2019-08-15T15:12:15-05:00 2018-09-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2017-10-01 350593390 DEACONESS HOSPITAL INC DEAC 8124503296 600 MARY STREET EVANSVILLE IN 47747 SHAWN W MCCOY CEO OF DEACONESS HEALTH SYSTEM 8124503296 2019-08-15 1 CARRIE A MERRILL CPA P00832283 3176334705 38.109.186.2 2019-08-15 14:48:13 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 50BA67CF2BE9AFE4130FCD26086E06618A5B98E5 2017 2019-02-21 02:37:17Z SHAWN W MCCOY CEO 600 MARY STREET EVANSVILLE IN 47747 1256537178 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. 18 11 6024 159 14059337 611482 2910466 1678599 711560184 828361410 29035655 24356181 66397275 82114245 809903580 936510435 1169958 1303395 0 0 330500444 347286715 0 0 545728 382530737 433400766 714201139 781990876 95702441 154519559 1461525378 1596773714 549831501 524523861 911693877 1072249853 X SEE SCHEDULE O. 0 0 201919752 0 464555576 PATIENT SERVICE REVENUE. SEE SCHEDULE O. 521962762 0 360812408 CHARITY CARE/SUBSIDIZED CARE. SEE SCHEDULE O. 12736351 0 2993426 GRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION AND COMMUNITY BENEFIT. SEE SCHEDULE O. 1303395 1303395 37457241 1303395 1303395 37457241 737922260 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 1 295 0 1 6024 1 1 1 0 0 0 0 1 1 0 0 0 0 X 18 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IN X CHERYL A WATHEN 8124503296 600 MARY STREET EVANSVILLE IN 47747 SHAWN MCCOY CEO OF DEACONESS HEALTH SYSTEM 40.00 25.00 X X 903313 183000 196397 LINDA WHITE CEO EMERITA 30.00 25.00 X X 1086245 200679 53542 DANIEL HERMANN CHAIRMAN 5.00 5.00 X 0 0 0 SHARON REED WALKER SECRETARY 5.00 5.00 X 0 0 0 JOHN ENGELBRECHT TREASURER 5.00 5.00 X 0 0 0 BRUCE ADYE MD DIRECTOR 5.00 5.00 X 6060 0 0 MAQBOOL AHMED MD DIRECTOR 5.00 55.00 X 720 913121 43152 DR LINDA BENNETT DIRECTOR 5.00 5.00 X 0 0 0 STEVEN CHURCH DIRECTOR 5.00 5.00 X 0 0 0 REV DR JOSEPH FRACCARO DIRECTOR 5.00 5.00 X 0 0 0 TERI HOLLANDER ALBIN DIRECTOR 5.00 5.00 X 0 0 0 ANTHONY KAISER MD DIRECTOR 5.00 5.00 X 15175 0 0 MATHIAS KOLLECK II MD DIRECTOR 50.00 5.00 X 448740 5600 51863 BARRY PHILLIPS MD DIRECTOR 5.00 55.00 X 7200 444088 40554 JAMES RYAN III DIRECTOR 5.00 5.00 X 0 0 0 DAVID RYON MD DIRECTOR 50.00 5.00 X 462093 8030 47443 ERIC SCHACH DIRECTOR 5.00 5.00 X 0 0 0 STEPHEN TITZER CPA DIRECTOR 5.00 10.00 X 0 0 0 JONATHAN WEINZAPFEL DIRECTOR 5.00 5.00 X 0 0 0 LISA COLLINS SECRETARY (10/1/17-03/18/18) 5.00 5.00 X 0 0 0 CHERYL WATHEN CHIEF FINANCIAL OFFICER 25.00 35.00 X 487084 246471 158975 JAMES PORTER MD PRESIDENT OF DEACONESS HEALTH SYSTEM 45.00 5.00 X 827006 2000 167121 CHERONA HAJEWSKI CHIEF NURSING OFFICER 50.00 0.00 X 576438 0 104912 LYNN LINGAFELTER CHIEF OPERATION OFFICER 50.00 10.00 X 479173 1200 96756 HERMAN BLANTON MD CHIEF MEDICAL OFFICER 50.00 5.00 X 419360 0 87411 MARC FLORENCE VICE PRESIDENT 45.00 15.00 X 299717 0 81892 KATHY SCHENK HR DIRECTOR 50.00 0.00 X 154435 0 30812 KENNETH DICKEN CONTROLLER, DIRECTOR FINANCE 50.00 10.00 X 228549 2400 37712 RICHARD PERRY CONTROLLER, PHYSICIAN PRACTICE MGMT. 50.00 0.00 X 203848 0 23551 CAROLYN MORTON PHARMACY AND LAB DIRECTOR 50.00 0.00 X 199979 0 43219 SUSAN BRUMLEY IMAGING AND CARDIOVASCULAR DIRECTOR 50.00 0.00 X 156568 0 32879 VENKATESH MADADI MD ANESTHESIOLOGIST 50.00 0.00 X 898965 0 53293 NIRMAL JOSHI MD ANESTHESIOLOGIST 50.00 0.00 X 796065 0 48087 KISHWAR NAZ MD ANESTHESIOLOGIST 50.00 0.00 X 778744 0 34689 SHIVON ABDULLAH MD ANESTHESIOLOGIST 50.00 0.00 X 765896 0 39395 RAJESH PATEL MD ANESTHESIOLOGIST 50.00 0.00 X 705831 0 51039 LARRY PILE FORMER HR DIRECTOR 25.00 0.00 X 197144 0 27247 11104348 2006589 1551941 300 1 1 0 BARTON MALOW COMPANY 26500 AMERICAN DR SOUTHFIELD MI 48034 CONSTRUCTION SERVICES 103435183 EVANSVILLE SURGERY CENTER PO BOX 2185 EVANSVILLE IN 47728 SURGICAL SERVICES 26237141 EVOLENT HEALTH LLC 800 GLEBE RD SUITE 500 ARLINGTON VA 22203 CONSULTING SERVICES 14878857 PROGRESSIVE HEALTH INDIANA LLC 150 N ROSENBERGER AVE EVANSVILLE IN 47712 PHYSICAL THERAPY 14004177 ORTHOALIGN LLC 4011 GATEWAY BLVD NEWBURGH IN 47630 MEDICAL SERVICES 10674249 82 311593 147121 1219885 362395 1678599 NET PATIENT REVENUE 900099 828361410 828361410 828361410 14211389 14211389 10696908 7940470 2756438 2756438 2756438 321858773 176449 310388534 1501896 11470239 -1325447 10144792 10144792 154345 311593 195843 -41498 -41498 INVESTMENT IN JOINT VENTURES 900099 33354238 33354238 OTHER HOSPITAL SERVICES 900099 31977614 4103003 27874611 LABORATORY SALES 621500 10474908 10474908 3592545 3584429 8116 79399305 936510435 865818651 14059337 54953848 X 1303395 1303395 6861058 6861058 259305074 247067238 11893315 344521 21087459 20184549 890477 12433 42134319 39450320 2683999 17898805 16697173 1183925 17707 1872326 8221 1864105 302114 302114 49398 49398 1230915 1202116 28799 122079538 119912358 2122959 44221 1346218 59685 1286533 13230594 11682464 1507179 40951 16075492 13500936 2574556 20062802 18349492 1713310 453134 396503 55628 1003 976005 639831 334137 2037 9962113 9962113 40837756 38522207 2315500 49 3009234 2980771 28463 MEDICAL/SURGICAL SUPPLI 143517367 143517367 MEDICAID ASSESSMENT FEE 28356399 28356399 EQUIP RENTAL/MAINTENANC 15370818 14188211 1182607 DUES & SUBSCRIPTIONS 775116 364154 408354 2608 13893427 10778873 3063155 51399 781990876 737922260 43522888 545728 143784349 72567000 117580516 138315501 2553632 3900237 7553394 9085451 12525786 12417895 1074454565 564440757 430153528 510013808 652232266 736137013 45875146 42457424 18509986 48206614 30756775 23672771 1461525378 1596773714 88495220 96177167 1602216 1472480 305260994 300504348 154473071 126369866 549831501 524523861 X 902896410 1065971369 6941800 4375983 1855667 1902501 911693877 1072249853 1461525378 1596773714 X 154519559 32740540 -26704123 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 49398 49398 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. 