUT IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
DEACONESS CROSS POINTEPART V, SECTION B, LINE 5: DESCRIPTION OF COMMUNITY INPUT IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
THE HEART HOSPITALPART 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 HOSPITALPART 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 POINTEPART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES CHNA WAS CONDUCTED WITH IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
THE HEART HOSPITALPART 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 HOSPITALPART V, SECTION B, LINE 6B: OTHER ORGANIZATIONS CHNA WAS CONDUCTED WITH IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
DEACONESS CROSS POINTEPART V, SECTION B, LINE 6B: OTHER ORGANIZATIONS CHNA WAS CONDUCTED WITH IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
THE HEART HOSPITALPART 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 7D: THE CHNA IS MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE:THE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.DEACONESS.COM/CHNACOPIES AND REQUESTS FOR COPIES WERE ALSO MADE AVAILABLE AT THE JUNE 2019 PRESS CONFERENCE. MEDIA AND COMMUNITY AND THE PUBLIC WERE INVITED TO ATTEND.
DEACONESS GATEWAY HOSPITALPART V, SECTION B, LINE 7D: THE CHNA IS MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE:THE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.DEACONESS.COM/CHNACOPIES AND REQUESTS FOR COPIES WERE ALSO MADE AVAILABLE AT THE JUNE 2019 PRESS CONFERENCE. MEDIA AND COMMUNITY AND THE PUBLIC WERE INVITED TO ATTEND.
DEACONESS CROSS POINTEPART V, SECTION B, LINE 7D: THE CHNA IS MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE:THE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.DEACONESS.COM/CHNACOPIES AND REQUESTS FOR COPIES WERE ALSO MADE AVAILABLE AT THE JUNE 2019 PRESS CONFERENCE. MEDIA AND COMMUNITY AND THE PUBLIC WERE INVITED TO ATTEND.
THE HEART HOSPITALPART V, SECTION B, LINE 7D: THE CHNA IS MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE:THE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.DEACONESS.COM/CHNACOPIES AND REQUESTS FOR COPIES WERE ALSO MADE AVAILABLE AT THE JUNE 2019 PRESS CONFERENCE. MEDIA AND COMMUNITY AND THE PUBLIC WERE INVITED TO ATTEND.
DEACONESS HOSPITAL, INC.PART V, SECTION B, LINE 11: WE ARE USING OUR IMPLEMENTATION PLAN TO GUIDE WORK IN THE IDENTIFIED AREAS OF NEED. THIS IS YEAR ONE OF THE NEW CYCLE AND INVOLVES A LOT OF MEETINGS AND PLANNING.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 FOR THE NEXT CHNA PERIOD. 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.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.
DEACONESS GATEWAY HOSPITALPART 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 POINTEPART V, SECTION B, LINE 11: HOW THE SIGNIFICANT NEEDS ARE BEING ADDRESSED IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
THE HEART HOSPITALPART 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 HOSPITALPART 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 POINTEPART V, SECTION B, LINE 15E: OTHER METHOD USED FOR APPLYING FOR FINANCIAL ASSISTANCE IS THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1).
THE HEART HOSPITALPART 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 19 IMPACTED THE LIVES OF MORE THAN 10,110 MEMBERS OF OUR COMMUNITY BY HELPING THEM OBTAIN INSURANCE OR PROVIDE ASSISTANCE FOR THE UNDERINSURED.
DEACONESS GATEWAY HOSPITALPART 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 POINTEPART 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).
THE HEART HOSPITALPART 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/FOR-YOU/PATIENTS-AND-VISITORS/PATIENTS/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/FOR-YOU/PATIENTS-AND-VISITORS/PATIENTS/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/FOR-YOU/PATIENTS-AND-VISITORS/PATIENTS/FINANCIAL-ASSISTANCE
FieldValueIRS element (for citing)
Facility36FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (36 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - CARDIAC REHAB
4015 GATEWAY BLVD SUITE 2122NEWBURGHIN47630OUTPATIENT SERVICES
2 - DEACONESS FAMILY MEDICINE RESIDENCY
415 W COLUMBIA ST SUITE 110EVANSVILLEIN47710OUTPATIENT PHYSICIAN CLINIC
3 - DEACONESS HOSPITAL ANTICOAGMED THERAPY
350 W COLUMBIA ST SUITE 230EVANSVILLEIN47747OUTPATIENT SERVICES
4 - DEACONESS ANTICOAGULATION CLINIC
4107 GATEWAY BLVDNEWBURGHIN47630OUTPATIENT SERVICES
5 - DEACONESS HOSPITAL BREAST CENTER
520 MARY STREET SUITE 140EVANSVILLEIN47710DIAGNOSTIC CENTER
6 - DEACONESS HOSPITAL CANCER SERVICES
4055 GATEWAY BLVDNEWBURGHIN47630OUTPATIENT SERVICES
7 - DEACONESS HOSPITAL CANCER SERVICES
421 CHESTNUT STREETEVANSVILLEIN47713OUTPATIENT SERVICES
