2018-02-15T08:01:22-06:00 2017-09-30 351178661 Blue & Co LLC 500 N Meridian St Suite 200 Indianapolis IN 46204 990 2016-10-01 350593390 Deaconess Hospital Inc DEAC 8124503296 600 Mary Street Evansville IN 47747 Shawn W McCoy CEO of Deaconess Health System 8124503296 2018-02-14 1 Carrie A Merrill CPA P00832283 3176334705 2016 2022-09-23 18:48:47Z SHAWN W MCCOY CEO 600 Mary Street Evansville IN 47747 1377384338 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 5885 149 12954670 -18545 2030190 2910466 683619698 711560184 16188212 29035655 69611307 66397275 771449407 809903580 1150755 1169958 0 0 301561936 330500444 0 0 422947 358007989 382530737 660720680 714201139 110728727 95702441 1238423966 1461525378 457277189 549831501 781146777 911693877 X See Schedule O. 0 0 173604620 0 418516084 Patient Service Revenue. See schedule o. 481878416 0 290167491 Charity Care/Subsidized Care. See Schedule O. 12566792 0 2876609 GRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION AND COMMUNITY BENEFIT. SEE SCHEDULE O. 1169958 1169958 40101253 All other program services. 1169958 1169958 40101253 669219786 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 1 296 0 1 5885 1 0 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 0 IN X Cheryl A Wathen 8124503296 600 Mary Street Evansville IN 47747 Shawn McCoy CEO of Deaconess Health System 40.00 20.00 X X 774120 11200 180218 Linda White CEO Emerita 30.00 35.00 X X 1292419 390881 193418 Daniel Hermann Chairman 5.00 5.00 X 0 0 0 John Engelbrecht Treasurer 5.00 5.00 X 0 0 0 lisa Collins Secretary 5.00 5.00 X 0 0 0 Bruce Adye MD Director 5.00 5.00 X 4128 7400 0 Maqbool Ahmed MD Director 5.00 55.00 X 0 964141 43293 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 Anthony Kaiser MD Director 5.00 5.00 X 0 0 0 Mathias Kolleck II MD director 50.00 5.00 X 437298 6000 46270 Barry Phillips MD Director 5.00 55.00 X 7380 426822 38441 Sharon Reed Walker Director 5.00 5.00 X 0 0 0 James C Ryan III Director 5.00 5.00 X 0 0 0 David Ryon MD Director 50.00 10.00 X 412007 9040 43277 Eric J Schach Director 5.00 5.00 X 0 0 0 Stephen T Titzer CPA Director 5.00 10.00 X 0 0 0 Jonathan Weinzapfel Director 5.00 5.00 X 0 0 0 Jerome A Benkert Jr Director (10/1-10/31/16) 5.00 5.00 X 0 0 0 Bruce Stallings Director (10/1-10/31/16) 5.00 5.00 X 0 0 0 Daniel W Whitehead MD Director (10/1-10/31/16) 5.00 5.00 X 0 0 0 Cheryl Wathen Chief Financial Officer 25.00 40.00 X 346779 240224 155288 James Porter MD Chief Medical Officer 45.00 10.00 X 697490 4400 164315 Cherona Hajewski Chief Nursing Officer 50.00 0.00 X 498514 0 100387 Kathy Schenk HR Director 50.00 0.00 X 152946 0 36916 Lynn Lingafelter Vice President of Operatio 50.00 5.00 X 410968 0 98169 Marc Florence Vice President 50.00 5.00 X 301878 0 79578 Kenneth Dicken Controller, Director Finan 50.00 10.00 X 230615 3800 37667 Richard Perry Controller 50.00 0.00 X 204923 0 23497 Carolyn Morton Pharmacy Director 50.00 0.00 X 181918 0 41872 LARRY PILE Attorney 25.00 0.00 X 233066 0 37186 Venkatesh Madadi MD ANESTHESIOLOGIST 50.00 0.00 X 744787 0 52894 Nirmal Joshi MD Anesthesiologist 50.00 0.00 X 639181 0 48653 Rajesh Patel MD Anesthesiologist 50.00 0.00 X 647724 0 47861 Derinbhai Patel MD physician 50.00 0.00 X 586456 0 38578 Shivon Abdullah MD anESTHESIOLOGIST 50.00 0.00 X 575961 0 24847 Bruce Epmeier Former Vice President 0.00 0.00 X 142426 0 0 9522984 2063908 1532625 273 1 1 0 EVANSVILLE SURGERY CENTER PO Box 2185 Evansville IN 47728 Surgical Services 28804706 Evolent Health LLC 800 glebe rd Suite 500 Arlington VA 22203 consulting services 21916124 Progressive Health Indiana LLC 150 N Rosenberger Ave evansville IN 47712 Physical Therapy 14970326 Barton Malow Company 26500 American Dr southfield MI 48034 Construction services 14410492 CH Garmong Son Inc 3050 Poplar St Terre Haute IN 47803 construction services 11992497 80 388893 222856 2298717 34468 2910466 Net patient Revenue 900099 711560184 711560184 711560184 13658005 13658005 9081239 4108384 4972855 4972855 4972855 577665000 904610 562204137 987823 15460863 -83213 15377650 15377650 48055 388893 180414 -132359 -132359 INVESTMENT IN JOINT VENTURES 900099 36509803 36509803 Other Hospital Services 900099 12080546 3591450 8489096 Laboratory