7389906 120 606614 82600 7914040 6877438 1200 705719 194451 7389906 6660917 50 445045 228574 6877438 6749437 1327 -39488 50341 18 6660917 6119408 3639 662188 35798 6749437 0.13000 0.87000 0.00000 0 0 2347245 14434107 16781352 52284953 678834627 351630651 379488929 289663287 212810106 76853181 36890346 36890346 510013808 ACCRUED RETIREMENT BENEFITS 63747498 ESTIMATED THIRD PARTY SETTLEMENTS 5010475 TAXABLE BOND- SERIES 2012C 1625000 CAPITAL LEASE OBLIGATIONS 1084338 RELATED ORGANIZATION PAYABLES 1969191 TAXABLE BOND- SERIES 2016 53000000 DEBT ISSUE COSTS -66636 126369866 X PART V, LINE 4: TEMPORARILY RESTRICTED NET ASSETS INCLUDE THOSE ASSETS WHOSE USE BY THE SYSTEM HAS BEEN TEMPORARILY LIMITED PRIMARILY FOR CAPITAL PROJECTS OR A SPECIFIED TIME PERIOD OR PURPOSE. TEMPORARILY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED FOR USE IN PATIENT MEDICAL CARE, EDUCATION AND SCHOLARSHIPS, CAPITAL PROJECTS, AND OTHER SYSTEM SUPPORT. PERMANENTLY RESTRICTED NET ASSETS ARE CONTRIBUTED WITH DONOR RESTRICTIONS REQUIRING THEY BE HELD IN PERPETUITY WITH INCOME USED TO SUPPORT THE SYSTEM'S ACTIVITIES. PERMANENTLY RESTRICTED NET ASSETS INCLUDE BENEFICIAL INTEREST IN TRUSTS AND OTHER PERMANENT RESTRICTIONS. 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, 2018 AND 2017, 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 239250 116225 123025 35758 62051 16320 4845 DH CLASSIC 226688 195368 31320 38534 30333 4938 3064 0 465938 311593 154345 38534 66091 62051 21258 7909 195843 -41498 1 1 X 1 X 1 X 1 1 0 1 1 15603093 15603093 0.02000 141766005 105793397 35972608 0.04600 157369098 105793397 51575701 0.06600 897204 897204 0.00110 7632400 2367250 5265150 0.00670 596405 194717 401688 0.00050 2063738 33119 2030619 0.00260 11189747 2595086 8594661 0.01090 168558845 108388483 60170362 0.07690 1380 1380 0.00000 11524 11524 0.00000 32096 32096 0.00000 3941 3941 0.00000 76011 18550 57461 0.00010 124952 18550 106402 0.00010 1 11245205 0 191552676 212311819 -20759143 X 1 1 4 1 DEACONESS HOSPITAL INC 600 MARY STREET EVANSVILLE IN 47747 WWW.DEACONESS.COM 19-005074-1 X X X X 2 DEACONESS GATEWAY HOSPITAL 4011 GATEWAY BLVD NEWBURGH IN 47630 WWW.DEACONESS.COM 19-005074-1 X X X X 3 DEACONESS CROSS POINTE 7200 E INDIANA STREET EVANSVILLE IN 47715 WWW.DEACONESS.COM 19-005074-1 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 15 1 1 1 1 X HTTP://WWW.DEACONESS.COM/CHNA X X 1 15 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 15 1 1 1 1 X HTTP://WWW.DEACONESS.COM/CHNA X X 1 15 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 15 1 1 1 1 X HTTP://WWW.DEACONESS.COM/CHNA X X 1 15 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 15 1 1 1 1 X HTTP://WWW.DEACONESS.COM/CHNA X X 1 15 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: PRIMARY DATA: COMMUNITY INPUT:TO EXPAND UPON THE INFORMATION GATHERED FROM THE SECONDARY DATA, THE COLLABORATIVE CONDUCTED 11 KEY INFORMANT INTERVIEWS AND 10 FOCUS GROUP DISCUSSIONS TO OBTAIN INPUT FROM PERSONS WITH EXPERTISE IN PUBLIC HEALTH AND THOSE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. IN TOTAL, 84 PEOPLE PARTICIPATED IN PRIMARY DATA COLLECTION TO PROVIDE COMMUNITY INPUT WITH REPRESENTATION FROM THE ORGANIZATIONS BELOW: ALBION FELLOWS BACON CENTER ALCOA ARK CRISIS CHILD CARE CENTER AURORA BOYS AND GIRLS CLUB CAJE CAPE DEACONESS CROSS POINTE DEACONESS FAMILY MEDICINE RESIDENCY DEACONESS PHARMACY EASTER SEALS REHABILITATION ECHO EVANSVILLE FIRE DEPARTMENT EVANSVILLE MAYOR'S OFFICE EVANSVILLE PSYCHIATRIC CHILDREN'S CENTER (FSSA) EVANSVILLE STATE HOSPITAL (FSSA) EVANSVILLE VANDERBURGH SCHOOL CORPORATION (EVSC) GIRL SCOUTS OF SOUTHWEST INDIANA HARDING, SHYMANSKI & COMPANY HARRISON COLLEGE NURSING DEPARTMENT HEARING HEALTHCARE CENTER IPMG IVY TECH COMMUNITY COLLEGE KNIGHT TOWNSHIP TRUSTEE LAMPION CENTER OLD NATIONAL BANK ONE LIFE CHURCH SMOKE FREE COMMUNITIES SOUTHWESTERN BEHAVIORAL HEALTHCARE ST. VINCENT'S BEHAVIORAL SERVICES ST. VINCENT'S CASE MANAGEMENT ST. VINCENT'S CENTER FOR CHILDREN ST. VINCENT'S OUTREACH SERVICES ST. VINCENT'S PASTORAL CARE ST. VINCENT'S WEIGHT MANAGEMENT SWIRCA THE ARC OF EVANSVILLE TJ MAXX UNITED CARING SERVICES UNITED WAY UNITED WAY OF SOUTHWEST INDIANA UNIVERSITY OF EVANSVILLE UNIVERSITY OF SOUTHERN INDIANA UNIVERSITY OF SOUTHERN INDIANA (USI) NURSING DEPARTMENT VANDERBURGH COMMUNITY FOUNDATION VANDERBURGH COUNTY HEALTH DEPARTMENT WELBORN BAPTIST FOUNDATION YOUTH FIRST YWCAKEY INFORMANT INTERVIEWEES:CAROL BRADEN-CLARK, PRESIDENT, UNITED WAY OF SOUTHWEST INDIANADENNIS MORAN, CEO, SOUTHWESTERN HEALTHCARE, INC. (INCLUDING SOUTHWESTERN BEHAVIORAL HEALTHCARE)DR. LINDA BENNETT, PRESIDENT, UNIVERSITY OF SOUTHERN INDIANA JANE WILHELMUS, DIRECTOR OF PRIMARY CURRICULUM/INSTRUCTION K-5, WARRICK COUNTY SCHOOL CORPORATIONJONATHAN WEINZAPFEL, CHANCELLOR, IVY TECH COMMUNITY COLLEGEKEVIN BAIN, PRESIDENT, WELBORN BAPTIST FOUNDATIONLLOYD WINNECKE, MAYOR, CITY OF EVANSVILLESCOTT WYLIE, DIRECTOR, VANDERBURGH COMMUNITY FOUNDATIONSHARON JAMES, NURSING SUPERVISOR, WARRICK COUNTY HEALTH DEPARTMENTSTEVE CRUSE, ASSISTANT SUPERINTENDENT, EVANSVILLE STATE HOSPITALDR. TOM KAZEE, PRESIDENT, UNIVERSITY OF EVANSVILLE 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:DEACONESS GATEWAY HOSPITALDEACONESS CROSS POINTEST. VINCENT EVANSVILLE/ASCENSION 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: OTHER ORGANIZATIONS CHNA WAS CONDUCTED WITH:ECHO COMMUNITY HEALTH CAREUNITED WAY OF SOUTHWEST INDIANAWELBORN BAPTIST FOUNDATIONVANDERBURGH COUNTY HEALTH DEPARTMENT 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 HTTPS://WWW.DEACONESS.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTCOPIES AND REQUESTS FOR COPIES WERE ALSO MADE AVAILABLE AT THE JUNE 2016 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 HTTPS://WWW.DEACONESS.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTCOPIES AND REQUESTS FOR COPIES WERE ALSO MADE AVAILABLE AT THE JUNE 2016 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 HTTPS://WWW.DEACONESS.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTCOPIES AND REQUESTS FOR COPIES WERE ALSO MADE AVAILABLE AT THE JUNE 2016 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 HTTPS://WWW.DEACONESS.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTCOPIES AND REQUESTS FOR COPIES WERE ALSO MADE AVAILABLE AT THE JUNE 2016 PRESS CONFERENCE. MEDIA AND COMMUNITY AND THE PUBLIC WERE INVITED TO ATTEND. DEACONESS HOSPITAL, INC. PART V, SECTION B, LINE 11: 1. BEHAVIORAL HEALTH: VANDERBURGH COUNTYA. ASSET MAPPINGASSET MAPPING REPORT WAS COMPLETED DURING FY16-17 AND INCLUDED IN THAT YEAR'S PROGRESS REPORT. PRESENTATION TO BEHAVIORAL HEALTH SUBCOMMITTEE TO SHARE FINDINGS FROM ASSET MAPPING PROCESS OCCURRED IN MAY 2018. FUNDING FOR A LOCAL, MORE IN-DEPTH SURVEY DIRECTLY RELATED TO BEHAVIORAL HEALTH WAS NOT SECURED. AN AUGUST 22ND MEETING REVIEWED FEEDBACK FROM THE ASSET MAPPING PRESENTATION TO THE SUBCOMMITTEE AND DETERMINED NEXT STEPS FOR THAT PART OF OUR ACTION PLAN.FOR YEAR 3 OF THE 2015 CHNA PLAN (JULY 1, 2018 TO JUNE 30, 2019), THE BEHAVIORAL HEALTH SUBCOMMITTEE WILL EXPLORE CREATION/IMPLEMENTATION OF THE FOLLOWING:-A SIMPLE TOOL TO HELP PEOPLE UNDERSTAND WHAT TYPE OF PROVIDER THEY NEED TO SEE.