DEACONESS HOSPITAL INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- DEACONESS HOSPITAL INC (EIN 35-0593390)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-02-15
- IRS object ID
- 201740469349303024
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-02-15T15:35:12-06:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Blue & Co LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N Meridian St Suite 200 | AddressLine1Txt |
| City | Indianapolis | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350593390 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deaconess Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DEAC | BusinessNameControlTxt |
| Phone | 8124503296 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 Mary Street | AddressLine1Txt |
| City | Evansville | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47747 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Shawn W McCoy | PersonNm |
| Person Title | Chief Administrative Officer | PersonTitleTxt |
| Phone | 8124503296 | PhoneNum |
| Signature | 2017-02-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Carrie A Merrill CPA | PreparerPersonNm |
| PTIN | P00832283 | PTIN |
| Phone | 3176334705 | PhoneNum |
| Preparation | 2017-02-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SHAWN W MCCOY CAO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 Mary Street | AddressLine1Txt |
| City | Evansville | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47747 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $953,444,378 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.deaconess.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1895 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE QUALITY HEALTH CARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT CONTINUE TO SCH O TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 5667 | TotalEmployeeCnt |
| Total Volunteers | 158 | TotalVolunteersCnt |
| Total Gross UBI | $13,030,443 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,644,867 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,030,190 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $665,781,752 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $683,619,698 | CYProgramServiceRevenueAmt |
| PY Investment Income | $17,303,274 | PYInvestmentIncomeAmt |
| CY Investment Income | $16,188,212 | CYInvestmentIncomeAmt |
| PY Other Revenue | $62,063,963 | PYOtherRevenueAmt |
| CY Other Revenue | $69,611,307 | CYOtherRevenueAmt |
| PY Total Revenue | $746,793,856 | PYTotalRevenueAmt |
| CY Total Revenue | $771,449,407 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $837,277 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,150,755 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $277,414,878 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $301,561,936 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $450,982 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $318,504,910 | PYOtherExpensesAmt |
| CY Other Expenses | $358,007,989 | CYOtherExpensesAmt |
| PY Total Expenses | $596,757,065 | PYTotalExpensesAmt |
| CY Total Expenses | $660,720,680 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $150,036,791 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $110,728,727 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,080,917,664 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,238,423,966 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $387,504,210 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $457,277,189 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $693,413,454 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $781,146,777 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | See Schedule O. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $142,924,563 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $366,519,211 | RevenueAmt |
| Desc | Patient Service Revenue. See schedule o. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $438,795,659 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $314,792,638 | RevenueAmt |
| Desc | Charity Care/Subsidized Care. See Schedule O. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,707,405 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $2,307,849 | RevenueAmt |
| Desc | GRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION AND COMMUNITY BENEFIT. SEE SCHEDULE O. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,150,755 | ExpenseAmt |
| Grant | $1,150,755 | GrantAmt |
| Revenue | $37,431,239 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,150,755 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,150,755 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $37,431,239 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $596,578,382 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | Yes (1) | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 314 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 5667 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cheryl A Wathen | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8124503296 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 Mary Street | AddressLine1Txt |
| City | Evansville | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47747 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Linda White | ||||||||||
| President/ CEO | 30.00 | 35.00 | Yes (X) | Yes (X) | $1,302,624 | $377,647 | $246,346 | |||
| Steven Titzer | ||||||||||
| Chairman | 5.00 | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| Daniel Hermann | ||||||||||
| Vice Chairman | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| John Engelbrecht | ||||||||||
| Treasurer | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| Bruce Stallings | ||||||||||
| Secretary | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| Bruce Adye MD | ||||||||||
| Director | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| Maqbool Ahmed MD | ||||||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $1,057,702 | $56,030 | ||||
| Jerome Benkert Jr | ||||||||||
| Director | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| dr Linda Bennett | ||||||||||
| Director | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| steven Church | ||||||||||
| Director | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| lisa Collins | ||||||||||
| Director | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| rev Dr Joseph Fraccaro | ||||||||||
| Director | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| Robert Keller | ||||||||||
| Director (10/1-4/25/16) | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| David Koehler MD | ||||||||||
| Director (10/1-10/31/15) | 5.00 | 10.00 | Yes (X) | $20,928 | $44,110 | $0 | ||||
| Mathias Kolleck II | ||||||||||
| director | 50.00 | 5.00 | Yes (X) | $393,431 | $5,200 | $42,352 | ||||
| Barry Phillips MD | ||||||||||
| Director | 5.00 | 55.00 | Yes (X) | $10,220 | $438,674 | $34,428 | ||||
| Sharon Reed Walker | ||||||||||
| Director | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| David Ryon MD | ||||||||||
| Director | 50.00 | 5.00 | Yes (X) | $486,475 | $4,600 | $41,747 | ||||
| Jonathan Weinzapfel | ||||||||||
| Director | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| Daniel WHITEHEAD MD | ||||||||||
| Director | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| Shawn McCoy | ||||||||||
| Chief Administrative Officer | 50.00 | 10.00 | Yes (X) | $847,480 | $7,400 | $169,269 | ||||
| Cheryl Wathen | ||||||||||
| Chief Financial Officer | 30.00 | 35.00 | Yes (X) | $424,339 | $221,086 | $154,318 | ||||
| James Porter MD | ||||||||||
| Chief Medical Officer | 50.00 | 10.00 | Yes (X) | $696,559 | $3,200 | $158,980 | ||||
| Cherona Hajewski | ||||||||||
| Chief Nursing Officer | 50.00 | 0.00 | Yes (X) | $431,326 | $0 | $117,468 | ||||
| Kathy Schenk | ||||||||||
| HR Director | 50.00 | 0.00 | $150,877 | $0 | $36,230 | Yes (X) | ||||
| Lynn Lingafelter | ||||||||||
| Vice President of Operations | 50.00 | 0.00 | $345,594 | $0 | $93,010 | Yes (X) | ||||
| Marc Florence | ||||||||||
