DEACONESS HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: DEACONESS HOSPITAL INC (EIN 35-0593390)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-02-12
IRS object ID: 201310439349300336
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule 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)
Timestamp	2013-02-12T10:33:04-06:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	351178661	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BLUE & CO LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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	ReturnType
Tax Period Begin Date	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	350593390	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	DEACONESS HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	DEAC	NameControl
Phone	8124502370	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	SHAWN MCCOY	Name
Title	CHIEF ADMINISTRATIVE OFFICER	Title
Phone	8124502370	Phone
Date Signed	2013-02-11	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	ANGELA L ZIRKELBACH CPA	Name
PTIN	P00572603	PTIN
Phone	3176334705	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	SHAWN MCCOY CAO	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	641114124	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.DEACONESS.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1895	YearFormation
State Legal Domicile	IN	StateLegalDomicile
Activity Or Mission Description	PROVIDE QUALITY HEALTH CARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT CONTINUE TO SCH O TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	5475	TotalNbrEmployees
Total Nbr Volunteers	165	TotalNbrVolunteers
Total Gross UBI	9811889	TotalGrossUBI
Net Unrelated Business Txbl Income	-228122	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1557790	ContributionsGrantsPriorYear
Contributions Grants Current Year	1888774	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	501428355	ProgramServiceRevenuePriorYear
Program Service Revenue CY	515082254	ProgramServiceRevenueCY
Investment Income Prior Year	6874717	InvestmentIncomePriorYear
Investment Income Current Year	8461947	InvestmentIncomeCurrentYear
Other Revenue Prior Year	40944570	OtherRevenuePriorYear
Other Revenue Current Year	51646845	OtherRevenueCurrentYear
Total Revenue Prior Year	550805432	TotalRevenuePriorYear
Total Revenue Current Year	577079820	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	270222	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	295491	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	232797203	SalariesEtcPriorYear
Salaries Etc Current Year	247753296	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	478439	TotalFundrsngExpCurrentYear
Other Expense Prior Year	267994072	OtherExpensePriorYear
Other Expenses Current Year	270678198	OtherExpensesCurrentYear
Total Expenses Prior Year	501061497	TotalExpensesPriorYear
Total Expenses Current Year	518726985	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	49743935	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	58352835	RevenuesLessExpensesCY
Total Assets BOY	757985603	TotalAssetsBOY
Total Assets EOY	819821086	TotalAssetsEOY
Total Liabilities BOY	361207034	TotalLiabilitiesBOY
Total Liabilities EOY	382563647	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	396778569	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	437257439	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEE SCHEDULE O.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	131626106	Expense
Revenue	292990192	Revenue
Description	PATIENT SERVICE REVENUE. SEE SCHEDULE O.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	345119425	Expense
Revenue	212487326	Revenue
Description	CHARITY CARE/SUBSIDIZED CARE. SEE SCHEDULE O.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	16575319	Expense
Revenue	9604736	Revenue
Description	GRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION AND COMMUNITY BENEFIT. SEE SCHEDULE O.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	295491	Expense
Grants	295491	Grants
Revenue	26285383	Revenue
Description	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.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	295491	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	295491	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	26285383	TotalOfOtherProgramServiceRev
Total Program Service Expense	493616341	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	1	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	1	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	463	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	5475	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Excess Business Holdings	0	ExcessBusinessHoldings
Taxable Distributions	0	TaxableDistributions
Distribution To Donor	0	DistributionToDonor
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	1	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	IN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	JOHN L ZABROWSKI	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8124503467	TelephoneNumber

Address US AddressUS

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)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
LINDA E WHITE
PRESIDENT/ CEO	50.00	X	X	618312	307336	199466