-A LIST OF ACTION ITEMS TO COMPLETE WHILE WAITING FOR A SCHEDULED APPOINTMENT (TO INCLUDE EMERGENCY CONTACT INFORMATION)B. YOUTH MENTAL HEALTH FIRST AIDSOUTHWEST INDIANA PROJECT AWARE SEEKS TO STRENGTHEN COMMUNITY CAPACITY TO ADDRESS ADOLESCENT MENTAL HEALTH NEEDS BY BOLSTERING COMMUNITY PARTNERSHIPS AND INCREASING THE NUMBER OF YOUTH-INTERACTING ADULTS IN VANDERBURGH COUNTY AND WARRICK COUNTY, INDIANA WHO ARE TRAINED IN YOUTH MENTAL HEALTH FIRST AID (YMHFA).THE EVANSVILLE-BASED GRANT STARTED SEPTEMBER 30, 2015. DATA FOR YEAR 3 OF THE GRANT, OCTOBER 2017 THROUGH SEPTEMBER 2018, SHOWS ALL 3 GOALS BEING MET - 270 YMHFA FIRST AIDERS TRAINED, 0 YMHFA TRAINERS TRAINED (GOAL PREVIOUSLY MET BY END OF YEAR TWO), AND 1,000 YOUTH REFERRED TO MENTAL HEALTH SERVICES, RESOURCES, OR SUPPORTS FROM THE FIRST AIDERS. C. SUBSTANCE ABUSE THE VANDERBURGH COUNTY HEALTH DEPARTMENT LEADS AN OPIOID FATALITY REVIEW COMMITTEE. THE DIVERSE GROUP OF ATTENDEES LOOKS AT CURRENT DATA TRENDS AND REVIEWS SPECIFIC LOCAL CASES THAT WERE "NEAR MISSES OR RULED AN OPIOID OVERDOSE.EVANSVILLE MAYOR LLOYD WINNECKE DIRECTED THE NO METH TASK FORCE TO EXPAND ITS MISSION AND FOCUS BEYOND JUST METH. THE GROUP RENAMED ITSELF THE MAYOR'S SUBSTANCE ABUSE TASK FORCE WITH A MISSION OF ENGAGING THE EVANSVILLE COMMUNITY IN WORKING TOGETHER TO PROMOTE SUBSTANCE ABUSE AWARENESS, EDUCATION, PREVENTION, AND TREATMENT. GOALS INCLUDE:1. HELP THE COMMUNITY ACKNOWLEDGE, UNDERSTAND, AND EFFECTIVELY ADDRESS THE PROBLEM OF SUBSTANCE ABUSE2. PROMOTE EFFECTIVE PREVENTION STRATEGIES AND PROGRAMS3. HELP PEOPLE ACCESS TREATMENT AND RECOVERY OPTIONSIN OCTOBER OF 2017, THE TASK FORCE HOSTED A C.R.A.F.T. TRAINING (COMMUNITY REINFORCEMENT AND FAMILY TRAINING) FOR ABOUT 40 MENTAL HEALTH PROFESSIONALS.THE GROUP IS ALSO EXPLORING THE FEASIBILITY OF PEER RECOVERY COACHES, LONG-TERM RECOVERY CENTERS, AND A WORKPLACE MESSAGING CAMPAIGN THAT COMPANIES CAN USE TO EDUCATE EMPLOYEES ABOUT SUBSTANCE USE, ABUSE, AND TREATMENT.THE WOMEN'S HOSPITAL PARTNERED WITH SOUTHWESTERN BEHAVIORAL HEALTH TO CREATE THE STEPPING FORWARD TRANSITIONAL RESIDENTIAL PROGRAM FOR PREGNANT WOMEN. THE GOAL IS TO REDUCE INCIDENCE AND IMPACT OF NEONATAL ABSTINENCE SYNDROME AND TO SUPPORT ONGOING RECOVERY POST PREGNANCY THROUGH THE SERVICES OF THIS PROGRAM.THIS YEAR, DEACONESS CROSS POINTE ADDED AN ADDITIONAL SUBSTANCE USE DISORDER PROGRAM CALLED MODIFIED MATRIX. THIS IS A DAYTIME, OUTPATIENT GROUP THERAPY PROGRAM FOR ADULTS THAT FOCUSES ON HELPING PEOPLE STRUGGLING WITH A VARIETY OF DRUG AND/OR ALCOHOL USE ISSUES. PARTICIPANTS LIVE AT HOME AND HAVE MORE INDEPENDENCE.EAP LIVE EMPLOYEE ASSISTANCE PROGRAM (EAP) PATIENTS CAN NOW CONNECT WITH A THERAPIST VIA TELEMEDICINE. DEACONESS CROSS POINTE IS THE TELEHEALTH PROVIDER OF PSYCHIATRIC ASSESSMENTS FOR -PERRY COUNTY MEMORIAL HOSPITAL (TELL CITY, IN) -GIBSON GENERAL HOSPITAL (PRINCETON, IN) -THE WOMEN'S HOSPITAL2. CHNA MATERNAL, FETAL, INFANT HEATH: VANDERBURGH COUNTYA. REDUCE INFANT MORTALITYWE WANT TO REDUCE MORTALITY BEFORE A BABY'S 1ST BIRTHDAY FROM THE 2010-2014 VANDERBURGH COUNTY AVERAGE OF 8.3 PER 1,000 LIVE BIRTHS TO THE HEALTHY PEOPLE 2020 GOAL OF 6.0/1000 LIVE BIRTHS.WE IDENTIFIED THE THREE LEADING CAUSES OF DEATH FOR BABIES IN OUR COUNTY - PRETERM BIRTH, BIRTH DEFECTS, AND SLEEP RELATED DEATHS. THE FETAL INFANT MORTALITY REVIEW COMMITTEE MEETS QUARTERLY TO DISCUSS ALL CASES OF INFANT DEATH INCLUDING THOSE CAUSED BY LOW BIRTH WEIGHT OR BEING BORN PRETERM.THANKS TO THE GREAT COMMUNITY EFFORT, VANDERBURGH COUNTY HAS SEEN A DECREASE IN THE INFANT MORTALITY RATE (IMR) OVER THE PAST FEW YEARS. THE IMR PEAKED AT 11.05/1,000 LIVE BIRTHS IN 2013, DECREASED TO 9.4/1,000 LIVE BIRTHS FOR 2014, 4.95/1,000 LIVE BIRTHS FOR 2015, AND INCREASED TO 6.2/1000 LIVE BIRTHS IN 2016. PRELIMINARY DATA FOR 2017 SHOWS 23 FETAL/INFANT DEATHS OUT OF 2,127 LIVE BIRTHS IN VANDERBURGH COUNTY. THAT MAKES THE INFANT MORTALITY RATE 10.8/1000 LIVE BIRTHS. (THIS RATE IS NOT CONFIRMED.)BABY AND ME TOBACCO FREE IS A PROGRAM THAT PROVIDES INCENTIVES TO PREGNANT WOMEN WHO QUIT SMOKING. THE GOAL IS TO KEEP WOMEN SMOKE FREE FOR AS LONG AS POSSIBLE BEFORE AND AFTER THEY GIVE BIRTH, AND TO ALSO HELP WOMEN GIVE BIRTH TO HEALTHY, FULL-TERM BABIES. 413 WOMEN WERE ENROLLED IN THE PROGRAM AT THE END OF THE 2018 GRANT YEAR - OCTOBER 1, 2017 TO SEPT 30, 2018. THERE WERE 161 BABIES BORN DURING THE 2018 GRANT YEAR.-149 BABIES BORN OVER 5.5 POUNDS-12 BABIES BORN UNDER 5.5 POUNDS-125 PARTNERS ENROLLED-7.5% LOW BIRTH WEIGHT RATE (MARCH OF DIMES GOAL FOR 2020 IS 8%)-93% DELIVERED BABIES WEIGHING OVER 5.5 POUNDS-95% DELIVERED OVER 37 GESTATIONAL WEEKSON MARCH 9, 2018, VANDERBURGH COUNTY HEALTH DEPARTMENT LAUNCHED PRE TO 3.PRE TO 3 IS A PROGRAM THAT PROVIDES LONG-TERM, CONSISTENT, HANDS-ON SUPPORT FOR BABIES AND FAMILIES. COMMUNITY HEALTH WORKERS VISIT CLIENTS IN THEIR HOME ONCE PER WEEK, EVERY WEEK, FROM THE TIME A WOMAN FINDS OUT SHE IS PREGNANT UNTIL HER BABY IS 3 YEARS OF AGE. DURING THESE VISITS, THE COMMUNITY HEALTH WORKER WILL GUIDE THE WOMAN AND HER FAMILY THROUGH A CURRICULUM CALLED "GROWING GREAT KIDS."MARCH - AUGUST 2018 -FAMILIES REACHED: 117 -PROGRAM BIRTHS: 16/16 FULL TERM AND 16/16 > 2,500 GRAMS -62% OF CLIENT MOTHERS RECEIVE WIC SERVICES -50% OF CLIENT CAREGIVERS REPORT HAVING A DIAGNOSED PSYCHOLOGICAL DISORDER -44% OF CLIENT MOTHERS ARE FIRST-TIME MOTHERS -19% OF CLIENT CAREGIVERS HAVE AN OPEN DCS CASE -16% OF CLIENT FAMILIES HAVE UNSTABLE HOUSINGTHE WOMEN'S HOSPITAL (TWH) PARTICIPATES IN SEVERAL PILOT AND QUALITY PROGRAMS RELATED TO PERINATAL SAFETY AND INFANT MORTALITY. TWH PERINATAL SUBSTANCE ABUSE COMMITTEE WORKS WITH COMMUNITY STAKEHOLDERS TO IDENTIFY AND FILL GAPS IN CARE. THANKS TO THIS COLLABORATION, TWH IS SCHEDULED TO HAVE A SURVEY NEXT FISCAL YEAR IN HOPES OF ACHIEVING LEVEL 3 REGIONAL PERINATAL CENTER STATUS.SUCCESS WITH OUR BABY-FRIENDLY INITIATIVE IS STARTING TO SHOW IN STATE REPORTS LIKE THE 2017 INDIANA NATALITY REPORT. BOTH VANDERBURGH AND WARRICK COUNTIES ARE LISTED AS "SIGNIFICANTLY HIGHER" FOR MOTHERS BREASTFEEDING AT DISCHARGE WHEN COMPARED TO THE REST OF THE STATE. B. CHILD ABUSETHE CHILD ABUSE AND NEGLECT RATE (THE RATE OF SUBSTANTIATED CASES OF CHILD ABUSE AND NEGLECT PER 1,000 CHILDREN YOUNGER THAN AGE 18) INCREASED SIGNIFICANTLY FROM 2016 TO 2017. 