DEACONESS HOSPITAL INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- DEACONESS HOSPITAL INC (EIN 35-0593390)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-02-13
- IRS object ID
- 201540449349301229
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-02-13T10:44:27-06:00 | ReturnTs |
| Tax Period End | 2014-09-30 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE AMERICAN SQUARE 2200 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46282 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350593390 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEACONESS HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DEAC | BusinessNameControlTxt |
| Phone | 8124503296 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MARY STREET | AddressLine1 |
| City | EVANSVILLE | City |
| State | IN | State |
| ZIP Code | 47747 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHAWN W MCCOY | PersonNm |
| Person Title | CHIEF ADMINISTRATIVE OFFICER | PersonTitleTxt |
| Phone | 8124503296 | PhoneNum |
| Signature | 2015-02-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMBER KOCHER CPA | PreparerPersonNm |
| PTIN | P01286298 | PTIN |
| Phone | 3176334705 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SHAWN W MCCOY CAO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MARY STREET | AddressLine1 |
| City | EVANSVILLE | City |
| State | IN | State |
| ZIP Code | 47747 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $848,345,281 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DEACONESS.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1895 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE QUALITY HEALTH CARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT CONTINUE TO SCH O TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 5599 | TotalEmployeeCnt |
| Total Volunteers | 191 | TotalVolunteersCnt |
| Total Gross UBI | $12,756,635 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$85,414 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,649,475 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,454,250 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $531,568,224 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $609,282,558 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,987,420 | PYInvestmentIncomeAmt |
| CY Investment Income | $14,169,966 | CYInvestmentIncomeAmt |
| PY Other Revenue | $52,034,431 | PYOtherRevenueAmt |
| CY Other Revenue | $56,511,978 | CYOtherRevenueAmt |
| PY Total Revenue | $590,239,550 | PYTotalRevenueAmt |
| CY Total Revenue | $681,418,752 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $578,388 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $884,669 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $255,744,305 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $262,075,879 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $406,066 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $268,997,419 | PYOtherExpensesAmt |
| CY Other Expenses | $304,074,166 | CYOtherExpensesAmt |
| PY Total Expenses | $525,320,112 | PYTotalExpensesAmt |
| CY Total Expenses | $567,034,714 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $64,919,438 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $114,384,038 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $869,894,363 | TotalAssetsBOYAmt |
| Total Assets EOY | $986,918,089 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $349,588,545 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $348,984,716 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $520,305,818 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $637,933,373 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $119,871,557 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $347,469,154 | RevenueAmt |
| Desc | PATIENT SERVICE REVENUE. SEE SCHEDULE O. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $378,264,096 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $239,858,999 | RevenueAmt |
| Desc | CHARITY CARE/SUBSIDIZED CARE. SEE SCHEDULE O. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $32,773,740 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $21,954,405 | RevenueAmt |
| Desc | GRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION AND COMMUNITY BENEFIT. SEE SCHEDULE O. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt |
|---|---|---|
| $884,669 | $884,669 | $28,958,479 |
| $0 | $0 | $3,009,936 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $884,669 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $884,669 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $31,968,415 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $531,794,062 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | Yes (1) | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 298 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 5599 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| Excess Business Holdings | 0 | ExcessBusinessHoldingsInd |
| Taxable Distributions | 0 | TaxableDistributionsInd |
| Distribution To Donor | 0 | DistributionToDonorInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERYL A WATHEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8124503296 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MARY STREET | AddressLine1 |
| City | EVANSVILLE | City |
| State | IN | State |
| ZIP Code | 47747 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| LINDA WHITE | ||||||||||
| PRESIDENT/ CEO | 30.00 | 40.00 | Yes (X) | Yes (X) | $970,294 | $369,413 | $242,338 | |||
| STEVEN TITZER | ||||||||||
| CHAIRMAN | 5.00 | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN ENGELBRECHT | ||||||||||
| TREASURER | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRUCE STALLINGS | ||||||||||
| SECRETARY | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRUCE ADYE MD | ||||||||||
| DIRECTOR | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| JEROME BENKERT JR | ||||||||||
| DIRECTOR | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEVEN CHURCH | ||||||||||
| DIRECTOR | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| REV DR JOSEPH FRACCARO | ||||||||||
| DIRECTOR | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| DANIEL HERMANN | ||||||||||
| DIRECTOR | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT KELLER | ||||||||||
| DIRECTOR | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID KOEHLER JR MD | ||||||||||
| DIRECTOR | 25.00 | 35.00 | Yes (X) | $110,144 | $187,749 | $18,452 | ||||
| MATHIAS KOLLECK II | ||||||||||
| DIRECTOR | 50.00 | 5.00 | Yes (X) | $331,577 | $4,800 | $46,726 | ||||
| WILLIAM PENLAND MD | ||||||||||
| DIRECTOR | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHARON REED WALKER | ||||||||||
| DIRECTOR | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| DANIEL WHITEHEAD MD | ||||||||||
| DIRECTOR | 5.00 | 5.00 | Yes (X) | $20,000 | $0 | $0 | ||||
| SHAWN MCCOY | ||||||||||
| CHIEF ADMINISTRATIVE OFFIC | 50.00 | 10.00 | Yes (X) | $620,925 | $9,400 | $138,778 | ||||
| CHERYL WATHEN | ||||||||||
| CHIEF FINANCIAL OFFICER | 30.00 | 35.00 | Yes (X) | $292,521 | $189,901 | $131,610 | ||||
| JAMES PORTER MD | ||||||||||
| CHIEF MEDICAL OFFICER | 50.00 | 10.00 | Yes (X) | $606,235 | $3,600 | $135,412 | ||||
| CHERONA HAJEWSKI | ||||||||||
| CHIEF NURSING OFFICER | 50.00 | 0.00 | Yes (X) | $415,434 | $0 | $83,632 | ||||
| BRUCE EPMEIER | ||||||||||
| VICE PRESIDENT | 50.00 | 0.00 | Yes (X) | $340,528 | $0 | $67,204 | ||||
| G WILLIAM KENNEDY | ||||||||||
| HR DIRECTOR | 50.00 | 0.00 | $233,464 | $0 | $27,965 | Yes (X) | ||||
| LYNN LINGAFELTER | ||||||||||
| VICE PRESIDENT OF OPERATIONS | 50.00 | 0.00 | $221,399 | $0 | $76,513 | Yes (X) | ||||
| RICHARD PERRY | ||||||||||
| CONTROLLER | 50.00 | 0.00 | $232,435 | $0 | $27,284 | Yes (X) | ||||
| JOHN ZABROWSKI | ||||||||||
| CONTROLLER | 50.00 | 10.00 | $209,908 | $3,200 | $37,760 | Yes (X) | ||||
| JOYCE THOMAS | ||||||||||
| PHARMACY DIRECTOR | 50.00 | 0.00 | $176,928 | $0 | $50,860 | Yes (X) | ||||
| REBECCA MALOTTE | ||||||||||
| EXEC. DIRECTOR, CNO | 50.00 | 0.00 | $187,364 | $0 | $64,020 | Yes (X) | ||||
| VENKATESH MADADI | ||||||||||
| ANESTHESIOLOGIST | 50.00 | 0.00 | $685,533 | $0 | $44,039 | Yes (X) | ||||
| NIRMAL JOSHI MD | ||||||||||
| ANESTHESIOLOGIST | 50.00 | 0.00 | $627,924 | $0 | $41,121 | Yes (X) | ||||
| RAJESH PATEL MD | ||||||||||
| ANESTHESIOLOGIST | 50.00 | 0.00 | $558,229 | $0 | $36,818 | Yes (X) | ||||
| AYMAN ELFAR MD | ||||||||||
| ANESTHESIOLOGIST | 50.00 | 0.00 | $552,092 | $0 | $40,822 | Yes (X) | ||||
| HOWARD RUMJAHN MD | ||||||||||
| ANESTHESIOLOGIST | 50.00 | 0.00 | $535,346 | $0 | $34,859 | Yes (X) | ||||
| LARRY PILE | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $245,143 | $3,000 | $11,591 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,173,423 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $771,063 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,357,804 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 210 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EVANSVILLE SURGERY CENTER | |||||
| PO BOX 2185 | EVANSVILLE | IN | 47728 | SURGICAL SERVICES | $28,732,379 |
| PROGRESSIVE HEALTH INDIANA LLC | |||||
| 150 N ROSENBERGER AVE | EVANSVILLE | IN | 47712 | PHYSICAL THERAPY | $11,374,463 |
| WINK CONSTRUCTION INC | |||||
| 4007 E EICHEL AVE | EVANSVILLE | IN | 47716 | BUILDING CONTRACTOR | $5,931,732 |
| EPIC SYSTEMS CORPORATION | |||||
| PO BOX 88314 | MILWAUKEE | WI | 53288 | SOFTWARE/ CONSULTING | $3,425,048 |
| TRI-STATE RADIATION ONCOLOGY | |||||
| 1500 ROSECRANS AVENUE STE 400 | MANHATTAN BEACH | CA | 90266 | ONCOLOGY SERVICES | $2,824,524 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 68 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $421,627 | FundraisingAmt |
| Government Grants | $168,521 | GovernmentGrantsAmt |
| All Other Contributions | $864,102 | AllOtherContributionsAmt |
| Noncash Contributions | $42,599 | NoncashContributionsAmt |
| Total Contributions | $1,454,250 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $609,282,558 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $609,282,558 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $609,282,558 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,279,402 | TotalRevenueColumnAmt |
| Exclusion | $12,279,402 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8 | TotalRevenueColumnAmt |
| Exclusion | $8 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,721,203 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,124,396 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,596,807 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,596,807 | TotalRevenueColumnAmt |
| Exclusion | $4,596,807 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $165,437,177 | SecuritiesAmt |