Sales 621500 10863390 10863390 2103040 2091280 11760 61556779 809903580 751661437 12954670 42377007 X 1169958 1169958 7103484 7103484 244975377 233990746 10734974 249657 19976111 19233395 729933 12783 41541830 41075064 466766 16903642 15774561 1109344 19737 1972706 7163 1965543 298179 298179 40953 40953 811277 795339 15938 123063204 119851491 3182231 29482 1070572 96257 974315 12195701 10494684 1665600 35417 14034143 11724268 2309875 18771715 17296623 1475092 784294 661411 122356 527 934877 666597 262064 6216 6807996 6807996 37683072 35485846 2197177 49 2903505 2885198 18307 Medical/Surgical Suppli 119983345 119983345 Equip Rental/Maintenanc 14719354 13835958 883396 DUES & SUBSCRIPTIONS 864271 377719 483652 2900 25591573 17801506 7739826 50241 714201139 669219786 44558406 422947 54287091 143784349 121891403 117580516 1665608 2553632 7135745 7553394 13654386 12525786 931962523 501808995 331351653 430153528 625302549 652232266 41295362 45875146 18509986 18509986 23330183 30756775 1238423966 1461525378 68514028 88495220 1540466 1602216 202156996 305260994 185065699 154473071 457277189 549831501 X 774015950 902896410 5297883 6941800 1832944 1855667 781146777 911693877 1238423966 1461525378 X 95702441 35062710 -218051 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 40953 40953 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. 6877438 1200 705719 194451 7389906 6660917 50 445045 228574 6877438 6749437 1327 -39488 50341 18 6660917 6119408 3639 662188 35798 6749437 5544426 1890 611864 38483 289 6119408 0.14000 0.86000 0.00000 0 0 2300910 14434107 16735017 54742818 512751268 319522516 247971570 241071864 182286479 58785385 106661556 106661556 430153528 Accrued Retirement Benefits 90849885 Estimated Third Party Settlements 3832431 TAXABLE BOND- SERIES 2012C 3145000 Capital Lease Obligations 86060 Related Organization Payables 3559695 Taxable Bond- Series 2016 53000000 154473071 X Part V, Line 4: TEMPORARILY RESTRICTED NET ASSETS INCLUDE THOSE ASSETS WHOSE USE BY THE SYSTEM HAS BEEN TEMPORARILY LIMITED PRIMARY 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 System has taken an uncertain position that more likely than not would not be sustained upon examination by various federal and state taxing authorities. Management has analyzed the tax positions taken by the System and has concluded that as of September 30, 2017 and 2016, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the accompanying consolidated financial statements. The System is subject to routine audits by taking jurisdictions; however, there are currently no audits for any tax periods in progess. 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 216675 187075 29600 32467 51503 18695 5325 DH Classic 220273 201818 18455 39005 15736 16056 1627 0 436948 388893 48055 39005 32467 67239 34751 6952 180414 -132359 1 1 X 1 X 1 X 1 1 0 1 1 14601275 14601275 0.01860 133411865 99963315 33448550 0.04250 148013140 99963315 48049825 0.06110 830102 830102 0.00110 7630254 2312149 5318105 0.00680 912674 330477 582197 0.00070 2052421 29503 2022918 0.00260 11425451 2672129 8753322 0.01120 159438591 102635444 56803147 0.07230 2500 2500 0.00000 25668 25668 0.00000 46706 46706 0.00010 160 160 0.00000 11600 11600 0.00000 16423 16423 0.00000 436 436 0.00000 79354 15981 63373 0.00010 182847 15981 166866 0.00020 1 13207502 145601396 173663366 -28061970 X 1 1 3 1 DEACONESS HOSPITAL INC 600 Mary Street Evansville IN 47747 www.deaconess.com 15-005074-1 X X X X 2 Deaconess Gateway Hospital 4011 Gateway Blvd Newburgh IN 47630 www.deaconess.com 15-005074-1 X X X X 3 DEACONESS CROSS POINTE 7200 E Indiana Street evansville IN 47715 www.deaconess.com 15-005074-1 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 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 9 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 YWCA DEACONESS GATEWAY HOSPITAL Part V, Section B, Line 5: Description of Community Input is reported the same as Deaconess Hospital, Inc. (Hospital Facility #1). DEACONESS CROSS POINTE Part V, Section B, Line 5: DESCRIPTION OF COMMUNITY INPUT is reported the same as Deaconess Hospital, Inc. (Hospital Facility #1). DEACONESS HOSPITAL, INC. Part V, Section B, Line 6a: Other Hospital Facilities CHNA