DEACONESS WOMENS HOSPITAL OF SOUTHERN INDIANA LLC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- DEACONESS WOMENS HOSPITAL OF SOUTHERN INDIANA LLC (EIN 35-2062016)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-08-17
- IRS object ID
- 202632309349302308
- Schema version
- 2024v5.5
- 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 H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-17T17:47:38-05:00 | ReturnTs |
| Tax Period End | 2025-09-30 | 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 | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352062016 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEACONESS WOMEN'S HOSPITAL OF SOUTHERN | BusinessNameLine1Txt |
| Business Name Line2 | INDIANA LLC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DEAC | BusinessNameControlTxt |
| Phone | 5125363090 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4199 GATEWAY BLVD | AddressLine1Txt |
| City | NEWBURGH | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47630 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALLISON INGLER | PersonNm |
| Person Title | CAO | PersonTitleTxt |
| Phone | 5125363090 | PhoneNum |
| Signature | 2026-08-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EMILIE M KNIERIEM CPA | PreparerPersonNm |
| PTIN | P01330194 | PTIN |
| Phone | 3176334705 | PhoneNum |
| Preparation | 2026-08-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALLISON INGLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4199 GATEWAY BLVD | AddressLine1Txt |
| City | NEWBURGH | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47630 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $153,788,033 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SEE SCHEDULE O | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2023 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | IT IS THE MISSION OF THE WOMEN'S HOSPITAL TO PROVIDE A FULL RANGE OF HIGH-QUALITY, CONVENIENT, PERSONALIZED AND COST EFFECTIVE HEALTH CARE SERVICES TO THE WOMEN AND INFANTS IN OUR COMMUNITY. WE STRIVE TO ACHIEVE EXCELLENCE AND LEADERSHIP IN HUMANISTIC FAMILY CENTERED CARE THROUGH EDUCATION, CREATIVE PRACTICE AND RESEARCH. WE RECOGNIZE THAT OUR MOST IMPORTANT ASSET IS OUR STAFF AND THEIR COMMITTED AND CARING ATTITUDE. THEREFORE, IT IS OUR GOAL TO CREATE AN ATMOSPHERE THAT ENHANCES PROFESSIONAL DEVELOPMENT, EFFECTIVE INTERACTION AND EDUCATIONAL OPPORTUNITIES, AND PROMOTES PRIDE IN THE WORK PLACE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 863 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $309,224 | PYContributionsGrantsAmt |
| CY Contributions Grants | $562,828 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $134,639,078 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $151,863,832 | CYProgramServiceRevenueAmt |
| PY Investment Income | $115,595 | PYInvestmentIncomeAmt |
| CY Investment Income | $66,551 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,602,711 | PYOtherRevenueAmt |
| CY Other Revenue | $1,209,100 | CYOtherRevenueAmt |
| PY Total Revenue | $136,666,608 | PYTotalRevenueAmt |
| CY Total Revenue | $153,702,311 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $73,457 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $92,720 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $66,448,000 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $69,648,414 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $55,946,689 | PYOtherExpensesAmt |
| CY Other Expenses | $62,836,073 | CYOtherExpensesAmt |
| PY Total Expenses | $122,468,146 | PYTotalExpensesAmt |
| CY Total Expenses | $132,577,207 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $14,198,462 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $21,125,104 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $286,344,674 | TotalAssetsBOYAmt |
| Total Assets EOY | $292,566,666 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $48,801,821 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $33,898,709 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $237,542,853 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $258,667,957 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | IT IS THE MISSION OF THE WOMEN'S HOSPITAL TO PROVIDE A FULL RANGE OF HIGH-QUALITY, CONVENIENT, PERSONALIZED AND COST EFFECTIVE HEALTH CARE SERVICES TO THE WOMEN AND INFANTS IN OUR COMMUNITY. WE STRIVE TO ACHIEVE EXCELLENCE AND LEADERSHIP IN HUMANISTIC FAMILY CENTERED CARE THROUGH EDUCATION, CREATIVE PRACTICE AND RESEARCH. WE RECOGNIZE THAT OUR MOST IMPORTANT ASSET IS OUR STAFF AND THEIR COMMITTED AND CARING ATTITUDE. THEREFORE, IT IS OUR GOAL TO CREATE AN ATMOSPHERE THAT ENHANCES PROFESSIONAL DEVELOPMENT, EFFECTIVE INTERACTION AND EDUCATIONAL OPPORTUNITIES, AND PROMOTES PRIDE IN THE WORK PLACE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $117,623,381 | ExpenseAmt |
| Grant | $92,720 | GrantAmt |
| Revenue | $152,051,729 | RevenueAmt |