| Other | $2,325 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $162,832,809 | SecuritiesAmt |
| Other | $716,137 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,604,368 | SecuritiesAmt |
| Other | -$713,812 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,890,556 | TotalRevenueColumnAmt |
| Exclusion | $1,890,556 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $38,925 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $421,627 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $253,187 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$214,262 | TotalRevenueColumnAmt |
| Exclusion | -$214,262 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| INVESTMENT IN JOINT VENTURES | 900099 | $28,958,479 | $28,958,479 | ||
| LABORATORY SALES | 621500 | $12,292,091 | $12,292,091 | ||
| OTHER HOSPITAL SERVICES | 900099 | $5,141,378 | $5,141,378 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,737,485 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,009,936 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $464,544 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,263,005 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $52,129,433 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $681,418,752 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $641,250,973 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $12,756,635 | UnrelatedBusinessRevenueAmt |
| Exclusion | $25,956,894 | 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 | $884,669 | TotalAmt |
| Program Services | $884,669 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,179,488 | TotalAmt |
| Management And General | $5,179,488 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,829,258 | TotalAmt |
| Program Services | $186,488,499 | ProgramServicesAmt |
| Management And General | $9,100,407 | ManagementAndGeneralAmt |
| Fundraising | $240,352 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,946,889 | TotalAmt |
| Program Services | $11,783,256 | ProgramServicesAmt |
| Management And General | $1,150,113 | ManagementAndGeneralAmt |
| Fundraising | $13,520 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,335,898 | TotalAmt |
| Program Services | $31,383,107 | ProgramServicesAmt |
| Management And General | $2,952,791 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,784,346 | TotalAmt |
| Program Services | $12,781,476 | ProgramServicesAmt |
| Management And General | $988,849 | ManagementAndGeneralAmt |
| Fundraising | $14,021 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,719,519 | TotalAmt |
| Program Services | $1,743,087 | ProgramServicesAmt |
| Management And General | $976,432 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,920 | TotalAmt |
| Management And General | $127,920 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,879 | TotalAmt |
| Management And General | $19,879 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $506,215 | TotalAmt |
| Management And General | $492,127 | ManagementAndGeneralAmt |
| Fundraising | $14,088 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,735,594 | TotalAmt |
| Program Services | $59,555,070 | ProgramServicesAmt |
| Management And General | $3,155,500 | ManagementAndGeneralAmt |
| Fundraising | $25,024 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,544,855 | TotalAmt |
| Program Services | $83,916 | ProgramServicesAmt |
| Management And General | $1,460,939 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,860,511 | TotalAmt |
| Program Services | $9,378,705 | ProgramServicesAmt |
| Management And General | $1,434,203 | ManagementAndGeneralAmt |
| Fundraising | $47,603 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,016,001 | TotalAmt |
| Program Services | $7,434,100 | ProgramServicesAmt |
| Management And General | $1,581,901 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,400,153 | TotalAmt |
| Program Services | $15,814,276 | ProgramServicesAmt |
| Management And General | $1,585,877 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $882,484 | TotalAmt |
| Program Services | $746,107 | ProgramServicesAmt |
| Management And General | $136,377 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $815,444 | TotalAmt |
| Program Services | $617,508 | ProgramServicesAmt |
| Management And General | $193,816 | ManagementAndGeneralAmt |
| Fundraising | $4,120 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,218,047 | TotalAmt |
| Program Services | $8,218,047 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,497,943 | TotalAmt |
| Program Services | $34,988,516 | ProgramServicesAmt |
| Management And General | $2,509,372 | ManagementAndGeneralAmt |
| Fundraising | $55 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,340,848 | TotalAmt |
| Program Services | $2,329,013 | ProgramServicesAmt |
| Management And General | $11,835 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL/SURGICAL SUPPLI | $94,385,687 | $94,374,614 | $11,073 |
| MEDICAID ASSESSMENT FEE | $30,125,591 | $30,125,591 | |
| EQUIP RENTAL/MAINTENANC | $13,081,627 | $12,337,532 | $744,095 |
| AGENCY COLLECTION FEES | $6,877,966 | $6,877,966 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,917,882 | TotalAmt |
| Program Services | $3,849,007 | ProgramServicesAmt |
| Management And General | $1,021,592 | ManagementAndGeneralAmt |
| Fundraising | $47,283 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $567,034,714 | TotalAmt |
| Program Services | $531,794,062 | ProgramServicesAmt |
| Management And General | $34,834,586 | ManagementAndGeneralAmt |
| Fundraising | $406,066 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,965,528 | BOYAmt |
| EOY | $84,343,242 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,773,146 | BOYAmt |
| EOY | $87,502,296 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,051,175 | BOYAmt |
| EOY | $950,219 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,518,992 | BOYAmt |
| EOY | $6,338,569 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,393,760 | BOYAmt |
| EOY | $5,417,241 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $775,037,569 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $467,646,676 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $312,541,474 | BOYAmt |
| EOY | $307,390,893 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $354,838,689 | BOYAmt |
| EOY | $422,669,396 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,131,516 | BOYAmt |
| EOY | $39,707,760 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,522,009 | BOYAmt |
| EOY | $15,785,298 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,158,074 | BOYAmt |
| EOY | $16,813,175 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $869,894,363 | BOYAmt |
| EOY | $986,918,089 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,092,128 | BOYAmt |
| EOY | $71,995,399 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $251,958 | BOYAmt |
| EOY | $250,719 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,158,405 | BOYAmt |
| EOY | $203,093,522 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,086,054 | BOYAmt |
| EOY | $73,645,076 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $349,588,545 | BOYAmt |
| EOY | $348,984,716 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $514,674,469 | BOYAmt |
| EOY | $632,155,875 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,782,581 | BOYAmt |
| EOY | $3,872,368 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,848,768 | BOYAmt |
| EOY | $1,905,130 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $520,305,818 | BOYAmt |
| EOY | $637,933,373 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $869,894,363 | BOYAmt |
| EOY | $986,918,089 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $114,384,038 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $14,605,145 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$11,361,628 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $19,879 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $19,879 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LOBBYING EXPENDITURES CONSISTED OF A PORTION OF MEMBERSHIP DUES TO PROFESSIONAL ORGANIZATIONS IN WHICH DEACONESS HOSPITAL AND ITS EMPLOYEES ARE MEMBERS. THE LOBBYING PORTION OF THE DUES IS NOTED ON THE MEMBERSHIP APPLICATION OR BILLING STATEMENT. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,119,408 | BeginningYearBalanceAmt |
| Contributions | $3,639 | ContributionsAmt |
| Investment Earnings Or Losses | $662,188 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $35,798 | OtherExpendituresAmt |
| End Year Balance | $6,749,437 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,544,426 | BeginningYearBalanceAmt |
| Contributions | $1,890 | ContributionsAmt |
| Investment Earnings Or Losses | $611,864 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $38,483 | OtherExpendituresAmt |
| Administrative Expenses | $289 | AdministrativeExpensesAmt |
| End Year Balance | $6,119,408 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,353,428 | BeginningYearBalanceAmt |
| Contributions | $6,871 | ContributionsAmt |
| Investment Earnings Or Losses | $541,295 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,357,168 | OtherExpendituresAmt |
| End Year Balance | $5,544,426 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,130,489 | BeginningYearBalanceAmt |
| Contributions | $1,293,267 | ContributionsAmt |
| Investment Earnings Or Losses | $294,514 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $7,052 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,048,880 | OtherExpendituresAmt |
| Administrative Expenses | $308,910 | AdministrativeExpensesAmt |
| End Year Balance | $8,353,428 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,433,786 | BeginningYearBalanceAmt |
| Contributions | $1,683,536 | ContributionsAmt |
| Investment Earnings Or Losses | $281,910 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $192,998 | GrantsOrScholarshipsAmt |
| Other Expenditures | $790,792 | OtherExpendituresAmt |
| Administrative Expenses | $284,953 | AdministrativeExpensesAmt |
| End Year Balance | $8,130,489 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.85000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.15000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,722,734 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $10,075,561 | OtherCostOrOtherBasisAmt |
| Book Value | $11,798,295 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $48,151,381 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $437,120,661 | OtherCostOrOtherBasisAmt |
| Depreciation | $259,624,002 | DepreciationAmt |
| Book Value | $225,648,040 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $267,484,272 | OtherCostOrOtherBasisAmt |