was conducted with:Deaconess Gateway HospitalDeaconess Cross PointeSt. Vincent Evansville DEACONESS GATEWAY HOSPITAL Part V, Section B, Line 6a: Other Hospital Facilities CHNA was conducted is reported the same as Deaconess Hospital, Inc. (Hospital Facility #1). DEACONESS CROSS POINTE Part V, Section B, Line 6a: Other Hospital Facilities CHNA was conducted with is reported the same as Deaconess Hospital, Inc. (Hospital Facility #1). DEACONESS HOSPITAL, INC. Part V, Section B, Line 6b: 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 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 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. DEACONESS HOSPITAL, INC. Part V, Section B, Line 11: 1. BEHAVIORAL HEALTH: VANDERBURGH COUNTYA. ASSET MAPPINGWITH ASSISTANCE FROM THE VANDERBURGH COUNTY HEALTH DEPARTMENT, WE CONDUCTED AN ASSET MAPPING OF LOCAL AND REGIONAL BEHAVIORAL HEALTH SERVICES. (THE FULL REPORT IS IN OUR FY16-17 PROGRESS REPORT ON THE DEACONESS WEBSITE.) IMPORTANT INFORMATION WE LEARNED: -EMPLOYEE SHORTAGE/COMPETITION - THE NEED FOR BEHAVIORAL HEALTH PROVIDERS IS INCREASING. PRIVATE GROUPS CAN PAY HIGHER WAGES AND FILL THEIR OPEN POSITIONS. SOUTHWEST BEHAVIORAL HEALTH HAS OPEN POSITIONS THEY CAN'T FILL. ZERO APPLICATIONS HAVE COME IN OVER 3 MONTHS. THEY CAN'T PAY THE SAME AS OTHER GROUPS. -THE GREATEST NEED IS FOR PRIVATE RESIDENTIAL TREATMENT FOR TEENS (AGE 13-16). THESE ARE KIDS THAT NEED 24/7 CARE IN A SECURE FACILITY FOR SEVERAL WEEKS OR MONTHS. THIS TIME PERIOD IS LONGER THAN GOING TO A HOSPITAL FOR TREATMENT OF AN ACUTE SITUATION BUT NOT SO SERIOUS IT REQUIRES ADMISSION TO A STATE HOSPITAL. THE WAITING LIST FOR THE STATE-RUN FACILITY IS 11 MONTHS FOR A LOCAL TEEN GIRL. -MEDICAID IS AN ADVANTAGE FOR THE SERIOUSLY MENTALLY ILL - MEDICAID PAYS FOR MORE MENTAL HEALTH SERVICES IN GENERAL THAN COMMERCIAL/PRIVATE INSURANCE. MEDICAID WILL COVER 3-6 MONTHS IN A PRIVATE RESIDENTIAL TREATMENT FACILITY (PRTF) FOLLOWING 2 ACUTE HOSPITAL STAYS. THEY ALSO PAY FOR WRAP AROUND SERVICES. COMMERCIAL INSURANCE PAYS FOR 6 WEEKS OF PRTF. -THE DMHA (DIVISION OF MENTAL HEALTH AND ADDICTION) HAS AN ADMISSIONS COMMITTEE IN INDIANAPOLIS. THAT COMMITTEE REVIEWS ALL REFERRALS FOR ADULTS NEEDING ADMISSION TO A STATE RUN FACILITY. THE LOCAL PHYSICIAN AT THE EVANSVILLE PSYCHIATRIC CHILDREN'S CENTER REVIEWS CASES FOR THE EVANSVILLE FACILITY. THOSE CASES DO NOT GO THROUGH A COMMITTEE IN INDIANAPOLIS. THAT'S GOOD FOR LOCAL ORGANIZATIONS.B. YOUTH MENTAL HEALTH FIRST AIDDEPARTMENT OF HEALTH AND HUMAN SERVICES, SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION"NOW IS THE TIME" PROJECT AWARE - SUPPORT THE TRAINING OF TEACHERS AND A BROAD ARRAY OF ACTORS AT THE COMMUNITY LEVEL WHO INTERACT WITH YOUTH THROUGH THEIR PROGRAMS, INCLUDING PARENTS, LAW ENFORCEMENT, FAITH-BASED LEADERS, AND OTHER ADULTS, IN YOUTH MENTAL HEALTH FIRST AID (YMHFA). THE EVANSVILLE-BASED GRANT STARTED SEPTEMBER 30, 2015. DATA FOR YEAR 2 OF THE GRANT, OCTOBER 2016 THROUGH MARCH 2017, SHOWS 117 YMHFA FIRST AIDERS TRAINED, 3 YMHFA TRAINERS TRAINED, AND 246 YOUTH REFERRED TO MENTAL HEALTH SERVICES, RESOURCES, OR SUPPORTS FROM THE FIRST AIDERS. C. SUBSTANCE ABUSE THE YELLOW JUG INITIATIVE WAS DISCUSSED AND HOW IT MAY HELP TO IMPACT PRESCRIPTION DRUG ABUSE OR PROVIDE AN ADDITIONAL RESOURCE FOR COMMUNITY DRUG TAKE BACKS ON A LARGER SCALE. THE GROUP COORDINATED SBIRT TRAINING FOR PHYSICIANS, HEALTH CENTERS AND EMERGENCY DEPARTMENT STAFF. THIS TOOL GIVES PROVIDERS A MORE THOROUGH SCREENING FOR BEHAVIORAL HEALTH ISSUES AND CONDITIONS. THE PROCESS USES MOTIVATIONAL INTERVIEWING, PROVIDES INTERVENTION AND REFERRAL TO TREATMENT.2. CHNA MATERNAL, FETAL, INFANT HEATH: VANDERBURGH COUNTYA. REDUCE INFANT MORTALITYDUE TO THE SUCCESS OF OUR BABY AND ME TOBACCO FREE PROGRAM AND HEALTHY BABY STEPS GRANT INITIATIVE, VANDERBURGH COUNTY HAS CUT THE INFANT MORTALITY RATE IN HALF. OVER THE PAST THREE YEARS, VANDERBURGH COUNTY HAS SEEN A DRASTIC DECREASE IN THE INFANT MORTALITY RATE (IMR). THE IMR PEAKED AT 11.05/1,000 LIVE BIRTHS IN 2013 AND HAS BEEN DECLINING EVER SINCE. THE IMR WAS 9.4/1,000 LIVE BIRTHS FOR 2014, AND 4.95/1,000 LIVE BIRTHS FOR 2015. 