| Desc | THE WOMEN'S HOSPITAL IS DEDICATED TO THE SPECIFIC HEALTH CARE NEEDS OF WOMEN AND BABIES. OUR TEAM OF HIGHLY-SKILLED PHYSICIANS AND STAFF MEMBERS IS COMMITTED TO PROVIDING COMPASSIONATE, HIGH-QUALITY CARE IN A FAMILY-CENTERED ENVIRONMENT. | Desc |
| Total Program Service Expenses | $117,623,381 | 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 |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 | 0 | 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 | 0 | TaxExemptBondsInd |
| 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 | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 65 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 863 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | 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 | Yes (1) | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | 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 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| LINDA WHITE | ||||||||
| CHAIRMAN | 5.00 | 50.00 | Yes (X) | Yes (X) | $0 | $296,521 | $26,372 | |
| CHERYL WATHEN | ||||||||
| SECRETARY/TREASURER | 5.00 | 50.00 | Yes (X) | Yes (X) | $0 | $988,864 | $194,519 | |
| SHAWN MCCOY | ||||||||
| CEO OF DEACONESS HOSPITAL | 5.00 | 56.00 | Yes (X) | $0 | $2,016,238 | $361,449 | ||
| JAMES PORTER MD | ||||||||
| PRESIDENT OF DEACONESS HOSPITAL | 5.00 | 56.00 | Yes (X) | $0 | $1,073,178 | $187,360 | ||
| CHRISTINA M RYAN | ||||||||
| CHIEF EXECUTIVE OFFICER | 50.00 | 0.00 | Yes (X) | $762,850 | $0 | $30,475 | ||
| ALLISON INGLER | ||||||||
| CAO | 50.00 | 0.00 | Yes (X) | $247,893 | $135,214 | $31,620 | ||
| CLAYTON FITZPATRICK | ||||||||
| CMO | 50.00 | 0.00 | Yes (X) | $977,929 | $0 | $35,126 | ||
| BARTON STAAT MD | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $925,530 | $0 | $53,361 | Yes (X) | ||
| DANIEL GRIFFIN MD | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $558,110 | $0 | $51,135 | Yes (X) | ||
| KARENROSE MARTINEZ MD | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $849,451 | $0 | $48,159 | Yes (X) | ||
| SAMER SCHUMAN MD | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,653,175 | $98,426 | $17,477 | Yes (X) | ||
| SPENCER KUPER MD | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,114,443 | $0 | $51,834 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,089,381 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,608,441 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,088,887 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 87 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| TRI STATE ANESTHESIA | |||||
| 1210 HOING RD | EVANSVILLE | IN | 47725 | ANESTHESIA SERVICES | $5,365,300 |
| PROGRESSIVE HEALTH OF INDIANA | |||||
| 150 N ROSENBERGER AVE | EVANSVILLE | IN | 47712 | PHYSICAL THERAPY SERVICES | $2,796,952 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 753972633 | PHYSICIAN SERVICES | $783,532 |
| WOMEN'S HEALTH CARE PC | |||||
| 4199 GATEWAY BLVD STE 2500 | NEWBURGH | IN | 47630 | PHYSICIAN SERVICES | $623,221 |
| TOTAL MSP LLC | |||||
| 221 W COLLEGE AVE | APPLETON | WI | 54911 | STAFFING | $240,110 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $366,340 | GovernmentGrantsAmt |
| All Other Contributions | $196,488 | AllOtherContributionsAmt |
| Total Contributions | $562,828 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $151,863,832 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $151,863,832 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $151,863,832 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,551 | TotalRevenueColumnAmt |
| Exclusion | $66,551 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $203,089 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $85,722 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $117,367 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $117,367 | TotalRevenueColumnAmt |
| Exclusion | $117,367 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA REVENUE | 900099 | $596,795 | $596,795 |
| LOBBY/GIFT SHOP REVENUE | 459420 | $253,289 | $253,289 |
| WOMEN'S RESOURCE / LACTATION SHOP | 456110 | $38,052 | $38,052 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $203,597 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $187,897 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $15,700 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,091,733 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $153,702,311 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $152,051,729 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,087,754 | 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 | $92,720 | TotalAmt |
| Program Services | $92,720 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,265,339 | TotalAmt |
| Program Services | $1,143,393 | ProgramServicesAmt |
| Management And General | $121,946 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,063,867 | TotalAmt |
| Program Services | $49,757,118 | ProgramServicesAmt |
| Management And General | $5,306,749 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,693,403 | TotalAmt |
| Program Services | $8,283,004 | ProgramServicesAmt |