| Depreciation | $208,022,674 | DepreciationAmt |
| Book Value | $59,461,598 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,482,960 | OtherCostOrOtherBasisAmt |
| Book Value | $10,482,960 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $307,390,893 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED RETIREMENT BENEFITS | $53,816,309 |
| ESTIMATED THIRD PARTY SETTLEMENTS | $8,440,984 |
| TAXABLE BOND- SERIES 2012C | $7,090,000 |
| TAXABLE BOND-SERIES 2012A | $1,615,000 |
| CAPITAL LEASE OBLIGATIONS | $1,509,184 |
| RELATED ORGANIZATION PAYABLES | $1,173,599 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $73,645,076 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | TEMPORARILY RESTRICTED NET ASSETS INCLUDE THOSE ASSETS WHOSE USE BY THE SYSTEM HAS BEEN TEMPORARILY LIMITED PRIMARY FOR CAPITAL PROJECTS OR A SPECIFIED TIME PERIOD OR PURPOSE. TEMPORARILY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED FOR USE IN PATIENT MEDICAL CARE, EDUCATION AND SCHOLARSHIPS, CAPITAL PROJECTS, AND OTHER SYSTEM SUPPORT. PERMANENTLY RESTRICTED NET ASSETS ARE CONTRIBUTED WITH DONOR RESTRICTIONS REQUIRING THEY BE HELD IN PERPETUITY WITH INCOME USED TO SUPPORT THE SYSTEM'S ACTIVITIES. PERMANENTLY RESTRICTED NET ASSETS INCLUDE BENEFICIAL INTEREST IN TRUSTS AND OTHER PERMANENT RESTRICTIONS. |
| PART X, LINE 2: | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2014 AND 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY TAKING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGESS. |
| PART VII AND IX: | SECTIONS ARE NOT REQUIRED AS THE TOTALS FOR EACH LINE ARE LESS THAN 5% OF THE TOTAL ASSETS LISTED ON FORM 990, PART X, LINE 16. |
| PART XI AND XII: | SECTIONS ARE NOT REQUIRED AS THE ORGANIZATION IS PART OF A CONSOLIDATED FINANCIAL STATEMENT. THE CONSOLIDATED FINANCIAL STATEMENT IS AUDITED BY AN INDEPENDENT ACCOUNTING FIRM AND IS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | DH PARTY OF YR | NameOfEvent1Amt |
| Gross Receipts Event1 | $334,425 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $312,025 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $22,400 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $93,874 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $56,677 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $13,990 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $6,767 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | DH CLASSIC | NameOfEvent2Amt |
| Gross Receipts Event2 | $126,127 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $109,602 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $16,525 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $41,835 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $1,575 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $30,445 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $6,000 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $2,024 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $460,552 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $421,627 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $38,925 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $41,835 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $95,449 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $87,122 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $19,990 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $8,791 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $253,187 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$214,262 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| 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 | $15,088,021 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,088,021 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02420 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $97,332,706 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,718,651 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,614,055 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05390 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $112,420,727 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,718,651 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $48,702,076 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07810 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $847,019 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $847,019 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,494,965 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,946,352 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,548,613 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,113,838 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,630,742 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,483,096 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,642,724 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,455 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,618,269 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,098,546 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,601,549 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,496,997 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01370 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $137,519,273 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $80,320,200 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $57,199,073 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09180 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $250 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,468 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,468 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $149 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $149 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $696 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $696 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $65,751 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,090 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $45,661 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $79,814 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,090 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $59,724 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $27,676,249 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $137,245,663 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $168,343,712 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$31,098,049 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DEACONESS HOSPITAL INC | ||||||||||
| 1 | 600 MARY STREET | EVANSVILLE | IN | 47747 | WWW.DEACONESS.COM | 15-005074-1 | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| DEACONESS GATEWAY HOSPITAL | ||||||||||
| 2 | 4011 GATEWAY BLVD | NEWBURGH | IN | 47630 | WWW.DEACONESS.COM | 15-005074-1 | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| DEACONESS CROSS POINTE | ||||||||||
| 3 | 7200 E INDIANA STREET | EVANSVILLE | IN | 47715 | WWW.DEACONESS.COM | 15-005074-1 | Yes (X) | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)
| FacilityFacilityNum | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Rpt Available Upon RequestRptAvailableUponRequestInd | Adopt Implementation StrategyAdoptImplementationStrategyInd | Exec Implementation StrategyExecImplementationStrategyInd | Develop Community Wide PlanDevelopCommunityWidePlanInd | Exec Community Wide PlanExecCommunityWidePlanInd | Include Operational PlanIncludeOperationalPlanInd | Adopt BudgetAdoptBudgetInd | Prioritize Health NeedsPrioritizeHealthNeedsInd | Prioritize ServicesPrioritizeServicesInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | Asset LevelAssetLevelInd | Medical IndigencyMedicalIndigencyInd | Uninsured DiscountUninsuredDiscountInd | Medicaid MedicareMedicaidMedicareInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Attached To InvoiceAttachedToInvoiceInd | Available On RequestAvailableOnRequestInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEACONESS HOSPITAL INC | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | HTTP://WWW.DEACONESS.COM/CHNA | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 300.000000000000 | Yes (1) | 300.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| DEACONESS GATEWAY HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | HTTP://WWW.DEACONESS.COM/CHNA | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 300.000000000000 | Yes (1) | 300.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| DEACONESS CROSS POINTE | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | HTTP://WWW.DEACONESS.COM/CHNA | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 300.000000000000 | Yes (1) | 300.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
Supplemental Information SupplementalInformationGrp (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DEACONESS HOSPITAL, INC. | PART V, SECTION B, LINE 3: DESCRIPTION OF COMMUNITY INPUT:IN 2011, DEACONESS HEALTH SYSTEM JOINED FOUR OTHER LOCAL HEALTH-RELATED ORGANIZATIONS, ECHO COMMUNITY HEALTH CARE, ST. MARY'S HEALTH, UNITED WAY, AND WELBORN BAPTIST FOUNDATION, TO PLAN FOR AND ADMINISTER A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). MEMBERS OF THE DEACONESS COMMUNITY BENEFIT TEAM MET REGULARLY WITH OTHER MEMBERS OF THE COLLABORATIVE TO CREATE A STRATEGY AND TACTICS THAT ADDRESS OUR FOUR IDENTIFIED COMMUNITY HEALTH NEEDS. WE ALSO PARTICIPATED IN FOCUS GROUP SESSIONS WITH 51 BUSINESS, COMMUNITY, AND SOCIAL SERVICE LEADERS AND STRATEGY SESSIONS WITH 42 PROVIDERS AND AGENCIES TO DEVELOP A PLAN THAT WOULD CAUSE POSITIVE CHANGE IN THE OVERALL HEALTH OF OUR POPULATION. ADDITIONALLY, EACH PARTNER CREATED AN ORGANIZATION SPECIFIC PLAN TO ADDRESS THE SAME ISSUES. THE PLANS WERE TRANSCRIBED, PRESENTED AT A PRESS CONFERENCE, AND POSTED ON THE WEBSITE OF EACH PARTNER'S ORGANIZATION.WE HELD STRATEGY SESSIONS WITH 42 SERVICE PROVIDERS AND AGENCIES AND COMPLETED 500 TELEPHONE INTERVIEWS WITH RESIDENTS OF VANDERBURGH AND WARRICK COUNTIES. ADDITIONALLY, THE LOCAL COLLABORATIVE CONDUCTED FOCUS GROUP SESSIONS WITH 51 BUSINESSES, COMMUNITY, AND SOCIAL SERVICE LEADERS. AT THE CONCLUSION OF EACH OF THE THREE KEY INFORMANT GROUPS (COMMUNITY LEADERS, BUSINESS LEADERS, AND SOCIAL SERVICE AGENCIES), PARTICIPANTS WERE ASKED TO WRITE DOWN WHAT THEY INDIVIDUALLY PERCEIVE AS THE TOP FIVE HEALTH PRIORITIES FOR THE COMMUNITY, BASED ON THE GROUP DISCUSSION, AS WELL AS ON THEIR OWN EXPERIENCES AND PERCEPTIONS. AS PART OF OUR AGREEMENT WITH THE CHNA COLLABORATIVE, DEACONESS WILL FOCUS TIME AND RESOURCES FOR THE THREE YEARS ON CREATING POSITIVE CHANGE IN THE FOUR IDENTIFIED TOPIC AREAS. IN FY 13-14, DEACONESS PARTNERED WITH EVOLENT HEALTH TO STRENGHTEN OUR ACCOUNTABLE CARE ORGANIZATION AND EXTEND ITS REACH OUT INTO OUR SECONDARY AND TERTIARY SERVICE AREAS. PRIMARY CARE PHYSICIANS WILL IDENTIFY AND ASSIST PATIENTS WITH CHRONIC DISEASES AND COMPLEX MEDICAL CONDITIONS TO BETTER MANAGE THEIR HEALTH. THE GOAL, AS IT RELATES TO THE CHNA TOPIC AREAS, IS TO DECREASE OBESITY AND TOBACCO USE AND IMPROVE MENTAL HEALTH THROUGH A CLOSER RELATIONSHIP WITH A HEALTH CARE TEAM. ADDITIONALLY, OUR MENTAL HEALTH HOSPITAL WILL BEGIN OFFERING CLASSES SUCH AS YOGA FOR DEPRESSION AND LIGHT THERAPY FOR THE PUBLIC. THIS, TOO, IS INTENDED TO IMPROVE THE MENTAL AND PHYSICAL HEALTH OF OUR COMMUNITY MEMBERS. FINALLY DEACONESS IMPLEMENTED A PROGRAM CALLED BREATH OF FRESH AIR TO HELP PEOPLE QUIT SMOKING. THIS IS AN ON-LINE PROGRAM THAT UTILIZES WEB-BASED TOOLS AND INFORMATION AS WELL AS REMINDER E-MAILS FOR THE PARTICIPANTS. TACTICS TO ADDRESS SUBSTANCE ABUSE ARE WOVEN INTO THE POPULATION HEALTH CLINICAL MODULES. THIS INCLUDES PRESCRIPTION PAIN MEDICINE. |
