2026-08-17T17:47:58-05:00 2025-09-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2024-10-01 350593390 DEACONESS HOSPITAL INC DEAC 8124503296 600 MARY STREET EVANSVILLE IN 47747 SHAWN W MCCOY CEO OF DEACONESS HEALTH SYSTEM 8124503296 2026-08-17 1 1 EMILIE M KNIERIEM CPA P01330194 3176334705 2024 2025-03-06 01:10:19Z SHAWN W MCCOY CEO 600 MARY STREET EVANSVILLE IN 47747 2535488739 0 X WWW.DEACONESS.COM X 1895 IN PROVIDE QUALITY HEALTH CARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT CONTINUE TO SCH O TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE. 11 6 6587 141 6453193 14378 2810617 10554132 1211867564 1321201089 51822067 41703213 207039223 271530428 1473539471 1644988862 867957 1750726 0 0 441951042 538800564 0 0 1049865 817504651 915545332 1260323650 1456096622 213215821 188892240 2890171202 3145547035 810969462 800270559 2079201740 2345276476 X SEE SCHEDULE O. 0 0 330000663 698617628 PATIENT SERVICE REVENUE. SEE SCHEDULE O. 917739408 618743335 CHARITY CARE/SUBSIDIZED CARE. SEE SCHEDULE O. 13652714 3840126 GRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION AND COMMUNITY BENEFIT. SEE SCHEDULE O. 124330 1750726 79941223 ALL OTHER PROGRAM SERVICES 124330 1750726 79941223 1261517115 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 1 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 0 0 0 1 367 0 1 6587 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 11 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IN X CHERYL A WATHEN 8124503296 600 MARY STREET EVANSVILLE IN 47747 X SHAWN MCCOY PRESIDENT / CEO OF DEACONE 20.00 41.00 X X 661061 1355177 361449 DAVE PAPARIELLA CHAIRMAN 5.00 5.00 X X 0 5600 0 JEFF JUSTICE SECRETARY 5.00 0.00 X X 0 0 0 NAROTHAMA R AEDDULA MD DIRECTOR 5.00 50.00 X 0 974931 52365 JAMIE L DAVIDSON MD DIRECTOR 50.00 0.00 X 412583 1200 27835 ANDREA JESTER MD DIRECTOR 5.00 0.00 X 0 0 0 LARRY KILINSKI MD DIRECTOR 5.00 5.00 X 0 3600 0 GLEN MUEHLBAUER DIRECTOR 5.00 0.00 X 0 0 0 DAVID RYON MD DIRECTOR 50.00 0.00 X 645438 0 56155 DANIELA VIDAL DIRECTOR 5.00 0.00 X 0 0 0 ANN WHITE PHD DIRECTOR 5.00 0.00 X 0 0 0 SHARON REED WALKER CHAIRMAN (PARTIAL YR) 5.00 5.00 X 0 3400 0 STEVEN IVY TREASURER 20.00 35.00 X 138480 242339 48672 BRADLEY SCHEU MD PRESIDENT 30.00 30.00 X 0 737851 148050 ANDREI TRIPAC MD ANESTHESIOLOGIST 50.00 0.00 X 1772187 0 48331 YPAUL GOLDENMERRY MD ANESTHESIOLOGIST 50.00 0.00 X 1601020 0 20270 KHALIL BEYDOUN MD ANESTHESIOLOGIST 50.00 0.00 X 1424532 0 38032 RAGHAV GUPTA MD CRITICAL CARE PHYSICIAN 50.00 0.00 X 1399933 0 50932 VENKATESH MADADI MD ANESTHESIOLOGIST 50.00 0.00 X 1271617 0 61518 JOANN WOOD MD FORMER OFFICER 0.00 0.00 X 188332 0 8650 CHERYL WATHEN FORMER OFFICER 0.00 55.00 X 0 988864 194519 JAMES PORTER MD FORMER OFFICER 0.00 61.00 X 0 1073178 187360 JENNIFER CHIUSANO FORMER OFFICER 0.00 50.00 X 0 530477 91599 LYNN LINGAFELTER FORMER OFFICER 0.00 66.00 X 0 1072960 198379 MARC FLORENCE FORMER OFFICER 0.00 65.00 X 0 753379 153958 MELINDA D LEBOFSKY FORMER OFFICER 0.00 50.00 X 0 540941 637892 9515183 8283897 2385966 695 1 1 0 TOTAL MSP LLC 221 W COLLEGE AVE FLOOR 2 APPLETON WI 54911 STAFFING 32843896 EVANSVILLE SURGERY SERVICES LLC PO BOX 2185 EVANSVILLE IN 47728 SURGICAL SERVICES 21018594 TRI STATE RADIATION ONCOLOGY 700 N BURKHARDT AVE EVANSVILLE IN 47715 RADIATION & ONCOLOGY SERVICES 19640132 PROGRESSIVEHEALTH OF INDIANA 150 N ROSENBERGER AVE EVANSVILLE IN 47712 PHYSICAL THERAPY 17455630 ORTHOALIGN LLC 4011 GATEWAY BLVD NEWBURGH IN 47630 MEDICAL SERVICES 17408677 94 418092 6560864 3575176 12350 10554132 NET PATIENT REVENUE 621110 1321201089 1321201089 1321201089 43860799 5920 43854879 26746109 11289318 15456791 15456791 15456791 876896880 879015626 38840 -2118746 -38840 -2157586 -2157586 149271 418092 156093 -6822 -6822 OTHER HOSPITAL SERVICE 900099 201732198 32040235 169691963 INVESTMENT IN JOINT VE 900099 47900988 47900988 LABORATORY SALES 621500 6282099 6282099 165174 165174 256080459 1644988862 1401142312 6453193 226839225 X 1750726 1750726 1650440 1439579 208819 2042 157227 157227 434668256 379114936 54965759 587561 698070 698070 73960152 61581518 12378634 27666419 24223559 3442860 234443 234443 7700 7700 21264 21264 1509874 1509874 287412881 242590313 44726216 96352 472991 56501 416490 9272988 5964807 3276186 31995 49148527 11871892 37276635 6935 6935 199385 165024 34361 22540048 16919805 5620243 54120360 38702360 15417952 48 7805379 6583474 1221905 MEDICAL/SURGICAL SUPPLI 357663588 357663588 MEDICAID ASSESSMENT FEE 57498230 57498230 EQUIP RENTAL/MAINTENANC 20966740 19302552 1664188 DUES & SUBSCRIPTIONS 735833 166260 559467 10106 45928166 35764764 9848576 314826 1456096622 1261517115 193529642 1049865 99759989 97313773 203309265 227484814 62352735 78059263 10865744 12132887 2999518 5356078 1473655039 855113555 621942798 618541484 1178275429 1272409993 184189555 203121617 57551124 59918388 468925045 571208738 2890171202 3145547035 253616751 256738988 765378 206508 97982516 106990709 377018106 355794037 81586711 80540317 810969462 800270559 X 2067864506 2331570049 11337234 13706427 2079201740 2345276476 2890171202 3145547035 X 188892240 77182496 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 21264 21264 0 PART II-B, LINE 1: LOBBYING EXPENDITURES CONSISTED OF A PORTION OF MEMBERSHIP DUES TO PROFESSIONAL ORGANIZATIONS IN WHICH DEACONESS HOSPITAL AND ITS EMPLOYEES ARE MEMBERS. THE LOBBYING PORTION OF THE DUES IS NOTED ON THE MEMBERSHIP APPLICATION OR BILLING STATEMENT. 10607804 955666 1276947 242083 12598334 8953228 106730 1826042 278196 10607804 7787991 10551 1430429 -1000 276743 8953228 9633606 1075 -1370697 475993 7787991 8745525 1100 1041502 154521 9633606 0.14000 0.86000 0.00000 0 0 4544159 32144488 36688647 82638085 919080842 543389704 458329223 366547041 307074216 59472825 68700424 4649635 64050789 618541484 OTHER SECURITIES 203121617 C 203121617 RELATED ORGANIZATION RECEIVABLES 526479601 OTHER ASSETS 9044161 RIGHT OF USE ASSET 35684976 571208738 ACCRUED RETIREMENT BENEFITS 6603004 RELATED ORGANIZATION PAYABLES 2140913 RIGHT OF USE ASSETS 35686098 ESTIMATED THIRD PARTY SETTLEMENT 6490324 TWH NOTE PAYABLE 20572295 LONG TERM DEBT TSHC 9047683 80540317 X PART V, LINE 4: THE DEACONESS HOSPITAL FOUNDATION UTILIZES ENDOWMENT FUNDS TO SUPPORT AND BENEFIT THE MISSION OF DEACONESS HOSPITAL. SPECIFICALLY, ENDOWMENT FUNDS ARE USED TO HELP SUPPORT ACTIVITIES OR PROJECTS THAT HELP TO PROVIDE QUALITY HEALTH CARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF 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, 2025 AND 2024, 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 TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART VII AND IX: SECTIONS ARE NOT REQUIRED AS THE TOTALS FOR EACH LINE ARE LESS THAN 5% OF THE TOTAL ASSETS LISTED ON FORM 990, PART X, LINE 16. PART XI AND XII: SECTIONS ARE NOT REQUIRED AS THE ORGANIZATION IS PART OF A CONSOLIDATED FINANCIAL STATEMENT. THE CONSOLIDATED FINANCIAL STATEMENT IS AUDITED BY AN INDEPENDENT ACCOUNTING FIRM AND IS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. DH PARTY OF YR 403140 282051 121089 5990 26200 68374 DH CLASSIC 164223 136041 28182 6201 38080 3940 7308 567363 418092 149271 12191 38080 30140 75682 156093 -6822 1 1 X 1 X 1 X 1 1 1 0 1 1 16616611 16616611 0.01140 234654754 168066554 66588200 0.04570 251271365 168066554 83204811 0.05710 2518781 2518781 0.00170 6409856 2753799 3656057 0.00250 4757857 4757857 0.00330 26345321 42706 26302615 0.01810 40031815 2796505 37235310 0.02560 291303180 170863059 120440121 0.08270 103000 103000 0.00010 18205 18205 0.00000 79748 79748 0.00010 200953 200953 0.00020 1 22903816 586456174 707945237 -121489063 X 1 1 1 VASCMED LLC HEALTHCARE 0.51000 0.00000 0.26110 3 EVANSVILLE SURGERY SERVICES LLC HEALTHCARE 0.51000 0.00000 0.00000 4 DEACONESS HOME HEALTH HEALTHCARE 0.50000 0.00000 0.00000 5 TRI-STATE RADIATION ONCOLOGY CENTERS HEALTHCARE 0.51000 0.00000 0.00000 6 PROGRESSIVE HEALTH OF INDIANA HEALTHCARE 0.51000 0.00000 0.00000 7 MAINSPRING MANAGERS LLC HEALTHCARE 0.51000 0.00000 0.49000 8 ENCOMPASS HEALTH DEACONESS REHABILITATION HEALTHCARE 0.27500 0.00000 0.00000 9 DEACONESS HEALTH PLANS LLC HEALTHCARE 0.98090 0.00000 0.01910 10 TRI-STATE HEALTHCARE CONSULTANTS HEALTHCARE 0.51110 0.00000 0.48890 11 ORTHOALIGN HEALTHCARE 0.51000 0.00000 0.00000 12 ORTHOPRIME LLC HEALTHCARE 0.51000 0.00000 0.00000 13 LOFIELD DIALYSIS (DAVITA) HEALTHCARE 0.46000 0.00000 0.00000 14 THE HEALTHCARE GROUP HEALTHCARE 0.33330 0.00000 0.00000 3 1 DEACONESS HOSPITAL INC 600 MARY STREET EVANSVILLE IN 47747 WWW.DEACONESS.COM 23-005074-1 X X X X A 2 DEACONESS GATEWAY HOSPITAL 4011 GATEWAY BLVD NEWBURGH IN 47630 WWW.DEACONESS.COM 23-005074-1 X X X X A 3 DEACONESS CROSS POINTE 7200 E INDIANA STREET EVANSVILLE IN 47715 WWW.DEACONESS.COM 23-005074-1 X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 24 1 1 1 1 X HTTP://WWW.DEACONESS.COM/CHNA X 1 24 1 HTTP://WWW.DEACONESS.COM/CHNA 0 1 X 200.000000000000 350.000000000000 X X X X 1 1 X X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: DEACONESS HOSPITAL, INC, - FACILITY 2: DEACONESS GATEWAY HOSPITAL, - FACILITY 3: DEACONESS CROSS POINTE GROUP A-FACILITY 1 -- DEACONESS HOSPITAL, INC. PART V, SECTION B, LINE 5: THREE APPROACHES WERE USED TO COLLECT PRIMARY AND SECONDARY DATA. DIEHL CONSULTING GROUP (DCG) WAS CONTRACTED TO PROVIDE SUPPORT FOR THESE METHODS. THIS INCLUDED COMPILING EXISTING SECONDARY DATA, ADMINISTERING STAKEHOLDER SURVEYS, AND CONDUCTING FOCUS GROUPS. DCG ANALYZED AND SUMMARIZED DATA FROM THESE METHODS AND ASSISTED IN THE PRIORITIZATION AND FINAL REPORTING PROCESS. METHODS ARE SUMMARIZED BELOW AND FURTHER DETAILED IN EACH OF THE RESPECTIVE RESULTS SECTIONS OF THIS REPORT AND APPENDIX A. TO SUPPORT PRIORITIZATION, A SYNTHESIS OF KEY FINDINGS FROM DATA COLLECTION PROCESSES WAS PRESENTED AND SUMMARY DOCUMENTS PRODUCED TO GUIDE DISCUSSION (APPENDIX D). SECONDARY DATA SOURCES WERE REVIEWED TO BETTER UNDERSTAND THE HEALTH NEEDS AND SOCIAL, ECONOMIC, AND DEMOGRAPHIC CHARACTERISTICS OF THOSE LIVING IN THE SERVICE AREA. SOURCES INCLUDED (A) THE 2025 VERSION OF COUNTY HEALTH RANKINGS & ROADMAPS, (B) THE INDIANA STATE DEPARTMENT OF HEALTH, (C) THE U.S. CENSUS, (D) THE WELBORN BAPTIST FOUNDATION 2025 GREATER EVANSVILLE HEALTH SURVEY, AND (E) OTHER LOCAL DATA SOURCES PROVIDED BY COMMUNITY PARTNERS.STAKEHOLDER SURVEYS WERE ADMINISTERED TO GATHER INSIGHTS INTO THE HEALTH ISSUES IMPACTING THE COMMUNITY. PARTICIPANTS WERE PROVIDED A LIST OF SIXTEEN (16) HEALTH ISSUES, AS WELL AS AN OPPORTUNITY TO WRITE IN OTHER ISSUES NOT INCLUDED ON THE LIST. PARTICIPANTS SELECTED FIVE (5) ISSUES THEY CONSIDERED TO BE HIGHEST PRIORITY NEEDS IN THE COUNTY. RESPONDENTS THEN RANKED THE FIVE (5) ISSUES BASED ON PRIORITY. FOR EACH ISSUE IDENTIFIED, RESPONDENTS WERE THEN ASKED TO PROVIDE FEEDBACK ON THE PERCEIVED TREND OF THE ISSUE SINCE 2021, AN OPTIONAL NARRATIVE RESPONSE SPECIFIC TO ANY PROGRESS MADE SINCE 2021, AND THE ADEQUACY OF RESOURCES DEVOTED TO ADDRESSING THE ISSUE. RESPONDENTS WERE ALSO ASKED TO SELECT UP TO THREE (3) OF THE GREATEST BARRIERS IN ADDRESSING THIS HEALTH ISSUE IN THIS COUNTY BASED ON A LIST OF EIGHTEEN (18) SOCIAL DETERMINANTS OF HEALTH. RESPONDENTS COULD ALSO INSERT BARRIERS NOT LISTED. IN TOTAL, 132 PARTICIPANTS PROVIDED SURVEY FEEDBACK. STAKEHOLDER FOCUS GROUPS WERE CONDUCTED VIRTUALLY WITH 78 PARTICIPANTS ACROSS 16 GROUPS REPRESENTING MEDICAL/HEALTHCARE ORGANIZATIONS AS WELL AS ORGANIZATIONS WITH UNIQUE PERSPECTIVES ON PUBLIC SERVICE, NONPROFIT SERVICES, CHILD/YOUTH DEVELOPMENT, HEALTH EQUITY, AND BUSINESS/ECONOMIC DEVELOPMENT (APPENDIX B). FOCUS GROUPS EXPANDED ON INFORMATION COLLECTED THROUGH THE SURVEYS BY PROVIDING ADDITIONAL INSIGHT INTO THE HIGHEST RANKED PRIORITY NEEDS IDENTIFIED.LISTINGS OF THOSE COMMUNITY PARTNERS ARE INCLUDED IN THE APPENDICES SECTION OF THE CHNA REPORT (APPENDIX B) AND ALSO LISTED IN THE PRIORITIZATION PROCESS SECTION AS APPLICABLE (SECTION 6). GROUP A-FACILITY 1 -- DEACONESS HOSPITAL, INC. PART V, SECTION B, LINE 6A: BOTH HEALTH SYSTEMS IN VANDERBURGH AND WARRICK COUNTY WORKED TOGETHER TO ADMINISTER THE SAME CHNA SURVEY TO RESIDENTS IN BOTH COUNTIES. PARTICIPATING HEALTH SYSTEMS (IN ADDITION TO DEACONESS HEALTH SYSTEM) INCLUDED ASCENSION/ST. VINCENT. GROUP A-FACILITY 1 -- DEACONESS HOSPITAL, INC. PART V, SECTION B, LINE 6B: 2025 CHNA CONDUCTED COLLABORATIVELY BY DEACONESS HEALTH SYSTEM, ASCENSION ST. VINCENT EVANSVILLE HOSPITAL, ECHO COMMUNITY HEALTHCARE, VANDERBURGH COUNTY HEALTH DEPARTMENT, UNITED WAY OF SOUTHWESTERN INDIANA, AND THE WELBORN BAPTIST FOUNDATION. GROUP A-FACILITY 1 -- DEACONESS HOSPITAL, INC. PART V, SECTION B, LINE 11: PRIORITY 1: ACCESS TO CARE-THE VANDERBURGH COUNTY CHNA IDENTIFIED ACCESS TO CARE AS A SIGNIFICANT COMMUNITY HEALTH NEED, NOTING BARRIERS RELATED TO AFFORDABILITY, PROVIDER AVAILABILITY, TIMELY APPOINTMENTS, INSURANCE COVERAGE, TRANSPORTATION, AND AWARENESS OF AVAILABLE HEALTHCARE RESOURCES. THE HOSPITALS ADDRESSED THIS NEED THROUGH ONGOING COMMUNITY EDUCATION AND OUTREACH DESIGNED TO CONNECT RESIDENTS WITH PREVENTIVE SERVICES AND APPROPRIATE HEALTHCARE RESOURCES.-UTILIZED SOCIAL MEDIA, BLOG ARTICLES, AND EDUCATIONAL VIDEOS TO DISSEMINATE HEALTH INFORMATION BROADLY THROUGHOUT THE SERVICE AREA AND INCREASE AWARENESS OF AVAILABLE HEALTHCARE SERVICES.