2020-02-18T11:56:18-06:00 2019-09-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2018-10-01 350593390 DEACONESS HOSPITAL INC DEAC 8124503296 600 MARY STREET EVANSVILLE IN 47747 SHAWN W MCCOY CEO OF DEACONESS HEALTH SYSTEM 8124503296 2020-02-18 1 CARRIE A MERRILL CPA P00832283 3176334705 38.109.186.2 2020-02-18 09:10:05 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 CF253C16AA79457DBB141110F0942FA5491417DB 2018 2020-11-06 18:47:13Z SHAWN W MCCOY CEO 600 MARY STREET EVANSVILLE IN 47747 1458608651 0 X WWW.DEACONESS.COM X 1895 IN PROVIDE QUALITY HEALTH CARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT CONTINUE TO SCH O TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE. 19 12 6386 137 15899116 508464 1678599 1646761 828361410 942375847 24356181 20915857 82114245 82689151 936510435 1047627616 1303395 850589 0 0 347286715 371491921 0 0 537131 433400766 515947339 781990876 888289849 154519559 159337767 1596773714 1654034103 524523861 550747717 1072249853 1103286386 X SEE SCHEDULE O. 0 0 167975717 531164965 PATIENT SERVICE REVENUE. SEE SCHEDULE O. 617757487 407727651 CHARITY CARE/SUBSIDIZED CARE. SEE SCHEDULE O. 12551818 3483231 GRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION AND COMMUNITY BENEFIT. SEE SCHEDULE O. 850589 850589 39990164 ALL OTHER ACCOMPLISHMENTS: OTHER PROGRAM SERVICE REVENUE CONSISTS OF DEACONESS HOSPITAL'S INCOME FROM THE INVESTMENT IN JOINT VENTURES. OTHER PROGRAM SERVICE EXPENSES CONSISTED OF COMMUNITY BENEFIT GRANTS/ASSISTANCE. 850589 850589 39990164 799135611 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 1 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 0 0 1 279 0 1 6386 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 19 12 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X CHERYL A WATHEN 8124503296 600 MARY STREET EVANSVILLE IN 47747 SHAWN MCCOY CEO OF DEACONESS HEALTH SYSTEM 33.00 22.00 X X 776080 371300 213381 DANIEL HERMANN CHAIRMAN 3.00 2.00 X 0 0 0 SHARON REED WALKER TREASURER 3.00 2.00 X 0 0 0 DR LINDA BENNETT SECRETARY 3.00 2.00 X 0 0 0 BRUCE ADYE MD DIRECTOR 3.00 2.00 X 3150 0 0 MAQBOOL AHMED MD DIRECTOR 3.00 53.00 X 720 779955 42859 CURTIS BEGLE DIRECTOR-TERM BEGAN JAN'19 3.00 2.00 X 0 0 0 JEROME BENKERT JR DIRECTOR-TERM BEGAN OCT'18 3.00 2.00 X 0 0 0 STEVEN CHURCH DIRECTOR 3.00 2.00 X 0 0 0 SCOTT CORDTS MD DIRECTOR-TERM BEGAN OCT'18 53.00 2.00 X 264118 0 44743 TERI HOLLANDER ALBIN DIRECTOR 3.00 2.00 X 0 0 0 ANTHONY KAISER MD DIRECTOR 3.00 2.00 X 0 0 0 DAVE PAPARIELLA DIRECTOR-TERM BEGAN OCT'18 3.00 2.00 X 0 0 0 BARRY PHILLIPS MD DIRECTOR 3.00 53.00 X 7200 456705 42831 JAMES RYAN III DIRECTOR 3.00 2.00 X 0 0 0 DAVID RYON MD DIRECTOR 53.00 2.00 X 427740 11950 47556 ERIC SCHACH DIRECTOR 3.00 2.00 X 0 0 0 STEPHEN TITZER CPA DIRECTOR 3.00 3.00 X 0 0 0 JONATHAN WEINZAPFEL DIRECTOR 3.00 2.00 X 0 0 0 JOHN ENGELBRECHT TREASURER-TERM ENDED OCT'18 3.00 2.00 X 0 0 0 MATHIAS KOLLECK II MD DIRECTOR-TERM ENDED OCT'18 53.00 2.00 X 466613 6400 53099 CHERYL WATHEN CHIEF FINANCIAL OFFICER 30.00 25.00 X 470210 262337 168560 JAMES PORTER MD PRESIDENT OF DEACONESS HEALTH 50.00 3.00 X 1098818 2800 176617 CHERONA HAJEWSKI CHIEF NURSING OFFICER 50.00 0.00 X 525022 0 112593 LYNN LINGAFELTER CHIEF OPERATION OFFICER 50.00 4.00 X 515346 4000 95251 HERMAN BLANTON MD CHIEF MEDICAL OFFICER 50.00 3.00 X 460970 0 103534 MARC FLORENCE VICE PRESIDENT 50.00 7.00 X 383362 0 94534 KATHY SCHENK HR DIRECTOR 50.00 0.00 X 161675 0 38169 KENNETH DICKEN CONTROLLER, DIRECTOR FINAN 50.00 0.00 X 287411 3400 42290 RICHARD PERRY CONTROLLER, PHYSICIAN PRAC 50.00 0.00 X 214937 0 27185 CAROLYN MORTON PHARMACY AND LAB DIRECTOR 50.00 0.00 X 216707 0 45971 SUSAN BRUMLEY IMAGING AND CARDIOVASCULAR 50.00 0.00 X 180471 0 34283 DOUGLAS WELP IN-HOUSE COUNSEL 50.00 0.00 X 288702 0 24829 VENKATESH MADADI MD ANESTHESIOLOGIST 50.00 0.00 X 884891 0 52671 NIRMAL JOSHI MD ANESTHESIOLOGIST 50.00 0.00 X 776718 0 49831 KISHWAR NAZ MD ANESTHESIOLOGIST 50.00 0.00 X 756905 0 35913 RAJESH PATEL MD ANESTHESIOLOGIST 50.00 0.00 X 713024 0 52237 DAVID FISH MD ANESTHESIOLOGIST 50.00 0.00 X 717809 0 37763 LINDA WHITE FORMER CEO EMERITA 50.00 1.00 X 194928 4000 14796 BRUCE EPMEIER FORMER OFFICER 0.00 0.00 X 156420 2000 0 10949947 1904847 1651496 328 1 1 0 BARTON MALOW COMPANY 26500 AMERICAN DR SOUTHFIELD MI 48034 CONSTRUCTION SERVICES 42878978 EVANSVILLE SURGERY CENTER PO BOX 2185 EVANSVILLE IN 47728 SURGICAL SERVICES 31637919 PROGRESSIVE