JEROME A BENKERT JR
CHAIRMAN	5.00	X		4400	0	0
STEVEN T TITZER CPA
VICE CHAIRMAN	5.00	X		5000	0	0
JOHN ENGELBRECHT
TREASURER	5.00	X		5200	0	0
BRUCE STALLINGS
SECRETARY	5.00	X		5800	0	0
BRUCE ADYE MD
DIRECTOR	5.00	X		4600	0	0
MICHAEL J ALLEY
DIRECTOR	5.00	X		800	0	0
IRA G BOOTS
DIRECTOR	5.00	X		3800	0	0
STEVEN A CHURCH
DIRECTOR	5.00	X		4000	0	0
REV DR JOSEPH FRACCARO
DIRECTOR	5.00	X		3800	0	0
DR H RAY HOOPS
DIRECTOR	5.00	X		4600	0	0
DAVID A KOEHLER JR MD
DIRECTOR	5.00	X		5400	189389	5063
MATTHEW R LEE MD
DIRECTOR	5.00	X		5200	0	0
WILLIAM PENLAND MD
DIRECTOR	5.00	X		3600	0	0
RUSTON L STOLTZ MD
DIRECTOR	5.00	X		6470	320466	23579
ROBERT B WRIGHT
DIRECTOR	5.00	X		4800	0	0
DANIEL W WHITEHEAD MD
DIRECTOR	5.00	X		23600	0	0
SHAWN W MCCOY
CHIEF ADMINISTRATIVE OFFIC	50.00		X	483947	8200	113644
CHERYL A WATHEN
CHIEF FINANCIAL OFFICER	50.00		X	211355	135837	96986
JAMES R PORTER MD
CHIEF MEDICAL OFFICER	50.00		X	508626	0	110233
CHERONA J HAJEWSKI
CHIEF NURSING OFFICER	50.00		X	370171	0	79484
BRUCE E EPMEIER
VICE PRESIDENT	50.00		X	364107	0	64986
LARRY F PILE
HR DIRECTOR	50.00			239612	0	23026	X
LYNN C LINGAFELTER
DIRECTOR ER/SURGICAL	50.00			194863	0	23009	X
RICHARD B PERRY
CONTROLLER	50.00			190875	0	26825	X
JOHN L ZABROWSKI
CONTROLLER	50.00			173187	3200	34756	X
JOYCE A THOMAS
PHARMACY DIRECTOR	50.00			170172	0	47743	X
REBECCA L MALOTTE
EXEC. DIRECTOR, CNO	50.00			162375	0	52474	X
VENKATESH R MADADI
ANESTHESIOLOGIST	50.00			711894	0	23960		X
NIRMAL JOSHI MD
ANESTHESIOLOGIST	50.00			672758	0	27070		X
RAJESH J PATEL MD
ANESTHESIOLOGIST	50.00			654170	0	36583		X
AYMAN ELFAR MD
ANESTHESIOLOGIST	50.00			647526	0	23960		X
LAWRENCE C KILINSKI JR MD
ANESTHESIOLOGIST	50.00			607095	0	25837		X
HARRY L SMITH JR
FORMER PRESIDENT TERM. JAN 2011	0.00			634537	1600	36167			X
RICHARD M STIVERS
FORMER SVP & CFO TERM. FEB 2010	0.00			206460	130822	7758			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7913112	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1096850	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1082609	TotalOtherCompensation
Number Individuals GT100 K	19	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
EVANSVILLE SURGERY CENTER ASSOC LLC
520 MARY STREET	EVANSVILLE	IN	47710	SURGICAL SERVICES	23972871
BOVIS LEND LEASE INC
1801 W END AVE SUITE 600	NASHVILLE	TN	37203	BUILDING CONTRACTOR	10608493
EPIC SYSTEMS CORPORATION
PO BOX 88314	MILWAUKEE	WI	53288	SOFTWARE/ CONSULTING	4005528
WINK CONSTRUCTION INC
4007 E EICHEL AVE	EVANSVILLE	IN	47716	BUILDING CONTRACTOR	3621309
ARUP LABORATORIES
PO BOX 27964	SALT LAKE CITY	UT	84127	LABORATORY	2352797

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	65	NumberOfContractorsGT100K
Fundraising Events	220865	FundraisingEvents
Government Grants	193175	GovernmentGrants
All Other Contributions	1474734	AllOtherContributions
Noncash Contributions	102025	NoncashContributions
Total Contributions	1888774	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT REVENUE	Description
Business Code	900099	BusinessCode
Total Revenue Column	515082254	TotalRevenueColumn
Related Or Exempt Function Income	515082254	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	515082254	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	7813968	TotalRevenueColumn
Exclusion	$7,813,968	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	58728	TotalRevenueColumn
Exclusion	$58,728	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	6935231	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2690232	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	4244999	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	4244999	TotalRevenueColumn
Exclusion	$4,244,999	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	60969504	Securities
Other	812525	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	60465442	Securities
Other	727336	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	504062	Securities
Other	85189	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	589251	TotalRevenueColumn
Exclusion	$589,251	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	44825	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	220865	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	151294	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-106469	TotalRevenueColumn
Exclusion	-$106,469	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
INVESTMENT IN JOINT VE	900099	26285383	26285383
LABORATORY SALES	621500	9363304		9363304
CMS MEANINGFUL USE	900099	5133258			$5,133,258

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6726370	TotalRevenueColumn
Unrelated Business Revenue	448585	UnrelatedBusinessRevenue
Exclusion	$6,277,785	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	47508315	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	577079820	TotalRevenueColumn
Related Or Exempt Function Income	541367637	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	9811889	UnrelatedBusinessRevenue
Exclusion	$24,011,520	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	295491	Total
Program Services	295491	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5488042	Total
Management And General	5488042	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	184691884	Total
Program Services	179433742	ProgramServices