| Management And General | $1,410,399 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,625,805 | TotalAmt |
| Program Services | $3,248,962 | ProgramServicesAmt |
| Management And General | $376,843 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,130 | TotalAmt |
| Program Services | $13,009 | ProgramServicesAmt |
| Management And General | $1,121 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,735 | TotalAmt |
| Program Services | $62,360 | ProgramServicesAmt |
| Management And General | $5,375 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,715,336 | TotalAmt |
| Program Services | $22,754,178 | ProgramServicesAmt |
| Management And General | $1,961,158 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,634,384 | TotalAmt |
| Program Services | $2,360,583 | ProgramServicesAmt |
| Management And General | $273,801 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449 | TotalAmt |
| Program Services | $402 | ProgramServicesAmt |
| Management And General | $47 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,072,838 | TotalAmt |
| Program Services | $4,359,803 | ProgramServicesAmt |
| Management And General | $2,713,035 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,781 | TotalAmt |
| Program Services | $248,014 | ProgramServicesAmt |
| Management And General | $28,767 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,522 | TotalAmt |
| Program Services | $67,470 | ProgramServicesAmt |
| Management And General | $47,052 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,811,399 | TotalAmt |
| Program Services | $1,233,275 | ProgramServicesAmt |
| Management And General | $578,124 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,117,228 | TotalAmt |
| Program Services | $1,001,110 | ProgramServicesAmt |
| Management And General | $116,118 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $9,002,531 | $8,925,078 | $77,453 |
| LABORATORY FEES | $7,385,018 | $6,617,466 | $767,552 |
| MEDICAL HOSPITAL ASSESS | $7,115,024 | $6,375,534 | $739,490 |
| REPAIRS AND MAINTENANCE | $1,491,596 | $1,064,577 | $427,019 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,102 | TotalAmt |
| Program Services | $15,325 | ProgramServicesAmt |
| Management And General | $1,777 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,577,207 | TotalAmt |
| Program Services | $117,623,381 | ProgramServicesAmt |
| Management And General | $14,953,826 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,972,117 | BOYAmt |
| EOY | $12,208,142 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,030,429 | BOYAmt |
| EOY | $28,320,869 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $621,433 | BOYAmt |
| EOY | $728,110 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $794,523 | BOYAmt |
| EOY | $623,160 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,162,919 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $32,062,184 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $25,548,646 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,474,196 | BOYAmt |
| EOY | $6,513,538 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,551,960 | BOYAmt |
| EOY | $199,223,416 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,900,016 | BOYAmt |
| EOY | $43,786,512 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,344,674 | BOYAmt |
| EOY | $292,566,666 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,610,362 | BOYAmt |
| EOY | $10,637,161 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,411,498 | BOYAmt |
| EOY | $973,175 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,779,961 | BOYAmt |
| EOY | $22,288,373 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,801,821 | BOYAmt |
| EOY | $33,898,709 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,542,853 | BOYAmt |
| EOY | $258,667,957 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,542,853 | BOYAmt |
| EOY | $258,667,957 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,344,674 | BOYAmt |
| EOY | $292,566,666 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $21,125,104 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 | $12,860 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $12,860 | 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 WOMEN'S 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
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,069,455 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,106,328 | DepreciationAmt |
| Book Value | $3,963,127 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,992,729 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,442,318 | DepreciationAmt |
| Book Value | $2,550,411 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,513,538 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RIGHT OF USE ASSETS | $21,540,063 |
| THIRD PARTY PAYOR SETTLEMENT | $2,410,698 |
| INTERCOMPANY RECEIVABLES | $19,835,751 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $43,786,512 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| RIGHT OF USE LIABILITIES | $21,923,484 |