2015 IS THE MOST RECENT DATA AVAILABLE FROM THE ISDH. B. CHILD ABUSETHE GOALS TO ADDRESS CHILD ABUSE RATES IN VANDERBURGH COUNTY WERE TO INCREASE AWARENESS AND EDUCATION AROUND CASES OF CHILDHOOD ABUSE AND NEGLECT. DURING THE PAST YEAR, THE CHILD ABUSE TASK FORCE HAS MADE PROGRESS ON TRACKING CASES OF ABUSE, EDUCATING PROVIDERS, AND RAISING PUBLIC AWARENESS OF THE ISSUE.3. EXERCISE, NUTRITION, AND WEIGHT: VANDERBURGH COUNTYA. PREDIABETESA GROUP OF DIABETES EDUCATORS AND OTHER RELATED PROFESSIONALS WAS ASSEMBLED AND REGULARLY SCHEDULED MEETINGS OCCURRED. TRUSTED SOURCES OF INFORMATION ON DIABETES WERE IDENTIFIED AND SHARED WITH OTHER DIABETES EDUCATORS AND PROGRAMS. THE GROUP WORKED TOGETHER TO STREAMLINE AND COORDINATE DIABETES CLASSES, GRANT PROJECTS, AND OTHER ACTIVITIES THROUGHOUT THE COMMUNITY. THIS AVOIDS MULTIPLE EVENTS/CLASSES HAPPENING AT THE SAME TIME AND INCREASES THE OPPORTUNITY FOR PARTICIPATION.B. BUILT ENVIRONMENTPARTNERS IN OUR CHNA COLLABORATIVE HELPED FOCUS COMMUNITY ATTENTION ON THE "COMPLETE STREETS" PROJECT ON NORTH MAIN STREET IN EVANSVILLE. ALTHOUGH SLIGHTLY BEHIND SCHEDULE, NEW ROADWAYS WITH IDENTIFIED SPACE FOR PEDESTRIANS, BICYCLISTS, AND VEHICLES OPENED TO THE PUBLIC IN THE FALL OF 2017.C. TODDLER AND PRESCHOOL NUTRITIONFOUR WORKGROUPS WERE CREATED TO DECREASE THE NUMBER OF CHILDREN IN VANDERBURGH COUNTY THAT ARE CONSIDERED OVERWEIGHT OR OBESE BY 20% BY 2020. THE FOUR WORKGROUPS HAVE MET MONTHLY SINCE MARCH 2017. THREE OF THE WORKGROUPS HAVE ALREADY SET SMALLER GOALS TO HELP REACH THE LEADERSHIP TEAM'S LARGER GOAL OF 20% BY 2020. OTHER 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. DURING THIS FISCAL YEAR, WE FOCUSED ON ATV SAFETY. OUR PROGRAMS AND ACCOMPLISHMENTS WERE RECOGNIZED BY THE GOVERNOR OF INDIANA IN ADDITION TO WIDE SPREAD MEDIA COVERAGE. 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. DEACONESS GATEWAY HOSPITAL Part V, Section B, Line 11: How the Significant needs are being addressed is reported the same as Deaconess Hospital, Inc. (Hospital Facility #1). DEACONESS CROSS POINTE Part V, Section B, Line 11: How the Significant needs are being addressed is reported the same as Deaconess Hospital, Inc. (Hospital Facility #1). DEACONESS HOSPITAL, INC. Part V, Section B, Line 15e: Med Assist is available to Deaconess Health System patients to assist with applying for Medicaid or Exchange products. DEACONESS GATEWAY HOSPITAL Part V, Section B, Line 15e: Other method used for applying for financial assistance is the same as Deaconess Hospital, Inc. (Hospital Facility #1). DEACONESS CROSS POINTE Part V, Section B, Line 15e: Other method used for applying for financial assistance is the same as Deaconess Hospital, Inc. (Hospital Facility #1). DEACONESS HOSPITAL, INC. Part V, Section B, Line 16j: OTHER METHOD USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY: DEACONESS HOSPITAL SEEKS OUT THE PATIENTS THAT ARE SELF-PAY AND INTERVIEWS THESE PATIENTS WHILE THEY ARE IN THE FACILITY. THE FINANCIAL ASSISTANCE POLICY IS PROMOTED TO PATIENTS. DEACONESS HOSPITAL SEEKS OUT THOSE PATIENTS THAT WOULD QUALIFY FOR THE FINANCIAL ASSISTANCE POLICY. COLLECTABILITY SCORING IS ALSO COMPLETED AND ALLOWANCES ARE MADE BASED UPON THESE SCORES. DEACONESS HOSPITAL FOR FISCAL YEAR 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). Part V, Line 16A, FAP Website: The Financial Assistance Policy (FAP) for all three hospital facilities is made widely available on the following website.https://www.deaconess.com/For-You/Patients-and-Visitors/Patients/Financial-Assistance Part V, Line 16B, FAP Application Website: The Financial Assistance Policy (FAP) Application for all three hospital facilities is made widely available on the following website.https://www.deaconess.com/For-You/Patients-and-Visitors/Patients/Financial-Assistance Part V, Line 16C, FAP Plain Language Summary Website: The Financial Assistance Policy (FAP) plain language summary for all three hospital facilities is made widely available on the following website.https://www.deaconess.com/For-You/Patients-and-Visitors/Patients/Financial-Assistance 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 Center 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 $383,729. 