8 - DEACONESS COMPREHENSIVE PAIN CTR-GATEWAY
4099 GATEWAY BLVDNEWBURGHIN47630OUTPATIENT SERVICES
9 - DEACONESS COMPREHENSIVE PAIN CTR & PROG
4600 W LLOYD EXPRESSWAY SUITE AEVANSVILLEIN47712OUTPATIENT SERVICES
10 - DEACONESS CROSS POINTE OUTPATIENT CLINIC
445 CROSS POINTE BLVDEVANSVILLEIN47715OUTPATIENT PHYSICIAN CLINIC
11 - DEACONESS DIABETES CENTER - EDUCATION
421 CHESTNUT STREETEVANSVILLEIN47713OUTPATIENT SERVICES
12 - DEACONESS GATEWAY GASTROENTEROLOGY
4133 GATEWAY BLVD SUITE 290NEWBURGHIN47630OUTPATIENT SERVICES
13 - DEACONESS HOSPITAL MAMMOGRAPHY & IMAGING
421 CHESTNUT STREETEVANSVILLEIN47713DIAGNOSTIC CENTER
14 - DEACONESS HOSPITAL INFUSION CTRPHARMACY
4111 GATEWAY BLVDNEWBURGHIN47630OUTPATIENT SERVICES
15 - DEACONESS HOSPITAL RADIOLOGY EXPRESS
10455 ORTHOPAEDIC DRIVENEWBURGHIN47630DIAGNOSTIC CENTER
16 - DEACONESS HOSPITAL PHYSICAL MEDICINE
520 MARY STREET SUITE 280EVANSVILLEIN47747OUTPATIENT SERVICES
17 - DEACONESS HOSPITAL PHYS MED-OA
10455 ORTHOPAEDIC DRIVENEWBURGHIN47630OUTPATIENT SERVICES
18 - DEACONESS HOSPITAL PHYSICAL MEDICINE
4600 W LLOYD EXPRESSWAY SUITE BEVANSVILLEIN47715OUTPATIENT SERVICES
19 - DEACONESS PRIMARY CARE FOR SENIORS
1750 OAK HILL ROADEVANSVILLEIN47710OUTPATIENT PHYSICIAN CLINIC
20 - DEACONESS PRIMARY CARE FOR SENIORS
4498 FIRST AVENUEEVANSVILLEIN47710OUTPATIENT PHYSICIAN CLINIC
21 - DEACONESS PROCEDURE CENTER
421 CHESTNUT STREETEVANSVILLEIN47713OUTPATIENT SERVICES
22 - MIDWEST RADIOLOGICAL IMAGING
4087 GATEWAY BLVDNEWBURGHIN47630DIAGNOSTIC CENTER
23 - DEACONESS REGIONAL LABORATORY
421 CHESNUT STREETEVANSVILLEIN47713DIAGNOSTIC CENTER
24 - DEACONESS CLINIC GATEWAY REG LAB
4233 GATEWAY BLVD SUITE 201NEWBURGHIN47630DIAGNOSTIC CENTER
25 - DEACONESS HOSPITAL LAB & EKGDIABETES EDUC
520 MARY STREET SUITE 330EVANSVILLEIN47710DIAGNOSTIC CENTER
26 - DEACONESS RADIOLOGY LAB & RADIOLOGY
8600 NORTH KENTUCKY AVENUEEVANSVILLEIN47725DIAGNOSTIC CENTER
27 - DEACONESS REGIONAL LABORATORY
4494 N FIRST AVENUEEVANSVILLEIN47710DIAGNOSTIC CENTER
28 - DEACONESS HOSPITAL LAB & RADIOLOGY
4209 GATEWAY BLVDNEWBURGHIN47630DIAGNOSTIC CENTER
29 - MT VERNON MEDICAL CENTER LAB & RADIOLOGY
1900 W FOURTH STREETMT VERNONIN47620DIAGNOSTIC CENTER
30 - DEACONESS REGIONAL LABORATORY
4133 GATEWAY BLVD SUITE 110NEWBURGHIN47630DIAGNOSTIC CENTER
31 - DEACONESS RILEY CHILDRENS SPECIALTY CENT
4133 GATEWAY BLVD SUITE 220NEWBURGHIN47630OUTPATIENT SERVICES
32 - DEACONESS SLEEP CENTER
350 W COLUMBIA STREET SUITE 100EVANSVILLEIN47710OUTPATIENT SERVICES
33 - DEACONESS SLEEP CENTER-EAST
7307 E COLUMBIA STEVANSVILLEIN47715DIAGNOSTIC CENTER
34 - DEACONESS SLEEP LAB
350 W COLUMBIA STREET SUITE LL-10EVANSVILLEIN47710DIAGNOSTIC CENTER
35 - DEACONESS WEIGHT LOSS SOLUTIONS
310 W IOWA STREETEVANSVILLEIN47710OUTPATIENT PHYSICIAN CLINIC
36 - DEACONESS WOUND CARE CENTER
350 W COLUMBIA STREET SUITE 350EVANSVILLEIN47710OUTPATIENT SERVICES

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:DEACONESS HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT IS MADE AVAILABLE IN THE FOLLOWING WAYS:1. HARD COPIES WERE MADE AVAILABLE AT THE PRESS CONFERENCE ON WEDNESDAY, JUNE 19, 2019.2. 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 $0.
PART I, LN 7 COL(F):BAD DEBT EXPENSE IS NOT INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) DUE TO ADOPTION OF (ASU) 2014-09 TOPIC 606.
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.HEALTH SCIENCE INSTITUTE DURING THE FISCAL YEAR, WE HELD THE 29TH ANNUAL HEALTH SCIENCE INSTITUTE (HSI), A HANDS-ON SUMMER PROGRAM FOR HIGH SCHOOL STUDENTS INTERESTED IN THE MEDICAL PROFESSION. THE 28 LOCAL STUDENTS SPEND TWO WEEKS LIVING IN DORM-STYLE HOUSING AT THE HOSPITAL WHILE LEARNING ABOUT ALL FACETS OF PATIENT CARE. THE TUITION PAID BY STUDENTS FOR THE ANNUAL INSTITUTE EQUALS APPROXIMATELY $36,000; HOWEVER, THE COST OF RUNNING THE TWO-WEEK PROGRAM IS CLOSER TO $72,500. DEACONESS CONTINUES TO OFFER HSI AT AN AVERAGE LOSS OF $36,500 EACH YEAR BECAUSE WE CONSIDER THE EXPENDITURE AN IMPORTANT INVESTMENT IN THE FUTURE OF MEDICINE.CNA PROGRAM AT HARWOOD PREP HIGH SCHOOL- DURING THE FISCAL YEAR WE DONATED $9,600 TO THE CNA (CERTIFIED NURSING ASSISTANT) PROGRAM AT HARWOOD HIGH SCHOOL. THIS SCHOLARSHIP WILL PROVIDE 4 STUDENTS ALL THE MATERIAL AND SUPPLIES THEY NEED TO FOCUS ON LEARNING IN THE CLASSROOM AND IN LAB SETTINGS.
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 12 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 2019 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: IN ADDITION TO THE CHNA REPORTED IN PART V, SECTION B 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, 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.