HEALTH INDIANA LLC 150 N ROSENBERGER AVE EVANSVILLE IN 47712 PHYSICAL THERAPY 16153706 EVOLENT HEALTH LLC 800 GLEBE RD SUITE 500 ARLINGTON VA 22203 CONSULTING SERVICES 13829116 ORTHOALIGN LLC 4011 GATEWAY BLVD NEWBURGH IN 47630 MEDICAL SERVICES 13751533 166 344724 129477 1172560 93486 1646761 NET PATIENT REVENUE 900099 942375847 942375847 942375847 15160807 15160807 9741205 5032826 4708379 4708379 4708379 374268500 37212499 368129652 37596297 6138848 -383798 5755050 5755050 145910 344724 222260 -76350 -76350 INVESTMENT IN JOINT VENTURES 900099 34416255 34416255 OTHER HOSPITAL SERVICES 900099 27741751 5573909 22167842 LABORATORY SALES 621500 12882214 12882214 3016902 3016902 78057122 1047627616 982366011 15899116 47715728 X 850589 850589 7475213 7475213 280764705 261942907 18471953 349845 15063932 13075051 1971846 17035 49247372 41576154 7671218 18940699 17203129 1716697 20873 1466226 1466226 195156 195156 32802 32802 1805074 1805074 144415931 141328061 3071866 16004 1135563 49412 1086151 13575625 11075810 2462953 36862 16931799 11120312 5811487 18403794 11871430 6532364 528312 338688 186628 2996 1135017 719947 411874 3196 12103020 7134976 4968044 50378309 33421615 16956645 49 3266259 3253857 12402 MEDICAL/SURGICAL SUPPLI 177761656 177761656 MEDICAID ASSESSMENT FEE 37503663 37503663 EQUIP RENTAL/MAINTENANC 18214071 16471611 1742460 DUES & SUBSCRIPTIONS 736618 228931 501447 6240 16358444 12207812 4066601 84031 888289849 799135611 88617107 537131 72567000 83582828 138315501 133412369 3900237 1549060 9085451 7388324 12417895 12822146 1085905976 581074999 510013808 504830977 736137013 770685857 42457424 51664486 48206614 48206614 23672771 39891442 1596773714 1654034103 96177167 89449202 1472480 1643957 300504348 295600927 126369866 164053631 524523861 550747717 X 1065971369 1097044932 4375983 4375402 1902501 1866052 1072249853 1103286386 1596773714 1654034103 X 159337767 -128301234 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 32802 32802 0 PART II-B, LINE 1: LOBBYING EXPENDITURES CONSISTED OF A PORTION OF MEMBERSHIP DUES TO PROFESSIONAL ORGANIZATIONS IN WHICH DEACONESS HOSPITAL AND ITS EMPLOYEES ARE MEMBERS. THE LOBBYING PORTION OF THE DUES IS NOTED ON THE MEMBERSHIP APPLICATION OR BILLING STATEMENT. 7914040 1075 195423 73258 8037280 7389906 120 606614 82600 7914040 6877438 1200 705719 194451 7389906 6660917 50 445045 228574 6877438 6749437 1327 -39488 50341 18 6660917 0.13000 0.87000 0 0 4714090 17708691 22422781 55374725 664613885 351731504 368257106 303418973 229343495 74075478 40075612 40075612 504830977 ACCRUED RETIREMENT BENEFITS 109134507 ESTIMATED THIRD PARTY SETTLEMENTS 1203209 RELATED ORGANIZATION PAYABLES 1276706 TAXABLE BOND- SERIES 2016 52500000 DEBT ISSUE COSTS -60791 164053631 X PART V, LINE 4: THE DEACONESS HOSPITAL FOUNDATION UTILIZES ENDOWMENT FUNDS TO SUPPORT AND BENEFIT THE MISSION OF DEACONESS HOSPITAL. SPECIFICALLY, ENDOWMENT FUNDS ARE USED TO HELP SUPPORT ACTIVITIES OR PROJECTS THAT HELP TO PROVIDE QUALITY HEALTH CARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE 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. DH PARTY OF YR 242100 121350 120750 6500 102483 1215 19945 4721 DH CLASSIC 248534 223374 25160 950 32510 34833 939 9945 8219 490634 344724 145910 950 39010 137316 2154 29890 12940 222260 -76350 1 1 X 1 X 1 X 1 1 1 0 1 1 18597815 18597815 0.02090 159113870 121246851 37867019 0.04260 177711685 121246851 56464834 0.06350 914759 914759 0.00100 7578963 2428939 5150024 0.00580 211935 211935 0.00020 1699525 31041 1668484 0.00190 10405182 2459980 7945202 0.00890 188116867 123706831 64410036 0.07240 1330 1330 0.00000 6970 6970 0.00000 46477 46477 0.00010 7500 7500 0.00000 85824 33150 52674 0.00010 148101 33150 114951 0.00020 1 22392598 0 223243321 217875231 5368090 X 1 1 4 1 DEACONESS HOSPITAL INC 600 MARY STREET EVANSVILLE IN 47747 WWW.DEACONESS.COM 20-005074-1 X X X X 2 DEACONESS GATEWAY HOSPITAL 4011 GATEWAY BLVD NEWBURGH IN 47630 WWW.DEACONESS.COM 20-005074-1 X X X X 3 DEACONESS CROSS POINTE 7200 E INDIANA STREET EVANSVILLE IN 47715 WWW.DEACONESS.COM 20-005074-1 X 4 THE HEART HOSPITAL 4007 GATEWAY BLVD NEWBURGH IN 47630 WWW.DEACONESS.COM 18-011772-1 X DEACONESS HOSPITAL INC 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X HTTP://WWW.DEACONESS.COM/CHNA X X 1 18 1 HTTP://WWW.DEACONESS.COM/CHNA 0 1 X 200.000000000000 400.000000000000 X X 1 1 X X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X