2015 RATE: 25.6/10002016 RATE: 24.8/10002017 RATE: 29.5/1000OUR LOCAL CHILD ABUSE TASK FORCE REVIEWED CASES OF 42 CHILDREN WITH SUSPECTED OR CONFIRMED ABUSE/NEGLECT DURING THE JULY 2017 THROUGH DECEMBER 2018 TIME PERIOD. ADDITIONALLY, THE CHILD FATALITY REVIEW COMMITTEE LOOKED AT 11 CASES OF CHILD DEATH OCCURRING BETWEEN JULY 2017 AND DECEMBER 2018.OUR WORK WITH SUBSTANCE ABUSE AND INFANT MORTALITY (DESCRIBED IN THIS REPORT) IS DIRECTLY RELATED TO ADDRESSING THIS INCREASE. 3. EXERCISE, NUTRITION, AND WEIGHT:A. PREDIABETESTHE GROUP WORKED TOGETHER TO STREAMLINE AND COORDINATE DIABETES CLASSES, GRANT PROJECTS, AND OTHER ACTIVITIES THROUGHOUT THE COMMUNITY. THE SUB-COMMITTEE DID NOT MEET IN FY17-18 BECAUSE COMMUNITY FOCUS SHIFTED TO SERIOUS SUBSTANCE ABUSE, INFANT DEATH, AND OPIOID OVERDOSES. (CONTINUED BELOW ON PART V) 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 17 IMPACTED THE LIVES OF MORE THAN 9,400 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 PART V, SECTION B, LINE 11 CONTINUATION: B. HEALTHY COMMUNITIES PARTNERSHIPDURING FY2017-18, HEALTHY COMMUNITIES PARTNERSHIP (HCP) NARROWED THE SCOPE OF ITS WORK TO FOCUS ON OBESITY. MORE SPECIFICALLY, THE GROUP SET A GOAL TO REDUCE CHILDHOOD OBESITY IN VANDERBURGH COUNTY 20% BY 2020. WHILE MANY LOCAL ORGANIZATIONS AND SERVICES PROVIDE EDUCATION ON DIET QUALITY AND EXERCISE, HCP FOCUSES ON IMPROVING HEALTH THROUGH POLICY, SYSTEMS, AND ENVIRONMENTAL CHANGES. FOUR STRATEGIC WORKGROUPS PROVIDE THE STRUCTURE. THEY ARE:1. COMMUNITY ENGAGEMENT WORKGROUP 2. PHYSICAL ACTIVITY WORKGROUP: -WROTE AND RECEIVED AN $8,500 GRANT FROM THE INDIANA STATE DEPARTMENT OF HEALTH TO BRING IN A NATIONAL COMPANY CALLED PLAYWORKS THAT SPECIALIZES IN YOUTH PHYSICAL ACTIVITY. TWENTY-SIX AFTERSCHOOL PROGRAM STAFF MEMBERS WERE TRAINED. -RECEIVED FUNDING FROM CARE SOURCE TO CREATE GREATER ACCESS TO PHYSICAL ACTIVITY OPPORTUNITIES. THE YMCA CALDWELL CENTER AND THE DREAM CENTER WERE BOTH GRANTED WITH PLAY EQUIPMENT OF THEIR CHOICE. -A SNICKERDOODLE ART ARTIST DESIGNED FRUIT AND VEGETABLE INSPIRED BLACKTOP GAMES FOR CHILDREN. HCP COMPLETED ONE PAINTED PLAY ZONE AT ST. MARK'S PRESCHOOL AND PLANS TO COMPLETE THREE MORE IN 2019.3. POLICY WORKGROUP: CONCENTRATED ON A SCREEN TIME AWARENESS CAMPAIGN TO ASSIST PARENTS UNDERSTANDING REGARDING SCREEN TIME AND THE IMPACT TO THEIR CHILDREN. THE GROUP WORKED CLOSELY WITH 4CS OF SOUTHERN INDIANA TO DISSEMINATE SCREEN TIME INFORMATION.4. HEALTHY EATING WORKGROUP:-LAUNCHED A CONCESSION STAND PILOT PROJECT WITH THE EVSC ATHLETIC DEPARTMENT DURING THE 2018 SOCCER SEASON.-PARTNERED WITH LARKINS PRODUCE TO OFFER A POP-UP PRODUCE STAND EVERY TUESDAY NEAR THE LOCAL HEALTH DEPARTMENT.-PARTNERED WITH URBAN SEEDS TO ADMINISTER SNAP BENEFITS AT BOTH THE DOWNTOWN FARMER'S MARKET AND THE FRANKLIN STREET BAZAAR.3. CANCER (BREAST AND PROSTATE): WARRICK COUNTYA. BREAST CANCERTHE GOAL FOR YEAR 2 OF THE CHNA IMPLEMENTATION PLAN INVOLVED INCREASING SCREENING MAMMOGRAMS AND COMMUNITY EDUCATION REGARDING MAMMOGRAMS. THE SUBCOMMITTEE PUT FORTH GREAT EFFORTS TO CREATE A COMMUNITY PRESENTATION AND THEN CONTACT CHURCHES, SCHOOLS, AND COMMUNITY GROUPS IN WARRICK COUNTY TO MAKE THEM AWARE OF THE AVAILABLE PRESENTATION. DESPITE ALL LETTERS AND PHONE CALLS, THERE WAS MINIMAL RESPONSE TO OUR OFFER TO PRESENT BREAST HEALTH EDUCATION PROGRAM TO GROUPS.MEMBERS OF THE SUBCOMMITTEE ALSO REACHED OUT TO LOCAL FESTIVAL ORGANIZERS AND BUSINESS OWNERS WITH A GOAL OF CREATING SCREENING EVENTS FOR THE PUBLIC. DESPITE TARGETING AREAS OF GREAT NEED, THE COMMITTEE RECEIVED MINIMAL OR NO RESPONSE TO SET UP A SCREENING EVENT.B. PROSTATE CANCERTHE GOAL FOR YEAR 2 OF THE CHNA IMPLEMENTATION PLAN INVOLVED INCREASING PROSTATE CANCER SCREENINGS AND COMMUNITY EDUCATION REGARDING CURRENT SCREENING GUIDELINES. THE SUBCOMMITTEE PUT FORTH GREAT EFFORTS TO CREATE A COMMUNITY PRESENTATION AND THEN CONTACT CHURCHES, SCHOOLS, AND COMMUNITY GROUPS IN WARRICK COUNTY TO MAKE THEM AWARE OF THE AVAILABLE PRESENTATION. DESPITE ALL LETTERS AND PHONE CALLS, THERE WAS MINIMAL RESPONSE TO OUR OFFER TO PRESENT A PROSTATE CANCER EDUCATION PROGRAM TO GROUPS.C. PUBLIC SERVICE ANNOUNCEMENT AND NEWS STORYEYEWITNESS NEWS CREATED A PUBLIC SERVICE ANNOUNCEMENT FOR RADIO AND IT AIRED THROUGHOUT THE MONTH OF JULY 2018 ON VARIOUS RADIO STATIONS. THE SAME NEWS STATION ALSO DID A STORY ABOUT THE HIGH RATE OF BREAST CANCER DEATHS IN WARRICK COUNTY. IT AIRED ON JULY 25, 2018 AND IS ON THE TRISTATEHOMEPAGE.COM WEBSITE. JACI BURGDORF FROM DEACONESS AND MARK CRUMMLEY FROM ST. VINCENT EVANSVILLE WERE LIVE ON THE 4PM NEWS ON JULY 25. THEY DISCUSSED THE HIGH RATES OF DEATH DUE TO PROSTATE CANCER AND PROMOTED EDUCATION THAT IS AVAILABLE TO COMMUNITY GROUPS.D. FREE EDUCATION AND CANCER SCREENINGS AT DEACONESSDURING THE FISCAL YEAR, DEACONESS PHYSICIANS, ADVANCED PRACTICE PROVIDERS, AND SOCIAL WORKERS CONDUCTED 8 CANCER-RELATED COMMUNITY PRESENTATIONS. THERE WERE 7 ADDITIONAL BLOGS AND/OR VIDEOS CREATED AND PUBLICLY DISTRIBUTED. ONCOLOGY SPECIALISTS PARTICIPATED IN 6 FACEBOOK LUNCH AND LEARNS.PHYSICIANS FROM ENT, DERMATOLOGY, AND ONCOLOGY PROVIDED FREE CANCER SCREENINGS WITH THE FOLLOWING RESULTS: -LOW DOSE CT SCAN FOR LUNG CANCER - 7 NEWLY-DIAGNOSED LUNG CANCERS AND 31 ABNORMAL SCREENINGS REQUIRING ADDITIONAL FOLLOW-UP (IMAGING, TISSUE SAMPLING, ETC.)-SKIN CANCER SCREENING - 62 NORMAL SCREENINGS WITH 22 PATIENTS RECOMMENDED FOR FOLLOW-UP WITH A DERMATOLOGIST-HEAD AND NECK CANCER SCREENING - NORMAL EXAM FOR 44 PATIENTS WITH 25 RECOMMENDED FOR FOLLOW-UP WITH A PRIMARY CARE PHYSICIAN OR ENTOTHER SIGNIFICANT COMMUNITY HEALTH NEEDSAS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE PRIMARY AND SECONDARY DATA ANALYSIS IDENTIFIED ADDITIONAL SIGNIFICANT COMMUNITY HEALTH NEEDS. -ACCESS TO HEALTH SERVICES -DIABETES -IMMUNIZATIONS & INFECTIOUS DISEASES -PREVENTION & SAFETY -SOCIAL ENVIRONMENTTHESE NEEDS WERE NOT SELECTED AS ONE OF OUR PRIORITIES FOR THE CHNA FOR THE FOLLOWING REASONS:-ACCESS TO HEALTH SERVICES - EACH HOSPITAL HAS ITS OWN PLAN FOR INCREASING ACCESS TO SERVICES. THIS INCLUDES PHYSICIAN RECRUITMENT STRATEGIES, ADDING NEW SERVICES OR FACILITIES, AND ENHANCING TECHNOLOGY. WE ALL WORK WITH THE INDIANA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION TO FOLLOW GUIDELINES AND PROTOCOLS FOR SUCCESSFUL TRANSITION INTO THE NEW VALUE-BASED HEALTH CARE DELIVERY MODEL. BECAUSE A LOT OF THIS WORK INVOLVES PROPRIETARY BUSINESS INFORMATION, WE DID NOT CHOOSE IT AS A FOCUS FOR OUR COLLABORATIVE.