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 ETHNICITY CHARACTERISTICS, EVENLY SPLIT WITH REGARD TO GENDER, WITH THE MAJORITY OF INDIVIDUALS LIVING IN AREAS CONSIDERED URBAN. VANDERBURGH COUNTY'S POPULATION OF 181,616 PERSONS IS SIMILAR TO THE STATEWIDE POPULATION, WITH 84% OF THE POPULATION BEING WHITE, 9.5% BLACK/AFRICAN AMERICAN, 1.4% ASIAN, AND THE REMAINDER BEING OF OTHER OR 2 OR MORE RACES. HOWEVER, VANDERBURGH COUNTY REPORTS A 2.7% HISPANIC POPULATION COMPARED TO 7% 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 2019 COUNTY HEALTH RANKINGS, VANDERBURGH COUNTY RANKS 81 OUT OF 92 INDIANA COUNTIES FOR HEALTH OUTCOMES AND 68 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 22 OUT OF 92 INDIANA COUNTIES FOR HEALTH OUTCOMES AND 5 OUT OF 92 INDIANA COUNTIES FOR HEALTH FACTORS ON THE 2019 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 92% OF PEOPLE THERE IDENTIFY AS WHITE COMPARED TO 79% FOR INDIANA. ONLY 1.5 % OF THE POPULATION IS LISTED AS BLACK/AFRICAN AMERICAN AND 1.9% AS HISPANIC. THAT'S COMPARED TO STATE AVERAGES OF 9.4% AND 7% 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:HEALTH FAIRS/SCREENINGS - APPROXIMATELY 14,775 PEOPLE WERE SERVED WITH EDUCATION AND/OR HEALTH SCREENINGS AT THE 42 HEALTH FAIRS DEACONESS ATTENDED AS A PROVIDER/EXHIBITOR DURING THE FISCAL YEAR.HOMELESS CONNECT AND COMMUNITY FIRST HEALTH FAIR - DEACONESS CONTINUED TO PROVIDE ON-SITE SERVICES AT TWO COMMUNITY EVENTS INTENDED TO INCREASE ACCESS TO HEALTH CARE FOR THE HOMELESS, NEAR HOMELESS, AND THOSE LIVING IN POVERTY. SERVICES INCLUDE BLOOD PRESSURE CHECKS, BLOOD SUGAR SCREENINGS, PROSTATE CHECKS (DRE AND BLOOD TEST), MAMMOGRAMS, IMMUNIZATIONS, PAP SMEARS, HPV SCREENINGS, COLON CANCER FOBT KITS, AND CONNECTING PEOPLE WITH NEEDED SERVICES. MOBILE BREAST CENTER - THE 40 FT. COACH TRAVELLED THROUGHOUT THE TRI-STATE AREA PROVIDING MAMMOGRAMS TO WOMEN WHERE THEY LIVE AND WORK. GRANT DOLLARS ARE AVAILABLE FOR IMMEDIATE USE FOR WOMEN WITH NO OR INADEQUATE INSURANCE NEEDING A MAMMOGRAM. SCREENING MAMMOGRAMS VIA MOBILE BREAST CENTER:2018 NUMBER SCREENEDOCTOBER - 323NOVEMBER - 173DECEMBER - 1422019 NUMBER SCREENEDJANUARY - 141FEBRUARY - 246MARCH - 207APRIL - 255MAY - 271JUNE - 248JULY - 234CANCER SCREENING EVENTS:HEAD & NECK, APRIL 2019 - ENT PHYSICIANS AND ONCOLOGISTS SCREENED 47 PEOPLESKIN, MAY 2019 - DERMATOLOGISTS AND NPS SCREENED 44 PEOPLELUNG (LOW-DOSE CT) 2019 JANUARY-MAY, 292 SCREENINGS PATIENT CARE - MEDICATION ASSISTANCE AND FAMILY MEDICINE RESIDENCY CLINIC. DEACONESS ALSO PROVIDES FREE AND REDUCED CARE WITHIN OUR HOSPITAL BUILDINGS. THROUGH OUR MEDICATION ASSISTANCE PROGRAM 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.EDUCATION DEACONESS DEDICATED MORE THAN 650 STAFF HOURS TO EMS AND FIRST RESPONDER EDUCATION. THIS INCLUDES INSTRUCTION FOR MORE THAN 5,200 PEOPLE RELATED TO TOPICS SUCH AS PRE-HOSPITAL TRAINING, STOP THE BLEED EDUCATION, ADVANCED CARDIAC LIFE SUPPORT (ACLS) AND PEDIATRIC ADVANCED LIFE SUPPORT (PALS) TRAINING, AND SUPPORTING RELATIONSHIPS WITH TRI-STATE EMS GROUPS, ESPECIALLY THOSE IN RURAL AREAS, AND ADMINISTERING NALOXONE FOR OPIOID OVERDOSE.THE TUITION PAID BY STUDENTS FOR THE ANNUAL INSTITUTE EQUALS APPROXIMATELY $16,000; HOWEVER, THE COST OF RUNNING THE TWO-WEEK PROGRAM IS CLOSER TO $70,000. DEACONESS CONTINUES TO OFFER HSI AT AN AVERAGE LOSS OF $50,000 EACH YEAR BECAUSE WE CONSIDER THE EXPENDITURE AN IMPORTANT INVESTMENT IN THE FUTURE OF MEDICINE.CANCER EDUCATION COOKING FOR CHEMO WITH CHEF RYAN CALLAHAN, FEB 2019 (SPECIALIZED CLASS ON COOKING FOR CHEMO PATIENTS TO IMPROVE NUTRITION, SATISFACTION WITH EATING AND OUTCOMES)SKIN CANCER PREVENTION AND DETECTION, NP LECTURE AT GILDA'S CLUB, MAY 2019 ANXIETY, LECTURE BY LCSW AT GILDA'S CLUB, MAY 2019ANXIETY GROUNDING TECHNIQUES, LECTURE BY LCSW AT GILDA'S CLUB, MAY 2019NO SHAVE NOVEMBER, SEVERAL ONCOLOGISTS SPENT TIME DURING THE MONTH SPEAKING ABOUT THE IMPORTANCE OF EARLY DETECTIONFACEBOOK, BLOGS, E-NEWSLETTER, PODCASTS - WE FACILITATED MORE THAN 30 FACEBOOK LUNCH AND LEARN SESSIONS WITH PHYSICIANS AND PROVIDERS. DURING THE FISCAL YEAR, WE INTRODUCED SOMETHING NEW - FACEBOOK LIVE SESSIONS WHERE PHYSICIANS COULD ANSWER QUESTIONS IN REAL TIME. WE REPURPOSED THE SESSION INFORMATION INTO BLOGS AND ARTICLES FOR OUR MONTHLY E-NEWSLETTER. WE ALSO BEGAN PODCASTING FOR WOMEN'S TOPICS THROUGH THE WOMEN'S HOSPITAL. THESE SESSIONS DEDICATE TIME TO A SPECIFIC HEALTH TOPIC AND PROVIDE THE OPPORTUNITY FOR PEOPLE TO ENGAGE IN REAL TIME WITH SUBJECT-MATTER EXPERTS. BEHAVIORAL HEALTH AND SUICIDE PREVENTION - STAFF FROM DEACONESS CROSS POINTE SPENT APPROXIMATELY 900 HOURS EDUCATING THE SURROUNDING COMMUNITY ABOUT BEHAVIORAL HEALTH, RELATED RESOURCES, AND SUICIDE PREVENTION.HEARTSAVER PROGRAM - THE HEART HOSPITAL AND DEACONESS FOUNDATION, THRU A PROGRAM CALLED HEARTSAVER, CONTINUE TO COLLABORATE ON INSTALLING AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS) IN TRI-STATE SCHOOLS, FIRST RESPONDER VEHICLES, CHURCHES, ORGANIZATIONS, AND COMMUNITY GATHERING FACILITIES. AS OF SEPTEMBER 30, 2019, THE HEARTSAVER COMMITTEE HAS RAISED ENOUGH MONEY AND PLACED 370 AEDS.LOCAL SPONSORSHIPS - IN FY18-19, DEACONESS SPONSORED PROGRAMS AND ACTIVITIES FOR NEARLY 150 REGIONAL ORGANIZATIONS, CONTRIBUTING MORE THAN $1.3 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 STATESIN