X 1 X 0 X X X 1 X 0 0 DEACONESS GATEWAY HOSPITAL 2 0 0 1 X X X X X X X X X 18 1 1 1 1 X HTTP://WWW.DEACONESS.COM/CHNA X X 1 18 1 HTTP://WWW.DEACONESS.COM/CHNA 0 1 X 200.000000000000 400.000000000000 X X 1 1 X X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X X 1 X 0 X X X 1 X 0 0 DEACONESS CROSS POINTE 3 0 0 1 X X X X X X X X X 18 1 1 1 1 X HTTP://WWW.DEACONESS.COM/CHNA X X 1 18 1 HTTP://WWW.DEACONESS.COM/CHNA 0 1 X 200.000000000000 400.000000000000 X X 1 1 X X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X X 1 X 0 X X X 1 X 0 0 THE HEART HOSPITAL 4 0 0 1 X X X X X X X X X 18 1 1 1 1 X HTTP://WWW.DEACONESS.COM/CHNA X X 1 18 1 HTTP://WWW.DEACONESS.COM/CHNA 0 1 X 200.000000000000 400.000000000000 X X 1 1 X X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X X 1 X 0 X X X 1 X 0 0 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 HOSPITAL PART V, SECTION B, LINE 5: DESCRIPTION OF COMMUNITY INPUT IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). DEACONESS CROSS POINTE PART V, SECTION B, LINE 5: DESCRIPTION OF COMMUNITY INPUT IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). THE HEART HOSPITAL PART V, SECTION B, LINE 5: DESCRIPTION OF COMMUNITY INPUT IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). DEACONESS HOSPITAL, INC. PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES CHNA WAS CONDUCTED WITH:EIGHT HEALTH SYSTEMS WORKED TOGETHER TO ADMINISTER THE SAME CHNA SURVEY TO RESIDENTS IN 31 INDIANA COUNTIES. PARTICIPATING HEALTH SYSTEMS (IN ADDITION TO DEACONESS HEALTH SYSTEM) INCLUDED ASCENSION/ST. VINCENT, GIBSON GENERAL HOSPITAL, FRANCISCAN HEALTH, NORTH CENTRAL HEALTH SERVICES D.B.A. RIVER BEND HOSPITAL, IU HEALTH, COMMUNITY HEALTH NETWORK, AND RIVERVIEW HEALTH. DEACONESS GATEWAY HOSPITAL PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES CHNA WAS CONDUCTED WITH IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). DEACONESS CROSS POINTE PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES CHNA WAS CONDUCTED WITH IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). THE HEART HOSPITAL PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES CHNA WAS CONDUCTED WITH IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). DEACONESS HOSPITAL, INC. PART V, SECTION B, LINE 6B: KEY PARTNER ORGANIZATIONS INCLUDED THE UNIVERSITY OF EVANSVILLE, INDIANA UNIVERSITY SCHOOL OF PUBLIC HEALTH, INDIANA UNIVERSITY CENTER FOR SURVEY RESEARCH, MEASURES MATTER, LLC. OTHER LOCAL ORGANIZATIONS PARTICIPATED IN OUR FOCUS GROUPS AND PRIORITIZATION SESSIONS. DEACONESS GATEWAY HOSPITAL PART V, SECTION B, LINE 6B: OTHER ORGANIZATIONS CHNA WAS CONDUCTED WITH IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). DEACONESS CROSS POINTE PART V, SECTION B, LINE 6B: OTHER ORGANIZATIONS CHNA WAS CONDUCTED WITH IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). THE HEART HOSPITAL PART V, SECTION B, LINE 6B: OTHER ORGANIZATIONS CHNA WAS CONDUCTED WITH IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). DEACONESS 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 HOSPITAL 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 CROSS POINTE 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. THE HEART HOSPITAL 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 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 HOSPITAL PART V, SECTION B, LINE 11: HOW THE SIGNIFICANT NEEDS ARE BEING ADDRESSED IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). DEACONESS CROSS POINTE PART V, SECTION B, LINE 11: HOW THE SIGNIFICANT NEEDS ARE BEING ADDRESSED IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). THE HEART HOSPITAL PART V, SECTION B, LINE 11: HOW THE SIGNIFICANT NEEDS ARE BEING ADDRESSED IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). DEACONESS HOSPITAL, INC. PART V, SECTION B, LINE 15E: MED ASSIST IS AVAILABLE TO DEACONESS HEALTH SYSTEM PATIENTS TO ASSIST WITH APPLYING FOR MEDICAID OR EXCHANGE PRODUCTS. DEACONESS GATEWAY HOSPITAL PART V, SECTION B, LINE 15E: OTHER METHOD USED FOR APPLYING FOR FINANCIAL ASSISTANCE IS THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). DEACONESS CROSS POINTE PART V, SECTION B, LINE 15E: OTHER METHOD USED FOR APPLYING FOR FINANCIAL ASSISTANCE IS THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). THE HEART HOSPITAL PART V, SECTION B, LINE 15E: OTHER METHOD USED FOR APPLYING FOR FINANCIAL ASSISTANCE IS THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). DEACONESS 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 HOSPITAL PART V, SECTION B, LINE 16J: OTHER METHOD USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). DEACONESS CROSS POINTE PART V, SECTION B, LINE 16J: OTHER METHOD USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). THE HEART HOSPITAL PART V, SECTION B, LINE 16J: OTHER METHOD USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). 