2025-08-14T14:13:52-05:00 2023-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2023-01-01 352062016 DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA LLC DEAC 5125363090 4199 GATEWAY BLVD NEWBURGH IN 47630 CHRISTINA RYAN CEO 5125363090 2025-08-14 1 0 EMILIE M KNIERIEM CPA P01330194 3176334705 2025-08-08 2023 2025-03-06 01:10:19Z CHRISTINA RYAN 4199 GATEWAY BLVD NEWBURGH IN 47630 136672422 0 X WWW.DEACONESS.COM X 2023 IN 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. 4 0 738 0 0 0 17170 309224 28957006 134639078 -33310 115595 260649 1602711 29201515 136666608 14167 73457 0 0 11178451 66448000 0 0 0 9835340 55946689 21027958 122468146 8173557 14198462 272011597 286344674 48667206 48801821 223344391 237542853 X 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. 0 0 108354334 73457 135468674 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. 108354334 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 59 0 1 738 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IN X CHERYL WATHEN 8124503296 600 MARY STREET EVANSVILLE IN 47747 LINDA WHITE CHAIRMAN 1.00 50.00 X X 0 220581 16238 CHERYAL WATHEN SECRETARY/TREASURER 1.00 64.00 X X 0 1160846 224714 SHAWN MCCOY CEO OF DEACONESS HOSPITAL 1.00 54.00 X 0 1726110 329209 JAMES PORTER MD PRESIDENT OF DEACONESS HOSPITAL 1.00 67.00 X 0 1006179 199566 CHRISTINA M RYAN CHIEF EXECUTIVE OFFICER 25.00 30.00 X 537531 240061 20606 SAMER SCHUMAN PHYSICIAN 50.00 1.00 X 1427885 48438 16472 SPENCER KUPER PHYSICIAN 50.00 0.00 X 1038825 0 43631 BARTON STAAT PHYSICIAN 50.00 0.00 X 939645 0 42422 KARENROSE MARTINEZ PHYSICIAN 50.00 0.00 X 869474 0 39414 CLAYTON FITZPATRICK CHIEF MEDICAL OFFICER 50.00 0.00 X 824990 0 42310 5638350 4402215 974582 37 0 1 0 TRI STATE ANESTHESIA 1210 HOING RD EVANSVILLE IN 47725 ANESTHESIA SERVICES 4968341 PROGRESSIVEHEALTH OF INDIANA 150 N ROSENBERGER AVE EVANSVILLE IN 47712 PHYSICAL THERAPY SERVICES 2725628 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 PHYSICIAN SERVICES 260896 WOMEN'S HEALTH CARE PC 4199 GATEWAY BLVD STE 2500 NEWBURGH IN 47630 PHYSICIAN SERVICES 204225 INTEGRIUS LLC 8611 FRAMEWOOD DR NEWBURGH IN 47630 HEALTHCARE CONSULTING 187202 7 309224 309224 PATIENT SERVICE REVENUE 621300 134639078 134639078 134639078 121409 121409 196822 0 196822 196822 196822 5814 -5814 -5814 -5814 CAFETERIA REVENUE 900099 576293 576293 829596 829596 1405889 136666608 135468674 0 888710 X 73457 73457 53728908 48550815 5178093 9197510 7859264 1338246 3521582 3155571 366011 5657 5208 449 79737 73410 6327 18066160 16632838 1433322 2343902 2100292 243610 7097940 4375277 2722663 264792 237271 27521 191007 112531 78476 2549266 1735645 813621 1120337 1003896 116441 MEDICAL SUPPLIES 10127118 10039990 87128 LABORATORY FEES 7419772 6648608 771164 MEDICAL HOSPITAL ASSESS 6052109 5423091 629018 REPAIRS AND MAINTENANCE 1254181 895130 359051 -625289 -567960 -57329 122468146 108354334 14113812 0 8753877 28972117 18242509 20030429 562013 621433 819285 794523 8435250 30414581 23940385 6119641 6474196 199614466 199551960 29464556 29900016 272011597 286344674 12421560 19610362 3975940 2411498 32269706 26779961 48667206 48801821 X 223344391 237542853 223344391 237542853 272011597 286344674 14198462 0 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 6263 6263 0 PART II-B, LINE 1: 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. 