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (30 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
ALBION FELLOWS BACON CENTER
PO BOX 3164EVANSVILLEIN47731311029051501(C)(3)$12,550GENERAL SUPPORT
AMERICAN CANCER SOCIETY
5250 VOGEL RD SUITE AEVANSVILLEIN47715131788491501(C)(3)$10,000GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVEDALLASTX75231135613797501(C)(3)$7,500GENERAL SUPPORT
AMERICAN RED CROSS
29 S STOCKWELL RDEVANSVILLEIN47714530196605501(C)(3)$10,000GENERAL SUPPORT
CHEMO BUDDIES
3699 EPWORTH RDNEWBURGHIN47630453043243501(C)(3)$10,000GENERAL SUPPORT
CHILDREN'S MUSEUM OF EVANSVILLE
22 SE 5TH STREETEVANSVILLEIN47701351951848501(C)(3)$19,750KEYS TO FITNESS EXHIBIT & GENERAL SUPPORT
COMMUNITY FOUNDATION ALLIANCE INC
5000 E VIRGINIA ST STE 4EVANSVILLEIN47715351830262501(C)(3)$30,000COMMUNITY BRANDING INITIATIVE
COMMUNITY PATIENT SAFETY COALITION
13113 BROWNING ROADEVANSVILLEIN47725611646052501(C)(3)$18,752GENERAL SUPPORT
ECHO COMMUNITY HEALTH CARE
315 MULBERRY STREETEVANSVILLEIN47713351791786501(C)(3)$30,000FAMILY PRACTCE - MULTICULTURAL CLINIC
ECONOMIC DEVELOPMENT COALITION OF SOUTHWEST INDIANA
318 MAIN STREET SUITE 400EVANSVILLEIN47708320152563501(C)(6)$25,000ONE REGION-ONE ECONOMY-ONE VOICE CAMPAIGN
EVANSVILLE EMERGENCY FOOD PANTRY CONSORTIUM INC
PO BOX 2536EVANSVILLEIN47728371697515501(C)(3)$10,000FOOD FOR FOOD PANTRIES
EVANSVILLE PARKS FOUNDATION INC
PO BOX 3112EVANSVILLEIN47730351520591501(C)(3)$11,000CAPITAL & GENERAL SUPPORT
EVANSVILLE REGIONAL BUSINESS COMMITTEE INC
ONE VECTREN SQUAREEVANSVILLEIN47708030408032501(C)(3)$10,000GENERAL SUPPORT
EVANSVILLE VANDERBURGH SCHOOL CORP
1 SE NINTH STREETEVANSVILLEIN47708351071682501(C)(3)$8,550CLASSROOM SUPPLIES
EVANSVILLE-AREA TRAILS COALITION INC
PO BOX 5644EVANSVILLEIN47716271556835501(C)(3)$18,000GENERAL SUPPORT
EVANSVILLE-VANDERBURGH COUNTY CONVENTION & VISITORS COMMISSION
4300 HECKEL ROADEVANSVILLEIN47725472582515501(C)(3)$25,000SUPPORT HEALTH TRAIL
GOLF GIVES BACK INC
ONE VECTREN SQUAREEVANSVILLEIN47708814223347501(C)(3)$8,000GENERAL SUPPORT
INDIANA UNIVERSITY FOUNDATION
PO BOX 500BLOOMINGTONIN47402356018940501(C)(3)$100,000IUSM-EVANSVILLE FURNITURE & FIXTURE FUND
JUNIOR ACHIEVEMENT OF SW INDIANA
431 E DIAMOND AVENUEEVANSVILLEIN47711356048156501(C)(3)$9,970INSPIRING OUR YOUTH PROGRAM & GENERAL SUPPORT
JUVENILE DIABETES RESEARCH FOUNDATION
10401 N MERIDIAN ST STE 150INDIANAPOLISIN46290231907729501(C)(3)$15,000GENERAL SUPPORT
KOMEN GREATER EVANSVILLE AFFILIATE
4424 VOGEL RD STE 205EVANSVILLEIN47715752844632501(C)(3)$15,875GENERAL SUPPORT
OTHERS 5000
$139,789GENERAL SUPPORT
RONALD MCDONALD HOUSE CHARITIES OF THE OHIO VALLEY
3540 WASHINGTON AVENUEEVANSVILLEIN477140136351748468501(C)(3)$23,600GENERAL SUPPORT
UNITED WAY OF SOUTHWESTERN INDIANA
PO BOX 18EVANSVILLEIN47701350868069501(C)(3)$20,000GENERAL SUPPORT
UNIVERSITY OF SOUTHERN INDIANA FOUNDATION
8600 UNIVERSITY BOULEVARDEVANSVILLEIN47712237042320501(C)(3)$41,250HEALTH PROFESSION SCHOLARSHIPS & GENERAL SUPPORT
WARRICK WELLNESS PATHWAYS LLC
PO BOX 906NEWBURGHIN47629464049559501(C)(3)$50,000SUPPORT HEALTH TRAIL
WNIN TRI-STATE PUBLIC MEDIA
405 CARPENTER STREETEVANSVILLEIN47705351307165501(C)(3)$26,000GENERAL SUPPORT & CAPITAL CAMPAIGN
YMCA OF SW INDIANA INC
222 NW 6TH STEVANSVILLEIN47708350869074501(C)(3)$17,500GENERAL SUPPORT
YOUTH FIRST
111 SE THIRD STREET STE 405EVANSVILLEIN47708352050168501(C)(3)$17,000GENERAL SUPPORT
YWCA
118 VINE STEVANSVILLEIN47708350869075501(C)(3)$12,500GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org28Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SHAWN MCCOY
CEO OF DEACONESS HEALTH SYSTEM$354,441$362,500$245,980$0$175,659$8,800$91,390$86,103$17,944$17,944$885,414$475,347$84,746$84,746
MAQBOOL AHMED MD
DIRECTOR$0$715,661$0$53,411$720$10,883$0$19,248$0$23,611$720$822,814$0$0
SCOTT CORDTS MD
DIRECTOR-TERM BEGAN OCT'18$230,368$0$20,796$0$12,954$0$22,063$0$22,680$0$308,861$0$0$0
BARRY PHILLIPS MD
DIRECTOR$0$359,305$0$90,478$7,200$6,922$0$20,298$0$22,533$7,200$499,536$0$0
DAVID RYON MD
DIRECTOR$293,679$0$91,961$0$42,100$11,950$23,648$0$23,908$0$475,296$11,950$0$0
MATHIAS KOLLECK II MD
DIRECTOR-TERM ENDED OCT'18$272,330$0$118,681$0$75,602$6,400$27,680$0$25,419$0$519,712$6,400$0$0
CHERYL WATHEN
CHIEF FINANCIAL OFFICER$245,126$253,137$126,223$0$98,861$9,200$77,823$54,607$18,065$18,065$566,098$335,009$47,554$47,555
JAMES PORTER MD
PRESIDENT OF DEACONESS HEALTH$569,828$0$170,242$0$358,748$2,800$145,111$0$31,506$0$1,275,435$2,800$234,275$0
CHERONA HAJEWSKI
CHIEF NURSING OFFICER$310,619$0$78,574$0$135,829$0$86,956$0$25,637$0$637,615$0$128,861$0
LYNN LINGAFELTER
CHIEF OPERATION OFFICER$365,760$0$87,755$0$61,831$4,000$84,286$0$10,965$0$610,597$4,000$60,122$0
HERMAN BLANTON MD
CHIEF MEDICAL OFFICER$357,266$0$90,222$0$13,482$0$77,532$0$26,002$0$564,504$0$4,251$0
MARC FLORENCE
VICE PRESIDENT$279,247$0$78,879$0$25,236$0$63,858$0$30,676$0$477,896$0$21,597$0
KATHY SCHENK
HR DIRECTOR$139,115$0$21,839$0$721$0$14,489$0$23,680$0$199,844$0$0$0
KENNETH DICKEN
CONTROLLER, DIRECTOR FINAN$207,782$0$28,805$0$50,824$3,400$18,332$0$23,958$0$329,701$3,400$0$0
RICHARD PERRY