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 36 1 - CARDIAC REHAB 4015 GATEWAY BLVD SUITE 2122 NEWBURGH IN 47630 OUTPATIENT SERVICES 2 - DEACONESS FAMILY MEDICINE RESIDENCY 415 W COLUMBIA ST SUITE 110 EVANSVILLE IN 47710 OUTPATIENT PHYSICIAN CLINIC 3 - DEACONESS HOSPITAL ANTICOAGMED THERAPY 350 W COLUMBIA ST SUITE 230 EVANSVILLE IN 47747 OUTPATIENT SERVICES 4 - DEACONESS ANTICOAGULATION CLINIC 4107 GATEWAY BLVD NEWBURGH IN 47630 OUTPATIENT SERVICES 5 - DEACONESS HOSPITAL BREAST CENTER 520 MARY STREET SUITE 140 EVANSVILLE IN 47710 DIAGNOSTIC CENTER 6 - DEACONESS HOSPITAL CANCER SERVICES 4055 GATEWAY BLVD NEWBURGH IN 47630 OUTPATIENT SERVICES 7 - DEACONESS HOSPITAL CANCER SERVICES 421 CHESTNUT STREET EVANSVILLE IN 47713 OUTPATIENT SERVICES 8 - DEACONESS COMPREHENSIVE PAIN CTR-GATEWAY 4099 GATEWAY BLVD NEWBURGH IN 47630 OUTPATIENT SERVICES 9 - DEACONESS COMPREHENSIVE PAIN CTR & PROG 4600 W LLOYD EXPRESSWAY SUITE A EVANSVILLE IN 47712 OUTPATIENT SERVICES 10 - DEACONESS CROSS POINTE OUTPATIENT CLINIC 445 CROSS POINTE BLVD EVANSVILLE IN 47715 OUTPATIENT PHYSICIAN CLINIC 11 - DEACONESS DIABETES CENTER - EDUCATION 421 CHESTNUT STREET EVANSVILLE IN 47713 OUTPATIENT SERVICES 12 - DEACONESS GATEWAY GASTROENTEROLOGY 4133 GATEWAY BLVD SUITE 290 NEWBURGH IN 47630 OUTPATIENT SERVICES 13 - DEACONESS HOSPITAL MAMMOGRAPHY & IMAGING 421 CHESTNUT STREET EVANSVILLE IN 47713 DIAGNOSTIC CENTER 14 - DEACONESS HOSPITAL INFUSION CTRPHARMACY 4111 GATEWAY BLVD NEWBURGH IN 47630 OUTPATIENT SERVICES 15 - DEACONESS HOSPITAL RADIOLOGY EXPRESS 10455 ORTHOPAEDIC DRIVE NEWBURGH IN 47630 DIAGNOSTIC CENTER 16 - DEACONESS HOSPITAL PHYSICAL MEDICINE 520 MARY STREET SUITE 280 EVANSVILLE IN 47747 OUTPATIENT SERVICES 17 - DEACONESS HOSPITAL PHYS MED-OA 10455 ORTHOPAEDIC DRIVE NEWBURGH IN 47630 OUTPATIENT SERVICES 18 - DEACONESS HOSPITAL PHYSICAL MEDICINE 4600 W LLOYD EXPRESSWAY SUITE B EVANSVILLE IN 47715 OUTPATIENT SERVICES 19 - DEACONESS PRIMARY CARE FOR SENIORS 1750 OAK HILL ROAD EVANSVILLE IN 47710 OUTPATIENT PHYSICIAN CLINIC 20 - DEACONESS PRIMARY CARE FOR SENIORS 4498 FIRST AVENUE EVANSVILLE IN 47710 OUTPATIENT PHYSICIAN CLINIC 21 - DEACONESS PROCEDURE CENTER 421 CHESTNUT STREET EVANSVILLE IN 47713 OUTPATIENT SERVICES 22 - MIDWEST RADIOLOGICAL IMAGING 4087 GATEWAY BLVD NEWBURGH IN 47630 DIAGNOSTIC CENTER 23 - DEACONESS REGIONAL LABORATORY 421 CHESNUT STREET EVANSVILLE IN 47713 DIAGNOSTIC CENTER 24 - DEACONESS CLINIC GATEWAY REG LAB 4233 GATEWAY BLVD SUITE 201 NEWBURGH IN 47630 DIAGNOSTIC CENTER 25 - DEACONESS HOSPITAL LAB & EKGDIABETES EDUC 520 MARY STREET SUITE 330 EVANSVILLE IN 47710 DIAGNOSTIC CENTER 26 - DEACONESS RADIOLOGY LAB & RADIOLOGY 8600 NORTH KENTUCKY AVENUE EVANSVILLE IN 47725 DIAGNOSTIC CENTER 27 - DEACONESS REGIONAL LABORATORY 4494 N FIRST AVENUE EVANSVILLE IN 47710 DIAGNOSTIC CENTER 28 - DEACONESS HOSPITAL LAB & RADIOLOGY 4209 GATEWAY BLVD NEWBURGH IN 47630 DIAGNOSTIC CENTER 29 - MT VERNON MEDICAL CENTER LAB & RADIOLOGY 1900 W FOURTH STREET MT VERNON IN 47620 DIAGNOSTIC CENTER 30 - DEACONESS REGIONAL LABORATORY 4133 GATEWAY BLVD SUITE 110 NEWBURGH IN 47630 DIAGNOSTIC CENTER 31 - DEACONESS RILEY CHILDRENS SPECIALTY CENT 4133 GATEWAY BLVD SUITE 220 NEWBURGH IN 47630 OUTPATIENT SERVICES 32 - DEACONESS SLEEP CENTER 350 W COLUMBIA STREET SUITE 100 EVANSVILLE IN 47710 OUTPATIENT SERVICES 33 - DEACONESS SLEEP CENTER-EAST 7307 E COLUMBIA ST EVANSVILLE IN 47715 DIAGNOSTIC CENTER 34 - DEACONESS SLEEP LAB 350 W COLUMBIA STREET SUITE LL-10 EVANSVILLE IN 47710 DIAGNOSTIC CENTER 35 - DEACONESS WEIGHT LOSS SOLUTIONS 310 W IOWA STREET EVANSVILLE IN 47710 OUTPATIENT PHYSICIAN CLINIC 36 - DEACONESS WOUND CARE CENTER 350 W COLUMBIA STREET SUITE 350 EVANSVILLE IN 47710 OUTPATIENT SERVICES PART I, LINE 6A: DEACONESS HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT IS MADE AVAILABLE 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 STATES IN 1 ALBION FELLOWS BACON CENTER PO BOX 3164 EVANSVILLE IN 47731 311029051 501(C)(3) 12550 GENERAL