| DEACONESS GATEWAY HOSPITAL | PART V, SECTION B, LINE 3: DESCRIPTION OF COMMUNITY INPUT IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). |
| DEACONESS CROSS POINTE | PART V, SECTION B, LINE 3: DESCRIPTION OF COMMUNITY INPUT IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). |
| DEACONESS HOSPITAL, INC. | PART V, SECTION B, LINE 4: OTHER HOSPITAL FACILITIES CHNA WAS CONDUCTED WITH:DEACONESS GATEWAY HOSPITALDEACONESS CROSS POINTEST. MARY'S HEALTH |
| DEACONESS GATEWAY HOSPITAL | PART V, SECTION B, LINE 4: OTHER HOSPITAL FACILITIES CHNA WAS CONDUCTED IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). |
| DEACONESS CROSS POINTE | PART V, SECTION B, LINE 4: OTHER HOSPITAL FACILITIES CHNA WAS CONDUCTED WITH IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). |
| DEACONESS HOSPITAL, INC. | PART V, SECTION B, LINE 5D: THE CHNA IS MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE:THE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.DEACONESS.COM/CHNA. |
| DEACONESS GATEWAY HOSPITAL | PART V, SECTION B, LINE 5D: THE CHNA IS MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE: THE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.DEACONESS.COM/CHNA. |
| DEACONESS CROSS POINTE | PART V, SECTION B, LINE 5D: THE CHNA IS MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE: THE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.DEACONESS.COM/CHNA. |
| DEACONESS HOSPITAL, INC. | PART V, SECTION B, LINE 6I: METHOD FOR ADDRESSING NEEDS IDENTIFIED IN CHNA:6A: IN 2011, DEACONESS HEALTH SYSTEM JOINED FOUR OTHER LOCAL HEALTH-RELATED ORGANIZATIONS, ECHO COMMUNITY HEALTH CARE, ST. MARY'S HEALTH, UNITED WAY, AND WELBORN BAPTIST FOUNDATION, TO PLAN FOR AND ADMINISTER A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). REVIEW OF THE ASSESSMENT DATA LED THE TEAM TO IDENTIFY FOUR MAIN ISSUES AT THE CORE OF POOR COMMUNITY HEALTH: TOBACCO USE, OBESITY, SUBSTANCE ABUSE, AND MENTAL HEALTH. THE COLLABORATIVE CREATED A GROUP PLAN OF ACTION TO ADDRESS THESE ISSUES. MEETINGS WITH COMMUNITY PARTNERS AND STAKEHOLDERS GUIDED THE PLANNING PROCESS. ADDITIONALLY, EACH PARTNER CREATED AN ORGANIZATION SPECIFIC PLAN TO ADDRESS THE SAME ISSUES. THE PLANS WERE TRANSCRIBED, PRESENTED AT A PRESS CONFERENCE, AND POSTED ON THE WEBSITE OF EACH PARTNER'S ORGANIZATION.6B: STRATEGIES FOR EACH OF THE FOUR TARGET AREAS WERE CREATED FOR THE COLLABORATIVE AND FOR DEACONESS. SINCE THE HOSPITAL SERVES VANDERBURGH AND WARRICK COUNTIES IN INDIANA, THE STRATEGY FOR DEACONESS INCLUDES TACTICS TO ADDRESS THESE ISSUES IN BOTH COMMUNITIES. AN INTERNAL TEAM LEADER WAS ASSIGNED TO EACH OF THE FOUR TOPIC AREAS AND RESPONSIBLE FOR PUTTING TOGETHER A TEAM AND THEN A PLAN TO CREATE POSITIVE CHANGE IN THE SPECIFIC HEALTH AREA. THE PLANNING PHASE IS COMPLETE AND THE EXECUTION PHASE TAKES PLACE IN TAX YEARS 2013, 2014, 2015.6C: MEMBERS OF THE DEACONESS COMMUNITY BENEFIT TEAM MET REGULARLY WITH OTHER MEMBERS OF THE COLLABORATIVE TO CREATE A STRATEGY AND TACTICS THAT ADDRESS OUR FOUR IDENTIFIED COMMUNITY HEALTH NEEDS. THE BENEFIT TEAM PARTICIPATED IN FOCUS GROUP SESSIONS WITH 51 BUSINESS, COMMUNITY, AND SOCIAL SERVICE LEADERS, AND STRATEGY SESSIONS WITH 42 PROVIDERS AND AGENCIES TO DEVELOP A PLAN THAT WOULD CAUSE POSITIVE CHANGE IN THE OVERALL HEALTH OF OUR POPULATION.6D: THE FIRST STEP IN EXECUTING OUR COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN WAS RELEASING INFORMATION TO THE PUBLIC. A PRESS CONFERENCE WAS HELD JUNE 13, 2013, AT A LOCAL BUSINESS. DURING THE PRESS CONFERENCE, REPRESENTATIVES FROM THE COLLABORATIVE EXPLAINED THE CHNA SURVEY PROCESS, RESULTS, CONTRIBUTIONS OF COMMUNITY PARTNERS, AND THE FOUR HEALTH ISSUES SELECTED AS OUR FOCUS FOR THE NEXT THREE YEARS. FOLLOWING THIS ANNOUNCEMENT, THE COLLABORATIVE SET UP MEETINGS FOR EACH OF THE FOUR HEALTH TOPICS AND INVITED ALL RELEVANT COMMUNITY PARTNERS TO ATTEND. DURING THESE MEETINGS, THE GROUP REVIEWS THE ACTION ITEMS IN THE IMPLEMENTATION PLAN, REPORTS ON THE PROGRESS OF THOSE ITEMS, AND ASKS FOR ASSISTANCE OR ADDITIONAL RESOURCES AS APPROPRIATE. 6G: MEMBERS OF OUR THREE KEY INFORMANT GROUPS (COMMUNITY LEADERS, BUSINESS LEADERS, AND SOCIAL SERVICE AGENCIES) SUBMITTED THEIR TOP 5 HEALTH PRIORITIES FOR THE COMMUNITY. THIS INFORMATION WAS COUPLED WITH THE SURVEY DATA RESULTING IN A LIST OF SEVEN KEY COMMUNITY HEALTH ISSUES. FOLLOWING FURTHER ANALYSIS, THE COLLABORATIVE DECIDED THAT TOBACCO USE, OBESITY, SUBSTANCE ABUSE, AND MENTAL HEALTH ISSUES WERE THE ROOT CAUSES OF MULTIPLE HEALTH CONDITIONS AND HIGHER HEALTH CARE COSTS. BY ADDRESSING THESE FOUR AREAS, THE COLLABORATIVE COULD HAVE THE BIGGEST IMPACT ON THE CURRENT HEALTH CONDITIONS IN OUR COMMUNITIES. 6H:AS PART OF OUR AGREEMENT WITH THE CHNA COLLABORATIVE, DEACONESS WILL FOCUS TIME AND RESOURCES FOR THE NEXT THREE YEARS ON CREATING POSITIVE CHANGE IN THE FOUR IDENTIFIED TOPIC AREAS. DEACONESS OPERATES AN ACCOUNTABLE CARE ORGANIZATION (ACO) CALLED DEACONESS CARE INTEGRATION. THE ACO HOUSES MANY OF THE PROGRAMS WE WILL USED TO ADDRESS OBESITY, TOBACCO USE, MENTAL HEALTH AND SUBSTANCE ABUSE. SPECIFIC SERVICES INCLUDE CERTIFICATION FOR ALL DEACONESS CLINIC LOCATIONS AS PATIENT CENTERED MEDICAL HOMES (PCMH), USE OF HEALTH COACHES IN THE PCMH, REFERRALS TO OUR MEDICATION MANAGEMENT PROGRAM, DIABETES MANAGEMENT PROGRAM, SUBSTANCE ABUSE, AND MENTAL HEALTH SERVICES (DEACONESS OPERATES A BEHAVIORAL HEALTH CLINIC AS WELL AS INPATIENT AND OUTPATIENT MENTAL HEALTH SERVICES.) THE DESIGN OF OUR ACO AND PCMH ENABLES STAFF MEMBERS TO EASILY ADDRESS THE FOUR IDENTIFIED COMMUNITY HEALTH NEEDS DURING ROUTINE OFFICE VISITS. |
| DEACONESS GATEWAY HOSPITAL | PART V, SECTION B, LINE 6I: METHOD FOR ADDRESSING NEEDS IDENTIFIED IN CHNA IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). |
| DEACONESS CROSS POINTE | PART V, SECTION B, LINE 6I: METHOD FOR ADDRESSING NEEDS IDENTIFIED IN CHNA IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). |
| DEACONESS HOSPITAL, INC. | PART V, SECTION B, LINE 14G: OTHER METHOD USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY: DEACONESS HOSPITAL SEEKS OUT THE PATIENTS THAT ARE SELF-PAY AND INTERVIEWS THESE PATIENTS WHILE THEY ARE IN THE FACILITY. THE FINANCIAL ASSISTANCE POLICY IS PROMOTED TO PATIENTS. DEACONESS HOSPITAL SEEKS OUT THOSE PATIENTS THAT WOULD QUALIFY FOR THE FINANCIAL ASSISTANCE POLICY. COLLECTABILITY SCORING IS ALSO COMPLETED AND ALLOWANCES ARE MADE BASED UPON THESE SCORES. |
| DEACONESS GATEWAY HOSPITAL | PART V, SECTION B, LINE 14G: OTHER METHOD USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). |
| DEACONESS CROSS POINTE | PART V, SECTION B, LINE 14G: OTHER METHOD USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY IS REPORTED THE SAME AS DEACONESS HOSPITAL, INC. (HOSPITAL FACILITY #1). |
| DEACONESS HOSPITAL, INC. | PART V, SECTION B, LINE 20D: DEACONESS USES ITS AVERAGE MANAGED CARE NEGOTIATED DISCOUNT FOR ALL COMMERCIAL PAYERS. |
| DEACONESS GATEWAY HOSPITAL | PART V, SECTION B, LINE 20D: DEACONESS USES ITS AVERAGE MANAGED CARE NEGOTIATED DISCOUNT FOR ALL COMMERCIAL PAYERS. |
| DEACONESS CROSS POINTE | PART V, SECTION B, LINE 20D: DEACONESS USES ITS AVERAGE MANAGED CARE NEGOTIATED DISCOUNT FOR ALL COMMERCIAL PAYERS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 45 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (45 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| DEACONESS PROCEDURE CENTER | ||||
| 421 CHESTNUT STREET | EVANSVILLE | IN | 47713 | OUTPATIENT SERVICES |
| DEACONESS HOSPITAL PHYSICAL MEDICINE | ||||
| 520 MARY STREET SUITE 280 | EVANSVILLE | IN | 47747 | OUTPATIENT SERVICES |
| DEACONESS COMPREHENSIVE PAIN CTR & PROG | ||||
| 4600 W LLOYD EXPRESSWAY | EVANSVILLE | IN | 47712 | OUTPATIENT SERVICES |
| DEACONESS CHEMOTHERAPY INFUSION CTR | ||||
| 4055 GATEWAY BLVD SUITE 1200 | NEWBURGH | IN | 47630 | OUTPATIENT SERVICES |
| DEACONESS HOSPITAL INFUSION SVCS | ||||
| 421 CHESTNUT STREET | EVANSVILLE | IN | 47713 | OUTPATIENT SERVICES |
| DEACONESS HOSPITAL PHYSICAL MEDICINE | ||||
| 10455 ORTHOPAEDIC DRIVE | NEWBURGH | IN | 47630 | OUTPATIENT SERVICES |
| DEACONESS COMPREHENSIVE PAIN CTR-GATEWAY | ||||
| 4099 GATEWAY BLVD | NEWBURGH | IN | 47630 | OUTPATIENT SERVICES |
| DEACONESS CRITICAL CARE GROUP | ||||
| 519 HARRIET STREET | EVANSVILLE | IN | 47747 | OUTPATIENT PHYSICIAN CLINIC |
| DEACONESS HOSPITAL BREAST CENTER | ||||
| 520 MARY STREET SUITE 140 | EVANSVILLE | IN | 47710 | DIAGNOSTIC CENTER |
| DEACONESS REGIONAL LABORATORY | ||||
| 421 CHESTNUT STREET | EVANSVILLE | IN | 47713 | DIAGNOSTIC CENTER |
| DEACONESS HOME CARE | ||||
| 701 GARFIELD STREET | EVANSVILLE | IN | 47747 | HOME HEALTH AGENCY |
| CHANCELLOR CENTER FOR ONCOLOGY | ||||
| 4055 GATEWAY BLVD | NEWBURGH | IN | 47630 | OUTPATIENT SERVICES |
| DEACONESS SLEEP LAB | ||||
| 350 W COLUMBIA STREET SUITE 210 | EVANSVILLE | IN | 47710 | OUTPATIENT SERVICES |
| DEACONESS SLEEP LAB | ||||
| 350 W COLUMBIA STREET SUITE LL-10 | EVANSVILLE | IN | 47710 | DIAGNOSTIC CENTER |
| DEACONESS OHIO VALLEY HOSPICE | ||||
| 701 GARFIELD STREET | EVANSVILLE | IN | 47747 | HOSPICE |
| DEACONESS REGIONAL LABORATORY | ||||
| 4133 GATEWAY BLVD SUITE 110 | NEWBURGH | IN | 47630 | DIAGNOSTIC CENTER |
| THE FAMILY PRACTICE CENTER | ||||
| 515 READ STREET | EVANSVILLE | IN | 47710 | OUTPATIENT PHYSICIAN CLINIC |
| DEACONESS WOUND CARE CENTER | ||||
| 611 HARRIET STREET SUITE 501 | EVANSVILLE | IN | 47710 | OUTPATIENT SERVICES |
| DEACONESS HOSPITAL MAMMOGRAPHY & IMAGING | ||||
| 421 CHESTNUT STREET | EVANSVILLE | IN | 47713 | DIAGNOSTIC CENTER |
| DEACONESS CLINIC GATEWAY REG LAB | ||||
| 4233 GATEWAY BLVD | NEWBURGH | IN | 47630 | DIAGNOSTIC CENTER |
| DEACONESS ANTICOAGULATION CLINIC | ||||
| 4107 GATEWAY BLVD | NEWBURGH | IN | 47630 | OUTPATIENT SERVICES |
| DEACONESS CLINIC WEST REG LAB RADIOLOGY | ||||