-MEASURED ENGAGEMENT THROUGH IMPRESSIONS, INTERACTIONS, VIDEO VIEWS, AND EDUCATIONAL CONTENT PARTICIPATION, DEMONSTRATING CONTINUED COMMUNITY OUTREACH AND ACCESS-TO-CARE PROMOTION CONSISTENT WITH THE HOSPITAL'S IMPLEMENTATION STRATEGY.PRIORITY 2: AGING POPULATIONS-PROMOTED PREVENTIVE HEALTHCARE SERVICES AND EARLY DETECTION THROUGH EDUCATIONAL CAMPAIGNS FOCUSED ON PRIMARY CARE, MAMMOGRAPHY, MOBILE MAMMOGRAPHY SERVICES, COLON CANCER SCREENING, LUNG CANCER SCREENING, PROSTATE CANCER DETECTION, KIDNEY HEALTH, CARDIAC REHABILITATION, PULMONARY REHABILITATION, AND OTHER PREVENTIVE HEALTH SERVICES.-PROVIDED COMMUNITY EDUCATION REGARDING THE IMPORTANCE OF ESTABLISHING A PRIMARY CARE PROVIDER, OBTAINING ROUTINE PREVENTIVE CARE, AND ACCESSING RECOMMENDED SCREENINGS TO IMPROVE HEALTH OUTCOMES.-SHARED INFORMATION ABOUT MEDICARE EDUCATION, VACCINATION AWARENESS, HIV/AIDS SCREENING OPPORTUNITIES, AND OTHER HEALTHCARE RESOURCES TO IMPROVE COMMUNITY AWARENESS AND UTILIZATION OF SERVICES.-FUNDED NUMEROUS COMMUNITY INITIATIVES THOUGH SOUTHWESTERN INDIANA REGIONAL COUNCIL ON AGING PRIORITY 3: BEHAVIORAL HEALTH-THE VANDERBURGH COUNTY CHNA IDENTIFIED BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH AND SUBSTANCE USE CONCERNS, AS A SIGNIFICANT COMMUNITY HEALTH PRIORITY. THE HOSPITALS SUPPORTED THIS NEED THROUGH COMMUNITY EDUCATION EFFORTS FOCUSED ON MENTAL HEALTH AWARENESS, STRESS MANAGEMENT, AND BEHAVIORAL HEALTH EDUCATION.-PUBLISHED EDUCATIONAL CONTENT FOCUSED ON MENTAL HEALTH AWARENESS, ANXIETY RECOGNITION AND MANAGEMENT, WOMEN'S MENTAL HEALTH, AND MENTAL HEALTH TOPICS AFFECTING HEALTHCARE PROFESSIONALS AND THE BROADER COMMUNITY.-PROVIDED EDUCATIONAL VIDEOS AND PHYSICIAN-LED DISCUSSIONS ADDRESSING SIGNS AND SYMPTOMS OF ANXIETY, COPING STRATEGIES, AND THE IMPORTANCE OF SEEKING APPROPRIATE BEHAVIORAL HEALTH SUPPORT.-SHARED INFORMATION ADDRESSING STRESS AND ALCOHOL USE AND PROMOTED AWARENESS OF THE RELATIONSHIP BETWEEN BEHAVIORAL HEALTH AND OVERALL WELLNESS.-LEVERAGED DIGITAL OUTREACH CHANNELS TO INCREASE AWARENESS OF BEHAVIORAL HEALTH CONCERNS AND ENCOURAGE INDIVIDUALS TO SEEK APPROPRIATE CARE AND SUPPORT SERVICES.-TRACKED COMMUNITY ENGAGEMENT THROUGH IMPRESSIONS, INTERACTIONS, AND VIDEO VIEWS, SUPPORTING IMPLEMENTATION STRATEGY GOALS RELATED TO BEHAVIORAL HEALTH AWARENESS AND EDUCATION.PRIORITY 4: HEALTHY FAMILIES -THE VANDERBURGH COUNTY CHNA IDENTIFIED HEALTHY FAMILIES AND OUTREACH & ADVOCACY AS SIGNIFICANT COMMUNITY NEEDS, INCLUDING MATERNAL-CHILD HEALTH, INFANT MORTALITY, CHILD SAFETY, PREVENTIVE HEALTH EDUCATION, AND INCREASING COMMUNITY AWARENESS OF HEALTH PRIORITIES. THE HOSPITALS ADDRESSED THESE NEEDS THROUGH ONGOING PUBLIC HEALTH EDUCATION AND AWARENESS INITIATIVES.-PROMOTED MATERNAL AND CHILD HEALTH THROUGH EDUCATIONAL CAMPAIGNS ADDRESSING INFANT MORTALITY, BREASTFEEDING AWARENESS, WHOOPING COUGH (PERTUSSIS) VACCINATION AWARENESS, PEDIATRIC PHYSICAL THERAPY, CHILD SAFETY, AND SAFESITTER EDUCATION.-SUPPORTED FAMILY HEALTH AND SAFETY THROUGH OUTREACH RELATED TO SAFE TOYS AND GIFTS, BACK-TO-SCHOOL HEALTH, HAND HYGIENE, WINTER STORM PREPAREDNESS, SUMMER SAFETY, FIREWORKS SAFETY, UV SAFETY, HEAT SAFETY, SLEDDING SAFETY, AND OTHER INJURY-PREVENTION TOPICS.PRIORITY 5: OUTREACH AND ADVOCACY-INCREASED AWARENESS OF MAJOR HEALTH CONDITIONS AFFECTING COMMUNITY MEMBERS THROUGH EDUCATIONAL CAMPAIGNS FOCUSED ON BREAST CANCER, OVARIAN CANCER, LUNG CANCER, COLORECTAL CANCER, PROSTATE CANCER, DIABETES, HEART DISEASE, STROKE, KIDNEY DISEASE, SEPSIS, AND OTHER CHRONIC CONDITIONS.-COLLABORATED WITH COMMUNITY AND NATIONAL ORGANIZATIONS, INCLUDING THE AMERICAN HEART ASSOCIATION, AMERICAN RED CROSS, AMERICAN LUNG ASSOCIATION, CENTERS FOR DISEASE CONTROL AND PREVENTION, INDIANA DEPARTMENT OF HEALTH, NATIONAL INSTITUTES OF HEALTH, AND WORLD HEALTH ORGANIZATION, TO EXPAND COMMUNITY HEALTH EDUCATION EFFORTS.-USED SOCIAL MEDIA, BLOGS, AND EDUCATIONAL VIDEOS TO REACH COMMUNITY MEMBERS WITH EVIDENCE-BASED HEALTH INFORMATION, GENERATING SUBSTANTIAL ENGAGEMENT THROUGH IMPRESSIONS, INTERACTIONS, AND VIDEO VIEWS AND ADVANCING IMPLEMENTATION STRATEGY GOALS RELATED TO COMMUNITY OUTREACH, ADVOCACY, PREVENTION, AND HEALTH EDUCATION. GROUP A-FACILITY 1 -- DEACONESS HOSPITAL, INC. PART V, SECTION B, LINE 15E: WELL FUND IS AVAILABLE TO DEACONESS HEALTH SYSTEM PATIENTS TO ASSIST WITH APPLYING FOR MEDICAID OR EXCHANGE PRODUCTS. GROUP A-FACILITY 1 -- DEACONESS HOSPITAL, INC. PART V, SECTION B, LINE 16J: OTHER METHOD USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY: DEACONESS HOSPITAL SEEKS OUT THE PATIENTS THAT ARE SELF-PAY AND INTERVIEWS THESE PATIENTS WHILE THEY ARE IN THE FACILITY. THE FINANCIAL ASSISTANCE POLICY IS PROMOTED TO PATIENTS. DEACONESS HOSPITAL SEEKS OUT THOSE PATIENTS THAT WOULD QUALIFY FOR THE FINANCIAL ASSISTANCE POLICY. COLLECTABILITY SCORING IS ALSO COMPLETED AND ALLOWANCES ARE MADE BASED UPON THESE SCORES. GROUP A-FACILITY 2 -- DEACONESS GATEWAY HOSPITAL PART V, SECTION B, LINE 5: DESCRIPTION OF COMMUNITY INPUT IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). GROUP A-FACILITY 2 -- DEACONESS GATEWAY HOSPITAL PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES CHNA WAS CONDUCTED WITH IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). GROUP A-FACILITY 2 -- DEACONESS GATEWAY HOSPITAL PART V, SECTION B, LINE 6B: OTHER ORGANIZATIONS CHNA WAS CONDUCTED WITH IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). GROUP A-FACILITY 2 -- 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). GROUP A-FACILITY 2 -- 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). GROUP A-FACILITY 2 -- DEACONESS GATEWAY HOSPITAL PART V, SECTION B, LINE 16J: OTHER METHOD USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). GROUP A-FACILITY 3 -- DEACONESS CROSS POINTE PART V, SECTION B, LINE 5: DESCRIPTION OF COMMUNITY INPUT IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). GROUP A-FACILITY 3 -- 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). GROUP A-FACILITY 3 -- DEACONESS CROSS POINTE PART V, SECTION B, LINE 6B: OTHER ORGANIZATIONS CHNA WAS CONDUCTED WITH IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). GROUP A-FACILITY 3 -- 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). GROUP A-FACILITY 3 -- 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). GROUP A-FACILITY 3 -- DEACONESS CROSS POINTE PART V, SECTION B, LINE 16J: OTHER METHOD USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). PART V, SECTION B, LINE 16A, FAP WEBSITE: THE FINANCIAL ASSISTANCE POLICY (FAP) FOR ALL THREE HOSPITAL FACILITIES IS MADE WIDELY AVAILABLE ON