Management And General	5015523	ManagementAndGeneral
Fundraising	242619	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	14434823	Total
Program Services	13182288	ProgramServices
Management And General	1252535	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	30056632	Total
Program Services	28321107	ProgramServices
Management And General	1735525	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	13081915	Total
Program Services	12363801	ProgramServices
Management And General	718114	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1297689	Total
Program Services	663861	ProgramServices
Management And General	633828	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	152918	Total
Management And General	152918	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	35357	Total
Management And General	35357	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	321564	Total
Management And General	305007	ManagementAndGeneral
Fundraising	16557	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	58405092	Total
Program Services	57069225	ProgramServices
Management And General	1327760	ManagementAndGeneral
Fundraising	8107	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1052706	Total
Program Services	124481	ProgramServices
Management And General	928225	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	12051339	Total
Program Services	10953155	ProgramServices
Management And General	1052201	ManagementAndGeneral
Fundraising	45983	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	9236220	Total
Program Services	8004741	ProgramServices
Management And General	1231479	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	16454021	Total
Program Services	14990209	ProgramServices
Management And General	1463812	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	820924	Total
Program Services	702411	ProgramServices
Management And General	118513	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	956099	Total
Program Services	788967	ProgramServices
Management And General	163667	ManagementAndGeneral
Fundraising	3465	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	9043962	Total
Program Services	9035462	ProgramServices
Management And General	8500	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	34529998	Total
Program Services	32537629	ProgramServices
Management And General	1992363	ManagementAndGeneral
Fundraising	6	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1956557	Total
Program Services	1949666	ProgramServices
Management And General	6891	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL/SURGICAL SUPPLI	81329465	81241139	88326
MEDICAID ASSESSMENT FEE	22794075	22794075
EQUIP RENTAL/MAINTENANC	12098327	11906304	192023
AGENCY COLLECTION FEES	5632983	5632983

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2508902	Total
Program Services	1625604	ProgramServices
Management And General	721596	ManagementAndGeneral
Fundraising	161702	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	518726985	Total
Program Services	493616341	ProgramServices
Management And General	24632205	ManagementAndGeneral
Fundraising	478439	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	47488383	BOY
EOY	54671462	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	106649065	BOY
EOY	88496093	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	959016	BOY
EOY	980947	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4376580	BOY
EOY	5592070	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	4629844	BOY
EOY	4566672	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	716627726	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	387918977	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	334521835	BOY
EOY	328708749	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	195636448	BOY
EOY	270497387	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	30511704	BOY
EOY	33696074	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	15522009	BOY
EOY	15522009	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	17690719	BOY
EOY	17089623	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	757985603	BOY
EOY	819821086	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	50492334	BOY
EOY	59087211	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	110174	BOY
EOY	244662	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	219073884	BOY
EOY	205620955	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	91530642	BOY
EOY	117610819	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	361207034	BOY
EOY	382563647	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	393304791	BOY
EOY	432200551	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2781774	BOY
EOY	3293842	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	692004	BOY
EOY	1763046	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	396778569	BOY
EOY	437257439	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	757985603	BOY
EOY	819821086	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	58352835	ReconcilationRevenueExpenses
Reconcilation Other Changes	-17873965	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$35,357	OtherActivitiesAmount
Total Lobbying Expenditures IIB	35357	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