CONTROLLER, PHYSICIAN PRAC$186,396$0$26,817$0$1,724$0$17,069$0$10,116$0$242,122$0$0$0
CAROLYN MORTON
PHARMACY AND LAB DIRECTOR$184,325$0$31,064$0$1,318$0$17,877$0$28,094$0$262,678$0$0$0
SUSAN BRUMLEY
IMAGING AND CARDIOVASCULAR$150,501$0$25,372$0$4,598$0$9,869$0$24,414$0$214,754$0$0$0
DOUGLAS WELP
IN-HOUSE COUNSEL$247,865$0$38,528$0$2,309$0$2,342$0$22,487$0$313,531$0$0$0
VENKATESH MADADI MD
ANESTHESIOLOGIST$811,468$0$132$0$73,291$0$29,148$0$23,523$0$937,562$0$0$0
NIRMAL JOSHI MD
ANESTHESIOLOGIST$548,876$0$132$0$227,710$0$23,464$0$26,367$0$826,549$0$0$0
KISHWAR NAZ MD
ANESTHESIOLOGIST$634,203$0$72,153$0$50,549$0$15,032$0$20,881$0$792,818$0$0$0
RAJESH PATEL MD
ANESTHESIOLOGIST$667,261$0$132$0$45,631$0$26,868$0$25,369$0$765,261$0$0$0
DAVID FISH MD
ANESTHESIOLOGIST$563,977$0$25,140$0$128,692$0$15,032$0$22,731$0$755,572$0$29,743$0
LINDA WHITE
FORMER CEO EMERITA$148,489$0$17,272$0$29,167$4,000$6,087$0$8,709$0$209,724$4,000$27,123$0
BRUCE EPMEIER
FORMER OFFICER$0$0$0$0$156,420$2,000$0$0$0$0$156,420$2,000$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ASOCIAL CLUB DUES ARE PAID FOR LINDA WHITE AND SHAWN MCCOY FOR ORGANIZATION BUSINESS ONLY. ANY PERSONAL USE OF THE CLUB MUST BE PAID BY THE EMPLOYEES.
PART I, LINE 4BSEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS: SEVERANCE NONQUALIFIED EQUITY-BASED SHAWN MCCOY $-0- $18,500 $-0- JAMES PORTER, MD 0 18,500 0 CHERONA HAJEWSKI 0 18,500 0 DAVID RYON, MD 0 18,500 0 VENKATESH MADADI, MD 0 18,500 0 RAJESH PATEL, MD 0 18,500 0 NIRMAL JOSHI, MD 0 18,500 0 CHERYL WATHEN 0 18,500 0 LYNN LINGAFELTER 0 18,500 0 MAQBOOL AHMED, MD 0 18,500 0 MATHIAS KOLLECK, II, MD 0 18,500 0 SEVERANCE NONQUALIFIED EQUITY-BASED MARC J. FLORENCE $ -0- $ 18,500 $ -0- HERMAN BLANTON, MD 0 18,500 0 PART I, 4B: LINDA WHITE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $0 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $27,123 SHAWN MCCOY: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $150,166 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $169,492 CHERYL WATHEN: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $92,997 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $95,109 JAMES PORTER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $111,381 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $234,275 CHERONA HAJEWSKI: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $48,055 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $128,861 LYNN LINGAFELTER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $58,933 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $60,122 HERMAN BLANTON: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $59,200 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $4,251 MARC J. FLORENCE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $41,310 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $21,597 DAVID FISH: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $0 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $29,743
PART I, LINE 6COMPENSATION CONTINGENT UPON NET EARNINGS: INCENTIVE COMPENSATION PAYMENTS MADE BY THE ORGANIZATION ARE BASED UPON SUCCESSFUL ACHIEVEMENT OF ESTABLISHED INPATIENT SATISFACTION MEASURES, OUTPATIENT SATISFACTION MEASURES, COMPLIANCE WITH PUBLICLY REPORTED QUALITY INDICATORS, OPERATING MARGIN AS WELL AS OTHER TECHNICAL AND PERSONAL FUNCTIONAL GOALS OF BOTH THE ORGANIZATION AND RELATED ORGANIZATIONS. DEACONESS HOSPITAL'S INCENTIVE COMPENSATION PROGRAMS ARE FORMULATED TO REWARD BEHAVIOR THAT BALANCES PATIENT NEEDS AND EFFICIENT DELIVERY OF PATIENT CARE TO ENSURE THE BEST OUTCOMES ARE ACHIEVED.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
INDIANA FINANCE AUTHORITY-2016A
A35160231645506DXT72016-10-05$109,999,091NEW MONEY PROJECTS000
INDIANA FINANCE AUTHORITY-2015A
B35160231645506DUL72015-07-09$49,772,34103/6/2009 REFUNDING000
INDIANA FINANCE AUTHORITY-2013C
C35160231645471ALU42013-07-23$40,180,0003/26/09 REFUNDING000
INDIANA FINANCE AUTHORITY-2013B
D3516023162013-03-05$21,440,0005/27/04 REFUNDING000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtOther Spent ProceedsOtherSpentProceedsAmt
A$111,373,335$4,660,332$935,528$2,885,418$102,892,057201800Yes (1)Yes (1)
B$49,772,341$601,8470Yes (1)Yes (1)Yes (1)$500,000$49,170,494
C$40,180,000$180,000Yes (1)0Yes (1)Yes (1)$1,000,000$40,000,000
D$21,440,000$125,000Yes (1)0Yes (1)Yes (1)$6,630,000$21,315,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
(no name)
A0Yes (1)000000Yes (1)
(no name)
B0Yes (1)000000Yes (1)
(no name)
C000Yes (1)0000Yes (1)
FIFTH THIRD
D00Yes (1)0Yes (1)Yes (1)00Yes (1)16.00000000000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER 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 11:THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
INDIANA FINANCE AUTHORITY-2013A
A35160231645471AKY72013-03-05$71,336,1685/27/04 AND 3/26/09 REFUNDING000
INDIANA FINANCE AUTHORITY-2012B
B3516023162012-11-20$13,005,0001/17/1992 REFUNDING000
INDIANA FINANCE AUTHORITY-2011A
C35160231645471AES72011-12-02$20,667,1973/15/99 REFUNDING000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$2,390,000$71,336,168$729,538$70,606,631Yes (1)0Yes (1)Yes (1)
B$8,075,000$13,005,000$103,657$12,901,343Yes (1)0Yes (1)Yes (1)