| Vice President | 50.00 | 5.00 | $237,549 | $0 | $55,095 | Yes (X) | ||||
| Kenneth Dicken | ||||||||||
| Controller, Director Finance | 50.00 | 0.00 | $230,326 | $2,800 | $25,851 | Yes (X) | ||||
| Richard Perry | ||||||||||
| Controller | 50.00 | 0.00 | $205,700 | $0 | $27,329 | Yes (X) | ||||
| Carolyn Morton | ||||||||||
| Pharmacy Director | 50.00 | 0.00 | $182,038 | $0 | $42,160 | Yes (X) | ||||
| LARRY PILE | ||||||||||
| Attorney | 25.00 | 0.00 | $230,105 | $0 | $39,974 | Yes (X) | ||||
| Venkatesh Madadi MD | ||||||||||
| ANESTHESIOLOGIST | 50.00 | 0.00 | $766,676 | $0 | $50,841 | Yes (X) | ||||
| Nirmal Joshi MD | ||||||||||
| Anesthesiologist | 50.00 | 0.00 | $714,905 | $0 | $43,028 | Yes (X) | ||||
| Rajesh Patel MD | ||||||||||
| Anesthesiologist | 50.00 | 0.00 | $643,075 | $0 | $42,728 | Yes (X) | ||||
| Dan Vardi MD | ||||||||||
| Physician | 50.00 | 0.00 | $635,030 | $0 | $38,773 | Yes (X) | ||||
| Candido Guiao MD | ||||||||||
| Anesthesiologist | 50.00 | 0.00 | $587,904 | $0 | $36,459 | Yes (X) | ||||
| G William Kennedy | ||||||||||
| Former HR Director | 0.00 | 0.00 | $146,425 | $0 | $11,310 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,689,586 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,162,419 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,563,726 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 257 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EVANSVILLE SURGERY CENTER | |||||
| PO Box 2185 | Evansville | IN | 47728 | Surgical Services | $27,843,423 |
| Progressive Health Indiana LLC | |||||
| 150 N Rosenberger Ave | evansville | IN | 47712 | Physical Therapy | $15,041,058 |
| Tri-State Radiation Oncology | |||||
| 1500 Rosecrans Avenue Ste 400 | Manhattan Beach | CA | 90266 | Oncology Services | $7,835,019 |
| Evolent Health LLC | |||||
| 800 glebe rd Suite 500 | Arlington | VA | 22203 | consulting services | $7,128,097 |
| CH Garmong Son Inc | |||||
| 3050 Poplar St | Terre Haute | IN | 47803 | construction services | $5,691,487 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 73 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $392,100 | FundraisingAmt |
| Government Grants | $156,674 | GovernmentGrantsAmt |
| All Other Contributions | $1,481,416 | AllOtherContributionsAmt |
| Noncash Contributions | $37,640 | NoncashContributionsAmt |
| Total Contributions | $2,030,190 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net patient Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $683,619,698 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $683,619,698 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $683,619,698 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,367,824 | TotalRevenueColumnAmt |
| Exclusion | $14,367,824 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,354,208 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,186,222 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,167,986 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,167,986 | TotalRevenueColumnAmt |
| Exclusion | $5,167,986 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $179,890,527 | SecuritiesAmt |
| Other | $569,288 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $178,454,358 | SecuritiesAmt |
| Other | $185,069 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,436,169 | SecuritiesAmt |
| Other | $384,219 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,820,388 | TotalRevenueColumnAmt |
| Exclusion | $1,820,388 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $43,480 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $392,100 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $169,322 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$125,842 | TotalRevenueColumnAmt |
| Exclusion | -$125,842 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| INVESTMENT IN JOINT VENTURES | 900099 | $34,401,889 | $34,401,889 | ||
| Other Hospital Services | 900099 | $14,072,012 | $14,072,012 | ||
| Laboratory Sales | 621500 | $12,275,945 | $12,275,945 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,819,317 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,029,350 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $754,498 | UnrelatedBusinessRevenueAmt |
| Exclusion | $35,469 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $64,569,163 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $771,449,407 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $721,050,937 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $13,030,443 | UnrelatedBusinessRevenueAmt |
| Exclusion | $35,337,837 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,150,755 | TotalAmt |
| Program Services | $1,150,755 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,545,521 | TotalAmt |
| Management And General | $6,545,521 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,893,330 | TotalAmt |
| Program Services | $215,606,578 | ProgramServicesAmt |
| Management And General | $11,004,005 | ManagementAndGeneralAmt |
| Fundraising | $282,747 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,317,197 | TotalAmt |
| Program Services | $14,605,872 | ProgramServicesAmt |
| Management And General | $690,579 | ManagementAndGeneralAmt |
| Fundraising | $20,746 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,009,911 | TotalAmt |
| Program Services | $36,649,676 | ProgramServicesAmt |
| Management And General | $360,235 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,795,977 | TotalAmt |
| Program Services | $14,680,232 | ProgramServicesAmt |
| Management And General | $1,097,968 | ManagementAndGeneralAmt |
| Fundraising | $17,777 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,649,263 | TotalAmt |
| Program Services | $1,780,109 | ProgramServicesAmt |
| Management And General | $869,154 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241,018 | TotalAmt |
| Management And General | $241,018 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,646 | TotalAmt |
| Management And General | $15,646 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $623,718 | TotalAmt |
| Management And General | $600,317 | ManagementAndGeneralAmt |
| Fundraising | $23,401 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,444,947 | TotalAmt |
| Program Services | $73,852,288 | ProgramServicesAmt |
| Management And General | $20,565,405 | ManagementAndGeneralAmt |
| Fundraising | $27,254 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,126,864 | TotalAmt |
| Program Services | $104,716 | ProgramServicesAmt |
| Management And General | $1,022,148 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,190,397 | TotalAmt |
| Program Services | $10,378,015 | ProgramServicesAmt |
| Management And General | $1,770,632 | ManagementAndGeneralAmt |
| Fundraising | $41,750 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,284,865 | TotalAmt |
| Program Services | $9,329,496 | ProgramServicesAmt |
| Management And General | $1,955,369 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,357,895 | TotalAmt |
| Program Services | $16,791,337 | ProgramServicesAmt |
| Management And General | $1,566,558 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $950,112 | TotalAmt |
| Program Services | $818,828 | ProgramServicesAmt |
| Management And General | $131,284 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,177,155 | TotalAmt |
| Program Services | $838,581 | ProgramServicesAmt |
| Management And General | $330,811 | ManagementAndGeneralAmt |
| Fundraising | $7,763 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,964,472 | TotalAmt |
| Program Services | $6,964,472 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,418,814 | TotalAmt |
| Program Services | $35,581,201 | ProgramServicesAmt |
| Management And General | $2,837,613 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,724,512 | TotalAmt |
| Program Services | $2,434,997 | ProgramServicesAmt |
| Management And General | $1,289,515 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical/Surgical Suppli | $112,337,570 | $112,337,570 | |