| 545 S BOEHNE CAMP ROAD | EVANSVILLE | IN | 47712 | OUTPATIENT PHYSICIAN CLINIC |
| MIDWEST RADIOLOGIC IMAGING | ||||
| 10455 ORTHOPAEDIC DRIVE | NEWBURGH | IN | 47630 | DIAGNOSTIC CENTER |
| MIDWEST RADIOLOGICAL IMAGING | ||||
| 4087 GATEWAY BLVD | NEWBURGH | IN | 47630 | DIAGNOSTIC CENTER |
| DEACONESS REGIONAL LABORATORY | ||||
| 611 HARRIET STREET SUITE 102 | EVANSVILLE | IN | 47710 | DIAGNOSTIC CENTER |
| DEACONESS RILEY CHILDREN'S SPECIALTY CTR | ||||
| 4133 GATEWAY BLVD | NEWBURGH | IN | 47630 | OUTPATIENT PHYSICIAN CLINIC |
| DEACONESS RILEY SPECIALITY CTR OP | ||||
| 4121 GATEWAY BLVD | NEWBURGH | IN | 47630 | OUTPATIENT PHYSICIAN CLINIC |
| DOCTOR'S PLAZA X-RAY | ||||
| 611 HARRIET STREET | EVANSVILLE | IN | 47710 | DIAGNOSTIC CENTER |
| DEACONESS PRIMARY CARE FOR SENIORS | ||||
| 4498 FIRST AVENUE | EVANSVILLE | IN | 47710 | OUTPATIENT PHYSICIAN CLINIC |
| DEACONESS REGIONAL LABORATORY | ||||
| 4494 N FIRST AVENUE | EVANSVILLE | IN | 47710 | DIAGNOSTIC CENTER |
| DEACONESS CLINIC PRINCETON RADIOLOGY SRV | ||||
| 685 VAIL STREET | PRINCETON | IN | 47670 | OUTPATIENT PHYSICIAN CLINIC |
| DEACONESS PRIMARY CARE FOR SENIORS | ||||
| 1750 OAK HILL ROAD | EVANSVILLE | IN | 47710 | OUTPATIENT PHYSICIAN CLINIC |
| DEACONESS PRE-ADMISSION TESTING | ||||
| 520 MARY STREET SUITE 330 | EVANSVILLE | IN | 47747 | DIAGNOSTIC CENTER |
| MT VERNON MEDICAL CENTER LAB & RADIOLOGY | ||||
| 1900 W FOURTH STREET | MT VERNON | IN | 47620 | DIAGNOSTIC CENTER |
| DEACONESS FAMILY MEDICINE | ||||
| 611 HARRIET STREET SUITE 504 | EVANSVILLE | IN | 47710 | OUTPATIENT PHYSICIAN CLINIC |
| DEACONESS DIABETES CENTER - EDUCATION | ||||
| 421 CHESTNUT STREET | EVANSVILLE | IN | 47713 | OUTPATIENT SERVICES |
| DEACONESS GATEWAY GASTROENTEROLOGY | ||||
| 4133 GATEWAY BLVD | NEWBURGH | IN | 47630 | OUTPATIENT PHYSICIAN CLINIC |
| DEACONESS WEIGHT LOSS SOLUTIONS | ||||
| 310 W IOWA STREET | EVANSVILLE | IN | 47710 | OUTPATIENT PHYSICIAN CLINIC |
| DEACONESS REGIONAL LABORATORY | ||||
| 1204 W WILLIAMS STREET | OAKLAND CITY | IN | 47660 | DIAGNOSTIC CENTER |
| DEACONESS CROSS POINTE-OWENSBORO | ||||
| 920 FREDERICA STREET SUITE 1003 | OWENSBORO | KY | 42301 | OUTPATIENT PHYSICIAN CLINIC |
| DEACONESS CROSS POINTE-HENDERSON | ||||
| 209 N ELM STREET | HENDERSON | KY | 42420 | OUTPATIENT PHYSICIAN CLINIC |
| DEACONESS CROSS POINTE OUTPATIENT CLINIC | ||||
| 445 CROSS POINTE BLVD | EVANSVILLE | IN | 47715 | OUTPATIENT PHYSICIAN CLINIC |
| DEACONESS CROSS POINTE | ||||
| 7200 E INDIANA | EVANSVILLE | IN | 47715 | OUTPATIENT PHYSICIAN CLINIC |
| DEACONESS RADIOLOGY LABORATORY- MT PLEA | ||||
| 8600 NORTH KENTUCKY AVENUE | EVANSVILLE | IN | 47725 | DIAGNOSTIC CENTER |
| DEACONESS RADIOLOGY SERVICES- MT PLEASA | ||||
| 8600 NORTH KENTUCKY AVENUE | EVANSVILLE | IN | 47725 | DIAGNOSTIC CENTER |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | DEACONESS HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT IS MADE AVAILABLE IN THE FOLLOWING WAYS:1. MAILED TO ALL THE MAJOR EMPLOYERS IN THE TRI-STATE AREA.2. AN ADVERTISEMENT IS PLACED IN THE SUNDAY PAPER OF THE EVANSVILLE COURIER AND PRESS.3. IS MADE AVAILABLE ON THE DEACONESS WEBSITE AT HTTP://WWW.DEACONESS.COM/CAREERS/FOR-OUR-EMPLOYEES/ OUR-COMMUNITY/COMMUNITY-BENEFIT.ASPX |
| PART I, LINE 7: | A COST TO CHARGE RATIO WAS USED FOR MOST OF THE CALCULATIONS FOR THE TABLE. IRS INSTRUCTION'S WORKSHEET 2 WAS USED FOR THIS CALCULATION. WE DID NOT USE THE COST TO CHARGE RATIO FOR LINE 7G AS IT WAS NOT RELEVANT TO THESE SERVICES. THE ACTUAL COST FROM OUR COSTING SYSTEM WAS USED WHEN AVAILABLE. THE COST TO CHARGE RATIO FOR EACH SERVICE TYPE WAS USED TO ESTIMATE COST WHEN NOT AVAILABLE FROM OUR INTERNAL COSTING SYSTEM. |
| PART I, LINE 7G: | SUBSIDIZED HEALTH SERVICES ATTRIBUTED TO PHYSICIAN CLINICS HAVE A COST OF $1,189,879. THESE CLINICS ARE OPERATED AS A BENEFIT TO THE COMMUNITY. |
| PART I, LN 7 COL(F): | THE BAD DEBT EXPENSE IS NOT INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) DUE TO EARLY ADOPTION OF ACCOUNTING STANDARDS UPDATE (ASU) 2011-07, HEALTHCARE ENTITIES (TOPIC 954). |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY BUILDING ACTIVITIES:DURING FISCAL YEAR 2014, DEACONESS PROVIDED FINANCIAL SUPPORT TO MORE THAN 160 NON-PROFIT ORGANIZATIONS LOCATED IN OUR THREE-STATE SERVICE AREA. THIS INCLUDES SPONSORSHIP OF WALKS AND RUNS TO RAISE AWARENESS FOR DISEASES AND HEALTH CONDITIONS, DONATIONS TO AREA FOOD PANTRIES, A SIGNIFICANT PARTNERSHIP WITH A LOCAL HOMELESS SHELTER TO CREATE A MEDICAL RESPITE, AND OVER $1,000,000 DONATED TO HELP CREATE MEDICAL EDUCATION AND RESEARCH CAMPUS FOR OUR COMMUNITY. THE HOSPITAL GAVE EACH TEACHER IN THE DESIGNATED "COMMUNITY BENEFIT SCHOOLS" $100 TO BUY SUPPLIES FOR THEIR CLASSROOM, TOTALING OF $23,355. THE HOSPITAL ALSO SENT $100 TO EVERY "AFTER PROM" EVENT IN THE REGION TO PROVIDE TEENAGERS WITH A SAFE PLACE TO CELEBRATE FREE FROM DRUGS, ALCOHOL, AND RISKY BEHAVIOR, TOTALING $2,100. DEACONESS PROVIDED FREE AND REDUCED CARE WITHIN OUR HOSPITAL BUILDINGS. THROUGH OUR MEDICATION ASSISTANCE PROGRAM, OUR FAMILY PRACTICE RESIDENCY CLINIC, AND COMMUNITY HEALTH SCREENINGS, AREA RESIDENTS CAN ACCESS THE HIGH QUALITY HEALTHCARE THEY NEED IN CONVENIENT LOCATIONS AND AT A PRICE THEY CAN AFFORD. DEACONESS PROMOTES HEALTHY LIVING IN THE COMMUNITY THROUGH SEVERAL INITIATIVES INCLUDING:1. HEALTHIER U WORKS: ORGANIZED, OUTDOOR COMMUNITY WALK EVERY MORNING FROM APRIL TO OCTOBER2. WISE CHOICE: VENDORS AT THE ANNUAL FALL FESTIVAL SUBMIT RECIPES TO OUR DIETICIANS. IF THEY MEET CERTAIN NUTRITIONAL REQUIREMENTS, THE VENDORS BOOTH GETS A GREEN SIGN TO HANG THAT INDICATES THE SERVE HEALTHY FOOD OPTIONS AT THEIR BOOTH.3. MENS HEALTH SERIES: ONCE A MONTH FROM MARCH THROUGH NOVEMBER, MEN IN THE COMMUNITY ARE INVITED TO COME TO THE HOSPITAL, EAT DINNER, AND HEAR A PRESENTATION SPECIFICALLY GEARED TOWARD IMPROVING MENS HEALTH.4. COMMUNITY SCREENINGS: EACH, WEEK, REDUCED COST HEALTH SCREENINGS ARE OFFERED AT A DEACONESS CLINIC LOCATION. THE LOCATION ROTATES BETWEEN MULTIPLE STATES AND COUNTIES. 5. MENTAL HEALTH FIRST-AID COURSES: AN EDUCATION PROGRAM THAT HELPS THE PUBLIC IDENTIFIES, UNDERSTAND, AND RESPOND TO SIGNS OF MENTAL ILLNESSES AND SUBSTANCE ABUSE DISORDERS.6. TRAUMA EDUCATION: DEACONESS TRAUMA SERVICES DEVOTES TIME AND RESOURCES TO EDUCATING EMS PERSONNEL AND OTHER FIRST RESPONDERS IN THE REGION. 7. HEALTH SCIENCE INSTITUTE: A HANDS-ON SUMMER PROGRAM FOR HIGH SCHOOL STUDENTS INTERESTED IN THE MEDICAL PROFESSION. 8. SUICIDE PREVENTION: MEMBERS OF OUR MENTAL HEALTH HOSPITAL TRAVEL AROUND THE REGION TO PROVIDE SUICIDE PREVENTION TRAINING TO SCHOOLS, CHURCHES, NON-PROFIT GROUPS, ETC. |
| PART III, LINE 4: | THE FOOTNOTE DESCRIBING BAD DEBT EXPENSES IS INCLUDED IN THE ATTACHED AUDITED FINANCIAL STATEMENTS UNDER FOOTNOTE "CHARITY CARE, COMMUNITY BENEFIT AND ASSISTANCE TO THE UNINSURED" STARTING ON PAGE 11 AND "PATIENT ACCOUNTS RECEIVABLE, ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS AND NET PATIENT SERVICE REVENUE" STARTING ON PAGE 12. |
| PART III, LINE 8: | THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, LINE 8: THE MEDICARE TOTAL REVENUE AND ALLOWABLE COSTS WERE ESTIMATED BASED UPON THE 2013 MEDICARE COST REPORT. THE MEDICARE SHORTFALL FOR DEACONESS HOSPITAL IS TREATED AS COMMUNITY BENEFIT DUE TO THE HOSPITAL PROVIDING CARE TO MEDICARE PATIENTS AT LESS THAN THE ALLOWABLE MEDICARE COSTS. |
| PART III, LINE 9B: | DEACONESS HOSPITAL MAKES A DISTINCTION BETWEEN CHARITY AND BAD DEBT. IN DETERMINING AN INDIVIDUAL OR FAMILY'S ABILITY TO PAY, DEACONESS HOSPITAL EVALUATES WHETHER OR NOT THE RESPONSIBLE PARTY HAS SUFFICIENT RESOURCES FOR PAYMENT. IF AN INDIVIDUAL IS DETERMINED TO NOT HAVE SUFFICIENT RESOURCES TO PAY, THEY WILL BE CONSIDERED ELIGIBLE FOR CHARITY CARE AND WILL NOT BE PROCESSED THROUGH EITHER INTERNAL OR EXTERNAL COLLECTIONS. ACCOUNTS OF CHARITY CARE PATIENTS WHO ARE UNABLE TO PAY DO NOT RESULT IN BAD DEBT AND ARE NOT COLLECTED UPON.DEACONESS UTILIZES AN OUTSOURCING AGENCY FOR SELF PAY BALANCES. IF THE PATIENT HAS RECEIVED AT LEAST TWO STATEMENTS AND NOT SET UP A PAYMENT PLAN OR PAID THE BALANCES, THE SELF PAY PORTION IS OUTSOURCED TO COMPLETE BUSINESS SERVICES. THEY WILL WORK THE ACCOUNTS BASED ON POLICY AND RETURN THE ACCOUNTS FOR BAD DEBT CLASSIFICATION AND TO BE SENT TO THE APPROPRIATE AGENCY BASED ON POLICY. DEACONESS ALSO UTILIZES EPI FINANCE GROUP, LLC TO MANAGE PAYMENT PLANS FUNDED THROUGH REPUBLIC BANK AND TRUST COMPANY. THE EPI PAYMENT PLAN PROGRAM OFFERS INTEREST FREE LOANS TO DEACONESS PATIENTS BETWEEN 4 AND 24 MONTHS DEPENDING ON THE PATIENT'S ABILITY TO PAY THE LOAN OFF. |
| PART VI, LINE 2: | NEEDS ASSESSMENT PROCESS: IN ADDITION TO THE CHNA REPORTED IN PART V, SECTION B DEACONESS HOSPITAL UTILIZES A VARIETY OF SOURCES TO GATHER DATA ON LOCAL HEALTH CARE NEEDS. A MAJOR SOURCE IS THE 7-COUNTY HEALTH SURVEY CONDUCTED BY WELBORN BAPTIST FOUNDATION. DEACONESS ALSO USES DATA FROM THE UNITED WAY OF SOUTHWESTERN INDIANA'S COMPREHENSIVE NEEDS ASSESSMENT, COUNTY HEALTH RANKINGS WEBSITE, INDIANA STATE DEPARTMENT OF HEALTH, CENTERS FOR DISEASE CONTROL AND PREVENTION, NATIONAL CENTER FOR HEALTH STATISTICS, AND THE U.S. CENSUS BUREAU. ADDITIONAL INFORMATION COMES THROUGH THE HOSPITAL'S INTERACTION WITH LOCAL SERVICE PROVIDERS AND OTHER NON-PROFIT ORGANIZATIONS. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: DEACONESS HOSPITAL UTILIZES FINANCIAL COUNSELORS TO EDUCATE, INFORM AND ASSIST PATIENTS AND FAMILIES IN UNDERSTANDING THEIR FINANCIAL OBLIGATION, ABILITY TO QUALIFY FOR FINANCIAL ASSISTANCE THROUGH DEACONESS HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND PAYMENT OPTIONS. SPECIFICALLY, FINANCIAL COUNSELORS STAFF THE EMERGENCY DEPARTMENT, REGISTRATION AREAS, CASHIER AREA, AS WELL AS, FLOAT AMONG INPATIENT AREAS TO ENSURE EACH AND EVERY PATIENT REQUIRING ASSISTANCE IS REACHED. IN ADDITION TO THE PERSONAL AND INDIVIDUALIZED COUNSELING PROVIDED BY THE FINANCIAL COUNSELORS, VARIOUS FORMS OF MEDIA ARE DISTRIBUTED THROUGHOUT DEACONESS HOSPITAL EXPLAINING THE FINANCIAL ASSISTANCE PROCESS. ADDITIONALLY, POLICIES FOR FINANCIAL ASSISTANCE ARE POSTED WIDELY THROUGHOUT DEACONESS HOSPITAL AND ON THE INTERNET AT WWW.DEACONESS.COM. HTTP://WWW.DEACONESS.COM/DEACONESSHOSPITAL/BUSINESS-OFFICE/FINANCIAL-ASSISTANCE.ASPX |