THE FOLLOWING WEBSITE:HTTPS://WWW.DEACONESS.COM/PAY-MY-BILL/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B, FAP APPLICATION WEBSITE: THE FINANCIAL ASSISTANCE POLICY (FAP) APPLICATION FOR ALL THREE HOSPITAL FACILITIES IS MADE WIDELY AVAILABLE ON THE FOLLOWING WEBSITE:HTTPS://WWW.DEACONESS.COM/PAY-MY-BILL/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B, FAP PLAIN LANGUAGE SUMMARY WEBSITE: THE FINANCIAL ASSISTANCE POLICY (FAP) PLAIN LANGUAGE SUMMARY FOR ALL THREE HOSPITAL FACILITIES IS MADE WIDELY AVAILABLE ON THE FOLLOWING WEBSITE:HTTPS://WWW.DEACONESS.COM/PAY-MY-BILL/FINANCIAL-ASSISTANCE 39 1 - CARDIAC REHAB 4015 GATEWAY BLVD SUITE 2122 NEWBURGH IN 47630 OUTPATIENT SERVICES 2 - DEACONESS COMPREHENSIVE PAIN CTR 4600 W LLOYD EXPRESSWAY SUITE A EVANSVILLE IN 47712 OUTPATIENT SERVICES 3 - DEACONESS COMPREHENSIVE PAIN CTRMED THER 4015 GATEWAY BLVD STE 2120 NEWBURGH IN 47630 OUTPATIENT SERVICES 4 - DEACONESS CROSS POINTE 7200 E INDIANA ST EVANSVILLE IN 47715 OUTPATIENT PHYSICIAN CLINIC 5 - DEACONESS FAMILY MEDICINE RESIDENCY 415 W COLUMBIA ST SUITE 110 EVANSVILLE IN 47710 OUTPATIENT PHYSICIAN CLINIC 6 - DEACONESS GATEWAY REMOTE OP SURGICAL 4133 GATEWAY BLDV SUITE 100 NEWBURGH IN 47630 OUTPATIENT SERVICES 7 - DEACONESS HOSPITAL BREAST CENTER 520 MARY STREET SUITE 140 EVANSVILLE IN 47710 DIAGNOSTIC CENTER 8 - DEACONESS HOSPITAL CANCER SERVICES 4055 GATEWAY BLVD NEWBURGH IN 47630 OUTPATIENT SERVICES 9 - DEACONESS HOSPITAL CROSS POINTE - OUTPT 445 CROSS POINTE BLVD EVANSVILLE IN 47715 OUTPATIENT SERVICES 10 - DEACONESS HOSPITAL ENDOSCOPYSPECIALTY 4219 GATEWAY BLVD SUITE 1005 NEWBURGH IN 47630 OUTPATIENT SERVICES 11 - DEACONESS HOSPITAL GI QUICK CARE 4219 GATEWAY BLVD SUITE 1003 NEWBURGH IN 47630 GASTROENTEROLOGY SERVICES 12 - DEACONESS HOSPITAL INFUSION CTRPHARMACY 4111 GATEWAY BLVD NEWBURGH IN 47630 OUTPATIENT SERVICES 13 - DEACONESS HOSPITAL LAB & RADIOLOGY 4209 GATEWAY BLVD NEWBURGH IN 47630 DIAGNOSTIC CENTER 14 - DEACONESS HOSPITAL LAB & RADIOLOGY 801 FELSTEAD RD EVANSVILLE IN 47712 DIAGNOSTIC CENTER 15 - DEACONESS HOSPITAL LABRADIOLOGY 4219 GATEWAY BLVD SUITE 1004 NEWBURGH IN 47630 DIAGNOSTIC CENTER 16 - DEACONESS HOSPITAL PHYS MED-OA 10455 ORTHOPAEDIC DRIVE NEWBURGH IN 47630 OUTPATIENT SERVICES 17 - DEACONESS HOSPITAL PHYSICAL MEDICINE 4233 GATEWAY BLVD SUITE 201 NEWBURGH IN 47630 OUTPATIENT SERVICES 18 - DEACONESS HOSPITAL PHYSICAL MEDICINE 4600 W LLOYD EXPRESSWAY SUITE B EVANSVILLE IN 47715 OUTPATIENT SERVICES 19 - DEACONESS HOSPITAL PHYSICAL MEDICINE 520 MARY STREET SUITE 280 EVANSVILLE IN 47747 OUTPATIENT SERVICES 20 - DEACONESS HOSPITAL RADIOLOGY EXPRESS 4087 GATEWAY BLVD NEWBURGH IN 47630 DIAGNOSTIC CENTER 21 - DEACONESS HOSPITAL SPECIALTY CLINIC 120 SE 4TH STREET SUITE 3200 EVANSVILLE IN 47708 DIAGNOSTIC CENTER 22 - DEACONESS HOSPITAL SPECIALTY CLINIC 310 W IOWA STREET EVANSVILLE IN 47710 OUTPATIENT PHYSICIAN CLINIC 23 - DEACONESS HOSPITAL SPECIALTY CLINIC 4099 GATEWAY BLVD NEWBURGH IN 47630 OUTPATIENT SERVICES 24 - DEACONESS HOSPITAL SPECIALTY CLINIC 4133 GATEWAY BLVD SUITE 290 NEWBURGH IN 47630 OUTPATIENT SERVICES 25 - DEACONESS HOSPITAL SPECIALTY CLINIC 4219 GATEWAY BLVD SUITE 2003 NEWBURGH IN 47630 OUTPATIENT SERVICES 26 - DEACONESS HOSPITAL SPECIALTY CLINIC 520 MARY STREET SUITE 330 EVANSVILLE IN 47710 DIAGNOSTIC CENTER 27 - DEACONESS HOSPITAL WEIGHT LOSS SOLUTIONS 4219 GATEWAY BLVD SUITE 2001 NEWBURGH IN 47630 OUTPATIENT SERVICES 28 - DEACONESS LAB & RADIOLOGY 120 SE 4TH STREET SUITE 1100 EVANSVILLE IN 47708 DIAGNOSTIC CENTER 29 - DEACONESS MIDTOWN REMOTE OP SURGICAL 520 MARY STREET SUITE 130 EVANSVILLE IN 47710 OUTPATIENT SERVICES 30 - DEACONESS PRIMARY CARE FOR SENIORS 1750 OAK HILL ROAD EVANSVILLE IN 47710 OUTPATIENT PHYSICIAN CLINIC 31 - DEACONESS PRIMARY CARE FOR SENIORS 4498 FIRST AVENUE EVANSVILLE IN 47710 OUTPATIENT PHYSICIAN CLINIC 32 - DEACONESS REGIONAL LAB & RADIOLOGY 4494 N FIRST AVENUE EVANSVILLE IN 47710 DIAGNOSTIC CENTER 33 - DEACONESS REGIONAL LAB & RADIOLOGY 8600 NORTH KENTUCKY AVENUE EVANSVILLE IN 47725 DIAGNOSTIC CENTER 34 - DEACONESS REGIONAL LABORATORY 4133 GATEWAY BLVD SUITE 110 NEWBURGH IN 47630 DIAGNOSTIC CENTER 35 - DEACONESS SLEEP CENTER 350 W COLUMBIA STREET SUITE 100 EVANSVILLE IN 47710 OUTPATIENT SERVICES 36 - DEACONESS SLEEP CENTER-EAST 7307 E COLUMBIA ST EVANSVILLE IN 47715 DIAGNOSTIC CENTER 37 - DEACONESS SLEEP LAB 350 W COLUMBIA STREET SUITE LL-10 EVANSVILLE IN 47710 DIAGNOSTIC CENTER 38 - DEACONESS WOUND CARE CENTER 350 W COLUMBIA STREET SUITE 350 EVANSVILLE IN 47710 OUTPATIENT SERVICES 39 - MT VERNON MEDICAL CENTER LAB & RADIOLOGY 1900 W FOURTH STREET MT VERNON IN 47620 DIAGNOSTIC CENTER PART I, LINE 6A: DEACONESS HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT IS MADE AVAILABLE ON THE DEACONESS WEBSITE AT HTTP://WWW.DEACONESS.COM/CHNA PART I, LINE 7: A COST TO CHARGE RATIO WAS USED FOR MOST OF THE CALCULATIONS FOR THE TABLE. IRS INSTRUCTION'S WORKSHEET 2 WAS USED FOR THIS CALCULATION. WE DID NOT USE THE COST TO CHARGE RATIO FOR LINE 7G AS IT WAS NOT RELEVANT TO THESE SERVICES. THE ACTUAL COST FROM OUR COSTING SYSTEM WAS USED WHEN AVAILABLE. THE COST TO CHARGE RATIO FOR EACH SERVICE TYPE WAS USED TO ESTIMATE COST WHEN NOT AVAILABLE FROM OUR INTERNAL COSTING SYSTEM. PART I, LINE 7G: $23,375,862 OF LOSSES FROM RURAL HEALTH CLINICS OPERATED BY DEACONESS HOSPITAL ARE INCLUDED IN SUBSIDIZED HEALTH SERVICES. PART I, LN 7 COL(F): BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING PERCENTAGE IN THIS COLUMN IS $0.00. PART II, COMMUNITY BUILDING ACTIVITIES: DEACONESS PROVIDES SUPPORT TO NUMEROUS ORGANIZATIONS THAT FOCUS ON EDUCATION, COMMUNITY IMPROVEMENTS, AND LEADERSHIP DEVELOPMENT. DEACONESS BELIEVES THAT IN SUPPORTING THESE LOCAL SCHOOLS AND ORGANIZATIONS WE ARE PROVIDING ASSISTANCE IN BETTERING OUR COMMUNITY AND OUR PATIENTS.DEACONESS DID PROVIDE SUPPORT TO OUR LOCAL CHAMBER OF COMMERCE TO HOST NUMEROUS LUNCHEONS AND AWARD CEREMONIES THAT PROMOTES LEADERSHIP DEVELOPMENT AND THE IMPORTANCE OF COMMUNITY AND GOVERNMENT INVOLVEMENT. DEACONESS ALSO PROVIDED SUPPORT TO IMPORTANT COMMUNITY ORGANIZATIONS SUCH AS LOCAL SCHOOLS, WISE CHOICE FALL FESTIVAL COMMUNITY FORUM, AND OUR ZOO TO SHOW OUR SUPPORT OF THEIR MISSIONS. PART III, LINE 2: THE SYSTEM ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE SIGNIFICANT AND DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY, DETERMINED ON A PORTFOLIO BASIS, ARE RECORDED AS BAD DEBT EXPENSE. CONSISTENT WITH THE SYSTEM'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, THE SYSTEM HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE SYSTEM EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. PART