| Medicaid Assessment Fee | $19,733,745 | $19,733,745 | |
| Equip Rental/Maintenanc | $13,712,879 | $12,892,975 | $819,904 |
| Agency Collection Fees | $7,496,726 | $5,036,340 | $2,460,386 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,557,391 | TotalAmt |
| Program Services | $5,010,599 | ProgramServicesAmt |
| Management And General | $7,517,248 | ManagementAndGeneralAmt |
| Fundraising | $29,544 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $660,720,680 | TotalAmt |
| Program Services | $596,578,382 | ProgramServicesAmt |
| Management And General | $63,691,316 | ManagementAndGeneralAmt |
| Fundraising | $450,982 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,938,943 | BOYAmt |
| EOY | $54,287,091 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,500,680 | BOYAmt |
| EOY | $121,891,403 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,203,431 | BOYAmt |
| EOY | $1,665,608 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,858,270 | BOYAmt |
| EOY | $7,135,745 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,028,211 | BOYAmt |
| EOY | $13,654,386 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $793,330,825 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $461,979,172 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $312,970,967 | BOYAmt |
| EOY | $331,351,653 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $479,595,643 | BOYAmt |
| EOY | $625,302,549 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,965,695 | BOYAmt |
| EOY | $41,295,362 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,289,093 | BOYAmt |
| EOY | $18,509,986 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,566,731 | BOYAmt |
| EOY | $23,330,183 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,080,917,664 | BOYAmt |
| EOY | $1,238,423,966 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,745,847 | BOYAmt |
| EOY | $68,514,028 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $258,765 | BOYAmt |
| EOY | $1,540,466 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,636,701 | BOYAmt |
| EOY | $202,156,996 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,862,897 | BOYAmt |
| EOY | $185,065,699 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $387,504,210 | BOYAmt |
| EOY | $457,277,189 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $687,470,484 | BOYAmt |
| EOY | $774,015,950 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,149,539 | BOYAmt |
| EOY | $5,297,883 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,793,431 | BOYAmt |
| EOY | $1,832,944 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $693,413,454 | BOYAmt |
| EOY | $781,146,777 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,080,917,664 | BOYAmt |
| EOY | $1,238,423,966 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $110,728,727 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $33,469,891 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$56,465,295 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $15,646 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $15,646 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,660,917 | BeginningYearBalanceAmt |
| Contributions | $50 | ContributionsAmt |
| Investment Earnings Or Losses | $445,045 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $238,574 | OtherExpendituresAmt |
| End Year Balance | $6,867,438 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,749,437 | BeginningYearBalanceAmt |
| Contributions | $1,327 | ContributionsAmt |
| Investment Earnings Or Losses | -$39,488 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $50,341 | OtherExpendituresAmt |
| Administrative Expenses | $18 | AdministrativeExpensesAmt |
| End Year Balance | $6,660,917 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,119,408 | BeginningYearBalanceAmt |
| Contributions | $3,639 | ContributionsAmt |
| Investment Earnings Or Losses | $662,188 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $35,798 | OtherExpendituresAmt |
| End Year Balance | $6,749,437 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,544,426 | BeginningYearBalanceAmt |
| Contributions | $1,890 | ContributionsAmt |
| Investment Earnings Or Losses | $611,864 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $38,483 | OtherExpendituresAmt |
| Administrative Expenses | $289 | AdministrativeExpensesAmt |
| End Year Balance | $6,119,408 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,353,428 | BeginningYearBalanceAmt |
| Contributions | $6,871 | ContributionsAmt |
| Investment Earnings Or Losses | $541,295 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,357,168 | OtherExpendituresAmt |
| End Year Balance | $5,544,426 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.14000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.86000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,800,662 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $13,444,419 | OtherCostOrOtherBasisAmt |
| Book Value | $15,245,081 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $18,659,207 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $502,832,573 | OtherCostOrOtherBasisAmt |
| Depreciation | $299,137,355 | DepreciationAmt |
| Book Value | $222,354,425 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $222,163,513 | OtherCostOrOtherBasisAmt |
| Depreciation | $162,841,817 | DepreciationAmt |
| Book Value | $59,321,696 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,430,451 | OtherCostOrOtherBasisAmt |
| Book Value | $34,430,451 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $331,351,653 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued Retirement Benefits | $117,840,012 |
| Estimated Third Party Settlements | $5,821,249 |
| TAXABLE BOND- SERIES 2012C | $4,560,000 |
| Capital Lease Obligations | $628,933 |
| Related Organization Payables | $3,215,505 |
| Taxable Bond- Series 2016 | $53,000,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $185,065,699 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2016 and 2015, 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. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | DH Party of Yr | Event1Nm |
| Gross Receipts Event1 | $204,800 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $177,300 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $27,500 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $27,272 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $48,540 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $9,550 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $6,504 | OtherDirectExpensesEvent1Amt |
| Event2 | DH Classic | Event2Nm |
| Gross Receipts Event2 | $230,780 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $214,800 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $15,980 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $34,452 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $669 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $32,203 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $5,692 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $4,440 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $435,580 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $392,100 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $43,480 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $34,452 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $27,941 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $80,743 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $15,242 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $10,944 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $169,322 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$125,842 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,317,066 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,317,066 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01560 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $121,745,825 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $96,870,198 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,875,627 