SUPPORT AMERICAN CANCER SOCIETY 5250 VOGEL RD SUITE A EVANSVILLE IN 47715 131788491 501(C)(3) 10000 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 7500 GENERAL SUPPORT AMERICAN RED CROSS 29 S STOCKWELL RD EVANSVILLE IN 47714 530196605 501(C)(3) 10000 GENERAL SUPPORT CHEMO BUDDIES 3699 EPWORTH RD NEWBURGH IN 47630 453043243 501(C)(3) 10000 GENERAL SUPPORT CHILDREN'S MUSEUM OF EVANSVILLE 22 SE 5TH STREET EVANSVILLE IN 47701 351951848 501(C)(3) 19750 KEYS TO FITNESS EXHIBIT & GENERAL SUPPORT COMMUNITY FOUNDATION ALLIANCE INC 5000 E VIRGINIA ST STE 4 EVANSVILLE IN 47715 351830262 501(C)(3) 30000 COMMUNITY BRANDING INITIATIVE COMMUNITY PATIENT SAFETY COALITION 13113 BROWNING ROAD EVANSVILLE IN 47725 611646052 501(C)(3) 18752 GENERAL SUPPORT ECHO COMMUNITY HEALTH CARE 315 MULBERRY STREET EVANSVILLE IN 47713 351791786 501(C)(3) 30000 FAMILY PRACTCE - MULTICULTURAL CLINIC ECONOMIC DEVELOPMENT COALITION OF SOUTHWEST INDIANA 318 MAIN STREET SUITE 400 EVANSVILLE IN 47708 320152563 501(C)(6) 25000 ONE REGION-ONE ECONOMY-ONE VOICE CAMPAIGN EVANSVILLE EMERGENCY FOOD PANTRY CONSORTIUM INC PO BOX 2536 EVANSVILLE IN 47728 371697515 501(C)(3) 10000 FOOD FOR FOOD PANTRIES EVANSVILLE PARKS FOUNDATION INC PO BOX 3112 EVANSVILLE IN 47730 351520591 501(C)(3) 11000 CAPITAL & GENERAL SUPPORT EVANSVILLE REGIONAL BUSINESS COMMITTEE INC ONE VECTREN SQUARE EVANSVILLE IN 47708 030408032 501(C)(3) 10000 GENERAL SUPPORT EVANSVILLE VANDERBURGH SCHOOL CORP 1 SE NINTH STREET EVANSVILLE IN 47708 351071682 501(C)(3) 8550 CLASSROOM SUPPLIES EVANSVILLE-AREA TRAILS COALITION INC PO BOX 5644 EVANSVILLE IN 47716 271556835 501(C)(3) 18000 GENERAL SUPPORT EVANSVILLE-VANDERBURGH COUNTY CONVENTION & VISITORS COMMISSION 4300 HECKEL ROAD EVANSVILLE IN 47725 472582515 501(C)(3) 25000 SUPPORT HEALTH TRAIL GOLF GIVES BACK INC ONE VECTREN SQUARE EVANSVILLE IN 47708 814223347 501(C)(3) 8000 GENERAL SUPPORT INDIANA UNIVERSITY FOUNDATION PO BOX 500 BLOOMINGTON IN 47402 356018940 501(C)(3) 100000 IUSM-EVANSVILLE FURNITURE & FIXTURE FUND JUNIOR ACHIEVEMENT OF SW INDIANA 431 E DIAMOND AVENUE EVANSVILLE IN 47711 356048156 501(C)(3) 9970 INSPIRING OUR YOUTH PROGRAM & GENERAL SUPPORT JUVENILE DIABETES RESEARCH FOUNDATION 10401 N MERIDIAN ST STE 150 INDIANAPOLIS IN 46290 231907729 501(C)(3) 15000 GENERAL SUPPORT KOMEN GREATER EVANSVILLE AFFILIATE 4424 VOGEL RD STE 205 EVANSVILLE IN 47715 752844632 501(C)(3) 15875 GENERAL SUPPORT OTHERS 5000 139789 GENERAL SUPPORT RONALD MCDONALD HOUSE CHARITIES OF THE OHIO VALLEY 3540 WASHINGTON AVENUE EVANSVILLE IN 477140136 351748468 501(C)(3) 23600 GENERAL SUPPORT UNITED WAY OF SOUTHWESTERN INDIANA PO BOX 18 EVANSVILLE IN 47701 350868069 501(C)(3) 20000 GENERAL SUPPORT UNIVERSITY OF SOUTHERN INDIANA FOUNDATION 8600 UNIVERSITY BOULEVARD EVANSVILLE IN 47712 237042320 501(C)(3) 41250 HEALTH PROFESSION SCHOLARSHIPS & GENERAL SUPPORT WARRICK WELLNESS PATHWAYS LLC PO BOX 906 NEWBURGH IN 47629 464049559 501(C)(3) 50000 SUPPORT HEALTH TRAIL WNIN TRI-STATE PUBLIC MEDIA 405 CARPENTER STREET EVANSVILLE IN 47705 351307165 501(C)(3) 26000 GENERAL SUPPORT & CAPITAL CAMPAIGN YMCA OF SW INDIANA INC 222 NW 6TH ST EVANSVILLE IN 47708 350869074 501(C)(3) 17500 GENERAL SUPPORT YOUTH FIRST 111 SE THIRD STREET STE 405 EVANSVILLE IN 47708 352050168 501(C)(3) 17000 GENERAL SUPPORT YWCA 118 VINE ST EVANSVILLE IN 47708 350869075 501(C)(3) 12500 GENERAL SUPPORT 28 1 PART I, LINE 2: DEACONESS HOSPITAL CONFIRMS ALL RECIPIENTS OF FUNDS ARE ORGANIZATIONS WHOSE GOALS COINCIDE WITH DEACONESS' MISSION OF PROVIDING QUALITY HEALTH CARE WITH A COMPASSIONATE AND CARING SPIRIT. THE ORGANIZATIONS PROVIDE NEEDED SERVICES TO OUR COMMUNITY TO IMPROVE HEALTH AND WELLNESS FOR THE CITIZENS IN THE SURROUNDING AREA. X 1 1 X X X X X 0 1 0 0 0 1 1 0 0 SHAWN MCCOY CEO OF DEACONESS HEALTH SYSTEM 354441 362500 245980 0 175659 8800 91390 86103 17944 17944 885414 475347 84746 84746 MAQBOOL AHMED MD DIRECTOR 0 715661 0 53411 720 10883 0 19248 0 23611 720 822814 0 0 SCOTT CORDTS MD DIRECTOR-TERM BEGAN OCT'18 230368 0 20796 0 12954 0 22063 0 22680 0 308861 0 0 0 BARRY PHILLIPS MD DIRECTOR 0 359305 0 90478 7200 6922 0 20298 0 22533 7200 499536 0 0 DAVID RYON MD DIRECTOR 293679 0 91961 0 42100 11950 23648 0 23908 0 475296 11950 0 0 MATHIAS KOLLECK II MD DIRECTOR-TERM ENDED OCT'18 272330 0 118681 0 75602 6400 27680 0 25419 0 519712 6400 0 0 CHERYL WATHEN CHIEF FINANCIAL OFFICER 245126 253137 126223 0 98861 9200 77823 