7851074 5106328 2744746 22563507 18834057 3729450 6474196 RIGHT OF USE ASSETS 26101221 THIRD PARTY PAYOR SETTLEMENT 3798795 29900016 DUE TO DEACONESS HOSPITAL -696 RIGHT OF USE LIABILITIES 26401443 DEFERRED COMPENSATION 379214 26779961 X 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, 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 1418269 1418269 0.01160 36627309 29368032 7259277 0.05930 38045578 29368032 8677546 0.07090 4085 4085 0.00000 8618 8618 0.00010 12703 12703 0.00010 38058281 29368032 8690249 0.07100 1581 22812 22812 0.00020 1581 22812 22812 0.00020 1 2837964 5887680 10274406 -4386726 X 1 1 1 1 DEACONESS WOMEN'S HOSPITAL 4199 GATEWAY BLVD NEWBURGH IN 47630 WWW.DEACONESS.COM 25-002855-1 X DEACONESS WOMEN'S HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X HTTP://WWW.DEACONESS.COM/CHNA X 1 21 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 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 PROVIDER/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.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 2021 VERSION OF COUNTY HEALTH RANKINGS & ROADMAPS, (B) THE INDIANA STATE DEPARTMENT OF HEALTH, (C) THE U.S. CENSUS, (D) THE WELBORN BAPTIST FOUNDATION 2021 GREATER EVANSVILLE HEALTH SURVEY, AND (E) OTHER LOCAL DATA SOURCES PROVIDED BY COMMUNITY PARTNERS. PROVIDER/STAKEHOLDER SURVEYS WERE ADMINISTERED TO GATHER INSIGHTS INTO THE HEALTH ISSUES IMPACTING THE COMMUNITY. PARTICIPANTS WERE PROVIDED A LIST OF TWENTY (20) HEALTH ISSUES AND SOCIAL DETERMINANTS OF HEALTH, 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 2018, THE ADEQUACY OF RESOURCES DEVOTED TO ADDRESSING THE ISSUE, AND ANY PERCEIVED BARRIERS TO ADDRESSING THE ISSUE.PROVIDER/STAKEHOLDER FOCUS GROUPS WERE CONDUCTED VIRTUALLY WITH 75 PARTICIPANTS ACROSS 14 GROUPS REPRESENTING MEDICAL/HEALTHCARE ORGANIZATIONS AND ORGANIZATIONS WITH UNIQUE PERSPECTIVES ON PUBLIC SERVICE, NONPROFIT SERVICES, CHILD/YOUTH DEVELOPMENT, HEALTH EQUITY, AND BUSINESS/ECONOMIC DEVELOPMENT. FOCUS GROUPS EXPANDED ON INFORMATION COLLECTED THROUGH THE SURVEYS BY PROVIDING ADDITIONAL INSIGHT ON THE HIGHEST RANKED PRIORITY NEEDS IDENTIFIED THROUGH THE SURVEYS.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: 2022 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 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. 