| DEFERRED COMPENSATION | $364,889 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $22,288,373 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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, 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. | ExplanationTxt |
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 |
| Percent350 | Yes (X) | Percent350Ind |
| 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 | $1,556,362 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,556,362 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01170 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,129,719 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,876,682 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,686,081 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,876,682 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,556,362 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01170 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $162,012 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $162,012 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $987,336 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $987,336 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00740 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $78,429 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $78,429 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,227,777 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,227,777 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00920 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,913,858 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,876,682 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,784,139 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02090 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,235,915 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $8,037,195 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $13,386,248 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,349,053 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 BOSTON IVF FERTILITY SERVICES AT THE WOMEN'S HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEACONESS WOMEN'S HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4199 GATEWAY BLVD | AddressLine1Txt |
| City | NEWBURGH | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47630 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.DEACONESS.COM | WebsiteAddressTxt |
| State License | 25-002855-1 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEACONESS WOMEN'S HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.DEACONESS.COM/CHNA | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.DEACONESS.COM/CHNA | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DEACONESS WOMEN'S HOSPITAL | 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). |
| DEACONESS WOMEN'S HOSPITAL | 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. |
| DEACONESS WOMEN'S HOSPITAL | PART V, SECTION B, LINE 6B: 2024 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. |
| DEACONESS WOMEN'S HOSPITAL | PART V, SECTION B, LINE 11: THE WOMEN'S HOSPITAL ADDRESSES THE HEALTH NEEDS IDENTIFIED IN THE 2024 WARRICK COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE FOUR PRIORITY NEEDS IDENTIFIED THROUGH THAT PROCESS ARE: BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH AND SUBSTANCE USE/MISUSE); AGING POPULATIONS; ACCESS TO CARE (WITH EMPHASIS ON LIMITED TRANSPORTATION OPTIONS); AND OUTREACH AND ADVOCACY (INCLUDING FAMILY AWARENESS AND SUPPORT AROUND HEALTHY LIVING). THE WOMEN'S HOSPITAL'S IMPLEMENTATION ACTIVITIES DURING FY25 (OCTOBER 1, 2024 SEPTEMBER 30, 2025) ARE DESCRIBED BELOW BY PRIORITY AREA.PRIORITY 1: BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH AND SUBSTANCE USE/MISUSE)BEHAVIORAL HEALTH WAS THE TOP-RANKED PRIORITY IN THE 2024 CHNA, WITH PARTICULAR CONCERN FOR PREGNANT PATIENTS AND FAMILIES AFFECTED BY SUBSTANCE USE DISORDERS AND A RECOGNIZED ABSENCE OF PEDIATRIC SUBSTANCE USE TREATMENT IN THE COUNTY.-THE WOMEN'S HOSPITAL OPERATED A PERINATAL SUPPORT PROGRAM, A MULTIDISCIPLINARY CONSULT PROGRAM PROVIDING ASSESSMENT, CARE COORDINATION, AND WRAPAROUND SUPPORT TO PREGNANT PATIENTS AND FAMILIES AFFECTED BY SUBSTANCE USE DISORDERS. DURING FY25, THE PROGRAM CONDUCTED 12 CONSULTS, WITH FAMILIES RECEIVING PACK-AND-PLAY EQUIPMENT, TRANSPORTATION SUPPORT, AND REFERRALS TO COMMUNITY PROGRAMS AND HOME VISITING SERVICES.-THE PROGRAM ALSO DELIVERED 475 ADDITIONAL ENCOUNTERS VIA PHONE AND IN-PERSON VISITS, CONNECTING FAMILIES TO COMMUNITY RESOURCES, HOME VISITING PROGRAMS, AND PERINATAL SUPPORT UNIT CONSULT REFERRALS BEYOND THE FORMAL CONSULT PROCESS.-IN PARTNERSHIP WITH VOLUNTEERS OF AMERICA, COMMUNITY EDUCATORS FROM THE WOMEN'S HOSPITAL PROVIDED 14 EDUCATIONAL CLASSES TO 159 ATTENDEES ENROLLED IN A RESIDENTIAL SUBSTANCE USE DISORDER TREATMENT PROGRAM. CLASS TOPICS INCLUDED SAFE SLEEP, CAR SEAT SAFETY, INFANT CPR, AND SELF-CARE.PRIORITY 2: AGING POPULATIONSTHE 2024 CHNA IDENTIFIED AGING ADULTS AS A GROWING AND UNDERSERVED POPULATION IN WARRICK COUNTY, WITH PARTICULAR GAPS IN TRANSPORTATION, ASSISTED LIVING AVAILABILITY, AND SOCIAL CONNECTION.