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.DEACONESS CARE INTEGRATION (OUR ACO) RANKED IN THE TOP 3 NEXT GENERATION ACOS (NGACOS) IN 2016.RESULTS FROM THE COMPLEX CARE STUDY BELOW DEMONSTRATE THE SIGNIFICANT IMPACT OF OUR CARE ADVISING SERVICES FOR MEDICARE BENEFICIARIES ENROLLED IN THE COMPLEX CARE PROGRAM.TOTAL MEDICAL SPEND -40%INPATIENT SPEND -56%INPATIENT ADMITS PER 1,000 -52%ACUTE IP ADMITS PER 1,000 -47% POST-ACUTE DAYS PER 1,000 -56% PCP VISIT SPEND + 9%PCP VISITS/1,000 +10% 2. OPIOID ISSUE:DEACONESS SUCCESSFULLY PARTICIPATED IN THE FIRST STATE-LED PILOT PROGRAM TO INTEGRATE INFORMATION FROM THE STATEWIDE PRESCRIPTION DRUG MONITORING PROGRAM (INSPECT) DIRECTLY INTO OUR ELECTRONIC HEALTH RECORD (EPIC). PUTTING INSPECT DATA DIRECTLY IN THE HANDS OF DOCTORS MAKING CRITICAL PRESCRIBING DECISIONS WILL SAVE LIVES AND SUPPORT EFFORTS IN THE FIGHT AGAINST PRESCRIPTION DRUG AND OPIOID ABUSE. THE STATEWIDE INITIATIVE IS ONE PIECE IN A BROADER STRATEGIC PLAN TO PROVIDE A COMPREHENSIVE, COMMUNITY-BASED APPROACH TO SOLVING THE STATE'S OPIOID CRISIS.3. HEALTH FAIRS/SCREENINGS : 19,826 WERE PEOPLE SERVED WITH EDUCATION AND/OR HEALTH SCREENINGS AT THE 72 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. - MEDICATION ASSISTANCE AND RESIDENCY CLINICDEACONESS ALSO PROVIDES FREE AND REDUCED CARE WITHIN OUR HOSPITAL BUILDINGS. THROUGH OUR MEDICATION ASSISTANCE PROGRAM AND OUR FAMILY PRACTICE RESIDENCY CLINIC AREA RESIDENTS CAN ACCESS THE HIGH QUALITY HEALTHCARE THEY NEED IN CONVENIENT LOCATIONS AND AT A PRICE THEY CAN AFFORD.4. EDUCATION: - TRAUMA EDUCATION PLAY FOR KATE ATV SAFETY INITIATIVESLOCAL INJURY PREVENTION EXPERTS PRESENTED AT "PREVCON," THE SAFE KIDS WORLDWIDE CONFERENCE HELD IN BALTIMORE. THEIR POSTER PRESENTATION FEATURING ATV SAFETY WON THE PEOPLE'S CHOICE AWARD, AND SAFETY SAM, THE ATV SAFETY TRAINING ROBOT, WAS VERY POPULAR AT THE CONFERENCE.DEACONESS HAS WORKED CLOSELY WITH OUR LOCAL HEALTH DEPARTMENT, LEGISLATORS, AND ASHLEE BRUGGENSCHMIDT TO CREATE A LAW REQUIRING ATV RIDERS UNDER THE AGE OF 18 TO WEAR A HELMET ANYTIME THEY RIDE.THE "PLAY FOR KATE" BILL WAS PASSED BY THE INDIANA LEGISLATURE IN APRIL 2017 AND IN JUNE, GOVERNOR ERIC HOLCOMB CAME TO SHARON ELEMENTARY, WHERE ASHLEE SERVES AS PRINCIPAL, FOR A BILL SIGNING CEREMONY.DEACONESS TRAUMA SERVICES AND THE BUSINESS DEVELOPMENT GROUP INCREASED THE AMOUNT OF TIME AND RESOURCES DEVOTED TO EDUCATING EMS PERSONNEL AND OTHER FIRST RESPONDERS IN THE REGION. THIS INCLUDES PRE-HOSPITAL TRAINING AND BUILDING RELATIONSHIPS WITH TRI-STATE EMS GROUPS, ESPECIALLY THOSE IN RURAL AREAS.- HEALTH SCIENCE INSTITUTE DURING THE FISCAL YEAR, WE HELD THE 27TH ANNUAL HEALTH SCIENCE INSTITUTE, 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. - SUICIDE PREVENTION STAFF FROM OUR MENTAL HEALTH HOSPITAL TRAVEL AROUND THE REGION TO PROVIDE SUICIDE PREVENTION TRAINING TO SCHOOLS, CHURCHES, NON-PROFIT GROUPS, ETC.- FACEBOOK AND BLOGS WE FACILITATED 44 FACEBOOK LUNCH AND LEARN SESSIONS WITH PHYSICIANS AND PROVIDERS. REACH -319,375; CLICKS -18,518; LIKES -8,211. THOSE SESSIONS WERE REPURPOSED TO CREATE 53 BLOGS FOR NEWSLETTERS AND OUR WEBSITE.- NEW HEALTHCARE PROVIDERS DEACONESS CLINIC ADDED 15 NEW PHYSICIANS AND 26 ADVANCED PRACTITIONERS DURING FY16-17.- 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, CHURCHES, ORGANIZATIONS AND COMMUNITY GATHERING FACILITIES. AS OF SEPTEMBER 2017, THE COMMITTEE HAS RAISED ENOUGH MONEY AND PLACED 158 AEDS.- LOCAL SPONSORSHIPS - IN FY16-17, DEACONESS SPONSORED PROGRAMS AND ACTIVITIES FOR APPROXIMATELY 205 REGIONAL ORGANIZATIONS, CONTRIBUTING MORE THAN $1 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 2014 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 2017 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 84.2% of the population being White, 9.3% Black/African American, 1.3% Asian, and the remainder being of Other or 2 or More Races. However, Vanderburgh County reports a 2.6% Hispanic population compared to 6.7% 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%. 