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03420 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $133,062,891 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $96,870,198 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $36,192,693 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04980 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $790,278 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $790,278 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,145,974 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,328,151 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,817,823 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,712,760 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $372,970 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,339,790 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,934,135 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,038 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,911,097 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,583,147 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,724,159 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,858,988 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01350 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $145,646,038 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $99,594,357 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $46,051,681 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06330 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,251 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,251 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,238 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,238 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,633 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,633 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,300 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,300 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,983 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,983 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $74,946 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,674 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $58,272 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $138,351 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,674 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $121,677 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,569,954 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $150,945,812 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $167,606,353 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$16,660,541 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DEACONESS HOSPITAL INC | ||||||||||
| 1 | 600 Mary Street | Evansville | IN | 47747 | www.deaconess.com | 15-005074-1 | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| Deaconess Gateway Hospital | ||||||||||
| 2 | 4011 Gateway Blvd | Newburgh | IN | 47630 | www.deaconess.com | 15-005074-1 | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| DEACONESS CROSS POINTE | ||||||||||
| 3 | 7200 E Indiana Street | evansville | IN | 47715 | www.deaconess.com | 15-005074-1 | Yes (X) | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Other MethodOtherMethodInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Paper Copy Public InspectionPaperCopyPublicInspectionInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEACONESS HOSPITAL INC | ||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | http://www.deaconess.com/CHNA | Yes (1) | 15 | Yes (1) | http://www.healthyswin.org/ | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | |
| DEACONESS GATEWAY HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | http://www.deaconess.com/CHNA | Yes (1) | 15 | Yes (1) | http://www.healthyswin.org/ | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | Yes (X) |
| DEACONESS CROSS POINTE | ||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | http://www.deaconess.com/CHNA | Yes (1) | 15 | Yes (1) | http://www.healthyswin.org/ | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | Yes (X) |
Supplemental Information SupplementalInformationGrp (24 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DEACONESS HOSPITAL, INC. | Part V, Section B, Line 5: DESCRIPTION OF COMMUNITY INPUT:Teams from Deaconess Health System, St. Mary's Health, ECHO Community Health Care, Vanderburgh County Health Department, United Way of Southwest Indiana, and the Welborn Baptist Foundation planned for and executed a second Community Health Needs Assessment in 2015. With assistance from Healthy Communities Institute (HCI), data was gathered in May and June 2015 through 12 focus groups and 17 "key informant interviews." Representation included social service agencies, education, law enforcement, public service, business and industry, government, non-profit organizations, and healthcare related organizations from both Vanderburgh County and Warrick County. The secondary data used in this assessment was obtained and analyzed from the HCI Data Platform which includes a comprehensive dashboard of over 100 community health and quality of life indicators covering over 20 topic areas. Indicator values for each county were compared to other counties in Indiana and nationwide to score health topics and compare relative areas of need. Other considerations for health areas of need included trends over time, Healthy People 2020 targets, and disparities by age, gender, and race/ethnicity.Primary and secondary data were evaluated and synthesized to identify the significant community health needs in each county. These needs were assessed and prioritized taking into consideration the ability to impact change, the opportunity to intervene at a prevention level, the magnitude of the health issue, and whether or not it addresses underserved and vulnerable populations. Behavioral Health (including substance abuse, tobacco use, and mental health) and Exercise, Nutrition, and Weight were two health needs identified for both Vanderburgh and Warrick County. Maternal-child health was also selected as an identified health need for Vanderburgh County and Cancer (specifically breast and prostate) was identified for Warrick County. A work group composed of people and organizations directly involved with each identified health need has been established. These groups are in the process of selecting specific goals for their topic area and will spend the next three years collectively working toward those goals. Our collaborative also created a public website called HealthySWIN to share not only our CHNA data but all publicly reportable data relevant to the identified health needs in our community. It can be found at www.healthyswin.org. A public presentation was held on June 22, 2016 at a local library to review the 2013-2015 CHNA successes and challenges as well as reveal the results from the 2015 CHNA. Our priority areas for each county were shared at this time. |
| 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. Mary's Health |
| 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 http://www.deaconess.com/CHNA. |
| DEACONESS GATEWAY HOSPITAL | Part V, Section B, Line 7d: The CHNA is made widely available on the hospital's website: The hospital community health needs assessment is located at http://www.deaconess.com/CHNA. |
| DEACONESS CROSS POINTE | Part V, Section B, Line 7d: The CHNA IS MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE: THE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.DEACONESS.COM/CHNA. |