-NO SPECIFIC ACTIVITIES DIRECTED AT AGING POPULATIONS WERE CONDUCTED BY THE WOMEN'S HOSPITAL DURING FY25, CONSISTENT WITH THE HOSPITAL'S MISSION FOCUS ON WOMEN'S AND CHILDREN'S HEALTH. THIS POPULATION IS MORE DIRECTLY ADDRESSED THROUGH OTHER CHNA PARTNER IMPLEMENTATION STRATEGIES.PRIORITY 3: ACCESS TO CARE (WITH EMPHASIS ON LIMITED TRANSPORTATION OPTIONS)THE 2024 CHNA IDENTIFIED TRANSPORTATION AS A PROMINENT BARRIER TO CARE, PARTICULARLY FOR RURAL RESIDENTS, PREGNANT PATIENTS, AND FAMILIES WITH YOUNG CHILDREN.-THE WOMEN'S HOSPITAL LAUNCHED THE RONALD MCDONALD CARE MOBILE, A MOBILE HEALTH UNIT SERVING THE EVANSVILLE COMMUNITY. THE PROGRAM ONBOARDED IN OCTOBER 2024, RECEIVED THE VEHICLE IN JANUARY 2025, COMPLETED A SOFT LAUNCH IN APRIL 2025, AND BEGAN FULL CARE DELIVERY INCLUDING REGISTERED NURSING, SOCIAL WORK, AND DRIVER SERVICES IN AUGUST 2025.-DURING FY25, THE CARE MOBILE OPERATED 19 DAYS AND COMPLETED 156 PATIENT ENCOUNTERS, DIRECTLY ADDRESSING THE ACCESS GAP IDENTIFIED IN THE CHNA BY BRINGING CARE TO UNDERSERVED COMMUNITY MEMBERS RATHER THAN REQUIRING THEM TO NAVIGATE TRANSPORTATION BARRIERS.-THE RONALD MCDONALD CARE MOBILE TEAM LED A COMMUNITY ADVISORY MEETING ON A BI-MONTHLY BASIS, WITH APPROXIMATELY 30 ATTENDEES PER MEETING, TO COORDINATE COMMUNITY PARTNERSHIPS SUPPORTING MATERNAL-CHILD HEALTH ACCESS ACROSS THE REGION.PRIORITY 4: OUTREACH AND ADVOCACY (INCLUDING FAMILY AWARENESS AND SUPPORT AROUND HEALTHY LIVING)THE 2024 CHNA IDENTIFIED AWARENESS AND EDUCATION AS A CRITICAL CROSS-CUTTING NEED, WITH PARENTS AND FAMILIES SPECIFICALLY IDENTIFIED AS NEEDING CONNECTION TO COMMUNITY SUPPORTS AROUND PRENATAL CARE, SAFE SLEEP, NUTRITION, AND SUBSTANCE USE PREVENTION.-ON FEBRUARY 18, 2025, A CARE MOBILE TEAM MEMBER PRESENTED AT THE VANDERBURGH HEALTH DEPARTMENT INFANT MORTALITY SUMMIT, WITH THREE ADDITIONAL TEAM MEMBERS PROVIDING OUTREACH, REACHING AN ESTIMATED 150 INDIVIDUALS.-ON MARCH 1, 2025, THREE CARE MOBILE TEAM MEMBERS CONDUCTED BLOOD PRESSURE SCREENINGS AND HYPERTENSION EDUCATION AT A COMMUNITY EVENT, REACHING AN ESTIMATED 50 ATTENDEES.-ON JUNE 7, 2025, TWO TEAM MEMBERS PROVIDED BLOOD PRESSURE SCREENINGS AT THE JUNETEENTH CELEBRATION, REACHING AN ESTIMATED 100 INDIVIDUALS AND SUPPORTING AWARENESS OF HYPERTENSION AND PATHWAYS TO PROVIDER CARE.-THE WOMEN'S HOSPITAL MAINTAINED ACTIVE MEMBERSHIP IN THE VANDERBURGH COUNTY COMMUNITY ACTION TEAM (VCAT), WITH SIX TEAM MEMBERS PARTICIPATING IN BI-MONTHLY MEETINGS TO COORDINATE STRATEGIES SUPPORTING CHILDBEARING FAMILIES ACROSS THE REGION.-A TEAM MEMBER SERVED AS AN ADVISORY BOARD MEMBER AND LED THE HEALTHCARE WORK GROUP FOR THE IMMIGRANT WELCOME AND RESOURCE CENTER, CONVENING MONTHLY MEETINGS AND QUARTERLY FULL BOARD SESSIONS. DURING FY25, THE TEAM SUPPORTED A BACK TO SCHOOL BASH REACHING APPROXIMATELY 100 FAMILIES AND A BABY SHOWER EVENT REACHING APPROXIMATELY 50 FAMILIES WITH PREGNANCY AND NEWBORN CARE RESOURCES.-COMMUNITY EDUCATORS PROVIDED 8 CLASSES TO 26 ATTENDEES AT LOCAL ORGANIZATIONS SERVING LOW-INCOME FAMILIES, ALONG WITH 3 ADDITIONAL OUTREACH OPPORTUNITIES REACHING AN ESTIMATED 100 INDIVIDUALS.-ON JULY 12, 2025, A TEAM MEMBER PROVIDED SAFE SLEEP EDUCATION TO 8 FAMILIES WITH INFANTS UNDER ONE YEAR, DISTRIBUTING SLEEP SACKS TO REINFORCE SAFE INFANT SLEEP PRACTICES.-ON SEPTEMBER 27, 2025, TWO TEAM MEMBERS PARTICIPATED IN A GRASSROOTS INFANT MORTALITY EVENT, PROVIDING COMMUNITY EDUCATION TO AN ESTIMATED 30 INDIVIDUALS. |
| DEACONESS WOMEN'S HOSPITAL | PART V, SECTION B, LINE 15E: WELL FUND IS AVAILABLE TO DEACONESS HEALTH SYSTEM PATIENTS TO ASSIST WITH APPLYING FOR MEDICAID OR EXCHANGE PRODUCTS. |
| DEACONESS WOMEN'S HOSPITAL | PART V, SECTION B, LINE 16J: OTHER METHOD USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY: DEACONESS WOMEN'S 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 WOMEN'S 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. |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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: | THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED VARY ACCORDING TO THE INFORMATION REQUESTED AND THE MOST ACCURATE MEANS OF GATHERING THE REQUIRED INFORMATION. THE IRS PROVIDED WORKSHEET NUMBER 2 WAS USED TO CALCULATE A COST TO CHARGE RATIO USING INFORMATION FROM THE ORGANIZATION'S GENERAL LEDGER AND COST REPORTS. THAT RATIO WAS THEN USED IN CONJUNCTION WITH IRS WORKSHEET NUMBER 1 TO CALCULATE THE COST OF FINANCIAL ASSISTANCE PROVIDED AND WORKSHEET NUMBER 3 WAS USED TO CALCULATE UNREIMBURSED MEDICAID AMOUNTS. HEALTH IMPROVEMENT AND COMMUNITY BENEFIT PROGRAMS, HEALTH EDUCATION AND CONTRIBUTIONS ARE CALCULATED BASED ON ACTUAL COSTS |
| PART I, LINE 7G: | $987,336 OF LOSSES FROM RURAL HEALTH CLINICS OPERATED BY DEACONESS WOMEN'S HOSPITAL OF SOUTHER INDIANA 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 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 WOMEN'S 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 EXPENSE IS INCLUDED IN THE ATTACHED AUDITED FINANCIAL STATEMENTS UNDER FOOTNOTE. THE "PATIENT ACCOUNTS RECEIVABLE" ON PAGE 12 AND "CHARITY CARE, COMMUNITY BENEFIT AND ASSISTANCE TO THE UNINSURED" STARTING ON PAGE 13 IN THE AFS. |