-DIABETES - THE COMMUNITY HAS SEVERAL SUCCESSFUL DIABETES PROGRAMS IN THE INPATIENT AND OUTPATIENT ENVIRONMENT. AS A GROUP, WE DECIDED TO FOCUS OUR EFFORTS ON THE LARGE NUMBER OF PEOPLE WITH "PRE-DIABETES" INSTEAD OF THOSE ALREADY DIAGNOSED WITH PRIMARILY TYPE 2 DIABETES. PREVENTION WILL YIELD GREATER RESULTS AND BETTER HEALTH IN THE FUTURE. -IMMUNIZATIONS AND INFECTIOUS DISEASE - THE VANDERBURGH COUNTY HEALTH DEPARTMENT RECEIVED STATE GRANT FUNDS TO INCREASE IMMUNIZATION COMPLIANCE IN PEDIATRIC AND ADULT POPULATIONS. THE HOSPITALS AND CLINICS IN OUR COLLABORATIVE ALSO PARTICIPATE IN THE HEALTH DEPARTMENT'S IMMUNIZATION INITIATIVES. MAKING THIS A PRIORITY FOR THE GROUP WOULD BE A DUPLICATION OF EFFORT AND PREVENT US FROM ADDRESSING ANOTHER COMMUNITY HEALTH NEED. -PREVENTION AND SAFETY - BOTH PARTICIPATING HOSPITALS AND THE HEALTH DEPARTMENT ACTIVELY PROMOTE SAFETY AND HAVE DEDICATED TRAUMA TEAMS WHO PROVIDE EDUCATION IN THE REGION. WE WORK TOGETHER ON MAJOR INITIATIVES SUCH AS ATV SAFETY AND SAFE SLEEP FOR INFANTS. SELECTING THIS AS A CHNA PRIORITY TOPIC WOULD AGAIN BE A DUPLICATION OF EFFORT AND KEEP US FROM TACKLING ANOTHER ISSUE. -SOCIAL ENVIRONMENT - SINGLE PARENT HOUSEHOLDS AND CHILD ABUSE RATES FALL INTO THE SOCIAL ENVIRONMENT CATEGORY. WE CHOSE TO TAKE THOSE TWO ELEMENTS AND PLACE THEM IN OUR MATERNAL, FETAL, INFANT AND CHILDREN'S HEALTH TOPIC AREA. 36 1 - DEACONESS PROCEDURE CENTER 421 CHESTNUT STREET EVANSVILLE IN 47713 OUTPATIENT SERVICES 2 - DEACONESS HOSPITAL PHYSICAL MEDICINE 520 MARY STREET SUITE 280 EVANSVILLE IN 47747 OUTPATIENT SERVICES 3 - DEACONESS CLINIC GATEWAY REG LAB 4233 GATEWAY BLVD NEWBURGH IN 47630 DIAGNOSTIC CENTER 4 - DEACONESS COMPREHENSIVE PAIN CTR & PROG 4600 W LLOYD EXPRESSWAY EVANSVILLE IN 47712 OUTPATIENT SERVICES 5 - DEACONESS HOSPITAL INFUSION SVCS 421 CHESTNUT STREET EVANSVILLE IN 47713 OUTPATIENT SERVICES 6 - DEACONESS HOSPITAL PHYSICAL MEDICINE 10455 ORTHOPAEDIC DRIVE NEWBURGH IN 47630 OUTPATIENT SERVICES 7 - DEACONESS COMPREHENSIVE PAIN CTR-GATEWAY 4099 GATEWAY BLVD NEWBURGH IN 47630 OUTPATIENT SERVICES 8 - CHANCELLOR CENTER FOR ONCOLOGY 4055 GATEWAY BLVD NEWBURGH IN 47630 OUTPATIENT SERVICES 9 - DEACONESS SLEEP LAB 350 W COLUMBIA STREET SUITE 210 EVANSVILLE IN 47710 OUTPATIENT SERVICES 10 - DEACONESS SLEEP LAB 350 W COLUMBIA STREET SUITE LL-10 EVANSVILLE IN 47710 DIAGNOSTIC CENTER 11 - DEACONESS HOSPITAL BREAST CENTER 520 MARY STREET SUITE 140 EVANSVILLE IN 47710 DIAGNOSTIC CENTER 12 - DEACONESS CLINIC WEST REG LAB RADIOLOGY 545 S BOEHNE CAMP ROAD EVANSVILLE IN 47712 OUTPATIENT PHYSICIAN CLINIC 13 - DEACONESS CLINIC PRINCETON RADIOLOGY SRV 685 VAIL STREET PRINCETON IN 47670 OUTPATIENT PHYSICIAN CLINIC 14 - DEACONESS WOUND CARE CENTER 350 W COLUMBIA STREET SUITE 350 EVANSVILLE IN 47710 OUTPATIENT SERVICES 15 - DEACONESS ANTICOAGULATION CLINIC 4107 GATEWAY BLVD NEWBURGH IN 47630 OUTPATIENT SERVICES 16 - MT VERNON MEDICAL CENTER LAB & RADIOLOGY 1900 W FOURTH STREET MT VERNON IN 47620 DIAGNOSTIC CENTER 17 - MIDWEST RADIOLOGIC IMAGING 10455 ORTHOPAEDIC DRIVE NEWBURGH IN 47630 DIAGNOSTIC CENTER 18 - MIDWEST RADIOLOGICAL IMAGING 4087 GATEWAY BLVD NEWBURGH IN 47630 DIAGNOSTIC CENTER 19 - DEACONESS REGIONAL LABORATORY 4133 GATEWAY BLVD SUITE 110 NEWBURGH IN 47630 DIAGNOSTIC CENTER 20 - DEACONESS PRIMARY CARE FOR SENIORS 4498 FIRST AVENUE EVANSVILLE IN 47710 OUTPATIENT PHYSICIAN CLINIC 21 - DEACONESS PRIMARY CARE FOR SENIORS 1750 OAK HILL ROAD EVANSVILLE IN 47710 OUTPATIENT PHYSICIAN CLINIC 22 - DEACONESS DIABETES CENTER - EDUCATION 421 CHESTNUT STREET EVANSVILLE IN 47713 OUTPATIENT SERVICES 23 - DEACONESS PRE-ADMISSION TESTING 520 MARY STREET SUITE 330 EVANSVILLE IN 47747 DIAGNOSTIC CENTER 24 - DEACONESS WEIGHT LOSS SOLUTIONS 310 W IOWA STREET EVANSVILLE IN 47710 OUTPATIENT PHYSICIAN CLINIC 25 - DEACONESS HOSPITAL MAMMOGRAPHY & IMAGING 421 CHESTNUT STREET EVANSVILLE IN 47713 DIAGNOSTIC CENTER 26 - DEACONESS REGIONAL LABORATORY 4494 N FIRST AVENUE EVANSVILLE IN 47710 DIAGNOSTIC CENTER 27 - DEACONESS REGIONAL LABORATORY 421 CHESNUT STREET EVANSVILLE IN 47713 DIAGNOSTIC CENTER 28 - DEACONESS REGIONAL LABORATORY 1204 W WILLIAMS STREET OAKLAND CITY IN 47660 DIAGNOSTIC CENTER 29 - DEACONESS CROSS POINTE OUTPATIENT CLINIC 445 CROSS POINTE BLVD EVANSVILLE IN 47715 OUTPATIENT PHYSICIAN CLINIC 30 - DEACONESS RADIOLOGY LAB & RADIOLOGY 8600 NORTH KENTUCKY AVENUE EVANSVILLE IN 47725 DIAGNOSTIC CENTER 31 - DEACONESS FAMILY MEDICINE RESIDENCY 415 W COLUMBIA ST SUITE 110 EVANSVILLE IN 47710 OUTPATIENT PHYSICIAN CLINIC 32 - DEACONESS SLEEP CENTER-EAST 7307 E COLUMBIA ST EVANSVILLE IN 47715 DIAGNOSTIC CENTER 33 - DEACONESS HOSPITAL PHYSICAL MEDICINE 4600 W LLOYD EXPRESSWAY SUITE B EVANSVILLE IN 47715 OUTPATIENT SERVICES 34 - DEACONESS GATEWAY GASTROENTEROLOGY 4133 GATEWAY BLVD SUITE 290 NEWBURGH IN 47630 OUTPATIENT SERVICES 35 - DEACONESS RILEY CHILDRENS SPECIALTY CENT 4133 GATEWAT BLVD SUITE 220 NEWBURGH IN 47630 OUTPATIENT SERVICES 36 - DEACONESS SLEEP CENTER 350 W COLUMBIA STREET SUITE 210 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. MAILED TO ALL THE MAJOR EMPLOYERS IN THE TRI-STATE AREA.2. AN ADVERTISEMENT IS PLACED IN THE SUNDAY PAPER OF THE EVANSVILLE COURIER AND PRESS.3. IS MADE AVAILABLE ON THE DEACONESS WEBSITE AT HTTPS://WWW.DEACONESS.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 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 $207,398. THESE CLINICS ARE OPERATED AS A BENEFIT TO THE COMMUNITY. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE IS NOT INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) DUE TO EARLY ADOPTION OF ACCOUNTING STANDARDS UPDATE (ASU) 2011-07, HEALTHCARE ENTITIES (TOPIC 954). PART II, COMMUNITY BUILDING ACTIVITIES: 1. POPULATION HEALTH:DEACONESS DEVELOPED AND MANAGES THE ONLY COMPREHENSIVE POPULATION HEALTH INITIATIVE IN THE REGION. CURRENT HOSPITAL PARTNERS INCLUDE METHODIST HOSPITAL (KY), GIBSON GENERAL HOSPITAL, GOOD SAMARITAN HOSPITAL, MEMORIAL HOSPITAL AND HEALTH CARE CENTER, WABASH GENERAL HOSPITAL, FAIRFIELD MEMORIAL HOSPITAL, AND FERRELL HOSPITAL FOUNDATION.FOR THE SECOND YEAR IN A ROW, DEACONESS HEALTH SYSTEM'S NEXT GENERATION ACCOUNTABLE CARE ORGANIZATION (ACO), DEACONESS CARE INTEGRATION (DCI), HAS BEEN RANKED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AS ONE OF THE TOP-PERFORMING NEXT GENERATION ACOS IN THE U.S. AS ANNOUNCED BY CMS ON DECEMBER 21, 2018, DCI GENERATED MORE THAN $16 MILLION IN SAVINGS TO MEDICARE DURING THE 2017 PERFORMANCE YEAR, WHICH RANKS DCI AS THE SECOND-BEST PERFORMING NEXT GENERATION ACO OUT OF 44 NEXT GENERATION ACOS IN TERMS OF EARNED SHARED SAVINGS IN 2017.IN ADDITION TO THESE SAVINGS, DCI ACHIEVED AN IMPRESSIVE CARE QUALITY SCORE OF 92.83% AND RANKED #10 ACROSS ALL NEXT GENERATION ACOS IN THE CATEGORY OF SAVINGS AS PERCENTAGE OF BENCHMARK. THESE RESULTS REFLECT DCI'S CONTINUED FOCUS ON DELIVERING HIGH-QUALITY CARE WHILE REDUCING UNNECESSARY HEALTH CARE COSTS FOR PATIENTS. SEVERAL DRIVERS CONTRIBUTED TO THESE CLINICAL AND FINANCIAL OUTCOMES, INCLUDING DCI'S EMPHASIS ON COORDINATING CARE TO HELP ENSURE PATIENTS, ESPECIALLY THE CHRONICALLY ILL OR THOSE WHO ARE HOSPITALIZED, GET THE RIGHT CARE AT THE RIGHT TIME, AND AVOID UNNEEDED DUPLICATION OF SERVICES. 2. HEALTH FAIRS/SCREENINGS: APPROXIMATELY 16,000 PEOPLE WERE SERVED WITH EDUCATION AND/OR HEALTH SCREENINGS AT THE 56 HEALTH FAIRS DEACONESS ATTENDED AS A PROVIDER/EXHIBITOR DURING THE FISCAL YEAR.-HOMELESS CONNECT AND COMMUNITY FIRST HEALTH FAIRDEACONESS 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 CENTERTHE 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. FOR THE FISCAL YEAR, 10 GRANT-FUNDED MAMMOGRAMS WERE PERFORMED ON THE MOBILE UNIT.EVENT MONTH NUMBER SCREENEDON-SITE MAMMOGRAMS JANUARY 2018 148ON-SITE MAMMOGRAMS FEBRUARY 2018 183ON-SITE MAMMOGRAMS MARCH 2018 232ON-SITE MAMMOGRAMS APRIL 2018 245ON-SITE MAMMOGRAMS MAY 2018 291ON-SITE MAMMOGRAMS JUNE 2018 215ON-SITE MAMMOGRAMS JULY 2018 224ON-SITE MAMMOGRAMS AUGUST 2018 205ON-SITE MAMMOGRAMS SEPTEMBER 2018 247ON-SITE MAMMOGRAMS OCTOBER 2018 323ON-SITE MAMMOGRAMS NOVEMBER 2018 173ON-SITE MAMMOGRAMS DECEMBER 2018 1422,628 TOTAL3. PATIENT CARE: -MEDICATION ASSISTANCE AND FAMILY MEDICINE RESIDENCY CLINICDEACONESS 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. FINANCIAL INFORMATION RELATED TO THESE SERVICES APPEARS IN A DIFFERENT SECTION OF THIS FORM.-NEW HEALTH CARE SERVICES, LOCATIONS, AND PROVIDERS DEACONESS CLINIC OPENED OR IMPLEMENTED THE FOLLOWING LOCATIONS/SERVICES DURING FY17-18 TO MAKE ACCESSING CARE EASIER FOR PATIENTS WHO LIVE OUTSIDE OF THE EVANSVILLE CITY LIMITS. -GATEWAY MEDICAL OFFICE BUILDING 2 - OCTOBER 2017 -DEACONESS CLINIC EXPRESS WEST - OCTOBER 2017 -DEACONESS CLINIC AT WORK; FIRST GROUP: WARRICK COUNTY SCHOOL CORP - MARCH 2018 -ORTHO NEURO SPECIALTY SERVICES INSIDE THE ORTHOPEDIC AND NEUROSCIENCE HOSPITAL - MAY 2018 -GIBSON GENERAL DEACONESS CLINIC EXPRESS PRINCETON MAY 2018 -DEACONESS CLINIC EXPRESS MT. PLEASANT - MAY 2018 -DEACONESS CLINIC BOONVILLE SEPTEMBER 2018AT THE END OF FY 17-18, DEACONESS CLINIC EMPLOYED 261 PROVIDERS: 142 PHYSICIANS AND 119 ADVANCED PRACTICE PROVIDERS (APPS).4. EDUCATION:-DEACONESS TRAUMA SERVICES PROVIDED STOP THE BLEED TRAINING TO APPROXIMATELY 1,500 PEOPLE AT AREA SCHOOLS, CHURCHES, LIBRARIES, VOLUNTEER FIRE STATIONS, CITY OF EVANSVILLE DEPARTMENTS, POLICE STATIONS, AND BUSINESSES. OUR COMMUNITY ATV SAFETY PROGRAM FEATURING SAFETY SAM WAS PRESENTED TO MORE THAN 4,400 STUDENTS AND FAMILIES. -DEACONESS DEDICATED 526 STAFF HOURS TO EMS AND FIRST RESPONDER EDUCATION. THIS INCLUDES INSTRUCTION FOR MORE THAN 3,000 PEOPLE RELATED TO TOPICS SUCH AS ADMINISTERING NARCAN FOR OPIOID OVERDOSE, 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.-HEALTH SCIENCE INSTITUTE - DURING THE FISCAL YEAR, WE HELD THE 28TH ANNUAL HEALTH SCIENCE INSTITUTE (HSI), A HANDS-ON SUMMER PROGRAM FOR HIGH SCHOOL STUDENTS INTERESTED IN THE MEDICAL PROFESSION. THE 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 $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.-SUICIDE PREVENTION - STAFF FROM DEACONESS CROSS POINTE SPENT APPROXIMATELY 1,300 HOURS EDUCATING THE SURROUNDING COMMUNITY ABOUT SUICIDE PREVENTION AND RELATED SUBJECTS.-FACEBOOK AND BLOGS - WE FACILITATED 33 FACEBOOK LUNCH AND LEARN SESSIONS WITH PHYSICIANS AND PROVIDERS. THESE SESSIONS DEDICATE ONE HOUR TO A SPECIFIC HEALTH TOPIC AND PROVIDE THE OPPORTUNITY FOR PEOPLE TO ENGAGE IN REAL TIME WITH SUBJECT-MATTER EXPERTS. (REACH -100,000) THE FACEBOOK LUNCH AND LEARNS WERE REPURPOSED TO CREATE 44 BLOGS FOR OUR WEBSITE.-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, 2018, THE HEARTSAVER COMMITTEE HAS RAISED ENOUGH MONEY AND PLACED 223 AEDS.-LOCAL SPONSORSHIPS - IN FY17-18, DEACONESS SPONSORED PROGRAMS AND ACTIVITIES FOR APPROXIMATELY 150 REGIONAL ORGANIZATIONS, CONTRIBUTING MORE THAN $1.2 MILLION IN SUPPORT OF CLUBS, GROUPS, SOCIAL SERVICE ORGANIZATIONS, AND OTHERS STRIVING TO MAKE OUR COMMUNITY A BETTER PLACE. PART III, LINE 4: THE FOOTNOTE DESCRIBING BAD DEBT EXPENSES IS INCLUDED IN THE ATTACHED AUDITED FINANCIAL STATEMENTS UNDER FOOTNOTE "CHARITY CARE, COMMUNITY BENEFIT AND ASSISTANCE TO THE UNINSURED" STARTING ON PAGE 11 AND "PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE" STARTING ON PAGE 12. 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 2017 MEDICARE COST REPORT. THE MEDICARE SHORTFALL FOR DEACONESS HOSPITAL IS TREATED AS COMMUNITY BENEFIT DUE TO THE HOSPITAL PROVIDING CARE TO MEDICARE PATIENTS AT LESS THAN THE ALLOWABLE MEDICARE COSTS. 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 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 - ACCORDING TO THE 2018 COUNTY HEALTH RANKINGS, VANDERBURGH COUNTY RANKS 80TH OUT OF 92 INDIANA COUNTIES FOR HEALTH OUTCOMES. VANDERBURGH COUNTY'S POPULATION IS SIMILAR TO THE STATEWIDE POPULATION, WITH 84% OF THE POPULATION BEING WHITE, 9.4% BLACK/AFRICAN AMERICAN, 1.4% ASIAN, AND THE REMAINDER BEING OF OTHER OR 2 OR MORE RACES. HOWEVER, VANDERBURGH COUNTY REPORTS A 2.6% HISPANIC POPULATION COMPARED TO 6.8% 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%. 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 12TH OUT OF 92 INDIANA COUNTIES FOR 2018 HEALTH OUTCOMES. 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. NEARLY 93% OF PEOPLE THERE IDENTIFY AS WHITE COMPARED TO 80% FOR INDIANA. ONLY 1.5 % OF THE POPULATION IS LISTED AS BLACK/AFRICAN AMERICAN AND 1.8% AS HISPANIC. THAT'S COMPARED TO STATE AVERAGES OF 9.3% AND 6.7% 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: OTHER IMPORTANT COMMUNITY HEALTH PROMOTION:A MAJORITY OF ORGANIZATION'S GOVERNING BODY IS INDEPENDENT AND COMPRISED OF PERSONS WHO RESIDED IN THE ORGANIZATION'S PRIMARY SERVICE AREA; EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY; AND APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE. 