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, 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 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: DEACONESS HOSPITAL UTILIZES FINANCIAL COUNSELORS TO EDUCATE, INFORM AND ASSIST PATIENTS AND FAMILIES IN UNDERSTANDING THEIR FINANCIAL OBLIGATION, ABILITY TO QUALIFY FOR FINANCIAL ASSISTANCE THROUGH DEACONESS HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND PAYMENT OPTIONS. SPECIFICALLY, FINANCIAL COUNSELORS STAFF THE EMERGENCY DEPARTMENT, REGISTRATION AREAS, CASHIER AREA, AS WELL AS, FLOAT AMONG INPATIENT AREAS TO ENSURE EACH AND EVERY PATIENT REQUIRING ASSISTANCE IS REACHED. IN ADDITION TO THE PERSONAL AND INDIVIDUALIZED COUNSELING PROVIDED BY THE FINANCIAL COUNSELORS, VARIOUS FORMS OF MEDIA ARE DISTRIBUTED THROUGHOUT DEACONESS HOSPITAL EXPLAINING THE FINANCIAL ASSISTANCE PROCESS. ADDITIONALLY, POLICIES FOR FINANCIAL ASSISTANCE ARE POSTED WIDELY THROUGHOUT DEACONESS HOSPITAL AND ON THE INTERNET AT WWW.DEACONESS.COM. HTTPS://WWW.DEACONESS.COM/FOR-YOU/PATIENTS-AND-VISITORS/PATIENTS/FINANCIAL-ASSISTANCE. IN ADDITION TO THE VARIOUS PLACES THAT THE PROGRAM IS PUBLISHED, IT IS ALSO REFERENCED ON OUR PATIENT STATEMENT AND PHONE MESSAGE WHEN THE PATIENT CALL THE BILLING PHONE NUMBER. 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 COUNTYVANDERBURGH COUNTY IS MORE DIVERSE THAN MUCH OF INDIANA IN TERMS OF RACIAL AND ETHNIC CHARACTERISTICS, EVENLY SPLIT WITH REGARD TO GENDER, WITH THE MAJORITY OF INDIVIDUALS LIVING IN AREAS CONSIDERED URBAN. VANDERBURGH COUNTY'S POPULATION OF 180,136 PERSONS IS SIMILAR TO THE STATEWIDE POPULATION, WITH ABOUT 80.6% OF THE POPULATION BEING WHITE, 9.8% BLACK/AFRICAN AMERICAN, 1.4% ASIAN, AND THE REMAINDER BEING OF OTHER OR 2 OR MORE RACES. HOWEVER, VANDERBURGH COUNTY REPORTS A 3.5% HISPANIC POPULATION COMPARED TO 8.2% FOR THE STATE. VANDERBURGH COUNTY IS ALSO ONE OF THE MORE URBAN AREAS WITH A 9.2% RURAL RATING COMPARED TO THE INDIANA AVERAGE OF 27.6%. ACCORDING TO THE 2021 COUNTY HEALTH RANKINGS, VANDERBURGH COUNTY RANKS 82 OUT OF 92 INDIANA COUNTIES FOR HEALTH OUTCOMES AND 47 OUT OF 92 INDIANA COUNTIES FOR HEALTH FACTORS. INSTANCES OF VIOLENT CRIME, INJURY DEATHS, SEXUALLY TRANSMITTED INFECTIONS, AND CHILDREN LIVING IN POVERTY ARE HIGHER IN VANDERBURGH COUNTY THAN THE INDIANA AVERAGE. THIS INFORMATION MATCHES OUR CHNA DATA.WARRICK COUNTY - CONVERSELY, WARRICK COUNTY RANKS 9 OUT OF 92 INDIANA COUNTIES FOR HEALTH OUTCOMES AND 6 OUT OF 92 INDIANA COUNTIES FOR HEALTH FACTORS ON THE 2021 COUNTY HEALTH RANKINGS. INCIDENTS OF VIOLENT CRIME, INJURY DEATHS, SEXUALLY TRANSMITTED INFECTIONS, AND CHILDREN LIVING IN POVERTY ARE SIGNIFICANTLY LOWER THAN THE STATE AVERAGE. WARRICK COUNTY HAS LESS DIVERSITY THAN VANDERBURGH COUNTY AND THE STATE OF INDIANA. MORE THAN 90% OF PEOPLE THERE IDENTIFY AS WHITE COMPARED TO 77% FOR INDIANA. ONLY 1.7% OF THE POPULATION IS LISTED AS BLACK/AFRICAN AMERICAN AND 2.2% AS HISPANIC. THAT'S COMPARED TO STATE AVERAGES OF 9.6% AND 8.2% RESPECTIVELY. WARRICK COUNTY IS ALSO MORE RURAL THAN THE AVERAGE INDIANA COUNTY (29.3% RURAL IN WARRICK COUNTY COMPARED TO 27.6% STATE AVERAGE). PART VI, LINE 6: N/A 0 IVY TECH FOUNDATION 50 W FALL CREEK PKWY NORTH DRIVE INDIANAPOLIS IN 46208 237073977 501C3 10000 0 PLEDGE FOR BARBARA HILTON SCHOOL OF NURSING RONALD MCDONALD HOUSE 3540 