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.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	8353428	BeginningOfYearBalance
Contributions	6871	Contributions
Investment Earnings Or Losses	541295	InvestmentEarningsOrLosses
Other Expenditures	3357168	OtherExpenditures
End Of Year Balance	5544426	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	8130489	BeginningOfYearBalance
Contributions	1293267	Contributions
Investment Earnings Or Losses	294514	InvestmentEarningsOrLosses
Grants Or Scholarships	7052	GrantsOrScholarships
Other Expenditures	1048880	OtherExpenditures
Administrative Expenses	308910	AdministrativeExpenses
End Of Year Balance	8353428	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	7433786	BeginningOfYearBalance
Contributions	1683536	Contributions
Investment Earnings Or Losses	281910	InvestmentEarningsOrLosses
Grants Or Scholarships	192998	GrantsOrScholarships
Other Expenditures	790792	OtherExpenditures
Administrative Expenses	284953	AdministrativeExpenses
End Of Year Balance	8130489	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	7797671	BeginningOfYearBalance
Contributions	931781	Contributions
Investment Earnings Or Losses	337059	InvestmentEarningsOrLosses
Grants Or Scholarships	329950	GrantsOrScholarships
Other Expenditures	1014396	OtherExpenditures
Administrative Expenses	288387	AdministrativeExpenses
End Of Year Balance	7433778	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.85000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.15000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	1	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	495397	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	9820472	OtherCostOrOtherBasis
Book Value	10315869	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	42755830	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	416033381	OtherCostOrOtherBasis
Depreciation	218868044	Depreciation
Book Value	239921167	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	238119700	OtherCostOrOtherBasis
Depreciation	169050933	Depreciation
Book Value	69068767	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9402946	OtherCostOrOtherBasis
Book Value	9402946	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	328708749	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION/ACCRUED SICK	$90,715,760
TAXABLE BOND- SERIES 1999B	$9,193,834
REVENUE BOND-SERIES 2012A	$8,265,000
CAPITAL LEASE OBLIGATIONS	$4,371,590
ESTIMATED THIRD PARTY SETTLEMENTS	$4,311,195
RELATED ORGANIZATION PAYABLES	$753,440

Field	Value	IRS element (for citing)
Total Of Amounts	117610819	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Explanation	PART V, LINE 1E: ENDOWMENT FUNDS CONTRIBUTIONS INCLUDE CURRENT YEAR EXPENDITURE OF $53,098 AND A $3,304,070 RECLASSIFICATION OF PRIOR YEAR CONTRIBUTIONS DETERMINED TO NOT MEET THE DEFINITION OF AN ENDOWMENT UNDER ASC 958-210 AND 958-225 (CHANGE IN UNDERSTANDING.) PART V, LINE 4: THE DEACONESS HOSPITAL FOUNDATION UTILIZES ENDOWMENT FUNDS TO SUPPORT AND BENEFIT THE MISSION OF DEACONESS HOSPITAL. SPECIFICALLY, ENDOWMENT FUNDS ARE USED TO HELP SUPPORT ACTIVITIES OR PROJECTS THAT HELP TO PROVIDE QUALITY HEALTHCARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT TO PERSONS, FAMILIES, AND COMMUNITIES OF THE TRI-STATE. PART VII AND IX: SECTIONS ARE NOT COMPLETED AS THE TOTALS FOR EACH LINE ARE LESS THAN 5% OF THE TOTAL ASSETS LISTED ON PART X, LINE 16. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2012 AND 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, XII, AND XIII: SECTIONS ARE NOT REQUIRED AS THE ORGANIZATION IS PART OF A CONSOLIDATED FINANCIAL STATEMENT. THE CONSOLIDATED FINANCIAL STATEMENT IS AUDITED BY AN INDEPENDANT ACCOUNTING FIRM AND IS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	DH PARTY OF YR	NameOfEvent1
Gross Receipts Event1	154465	GrossReceiptsEvent1
Charitable Contributions Event1	127665	CharitableContributionsEvent1
Gross Revenue Event1	26800	GrossRevenueEvent1
Rent Facility Costs Event1	3527	RentFacilityCostsEvent1
Food And Beverage Event1	42299	FoodAndBeverageEvent1
Entertainment Event1	7350	EntertainmentEvent1
Other Direct Expenses Event1	20802	OtherDirectExpensesEvent1
Name Of Event2	DH CLASSIC	NameOfEvent2
Gross Receipts Event2	111225	GrossReceiptsEvent2
Charitable Contributions Event2	93200	CharitableContributionsEvent2
Gross Revenue Event2	18025	GrossRevenueEvent2
Non Cash Prizes Event2	37330	NonCashPrizesEvent2
Food And Beverage Event2	18376	FoodAndBeverageEvent2
Entertainment Event2	15163	EntertainmentEvent2
Other Direct Expenses Event2	6447	OtherDirectExpensesEvent2
Total Number Of Other Events	0	TotalNumberOfOtherEvents
Gross Receipts Total	265690	GrossReceiptsTotal
Charitable Contributions Total	220865	CharitableContributionsTotal
Gross Revenue Total Events	44825	GrossRevenueTotalEvents
Non Cash Prizes Total Events	37330	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	3527	RentFacilityCostsTotalEvents
Food And Beverage Total Events	60675	FoodAndBeverageTotalEvents
Entertainment Total Events	22513	EntertainmentTotalEvents
Other Direct Expenses Total Events	27249	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	151294	DirectExpenseSummaryEvents