| PART VI, LINE 4: | COMMUNITY INFORMATION: DEACONESS HOSPITAL IS A MAJOR REFERRAL CENTER FOR A 26-COUNTY TRI-STATE AREA IN SOUTHWESTERN INDIANA, WESTERN KENTUCKY AND SOUTHEASTERN ILLINOIS. THE HOSPITAL AND ITS FACILITIES ARE LOCATED ON FOUR CAMPUSES WHICH INCLUDE THE MAIN 28-ACRE CAMPUS ON THE NEAR NORTH SIDE OF EVANSVILLE IN VANDERBURGH COUNTY; THE 63-ACRE GATEWAY CAMPUS LOCATED IN WARRICK COUNTY ON THE EASTERN BORDER OF VANDERBURGH COUNTY; AND TWO OTHER EASTSIDE EVANSVILLE LOCATIONS FOR PSYCHIATRIC BEHAVIORAL SERVICES AND REHABILITATION SERVICES. THE HOSPITAL OPERATES A MAIN CAMPUS WITH A TOTAL OF 305 BEDS CONSISTING OF 38 INTENSIVE CARE BEDS, 16 CARDIAC INTENSIVE CARE BEDS, 66 CARDIAC BEDS, 23 ONCOLOGY/ PULMONOLOGY BEDS, 61 ORTHOPAEDIC/ NEUROLOGICAL BEDS, 96 MEDICAL/ SURGICAL BEDS AND 5 HOSPICE BEDS. IN ADDITION, THE HOSPITAL PROVIDES A FULL-ARRAY OF COMPREHENSIVE OUTPATIENT AND AMBULATORY SERVICES ON ITS MAIN CAMPUS AND OTHER SPECIFIC SERVICES AT MULTIPLE SITES WITHIN ITS PRIMARY AND SECONDARY SERVICE AREAS. THE HOSPITAL OPERATES THE 158 BED DEACONESS GATEWAY HOSPITAL WHICH WAS OPENED IN JANUARY 2006, ON THE GATEWAY CAMPUS CONSISTING OF 13 ADULT INTENSIVE CARE BEDS, 17 PEDIATRIC AND PEDIATRIC INTENSIVE CARE BEDS, 16 NEUROSURGICAL BEDS, 32 ORTHOPAEDIC BEDS, 16 NEURO INTENSIVE CARE BEDS, 32 SURGICAL ONCOLOGY BEDS, AND 32 GENERAL MED/ TELEMETRY BEDS. THE HOSPITAL PROVIDES A FULL ARRAY OF COMPREHENSIVE OUTPATIENT AND AMBULATORY SERVICE ON THE GATEWAY CAMPUS. THE HOSPITAL OWNS AND OPERATES DEACONESS CROSS POINTE, A FREE-STANDING, 60-BED INPATIENT PSYCHIATRIC HOSPITAL LOCATED APPROXIMATELY 7 MILES EAST OF THE MAIN CAMPUS IN EVANSVILLE. ALSO, THE HOSPITAL IS AN OWNER IN THREE JOINT VENTURE HOSPITALS:1. DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA, LLC D/B/A THE WOMEN'S HOSPITAL, A FREE STANDING SPECIALTY 74-BED WOMEN'S AND INFANT'S HOSPITAL, LOCATED ON THE GATEWAY CAMPUS.2. HEALTHSOUTH/DEACONESS, LLC D/B/A TRI-STATE REGIONAL REHABILITATION HOSPITAL, A 85-BED INPATIENT ACUTE REHABILITATION HOSPITAL, LOCATED APPROXIMATELY 8 MILES TO THE SOUTHEAST OF THE MAIN CAMPUS.3. THE HEART HOSPITAL AT DEACONESS GATEWAY, LLC, A 24-BED CARDIOVASCULAR SPECIALTY HOSPITAL, RESIDING ON THE GATEWAY CAMPUS. THE HOSPITAL PLAYS AN ACTIVE ROLE IN MEDICAL EDUCATION, OPERATING A THREE YEAR FAMILY MEDICINE RESIDENCY PROGRAM, A POST-GRADUATE PHARMACY RESIDENT PROGRAM, AND SEVERAL UNDERGRADUATE MEDICAL AFFILIATIONS. THE HOSPITAL ALSO PROVIDES CONTINUING MEDICAL EDUCATION PROGRAMS FOR ATTENDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, OTHER ALLIED HEALTH PROGRAMS, AND THE COMMUNITY AT LARGE. THE HOSPITAL, THROUGH ITS RELATED CORPORATIONS, PROVIDES OUTREACH SERVICES TO NURSING HOMES, PHYSICIANS' OFFICES AND SURROUNDING SMALLER HOSPITALS IN ITS SERVICE AREA.VANDERBURGH COUNTY DEMOGRAPHICS INCLUDE:POPULATION: VANDERBURGH COUNTY INCLUDES A POPULATION OF 183,833 PEOPLE, A NUMBER THAT IS EXPECTED TO REMAIN RELATIVELY FLAT OVER THE NEXT 5 YEARS. WITHIN VANDERBURGH, ONE OF THE MOST SIGNIFICANT GROWTH SEGMENTS IS THE 65+ AGE POPULATION, WHERE AN 8.8% INCREASE IS PROJECTED FOR THE 5-YEAR PERIOD BETWEEN 2012 AND 2017. MARKET DIVERSITY: THE EVANSVILLE AREA CONTINUES TO BE A RELATIVELY NON-DIVERSE POPULATION, WITH 86% OF THE POPULATION CHARACTERIZED AS WHITE OR CAUCASIAN ALONE AND 9% OF THE POPULATION CHARACTERIZED AS BLACK OR AFRICAN AMERICAN ALONE.POOR AND VULNERABLE POPULATIONS: ONE OUT OF SEVEN HOUSEHOLDS IN VANDERBURGH (15.1%) EARNS LESS THAN $15,000 ANNUALLY. IT IS ESTIMATED THAT 15.9% OF RESIDENTS ARE UNINSURED, A NUMBER THAT IS PROJECTED TO DECLINE TO 7.5% BY 2017, ASSUMING THAT THE EXPANSION OF MEDICAID TAKES PLACE AS ORIGINALLY SCHEDULED.HEALTH OUTCOMES: BASED ON THE 2012 COUNTY HEALTH RAKINGS, VANDERBURGH COUNTY RANKS 76TH OUT OF 92 INDIANA COUNTIES BASED ON SPECIFIC HEALTH FACTORS AND HEALTH OUTCOMES. IT RANKS 78TH RELATIVE TO ITS PHYSICAL ENVIRONMENT (E.G. AIR POLLUTION). (SOURCE: ROBERT WOODS JOHNSON FOUNDATION, ACCESSED AT WWW.COUNTYHEALTHRANKINGS.ORG). HOUSEHOLD INCOME: THE MEDIAN HOUSEHOLD INCOME IN VANDERBURGH COUNTY IS ESTIMATED AT $38,851 FOR 2012.MEDIAN AGE: THE MEDIAN AGE IN VANDERBURGH DURING 2012 WAS 38 YEARS.WARRICK COUNTY DEMOGRAPHICS INCLUDE:POPULATION: WARRICK COUNTY INCLUDES A POPULATION OF 61,138 PEOPLE, A NUMBER THAT IS EXPECTED TO GROW BY MORE THAN 5% OVER THE NEXT 5 YEARS. WITHIN WARRICK, ONE OF THE MOST SIGNIFICANT GROWTH SEGMENTS IS THE 65+ AGE POPULATION, WHERE A 27.8% INCREASE IS PROJECTED FOR THE 5-YEAR PERIOD BETWEEN 2012 AND 2017. MARKET DIVERSITY: THE WARRICK AREA CONTINUES TO BE A RELATIVELY NON-DIVERSE POPULATION, WITH 95% OF THE POPULATION CHARACTERIZED AS WHITE OR CAUCASIAN ALONE.POOR AND VULNERABLE POPULATIONS: A RELATIVELY AFFLUENT POPULATION, ONLY 8% OF WARRICKS HOUSEHOLDS EARNS LESS THAN $15,000 ANNUALLY. IT IS ESTIMATED THAT 7% OF RESIDENTS ARE UNINSURED, A NUMBER THAT IS PROJECTED TO DECLINE TO 3% BY 2017, ASSUMING THAT THE EXPANSION OF MEDICAID TAKES PLACE AS ORIGINALLY SCHEDULED.HEALTH OUTCOMES: BASED ON THE 2012 COUNTY HEALTH RAKINGS, WARRICK COUNTY RANKS 11TH OUT OF 92 INDIANA COUNTIES BASED ON SPECIFIC HEALTH FACTORS AND HEALTH OUTCOMES. IT RANKS 85TH BASED ON ITS PHYSICAL ENVIRONMENT (E.G. AIR POLLUTION). HOUSEHOLD INCOME: THE MEDIAN HOUSEHOLD INCOME IN WARRICK COUNTY IS ESTIMATED AT $47,922 FOR 2012.MEDIAN AGE: THE MEDIAN AGE IN WARRICK DURING 2012 WAS 40 YEARS. |
| PART VI, LINE 5: | OTHER IMPORTANT COMMUNITY HEALTH PROMOTION:A MAJORITY OF ORGANIZATION'S GOVERNING BODY IS INDEPENDENT AND COMPRISED OF PERSONS WHO RESIDED IN THE ORGANIZATION'S PRIMARY SERVICE AREA; EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY; AND APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE. |
| PART VI, LINE 6: | AFFILIATED HEALTH CARE SYSTEM:DEACONESS HOSPITAL WORKS IN CONCERT WITH DEACONESS HEALTH SYSTEM AND DEACONESS CLINIC TO PROVIDE HEALTHCARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE. DEACONESS HEALTH SYSTEM WORKS TO INCREASE ACCESS TO HEALTHCARE SERVICES WITHIN OUR COMMUNITY THROUGH DEACONESS HOSPITAL AND DEACONESS CLINIC. DEACONESS HOSPITAL IS A MEDICAL INSTITUTION DEDICATED TO PROVIDING QUALITY PATIENT CARE WITH UNRELENTING ATTENTION TO CLINICAL EXCELLENCE, PATIENT SAFETY AND AN UNPARALLELED PASSION AND COMMITMENT TO ASSURE THE VERY BEST HEALTHCARE FOR THE PATIENTS SERVED. DEACONESS CLINIC PROVIDES EXCELLENT PRIMARY AND MULTI-SPECIALTY HEALTHCARE IN A PERSONALIZED FASHION WITH A DEDICATED FOCUS TO SERVE THE COMMUNITY WITH EXCELLENT, TIMELY AND COMPASSIONATE PATIENT CARE.PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: INDIANA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (25 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ALLIANCE INITIATIVES FUND | |||||||
| 5000 E VIRGINIA | EVANSVILLE | IN | 47715 | 352116083 | 501(C)(3) | $250,000 | MEDICAL EDUCATION |
| UNITED CARING SHELTERS | |||||||
| 324 NW SIXTH STREET | EVANSVILLE | IN | 47708 | 351892153 | 501(C)(3) | $67,888 | HOMELESS MED RESPITE |
| LAMPION CENTER | |||||||
| 655 SOUTH HEBRON AVENUE | EVANSVILLE | IN | 47714 | 350868077 | 501(C)(3) | $50,000 | CAPITAL CAMPAIGN |
| EASTER SEALS REHABILITATION CENTER | |||||||
| 3701 BELLEMEADE AVE | EVANSVILLE | IN | 47714 | 351087526 | 501(C)(3) | $38,925 | GENERAL SUPPORT |
| AMERICAN HEART ASSOCIATION | |||||||
| 7272 GREENVILLE AVE | DALLAS | TX | 75231 | 135613797 | 501(C)(3) | $32,000 | GENERAL SUPPORT |
| IVY TECH FOUNDATION | |||||||
| 3501 N 1ST AVENUE | EVANSVILLE | IN | 47710 | 237073977 | 501(C)(3) | $29,933 | GENERAL SUPPORT |
| YMCA OF SW INDIANA INC | |||||||
| 222 NW 6TH ST | EVANSVILLE | IN | 47708 | 350869074 | 501(C)(3) | $26,200 | GENERAL SUPPORT |
| MARIAN UNIVERSITY | |||||||
| 3200 COLD SPRING ROAD | INDIANAPOLIS | IN | 462221997 | 350868175 | 501(C)(3) | $25,000 | D.O. SCHOLARSHIP PROGRAM |
| ECONOMIC DEVELOPMENT COALITION OF SOUTHWESTERN INDIANA | |||||||
| 318 MAIN STREET SUITE 400 | EVANSVILLE | IN | 47708 | 320152563 | 501(C)(6) | $25,000 | GENERAL SUPPORT |
| TRI-STATE FOOD BANK | |||||||
| 801 E MICHIGAN STREET | EVANSVILLE | IN | 477115631 | 351539870 | 501(C)(3) | $23,700 | GENERAL SUPPORT |
| EVANSVILLE VANDERBURGH SCHOOL CORP | |||||||
| 1 SE NINTH STREET | EVANSVILLE | IN | 47708 | 351071682 | 501(C)(3) | $20,090 | GENERAL SUPPORT |
| UNIVERSITY OF SOUTHERN INDIANA | |||||||
| 8600 UNIVERSITY BOULEVARD | EVANSVILLE | IN | 47712 | 237042320 | 501(C)(3) | $20,000 | HEALTH PROFESSIONAL SCHOLARSHIP |
| ECHO COMMUNITY HEALTH CARE | |||||||
| 315 MULBERRY STREET | EVANSVILLE | IN | 47713 | 351791786 | 501(C)(3) | $20,000 | PED & OB CLINIC PROJECT |
| KOMEN GREATER EVANSVILLE AFFILIATE | |||||||
| 4424 VOGEL RD STE 205 | EVANSVILLE | IN | 47715 | 752844632 | 501(C)(3) | $15,000 | GENERAL SUPPORT |
| YWCA | |||||||
| 118 VINE ST | EVANSVILLE | IN | 47708 | 350869075 | 501(C)(3) | $15,000 | GENERAL SUPPORT |
| JUNIOR ACHIEVEMENT OF SW INDIANA | |||||||
| 431 E DIAMOND AVENUE | EVANSVILLE | IN | 47711 | 356048156 | 501(C)(3) | $13,350 | GENERAL SUPPORT |
| EVANSVILLE AREA COMMUNITY CHURCHES | |||||||
| 713 N 2ND AVE | EVANSVILLE | IN | 47710 | 350886837 | 501(C)(3) | $12,000 | FOOD FOR FOOD PANTRY |
| EVANSVILLE SOCCER CLUB | |||||||
| PO BOX 15906 | EVANSVILLE | IN | 47716 | 352086976 | 501(C)(3) | $10,000 | UNDERSERVED YOUTH |
| EVANSVILLE KIDNEY ASSOCIATION | |||||||
| 1312 PROFESSIONAL BLVD STE 200 | EVANSVILLE | IN | 47714 | 260219765 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| AMERICAN RED CROSS | |||||||
| 29 S STOCKWELL RD | EVANSVILLE | IN | 47714 | 530196605 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| AURORA | |||||||
| 1100 LINCOLN AVE PO BOX 74 | EVANSVILLE | IN | 477010074 | 351759576 | 501(C)(3) | $10,000 | CAPITAL CAMPAIGN |
| CONGREGATIONS OF ACTING FOR JUSTICE | |||||||
| 713 N 2ND AVE | EVANSVILLE | IN | 47710 | 300051217 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| GIRL SCOUTS OF SOUTHWEST INDIANA | |||||||
| 223 NW 2ND STREET | EVANSVILLE | IN | 47708 | 350876380 | 501(C)(3) | $9,000 | GENERAL SUPPORT |
| ALBION FELLOWS BACON CENTER | |||||||
| PO BOX 3164 | EVANSVILLE | IN | 477313164 | 311029051 | 501(C)(3) | $7,500 | GENERAL SUPPORT |
| OTHERS 5000 | |||||||
| $134,083 | GENERAL SUPPORT | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 22 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | DEACONESS HOSPITAL CONFIRMS ALL RECIPIENTS OF FUNDS ARE ORGANIZATIONS WHOSE GOALS COINCIDE WITH DEACONESS' MISSION OF PROVIDING QUALITY HEALTH CARE WITH A COMPASSIONATE AND CARING SPIRIT. THE ORGANIZATIONS PROVIDE NEEDED SERVICES TO OUR COMMUNITY TO IMPROVE HEALTH AND WELLNESS FOR THE CITIZENS IN THE SURROUNDING AREA. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 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 | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LINDA WHITE | ||||||||||||||
| PRESIDENT/ CEO | $359,338 | $361,813 | $294,599 | $0 | $316,357 | $7,600 | $118,754 | $102,490 | $10,547 | $10,547 | $1,099,595 | $482,450 | $0 | $0 |
| DAVID KOEHLER JR MD | ||||||||||||||
| DIRECTOR | $92,776 | $158,944 | $17,368 | $21,485 | $0 | $7,320 | $0 | $18,009 | $0 | $443 | $110,144 | $206,201 | $0 | $0 |
| MATHIAS KOLLECK II | ||||||||||||||
| DIRECTOR | $221,466 | $0 | $47,328 | $0 | $62,783 | $4,800 | $21,972 | $0 | $24,754 | $0 | $378,303 | $4,800 | $0 | $0 |