C$7,145,000$20,667,197$397,197$20,270,000Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B000Yes (1)0000Yes (1)
C00Yes (1)00000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (11 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ABBY PAPARIELLA
SEE PART V$55,584COMP.0
BRITTNEY PHIPPS
SEE PART V$57,360COMP.0
EVANSVILLE SURGICAL ASSOCIATES
SEE PART V$3,486,253MEDICAL SERVICES0
IVY TECH FOUNDATION
SEE PART V$3,000DONATION AND SUPPORT0
JESSICA COX
SEE PART V$70,115COMP.0
JOAN MCCOY
SEE PART V$44,776COMP.0
MARY BETH COLE
SEE PART V$38,569COMP.0
MISTY ADYE
SEE PART V$41,405COMP.0
OLD NATIONAL BANK
SEE PART V$209,372INVESTMENT MANAGEMENT FEES0
SHERRI MCCOY
SEE PART V$26,638COMP.0
UNIVERSITY OF SOUTHERN INDIANA
SEE PART V$73,986SUPPORT0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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: EVANSVILLE SURGICAL ASSOCIATES RELATIONSHIP: BOARD MEMBER BRUCE ADYE IS A MEMBER OF ESA. EVANSVILLE SURGICAL ASSOCIATES PROVIDES TRAUMA COVERAGE AS WELL AS OTHER MEDICAL SERVICES.INTERESTED PERSON: IVY TECH FOUNDATIONRELATIONSHIP: BOARD MEMBER JOHNATHAN WEINZAPFEL IS THE CHANCELLOR AT IVY TECH COLLEGE. DEACONESS HOSPITAL CONTRIBUTES MONEY FOR NURSING EDUCATION.INTERESTED PERSON: JESSICA COXRELATIONSHIP: DAUGHTER TO LYNN LINGAFELTERINTERESTED PERSON: JOAN MCCOYRELATIONSHIP: WIFE OF SHAWN MCCOYINTERESTED PERSON: MARY BETH COLERELATIONSHIP: SISTER TO STEPHEN TITZERINTERESTED PERSON: MISTY ADYERELATIONSHIP: WIFE OF BOARD MEMBER BRUCE ADYEINTERESTED PERSON: OLD NATIONAL BANKRELATIONSHIP: BOARD MEMBER JAMES RYAN IS THE CFO OF OLD NATIONAL BANK. OLD NATIONAL BANK PROVIDES INVESTMENT MANAGEMENT SERVICES.INTERESTED PERSON: SHERRI MCCOYRELATIONSHIP: SISTER OF SHAWN MCCOYINTERESTED PERSON: UNIVERSITY OF SOUTHERN INDIANARELATIONSHIP: DR. LINDA BENNETT, SECRETARY OF THE BOARD OF DIRECTORS OF DEACONESS HOSPITAL, IS PRESIDENT EMERITA OF UNIVERSITY OF SOUTHERN INDIANA. DEACONESS HOSPITAL PROVIDES GENERAL SUPPORT AND HEALTH PROFESSION SCHOLARSHIPS TO THE UNIVERSITY.

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)OTHER121$81,436FMV
Yes (X)JEWELRY1$12,050COST
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1, ORGANIZATION'S MISSION:DEACONESS HOSPITAL PROVIDES QUALITY HEALTHCARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE. AT DEACONESS HOSPITAL, OUR VALUES ARE BASED ON OUR COMMITMENT TO QUALITY. WE DEFINE QUALITY AS THE CONTINUOUS IMPROVEMENT OF SERVICES TO MEET THE NEEDS AND EXCEED THE EXPECTATIONS OF THE CUSTOMERS WE SERVE. OUR VALUES ARE QUALITY IN EVERYTHING WE DO, RESPECT FOR ALL PEOPLE, EFFICIENCY AND EFFECTIVENESS IN THE USE OF RESOURCES, INNOVATION TOWARD CONTINUOUS SYSTEMS IMPROVEMENT, PARTNERSHIP WITH THOSE WE SERVE AND WITH SUPPLIERS, EDUCATION FOR CONTINUOUS GROWTH AND KNOWLEDGE AND PRIDE IN WORKMANSHIP. TO ACCOMPLISH ITS MISSION, DEACONESS HOSPITAL IS COMMITTED TO IMPROVING THE QUALITY OF LIFE FOR THE PEOPLE OF THE TRI-STATE BY DEMONSTRATING EXCELLENCE IN HEALTHCARE SERVICES, PROVIDING ACCESS TO HEALTHCARE, PROVIDING CHARITY CARE TO THOSE IN NEED,PROMOTING HEALTHY LIFESTYLES, OFFERING SPIRITUAL AND PSYCHOLOGICAL SUPPORT, SUPPORTING HEALTH RELATED EDUCATION, AND ADVANCING HEALTH KNOWLEDGE THROUGH RESEARCH.
FORM 990, PART III, LINE 4APROGRAM SERVICES ACCOMPLISHMENT 1: PATIENT SERVICE REVENUE. DEACONESS HOSPITAL IS A MAJOR REFERRAL CENTER FOR A 26 COUNTY TRI-STATE AREA IN SOUTHWESTERN INDIANA, WESTERN KENTUCKY AND SOUTHEASTERN ILLINOIS. THE HOSPITAL AND ITS FACILITIES ARE LOCATED ON FOUR CAMPUSES WHICH INCLUDE THE MAIN 28-ACRE CAMPUS ON THE NEAR NORTH SIDE OF EVANSVILLE IN VANDERBURGH COUNTY; THE 63-ACRE GATEWAY CAMPUS LOCATED IN WARRICK COUNTY ON THE EASTERN BORDER OF VANDERBURGH COUNTY; AND TWO OTHER EASTSIDE EVANSVILLE LOCATIONS FOR PSYCHIATRIC BEHAVIORAL SERVICES AND REHABILITATION SERVICES. THE HOSPITAL OPERATES A MAIN CAMPUS WITH A TOTAL OF 267 BEDS CONSISTING OF 38 INTENSIVE CARE BEDS, 16 CARDIAC INTENSIVE CARE BEDS, 45 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 13 ADULT INTENSIVE CARE BEDS, 17 PEDIATRIC AND PEDIATRIC INTENSIVE CARE BEDS, 16 NEUROSURGICAL BEDS, 48 ORTHOPAEDIC BEDS, 48 NEURO INTENSIVE CARE BEDS, 32 SURGICAL ONCOLOGY BEDS, 48 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 4BPROGRAM SERVICES ACCOMPLISHMENT 2: CHARITY CARE/ SUBSIDIZED CARE. DEACONESS HOSPITAL MAKES A DISTINCTION BETWEEN CHARITY CARE AND BAD DEBT. IN DETERMINING AN INDIVIDUAL OR FAMILY'S ABILITY TO PAY, DEACONESS HOSPITAL EVALUATES WHETHER OR NOT THE RESPONSIBLE PARTY HAS SUFFICIENT RESOURCES AVAILABLE FOR PAYMENT. IF AN INDIVIDUAL IS DETERMINED TO NOT HAVE SUFFICIENT RESOURCES TO PAY, THEY ARE CONSIDERED ELIGIBLE FOR CHARITY CARE AND WILL NOT BE PROCESSED THROUGH EITHER INTERNAL OR EXTERNAL COLLECTIONS. ACCOUNTS OF CHARITY CARE PATIENTS WHO ARE UNABLE TO PAY DO NOT RESULT IN BAD DEBT AND ARE NOT COLLECTED UPON. DEACONESS HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT OF REIMBURSEMENT IS BELOW COST, DEACONESS HOSPITAL ABSORBS THESE COSTS IN MEETING ITS MISSION TO THE COMMUNITY. IN SUPPORT OF ITS MISSION, DEACONESS HOSPITAL PROVIDED $18.2 MILLION OF CHARITY CARE AND $35.1 MILLION OF SUBSIDIZED SERVICES TO THE MEDICAID PROGRAM, AND $63.1 MILLION OF SUBSIDIZED SERVICES TO THE MEDICARE PROGRAM.