| 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 2024 MEDICARE COST REPORT. |
| PART III, LINE 9B: | DEACONESS WOMEN'S 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: | 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: | THIS 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 EVENTSOCTOBER 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 WALKMEDICATION ASSISTANCE AND FAMILY MEDICINE RESIDENCY CLINICDEACONESS 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. SIMILARLY, THE MAP FOR THE DEACONESS CENTRAL REGION, INCLUDING DEACONESS MIDTOWN, DEACONESS WOMEN'S HOSPITAL AND DEACONESS GATEWAY HOSPITAL, PROVIDED 9,398 PATIENTS WITH $63,880,398.82 IN MEDICATION PAYMENT ASSISTANCE.BEHAVIORAL HEALTH AND SUICIDE PREVENTIONSTAFF FROM DEACONESS CROSS POINTE EDUCATED THOUSANDS OF PEOPLE IN THE SURROUNDING COMMUNITY ABOUT BEHAVIORAL HEALTH, RELATED RESOURCES, AND SUICIDE PREVENTION.LOCAL SPONSORSHIPSAS 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 WOMEN'S HOSPITAL OF SOUTHERN INDIANA 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 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| YOUTH INC OF SOUTHERN INDIANA | ||||||||
| PO BOX 994 | NEWBURGH | IN | 47729 | 351809333 | 501C3 | $20,000 | $0 | GRANT TO SUPPORT MISSION |
| DEACONESS HOSPITAL | ||||||||
| 600 MARY ST | EVANSVILLE | IN | 47747 | 350593390 | 501C3 | $12,250 | $0 | GRANT TO SUPPORT MISSION |
| IVY TECH FOUNDATION | ||||||||
| 50 W FALL CREEK PKWY NORTH DRIVE | INDIANAPOLIS | IN | 46208 | 237073977 | 501C3 | $10,000 | $0 | PLEDGE FOR BARBARA HILTON SCHOOL OF NURSING |
| TRI-STATE AREA TENNIS ASSOCIATION INC | ||||||||
| 5428 DAVIS LANT DR | EVANSVILLE | IN | 47715 | 800028117 | 501C3 | $10,000 | $0 | GRANT TO SUPPORT MISSION |
| EVANSVILLE BOYS & GIRLS CLUB | ||||||||
| PO BOX 6311 | EVANSVILLE | IN | 47719 | 351007558 | 501C3 | $8,800 | $0 | GRANT TO SUPPORT MISSION |
| RONALD MCDONALD HOUSE | ||||||||
| 3540 WASHINGTON AVENUE | EVANSVILLE | IN | 47714 | 351748468 | 501C3 | $8,333 | $0 | GRANT TO SUPPORT MISSION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA CONFIRMS ALL RECIPIENTS OF FUNDS ARE ORGANIZATIONS WHOSE GOALS COINCIDE WITH DEACONESS WOMEN'S HOSPITAL'S MISSION OF PROVIDING A FULL RANGE OF HIGH-QUALITY, CONVENIENT, PERSONALIZED, AND COST-EFFECTIVE HEALTH CARE SERVICES TO THE WOMEN AND INFANTS IN OUR COMMUNITY. 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 | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Severance Payment | 0 | 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 | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHAWN MCCOY | ||||||||||||||
| CEO OF DEACONESS HOSPITAL | $0 | $1,238,547 | $0 | $457,318 | $0 | $320,373 | $0 | $316,483 | $0 | $44,966 | $0 | $2,377,687 | $0 | $313,370 |
| SAMER SCHUMAN MD | ||||||||||||||
| PHYSICIAN | $858,704 | $0 | $793,645 | $0 | $826 | $98,426 | $16,075 | $0 | $1,402 | $0 | $1,670,652 | $98,426 | $0 | $0 |
| JAMES PORTER MD | ||||||||||||||
| PRESIDENT OF DEACONESS HOSPITAL | $0 | $682,862 | $0 | $213,203 | $0 | $177,113 | $0 | $160,685 | $0 | $26,675 | $0 | $1,260,538 | $0 | $173,122 |
| CHERYL WATHEN | ||||||||||||||
| SECRETARY/TREASURER | $0 | $660,905 | $0 | $178,364 | $0 | $149,595 | $0 | $148,420 | $0 | $46,099 | $0 | $1,183,383 | $0 | $143,448 |
| SPENCER KUPER MD | ||||||||||||||
| PHYSICIAN | $620,046 | $0 | $481,135 | $0 | $13,262 | $0 | $16,075 | $0 | $35,759 | $0 | $1,166,277 | $0 | $0 | $0 |
| CLAYTON FITZPATRICK | ||||||||||||||
| CMO | $834,747 | $0 | $141,271 | $0 | $1,911 | $0 | $12,075 | $0 | $23,051 | $0 | $1,013,055 | $0 | $0 | $0 |
| BARTON STAAT MD | ||||||||||||||
| PHYSICIAN | $604,777 | $0 | $303,477 | $0 | $17,276 | $0 | $16,075 | $0 | $37,286 | $0 | $978,891 | $0 | $0 | $0 |
| KARENROSE MARTINEZ MD | ||||||||||||||
| PHYSICIAN | $629,209 | $0 | $218,557 | $0 | $1,685 | $0 | $16,075 | $0 | $32,084 | $0 | $897,610 | $0 | $0 | $0 |
| CHRISTINA M RYAN | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $488,276 | $0 | $161,864 | $0 | $112,710 | $0 | $12,075 | $0 | $18,400 | $0 | $793,325 | $0 | $107,415 | $0 |
| DANIEL GRIFFIN MD | ||||||||||||||
| PHYSICIAN | $462,759 | $0 | $93,800 | $0 | $1,551 | $0 | $16,075 | $0 | $35,060 | $0 | $609,245 | $0 | $0 | $0 |
| ALLISON INGLER | ||||||||||||||
| CAO | $210,806 | $114,985 | $36,142 | $19,714 | $945 | $515 | $8,752 | $4,774 | $11,708 | $6,386 | $268,353 | $146,374 | $0 | $0 |
| LINDA WHITE | ||||||||||||||