III, LINE 3: DEACONESS HOSPITAL DOES NOT ATTRIBUTE ANY BAD DEBT EXPENSE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY (FAP), THEREFORE NO PORTION OF BAD DEBT ATTRIBUTABLE TO FAP-ELIGIBLE INDIVIDUALS IS CONSIDERED A COMMUNITY BENEFIT. PART III, LINE 4: THE FOOTNOTE DESCRIBING BAD DEBT EXPENSES IS INCLUDED IN THE ATTACHED AUDITED FINANCIAL STATEMENTS UNDER FOOTNOTE "CHARITY CARE, COMMUNITY BENEFIT AND ASSISTANCE TO THE UNINSURED" STARTING ON PAGE 13 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 2025 MEDICARE COST REPORT. PART III, LINE 9B: DEACONESS HOSPITAL MAKES A DISTINCTION BETWEEN CHARITY AND BAD DEBT. IN DETERMINING AN INDIVIDUAL OR FAMILY'S ABILITY TO PAY, DEACONESS HOSPITAL EVALUATES WHETHER OR NOT THE RESPONSIBLE PARTY HAS SUFFICIENT RESOURCES FOR PAYMENT. IF AN INDIVIDUAL IS DETERMINED TO NOT HAVE SUFFICIENT RESOURCES TO PAY, THEY WILL BE CONSIDERED ELIGIBLE FOR CHARITY CARE AND WILL NOT BE PROCESSED THROUGH EITHER INTERNAL OR EXTERNAL COLLECTIONS. ACCOUNTS OF CHARITY CARE PATIENTS WHO ARE UNABLE TO PAY DO NOT RESULT IN BAD DEBT AND ARE NOT COLLECTED UPON. PART VI, LINE 2: NEEDS ASSESSMENT PROCESS: DEACONESS UTILIZES A VARIETY OF SOURCES TO GATHER DATA ON LOCAL HEALTH CARE NEEDS. WE USE DATA FROM THE UNITED WAY OF SOUTHWESTERN INDIANA'S COMPREHENSIVE NEEDS ASSESSMENT, WELBORN BAPTIST FOUNDATION'S GREATER EVANSVILLE HEALTH SURVEY, COUNTY HEALTH RANKINGS WEBSITE, INDIANA STATE DEPARTMENT OF HEALTH, CENTERS FOR DISEASE CONTROL AND PREVENTION, NATIONAL CENTER FOR HEALTH STATISTICS, AND THE U.S. CENSUS BUREAU. ADDITIONAL INFORMATION COMES FROM OUR OWN ELECTRONIC MEDICAL RECORD SYSTEM AND THROUGH OUR INTERACTION WITH LOCAL SERVICE PROVIDERS AND OTHER NON-PROFIT ORGANIZATIONS. THAT INCLUDES "PROMISE ZONE" INITIATIVES THAT KEEP US AWARE OF CHANGING NEEDS IN OUR MOST DISENFRANCHISED POPULATION. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: INFORMATION REGARDING AVAILABLE FINANCIAL ASSISTANCE IS LISTED ON OUR WEBSITE AT HTTPS://WWW.DEACONESS.COM/PAY-MY-BILL/FINANCIAL-ASSISTANCE AND IS POSTED IN EVERY CLINIC OFFICE AND FACILITY. PART VI, LINE 4: DEACONESS DEFINES ITS COMMUNITY AS ALL PEOPLE LIVING IN VANDERBURGH AND WARRICK COUNTIES IN INDIANA ANY TIME DURING THE YEAR.VANDERBURGH COUNTY VANDERBURGH COUNTY IS MARGINALLY LESS DIVERSE THAN MUCH OF INDIANA IN TERMS OF RACIAL AND ETHNIC CHARACTERISTICS, HAVING SLIGHTLY MORE FEMALES THAN MALES, WITH THE MAJORITY OF INDIVIDUALS LIVING IN AREAS CONSIDERED URBAN. VANDERBURGH COUNTY'S POPULATION OF 179,908 PERSONS IS SIMILAR TO THE STATEWIDE POPULATION, WITH ABOUT 82.1% OF THE POPULATION BEING WHITE, 9.7% BLACK/AFRICAN AMERICAN, 1.4% ASIAN, AND THE REMAINDER BEING OF OTHER OR 2 OR MORE RACES. HOWEVER, VANDERBURGH COUNTY REPORTS A 3.6% HISPANIC POPULATION COMPARED TO 8.4% FOR THE STATE. WARRICK COUNTY - WARRICK COUNTY HAS LESS DIVERSITY THAN VANDERBURGH COUNTY AND THE STATE OF INDIANA. MORE THAN 90% OF PEOPLE THERE IDENTIFY AS WHITE COMPARED TO 78.5% FOR INDIANA. ONLY 2.1% OF THE POPULATION IS LISTED AS BLACK/AFRICAN AMERICAN AND 2.3% AS HISPANIC. THAT'S COMPARED TO STATE AVERAGES OF 9.7% AND 8.4% RESPECTIVELY. PART VI, LINE 5: DEACONESS PROMOTED SERVICES AND INFORMATION THAT HELPED US ADDRESS THE GREATEST HEALTH NEEDS OF THE COMMUNITY AS DEFINED BY OUR MOST RECENT CHNA, AS WELL AS ENCOURAGE PEOPLE TO GET THE PREVENTIVE SCREENINGS THEY NEED .DEACONESS HOSTED AND ATTEND PUBLIC EVENTS, SUCH AS OUR ANNUAL ORAL, HEAD AND NECK CANCER SCREENINGS; COLON CANCER SCREENINGS, LOW DOSE CT SCREENINGS AND MORE OUTLINED BELOW. ADDITIONALLY, WE CREATED AND DISTRIBUTED WRITTEN AND VISUAL CONTENT THAT ADDRESSED SPECIFIC ISSUES AND HEALTH CONCERNS FOR OUR COMMUNITY.SOCIAL MEDIA POSTS:BREAST CANCER AWARENESS 10/1/2024WISE CHOICE 10/8/2024MENTAL HEALTH AWARENESS 10/10/2024PRIMARY CARE WEEK 10/11/2024GLOBAL HANDWASHING DAY 10/15/2024NATIONAL MAMMOGRAPHY DAY 10/18/2024MEGA BREAST TOUR 10/18/2024BREAST CANCER SURVIVOR TESTIMONY 10/25/2024BREAST CANCER SURVIVOR TESTIMONY 10/31/2024LUNG CANCER AWARENESS 11/1/2024LUNG CANCER SCREENING 11/8/2024WORLD DIABETES DAY 11/14/2024GREAT AMERICAN SMOKEOUT 11/24/2024WORLD AIDS DAY SCREENING 11/22/2024NO SHAVE NOVEMBER 11/22/2024SAFE TOYS AND GIFTS MONTH 12/2/2024SAFESITTER 12/4/2024HAND HYGIENE 12/6/2024ANXIETY 12/6/2024WHOOPING COUGH (PERTUSSIS) VACCINE AWARENESS 12/10/2024WHOOPING COUGH (PERTUSSIS) VACCINE AWARENESS 12/18/2024CROHN'S DISEASE AWARENESS 12/19/2024WHOOPING COUGH (PERTUSSIS) VACCINE AWARENESS 12/23/2024ANXIETY 1/3/2025WINTER STORM PREPAREDNESS 1/5/2025SLEDDING SAFETY 1/10/2025WEIGHT LOSS 1/10/2025HEAD AND NECK CANCER AWARENESS 1/15/2025LUNG DISEASE SUPPORT 1/16/2025FROSTBITE/HYPOTHERMIA AWARENESS 1/20/2025MOBILE MAMMOGRAM 1/29/2025GO RED FOR WOMEN (HEART DISEASE) 1/31/2025GO RED FOR WOMEN (HEART DISEASE) 2/1/2025AMERICAN HEART MONTH 2/3/2025GO RED FOR WOMEN (HEART DISEASE) 2/5/2025GO RED FOR WOMEN (HEART DISEASE) 2/6/2025HEART ATTACK SIGNS AND SYMPTOMS 2/8/2025IMPELLA HEART PUMP 2/11/2025CARDIAC REHAB 2/15/2025WINTER WEATHER SAFETY 2/18/2025NATIONAL CAREGIVERS DAY 2/21/2025COLON CANCER SCREENING 3/3/2025MEDICARE SEMINAR 3/3/2025NATIONAL KIDNEY MONTH 3/6/2025COLON CANCER AWARENESS MONTH 3/6/2025COLONOSCOPY AWARENESS 3/7/2025KIDNEY HEALTH 3/11/2025WORLD KIDNEY DAY / CHRONIC KIDNEY DISEASE 3/13/2025PULMONARY REHAB EDUCATION 3/15/2025FLU SEASON AWARENESS 3/18/2025KIDNEY DISEASE AWARENESS 3/20/2025AMERICAN DIABETES ALERT DAY 3/20/2025KIDNEY HEALTH 3/25/2025COLON CANCER SCREENING 3/26/2025HEAD AND NECK CANCER AWARENESS 4/1/2025HEAD AND NECK CANCER SCREENINGS 4/7/2025HEAD AND NECK CANCER SCREENINGS 4/15/2025STRESS AND ALCOHOL USE 4/18/2025STROKE AWARENESS MONTH 5/1/2025SPOT A STROKE F.A.S.T. 5/2/2025WORLD OVARIAN CANCER DAY 5/8/2025MENTAL HEALTH AND NURSING 5/9/2025SANE EDUCATION 5/9/2025SKIN CANCER AWARENESS 5/14/2025F.A.S.T. EXPERIENCE 5/14/2025STROKE AWARENESS MONTH 5/21/2025MENTAL HEALTH FOR WOMEN 5/22/2025BLOOD DONATION 5/24/2025CANCER SURVIVORSHIP 6/1/2025MEN'S HEALTH AWARENESS MONTH 6/2/2025MEN'S HEALTH AWARENESS MONTH 6/4/2025MEN'S HEALTH AWARENESS MONTH 6/9/2025MEN'S HEALTH AWARENESS MONTH 6/11/2025MEN'S HEALTH AWARENESS MONTH 6/12/2025MEN'S HEALTH AWARENESS MONTH 6/12/2025WORLD BLOOD DONATION DAY 6/14/2025HEAT SAFETY AWARENESS 6/23/2025MEN'S CANCERS 6/24/2025MEN'S HEALTH AWARENESS MONTH 6/27/2025SUMMER SAFETY 6/28/2025MEN'S HEALTH AWARENESS MONTH 6/30/2025FIREWORKS SAFETY 7/2/2025SKIN HEALTH AWARENESS 7/17/2025PEDIATRIC PHYSICAL THERAPY 7/18/2025HEATH SAFETY 7/19/2025BLOOD DONATION 7/21/2025INFANT MORTALITY 7/23/2025UV SAFETY AWARENESS 7/25/2025BACK-TO-SCHOOL HEALTH 