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 11th out of 92 Indiana counties for 2017 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 and Deaconess Clinic 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) 5070 general support American Cancer Society 5250 Vogel Rd Suite A Evansville IN 47715 131788491 501(c)(3) 12000 General Support American Heart Association 7272 Greenville Ave Dallas TX 75231 135613797 501(c)(3) 8334 General Support American red cross 29 s stockwell rd Evansville IN 47714 530196605 501(c)(3) 10000 General Support Aurora Inc 1100 Lincoln Avenue PO Box 74 Evansville IN 47701 351759576 501(c)(3) 10550 Homeless Outreach Carver Community Organization Inc 400 SE 8th Street Evansville IN 47713 350869030 501(c)(3) 6036 Capital Campaign Community Coordinated Child Care of Southern Indiana 600 SE Sixth Street Evansville IN 47713 310971740 501(c)(3) 25000 Early Childhood Scholarship 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) 38925 General Support & Capital Campaign Echo Community Health Care 315 Mulberry Street Evansville IN 47713 351791786 501(c)(3) 35000 Family Practce - Multicultural Clinic Economic Development Coalition of Southwestern Indiana 318 Main Street Suite 400 Evansville IN 47708 320152563 501(c)(6) 25000 One Region-One Economy-One Voice Campaign Evansville Area Community of Churches 713 N 2nd Ave Evansville IN 47710 350886837 501(c)(3) 12100 Food for Food Pantries Evansville Police Department Foundation PO Box 3114 Evansville IN 47730 262290745 501(c)(3) 10000 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) 23100 classroom supplies Evansville-Vanderburgh County Convention & Visitos Commission 4300 Heckel Road Evansville IN 47725 472582515 501(c)(3) 25000 Support Health Trail Habitat for Humanity of Evansville 1401 N Fares Avenue Evansville IN 47711 351602775 501(c)(3) 133334 general support Indiana University Foundation PO Box 500 Bloomington IN 47402 356018940 501(c)(3) 24000 Scholarships & General Support Ivy Tech Foundation 3501 N 1st Avenue Evansville IN 47710 237073977 501(c)(3) 28200 general support & Scholarships Junior Achievement of SW Indiana 431 E Diamond Avenue Evansville IN 47711 356048156 501(c)(3) 28500 Adopt a school program & General Support Junior League of Evansville 123 NW Fourth Street Suite 422 Evansville IN 47708 356017802 501(c)(3) 7500 general support Juvenile Diabetes Research Foundation 10401 N Meridian Street Suite 150 Indianapolis IN 46290 231907729 501(c)(3) 10000 General Support Komen Greater Evansville Affiliate 4424 Vogel Rd Ste 205 Evansville IN 47715 752844632 501(c)(3) 5100 general support Leadership Evansville PO Box 2449 Evansville IN 47728 310883858 501(c)(3) 6500 General Support OTHERS 5000 206872 General Support Poseyville Medical Foundation 38 w Main Street poseyville IN 47633 474828307 501(c)(3) 58875 Cost Medical Supplies & Furnishings Open Medical Clinic in Rural Area United Way of Southwestern Indiana PO Box 18 Evansville IN 477010018 350868069 501(c)(3) 20040 general support University of Evansville 1800 Lincoln Avenue Evansville IN 47722 350868074 501(c)(3) 34333 Start-Up Fund for Physician Assistant Program & General Support UNIVERSITY OF SOUTHERN INDIANA Foundation 8600 University Boulevard Evansville IN 47712 237042320 501(c)(3) 41500 Health Profession Scholarships & General Support Vanderburgh Community Foundation 401 SE Sixth Street Suite 203 Evansville IN 47713 351830262 501(c)(3) 30000 general support Vanderburgh County CASA 728 South Street Evansville IN 47708 351601081 501(c)(3) 9500 General Support Warrick Wellness Pathways inc 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) 32833 General Support Youth First 3420 East Morgan Ave Ste A Evansville IN 47715 352050168 501(c)(3) 11916 General Support YWCA 118 Vine st Evansville IN 47708 350869075 501(c)(3) 25000 General Support 34 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 1 1 0 0 0 0 1 0 0 Shawn McCoy CEO of Deaconess Health System 534699 0 176678 0 62743 11200 145812 0 34406 0 954338 11200 59007 0 Linda White CEO Emerita 379000 381681 291040 0 622379 9200 74721 106787 5955 5955 1373095 503623 297932 297932 Maqbool Ahmed MD Director 0 897209 0 60005 0 6927 0 18705 0 24588 0 1007434 0 0 Mathias Kolleck II MD director 268051 0 89428 0 79819 6000 26935 0 19335 0 483568 6000 0 0 Barry Phillips MD Director 0 344157 0 74735 7380 7930 0 15226 0 23215 7380 465263 0 0 David Ryon MD Director 343438 0 20220 0 48349 9040 18830 0 