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.PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: INDIANA 1 ALBION FELLOWS BACON CENTER PO BOX 3164 EVANSVILLE IN 47731 311029051 501(C)(3) 22260 GENERAL SUPPORT AMERICAN CANCER SOCIETY 5250 VOGEL RD SUITE A EVANSVILLE IN 47715 131788491 501(C)(3) 12500 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 8333 GENERAL SUPPORT AMERICAN RED CROSS 29 S STOCKWELL RD EVANSVILLE IN 47714 530196605 501(C)(3) 10000 GENERAL SUPPORT BOYS & GIRLS CLUB OF EVANSVILLE IN PO BOX 6311 EVANSVILLE IN 47719 351007558 501(C)(3) 10260 GENERAL SUPPORT CARVER COMMUNITY ORGANIZATION INC 400 SE 8TH STREET EVANSVILLE IN 47713 350869030 501(C)(3) 54540 CAPITAL CAMPAIGN CHEMO BUDDIES 3699 EPWORTH RD NEWBURGH IN 47630 453043243 501(C)(3) 10000 GENERAL SUPPORT CITY OF EVANSVILLE PARKS SPECIAL DISTRICT 1 NW MARTIN LUTHER KING BLVD ROOM 300 EVANSVILLE IN 47708 356001021 250000 AQUATIC CENTER CAPITAL CAMPAIGN 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 EASTER SEALS REHABILITATION CENTER 3701 BELLEMEADE AVE EVANSVILLE IN 47714 351087526 501(C)(3) 37424 GENERAL SUPPORT & CAPITAL CAMPAIGN ECHO COMMUNITY HEALTH CARE 315 MULBERRY STREET EVANSVILLE IN 47713 351791786 501(C)(3) 30000 FAMILY PRACTCE - MULTICULTURAL CLINIC EVANSVILLE EMERGENCY FOOD PANTRY CONSORTIUM INC PO BOX 2536 EVANSVILLE IN 47728 371697515 501(C)(3) 10000 FOOD FOR FOOD PANTRIES EVANSVILLE MUSEUM OF ARTS HISTORY & SCIENCE PO BOX 3435 EVANSVILLE IN 47733 350874517 501(C)(3) 25000 HEALTHY IS FOR EVERYONE INTERACTIVE EXHIBIT EVANSVILLE PARKS FOUNDATION INC PO BOX 3112 EVANSVILLE IN 47730 351520591 501(C)(3) 20500 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) 8400 CLASSROOM SUPPLIES EVANSVILLE-AREA TRAILS COALITION INC PO BOX 5644 EVANSVILLE IN 47716 271556835 501(C)(3) 19500 GENERAL SUPPORT EVANSVILLE-VANDERBURGH COUNTY CONVENTION & VISITOS 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 HABITAT FOR HUMANITY OF EVANSVILLE 1401 N FARES AVENUE EVANSVILLE IN 47711 351602775 501(C)(3) 66667 GENERAL SUPPORT INDIANA UNIVERSITY FOUNDATION PO BOX 500 BLOOMINGTON IN 47402 356018940 501(C)(3) 100000 IUSM-EVANSVILLE FURNITURE & FIXTURE FUND IVY TECH FOUNDATION 3501 N 1ST AVENUE EVANSVILLE IN 47710 237073977 501(C)(3) 27500 GENERAL SUPPORT & SCHOLARSHIPS JUNIOR ACHIEVEMENT OF SW INDIANA 431 E DIAMOND AVENUE EVANSVILLE IN 47711 356048156 501(C)(3) 28500 INSPIRING OUR YOUTH PROGRAM & GENERAL SUPPORT MEDICAL EDUCATION FOUNDATION OF SOUTHWESTERN INDIANA 3116 E MORGAN AVE STE F EVANSVILLE IN 47711 237070350 501(C)(3) 10000 GENERAL SUPPORT OTHERS 5000 155963 GENERAL SUPPORT RONALD MCDONALD HOUSE CHARITIES OF THE OHIO VALLEY 3540 WASHINGTON AVENUE EVANSVILLE IN 477140136 351748468 501(C)(3) 19800 GENERAL SUPPORT TULIP TREE HEALTH SERVICES 123 N MCCREARY FORT BRANCH IN 47648 352055749 501(C)(3) 10000 GENERAL SUPPORT UNITED CARING SHELTERS 324 NW SIXTH STREET EVANSVILLE IN 47708 351892153 501(C)(3) 61512 HOMELESS MEDICAL RESPITE & GENERAL SUPPORT UNIVERSITY OF SOUTHERN INDIANA FOUNDATION 8600 UNIVERSITY BOULEVARD EVANSVILLE IN 47712 237042320 501(C)(3) 42200 HEALTH PROFESSION SCHOLARSHIPS & GENERAL SUPPORT 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) 25833 GENERAL SUPPORT YOUTH FIRST 3420 EAST MORGAN AVE STE A EVANSVILLE IN 47715 352050168 501(C)(3) 12000 GENERAL SUPPORT YWCA 118 VINE ST EVANSVILLE IN 47708 350869075 501(C)(3) 15760 GENERAL SUPPORT 31 2 PART I, LINE 2: DEACONESS HOSPITAL CONFIRMS ALL RECIPIENTS OF FUNDS ARE ORGANIZATIONS WHOSE GOALS COINCIDE WITH DEACONESS' MISSION OF PROVIDING QUALITY HEALTH CARE WITH A COMPASSIONATE AND CARING SPIRIT. THE ORGANIZATIONS PROVIDE NEEDED SERVICES TO OUR COMMUNITY TO IMPROVE HEALTH AND WELLNESS FOR THE CITIZENS IN THE SURROUNDING AREA. X 1 1 X X X X X 0 1 0 0 0 0 1 0 0 SHAWN MCCOY CEO OF DEACONESS HEALTH SYSTEM 439159 175000 133281 0 330873 8000 127630 33487 17640 17640 1048583 234127 61490 61490 LINDA WHITE CEO EMERITA 291468 194679 150862 0 643915 6000 22351 22351 4420 4420 1113016 227450 176411 176410 MAQBOOL AHMED MD DIRECTOR 0 811483 0 61979 720 39659 0 18864 0 24288 720 956273 0 29291 MATHIAS KOLLECK II MD DIRECTOR 261958 0 107405 0 79377 5600 27120 0 24743 0 500603 5600 16565 0 BARRY PHILLIPS MD DIRECTOR 0 359363 0 77603 7200 7122 0 17569 0 22985 7200 484642 0 0 DAVID RYON MD DIRECTOR 304283 0 23680 0 134130 8030 23184 0 24259 0 509536 8030 47731 0 CHERYL WATHEN CHIEF FINANCIAL OFFICER 228722 237471 83710 0 174652 9000 70618 51369 18494 18494 576196 316334 42321 42321 JAMES PORTER MD PRESIDENT OF DEACONESS HEALTH SYSTEM 533643 0 101065 0 192298 2000 137098 0 30023 0 994127 2000 188208 0 CHERONA HAJEWSKI CHIEF NURSING OFFICER 302445 0 54798 0 219195 0 78962 0 25950 0 681350 0 202459 0 LYNN LINGAFELTER CHIEF OPERATION OFFICER 318245 0 54997 0 105931 1200 86883 0 9873 0 575929 1200 48918 0 HERMAN BLANTON MD CHIEF MEDICAL OFFICER 346588 0 62930 0 9842 0 59812 0 27599 0 506771 0 0 0 MARC FLORENCE VICE PRESIDENT 249993 0 45843 0 3881 0 51900 0 29992 0 381609 0 0 0 KATHY SCHENK HR DIRECTOR 135807 0 17397 0 1231 0 10757 0 20055 0 185247 0 0 0 KENNETH DICKEN CONTROLLER, DIRECTOR FINANCE 201567 0 25521 0 1461 2400 12468 0 25244 0 266261 2400 0 0 RICHARD PERRY CONTROLLER, PHYSICIAN PRACTICE MGMT. 181674 0 20306 0 1868 0 13523 0 10028 0 227399 0 0 0 CAROLYN MORTON PHARMACY AND LAB DIRECTOR 172826 0 25832 0 1321 0 13848 0 29371 0 243198 0 0 0 SUSAN BRUMLEY IMAGING AND CARDIOVASCULAR DIRECTOR 137424 0 17865 0 1279 0 7982 0 24897 0 189447 0 0 0 VENKATESH MADADI MD ANESTHESIOLOGIST 761706 0 0 0 137259 0 28584 0 24709 0 952258 0 61812 0 NIRMAL JOSHI MD ANESTHESIOLOGIST 537922 0 13000 0 245143 0 22992 0 25095 0 844152 0 14423 0 KISHWAR NAZ MD ANESTHESIOLOGIST 714292 0 0 0 64452 0 14736 0 19953 0 813433 0 0 0 SHIVON ABDULLAH MD ANESTHESIOLOGIST 711330 0 0 0 54566 0 14736 0 24659 0 805291 0 0 0 RAJESH PATEL MD ANESTHESIOLOGIST 659288 0 0 0 46543 0 23513 0 27526 0 756870 0 0 0 LARRY PILE FORMER HR DIRECTOR 174699 0 19448 0 2997 0 18582 0 8665 0 224391 0 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 LINDA WHITE $ -0- $ 9,703 $ -0- SHAWN MCCOY 0 18,000 0 JAMES PORTER, M.D. 0 18,000 0 CHERONA HAJEWSKI 0 18,000 0 DAVID RYON, M.D. 