FORM 990, PART III, LINE 4CPROGRAM SERVICES ACCOMPLISHMENT 3: GRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION & COMMUNITY BENEFITS. DEACONESS HOSPITAL PLAYS AN ACTIVE ROLE IN MEDICAL EDUCATION, OPERATING A THREE YEAR FAMILY MEDICINE RESIDENCY PROGRAM AND A POST-GRADUATE PHARMACY RESIDENCY PROGRAM. DEACONESS HOSPITAL ALSO PROVIDES CONTINUING MEDICAL EDUCATION PROGRAMS FOR ATTENDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, OTHER ALLIED HEALTH PROGRAMS, COMMUNITY HEALTH PROGRAMS AND A CHAPLAIN RESIDENCY PROGRAM. IN ADDITION TO EDUCATIONAL SERVICES, DEACONESS HOSPITAL PROVIDED $9.1 MILLION IN COMMUNITY BENEFIT ACTIVITIES (ALL ON A COST BASIS), SERVING A MINIMUM OF 991,538 PEOPLE WITHIN THE TRI-STATE AREA.
FORM 990, PART III, LINE 4DALL 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.
FORM 990, PART VI, SECTION A, LINE 6CLASS OF MEMBERS OR STOCKHOLDERS: DEACONESS HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER OF DEACONESS HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7AELECTION OF GOVERNING BODY: THE BOARD OF DIRECTORS MAY ELECT ONE OR MORE NON-MEDICAL STAFF MEMBERS OF THE GOVERNING BODY THROUGH AN APPROVED ELECTION AND APPROVAL PROCESS. THE ELECTION AND APPROVAL PROCESS FOR NON-MEDICAL STAFF MEMBERS BEGINS WITH A RECOMMENDATION BY THE GOVERNANCE COMMITTEE FOR MEMBERSHIP TO THE BOARD OF DIRECTORS. THAT RECOMMENDATION IS THEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. DEPENDING ON THE DECISION REACHED BY THE BOARD OF DIRECTORS, MEMBERSHIP MAY OR MAY NOT BE GRANTED TO THAT INDIVIDUAL. MEDICAL STAFF EXECUTIVE COUNCIL LEADERSHIP ARE APPOINTED TO BOARD OF DIRECTOR MEMBERSHIP THROUGH THEIR POSITION AS ELECTED MEDICAL STAFF LEADERS. THROUGH THE ELECTION PROCESS OF THE MEDICAL STAFF EXECUTIVE COUNCIL, THEIR APPOINTMENT IS CONFIRMED AND APPROVED.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 REVIEW PROCESS: THE PROCESS THAT DEACONESS HOSPITAL UTILIZES TO PRESENT THE FORM 990 TO ITS GOVERNING BODY PRIOR TO FILING IS TO PRESENT THE FORM 990 TO THE CFO AND CEO OF THE ORGANIZATION FOR REVIEW. AFTER THIS REVIEW IS PERFORMED AND ALL QUESTIONS ARE ANSWERED, THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS OF DEACONESS HEALTH SYSTEM AT THE BOARD MEETING PRIOR TO THE FILING DATE OF THE FORM 990. ANY ADDITIONAL QUESTIONS ARE ANSWERED AND THE FINAL FILING IS THEN COMPLETED.
FORM 990, PART VI, SECTION B, LINE 12CCOMPLIANCE WITH CONFLICT OF INTEREST POLICY: CONFLICT OF INTEREST REVIEW AND COMPLIANCE ACTIVITIES ARE CONDUCTED THROUGHOUT THE YEAR UNDER THE DIRECTION OF DEACONESS HOSPITAL'S CORPORATE COMPLIANCE OFFICER. UPON APPOINTMENT AND, ANNUALLY, THEREAFTER, OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES, ALSO KNOWN AS INTERESTED PERSONS, ARE REQUIRED TO COMPLETE "THE CONFLICTS OF INTEREST QUESTIONNAIRE AND/OR "THE DISCLOSURE QUESTIONNAIRE". THESE DOCUMENTS SERVE TO ENSURE INTERESTED PERSONS OR COMMITTEE MEMBERS WITH BOARD DELEGATED POWERS HAVE AN APPROPRIATE AND TIMELY MANNER IN WHICH TO DISCLOSE ANY POTENTIAL CONFLICTS. CONFLICTS ARE CONSIDERED WITH RESPECT TO OUTSIDE INTEREST, INVESTMENTS, OUTSIDE ACTIVITIES, AND BUSINESS INTERESTS AMONG THE INTERESTED PERSONS AS WELL AS THEIR FAMILY MEMBERS. ON A PERIODIC BASIS, REVIEWS OCCUR TO ENSURE DEACONESS HOSPITAL OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSE. SUBJECTS THAT ARE REVIEWED ON A PERIODIC BASIS INCLUDE COMPENSATION, PHYSICIAN RELATIONSHIPS, PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION FOR TOP OFFICIALS AND OTHER OFFICERS: DEACONESS HOSPITAL UTILIZES A COMPENSATION COMMITTEE TO APPROVE EXECUTIVE, DIRECTOR AND PHYSICIAN COMPENSATION AS WELL AS EXECUTIVE AND PHYSICIAN BENEFITS PROGRAMS. THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS AND MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE SEC. THE COMMITTEE HAS THE POWER AND AUTHORITY TO: 1. ANNUALLY REVIEW AND APPROVE AND RECOMMEND TO THE BOARD OF DIRECTORS FOR ITS FINAL APPROVAL FOR THE CEO AND EACH OTHER EXECUTIVE OFFICER OF THE SYSTEM ALL ELEMENTS OF EXECUTIVE COMPENSATION. 2. MONITOR BROADLY THE STRUCTURE, PHILOSOPHY OR COMPETITIVENESS OF THE SYSTEM'S GENERAL HIRING OR COMPENSATION PRACTICES. 3. OVERSEE THE ESTABLISHMENT AND ADMINISTRATION OF THE COMPANY'S BROAD-BASED BENEFIT PLANS AND PROGRAMS 4. REVIEW OR APPROVE SIGNIFICANT AMENDMENTS OR CHANGES TO THE PLANS AND PROGRAMS. 