| SHAWN MCCOY | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFIC | $381,386 | $0 | $143,660 | $0 | $95,879 | $9,400 | $109,677 | $0 | $29,101 | $0 | $759,703 | $9,400 | $0 | $0 |
| CHERYL WATHEN | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $175,622 | $180,501 | $112,354 | $0 | $4,545 | $9,400 | $53,543 | $35,031 | $21,518 | $21,518 | $367,582 | $246,450 | $0 | $0 |
| JAMES PORTER MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $398,080 | $0 | $118,197 | $0 | $89,958 | $3,600 | $106,099 | $0 | $29,313 | $0 | $741,647 | $3,600 | $0 | $0 |
| CHERONA HAJEWSKI | ||||||||||||||
| CHIEF NURSING OFFICER | $278,399 | $0 | $82,368 | $0 | $54,667 | $0 | $56,968 | $0 | $26,664 | $0 | $499,066 | $0 | $0 | $0 |
| BRUCE EPMEIER | ||||||||||||||
| VICE PRESIDENT | $206,244 | $0 | $60,814 | $0 | $73,470 | $0 | $48,246 | $0 | $18,958 | $0 | $407,732 | $0 | $0 | $0 |
| G WILLIAM KENNEDY | ||||||||||||||
| HR DIRECTOR | $191,588 | $0 | $40,220 | $0 | $1,656 | $0 | $11,027 | $0 | $16,938 | $0 | $261,429 | $0 | $0 | $0 |
| LYNN LINGAFELTER | ||||||||||||||
| VICE PRESIDENT OF OPERATIONS | $193,163 | $0 | $28,236 | $0 | $0 | $0 | $76,070 | $0 | $443 | $0 | $297,912 | $0 | $0 | $0 |
| RICHARD PERRY | ||||||||||||||
| CONTROLLER | $160,974 | $0 | $70,398 | $0 | $1,063 | $0 | $15,809 | $0 | $11,475 | $0 | $259,719 | $0 | $0 | $0 |
| JOHN ZABROWSKI | ||||||||||||||
| CONTROLLER | $175,518 | $0 | $32,734 | $0 | $1,656 | $3,200 | $18,052 | $0 | $19,708 | $0 | $247,668 | $3,200 | $0 | $0 |
| JOYCE THOMAS | ||||||||||||||
| PHARMACY DIRECTOR | $145,495 | $0 | $25,463 | $0 | $5,970 | $0 | $25,671 | $0 | $25,189 | $0 | $227,788 | $0 | $0 | $0 |
| REBECCA MALOTTE | ||||||||||||||
| EXEC. DIRECTOR, CNO | $157,080 | $0 | $29,002 | $0 | $1,282 | $0 | $48,351 | $0 | $15,669 | $0 | $251,384 | $0 | $0 | $0 |
| VENKATESH MADADI | ||||||||||||||
| ANESTHESIOLOGIST | $642,607 | $0 | $0 | $0 | $42,926 | $0 | $23,226 | $0 | $20,813 | $0 | $729,572 | $0 | $0 | $0 |
| NIRMAL JOSHI MD | ||||||||||||||
| ANESTHESIOLOGIST | $552,272 | $0 | $0 | $0 | $75,652 | $0 | $18,009 | $0 | $23,112 | $0 | $669,045 | $0 | $0 | $0 |
| RAJESH PATEL MD | ||||||||||||||
| ANESTHESIOLOGIST | $523,653 | $0 | $0 | $0 | $34,576 | $0 | $13,816 | $0 | $23,002 | $0 | $595,047 | $0 | $0 | $0 |
| AYMAN ELFAR MD | ||||||||||||||
| ANESTHESIOLOGIST | $522,466 | $0 | $0 | $0 | $29,626 | $0 | $18,009 | $0 | $22,813 | $0 | $592,914 | $0 | $0 | $0 |
| HOWARD RUMJAHN MD | ||||||||||||||
| ANESTHESIOLOGIST | $498,020 | $0 | $0 | $0 | $37,326 | $0 | $14,046 | $0 | $20,813 | $0 | $570,205 | $0 | $0 | $0 |
| LARRY PILE | ||||||||||||||
| FORMER KEY EMPLOYEE | $40,671 | $0 | $35,143 | $0 | $169,329 | $3,000 | $0 | $0 | $11,591 | $0 | $256,734 | $3,000 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | SOCIAL CLUB DUES ARE PAID FOR LINDA WHITE, JAMES PORTER 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: SEVERANCE NONQUALIFIED EQUITY-BASED LINDA E. WHITE $ -0- $17,500 $ -0- DAVID A. KOEHLER, JR., MD. 0 17,500 0 SHAWN W. MCCOY 0 17,500 0 JAMES R. PORTER, MD. 0 17,500 0 CHERONA J. HAJEWSKI 0 17,500 0 BRUCE E. EPMEIER 0 17,500 0 VENKATESH R. MADADI, MD. 0 17,500 0 RAJESH J. PATEL, MD. 0 17,500 0 NIRMAL JOSHI, M.D. 0 17,000 0 CHERYL A. WATHEN 0 17,500 0 AYMAN ELFAR, M.D. 0 17,500 0 PART I, 4B: CONTRIBUTIONS MADE TO A SUPPLEMENTAL ACCUMULATION ACCOUNT LINDA WHITE: $205,944. SHAWN MCCOY: $94,377. CHERYL WATHEN: $73,274. JAMES PORTER: $90,799. BRUCE EPMEIER: $35,781. CHERONA HAJEWSKI: $41,668. LYNN LINGAFELTER: $44,107. PAYOUT FROM A SUPPLEMENTAL ACCUMULATION ACCOUNT LINDA WHITE: $308,155. JAMES PORTER: $88,062. SHAWN MCCOY: $92,483. CHERONA HAJEWSKI: $48,769 BRUCE EPMEIER: $70,074. |
| PART I, LINE 6 | RELATED ORG. COMPENSATION CONTINGENT UPON NET EARNINGS INCENTIVE COMPENSATION PAYMENTS ARE BASED UPON SUCCESSFUL ACHIEVEMENT OF ESTABLISHED INPATIENT SATISFACTION MEASURES, OUTPATIENT SATISFACTION MEASURES, COMPLIANCE WITH PUBLICLY REPORTED QUALITY INDICATORS, OPERATING MARGIN AS WELL AS OTHER TECHNICAL AND PERSONAL FUNCTIONAL GOALS. DEACONESS HOSPITAL'S INCENTIVE COMPENSATION PROGRAMS ARE FORMULATED TO REWARD BEHAVIOR THAT BALANCES PATIENT NEEDS AND EFFICIENT DELIVERY OF PATIENT CARE TO ENSURE THE BEST OUTCOMES ARE ACHIEVED. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| INDIANA FINANCE AUTHORITY | ||||||||
| A | 351602316 | 45471AAK8 | 2009-03-26 | $55,914,771 | FACILITY CONSTRUCTION | 0 | 0 | 0 |
| INDIANA FINANCE AUTHORITY | ||||||||
| B | 351602316 | 45471AES7 | 2011-12-02 | $20,667,197 | 3/15/99 REFUNDING | 0 | 0 | 0 |
| INDIANA FINANCE AUTHORITY | ||||||||
| C | 351602316 | 2012-11-20 | $13,005,000 | 1992 REFUNDING | 0 | 0 | 0 | |
| INDIANA FINANCE AUTHORITY | ||||||||
| D | 351602316 | 45471ALU4 | 2013-07-23 | $40,180,000 | 3/29/09 REFUNDING | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $13,440,000 | $55,914,771 | $5,636,806 | $5,733,841 | $828,073 | $43,061,620 | $699,759 | 2011 | 0 | 0 | Yes (1) | Yes (1) |
| B | $2,455,000 | $20,667,197 | $397,197 | $20,270,000 | 0 | 0 | Yes (1) | Yes (1) | ||||
| C | $13,005,000 | $103,657 | $12,901,343 | Yes (1) | 0 | Yes (1) | Yes (1) | |||||
| D | $40,180,000 | $180,000 | $40,000,000 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0.01300 | 0.01300 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | ||
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | ||
| D | 0 | Yes (1) | 0 | 0 | 0.01300 | 0.01300 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| TRINITY PLUS | |||||||||||
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | Yes (1) | 2.000000000000 | Yes (1) | 0 | Yes (1) |
| (no name) | |||||||||||
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | ||
| (no name) | |||||||||||
| C | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) | ||
| (no name) | |||||||||||
| D | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | ||
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, PART II, COLUMN A (WORKSHEET 1), LINE 1 | AMOUNT OF BONDS RETIRED: $13,440,000 OF THE ORIGINAL ISSUED PRINCIPAL AMOUNT OF THE 2009A BOND ISSUED 3/26/1999 WAS ADVANCED REFUNDED BY THE 2013A BOND ISSUE. |
| SCHEDULE K, PART IV, COLUMN A (WORKSHEET 1), LINE 2C | REBATE DUE THE REBATE CALCULATION WAS COMPLETED ON 5/12/2014. |
| SCHEDULE K, PART II, COLUMN A (WORKSHEET 2), LINE 6 | PROCEEDS IN REFUNDING ESCROW: THE PROCEEDS IN COLUMN A ON THE 2ND WORKSHEET K WILL BE USED ON 3/1/14 TO REFUND THE 2009A AND 2004A BOND ISSUES. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| INDIANA FINANCE AUTHORITY | ||||||||
| A | 351602316 | 45471AKY7 | 2013-03-05 | $71,336,168 | 5/27/04 AND 3/26/09 REFUNDING | 0 | 0 | 0 |
| INDIANA FINANCE AUTHORITY | ||||||||
| B | 351602316 | 2013-03-05 | $21,440,000 | 5/27/04 REFUNDING | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|
| A | $71,336,168 | $729,538 | $70,606,631 | 0 | Yes (1) | Yes (1) | Yes (1) |
| B | $21,440,000 | $125,000 | $21,315,000 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Concerning UBIPrivateBusConcerningUBIPct |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0.00300 | 0.00300 | 0 | 0 | Yes (1) | |
| B | 0 | Yes (1) | 0 | 0 | 0.00700 | 0 | 0 | Yes (1) | 0.00700 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||||
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
| FIFTH THIRD | ||||||||||||
| B | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) | 0 | 0 | Yes (1) | 16.000000000000 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (9 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| NANCY KOEHLER | |||
| FAMILY OF BD MBR | $130,506 | COMP. | 0 |
| ANN TORNATTA | |||
| FAMILY OF BD MBR | $107,564 | COMP. | 0 |
| LETTA FRACCARO | |||
| FAMILY OF BD MBR | $51,940 | COMP. | 0 |
| MISTY ADYE | |||
| FAMILY OF BD MBR | $24,721 | COMP. | 0 |
| ALEX SEIBERT | |||
| FAMILY OF OFFICER | $76,736 | COMP. | 0 |
| VECTREN ENERGY DELIVERY | |||
| COMMON BOARD MEMBER | $6,112,281 | GAS/ELECTRIC UTILITY | 0 |
| OLD NATIONAL BANK | |||
| COMMON BOARD MEMBER | $971,797 | LEASES | 0 |
| EVANSVILLE RADIOLOGY PC | |||
| COMMON BOARD MEMBER | $790,733 | MGMT. SRVS. | 0 |
| SOUTH CENTRAL COMMUNICATIONS | |||
| COMMON BOARD MEMBER | $90,994 | ADVERTISING PROVIDER | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCH L, PART IV, ABBREVIATION: | FormAndLineReferenceDesc |
| Explanation | BD MBR = BOARD MEMBERCOMP. = REPORTABLE COMPENSATIONSRVS. = SERVICES | ExplanationTxt |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | GIFT CERTIFIC | Desc |
| Contribution | 140 | ContributionCnt |
| Noncash Contributions Rpt F990 | $42,599 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 32B: | FormAndLineReferenceDesc |
| Explanation | SCHEDULE M - SUPPLEMENTAL INFORMATION THE NUMBER OF CONTRIBUTIONS REPORTED IN COLUMN B ON SCHEDULE M IS THE ACTUAL NUMBER OF ITEMS RECEIVED FROM EACH CONTRIBUTOR. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1, ORGANIZATION'S MISSION: | DEACONESS HOSPITAL PROVIDES QUALITY HEALTHCARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE. AT DEACONESS HOSPITAL, OUR VALUES ARE BASED ON OUR COMMITMENT TO QUALITY. WE DEFINE QUALITY AS THE CONTINUOUS IMPROVEMENT OF SERVICES TO MEET THE NEEDS AND EXCEED THE EXPECTATIONS OF THE CUSTOMERS WE SERVE. OUR VALUES ARE QUALITY IN EVERYTHING WE DO, RESPECT FOR ALL PEOPLE, EFFICIENCY AND EFFECTIVENESS IN THE USE OF RESOURCES, INNOVATION TOWARD CONTINUOUS SYSTEMS IMPROVEMENT, PARTNERSHIP WITH THOSE WE SERVE AND WITH SUPPLIERS, EDUCATION FOR CONTINUOUS GROWTH AND KNOWLEDGE AND PRIDE IN WORKMANSHIP. TO ACCOMPLISH ITS MISSION, DEACONESS HOSPITAL IS COMMITTED TO IMPROVING THE QUALITY OF LIFE FOR THE PEOPLE OF THE TRI-STATE BY DEMONSTRATING EXCELLENCE IN HEALTHCARE SERVICES, PROVIDING ACCESS TO HEALTHCARE, PROVIDING CHARITY CARE TO THOSE IN NEED,PROMOTING HEALTHY LIFESTYLES, OFFERING SPIRITUAL AND PSYCHOLOGICAL SUPPORT, SUPPORTING HEALTH RELATED EDUCATION, AND ADVANCING HEALTH KNOWLEDGE THROUGH RESEARCH. |