Net Income Summary	-106469	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	300.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	25309166	TotalCommunityBenefitExpense
Net Community Benefit Expense	25309166	NetCommunityBenefitExpense
Percent Of Total Expense	0.04450	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	79155354	TotalCommunityBenefitExpense
Direct Offsetting Revenue	56932374	DirectOffsettingRevenue
Net Community Benefit Expense	22222980	NetCommunityBenefitExpense
Percent Of Total Expense	0.03910	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	104464520	TotalCommunityBenefitExpense
Direct Offsetting Revenue	56932374	DirectOffsettingRevenue
Net Community Benefit Expense	47532146	NetCommunityBenefitExpense
Percent Of Total Expense	0.08360	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	814012	TotalCommunityBenefitExpense
Direct Offsetting Revenue	66774	DirectOffsettingRevenue
Net Community Benefit Expense	747238	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4191775	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1625455	DirectOffsettingRevenue
Net Community Benefit Expense	2566320	NetCommunityBenefitExpense
Percent Of Total Expense	0.00450	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8492145	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6157038	DirectOffsettingRevenue
Net Community Benefit Expense	2335107	NetCommunityBenefitExpense
Percent Of Total Expense	0.00410	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1334642	TotalCommunityBenefitExpense
Direct Offsetting Revenue	384229	DirectOffsettingRevenue
Net Community Benefit Expense	950413	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14832574	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8233496	DirectOffsettingRevenue
Net Community Benefit Expense	6599078	NetCommunityBenefitExpense
Percent Of Total Expense	0.01160	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	119297094	TotalCommunityBenefitExpense
Direct Offsetting Revenue	65165870	DirectOffsettingRevenue
Net Community Benefit Expense	54131224	NetCommunityBenefitExpense
Percent Of Total Expense	0.09520	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	4125	TotalCommunityBuildingExpense
Net Community Building Expense	4125	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1000	TotalCommunityBuildingExpense
Net Community Building Expense	1000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	10892	TotalCommunityBuildingExpense
Direct Offsetting Revenue	150	DirectOffsettingRevenue
Net Community Building Expense	10742	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	6250	TotalCommunityBuildingExpense
Net Community Building Expense	6250	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	9313	TotalCommunityBuildingExpense
Net Community Building Expense	9313	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	1738	TotalCommunityBuildingExpense
Net Community Building Expense	1738	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	43173	TotalCommunityBuildingExpense
Direct Offsetting Revenue	14770	DirectOffsettingRevenue
Net Community Building Expense	28403	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	76491	TotalCommunityBuildingExpense
Direct Offsetting Revenue	14920	DirectOffsettingRevenue
Net Community Building Expense	61571	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$12,385,603	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	127812982	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	142292362	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-14479380	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	3	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours
DEACONESS HOSPITAL INC
1	600 MARY STREET	EVANSVILLE	IN	47747	X	X	X	X
DEACONESS GATEWAY HOSPITAL
2	4011 GATEWAY BLVD	NEWBURGH	IN	47630	X	X	X	X
DEACONESS CROSS POINTE
3	7200 E INDIANA STREET	EVANSVILLE	IN	47715	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Medicare RateMedicareRate	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
DEACONESS HOSPITAL INC
1	1	1	300.000000000000	1	300.000000000000	1	X	X	X	X	X	1	1	X	X	X	X	1	0	1	X	0	0
DEACONESS GATEWAY HOSPITAL
2	1	1	300.000000000000	1	300.000000000000	1	X	X	X	X	X	1	1	X	X	X	X	1	0	1	X	0	0
DEACONESS CROSS POINTE
3	1	1	300.000000000000	1	300.000000000000	1	X	X	X	X	X	1	1	X	X	X	X	1	0	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	47	NumberOfOtherFacilities

Other Facilities OtherFacilities (47 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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 LAB
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 COMP CENTER
329 W COLUMBIA 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 URGENT CARECOMP CARE
10455 ORTHOPAEDIC DRIVE	EVANSVILLE	IN	47630	OUTPATIENT PHYSICIAN CLINIC
DEACONESS MEC MEDICAL CENTER
3844 FIRST AVENUE	EVANSVILLE	IN	47710	OUTPATIENT PHYSICIAN CLINIC
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-PRINCETON
1808 SHERMAN DRIVE RM 2208	PRINCETON	IN	47670	OUTPATIENT PHYSICIAN CLINIC
DEACONESS CROSS POINTE-ROCKPORT
2792 N US HIGHWAY 231	ROCKPORT	IN	47635	OUTPATIENT PHYSICIAN CLINIC
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

Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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 $259,516. THESE CLINICS ARE OPERATED AS A BENEFIT TO THE COMMUNITY.