7/28/2025PEDIATRIC PHYSICAL THERAPY 7/30/2025BACK-TO-SCHOOL HEALTH 7/30/2025WORLD LUNG CANCER DAY 8/1/2025NATIONAL BREASTFEEDING MONTH 8/16/2025BITE THERAPY 9/4/2025WORLD SEPSIS DAY 9/13/2025TIF PROCEDURE FOR GERD 9/17/2025BLOOD DONATION 9/17/2025BREAST CANCER AWARENESS 9/19/2025PROSTATE CANCER DETECTION 9/23/2025COCHLEAR IMPLANTS 9/26/2025MAMMOGRAMS 9/29/2025COMMUNITY EVENTS:OCTOBER 6-12, 2024 HEALTHY EATING MESSAGES WITH WISE CHOICE AT THE FALL FESTIVAL.OCTOBER 6-12, 2024 SNUGGLE STATION AND FIRST AID AT FALL FESTIVALFEBRUARY 5, 2025 BABYPALOOZAAPRIL 3, 2025 HOMELESS CONNECT (SCREENING BOOTH)APRIL 12, 2025 BABYPALOOZAAPRIL 26, 2025 CANCER SURVIVOR HOPEFESTMAY 17, 2025 HEART WALKJUNE 8, 2025 CANCER PATHWAYS SURVIVOR'S DAYJUNE 14, 2025 COLON SCREENING FOR LIFE 5KJUNE 28, 2025 WELLNESS SUPER SATURDAY AT EVANSVILLE MUSEUMJULY 2, 2025 BABYPALOOZAJULY 10, 2025 75 AEDS DISTRIBUTED TO COMMUNITY ORGANIZATIONSJULY 12, 2025 DESTINATION WELLNESS AT CHILDREN'S MUSEUM OF EVANSVILLEJULY 20-26, 2025 SNUGGLE STATION AND FIRST AID AT VANDERBURGH COUNTY FAIRAUGUST 5, 2025 NATIONAL NIGHT OUTAUGUST 8, 2025 NIGHT MARKETSEPTEMBER 12, 2025 NIGHT MARKETOCTOBER 18, 2025 BABYPALOOZAOCTOBER 25, 2025 WALK-THRU BOONOVEMBER 2, 2025 TRI-STATE MS WALK2025 NUMBER SCREENED117 ACROSS MULTIPLE EVENTS2025 NUMBERS SCREENED AT EVENTSSKIN CANCER - 32ORAL, HEAD AND NECK CANCER - 85PATIENT CAREMEDICATION ASSISTANCE AND FAMILY MEDICINE RESIDENCY CLINIC - DEACONESS PROVIDES FREE AND REDUCED CARE WITHIN OUR HOSPITAL BUILDINGS. THROUGH OUR MEDICATION ASSISTANCE PROGRAM (MAP) AND OUR FAMILY PRACTICE RESIDENCY CLINIC, PATIENTS CAN ACCESS THE HIGH QUALITY HEALTH CARE THEY NEED IN CONVENIENT LOCATIONS AND AT A PRICE THEY CAN AFFORD. IN FY 24-25, OUR RESIDENTS TREATED MORE THAN 17,000 PATIENTS AT A COST TO THE HOSPITAL OF $2.7 MILLION. SIMILARLY, THE MAP FOR THE DEACONESS SYSTEM SERVICED 4,105 INDIVIDUALS FOR 7,079 UNIQUE MEDICATIONS/PRESCRIPTIONS PROVIDED AT A TOTAL DOLLAR VALUE OF MORE THAN $102.6 MILLION IN FREE DRUGS TO PATIENTS. AN ADDITIONAL $172,763 IN COPAY/FOUNDATION ASSISTANCE WAS ALSO PROVIDED.BEHAVIORAL HEALTH AND SUICIDE PREVENTION - STAFF FROM DEACONESS CROSS POINTE EDUCATED OVER 5,545 PEOPLE IN THE SURROUNDING COMMUNITY ABOUT BEHAVIORAL HEALTH, RELATED RESOURCES, AND SUICIDE PREVENTION.LOCAL SPONSORSHIPS - AS A SYSTEM IN FY 24-25, DEACONESS SPONSORED PROGRAMS AND ACTIVITIES FOR MORE THAN 170,000 PEOPLE, CONTRIBUTING $2.1 MILLION IN SUPPORT OF CLUBS, GROUPS, SOCIAL SERVICE ORGANIZATIONS, AND OTHERS STRIVING TO MAKE OUR COMMUNITY A BETTER PLACE. PART VI, LINE 6: DEACONESS HOSPITAL IS AFFILIATED WITH DEACONESS HEALTH SYSTEM, COOPERATING TO PROVIDE HEALTH CARE SERVICES TO THEIR COMMUNITIES. ADDITIONALLY, THE HOSPITAL DOES PARTICIPATE IN SEVERAL COALITIONS AND COOPERATIVES WITH OTHER PROVIDERS AND OFTEN COLLABORATES WITH THE LARGER SYSTEM IN THE EVANSVILLE AREA TO PROVIDE ACCESS TO SERVICES THE HOSPITAL CANNOT PROVIDE SUCH AS CARDIAC AND NEUROLOGICAL SURGERY. PART VI, LINE 7, REPORTS FILED WITH STATES IN 1 AMERICAN RED CROSS 29 S STOCKWELL RD EVANSVILLE IN 47714 530196605 501(C)(3) 10000 0 GENERAL SUPPORT & MIDWEST TORNADOS AURORA INC 1001 MARY STREET EVANSVILLE IN 47710 351759576 501(C)(3) 16000 0 HOMELESS OUTREACH BOYS & GIRLS CLUB OF EVANSVILLE IN PO BOX 6311 EVANSVILLE IN 47719 351007558 501(C)(3) 14300 0 GENERAL SUPPORT & HEALTHY HABITS PROGRAM CANCER PATHWAYS MIDWEST INC 5740 VOGEL ROAD EVANSVILLE IN 47715 261932741 501(C)(3) 13850 0 GENERAL SUPPORT CHEMO BUDDIES 3700 BELLEMEADE AVE EVANSVILLE IN 47714 453043243 501(C)(3) 54337 0 GENERAL SUPPORT & SHUTTLE BUS SPONSORSHIP CITY OF EVANSVILLE METROPOLITAN EVANSVILLE TRANSIT SYSTEM 1 NW MARTIN LUTHER KING BLVD ROOM 300 EVANSVILLE IN 47708 356001021 GOV'T 100000 0 TRANSIT SYSTEM CAPITAL CAMPAIGN EASTER SEALS REHABILITATION CENTER 3701 BELLEMEADE AVENUE EVANSVILLE IN 47714 351087526 501(C)(3) 10450 0 GENERAL SUPPORT & PSYCHOLOGY ACCESS CAMPAIGN ECHO COMMUNITY HEALTH CARE 315 MULBERRY STREET EVANSVILLE IN 47713 351791786 501(C)(3) 20000 0 GENERAL SUPPORT & REGIONAL VOICE EVANSVILLE EMERGENCY FOOD PANTRY CONSORTIUM INC PO BOX 2536 EVANSVILLE IN 47728 371697515 501(C)(3) 12500 0 FOOD FOR FOOD PANTRIES EVANSVILLE REGIONAL BUSINESS COMMITTEE INC 211 NW RIVERSIDE DR EVANSVILLE IN 47708 030408032 501(C)(6) 16000 0 GENERAL SUPPORT EVANSVILLE REGIONAL ECONOMIC PARTNERSHIP 318 MAIN STREET SUITE 400 EVANSVILLE IN 47708 350298180 501(C)(6) 20000 0 GENERAL SUPPORT GOOD SAMARATIN HOSPITAL FOUNDATION 328 N 2ND ST SUITE 201 VINCENNES IN 47591 351637684 501(C)(3) 10000 0 GENERAL SUPPORT HABITAT FOR HUMANITY OF EVANSVILLE 560 E DIAMOND AVE EVANSVILLE IN 47711 351602775 501(C)(3) 50000 0 BUILDING HOMES AND HEALTH INDIANA UNIVERSITY INDIANAPOLIS 950 N MERIDIAN ST SUITE 800 INDIANAPOLIS IN 46202 356001673 501(C)(3) 150250 0 OPERATE CLINICAL EXP. FOR IUSM MLS PROGRAM FOR HEALTH SCIENCES ISAIAH 117 HOUSE 1705 STATE LINE RD PO BOX 842 ELIZABETHTON TN 37643 820631497 501(C)(3) 15000 0 GENERAL SUPPORT IVY TECH FOUNDATION 3501 N 1ST AVENUE EVANSVILLE IN 47710 237073977 501(C)(3) 450000 0 GENERAL SUPPORT & SCHOLARSHIPS JUNIOR ACHIEVEMENT OF SW INDIANA 431 E DIAMOND AVENUE EVANSVILLE IN 47711 356048156 501(C)(3) 9440 0 ADOPT A SCHOOL PROGRAM & GENERAL SUPPORT PERRY COUNTY MEMORIAL HOSPITAL FOUNDATION 8885 STATE ROAD 237 TELL CITY IN 47586 311074015 501(C)(3) 7350 0 GENERAL SUPPORT RONALD MCDONALD HOUSE CHARITIES OF THE OHIO VALLEY 3540 WASHINGTON AVENUE EVANSVILLE IN 47714 351748468 501(C)(3) 25000 0 GENERAL SUPPORT SOUTHERN INDIANA GRADUATE MEDICAL EDUCATION CONSORTIUM INC 515 WALNUT STREET SUITE 4134 EVANSVILLE IN 47708 472044966 501(C)(3) 300000 0 GENERAL SUPPORT THE POTTER'S WHEEL INC 333 JEFFERSON AVENUE EVANSVILLE IN 47713 743105998 501(C)(3) 25000 0 GENERAL SUPPORT TRI-STATE FOOD BANK 2504 LYNCH ROAD EVANSVILLE IN 47711 351539870 501(C)(3) 100000 0 GENERAL SUPPORT YMCA OF SW INDIANA INC 516 COURT ST EVANSVILLE IN 47708 350869074 501(C)(3) 23000 0 CAPITAL CAMPAIGN YOUTH FIRST 111 SE THIRD STREET STE 405 EVANSVILLE IN 47708 352050168 501(C)(3) 17500 0 GENERAL SUPPORT 22 2 PART I, LINE 2: DEACONESS HOSPITAL CONFIRMS ALL RECIPIENTS OF FUNDS ARE ORGANIZATIONS WHOSE GOALS COINCIDE WITH DEACONESS' MISSION OF PROVIDING QUALITY HEALTH CARE WITH A COMPASSIONATE AND CARING SPIRIT. THE ORGANIZATIONS PROVIDE NEEDED SERVICES TO OUR COMMUNITY TO IMPROVE HEALTH AND WELLNESS FOR THE CITIZENS IN THE SURROUNDING AREA. X 1 1 1 1 0 0 0 1 1 0 0 SHAWN MCCOY PRESIDENT / CEO OF DEACONE 406081 832466 149940 307378 105040 215333 103765 212718 14743 30223 779569 1598118 102744 210626 ANDREI TRIPAC MD ANESTHESIOLOGIST 1765341 0 0 0 6846 