24447 0 455284 9040 0 0 Cheryl Wathen Chief Financial Officer 219587 228224 124304 0 2888 12000 70200 49738 17675 17675 434654 307637 0 0 James Porter MD Chief Medical Officer 495340 0 135940 0 66210 4400 135172 0 29143 0 861805 4400 64229 0 Cherona Hajewski Chief Nursing Officer 293972 0 81372 0 123170 0 73336 0 27051 0 598901 0 116840 0 Kathy Schenk HR Director 132792 0 18807 0 1347 0 11815 0 25101 0 189862 0 0 0 Lynn Lingafelter Vice President of Operatio 284765 0 77779 0 48424 0 89590 0 8579 0 509137 0 46758 0 Marc Florence Vice President 233928 0 64429 0 3521 0 51975 0 27603 0 381456 0 0 0 Kenneth Dicken Controller, Director Finan 196833 0 32330 0 1452 3800 12729 0 24938 0 268282 3800 0 0 Richard Perry Controller 177327 0 26622 0 974 0 13848 0 9649 0 228420 0 0 0 Carolyn Morton Pharmacy Director 156670 0 23945 0 1303 0 12553 0 29319 0 223790 0 0 0 LARRY PILE Attorney 197598 0 32326 0 3142 0 19872 0 17314 0 270252 0 0 0 Venkatesh Madadi MD ANESTHESIOLOGIST 698659 0 3650 0 42478 0 28245 0 24649 0 797681 0 0 0 Nirmal Joshi MD Anesthesiologist 458086 0 72973 0 108122 0 22820 0 25833 0 687834 0 0 0 Rajesh Patel MD Anesthesiologist 607505 0 2550 0 37669 0 20611 0 27250 0 695585 0 0 0 Derinbhai Patel MD physician 287231 0 290299 0 8926 0 14590 0 23988 0 625034 0 0 0 Shivon Abdullah MD anESTHESIOLOGIST 507136 0 2950 0 65875 0 0 0 24847 0 600808 0 0 0 Bruce Epmeier Former Vice President 142426 0 0 0 0 0 0 0 0 0 142426 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, Lines 4a-b SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS: SEVERANCE NONQUALIFIED EQUITY-BASED LINDA E. WHITE $ -0- $ 18,000 $ -0- SHAWN W. MCCOY 0 18,000 0 JAMES R. PORTER, M.D. 0 18,000 0 CHERONA J. HAJEWSKI 0 18,000 0 DAVID L RYON, M.D. 0 18,000 0 VENKATESH R. MADADI, M.D. 0 18,000 0 RAJESH J. PATEL, M.D. 0 18,000 0 NIRMAL JOSHI, M.D. 0 18,000 0 CHERYL A. WATHEN 0 18,000 0 LYNN C. Lingafelter 0 18,000 0 Maqbool Ahmed, M.D. 0 18,000 0 Mathias A. Kolleck, II, M.D. 0 18,000 0 SEVERANCE NONQUALIFIED EQUITY-BASED Marc J. Florence $ -0- $ 18,000 $ -0- Derinbhai J. Patel, M.D. 0 18,000 0 PART I, 4B: LINDA WHITE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $140,589 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $414,631 SHAWN MCCOY: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $126,563 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $59,007 CHERYL WATHEN: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $91,487 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $0 JAMES PORTER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $105,587 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $64,229 CHERONA HAJEWSKI: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $50,737 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $0 LYNN LINGAFELTER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $50,239 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $46,758 Marc J. Florence: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $37,385 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $0 Bruce Epmeier: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $0 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $91,462 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 5175000 20667197 397197 20270000 1 0 1 1 B 5345000 13005000 103657 12901343 1 0 1 1 C 500000 40180000 180000 40000000 1 0 1 1 D 1340000 71336168 729538 70606631 0 1 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 1 0 0 0.00700 0.00100 0.00800 0 0 1 D 0 1 0 0 0.00400 0.00400 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 1 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 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 4260000 21440000 125000 21315000 1 0 1 1 B 210000 49772341 44003157 601847 5167337 0 1 0 1 C 110443593 3600138 935528 44021422 61886478 0 0 0 1 A 0 1 0 0 0 0 1 B 0 1 0 0 0 0 1 C 0 0 0 0 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 27365 Comp. 0 Alex Seibert see Part V 91938 Comp. 0 Evansville Radiology see Part V 639943 Mgmt. Srvs. 0 Vectren energy Delivery see Part V 7165576 Gas/Electricity 0 Elizabeth Voegel see Part V 37980 Comp. 0 Suzanne Seibert see Part V 45000 Comp. 0 Joan McCoy see Part V 19279 Comp. 0 University of Southern Indiana