PART I, L7 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). BAD DEBT EXPENSE DOES IMPACT NOT REMOVED FOR THE CALCULATION OF THE PERCENTAGE ON SCH H, PART I, LINE 7, COLUMN F.
PART II: DEACONESS HOSPITAL AND ITS RELATED ORGANIZATIONS PARTICIPATE IN VARIOUS COMMUNITY BUILDING ACTIVITIES. DEACONESS CROSS POINTE, A 60 BED INPATIENT PSYCHIATRIC HOSPITAL UNDER THE DEACONESS HOSPITAL LICENSE, IS A MEMBER OF THE SUICIDE PREVENTION COALITION. VANDERBURGH COUNTY SUICIDES REACHED AN ALL TIME HIGH IN 2010 AND AS A RESULT OF THE COALITION, SUICIDES DROPPED BY 18.5% IN 2011. PRIOR TO 2011, VANDERBURGH COUNTY HAD ONE OF THE HIGHEST PER CAPITA SUICIDE RATES IN INDIANA. DEACONESS CROSS POINTE OFFERS A VARIETY OF FREE SUICIDE AWARENESS AND PREVENTION PROGRAMS TO HELP REDUCE THE INCIDENCE OF SUICIDE IN THE TRI-STATE. IN ADDITION, DEACONESS CROSS POINTE HOSTS AND CHAIRS THE SUICIDE PREVENTION COALITION. DEACONESS HOSPITAL SPONSORS THE HEALTH SCIENCE INSTITUTE WHICH ALLOWS HIGH SCHOOL STUDENTS TO EXPERIENCE FIRSTHAND THE WONDERS OF MEDICINE AND MEDICAL RESEARCH THROUGH SEMINARS, CLINICAL EXPERIENCES, AND DEMONSTRATIONS. INTERACTION WITH LEADING HEALTH CARE PROFESSIONALS BROADENS STUDENTS' KNOWLEDGE OF MEDICAL CARE AND CAREER OPPORTUNITIES IN HEALTH CARE AND HEALTH SCIENCES. STUDENTS FROM SOUTHWESTERN INDIANA HIGH SCHOOLS ARE CHOSEN TO PARTICIPATE. DEACONESS EMPLOYEES, LEADERS AND ADMINISTRATORS SERVE AS BOARD MEMBERS ON NUMEROUS COMMUNITY NON-PROFIT ORGANIZATIONS.DEACONESS HOSPITAL HAS A STRONG PARTNERSHIP WITH ECHO COMMUNITY HEALTH CARE. DEACONESS PROVIDES KEY SERVICES AND MONETARY DONATIONS TO THE ECHO COMMUNITY HEALTH CARE AND WORKS TO ENSURE THE COMMUNITY HAS HEALTH SERVICES PROVIDED TO THE UNDERSERVED POPULATION.DEACONESS HOSPITAL HAS BEEN WORKING WITH ST. MARY'S MEDICAL CENTER (ALSO A NON-PROFIT HOSPITAL), THE BAPTIST FOUNDATION AND ECHO COMMUNITY HEALTH CARE TO DEVELOP A COMMUNITY WIDE HEALTH ASSESSMENT. THE GROUP HAS IDENTIFIED FOUR (4) KEY AREAS THAT THE COMMUNITY IS IN NEED OF. THE FOUR ORGANIZATIONS CAME TOGETHER MONTHLY TO DISCUSS AND PLAN HOW TO ADDRESS THESE NEEDS. THE PLAN IS TO BEGIN TO IMPLEMENT NEW PROGRAMS AND FOCUS RESOURCES IN THESE AREAS DURING THE COMING YEAR.DEACONESS HOSPITAL DEVELOPED A MEDICATION ASSISTANCE PROGRAM (MAP) TO PROVIDE ASSISTANCE TO THOSE IN THE COMMUNITY WHO HAVE FINANCIAL DIFFICULTY IN OBTAINING THEIR MEDICATION. THE PROGRAM HAS BEEN IN PLACE SINCE 2005 AND HAS MADE SIGNIFICANT IMPACT TO THE COMMUNITY. IN FISCAL YEAR 2012, THERE WERE 1,219 ACTIVE PATIENTS IN THE PROGRAM. THOSE PARTICIPANTS RECEIVED $4,198,097 IN SAVINGS AND FREE MEDICATIONS. EACH MONTH AN AVERAGE OF OVER 600 PATIENTS APPLY FOR ASSISTANCE IN THE PROGRAM WITH ALMOST 500 PER MONTH RECEIVING BENEFIT.THE MAIN CAMPUS OF DEACONESS HOSPITAL IS LOCATED IN THE JACOBSVILLE NEIGHBORHOOD IN EVANSVILLE, INDIANA. THIS IS A HIGHLY UNDERSERVED AREA IN THE EVANSVILLE COMMUNITY. DEACONESS WORKS WITH THE ELEMENTARY SCHOOLS IN THIS AREA TO PROVIDE HEALTH EDUCATION AND DONATIONS TO ASSIST THE SCHOOLS. DEACONESS HOSPITAL ALSO OPERATES A RESOURCE CENTER THAT PROVIDES A WIDE RANGE OF SERVICES TO THE COMMUNITY WITH A FOCUS ON WELLNESS. THE RESOURCE CENTER HAD OVER 19,000 ENCOUNTERS DURING FISCAL YEAR 2012. THE RESOURCE CENTER OPERATED AT A LOSS ON OPERATIONS DURING THAT TIME.
PART III, LINE 4: SECTION A. BAD DEBT EXPENSE. LINE 2 FOOTNOTE TO ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: AS PERMITTED, EFFECTIVE SEPTEMBER 1, 2011, THE SYSTEM ELECTED TO EARLY ADOPT ACCOUNTING STANDARDS UPDATE (ASU) 2011-07, HEALTHCARE ENTITIES (TOPIC 954), "PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTHCARE ENTITIES," WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO PRESENT THE PROVISION FOR BAD DEBTS RELATING TO PATIENT SERVICE REVENUE AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENT OF OPERATIONS RATHER THAN AS AN OPERATING EXPENSE. ALL PERIODS PRESENTED HAVE BEEN RECLASSIFIED TO CONFORM TO THIS PRESENTATION. THE SYSTEM'S ADOPTION OF THIS STANDARD HAD NO NET IMPACT ON THE CONSOLIDATED FINANCIAL POSITION, RESULTS OF OPERATIONS, OR CASH FLOWS.ASU 2011-07 ALSO REQUIRES HEALTHCARE ENTITIES TO PROVIDE ENHANCED DISCLOSURE ABOUT THEIR POLICIES FOR RECOGNIZING REVENUE AND ASSESSING BAD DEBTS, AS WELL AS QUALITATIVE AND QUANTITATIVE INFORMATION ABOUT CHANGES IN THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. (BELOW IS THE PORTION OF THE AUDITED FINANCIAL STATEMENT FOOTNOTE "PATIENT ACCOUNTS RECEIVABLE, ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS AND NET PATIENT SERVICE REVENUE" RELATED TO BAD DEBTS.)PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON THE SYSTEM'S EVALUATION OF ITS MAJOR PAYOR SOURCES OF REVENUE, THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO ITS SERVICE AREA AND THE HEALTHCARE INDUSTRY. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PAYMENTS THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.
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 2011 MEDICARE COST REPORT AND THE 2012 CONTRACTUAL MODEL FOR EXPECTED REIMBURSEMENT. THE MEDICARE SHORTFALL FOR DEACONESS HOSPITAL IS TREATED AS COMMUNITY BENEFIT DUE TO THE HOSPITAL PROVIDING CARE TO MEDICARE PATIENTS AT LESS THAN THE ALLOWABLE MEDICARE COSTS.