0 16075 0 32256 0 1820518 0 0 0 YPAUL GOLDENMERRY MD ANESTHESIOLOGIST 1582287 0 0 0 18733 0 9175 0 11095 0 1621290 0 0 0 KHALIL BEYDOUN MD ANESTHESIOLOGIST 1405133 0 0 0 19399 0 4000 0 34032 0 1462564 0 0 0 RAGHAV GUPTA MD CRITICAL CARE PHYSICIAN 1389652 0 0 0 10281 0 19075 0 31857 0 1450865 0 0 0 VENKATESH MADADI MD ANESTHESIOLOGIST 1248423 0 0 0 23194 0 27075 0 34443 0 1333135 0 0 0 LYNN LINGAFELTER FORMER OFFICER 0 694891 0 216135 0 161934 0 162333 0 36046 0 1271339 0 158553 JAMES PORTER MD FORMER OFFICER 0 682862 0 213203 0 177113 0 160685 0 26675 0 1260538 0 173122 CHERYL WATHEN FORMER OFFICER 0 660905 0 178364 0 149595 0 148420 0 46099 0 1183383 0 143448 MELINDA D LEBOFSKY FORMER OFFICER 0 388711 0 88058 0 64172 0 607670 0 30222 0 1178833 0 35470 NAROTHAMA R AEDDULA MD DIRECTOR 0 830395 0 134414 0 10122 0 19075 0 33290 0 1027296 0 0 MARC FLORENCE FORMER OFFICER 0 517418 0 139337 0 96624 0 111246 0 42712 0 907337 0 92724 BRADLEY SCHEU MD PRESIDENT 0 507696 0 135364 0 94791 0 107962 0 40088 0 885901 0 92095 DAVID RYON MD DIRECTOR 609946 0 0 0 35492 0 22075 0 34080 0 701593 0 0 0 JENNIFER CHIUSANO FORMER OFFICER 0 364543 0 98906 0 67028 0 72315 0 19284 0 622076 0 63074 JAMIE L DAVIDSON MD DIRECTOR 394255 0 2500 0 15828 1200 27075 0 760 0 440418 1200 0 0 STEVEN IVY TREASURER 112659 197153 25375 44406 446 780 4391 7684 13308 23289 156179 273312 0 0 JOANN WOOD MD FORMER OFFICER 185208 0 0 0 3124 0 6564 0 2086 0 196982 0 0 0 PART I, LINE 1A SOCIAL CLUB DUES ARE PAID FOR SHAWN MCCOY FOR ORGANIZATION BUSINESS ONLY. ANY PERSONAL USE OF THE CLUB MUST BE PAID BY THE EMPLOYEES. PART I, LINE 3 THE FOLLOWING METHODS WERE USED BY DEACONESS HEALTH SYSTEM, A RELATED NON-PROFIT ORGANIZATION, TO DETERMINE THE COMPENSATION FOR THE CEO: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION STUDY OR SURVEY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B SEVERANCE: JOANN WOOD $186,640 NONQUALIFIED PAYMENTS: NAROTHAMA AEDDULA $23,000 JAMIE DAVISON $23,000 SHAWN MCCOY $23,000 DAVID RYON $23,000 BRADLEY SCHEU $23,000 ANDREI TRIPAC $23,000 KHALIL BEYDOUN $23,000 RAGHAV GUPTA $23,000 VENKATESH MADADI $23,000 CHERYL WATHEN $23,000 JAMES PORTER $23,000 JENNIFER CHIUSANO $23,000 LYNN LINGAFELTER $23,000 MARC FLORENCE $23,000 MELINDA LEBOFSKY $18,577 JAMIE DAVISON $15,000 DAVID RYON $10,000 RAGHAV GUPTA $7,000 VENKATESH MADADI $15,000 PART 1, 4B: SHAWN MCCOY: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $ 304,408 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $ 313,370 BRADLEY SCHEU: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $95,887 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $92,095 CHERYL WATHEN: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $136,345 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $143,448 JAMES PORTER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $148,610 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $173,122 LYNN LINGAFELTER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $150,258 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $158,553 MARC FLORENCE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $99,171 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $92,724 JENNIFER CHIUSANO: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $60,240 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $63,074 MELINDA LEBOFSKY: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $48,595 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $35,470 PART I, LINE 6 COMPENSATION CONTINGENT UPON NET EARNINGS: INCENTIVE COMPENSATION PAYMENTS MADE BY THE ORGANIZATION ARE BASED UPON SUCCESSFUL ACHIEVEMENT OF ESTABLISHED INPATIENT SATISFACTION MEASURES, OUTPATIENT SATISFACTION MEASURES, COMPLIANCE WITH PUBLICLY REPORTED QUALITY INDICATORS, OPERATING MARGIN AS WELL AS OTHER TECHNICAL AND PERSONAL FUNCTIONAL GOALS OF BOTH THE ORGANIZATION AND RELATED ORGANIZATIONS. DEACONESS HOSPITAL'S INCENTIVE COMPENSATION PROGRAMS ARE FORMULATED TO REWARD BEHAVIOR THAT BALANCES PATIENT NEEDS AND EFFICIENT DELIVERY OF PATIENT CARE TO ENSURE THE BEST OUTCOMES ARE ACHIEVED. A INDIANA FINANCE AUTHORITY-2021B 351602316 45506EDH3 2021-10-28 36810000 REFUND 2013C ISSUED 7/23/13 0 0 0 B INDIANA FINANCE AUTHORITY-2016A 351602316 45506DXT7 2016-10-05 109999091 NEW MONEY PROJECTS 1 0 0 C INDIANA FINANCE AUTHORITY-2015A 351602316 45506DUL7 2015-07-09 49772341 03/26/2009 REFUNDING 0 0 0 D INDIANA FINANCE AUTHORITY-2013B 351602316 000000000 2013-03-05 21440000 5/27/04 REFUNDING 0 0 0 A 5850000 36810000 135400 36674600 2021 1 0 1 1 B 1425000 54760000 111373335 4660332 935528 2885418 102892057 2018 0 0 1 1 C 41890000 49772341 601847 49170494 2015 0 1 1 1 D 14865000 21440000 125000 21315000 2013 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 1 0 1 1 FIFTH THIRD 14.000000000000 0 0 0 0 1 A 1 B 1 C 1 D 1 PART II, COLUMN B, LINE 3: THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE DUE THE INVESTMENT EARNINGS ON THE PROJECT FUND IN THE AMOUNT OF $1,374,244 PART II, COLUMN D, LINE 11: THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW. SCHEDULE K, PART IV, COLUMN B, LINE 2C: A REBATE CALCULATION WAS COMPLETED, WITH NO REBATE DUE. PART IV, COLUMN C, LINE 2C: A REBATE CALCULATION WAS COMPLETED, WITH NO REBATE DUE, ON APRIL 17, 2017. PART I, LINE A, COLUMN F: THE PURPOSE OF THE ISSUE IS TO REFUND THE SERIES 2004A ISSUED: 5/27/2004 AND REFUND SERIES 2009A ISSUED: 3/26/2009. PART II, COLUMN A, LINE 11: THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW. PART II, COLUMN C, LINE 11: THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW. A INDIANA FINANCE AUTHORITY -2023A 351602316 000000000 2023-11-09 14500000 NEW MONEY PROJECTS 0 0 0 A 1274049 14500000 14500000 2023 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 ABBY PAPARIELLA SEE PART V 44829 COMP. 0 JOAN MCCOY SEE PART V 60970 COMP. 0 SHERRI MCCOY SEE PART V 26452 COMP. 0 MARTHA SCHEU SEE PART V 24976 COMP. 0 SCH L, PART IV, ABBREVIATION: COMP. = REPORTABLE COMPENSATION SCH L, PART V, RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: INTERESTED PERSON: ABBY PAPARIELLARELATIONSHIP: DAUGHTER OF DAVE PAPARIELLAINTERESTED PERSON: JOAN MCCOYRELATIONSHIP: WIFE OF SHAWN MCCOYINTERESTED PERSON: SHERRI MCCOYRELATIONSHIP: SISTER OF SHAWN MCCOYINTERESTED PERSON: MARTHA SCHEURELATIONSHIP: MOTHER OF BRADLEY SCHEU, MD 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 51 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 MIDTOWN CAMPUS WITH A TOTAL OF 256 BEDS CONSISTING OF 50 INTENSIVE CARE BEDS, 22 STEPDOWN BEDS, 44 ORTHOPAEDIC/ NEUROLOGICAL BEDS, 82 MEDICAL/SURGICAL BEDS, 39 MEDICAL RENAL