WASHINGTON AVENUE EVANSVILLE IN 47714 351748468 501C3 22917 0 GRANT TO SUPPORT MISSION EVANSVILLE BOYS & GIRLS CLUB PO BOX 6311 EVANSVILLE IN 47719 351007558 501C3 7600 0 GRANT TO SUPPORT MISSION 3 X 0 0 X X X X X 0 1 0 0 0 0 0 0 0 SHAWN MCCOY CEO OF DEACONESS HOSPITAL 0 1081630 0 432108 0 212372 0 283182 0 46027 0 2055319 0 201639 SAMER SCHUMAN PHYSICIAN 704657 0 597920 0 125308 48438 9900 0 6572 0 1444357 48438 0 0 CHERYAL WATHEN SECRETARY/TREASURER 0 603921 0 176225 0 380700 0 180369 0 44345 0 1385560 0 371487 JAMES PORTER MD PRESIDENT OF DEACONESS HOSPITAL 0 654409 0 224407 0 127363 0 170838 0 28728 0 1205745 0 122628 SPENCER KUPER PHYSICIAN 569648 0 420580 0 48597 0 9093 0 34538 0 1082456 0 0 0 BARTON STAAT PHYSICIAN 576224 0 328858 0 34563 0 9321 0 33101 0 982067 0 0 0 KARENROSE MARTINEZ PHYSICIAN 575758 0 293136 0 580 0 9900 0 29514 0 908888 0 0 0 CLAYTON FITZPATRICK CHIEF MEDICAL OFFICER 709178 0 15086 0 100726 0 9900 0 32410 0 867300 0 0 0 CHRISTINA M RYAN CHIEF EXECUTIVE OFFICER 332969 123260 106596 116018 97966 783 9900 0 8036 2670 555467 242731 0 0 LINDA WHITE CHAIRMAN 0 181923 0 36027 0 2631 0 5323 0 10915 0 236819 0 0 PART I, LINE 1A SOCIAL CLUB DUES ARE PAID FOR LINDA WHITE AND SHAWN MCCOY FOR ORGANIZATION BUSINESS ONLY. ANY PERSONAL USE OF THE CLUB MUST BE PAID BY THE EMPLOYEES. PART I, LINE 4B SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS: NONQUALIFIED: LINDA WHITE $22,500 SHAWN MCCOY $22,500 JAMES PORTER $22,500 CHERYL WATHEN $22,500 PART 1, 4B: SHAWN MCCOY: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $256,205.59 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $201,638.87 JAMES PORTER: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $137,927.68 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $122,628.38 CHERYL WATHEN: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $139,381.98 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $371,487.22 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 THERAFTER, 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 OUSTIDE 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 OFFICE COMPENSATION 6) SOLE AUTHORITY TO APPROVE THE CONSULTANT'S FEES AND OTHER RETENTION TERMS 7) OBTAIN ADVICE AND ASSISTANCE FROM INTERNAL OR EXTERNAL LEGAL, ACCOUNTING OR OTHER ADVISORS 8) APPROVE ALL PHYSICIAN AND PHYSICIAN RELATED CONTRACTS 9) MAKE REGULAR REPORTS TO THE BOARD FORM 990, PART VI, SECTION C, LINE 19 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 IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 16,632,838. MANAGEMENT AND GENERAL EXPENSES 1,433,322. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,066,160. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS OF DEACONESS HEALTH, INC. ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THE BOARD OF DIRECTORS OF DEACONESS WOMEN'S HOSPITAL SHALL TAKE NECESSARY STEPS TO ENSURE IMPLEMENTATION OF AND COMPLIANCE WITH THE RECOMMENDATIONS OF THE DEACONESS BOARD. 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