| CHAIRMAN | $0 | $236,224 | $0 | $56,706 | $0 | $3,591 | $0 | $14,871 | $0 | $11,501 | $0 | $322,893 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 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, 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, LINE 4B | SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS: NONQUALIFIED: LINDA WHITE $23,000 SHAWN MCCOY $23,000 JAMES PORTER $23,000 CHERYL WATHEN $23,000 SAMER SCHUMAN $23,000 PART 1, 4B: SHAWN MCCOY: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $ 304,408 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $ 313,370 JAMES PORTER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $148,610 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $173,122 CHERYL WATHEN: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $136,345 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $143,448 CHRISTINA M. RYAN SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $107,415 |
| PART I, LINE 6 | INCENTIVE COMPENSATION PAYMENTS MADE BY THE ORGANIZATION ARE BASED ON THE SUCCESSFUL ACHIEVEMENT OF ESTABLISHED INPATIENT SATISFACTION MEASURES, OUTPATIENT SATISFACTION MEASURES, COMPLIANCE WITH PUBLICLY REPORTED QUALITY INDICATORS, OPERATING MARGIN TARGETS, AS WELL AS OTHER TECHNICAL, PERSONAL, AND FUNCTIONAL GOALS OF THE ORGANIZATION AND ITS AFFILIATED ENTITIES. DEACONESS WOMEN'S HOSPITAL'S INCENTIVE COMPENSATION PROGRAMS ARE DESIGNED TO REWARD BEHAVIORS THAT BALANCE PATIENT NEEDS WITH THE EFFICIENT DELIVERY OF CARE, HELPING TO ENSURE THE BEST POSSIBLE PATIENT OUTCOMES. |
| PART I, LINE 7 | PHYSICIANS ARE ELIGIBLE FOR INCENTIVE COMPENSATION. THE PHYSICIAN IS COMPENSATED FOR EACH WORK RVU PERFORMED BY A PHYSICIAN IN A CALENDAR YEAR IN EXCESS OF THE PHYSICIAN'S WORK RVU INCENTIVE THRESHOLD FOR THE CALENDAR YEAR MULTIPLIED BY THE INCENTIVE RVU PAYMENT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE J | WWW.DEACONESS.COM/INDIANA/THE-WOMENS-HOSPITAL |
| FORM 990, PART VI, SECTION A, LINE 6 | DEACONESS HEALTH SYSTEM AND DEACONESS HOSPITAL ARE THE MEMBERS OF DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BUSINESS, PROPERTY AND OPERATIONS AND AFFAIRS OF THE COMPANY SHALL BE MANAGED AND ALL POWERS OF THE COMPANY SHALL BE EXERCISED BY A BOARD OF MANAGERS APPOINTED BY THE MEMBERS OF THE COMPANY, WITH EACH MEMBER APPOINTING AN EQUAL NUMBER OF MANAGERS. MANAGERS SHALL NOT BE SUBJECT TO PERIODIC ELECTIONS AND SHALL SERVE UNTIL HIS OR HER SUCCESSOR IS APPOINTED OR UNTIL HE OR SHE IS REMOVED BY THE MEMBER ENTITLED TO DESIGNATE SUCH MANAGER. |
| FORM 990, PART VI, SECTION A, LINE 7B | MEMBERS SHALL HAVE THE RIGHT TO VOTE ON THOSE MATTERS SUBMITTED TO THE MEMBERS FOR APPROVAL. ALL ACTIONS ON WHICH THE MEMBERS ARE ENTITLED TO VOTE SHALL BE APPROVED OR AUTHORIZED BY THE HOLDERS OF A MAJORITY OF THE PERCENTAGE INTERESTS IN THE COMPANY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE IRS FORM 990 IS PRESENTED TO DH CFO AND CEO OF THE ORGANIZATION FOR REVIEW. AFTER THIS REVIEW AND ALL QUESTIONS HAVE BEEN ANSWERED, THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS OF DEACONESS HEALTH SYSTEM PRIOR TO FILING. ANY ADDITIONAL QUESTIONS ARE ANSWERED AND THE FILING OF THE FORM IS COMPLETED. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST REVIEW AND COMPLIANCE ACTIVITIES ARE CONDUCTED THROUGHOUT THE YEAR UNDER THE DIRECTION OF DEACONESS HEALTH'S CORPORATE COMPLIANCE OFFICER. UPON APPOINTMENT AND ANNUALLY THEREAFTER, OFFICERS, TRUSTEES, DIRECTORS, AND KEY EMPLOYEES, ALSO KNOWN AS INTERESTED PERSONS ARE REQUIRED TO COMPLETE THE CONFLICTS OF INTEREST AND/OR THE DISCLOSURE QUESTIONNAIRE. THESE DOCUMENTS SERVE TO ENSURE INTERESTED PERSONS 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 BASES. REVIEWS OCCUR TO ENSURE THE ORGANIZATION 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 WOMEN'S HOSPITAL UTILIZES THE DEACONESS HEALTH 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 OF DEACONESS HEALTH 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 | DEACONESS WOMEN'S HOSPITAL'S ARTICLES OF INCORPORATION ARE ON THE SECRETARY OF STATE'S WEBSITE. DEACONESS WOMEN'S HOSPITAL IS PART OF A CONSOLIDATED FINANCIAL STATEMENT WHICH IS AVAILABLE WITH THE PUBLIC DISCLOSURE COPY OF THE IRS FORM 990. 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 WOMEN'S HOSPITAL OF SOUTHERN INDIANA, LLC 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 | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 22,754,178. MANAGEMENT AND GENERAL EXPENSES 1,961,158. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,715,336. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DEACONESS VNA PLUS LLC | |||||||||||
| 611 HARRIET STREET | EVANSVILLE | IN | 47710 | 465223267 | HEALTHCARE | IN | 501(C)(3) | LINE 10 | DEACONESS HEALTH SYSTEM | 0 | |
| DEACONESS HEALTH KENTUCKY INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 830966826 | HEALTHCARE | KY | 501(C)(3) | LINE 10 | DEACONESS HEALTH SYSTEM | 0 | |
| UNION COUNTY METHODIST HOSPITAL FOUNDATION | |||||||||||
| 4604 US HWY 60 WEST | MORGANFIELD | KY | 42437 | 611230297 | SUPPORT METHODIST HEALTH | KY | 501(C)(3) | LINE 10 | DEACONESS HEALTH KENTUCKY | 0 | |
| DEACONESS ILLINOIS SPECIALTY CLINIC INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 920904755 | HEALTHCARE | IL | 501(C)(3) | LINE 10 | DEACONESS HEALTH SYSTEM | 0 | |
| DEACONESS ILLINOIS CLINIC INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 920574205 | HEALTHCARE | IL | 501(C)(3) | LINE 10 | DEACONESS HEALTH SYSTEM | 0 | |