54607 18065 18065 566098 335009 47554 47555 JAMES PORTER MD PRESIDENT OF DEACONESS HEALTH 569828 0 170242 0 358748 2800 145111 0 31506 0 1275435 2800 234275 0 CHERONA HAJEWSKI CHIEF NURSING OFFICER 310619 0 78574 0 135829 0 86956 0 25637 0 637615 0 128861 0 LYNN LINGAFELTER CHIEF OPERATION OFFICER 365760 0 87755 0 61831 4000 84286 0 10965 0 610597 4000 60122 0 HERMAN BLANTON MD CHIEF MEDICAL OFFICER 357266 0 90222 0 13482 0 77532 0 26002 0 564504 0 4251 0 MARC FLORENCE VICE PRESIDENT 279247 0 78879 0 25236 0 63858 0 30676 0 477896 0 21597 0 KATHY SCHENK HR DIRECTOR 139115 0 21839 0 721 0 14489 0 23680 0 199844 0 0 0 KENNETH DICKEN CONTROLLER, DIRECTOR FINAN 207782 0 28805 0 50824 3400 18332 0 23958 0 329701 3400 0 0 RICHARD PERRY CONTROLLER, PHYSICIAN PRAC 186396 0 26817 0 1724 0 17069 0 10116 0 242122 0 0 0 CAROLYN MORTON PHARMACY AND LAB DIRECTOR 184325 0 31064 0 1318 0 17877 0 28094 0 262678 0 0 0 SUSAN BRUMLEY IMAGING AND CARDIOVASCULAR 150501 0 25372 0 4598 0 9869 0 24414 0 214754 0 0 0 DOUGLAS WELP IN-HOUSE COUNSEL 247865 0 38528 0 2309 0 2342 0 22487 0 313531 0 0 0 VENKATESH MADADI MD ANESTHESIOLOGIST 811468 0 132 0 73291 0 29148 0 23523 0 937562 0 0 0 NIRMAL JOSHI MD ANESTHESIOLOGIST 548876 0 132 0 227710 0 23464 0 26367 0 826549 0 0 0 KISHWAR NAZ MD ANESTHESIOLOGIST 634203 0 72153 0 50549 0 15032 0 20881 0 792818 0 0 0 RAJESH PATEL MD ANESTHESIOLOGIST 667261 0 132 0 45631 0 26868 0 25369 0 765261 0 0 0 DAVID FISH MD ANESTHESIOLOGIST 563977 0 25140 0 128692 0 15032 0 22731 0 755572 0 29743 0 LINDA WHITE FORMER CEO EMERITA 148489 0 17272 0 29167 4000 6087 0 8709 0 209724 4000 27123 0 BRUCE EPMEIER FORMER OFFICER 0 0 0 0 156420 2000 0 0 0 0 156420 2000 0 0 PART I, LINE 1A SOCIAL CLUB DUES ARE PAID FOR LINDA WHITE AND SHAWN MCCOY FOR ORGANIZATION BUSINESS ONLY. ANY PERSONAL USE OF THE CLUB MUST BE PAID BY THE EMPLOYEES. PART I, LINE 4B SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS: SEVERANCE NONQUALIFIED EQUITY-BASED SHAWN MCCOY $-0- $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 6 COMPENSATION CONTINGENT UPON NET EARNINGS: INCENTIVE COMPENSATION PAYMENTS MADE BY THE ORGANIZATION ARE BASED UPON SUCCESSFUL ACHIEVEMENT OF ESTABLISHED INPATIENT SATISFACTION MEASURES, OUTPATIENT SATISFACTION MEASURES, COMPLIANCE WITH PUBLICLY REPORTED QUALITY INDICATORS, OPERATING MARGIN AS WELL AS OTHER TECHNICAL AND PERSONAL FUNCTIONAL GOALS OF BOTH THE ORGANIZATION AND RELATED ORGANIZATIONS. DEACONESS HOSPITAL'S INCENTIVE COMPENSATION PROGRAMS ARE FORMULATED TO REWARD BEHAVIOR THAT BALANCES PATIENT NEEDS AND EFFICIENT DELIVERY OF PATIENT CARE TO ENSURE THE BEST OUTCOMES ARE ACHIEVED. A INDIANA FINANCE AUTHORITY-2016A 351602316 45506DXT7 2016-10-05 109999091 NEW MONEY PROJECTS 0 0 0 B INDIANA FINANCE AUTHORITY-2015A 351602316 45506DUL7 2015-07-09 49772341 03/6/2009 REFUNDING 0 0 0 C INDIANA FINANCE AUTHORITY-2013C 351602316 45471ALU4 2013-07-23 40180000 3/26/09 REFUNDING 0 0 0 D INDIANA FINANCE AUTHORITY-2013B 351602316 2013-03-05 21440000 5/27/04 REFUNDING 0 0 0 A 111373335 4660332 935528 2885418 102892057 2018 0 0 1 1 B 500000 49772341 601847 49170494 0 1 1 1 C 1000000 40180000 180000 40000000 1 0 1 1 D 6630000 21440000 125000 21315000 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 1 0 1 1 FIFTH THIRD 16.000000000000 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: INDIANA FINANCE AUTHORITY-2013A DATE THE REBATE COMPUTATION WAS PERFORMED: 06/22/2015 ISSUER NAME: INDIANA FINANCE AUTHORITY-2012B DATE THE REBATE COMPUTATION WAS PERFORMED: 06/22/2015 PART II, LINE 11: THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW. A INDIANA FINANCE AUTHORITY-2013A 351602316 45471AKY7 2013-03-05 71336168 5/27/04 AND 3/26/09 REFUNDING 0 0 0 B INDIANA FINANCE AUTHORITY-2012B 351602316 2012-11-20 13005000 1/17/1992 REFUNDING 0 0 0 C INDIANA FINANCE AUTHORITY-2011A 351602316 45471AES7 2011-12-02 20667197 3/15/99 REFUNDING 0 0 0 A 2390000 71336168 729538 70606631 1 0 1 1 B 8075000 13005000 103657 12901343 1 0 1 1 C 7145000 20667197 397197 20270000 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 ABBY PAPARIELLA SEE PART V 55584 COMP. 0 BRITTNEY PHIPPS SEE PART V 57360 COMP. 0 EVANSVILLE SURGICAL ASSOCIATES SEE PART V 3486253 MEDICAL SERVICES 0 IVY TECH FOUNDATION SEE PART V 3000 DONATION AND SUPPORT 0 JESSICA COX SEE PART V 70115 COMP. 0 JOAN MCCOY SEE PART V 44776 COMP. 0 MARY BETH COLE SEE PART V 38569 COMP. 0 MISTY ADYE SEE PART V 