see Part V 22012 Support 0 Ivy Tech Foundation See Part V 36500 Donation and Support 0 Evansville Surgical Associates See Part V 2772450 Medical Services 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: Alex SeibertRelationship: Brother-in-law to Shawn McCoyInterested Person: Evansville RadiologyRelationship: Common Board Member Daniel WhiteheadInterested Person: Vectren Energy DeliveryRelationship: Deaconess Hospital Board member Eric Schach is the EVP & COO of Vectren. Vectren provides services to the hospital.Interested Person: Elizabeth VoegelRelationship: Sister-in-law to Shawn McCoyInterested Person: Suzanne SeibertRelationship: Sister-in-law to Shawn McCoyInterested Person: Joan McCoyRelationship: Wife of Shawn McCoyInterested Person: University of Southern IndianaRelationship: Board member Linda Bennett is the President of USI. Deaconess Hospital contributes money for nursing education.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: 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. X Miscellanous 1 21968 Cost X Jewelry 1 12500 Cost 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 190 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 AND 64 GENERAL MED/ TELEMETRY 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 $14.1 MILLION OF CHARITY CARE AND $31.1 MILLION OF SUBSIDIZED SERVICES TO THE MEDICAID PROGRAM, AND $83.9 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 929,687 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 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 108,971,780. Management and general expenses 3,101,964. Fundraising expenses 29,482. Total expenses 112,103,226. professional fees- physicians: Program service expenses 10,879,711. Management and general expenses 80,267. Fundraising expenses 0. Total expenses 10,959,978. Form 990, Part XI, line 9: Change in Pension Liability 30,376,338. Foundation monies granted from Restriction -898,361. Change in General Fund Equity -29,696,028. 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. regional emergency department 600 mary st evansville IN 47710 463509500 healthcare IN 0 0 Deaconess Hospital Ready Development of Indiana 600 mary st Evansville IN 47747 472040018 Real Estate IN 0 996471 Deaconess Hospital Deaconess Health System Inc 600 Mary Street Evansville IN 47747 351532889 Healthcare IN 501(c)(3) Line 12a, I N/A 0 Deaconess Clinic Inc 421 Chesnut Street Evansville IN 47713 263083364 Healthcare IN 501(c)(3) Line 3 Deaconess Health System 0 Deaconess Regional Healthcare Services Illinois Inc 600 Mary Street evansville IN 47747 810693478 healthcare IL 501(c)(3) Line 3 Deaconess Health System 0 Deaconess VNA Plus LLC 610 E Walnut St Evansville IN 47713 465223267 Healthcare IN 501(c)(3) Line 10 Deaconess Health System 0 DEACONESS HEALTH PLANS LLC 350 W Columbia Suite 400 Evansville IN 47710 383492529 Preferred Provider network IN Deaconess Hospital Related 552025 2110337 0 0 0.95150 Progressive Health of IN LLC 150 N Rosenberger Evansville IN 47712 208480988 Outpatient IN Deaconess Hospital Related 3916063 1853835 0 0 0.51000 Heart Hospital at Deaconess Gateway LLC 4007 Gateway Blvd Newburgh IN 47630 261766835 Hospital DE Deaconess Hospital Related 6048299 14760051 0 0 0.51000 Tri-State Radiation Oncology 1500 rosecrans Avenue manhattan Beach CA 90266 263706834 outpatient DE Deaconess Hospital related 4338594 3293873 0 0 0.51000 MAINSPRING MANAGERS LLC 4011 Gateway Blvd Newburgh IN 47630 464601001 Neurology Services IN Deaconess Hospital Related 879337 969786 0 0 0.51000 VascMed LLC 600 Mary Street Evansville IN 47747 472578168 Vascular Services IN Deaconess Hospital Related 638423 691652 0 0 0.51000 OrthoAlign LLC 4011 Gateway Blvd Newburgh IN 47630 812816013 Healthcare IN deaconess Hospital Related 711895 317851 0 0 0.51000 TRI-STATE MEDICAL MANAGEMENT INC 600 Mary Street Evansville IN 47747 351875888 Physician Management IN Deaconess Hospital C 1.00000 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 Heart Hosp at Deac Gateway LLC O 712708 Heart Hosp at Deac Gateway LLC P 4535515 Deaconess Health Plans LLC Q 189784 Heart Hosp at Deac Gateway LLC Q 8951303 Mainspring Managers LLC Q 425098 VascMed LLC Q 315832 OrthoAlign LLC Q 967294