BEDS, AND 19 BEDS DEDICATED TO PATIENTS IN OBSERVATION. IN ADDITION, THE HOSPITAL PROVIDES A FULL-ARRAY OF COMPREHENSIVE OUTPATIENT AND AMBULATORY SERVICES ON ITS MIDTOWN CAMPUS AND OTHER SPECIFIC SERVICES AT MULTIPLE SITES WITHIN ITS PRIMARY AND SECONDARY SERVICE AREAS. THE HOSPITAL OPERATES THE 258 BED DEACONESS GATEWAY HOSPITAL WHICH WAS OPENED IN JANUARY 2006, ON THE GATEWAY CAMPUS CONSISTING OF 13 ADULT INTENSIVE CARE BEDS, 19 PEDIATRIC AND PEDIATRIC INTENSIVE CARE BEDS, 48 NEUROSURGICAL BEDS, 32 ORTHOPAEDIC BEDS, 16 NEURO INTENSIVE CARE BEDS, 32 SURGICAL ONCOLOGY BEDS, 34 GENERAL MED/TELEMETRY BEDS, 32 CARDIAC BEDS, AND 32 BEDS DEDICATED TO PATIENTS IN OBSERVATION. THE ORTHOPEDIC NEUROSCIENCE HOSPITAL OPENED ON THE GATEWAY CAMPUS IN MAY OF 2018. THE HOSPITAL OWNS AND OPERATES DEACONESS CROSS POINTE, A FREE-STANDING, 58 BED INPATIENT PSYCHIATRIC HOSPITAL LOCATED APPROXIMATELY 7 MILES EAST OF THE MIDTOWN CAMPUS IN EVANSVILLE. THE HOSPITAL OWNS AND OPERATES DEACONESS HEART HOSPITAL, A FREE-STANDING, 24 BED UNIVERSAL ACUITY-ADAPTABLE HEART UNIT INPATIENT CARDIAC HOSPITAL LOCATED ON THE DEACONESS GATEWAY CAMPUS IN NEWBURGH. DEACONESS HEART HOSPITAL IS THE REGION'S ONLY ACUTE CARE HOSPITAL DEDICATED TO HEART AND VASCULAR CARE. 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 $17.1 MILLION OF CHARITY CARE AND $70.5 MILLION OF SUBSIDIZED SERVICES TO THE MEDICAID PROGRAM, AND $121.5 MILLION OF SUBSIDIZED SERVICES TO THE MEDICARE PROGRAM. FORM 990, PART III, LINE 4C PROGRAM SERVICES ACCOMPLISHMENT 3: GRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION & COMMUNITY BENEFITS. DEACONESS HOSPITAL PLAYS AN ACTIVE ROLE IN MEDICAL EDUCATION, OPERATING A THREE-YEAR FAMILY MEDICINE RESIDENCY PROGRAM AND A POST-GRADUATE PHARMACY RESIDENCY PROGRAM. DEACONESS HOSPITAL ALSO PROVIDES CONTINUING MEDICAL EDUCATION PROGRAMS FOR ATTENDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, OTHER ALLIED HEALTH PROGRAMS, COMMUNITY HEALTH PROGRAMS AND A CHAPLAIN RESIDENCY PROGRAM. IN ADDITION TO EDUCATIONAL SERVICES, DEACONESS HOSPITAL PROVIDED $9.8 MILLION IN COMMUNITY BENEFIT ACTIVITIES (ALL ON A COST BASIS), SERVING A MINIMUM OF 1,381,291 PEOPLE WITHIN THE TRI-STATE AREA. 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 DEACONESS HOSPITAL, INC. HAS A SOLE CORPORATE MEMBER, DEACONESS HEALTH SYSTEM, INC. PURSUANT TO ARTICLE III OF THE BYLAWS, THE SOLE MEMBER ELECTS MEMBERS OF THE BOARD OF DIRECTORS, INCLUDING DIRECTORS WHOSE TERMS EXPIRE AND DIRECTORS FILLING VACANCIES. FORM 990, PART VI, SECTION A, LINE 7B DEACONESS HOSPITAL, INC. HAS A SOLE CORPORATE MEMBER, DEACONESS HEALTH SYSTEM, INC., THAT RETAINS CERTAIN RESERVED POWERS UNDER ARTICLE III, SECTION 3.17 OF THE BYLAWS. SIGNIFICANT CORPORATE ACTIONS, INCLUDING SPECIFIED STRATEGIC, FINANCIAL, GOVERNANCE, AND ORGANIZATIONAL DECISIONS, REQUIRE APPROVAL OF THE SOLE MEMBER. ACCORDINGLY, CERTAIN DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO MEMBER APPROVAL. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE PROCESS THAT DEACONESS HOSPITAL UTILIZES TO PRESENT THE FORM 990 TO ITS GOVERNING BODY PRIOR TO FILING IS TO PRESENT THE FORM 990 TO THE CFO AND CEO OF THE ORGANIZATION FOR REVIEW. AFTER THIS REVIEW IS PERFORMED AND ALL QUESTIONS ARE ANSWERED, THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS OF DEACONESS HEALTH SYSTEM AT THE BOARD MEETING PRIOR TO THE FILING DATE OF THE FORM 990. ANY ADDITIONAL QUESTIONS ARE ANSWERED AND THE FINAL FILING IS THEN COMPLETED. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH CONFLICT OF INTEREST POLICY: CONFLICT OF INTEREST REVIEW AND COMPLIANCE ACTIVITIES ARE CONDUCTED THROUGHOUT THE YEAR UNDER THE DIRECTION OF DEACONESS HOSPITAL'S CORPORATE COMPLIANCE OFFICER. UPON APPOINTMENT AND, ANNUALLY, THEREAFTER, OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES, ALSO KNOWN AS INTERESTED PERSONS, ARE REQUIRED TO COMPLETE "THE CONFLICTS OF INTEREST QUESTIONNAIRE AND/OR "THE DISCLOSURE QUESTIONNAIRE". THESE DOCUMENTS SERVE TO ENSURE INTERESTED PERSONS OR COMMITTEE MEMBERS WITH BOARD DELEGATED POWERS HAVE AN APPROPRIATE AND TIMELY MANNER IN WHICH TO DISCLOSE ANY POTENTIAL CONFLICTS. CONFLICTS ARE CONSIDERED WITH RESPECT TO OUTSIDE INTEREST, INVESTMENTS, OUTSIDE ACTIVITIES, AND BUSINESS INTERESTS AMONG THE INTERESTED PERSONS AS WELL AS THEIR FAMILY MEMBERS. ON A PERIODIC BASIS, REVIEWS OCCUR TO ENSURE DEACONESS HOSPITAL OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSE. SUBJECTS THAT ARE REVIEWED ON A PERIODIC BASIS INCLUDE COMPENSATION, PHYSICIAN RELATIONSHIPS, PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR TOP OFFICIALS AND OTHER OFFICERS: DEACONESS HOSPITAL UTILIZES A COMPENSATION COMMITTEE TO APPROVE EXECUTIVE, DIRECTOR AND PHYSICIAN COMPENSATION AS WELL AS EXECUTIVE AND PHYSICIAN BENEFITS PROGRAMS. THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS AND MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE SEC. THE COMMITTEE HAS THE POWER AND AUTHORITY TO: 1. ANNUALLY REVIEW AND APPROVE AND RECOMMEND TO THE BOARD OF DIRECTORS FOR ITS FINAL APPROVAL FOR THE CEO AND EACH OTHER EXECUTIVE OFFICER OF THE SYSTEM ALL ELEMENTS OF EXECUTIVE COMPENSATION. 2. MONITOR BROADLY THE STRUCTURE, PHILOSOPHY OR COMPETITIVENESS OF THE SYSTEM'S GENERAL HIRING OR COMPENSATION PRACTICES. 3. OVERSEE THE ESTABLISHMENT AND ADMINISTRATION OF THE COMPANY'S BROAD-BASED BENEFIT PLANS AND PROGRAMS 4. REVIEW OR APPROVE SIGNIFICANT AMENDMENTS OR CHANGES TO THE PLANS AND PROGRAMS. 5. RETAIN AND TERMINATE ANY COMPENSATION CONSULTANT TO BE USED TO ASSIST IN THE EVALUATION OF DIRECTOR, CEO OR EXECUTIVE OFFICER 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 VII & SCHEDULE J, PART II: WE DO NOT USE A COMMON PAYMASTER. ALL SHARED STAFF AND DUAL-OFFICERS ARE PAID AND W-2'D SOLELY BY DHS. DEACONESS HOSPITAL, INC. REPORTS ALL SUCH COMPENSATION AS RELATED ORGANIZATION COMPENSATION IN PART VII COL (E) AND SCHEDULE J ROW (II). THE INTERCOMPANY ALLOCATION AND SUBSIDY ARE REPORTED AS OPERATIONAL TRANSFERS/ALLOCATIONS, NOT AS DIRECT COMPENSATION BY THE SUBSIDIARY. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 220,716,579. MANAGEMENT AND GENERAL EXPENSES 37,174,729. FUNDRAISING EXPENSES 96,352. TOTAL EXPENSES 257,987,660. PROFESSIONAL FEES- PHYSICIANS: PROGRAM SERVICE EXPENSES 21,873,734. MANAGEMENT AND GENERAL EXPENSES 7,551,487. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,425,221. FORM 990, PART XI, LINE 9: FOUNDATION MONIES GRANTED FROM RESTRICTION -2,574,326. CHANGE IN INVESTMENT IN SWAP 67,988,087. CHANGE IN BENEFICIAL INTEREST 11,768,735. 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