PART III, LINE 9B: DEACONESS HOSPITAL MAKES A DISTINCTION BETWEEN CHARITY AND BAD DEBT. IN DETERMINING AN INDIVIDUAL OR FAMILY'S ABILITY TO PAY, DEACONESS HOSPITAL EVALUATES WHETHER OR NOT THE RESPONSIBLE PARTY HAS SUFFICIENT RESOURCES FOR PAYMENT. IF AN INDIVIDUAL IS DETERMINED TO NOT HAVE SUFFICIENT RESOURCES TO PAY, THEY WILL BE CONSIDERED ELIGIBLE FOR CHARITY CARE AND WILL NOT BE PROCESSED THROUGH EITHER INTERNAL OR EXTERNAL COLLECTIONS. ACCOUNTS OF CHARITY CARE PATIENTS WHO ARE UNABLE TO PAY DO NOT RESULT IN BAD DEBT AND ARE NOT COLLECTED UPON.
PART V, SECTION B, LINE 13G: DEACONESS HOSPITAL SEEKS OUT THE PATIENTS THAT ARE SELF-PAY AND INTERVIEWS THESE PATIENTS WHILE THEY ARE IN THE FACILITY. THE FINANCIAL ASSISTANCE POLICY IS PROMOTED TO PATIENTS. DEACONESS HOSPITAL SEEKS OUT THOSE PATIENTS THAT WOULD QUALIFY FOR THE FINANCIAL ASSISTANCE POLICY. COLLECTABILITY SCORING IS ALSO COMPLETED AND ALLOWANCES ARE MADE BASED UPON THESE SCORES.	DEACONESS HOSPITAL, INC.
PART V, SECTION B, LINE 13G: 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 13G: 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 CROSS POINTE
PART V, SECTION B, LINE 19D: DEACONESS HOSPITAL OFFERS A 35% DISCOUNT TO INDIVIDUALS WHO DO NOT HAVE INSURANCE AND RECEIVE EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THIS DISCOUNT APPROXIMATES AN AVERAGE OF ALL CONTRACTED DISCOUNTS.	DEACONESS HOSPITAL, INC.
PART V, SECTION B, LINE 19D: DEACONESS HOSPITAL OFFERS A 35% DISCOUNT TO INDIVIDUALS WHO DO NOT HAVE INSURANCE AND RECEIVE EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THIS DISCOUNT APPROXIMATES AN AVERAGE OF ALL CONTRACTED DISCOUNTS.	DEACONESS GATEWAY HOSPITAL
PART V, SECTION B, LINE 19D: DEACONESS HOSPITAL OFFERS A 35% DISCOUNT TO INDIVIDUALS WHO DO NOT HAVE INSURANCE AND RECEIVE EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THIS DISCOUNT APPROXIMATES AN AVERAGE OF ALL CONTRACTED DISCOUNTS.	DEACONESS CROSS POINTE
PART VI, LINE 2: DEACONESS HOSPITAL'S COMMUNITY BENEFIT COMMITTEE GATHERS AND ANALYZES HOSPITAL AND COMMUNITY DATA TO INDICATE COMMUNITY NEEDS. IN ADDITION DURING FISCAL YEAR 2012, DEACONESS HOSPITAL PARTICIPATED IN COMMISSIONING A STUDY BY PROFESSIONAL RESEARCH CONSULTANTS, INC. TO PROVIDE A DETAILED STUDY ON THE SOUTHERN INDIANA COMMUNITY AND TO DETERMINE ITS NEEDS. BASED UPON THE STUDY, DEACONESS HOSPITAL WILL BE IMPLEMENTING STRATEGIES AROUND COMMUNITY BENEFIT TO FOCUS ON THE AREAS OF NEED IN FISCAL YEAR 2013. THE COMMITTEE USES A DYNAMIC, ONGOING PROCESS TO INCLUDE A REVIEW OF PREVIOUS OR CURRENT ASSESSMENTS BY OTHER COMMUNITY GROUPS, PRESENTATIONS MADE BY OUTSIDE GROUPS SOLICITING DEACONESS HOSPITAL'S INVOLVEMENT IN COMMUNITY INITIATIVES, REVIEW OF HEALTH AND DEMOGRAPHIC INFORMATION OF INPATIENTS AND OUTPATIENTS, AND ANALYSIS OF INFORMATION FROM OUTSIDE ORGANIZATIONS AND INTERNAL RECORDS TO IDENTIFY TRENDS AND AREAS OF CONCERN REQUIRING ATTENTION.
PART VI, LINE 3: DEACONESS HOSPITAL UTILIZES FINANCIAL COUNSELORS TO EDUCATE, INFORM AND ASSIST PATIENTS AND FAMILIES IN UNDERSTANDING THEIR FINANCIAL OBLIGATION, ABILITY TO QUALIFY FOR FINANCIAL ASSISTANCE THROUGH DEACONESS HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND PAYMENT OPTIONS. SPECIFICALLY, FINANCIAL COUNSELORS STAFF THE EMERGENCY DEPARTMENT, REGISTRATION AREAS, CASHIER AREA, AS WELL AS, FLOAT AMONG INPATIENT AREAS TO ENSURE EACH AND EVERY PATIENT REQUIRING ASSISTANCE IS REACHED. IN ADDITION TO THE PERSONAL AND INDIVIDUALIZED COUNSELING PROVIDED BY THE FINANCIAL COUNSELORS, VARIOUS FORMS OF MEDIA ARE DISTRIBUTED THROUGHOUT DEACONESS HOSPITAL EXPLAINING THE FINANCIAL ASSISTANCE PROCESS. ADDITIONALLY, POLICIES FOR FINANCIAL ASSISTANCE ARE POSTED WIDELY THROUGHOUT DEACONESS HOSPITAL AND ON THE INTERNET AT WWW.DEACONESS.COM. HTTP://WWW.DEACONESS.COM/DEACONESSHOSPITAL/BUSINESS-OFFICE/FINANCIAL-ASSISTANCE.ASPX
PART VI, LINE 4: DEACONESS HOSPITAL IS A MAJOR REFERRAL CENTER FOR A 25-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 80-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.