0 18,000 0 VENKATESH MADADI, M.D. 0 18,000 0 RAJESH PATEL, M.D. 0 18,000 0 NIRMAL JOSHI, M.D. 0 18,000 0 CHERYL WATHEN 0 18,000 0 LYNN LINGAFELTER 0 18,000 0 MAQBOOL AHMED, M.D. 0 18,000 0 MATHIAS KOLLECK, II, M.D. 0 18,000 0 SEVERANCE NONQUALIFIED EQUITY-BASED MARC FLORENCE $ -0- $ 18,000 $ -0- KISHWAR NAZ, M.D. 0 18,000 0 HERMAN BLANTON, M.D. 0 18,000 0 PART I, 4B: LINDA WHITE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $0 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $171,589 SHAWN MCCOY: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $139,656 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $122,980 CHERYL WATHEN: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $90,318 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $84,641 JAMES PORTER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $107,278 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $188,208 CHERONA HAJEWSKI: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $46,568 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $202,459 LYNN LINGAFELTER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $53,924 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $48,918 MARC FLORENCE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $37,164 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $0 HERMAN BLANTON: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $57,475 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $0 PART I, LINE 6 RELATED ORG. COMPENSATION CONTINGENT UPON NET EARNINGS INCENTIVE COMPENSATION PAYMENTS 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. 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 351602316 45471AES7 2011-12-02 20667197 3/15/99 REFUNDING 0 0 0 B INDIANA FINANCE AUTHORITY 351602316 2012-11-20 13005000 1/17/1992 REFUNDING 0 0 0 C INDIANA FINANCE AUTHORITY 351602316 45471ALU4 2013-07-23 40180000 3/26/09 REFUNDING 0 0 0 D INDIANA FINANCE AUTHORITY-2013A 351602316 45471AKY7 2013-03-05 71336168 5/27/04 AND 3/26/09 REFUNDING 0 0 0 A 6140000 20667197 397197 20270000 1 0 1 1 B 6655000 13005000 103657 12901343 1 0 1 1 C 750000 40180000 180000 40000000 1 0 1 1 D 1920000 71336168 729538 70606631 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 1 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 1 0 0 0.00000 0.00000 0.00000 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 1 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 PART II, LINE 3, COLUMN C, CUSIP 45506DXT7: THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE DUE TO THE INVESTMENT EARNINGS ON THE PROJECT FUND. PART II, LINE 11: THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW. A INDIANA FINANCE AUTHORITY-2013B 351602316 2013-03-05 21440000 5/27/04 REFUNDING 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 351602316 45506DXT7 2016-10-05 109999091 NEW MONEY PROJECTS 0 0 0 A 5425000 21440000 125000 21315000 1 0 1 1 B 360000 49772341 44003157 601847 5167337 0 1 0 1 C 111373335 4660332 935528 2885418 102765054 127003 0 0 0 1 A 0 1 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 1 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 1 1 FIFTH THIRD 16.000000000000 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 0 A 1 B 1 C 1 MISTY ADYE SEE PART V 26032 COMP. 0 VECTREN ENERGY DELIVERY SEE PART V 6179683 GAS/ELECTRICITY 0 JESSICA COX SEE PART V 65053 COMP. 0 MARY BETH COLE SEE PART V 35453 COMP. 0 JOAN MCCOY SEE PART V 27948 COMP. 0 IVY TECH FOUNDATION SEE PART V 27500 DONATION AND SUPPORT 0 EVANSVILLE SURGICAL ASSOCIATES SEE PART V 3095965 MEDICAL SERVICES 0 OLD NATIONAL BANK SEE PART V 996280 INVESTMENT MANAGEMENT FEES 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: MISTY ADYERELATIONSHIP: WIFE OF BOARD MEMBER BRUCE ADYEINTERESTED PERSON: VECTREN ENERGY DELIVERYRELATIONSHIP: DEACONESS HOSPITAL BOARD MEMBER ERIC SCHACH IS THE EVP & COO OF VECTREN. VECTREN PROVIDES SERVICES TO THE HOSPITAL.INTERESTED PERSON: JESSICA COXRELATIONSHIP: DAUGHTER TO LYNN LINGAFELTERINTERESTED PERSON: MARY BETH COLERELATIONSHIP: SISTER TO STEPHEN TITZERINTERESTED PERSON: JOAN MCCOYRELATIONSHIP: WIFE OF SHAWN MCCOYINTERESTED PERSON: IVY TECH FOUNDATIONRELATIONSHIP: BOARD MEMBER JOHNATHAN WEINZAPFEL IS THE CHANCELLOR AT IVY TECH COLLEGE. DEACONESS HOSPITAL CONTRIBUTES MONEY FOR NURSING EDUCATION.INTERESTED 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: OLD NATIONAL BANKRELATIONSHIP: BOARD MEMBER JAMES RYAN IS THE CFO OF OLD NATIONAL BANK. OLD NATIONAL BANK PROVIDES INVESTMENT MANAGEMENT SERVICES. X 1 305000 FAIR MARKET VALUE X JEWELRY 1 7500 COST 0 0 1 0 PART I, LINE 32B: SCHEDULE M - SUPPLEMENTAL INFORMATION THE NUMBER OF CONTRIBUTIONS REPORTED IN COLUMN B ON SCHEDULE M IS THE ACTUAL NUMBER OF ITEMS RECEIVED FROM EACH CONTRIBUTOR. 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 266 BEDS CONSISTING OF 38 INTENSIVE CARE BEDS, 16 CARDIAC INTENSIVE CARE BEDS, 45 CARDIAC BEDS, 23 ONCOLOGY/ PULMONOLOGY BEDS, 61 ORTHOPAEDIC/ NEUROLOGICAL BEDS, 44 MEDICAL/ SURGICAL BEDS, 39 MEDICAL RENAL BEDS. 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, 32 ORTHOPAEDIC BEDS, 16 NEURO INTENSIVE CARE BEDS, 32 SURGICAL ONCOLOGY BEDS, 24 CARDIAC BEDS, AND 64 GENERAL MED/ TELEMETRY BEDS. THE ORTHOPEDIC NEUROSCIENCE HOSPITAL OPENED ON THE GATEWAY CAMPUS IN MAY OF 2018. THIS ADDITION TO THE CAMPUS CONSISTS OF 32 ORTHO SURGICAL BEDS AND 32 NEURO SURGICAL BEDS. THE HOSPITAL PROVIDES A FULL ARRAY OF COMPREHENSIVE OUTPATIENT AND AMBULATORY SERVICE ON THE GATEWAY CAMPUS. 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 $15.1 MILLION OF CHARITY CARE AND $32.7 MILLION OF SUBSIDIZED SERVICES TO THE MEDICAID PROGRAM, AND $74.7 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 $9.7 MILLION IN COMMUNITY BENEFIT ACTIVITIES (ALL ON A COST BASIS), SERVING A MINIMUM OF 948,309 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 104,684,338. MANAGEMENT AND GENERAL EXPENSES 2,093,981. FUNDRAISING EXPENSES 44,221. TOTAL EXPENSES 106,822,540. PROFESSIONAL FEES- PHYSICIANS: PROGRAM SERVICE EXPENSES 15,228,020. MANAGEMENT AND GENERAL EXPENSES 28,978. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,256,998. FORM 990, PART XI, LINE 9: CHANGE IN PENSION LIABILITY 27,360,572. FOUNDATION MONIES GRANTED FROM RESTRICTION -3,512,332. CHANGE IN GENERAL FUND EQUITY -50,552,363. 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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