| FORM 990, PART III, LINE 4A | PROGRAM SERVICES ACCOMPLISHMENT 1: PATIENT SERVICE REVENUE. DEACONESS HOSPITAL IS A MAJOR REFERRAL CENTER FOR A 26 COUNTY TRI-STATE AREA IN SOUTHWESTERN INDIANA, WESTERN KENTUCKY AND SOUTHEASTERN ILLINOIS. THE HOSPITAL AND ITS FACILITIES ARE LOCATED ON FOUR CAMPUSES WHICH INCLUDE THE MAIN 28-ACRE CAMPUS ON THE NEAR NORTH SIDE OF EVANSVILLE IN VANDERBURGH COUNTY; THE 63-ACRE GATEWAY CAMPUS LOCATED IN WARRICK COUNTY ON THE EASTERN BORDER OF VANDERBURGH COUNTY; AND TWO OTHER EASTSIDE EVANSVILLE LOCATIONS FOR PSYCHIATRIC BEHAVIORAL SERVICES AND REHABILITATION SERVICES. THE HOSPITAL OPERATES A MAIN CAMPUS WITH A TOTAL OF 266 BEDS CONSISTING OF 38 INTENSIVE CARE BEDS, 16 CARDIAC INTENSIVE CARE BEDS, 45 CARDIAC BEDS, 23 ONCOLOGY/ PULMONOLOGY BEDS, 61 ORTHOPAEDIC/ NEUROLOGICAL BEDS, 83 MEDICAL/ SURGICAL BEDS. IN ADDITION, THE HOSPITAL PROVIDES A FULL-ARRAY OF COMPREHENSIVE OUTPATIENT AND AMBULATORY SERVICES ON ITS MAIN CAMPUS AND OTHER SPECIFIC SERVICES AT MULTIPLE SITES WITHIN ITS PRIMARY AND SECONDARY SERVICE AREAS. THE HOSPITAL OPERATES THE 158 BED DEACONESS GATEWAY HOSPITAL WHICH WAS OPENED IN JANUARY 2006, ON THE GATEWAY CAMPUS CONSISTING OF 13 ADULT INTENSIVE CARE BEDS, 17 PEDIATRIC AND PEDIATRIC INTENSIVE CARE BEDS, 16 NEUROSURGICAL BEDS, 32 ORTHOPAEDIC BEDS, 16 NEURO INTENSIVE CARE BEDS, 32 SURGICAL ONCOLOGY BEDS AND 32 GENERAL MED/ TELEMETRY BEDS. THE HOSPITAL PROVIDES A FULL ARRAY OF COMPREHENSIVE OUTPATIENT AND AMBULATORY SERVICE ON THE GATEWAY CAMPUS. THE HOSPITAL OWNS AND OPERATES DEACONESS CROSS POINTE, A FREE-STANDING, 60 BED INPATIENT PSYCHIATRIC HOSPITAL LOCATED APPROXIMATELY 7 MILES EAST OF THE MAIN CAMPUS IN EVANSVILLE. |
| FORM 990, PART III, LINE 4B | PROGRAM SERVICES ACCOMPLISHMENT 2: CHARITY CARE/ SUBSIDIZED CARE. DEACONESS HOSPITAL MAKES A DISTINCTION BETWEEN CHARITY CARE AND BAD DEBT. IN DETERMINING AN INDIVIDUAL OR FAMILY'S ABILITY TO PAY, DEACONESS HOSPITAL EVALUATES WHETHER OR NOT THE RESPONSIBLE PARTY HAS SUFFICIENT RESOURCES AVAILABLE FOR PAYMENT. IF AN INDIVIDUAL IS DETERMINED TO NOT HAVE SUFFICIENT RESOURCES TO PAY, THEY ARE CONSIDERED ELIGIBLE FOR CHARITY CARE AND WILL NOT BE PROCESSED THROUGH EITHER INTERNAL OR EXTERNAL COLLECTIONS. ACCOUNTS OF CHARITY CARE PATIENTS WHO ARE UNABLE TO PAY DO NOT RESULT IN BAD DEBT AND ARE NOT COLLECTED UPON. DEACONESS HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT OF REIMBURSEMENT IS BELOW COST, DEACONESS HOSPITAL ABSORBS THESE COSTS IN MEETING ITS MISSION TO THE COMMUNITY. IN SUPPORT OF ITS MISSION, DEACONESS HOSPITAL PROVIDED $14.6 MILLION OF CHARITY CARE AND $27.3 MILLION OF SUBSIDIZED SERVICES TO THE MEDICAID PROGRAM, AND $48.1 MILLION OF SUBSIDIZED SERVICES TO THE MEDICARE PROGRAM. |
| FORM 990, PART III, LINE 4C | PROGRAM SERVICES ACCOMPLISHMENT 3: GRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION & COMMUNITY BENEFITS. DEACONESS HOSPITAL PLAYS AN ACTIVE ROLE IN MEDICAL EDUCATION, OPERATING A THREE YEAR FAMILY MEDICINE RESIDENCY PROGRAM AND A POST-GRADUATE PHARMACY RESIDENCY PROGRAM. DEACONESS HOSPITAL ALSO PROVIDES CONTINUING MEDICAL EDUCATION PROGRAMS FOR ATTENDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, OTHER ALLIED HEALTH PROGRAMS, COMMUNITY HEALTH PROGRAMS AND A CHAPLAIN RESIDENCY PROGRAM. IN ADDITION TO EDUCATIONAL SERVICES, DEACONESS HOSPITAL PROVIDED $10.8 MILLION IN COMMUNITY BENEFIT ACTIVITIES (ALL ON A COST BASIS), SERVING A MINIMUM OF 777,101 PEOPLE WITHIN THE TRI-STATE AREA. |
| FORM 990, PART III, LINE 4D | ALL OTHER ACCOMPLISHMENTS. OTHER PROGRAM SERVICE REVENUE CONSISTS OF DEACONESS HOSPITAL'S INCOME FROM THE INVESTMENT IN JOINT VENTURES. OTHER PROGRAM SERVICE EXPENSES CONSISTED OF COMMUNITY BENEFIT GRANTS/ASSISTANCE. |
| FORM 990, PART VI, SECTION A, LINE 6 | CLASS OF MEMBERS OR STOCKHOLDERS: DEACONESS HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER OF DEACONESS HOSPITAL, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | ELECTION OF GOVERNING BODY: THE BOARD OF DIRECTORS MAY ELECT ONE OR MORE NON-MEDICAL STAFF MEMBERS OF THE GOVERNING BODY THROUGH AN APPROVED ELECTION AND APPROVAL PROCESS. THE ELECTION AND APPROVAL PROCESS FOR NON-MEDICAL STAFF MEMBERS BEGINS WITH A RECOMMENDATION BY THE GOVERNANCE COMMITTEE FOR MEMBERSHIP TO THE BOARD OF DIRECTORS. THAT RECOMMENDATION IS THEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. DEPENDING ON THE DECISION REACHED BY THE BOARD OF DIRECTORS, MEMBERSHIP MAY OR MAY NOT BE GRANTED TO THAT INDIVIDUAL. MEDICAL STAFF EXECUTIVE COUNCIL LEADERSHIP ARE APPOINTED TO BOARD OF DIRECTOR MEMBERSHIP THROUGH THEIR POSITION AS ELECTED MEDICAL STAFF LEADERS. THROUGH THE ELECTION PROCESS OF THE MEDICAL STAFF EXECUTIVE COUNCIL, THEIR APPOINTMENT IS CONFIRMED AND APPROVED. |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 REVIEW PROCESS: THE PROCESS THAT DEACONESS HOSPITAL UTILIZES TO PRESENT THE FORM 990 TO ITS GOVERNING BODY PRIOR TO FILING IS TO PRESENT THE FORM 990 TO THE CFO AND CEO OF THE ORGANIZATION FOR REVIEW. AFTER THIS REVIEW IS PERFORMED AND ALL QUESTIONS ARE ANSWERED, THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS AT THE BOARD MEETING PRIOR TO THE FILING DATE OF THE FORM 990. ANY ADDITIONAL QUESTIONS ARE ANSWERED AND THE FINAL FILING IS THEN COMPLETED. |
| FORM 990, PART VI, SECTION B, LINE 12C | COMPLIANCE WITH CONFLICT OF INTEREST POLICY: CONFLICT OF INTEREST REVIEW AND COMPLIANCE ACTIVITIES ARE CONDUCTED THROUGHOUT THE YEAR UNDER THE DIRECTION OF DEACONESS HOSPITAL'S CORPORATE COMPLIANCE OFFICER. UPON APPOINTMENT AND, ANNUALLY, THEREAFTER, OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES, ALSO KNOWN AS INTERESTED PERSONS, ARE REQUIRED TO COMPLETE "THE CONFLICTS OF INTEREST QUESTIONNAIRE" AND/OR "THE DISCLOSURE QUESTIONNAIRE". THESE DOCUMENTS SERVE TO ENSURE INTERESTED PERSONS OR COMMITTEE MEMBERS WITH BOARD DELEGATED POWERS HAVE AN APPROPRIATE AND TIMELY MANNER IN WHICH TO DISCLOSE ANY POTENTIAL CONFLICTS. CONFLICTS ARE CONSIDERED WITH RESPECT TO OUTSIDE INTEREST, INVESTMENTS, OUTSIDE ACTIVITIES, AND BUSINESS INTERESTS AMONG THE INTERESTED PERSONS AS WELL AS THEIR FAMILY MEMBERS. ON A PERIODIC BASIS, REVIEWS OCCUR TO ENSURE DEACONESS HOSPITAL OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSE. SUBJECTS THAT ARE REVIEWED ON A PERIODIC BASIS INCLUDE COMPENSATION, PHYSICIAN RELATIONSHIPS, PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR TOP OFFICIALS AND OTHER OFFICERS: DEACONESS HOSPITAL UTILIZES A COMPENSATION COMMITTEE TO APPROVE EXECUTIVE, DIRECTOR AND PHYSICIAN COMPENSATION AS WELL AS EXECUTIVE AND PHYSICIAN BENEFITS PROGRAMS. THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS AND MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE SEC. THE COMMITTEE HAS THE POWER AND AUTHORITY TO: 1. ANNUALLY REVIEW AND APPROVE AND RECOMMEND TO THE BOARD OF DIRECTORS FOR ITS FINAL APPROVAL FOR THE CEO AND EACH OTHER EXECUTIVE OFFICER OF THE SYSTEM ALL ELEMENTS OF EXECUTIVE COMPENSATION. 2. MONITOR BROADLY THE STRUCTURE, PHILOSOPHY OR COMPETITIVENESS OF THE SYSTEM'S GENERAL HIRING OR COMPENSATION PRACTICES. 3. OVERSEE THE ESTABLISHMENT AND ADMINISTRATION OF THE COMPANY'S BROAD-BASED BENEFIT PLANS AND PROGRAMS 4. REVIEW OR APPROVE SIGNIFICANT AMENDMENTS OR CHANGES TO THE PLANS AND PROGRAMS. 5. RETAIN AND TERMINATE ANY COMPENSATION CONSULTANT TO BE USED TO ASSIST IN THE EVALUATION OF DIRECTOR, CEO OR EXECUTIVE OFFICE COMPENSATION 6. SOLE AUTHORITY TO APPROVE THE CONSULTANT'S FEES AND OTHER RETENTION TERMS. 7. OBTAIN ADVICE AND ASSISTANCE FROM INTERNAL OR EXTERNAL LEGAL, ACCOUNTING OR OTHER ADVISORS. 8. APPROVE ALL PHYSICIAN AND PHYSICIAN RELATED CONTRACTS. 9. MAKE REGULAR REPORTS TO THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS DISCLOSURE EXPLANATION: DEACONESS HOSPITAL'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE SECRETARY OF STATE'S WEBSITE. DEACONESS HOSPITAL IS PART OF A CONSOLIDATED FINANCIAL STATEMENT WHICH IS AVAILABLE WITH THE PUBLIC DISCLOSURE COPY OF THE IRS FORM 990. ALSO, AS REQUIRED BY LAW, THE HOSPITAL SUBMITS ITS CONSOLIDATED FINANCIAL STATEMENTS TO THE INDIANA DEPARTMENT OF HEALTH WHICH ARE PUBLISHED ON ITS WEBSITE. GOVERNING DOCUMENTS, ASIDE FROM THE ARTICLES OF INCORPORATION, AND THE CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE FOR PUBLIC INSPECTION. |
| FORM 990, PART VII | LARRY PILE - 12035 LONGVIEW LAKE CIRCLE, LAKEWOOD RANCH, FL 34211. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 48,674,153. MANAGEMENT AND GENERAL EXPENSES 3,056,371. FUNDRAISING EXPENSES 25,024. TOTAL EXPENSES 51,755,548. PROFESSIONAL FEES- PHYSICIANS: PROGRAM SERVICE EXPENSES 10,880,917. MANAGEMENT AND GENERAL EXPENSES 99,129. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,980,046. |
| FORM 990, PART XI, LINE 9: | CHANGE IN PENSION LIABILITY 7,076,110. FOUNDATION MONIES GRANTED FROM RESTRICTION -1,308,901. CHANGE IN GENERAL FUND EQUITY -17,185,200. CHANGE IN BENEFICIAL INTERESTS IN TRUSTS 56,363. |
| FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT: | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| REGIONAL EMERGENCY DEPARTMENT | |||||||||
| 600 MARY ST | EVANSVILLE | IN | 47710 | 463509500 | HEALTHCARE | IN | $83,317 | $827,741 | DEACONESS HOSPITAL |
| READY DEVELOPMENT LLC | |||||||||
| 600 MARY ST | EVANSVILLE | IN | 47747 | 472051747 | REAL ESTATE | IN | $0 | $1,227,337 | DEACONESS HOSPITAL |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DEACONESS HEALTH SYSTEM INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 351532889 | HEALTHCARE | IN | 501(C)(3) | LINE 11A, I | N/A | 0 | |
| DEACONESS CLINIC INC | |||||||||||
| 421 CHESNUT STREET | EVANSVILLE | IN | 47713 | 263083364 | HEALTHCARE | IN | 501(C)(3) | LINE 3 | 0 | DEACONESS HEALTH SYSTEM | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEACONESS HEALTH PLANS LLC | |||||||||||||
| 350 W COLUMBIA SUITE 400 | EVANSVILLE | IN | 47710 | 383492529 | PREFERRED PROVIDER NETWORK | IN | DEACONESS HOSPITAL | RELATED | $354,469 | $1,920,689 | 0 | 0 | 0.94130 |
| PROGRESSIVE HEALTH OF IN LLC | |||||||||||||
| 150 N ROSENBERGER | EVANSVILLE | IN | 47712 | 208480988 | OUTPATIENT | IN | DEACONESS HOSPITAL | RELATED | $2,507,061 | $1,237,469 | 0 | 0 | 0.51000 |
| HEART HOSPITAL AT DEACONESS GATEWAY LLC | |||||||||||||
| 4007 GATEWAY BLVD | NEWBURGH | IN | 47630 | 261766835 | HOSPITAL | DE | DEACONESS HOSPITAL | RELATED | $5,453,089 | $10,737,635 | 0 | 0 | 0.51000 |
| TRI-STATE RADIATION ONCOLOGY | |||||||||||||
| 1500 ROSECRANS AVENUE | MANHATTAN BEACH | CA | 90266 | 263706834 | OUTPATIENT | DE | DEACONESS HOSPITAL | RELATED | $1,507,713 | $1,939,942 | 0 | 0 | 0.51000 |
| MAINSPRING MANAGERS LLC | |||||||||||||
| 4011 GATEWAY BLVD | NEWBURGH | IN | 47630 | 464601001 | NEUROLOGY SERVICES | IN | DEACONESS HOSPITAL | RELATED | 0 | 0 | 0.51000 | ||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRI-STATE MEDICAL MANAGEMENT INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MARY STREET | AddressLine1 |
| City | EVANSVILLE | City |
| State | IN | State |
| ZIP Code | 47747 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351875888 | EIN |
| Primary Activities | PHYSICIAN MANAGEMENT | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEACONESS HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| DEACONESS HEALTH PLANS LLC | |
| J | $70,460 |
| HEART HOSP AT DEAC GATEWAY LLC | |
| O | $4,108,851 |
| HEART HOSP AT DEAC GATEWAY LLC | |
| P | $1,570,807 |
| DEACONESS HEALTH PLANS LLC | |
| Q | $132,561 |
| HEART HOSP AT DEAC GATEWAY LLC | |
| Q | $5,208,896 |
| MAINSPRING MANAGERS LLC | |
| Q | $240,878 |