5. RETAIN AND TERMINATE ANY COMPENSATION CONSULTANT TO BE USED TO ASSIST IN THE EVALUATION OF DIRECTOR, CEO OR EXECUTIVE OFFICE COMPENSATION 6. SOLE AUTHORITY TO APPROVE THE CONSULTANT'S FEES AND OTHER RETENTION TERMS. 7. OBTAIN ADVICE AND ASSISTANCE FROM INTERNAL OR EXTERNAL LEGAL, ACCOUNTING OR OTHER ADVISORS. 8. APPROVE ALL PHYSICIAN AND PHYSICIAN RELATED CONTRACTS. 9. MAKE REGULAR REPORTS TO THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS DISCLOSURE EXPLANATION: DEACONESS HOSPITAL'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE SECRETARY OF STATE'S WEBSITE. DEACONESS HOSPITAL IS PART OF A CONSOLIDATED FINANCIAL STATEMENT WHICH IS AVAILABLE WITH THE PUBLIC DISCLOSURE COPY OF THE IRS FORM 990. ALSO, AS REQUIRED BY LAW, THE HOSPITAL SUBMITS ITS CONSOLIDATED FINANCIAL STATEMENTS TO THE INDIANA DEPARTMENT OF HEALTH WHICH ARE PUBLISHED ON ITS WEBSITE. GOVERNING DOCUMENTS, ASIDE FROM THE ARTICLES OF INCORPORATION, AND THE CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE FOR PUBLIC INSPECTION.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 122,013,322. MANAGEMENT AND GENERAL EXPENSES 2,982,148. FUNDRAISING EXPENSES 16,004. TOTAL EXPENSES 125,011,474. PROFESSIONAL FEES- PHYSICIANS: PROGRAM SERVICE EXPENSES 19,314,739. MANAGEMENT AND GENERAL EXPENSES 89,718. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,404,457.
FORM 990, PART XI, LINE 9:CHANGE IN PENSION LIABILITY -46,775,864. FOUNDATION MONIES GRANTED FROM RESTRICTION -1,196,633. CHANGE IN GENERAL FUND EQUITY -84,160,134. CHANGE IN UNREALIZED GAIN/LOSS ON INVESTMENTS/SWAP 3,831,397.
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 (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEnd Of Year AssetsEndOfYearAssetsAmtTotal IncomeTotalIncomeAmt
REGIONAL EMERGENCY DEPARTMENT
600 MARY STEVANSVILLEIN47710463509500HEALTHCAREINDEACONESS HOSPITAL
READY DEVELOPMENT OF INDIANA
600 MARY STEVANSVILLEIN47747472040018REAL ESTATEINDEACONESS HOSPITAL$5,149,354
HEART HOSPITAL AT DEACONESS GATEWAY LLC
4007 GATEWAY BLVDNEWBURGHIN47630261766835HOSPITALDEDEACONESS HOSPITAL$14,333,717$2,247,648
BASELINE INVESTORS LLC
600 MARY STEVANSVILLEIN47710REAL ESTATEINDEACONESS HOSPITAL$0$0
533 COLUMBIA LLC
600 MARY STEVANSVILLEIN47710REAL ESTATEINDEACONESS HOSPITAL$0$0
INVESTORS PROPERTY DEVELOPMENT LLC
600 MARY STEVANSVILLEIN47710REAL ESTATEINDEACONESS HOSPITAL$0$0
7307 E COLUMBIA LLC
600 MARY STEVANSVILLEIN47710REAL ESTATEINDEACONESS HOSPITAL$0$0

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
DEACONESS HEALTH SYSTEM INC
600 MARY STREETEVANSVILLEIN47747351532889HEALTHCAREIN501(C)(3)LINE 12A, IN/A0
DEACONESS CLINIC INC
421 CHESNUT STREETEVANSVILLEIN47713263083364HEALTHCAREIN501(C)(3)LINE 30DEACONESS HEALTH SYSTEM
DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC
600 MARY STREETEVANSVILLEIN47747810693478HEALTHCAREIL501(C)(3)LINE 100DEACONESS HEALTH SYSTEM
DEACONESS VNA PLUS LLC
610 E WALNUT STEVANSVILLEIN47713465223267HEALTHCAREIN501(C)(3)LINE 100DEACONESS HEALTH SYSTEM
DEACONESS SPECIALTY PHYSICIANS INC
600 MARY STREETEVANSVILLEIN47747824503095HEALTHCAREIN501(C)(3)LINE 30DEACONESS HEALTH SYSTEM
DEACONESS HEALTH KENTUCKY INC
600 MARY STREETEVANSVILLEIN47747830966826HEALTHCAREIN501(C)(3)LINE 30DEACONESS HEALTH SYSTEM

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
DEACONESS HEALTH PLANS LLC
350 W COLUMBIA SUITE 400EVANSVILLEIN47710383492529PREFERRED PROVIDER NETWORKINDEACONESS HOSPITALRELATED$649,797$2,205,858000.95150
PROGRESSIVE HEALTH OF IN LLC
150 N ROSENBERGEREVANSVILLEIN47712208480988OUTPATIENTINDEACONESS HOSPITALRELATED$3,553,352$2,114,930000.51000
TRI-STATE RADIATION ONCOLOGY
1500 ROSECRANS AVENUEMANHATTAN BEACHCA90266263706834OUTPATIENTDEDEACONESS HOSPITALRELATED$3,260,537$4,699,466000.51000
MAINSPRING MANAGERS LLC
4011 GATEWAY BLVDNEWBURGHIN47630464601001NEUROLOGY SERVICESINDEACONESS HOSPITALRELATED$1,067,137$903,371000.51000
VASCMED LLC
600 MARY STREETEVANSVILLEIN47747472578168VASCULAR SERVICESINDEACONESS HOSPITALRELATED$740,140$891,356000.51000
ORTHOALIGN LLC
4011 GATEWAY BLVDNEWBURGHIN47630812816013HEALTHCAREINDEACONESS HOSPITALRELATED$1,669,261$705,137000.51000
HEALTHCARE RESOURCE SOLUTIONS
600 MARY STREETEVANSVILLEIN47747833275390HEALTHCAREINN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DEACONESS HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
MAINSPRING MANAGERS LLC
P$359,573
VASCMED LLC
P$306,863
ORTHOALIGN LLC
P$1,116,062
DEACONESS HEALTH PLANS LLC
P$155,955