| DEACONESS HEALTH SYSTEM INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 351532889 | HEALTHCARE | IN | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 800 WEST NINTH STREET | JASPER | IN | 47546 | 351359445 | SUPPORT DEACONESS MEMORIAL MEDICAL CENTER, INC. | IN | 501(C)(3) | LINE 12A, I | DEACONESS MEMORIAL MEDICAL CENTER INC | 0 | |
| DEACONESS CLINIC INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 263083364 | HEALTHCARE | IN | 501(C)(3) | LINE 10 | DEACONESS HEALTH SYSTEM | 0 | |
| DEACONESS SPECIALTY PHYSICIANS INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 824503095 | HEALTHCARE | IN | 501(C)(3) | LINE 10 | DEACONESS HEALTH SYSTEM | 0 | |
| METHODIST HEALTH INC | |||||||||||
| PO BOX 48 | HENDERSON | KY | 42419 | 610461753 | HEALTHCARE | KY | 501(C)(3) | LINE 3 | DEACONESS HEALTH KENTUCKY | 0 | |
| GIBSON GENERAL HOSPITAL | |||||||||||
| 1808 SHERMAN DR | PRINCETON | IN | 47670 | 350877575 | HEALTHCARE | IN | 501(C)(3) | LINE 3 | DEACONESS HEALTH SYSTEM | 0 | |
| DEACONESS UNION COUNTY HOSPITAL INC | |||||||||||
| 4604 US HWY 60 WEST | MORGANFIELD | KY | 42437 | 862614124 | HEALTHCARE | KY | 501(C)(3) | LINE 3 | DEACONESS HEALTH KENTUCKY | 0 | |
| DEACONESS HOSPITAL INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 350593390 | HEALTHCARE | IN | 501(C)(3) | LINE 3 | DEACONESS HEALTH SYSTEM | 0 | |
| DEACONESS MEMORIAL MEDICAL CENTER INC | |||||||||||
| 800 WEST NINTH STREET | JASPER | IN | 47546 | 350985964 | HEALTHCARE | IN | 501(C)(3) | LINE 3 | DEACONESS HEALTH SYSTEM | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BAPTIST HEALTH DEACONESS LLC | ||||||||||||||
| 1901 CAMPUS PLACE | LOUISVILLE | KY | 40299 | 872361058 | HEALTHCARE | KY | N/A | 0 | 0 | |||||
| BOSTON IVF FERTILITY SERVICES AT THE WOMEN'S HOSPITAL | ||||||||||||||
| 4199 GATEWAY BLVD | NEWBURGH | IN | 47630 | 455549778 | HEALTHCARE | IN | 0 | 0 | DEACONESS WOMEN'S HOSPITAL | RELATED | $263,130 | $3,814,251 | 0.50000 | |
| BURKHARDT CANCER CENTER LLC | ||||||||||||||
| 4972 LINCOLN AVENUE STE 100 | EVANSVILLE | IN | 47715 | 300256432 | HEALTHCARE | IN | N/A | 0 | 0 | |||||
| DEACONESS HEALTH PLANS LLC | ||||||||||||||
| 7100 EAGLE CREST BLVD | EVANSVILLE | IN | 47715 | 383492529 | PREFERRED PROVIDER NETWORK | IN | N/A | 0 | 0 | |||||
| DEACONESS HOME HEALTH LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45140 | 843167946 | HEALTHCARE | OH | N/A | 0 | 0 | |||||
| DUBOIS PSYCH PROPERTIES LLC | ||||||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47710 | 992349209 | MENTAL HEALTH SERVICES | IN | N/A | 0 | 0 | |||||
| ENCOMPASS HEALTH DEACONESS REHABILIATION | ||||||||||||||
| 9001 LIBERTY PARKWAY | BIRMINGHAM | AL | 35242 | 721375246 | OUTPATIENT | AL | N/A | 0 | 0 | |||||
| EVANSVILLE SURGERY SERVICES LLC | ||||||||||||||
| 520 MARY STREET | EVANSVILLE | IN | 47747 | 994656829 | HEALTHCARE | IN | N/A | 0 | 0 | |||||
| INNOVATIVE HEALTHCARE COLLABORATIVE OF INDIANA LLC | ||||||||||||||
| 7330 SHADELAND STATION STE 200 | INDIANAPOLIS | IN | 46256 | 833592473 | HEALTHCARE | IN | N/A | 0 | 0 | |||||
| LOFIELD DIALYSIS LLC | ||||||||||||||
| PO BOX 4388 | FEDERAL WAY | WA | 98063 | 812592834 | HEALTHCARE | WA | N/A | 0 | 0 | |||||
| MAINSPRING MANAGERS LLC | ||||||||||||||
| 4011 GATEWAY BLVD | NEWBURGH | IN | 47630 | 464601001 | NEUROLOGY SERVICES | IN | N/A | 0 | 0 | |||||
| MEMORIAL HOSPITAL OUTPATIENT SURGERY CENTER LLC | ||||||||||||||
| 600 WEST 13TH STREET | JASPER | IN | 47546 | 274828606 | OUTPATIENT | IN | N/A | 0 | 0 | |||||
| ORTHOALIGN LLC | ||||||||||||||
| 4011 GATEWAY BLVD | NEWBURGH | IN | 47630 | 812816013 | HEALTHCARE | IN | N/A | 0 | 0 | |||||
| ORTHOPRIME LLC | ||||||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 993575306 | HEALTHCARE | IN | N/A | 0 | 0 | |||||
| PROGRESSIVE HEALTH OF INDIANA LLC | ||||||||||||||
| 150 N ROSENBERGER | EVANSVILLE | IN | 47712 | 208480988 | OUTPATIENT | IN | N/A | 0 | 0 | |||||
| TRI-STATE HEALTHCARE CONSULTANTS LLC | ||||||||||||||
| 4199 GATEWAY BLVD | NEWBURGH | IN | 47630 | 922120911 | HEALTHCARE | IN | N/A | 0 | 0 | |||||
| TRI-STATE RADIATION ONCOLOGY CENTERS LLC | ||||||||||||||
| PO BOX 819067 TAX DEPT | DALLAS | TX | 75381 | 263706834 | OUTPATIENT | DE | N/A | 0 | 0 | |||||
| VASCMED LLC | ||||||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 472578168 | VASCULAR SERVICES | IN | N/A | 0 | 0 | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROSSROADS HEALTH SERVICES RECIPROCAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 BANK STREET SUITE 500 | AddressLine1Txt |
| City | BURLINGTON | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 814762330 | EIN |
| Primary Activities | INDUSTRIAL INSURANCE RECIPROCAL REINSURANCE | PrimaryActivitiesTxt |
| Legal Domicile State | VT | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | 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 | 0 | 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 |
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