41405 COMP. 0 OLD NATIONAL BANK SEE PART V 209372 INVESTMENT MANAGEMENT FEES 0 SHERRI MCCOY SEE PART V 26638 COMP. 0 UNIVERSITY OF SOUTHERN INDIANA SEE PART V 73986 SUPPORT 0 SCH L, PART IV, ABBREVIATION: BD MBR = BOARD MEMBERCOMP. = REPORTABLE COMPENSATIONSRVS. = SERVICES SCH L, PART V, RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: INTERESTED PERSON: ABBY PAPARIELLARELATIONSHIP: DAUGHTER OF DAVE PAPARIELLAINTERESTED PERSON: BRITTNEY PHIPPSRELATIONSHIP: DAUGHTER OF DAVE PAPARIELLAINTERESTED PERSON: 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. X OTHER 121 81436 FMV X JEWELRY 1 12050 COST 0 1 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART III, LINE 1, ORGANIZATION'S MISSION: DEACONESS HOSPITAL PROVIDES QUALITY HEALTHCARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE. AT DEACONESS HOSPITAL, OUR VALUES ARE BASED ON OUR COMMITMENT TO QUALITY. WE DEFINE QUALITY AS THE CONTINUOUS IMPROVEMENT OF SERVICES TO MEET THE NEEDS AND EXCEED THE EXPECTATIONS OF THE CUSTOMERS WE SERVE. OUR VALUES ARE QUALITY IN EVERYTHING WE DO, RESPECT FOR ALL PEOPLE, EFFICIENCY AND EFFECTIVENESS IN THE USE OF RESOURCES, INNOVATION TOWARD CONTINUOUS SYSTEMS IMPROVEMENT, PARTNERSHIP WITH THOSE WE SERVE AND WITH SUPPLIERS, EDUCATION FOR CONTINUOUS GROWTH AND KNOWLEDGE AND PRIDE IN WORKMANSHIP. TO ACCOMPLISH ITS MISSION, DEACONESS HOSPITAL IS COMMITTED TO IMPROVING THE QUALITY OF LIFE FOR THE PEOPLE OF THE TRI-STATE BY DEMONSTRATING EXCELLENCE IN HEALTHCARE SERVICES, PROVIDING ACCESS TO HEALTHCARE, PROVIDING CHARITY CARE TO THOSE IN NEED,PROMOTING HEALTHY LIFESTYLES, OFFERING SPIRITUAL AND PSYCHOLOGICAL SUPPORT, SUPPORTING HEALTH RELATED EDUCATION, AND ADVANCING HEALTH KNOWLEDGE THROUGH RESEARCH. FORM 990, PART III, LINE 4A PROGRAM SERVICES ACCOMPLISHMENT 1: PATIENT SERVICE REVENUE. DEACONESS HOSPITAL IS A MAJOR REFERRAL CENTER FOR A 26 COUNTY TRI-STATE AREA IN SOUTHWESTERN INDIANA, WESTERN KENTUCKY AND SOUTHEASTERN ILLINOIS. THE HOSPITAL AND ITS FACILITIES ARE LOCATED ON FOUR CAMPUSES WHICH INCLUDE THE MAIN 28-ACRE CAMPUS ON THE NEAR NORTH SIDE OF EVANSVILLE IN VANDERBURGH COUNTY; THE 63-ACRE GATEWAY CAMPUS LOCATED IN WARRICK COUNTY ON THE EASTERN BORDER OF VANDERBURGH COUNTY; AND TWO OTHER EASTSIDE EVANSVILLE LOCATIONS FOR PSYCHIATRIC BEHAVIORAL SERVICES AND REHABILITATION SERVICES. THE HOSPITAL OPERATES A 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 4B PROGRAM SERVICES ACCOMPLISHMENT 2: CHARITY CARE/ SUBSIDIZED CARE. DEACONESS HOSPITAL MAKES A DISTINCTION BETWEEN CHARITY CARE AND BAD DEBT. IN DETERMINING AN INDIVIDUAL OR FAMILY'S ABILITY TO PAY, DEACONESS HOSPITAL EVALUATES WHETHER OR NOT THE RESPONSIBLE PARTY HAS SUFFICIENT RESOURCES AVAILABLE FOR PAYMENT. IF AN INDIVIDUAL IS DETERMINED TO NOT HAVE SUFFICIENT RESOURCES TO PAY, THEY ARE CONSIDERED ELIGIBLE FOR CHARITY CARE AND WILL NOT BE PROCESSED THROUGH EITHER INTERNAL OR EXTERNAL COLLECTIONS. ACCOUNTS OF CHARITY CARE PATIENTS WHO ARE UNABLE TO PAY DO NOT RESULT IN BAD DEBT AND ARE NOT COLLECTED UPON. DEACONESS HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT OF REIMBURSEMENT IS BELOW COST, DEACONESS HOSPITAL ABSORBS THESE COSTS IN MEETING ITS MISSION TO THE COMMUNITY. IN SUPPORT OF ITS MISSION, DEACONESS HOSPITAL PROVIDED $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 4C PROGRAM SERVICES ACCOMPLISHMENT 3: GRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION & COMMUNITY BENEFITS. DEACONESS HOSPITAL PLAYS AN ACTIVE ROLE IN MEDICAL EDUCATION, OPERATING A THREE YEAR FAMILY MEDICINE RESIDENCY PROGRAM AND A POST-GRADUATE PHARMACY RESIDENCY PROGRAM. DEACONESS HOSPITAL ALSO PROVIDES CONTINUING MEDICAL EDUCATION PROGRAMS FOR ATTENDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, OTHER ALLIED HEALTH PROGRAMS, COMMUNITY HEALTH PROGRAMS AND A CHAPLAIN RESIDENCY PROGRAM. IN ADDITION TO EDUCATIONAL SERVICES, DEACONESS HOSPITAL PROVIDED $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 4D ALL OTHER ACCOMPLISHMENTS. OTHER PROGRAM SERVICE REVENUE CONSISTS OF DEACONESS HOSPITAL'S INCOME FROM THE INVESTMENT IN JOINT VENTURES. OTHER PROGRAM SERVICE EXPENSES CONSISTED OF COMMUNITY BENEFIT GRANTS/ASSISTANCE. FORM 990, PART VI, SECTION A, LINE 6 CLASS OF MEMBERS OR STOCKHOLDERS: DEACONESS HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER OF DEACONESS HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF GOVERNING BODY: THE BOARD OF DIRECTORS MAY ELECT ONE OR