| DEACONESS HOSPITAL, INC. | Part V, Section B, Line 11: As part of our agreement with the CHNA collaborative, Deaconess will focus time and resources for three years on creating positive change in the four identified topic areas from our 2015/2016 Community Health Needs Assessment. Our "scorecard" at the end of the 2013-2015 CHNA showed improvement in the overall health of the community, a decrease in the number of adult smokers, some progress with adult obesity, and an improvement in poor mental health days.Actions taken in the final year of our original CHNA include:Tobacco Report- We partnered with the Vanderburgh County Health Department to create and sustain the Baby and Me Tobacco Free Program. At the one-year mark, 118 women had participated in the program with 21 women in the post stage, 53 women actively participating, and 13 partners participating with the woman. We had 44 women drop out of the program giving us a 63 percent success rate. Deaconess referred 29 of the participants to the program. Obesity Report- Deaconess partnered with all of the Indiana District 10 hospitals to create "Healthy Baby Steps." This community education and resource campaign encourages women to do three things - get early prenatal care, stop smoking, and take a prenatal vitamin. This initiative followed the Vanderburgh County Health Department's sharing of statistics showing 60 percent of all fetal/infant deaths (in Vand. Co.) had mothers who were at an unhealthy weight (17% were overweight, 26% were obese, and 17% were morbidly obese). - Continuation of Healthier U Walks. For 12 Saturdays in April through June, individuals meet each week at a different park or walking trail to walk from 9-10am. The program encourages exercise but also provides people with the opportunity to explore new places to walk with the safety of a "tour guide and a group to walk with. We also have a service line attend each walk. This gives participants the opportunity to ask about heart care, cancer, women's health, pediatrics, etc.- Deaconess Hospital and the West Side Nut Club collaborated for a 4th year to provide a "Wise Choice" Fall Festival munchie map. The Fall Festival in Evansville (Vanderburgh County) has been said to be the second largest street festival next to Mardi Gras and draws over 200,000 individuals each year. The festival is known for their deep fried and other unhealthy options. The Wise Choice map features food items that are low calorie, low fat, and low sodium.- Continuation of a summer/fall farmers' market at both Deaconess Hospital locations and our downtown clinic. Continued participation in the Downtown Farmers' Market by providing healthy recipes, health information, and other service line related tests and information each week at the market. In 2015, we also participated in the Historic Newburgh Farmers' Market, the New Harmony Farmers' Market, and the Franklin Street Bazaar. - Our already robust employee wellness program was further enhanced with the addition of a Health Reimbursement Account. Employees now have a monetary incentive to get active and meet their fitness goals. Substance Abuse and Mental Health Report- The Healthcare Leadership Council honored Deaconess and St. Mary's with a Wellness Frontier Award for its Youth Mental Health First Aid Training, Project AWARE. Project AWARE was developed in 2015 with the goal of increasing awareness of mental health and substance abuse issues among school age youth. The Healthcare Leadership Council created the Wellness Frontiers Award to recognize health and wellness best practices and programs in communities and organizations across the nation. Winners are organizations developing and activating cost-effective, measurable community programs promoting wellness and disease prevention. |
| 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 16i: 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 16 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 16i: 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 16i: OTHER METHOD USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY is reported the same as Deaconess Hospital, Inc. (Hospital Facility #1). |
| DEACONESS HOSPITAL, INC. | Part V, Section B, Line 22d: Deaconess uses a weighted average of medicare and managed care discounts. |
| DEACONESS GATEWAY HOSPITAL | Part V, Section B, Line 22d: Deaconess uses a weighted average of medicare and managed care discounts. |
| DEACONESS CROSS POINTE | Part V, Section B, Line 22d: Deaconess uses a weighted average of medicare and managed care discounts. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 38 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (38 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 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 Chemotherapy Infusion Ctr | ||||
| 4055 Gateway Blvd Suite 1200 | Newburgh | IN | 47630 | Outpatient Services |
| 4 - Deaconess Clinic Gateway Reg Lab | ||||
| 4233 Gateway Blvd | Newburgh | IN | 47630 | Diagnostic Center |
| 5 - Deaconess Comprehensive Pain Ctr & Prog | ||||
| 4600 W Lloyd Expressway | Evansville | IN | 47712 | Outpatient Services |
| 6 - Deaconess Hospital Infusion Svcs | ||||
| 421 Chestnut street | Evansville | IN | 47713 | Outpatient Services |
| 7 - Deaconess Hospital Physical Medicine | ||||
| 10455 Orthopaedic Drive | Newburgh | IN | 47630 | Outpatient Services |
| 8 - Deaconess Comprehensive Pain Ctr-Gateway | ||||
| 4099 Gateway Blvd | Newburgh | IN | 47630 | Outpatient Services |
| 9 - Chancellor Center for Oncology | ||||
| 4055 Gateway Blvd | Newburgh | IN | 47630 | Outpatient Services |
| 10 - Deaconess Sleep Lab | ||||
| 350 W Columbia Street Suite 210 | Evansville | IN | 47710 | Outpatient Services |
| 11 - Deaconess Sleep Lab | ||||
| 350 W Columbia Street Suite LL-10 | Evansville | IN | 47710 | Diagnostic Center |
| 12 - Deaconess Hospital Breast Center | ||||
| 520 Mary Street Suite 140 | Evansville | IN | 47710 | Diagnostic Center |
| 13 - Deaconess Clinic West Reg Lab Radiology | ||||
| 545 S Boehne Camp Road | Evansville | IN | 47712 | Outpatient Physician Clinic |
| 14 - Deaconess Clinic Princeton Radiology Srv | ||||
| 685 Vail Street | Princeton | IN | 47670 | Outpatient Physician Clinic |
| 15 - Deaconess Wound Care Center | ||||
| 350 W Columbia Street Suite 350 | Evansville | IN | 47710 | Outpatient Services |
| 16 - Deaconess Anticoagulation Clinic | ||||
| 4107 Gateway Blvd | Newburgh | IN | 47630 | Outpatient Services |
| 17 - Mt Vernon Medical Center Lab & Radiology | ||||
| 1900 W Fourth Street | MT Vernon | IN | 47620 | Diagnostic Center |
| 18 - Midwest Radiologic Imaging | ||||
| 10455 Orthopaedic Drive | Newburgh | IN | 47630 | Diagnostic Center |
| 19 - Midwest Radiological Imaging | ||||
| 4087 Gateway Blvd | Newburgh | IN | 47630 | Diagnostic Center |
| 20 - Deaconess Regional Laboratory | ||||
| 4133 Gateway Blvd Suite 110 | Newburgh | IN | 47630 | Diagnostic Center |
| 21 - Deaconess Riley Children's Specialty Ctr | ||||
| 4133 Gateway Blvd | Newburgh | IN | 47630 | Outpatient Physician Clinic |
| 22 - Deaconess Riley Speciality Ctr OP | ||||
| 4121 Gateway Blvd | Newburgh | IN | 47630 | Outpatient Physician Clinic |
| 23 - Deaconess Primary Care for Seniors | ||||
| 4498 First Avenue | Evansville | IN | 47710 | Outpatient Physician Clinic |
| 24 - Deaconess Primary Care for Seniors | ||||
| 1750 Oak Hill Road | Evansville | IN | 47710 | Outpatient Physician Clinic |
| 25 - Deaconess Diabetes Center - Education | ||||
| 421 Chestnut street | Evansville | IN | 47713 | Outpatient Services |
| 26 - Deaconess Pre-admission testing | ||||
| 520 Mary Street Suite 330 | Evansville | IN | 47747 | Diagnostic Center |
| 27 - Deaconess Gateway Gastroenterology | ||||
| 4133 Gateway Blvd | Newburgh | IN | 47630 | Outpatient Physician Clinic |
| 28 - Deaconess Weight Loss Solutions | ||||
| 310 W Iowa Street | Evansville | IN | 47710 | Outpatient Physician Clinic |
| 29 - Deaconess Hospital Mammography & Imaging | ||||
| 421 Chestnut street | Evansville | IN | 47713 | Diagnostic Center |
| 30 - Deaconess Regional Laboratory | ||||
| 4494 N First Avenue | Evansville | IN | 47710 | Diagnostic Center |
| 31 - Deaconess Regional Laboratory | ||||
| 421 Chesnut Street | Evansville | IN | 47713 | Diagnostic Center |
| 32 - Deaconess Regional laboratory | ||||
| 1204 W Williams Street | Oakland City | IN | 47660 | Diagnostic Center |
| 33 - Deaconess Cross Pointe Outpatient Clinic | ||||
| 445 Cross Pointe Blvd | Evansville | IN | 47715 | Outpatient Physician Clinic |
| 34 - deaconess cross pointe | ||||
| 7200 E indiana | evansville | IN | 47715 | Outpatient Physician Clinic |
| 35 - deaconess radiology lab & Radiology | ||||
| 8600 north kentucky avenue | evansville | IN | 47725 | Diagnostic Center |
| 36 - Deaconess Family Medicine Residency | ||||
| 415 W Columbia St Suite 110 | Evansville | IN | 47710 | Outpatient Physician Clinic |
| 37 - Deaconess Sleep Center-East | ||||
| 7307 E Columbia St | Evansville | IN | 47715 | Diagnostic Center |
| 38 - Deaconess Hospital Physical Medicine | ||||
| 4600 W Lloyd Expressway Suite B | Evansville | IN | 47715 | Outpatient services |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 http://www.deaconess.com/Careers/For-Our-Employees/ Our-Community/Community-Benefit.aspx |
| 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 $422,576. 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: | 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.In FY15-16, we launched the OneCare Specialist Council to foster efficient, optimal referral relationships. We expanded our care programs to include Catastrophic Care and Advanced Illness Care. Due to our infrastructure and experience, the Deaconess ACO was selected as a Care Management delegation pilot site by Anthem and selected to participate in the Next Generation ACO Model.Increased Childhood ImmunizationFor 2016, the Indiana State Department of Health Immunization Program analyzed immunization rates for completion of the 4:3:1:3:3:1:4 series (4 doses of DTaP, 3 doses of IPV, 1 dose of MMR, 3 doses of Hib, 3 doses of Hep B, 1 dose of varicella and 4 doses of PCV). The average immunization rate in Indiana was 60% for completion of the 4:3:1:3:3:1:4 series at 19-35 months. Nearly 70% of the counties were at or above the rate of 60%, with a median (or midpoint) of 64.5%. Vanderburgh County's rate was 71%. That is a vast improvement from our 52% completion rate in 2014 and our 67% completion rate in 2015. The positive momentum is thanks to an immunization task force created by the Vanderburgh County Health Department. Deaconess had heavy participation in the work of the task force.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 2016, the committee has raised enough money and placed 85 AEDs. 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, 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. In FY15-16, Deaconess sponsored programs and activities for 180 organizations, contributing more than $1.3 million. (Disease-Related Organization or Event - $94,666.02; Service Provider - $328,374.00; Medical-Related Organization - $305,757.75; School Donations - $214,189.23; Public Service Organizations - $3,800.00; Economic Development - $193,750.00; Other Groups - $194,904.70) All of that money stayed in our service area to improve the health and safety of the community.Trauma Education - 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. Health Science Institute - We held the 26th 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 - Members of our mental health hospital travel around the region to provide suicide prevention training to schools, churches, non-profit groups, etc.Deaconess also provides free and reduced care within our hospital buildings. Through our Medication Assistance Program, our Family Practice Residency Clinic, and community health screenings, area residents can access the high quality healthcare they need in convenient locations and at a price they can afford. |
| 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 HOSPITAL UTILIZES A VARIETY OF SOURCES TO GATHER DATA ON LOCAL HEALTH CARE NEEDS. A MAJOR SOURCE IS THE 7-COUNTY HEALTH SURVEY CONDUCTED BY WELBORN BAPTIST FOUNDATION. DEACONESS ALSO USES 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 THROUGH THE HOSPITAL'S 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. http://www.deaconess.com/DeaconessHospital/Business-Office/Financial-Assistance.aspx |
| 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 2015 County Health Rankings, Vanderburgh County ranks 78th out of 92 Indiana counties for health outcomes. Vanderburgh County's population is similar to the statewide population, with 85.6% of the population being White, 9% Black/African American, 1.2% Asian, and the remainder being of Other or 2 or More Races. There are also fewer Hispanic/Latinos, at 2.7% of the population. Approximately 10.5% of families are living in poverty, which is slightly lower than the state. The median household income for Vanderburgh County at $44,396 is about $5,000 lower than the state overall. HCI's SocioNeeds Index identified the zip codes of 47708 and 47713 as having the greatest socioeconomic need. Warrick County - According to the 2015 County Health Rankings, Warrick County ranks 30th out of 92 Indiana counties in overall health outcomes. Warrick County demographics are similar to those of the overall Indiana state population, with about 2% less 18-24 year olds and 1.5% more 65 and older. Less than 6% of Warrick County residents are non-white or Caucasian. The median household income is about $66,500 annually which is about $17,500 more than that of the state median, and roughly 6.6% of Warrick County families are living in poverty, which is lower than the state. HCI's SocioNeeds Index identified the zip codes of 47523 and 47637 as having the greatest socioeconomic need. |
| 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 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (36 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| American Heart Association | ||||||||||
| 7272 Greenville Ave | Dallas | TX | 75231 | 135613797 | 501(c)(3) | $7,500 | General Support | |||
| American red cross | ||||||||||
| 29 s stockwell rd | Evansville | IN | 47714 | 530196605 | 501(c)(3) | $10,000 | General Support | |||
| Easter seals rehabilitation center | ||||||||||
| 3701 Bellemeade Ave | Evansville | IN | 47714 | 351087526 | 501(c)(3) | $38,925 | General Support & Capital Campaign | |||
| Echo Community Health Care | ||||||||||
| 315 Mulberry Street | Evansville | IN | 47713 | 351791786 | 501(c)(3) | $30,000 | Family Practce - Multicultural Clinic | |||
| Economic Development Coalition of Southwestern Indiana | ||||||||||
| 318 Main Street Suite 400 | Evansville | IN | 47708 | 320152563 | 501(c)(6) | $25,000 | One Region-One Economy-One Voice Campaign | |||
| Evansville Area Community of Churches | ||||||||||
| 713 N 2nd Ave | Evansville | IN | 47710 | 350886837 | 501(c)(3) | $12,000 | Food for Food Pantries | |||
| Evansville Vanderburgh School Corp | ||||||||||
| 1 SE Ninth Street | Evansville | IN | 47708 | 351071682 | 501(c)(3) | $19,990 | classroom supplies | |||
| Evansville-Vanderburgh County Convention & Visitors Commission Sports Compl | ||||||||||
| 4300 Heckel Road | Evansville | IN | 47711 | 472582515 | 501(c)(3) | $50,000 | Support Health Trail | |||
| Ivy Tech Foundation | ||||||||||
| 3501 N 1st Avenue | Evansville | IN | 47710 | 237073977 | 501(c)(3) | $33,200 | general support & Scholarships | |||
| Junior Achievement of SW Indiana | ||||||||||
| 431 E Diamond Avenue | Evansville | IN | 47711 | 356048156 | 501(c)(3) | $20,000 | Adopt a school program & General Support | |||
| Komen Greater Evansville Affiliate | ||||||||||
| 4424 Vogel Rd Ste 205 | Evansville | IN | 47715 | 752844632 | 501(c)(3) | $15,000 | general support | |||
| Marian university | ||||||||||
| 3200 cold spring road | Indianapolis | IN | 462221997 | 350868175 | 501(c)(3) | $25,000 | D.O. Program Scholarships | |||
| OTHERS 5000 | ||||||||||
| $146,785 | General Support | |||||||||
| Ronald McDonald House Charities of the Ohio Valley | ||||||||||
| 3540 Washington Avenue | Evansville | IN | 477140136 | 351748468 | 501(c)(3) | $14,850 | General Support | |||
| Tri-State Food Bank | ||||||||||
| 801 E Michigan Street | Evansville | IN | 477115631 | 351539870 | 501(c)(3) | $15,000 | General Support | |||
| United Caring Shelters | ||||||||||
| 324 NW Sixth Street | Evansville | IN | 47708 | 351892153 | 501(c)(3) | $76,196 | Homeless Medical Respite & General Support | $123 | Cost | Medical Supplies |