MORE NON-MEDICAL STAFF MEMBERS OF THE GOVERNING BODY THROUGH AN APPROVED ELECTION AND APPROVAL PROCESS. THE ELECTION AND APPROVAL PROCESS FOR NON-MEDICAL STAFF MEMBERS BEGINS WITH A RECOMMENDATION BY THE GOVERNANCE COMMITTEE FOR MEMBERSHIP TO THE BOARD OF DIRECTORS. THAT RECOMMENDATION IS THEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. DEPENDING ON THE DECISION REACHED BY THE BOARD OF DIRECTORS, MEMBERSHIP MAY OR MAY NOT BE GRANTED TO THAT INDIVIDUAL. MEDICAL STAFF EXECUTIVE COUNCIL LEADERSHIP ARE APPOINTED TO BOARD OF DIRECTOR MEMBERSHIP THROUGH THEIR POSITION AS ELECTED MEDICAL STAFF LEADERS. THROUGH THE ELECTION PROCESS OF THE MEDICAL STAFF EXECUTIVE COUNCIL, THEIR APPOINTMENT IS CONFIRMED AND APPROVED. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE PROCESS THAT DEACONESS HOSPITAL UTILIZES TO PRESENT THE FORM 990 TO ITS GOVERNING BODY PRIOR TO FILING IS TO PRESENT THE FORM 990 TO THE CFO AND CEO OF THE ORGANIZATION FOR REVIEW. AFTER THIS REVIEW IS PERFORMED AND ALL QUESTIONS ARE ANSWERED, THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS OF DEACONESS HEALTH SYSTEM AT THE BOARD MEETING PRIOR TO THE FILING DATE OF THE FORM 990. ANY ADDITIONAL QUESTIONS ARE ANSWERED AND THE FINAL FILING IS THEN COMPLETED. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH CONFLICT OF INTEREST POLICY: CONFLICT OF INTEREST REVIEW AND COMPLIANCE ACTIVITIES ARE CONDUCTED THROUGHOUT THE YEAR UNDER THE DIRECTION OF DEACONESS HOSPITAL'S CORPORATE COMPLIANCE OFFICER. UPON APPOINTMENT AND, ANNUALLY, THEREAFTER, OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES, ALSO KNOWN AS INTERESTED PERSONS, ARE REQUIRED TO COMPLETE "THE CONFLICTS OF INTEREST QUESTIONNAIRE AND/OR "THE DISCLOSURE QUESTIONNAIRE". THESE DOCUMENTS SERVE TO ENSURE INTERESTED PERSONS OR COMMITTEE MEMBERS WITH BOARD DELEGATED POWERS HAVE AN APPROPRIATE AND TIMELY MANNER IN WHICH TO DISCLOSE ANY POTENTIAL CONFLICTS. CONFLICTS ARE CONSIDERED WITH RESPECT TO OUTSIDE INTEREST, INVESTMENTS, OUTSIDE ACTIVITIES, AND BUSINESS INTERESTS AMONG THE INTERESTED PERSONS AS WELL AS THEIR FAMILY MEMBERS. ON A PERIODIC BASIS, REVIEWS OCCUR TO ENSURE DEACONESS HOSPITAL OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSE. SUBJECTS THAT ARE REVIEWED ON A PERIODIC BASIS INCLUDE COMPENSATION, PHYSICIAN RELATIONSHIPS, PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR TOP OFFICIALS AND OTHER OFFICERS: DEACONESS HOSPITAL UTILIZES A COMPENSATION COMMITTEE TO APPROVE EXECUTIVE, DIRECTOR AND PHYSICIAN COMPENSATION AS WELL AS EXECUTIVE AND PHYSICIAN BENEFITS PROGRAMS. THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS AND MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE SEC. THE COMMITTEE HAS THE POWER AND AUTHORITY TO: 1. ANNUALLY REVIEW AND APPROVE AND RECOMMEND TO THE BOARD OF DIRECTORS FOR ITS FINAL APPROVAL FOR THE CEO AND EACH OTHER EXECUTIVE OFFICER OF THE SYSTEM ALL ELEMENTS OF EXECUTIVE COMPENSATION. 2. MONITOR BROADLY THE STRUCTURE, PHILOSOPHY OR COMPETITIVENESS OF THE SYSTEM'S GENERAL HIRING OR COMPENSATION PRACTICES. 3. OVERSEE THE ESTABLISHMENT AND ADMINISTRATION OF THE COMPANY'S BROAD-BASED BENEFIT PLANS AND PROGRAMS 4. REVIEW OR APPROVE SIGNIFICANT AMENDMENTS OR CHANGES TO THE PLANS AND PROGRAMS. 5. RETAIN AND TERMINATE ANY COMPENSATION CONSULTANT TO BE USED TO ASSIST IN THE EVALUATION OF DIRECTOR, CEO OR EXECUTIVE OFFICE COMPENSATION 6. SOLE AUTHORITY TO APPROVE THE CONSULTANT'S FEES AND OTHER RETENTION TERMS. 7. OBTAIN ADVICE AND ASSISTANCE FROM INTERNAL OR EXTERNAL LEGAL, ACCOUNTING OR OTHER ADVISORS. 8. APPROVE ALL PHYSICIAN AND PHYSICIAN RELATED CONTRACTS. 9. MAKE REGULAR REPORTS TO THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS DISCLOSURE EXPLANATION: DEACONESS HOSPITAL'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE SECRETARY OF STATE'S WEBSITE. DEACONESS HOSPITAL IS PART OF A CONSOLIDATED FINANCIAL STATEMENT WHICH IS AVAILABLE WITH THE PUBLIC DISCLOSURE COPY OF THE IRS FORM 990. ALSO, AS REQUIRED BY LAW, THE HOSPITAL SUBMITS ITS CONSOLIDATED FINANCIAL STATEMENTS TO THE INDIANA DEPARTMENT OF HEALTH WHICH ARE PUBLISHED ON ITS WEBSITE. GOVERNING DOCUMENTS, ASIDE FROM THE ARTICLES OF INCORPORATION, AND THE CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE FOR PUBLIC INSPECTION. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 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. 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