| United Way of Southwestern Indiana | ||||||||||
| PO Box 18 | Evansville | IN | 477010018 | 350868069 | 501(c)(3) | $20,200 | general support | |||
| University of Evansville | ||||||||||
| 1800 Lincoln Avenue | Evansville | IN | 47722 | 350868074 | 501(c)(3) | $35,333 | Start-Up Fund for Physician Assistant Program & General Support | |||
| UNIVERSITY OF SOUTHERN INDIANA Foundation | ||||||||||
| 8600 University Boulevard | Evansville | IN | 47712 | 237042320 | 501(c)(3) | $47,800 | General Support | |||
| YMCA of SW Indiana Inc | ||||||||||
| 222 NW 6th St | Evansville | IN | 47708 | 350869074 | 501(c)(3) | $32,833 | General Support | |||
| Youth First | ||||||||||
| 3420 East Morgan Ave Ste A | Evansville | IN | 47715 | 352050168 | 501(c)(3) | $9,667 | General Support | |||
| YWCA | ||||||||||
| 118 Vine st | Evansville | IN | 47708 | 350869075 | 501(c)(3) | $35,000 | General Support | |||
| Ark Crisis Child Care Center | ||||||||||
| 415 Lincoln Ave | Evansville | IN | 47713 | 351553918 | 501(c)(3) | $9,000 | General Support | |||
| Aurora Inc | ||||||||||
| 1100 Lincoln Avenue PO Box 74 | Evansville | IN | 47701 | 351759576 | 501(c)(3) | $10,300 | Homeless Outreach | |||
| Children's Museum of Evansville | ||||||||||
| 22 SE 5th Street | Evansville | IN | 47701 | 351951848 | 501(c)(3) | $25,000 | Capital Campaign | |||
| Alliance Initiatives Fund | ||||||||||
| 5000 E Virginia St | Evansville | IN | 47715 | 352116083 | 501(c)(3) | $250,000 | Graduate Medical Education Consortium | |||
| Community Patient Safety Coalition | ||||||||||
| 13113 Browning Road | Evansville | IN | 47725 | 611646052 | 501(c)(3) | $18,752 | General Support | |||
| Evansville-Area Trails Coalition Inc | ||||||||||
| PO Box 5644 | Evansville | IN | 47716 | 271556835 | 501(c)(3) | $21,000 | General Support | |||
| Four Rivers Resource Services Inc dba Ride Solution | ||||||||||
| PO Box 367 1001 E Main St | Washington | IN | 47501 | 351665140 | 501(c)(3) | $10,000 | General Support | |||
| Henderson Community College | ||||||||||
| 2660 S Green Street | Henderson | KY | 42420 | 616035281 | 501(c)(3) | $11,600 | Scholarships & general Support | |||
| American Cancer Society | ||||||||||
| 5250 Vogel Rd Suite A | Evansville | IN | 47715 | 131788491 | 501(c)(3) | $10,000 | General Support | |||
| Evansville Regional Business Committee Inc | ||||||||||
| One Vectren Square | Evansville | IN | 47708 | 030408032 | 501(c)(3) | $10,000 | General Support | |||
| Evansville Parks Foundation Inc | ||||||||||
| PO Box 3112 | Evansville | IN | 47730 | 351520591 | 501(c)(3) | $6,400 | Capital & General Support | |||
| Juvenile Diabetes Research Foundation | ||||||||||
| 10401 N Meridian Street Suite 150 | Indianapolis | IN | 46290 | 231907729 | 501(c)(3) | $15,000 | General Support | |||
| Leadership Evansville | ||||||||||
| PO Box 2449 | Evansville | IN | 47728 | 310883858 | 501(c)(3) | $6,300 | General Support | |||
| WNIN Tri-State Public Media | ||||||||||
| 405 Carpenter Street | Evansville | IN | 47705 | 351307165 | 501(c)(3) | $27,000 | General Support & Capital Campaign | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 34 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Linda White | ||||||||||||||
| President/ CEO | $369,071 | $371,647 | $345,622 | $0 | $587,931 | $6,000 | $127,413 | $107,537 | $5,698 | $5,698 | $1,435,735 | $490,882 | $0 | $0 |
| Maqbool Ahmed MD | ||||||||||||||
| Director | $0 | $887,205 | $0 | $167,851 | $0 | $2,646 | $0 | $33,007 | $0 | $23,023 | $0 | $1,113,732 | $0 | $0 |
| Mathias Kolleck II | ||||||||||||||
| director | $236,826 | $0 | $89,273 | $0 | $67,332 | $5,200 | $22,820 | $0 | $19,532 | $0 | $435,783 | $5,200 | $0 | $0 |
| Barry Phillips MD | ||||||||||||||
| Director | $0 | $350,349 | $0 | $86,233 | $10,220 | $2,092 | $0 | $13,314 | $0 | $21,114 | $10,220 | $473,102 | $0 | $0 |
| David Ryon MD | ||||||||||||||
| Director | $344,289 | $0 | $100,786 | $0 | $41,400 | $4,600 | $18,830 | $0 | $22,917 | $0 | $528,222 | $4,600 | $0 | $0 |
| Shawn McCoy | ||||||||||||||
| Chief Administrative Officer | $478,982 | $0 | $188,026 | $0 | $180,472 | $7,400 | $139,281 | $0 | $29,988 | $0 | $1,016,749 | $7,400 | $0 | $0 |
| Cheryl Wathen | ||||||||||||||
| Chief Financial Officer | $204,639 | $213,086 | $139,468 | $0 | $80,232 | $8,000 | $72,829 | $48,299 | $16,595 | $16,595 | $513,763 | $285,980 | $0 | $0 |
| James Porter MD | ||||||||||||||
| Chief Medical Officer | $455,118 | $0 | $149,633 | $0 | $91,808 | $3,200 | $131,243 | $0 | $27,737 | $0 | $855,539 | $3,200 | $0 | $0 |
| Cherona Hajewski | ||||||||||||||
| Chief Nursing Officer | $285,993 | $0 | $96,633 | $0 | $48,700 | $0 | $91,618 | $0 | $25,850 | $0 | $548,794 | $0 | $0 | $0 |
| Kathy Schenk | ||||||||||||||
| HR Director | $124,868 | $0 | $24,704 | $0 | $1,305 | $0 | $13,400 | $0 | $22,830 | $0 | $187,107 | $0 | $0 | $0 |
| Lynn Lingafelter | ||||||||||||||
| Vice President of Operations | $258,354 | $0 | $85,849 | $0 | $1,391 | $0 | $86,198 | $0 | $6,812 | $0 | $438,604 | $0 | $0 | $0 |
| Marc Florence | ||||||||||||||
| Vice President | $199,043 | $0 | $37,400 | $0 | $1,106 | $0 | $32,816 | $0 | $22,279 | $0 | $292,644 | $0 | $0 | $0 |
| Kenneth Dicken | ||||||||||||||
| Controller, Director Finance | $192,256 | $0 | $36,629 | $0 | $1,441 | $2,800 | $3,006 | $0 | $22,845 | $0 | $256,177 | $2,800 | $0 | $0 |
| Richard Perry | ||||||||||||||
| Controller | $172,855 | $0 | $32,194 | $0 | $651 | $0 | $18,453 | $0 | $8,876 | $0 | $233,029 | $0 | $0 | $0 |
| Carolyn Morton | ||||||||||||||
| Pharmacy Director | $151,624 | $0 | $29,119 | $0 | $1,295 | $0 | $14,809 | $0 | $27,351 | $0 | $224,198 | $0 | $0 | $0 |
| LARRY PILE | ||||||||||||||
| Attorney | $191,173 | $0 | $35,183 | $0 | $3,749 | $0 | $22,277 | $0 | $17,697 | $0 | $270,079 | $0 | $0 | $0 |
| Venkatesh Madadi MD | ||||||||||||||
| ANESTHESIOLOGIST | $717,257 | $0 | $0 | $0 | $49,419 | $0 | $28,245 | $0 | $22,596 | $0 | $817,517 | $0 | $0 | $0 |
| Nirmal Joshi MD | ||||||||||||||
| Anesthesiologist | $551,462 | $0 | $103,385 | $0 | $60,058 | $0 | $18,705 | $0 | $24,323 | $0 | $757,933 | $0 | $0 | $0 |
| Rajesh Patel MD | ||||||||||||||
| Anesthesiologist | $607,074 | $0 | $0 | $0 | $36,001 | $0 | $18,163 | $0 | $24,565 | $0 | $685,803 | $0 | $0 | $0 |
| Dan Vardi MD | ||||||||||||||
| Physician | $348,324 | $0 | $231,939 | $0 | $54,767 | $0 | $24,130 | $0 | $14,643 | $0 | $673,803 | $0 | $0 | $0 |
| Candido Guiao MD | ||||||||||||||
| Anesthesiologist | $546,363 | $0 | $0 | $0 | $41,541 | $0 | $14,590 | $0 | $21,869 | $0 | $624,363 | $0 | $0 | $0 |
| G William Kennedy | ||||||||||||||
| Former HR Director | $92,502 | $0 | $13,013 | $0 | $40,910 | $0 | $8,888 | $0 | $2,422 | $0 | $157,735 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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- DAVID A. KOEHLER, JR., MD. 0 18,000 0 SHAWN W. MCCOY 0 18,000 0 JAMES R. PORTER, MD. 0 18,000 0 CHERONA J. HAJEWSKI 0 18,000 0 DAVID L RYON, MD. 0 18,000 0 VENKATESH R. MADADI, MD. 0 18,000 0 RAJESH J. PATEL, MD. 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 Dan Vardi, M.D. 0 18,000 0 Candido M. Guiao, M.D. $ -0- $12,212 $ -0- G. William Kennedy 27,686 0 0 PART I, 4B: LINDA WHITE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $194,273 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $397,458 SHAWN MCCOY: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $118,508 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $177,028 CHERYL WATHEN: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $92,071 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $75,769 JAMES PORTER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $102,543 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $90,140 CHERONA HAJEWSKI: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $52,186 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $42,188 LYNN LINGAFELTER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $46,407 Marc Florence: SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $16,979 |
| 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. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| INDIANA FINANCE AUTHORITY | ||||||||
| A | 351602316 | 45471AES7 | 2011-12-02 | $20,667,197 | 3/15/99 refunding | 0 | 0 | 0 |
| INDIANA FINANCE AUTHORITY | ||||||||
| B | 351602316 | 2012-11-20 | $13,005,000 | 1992 refunding | 0 | 0 | 0 | |
| INDIANA FINANCE AUTHORITY | ||||||||
| C | 351602316 | 45471ALU4 | 2013-07-23 | $40,180,000 | 3/29/09 Refunding | 0 | 0 | 0 |
| INDIANA FINANCE AUTHORITY-2013a | ||||||||
| D | 351602316 | 45471aky7 | 2013-03-05 | $71,336,168 | 5/27/04 AND 3/26/09 Refunding | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|
| A | $4,240,000 | $20,667,197 | $397,197 | $20,270,000 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $2,945,000 | $13,005,000 | $103,657 | $12,901,343 | Yes (1) | 0 | Yes (1) | Yes (1) |
| C | $40,180,000 | $180,000 | $40,000,000 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| D | $705,000 | $71,336,168 | $729,538 | $70,606,631 | 0 | Yes (1) | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | 0.00000 | 0.00000 | 0.00000 |
| D | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | 0.00400 | 0.00400 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| INdiana Finance Authority-2013b | ||||||||
| A | 351602316 | 2013-03-05 | $21,440,000 | 5/27/04 Refunding | 0 | 0 | 0 | |
| IndianA FINANCE AUTHORITY-2015A | ||||||||
| B | 351602316 | 2015-07-09 | $49,772,341 | 03/26/2009 Refunding | 0 | 0 | 0 | 45506DUL7 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Refunding EscrowRefundingEscrowAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $2,945,000 | $21,440,000 | $125,000 | $21,315,000 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $49,772,341 | $601,847 | 0 | Yes (1) | 0 | Yes (1) | $49,170,494 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0.00700 | 0.00100 | 0.00800 | 0 | Yes (1) | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Fifth Third | ||||||||||||
| A | 0 | Yes (1) | 0 | 0 | Yes (1) | Yes (1) | 16.000000000000 | 0 | 0 | 0 | 0 | Yes (1) |
| (no name) | ||||||||||||
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (10 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Letta Fraccaro | |||
| Family of BD Mbr | $47,974 | Comp. | 0 |
| Misty Adye | |||
| Family of BD Mbr | $20,377 | Comp. | 0 |
| Alex Seibert | |||
| Family of Officer | $88,089 | Comp. | 0 |
| Evansville Radiology PC | |||
| Common board Member | $792,886 | Mgmt. Srvs. | 0 |
| Vectren energy Deliverly | |||
| common board Member | $5,552,982 | Gas/Electricy | 0 |
| Elizabeth Voegel | |||
| family of officer | $38,468 | Comp. | 0 |
| Suzanne Seibert | |||
| family of officer | $31,778 | Comp. | 0 |
| Joan McCoy | |||
| family of officer | $19,837 | Comp. | 0 |
| University of Southern Indiana | |||
| Common board Member | $84,650 | Support | 0 |
| Ivy Tech Foundation | |||
| Common board Member | $40,500 | Donation and Support | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCH L, PART IV, ABBREVIATION: | FormAndLineReferenceDesc |
| Explanation | BD MBR = board memberComp. = Reportable CompensationSRVS. = Services | ExplanationTxt |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | Miscellanous | 1 | $27,940 | Cost |
| Yes (X) | Jewelry | 1 | $9,700 | Cost |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 32b: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $11.4 MILLION OF CHARITY CARE AND $20.0 MILLION OF SUBSIDIZED SERVICES TO THE MEDICAID PROGRAM, AND $64.1 MILLION OF SUBSIDIZED SERVICES TO THE MEDICARE PROGRAM. |
| Form 990, Part III, Line 4C | PROGRAM SERVICES ACCOMPLISHMENT 3: GRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION & COMMUNITY BENEFITS. DEACONESS HOSPITAL PLAYS AN ACTIVE ROLE IN MEDICAL EDUCATION, OPERATING A THREE YEAR FAMILY MEDICINE RESIDENCY PROGRAM AND A POST-GRADUATE PHARMACY RESIDENCY PROGRAM. DEACONESS HOSPITAL ALSO PROVIDES CONTINUING MEDICAL EDUCATION PROGRAMS FOR ATTENDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, OTHER ALLIED HEALTH PROGRAMS, COMMUNITY HEALTH PROGRAMS AND A CHAPLAIN RESIDENCY PROGRAM. IN ADDITION TO EDUCATIONAL SERVICES, DEACONESS HOSPITAL PROVIDED $11.4 MILLION IN COMMUNITY BENEFIT ACTIVITIES (ALL ON A COST BASIS), SERVING A MINIMUM OF 981,016 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 11 | 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 60,962,490. Management and general expenses 20,174,693. Fundraising expenses 27,254. Total expenses 81,164,437. professional fees- physicians: Program service expenses 12,889,798. Management and general expenses 390,712. Fundraising expenses 0. Total expenses 13,280,510. |
| Form 990, Part XI, line 9: | Change in Pension Liability -29,112,043. Foundation monies granted from Restriction -795,832. Change in General Fund Equity -26,596,934. Change in Beneficial interests in trusts 39,514. |
| Form 990, Part XII, line 2c, Oversight of Audit: | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| regional emergency department | |||||||||
| 600 mary st | evansville | IN | 47710 | 463509500 | healthcare | IN | $45,934 | $0 | Deaconess Hospital |
| Ready Development LLC | |||||||||
| 600 mary st | Evansville | IN | 47747 | 472051747 | Real Estate | IN | $0 | $1,658,120 | Deaconess Hospital |
| Ready Development of Indiana | |||||||||
| 600 mary st | Evansville | IN | 47747 | 472040018 | Real Estate | IN | $0 | $0 | Deaconess Hospital |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Deaconess Health System Inc | |||||||||||
| 600 Mary Street | Evansville | IN | 47747 | 351532889 | Healthcare | IN | 501(c)(3) | Line 11a, I | N/A | 0 | |
| Deaconess Clinic Inc | |||||||||||
| 421 Chesnut Street | Evansville | IN | 47713 | 263083364 | Healthcare | IN | 501(c)(3) | Line 3 | 0 | Deaconess Health System | |
| Deaconess Regional Healthcare Services Illinois Inc | |||||||||||
| 600 Mary Street | evansville | IN | 47747 | 810693478 | healthcare | IL | 501(c)(3) | Line 3 | 0 | Deaconess Health System | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEACONESS HEALTH PLANS LLC | |||||||||||||
| 350 W Columbia Suite 400 | Evansville | IN | 47710 | 383492529 | Preferred Provider network | IN | Deaconess Hospital | Related | $527,166 | $2,082,443 | 0 | 0 | 0.95150 |
| Progressive Health of IN LLC | |||||||||||||
| 150 N Rosenberger | Evansville | IN | 47712 | 208480988 | Outpatient | IN | Deaconess Hospital | Related | $3,696,489 | $1,776,999 | 0 | 0 | 0.51000 |
| Heart Hospital at Deaconess Gateway LLC | |||||||||||||
| 4007 Gateway Blvd | Newburgh | IN | 47630 | 261766835 | Hospital | DE | Deaconess Hospital | Related | $8,033,670 | $13,741,287 | 0 | 0 | 0.51000 |
| Tri-State Radiation Oncology | |||||||||||||
| 1500 rosecrans Avenue | manhattan Beach | CA | 90266 | 263706834 | outpatient | DE | Deaconess Hospital | related | $4,328,566 | $2,687,552 | 0 | 0 | 0.51000 |
| MAINSPRING MANAGERS LLC | |||||||||||||
| 4011 Gateway Blvd | Newburgh | IN | 47630 | 464601001 | Neurology Services | IN | Deaconess Hospital | Related | $974,906 | $841,053 | 0 | 0 | 0.51000 |
| VascMed LLC | |||||||||||||
| 600 Mary Street | Evansville | IN | 47747 | 472578168 | Vascular Services | IN | Deaconess Hospital | Related | $467,669 | $582,521 | 0 | 0 | 0.51000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRI-STATE MEDICAL MANAGEMENT INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 Mary Street | AddressLine1Txt |
| City | Evansville | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47747 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351875888 | EIN |
| Primary Activities | Physician Management | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deaconess Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| Heart Hosp at Deac Gateway LLC | |
| O | $2,229,780 |
| Heart Hosp at Deac Gateway LLC | |
| P | $3,177,283 |
| Deaconess Health Plans LLC | |
| Q | $141,879 |
| Heart Hosp at Deac Gateway LLC | |
| Q | $5,309,293 |
| Mainspring Managers LLC | |
| Q | $177,503 |
| VascMed LLC | |
| Q | $160,743 |