PART VI, LINE 5: THE ORGANIZATION FURTHERS ITS EXEMPT PURPOSE BY PROMOTING HEALTH OF THE COMMUNITY INCLUDES: 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: 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.
IN	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (16 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
YMCA OF SW INDIANA INC
222 NW 6TH ST	EVANSVILLE	IN	47708	350869074	3	21600	GENERAL SUPPORT
EVANSVILLE MUSEUM OF ARTS AND SCIENCE
411 SE RIVERSIDE DR	EVANSVILLE	IN	47713	350874517	3	20000	CAPITAL CAMPAIGN
GILDA'S CLUB EVANSVILLE INC
PO BOX 5134	EVANSVILLE	IN	47716	261932741	3	20000	CAPITAL CAMPAIGN
JUNIOR LEAGUE OF EVANSVILLE
123 N 4TH ST STE 422	EVANSVILLE	IN	47708	356017802	3	15500	GENERAL SUPPORT
KOMEN GREATER EVANSVILLE AFFILIATE
4424 VOGEL RD STE 205	EVANSVILLE	IN	47715	752844632	3	15000	GENERAL SUPPORT
INDIANA UNIVERSITY FOUNDATION
PO BOX 660245	EVANSVILLE	IN	462660245	356018940	3	15000	GENERAL SUPPORT
EVANSVILLE AREA COMMUNITY CHURCHES
713 N 2ND AVE	EVANSVILLE	IN	47710	350886837	3	12000	FOOD FOR FOOD PANTRY
EVANSVILLE KIDNEY ASSOCIATION
1312 PROFESSIONAL BLVD	EVANSVILLE	IN	47714	260219765	3	10000	GENERAL SUPPORT
AURORA
1100 LINCOLN AVE PO BOX 74	EVANSVILLE	IN	477010074	351759576	3	10000	CAPITAL CAMPAIGN
GIRL SCOUTS OF SOUTHWEST INDIANA
223 NW 2ND STREET	EVANSVILLE	IN	47708	350876380	3	8000	GENERAL SUPPORT
CHILDREN'S MUSEUM OF EVANSVILLE
PO BOX 122	EVANSVILLE	IN	477010074	351951848	3	7500	GENERAL SUPPORT
IVY TECH FOUNDATION
3501 N 1ST AVENUE	EVANSVILLE	IN	47710	237073977	3	7500	GENERAL SUPPORT
YOUTH RESOURCES OF SOUTHWESTER
PO BOX 3635	EVANSVILLE	IN	477353635	351719143	3	6000	GENERAL SUPPORT
YOUTH FIRST INC
3420 E MORGAN AVE STE A	EVANSVILLE	IN	47715	352050168	3	5500	GENERAL SUPPORT
HOLLY'S HOUSE INC
PO BOX 4125	EVANSVILLE	IN	477240125	204475135	3	5500	GENERAL SUPPORT
OTHERS 5000
						116391	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	15	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: DEACONESS HOSPITAL CONFIRMS ALL RECIPIENTS OF FUNDS ARE ORGAANIZATIONS 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	1	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LINDA E WHITE
300960	300936	307650	0	9702	6400	97055	72743	14834	14834	730201	394913	0	0
DAVID A KOEHLER JR MD
0	165193	0	23476	5400	720	0	0	0	5063	5400	194452	0	0
RUSTON L STOLTZ MD
0	248828	0	33086	6470	38552	0	0	0	23579	6470	344045	0	0
SHAWN W MCCOY
330876	0	149675	0	3396	8200	86599	0	27045	0	597591	8200	0	0
CHERYL A WATHEN
121230	126637	88469	0	1656	9200	43664	20424	16449	16449	271468	172710	0	0
JAMES R PORTER MD
368557	0	138173	0	1896	0	85720	0	24513	0	618859	0	0	0
CHERONA J HAJEWSKI
263546	0	98681	0	7944	0	53781	0	25703	0	449655	0	0	0
BRUCE E EPMEIER
194088	0	72850	0	97169	0	45334	0	19652	0	429093	0	93773	0
LARRY F PILE
190207	0	48043	0	1362	0	5853	0	17173	0	262638	0	0	0
LYNN C LINGAFELTER
163308	0	31555	0	0	0	17946	0	5063	0	217872	0	0	0
RICHARD B PERRY
136555	0	53144	0	1176	0	4739	0	22086	0	217700	0	0	0
JOHN L ZABROWSKI
146305	0	25706	0	1176	3200	4416	0	30340	0	207943	3200	0	0
JOYCE A THOMAS
141490	0	27585	0	1097	0	22815	0	24928	0	217915	0	0	0
REBECCA L MALOTTE
135208	0	26206	0	961	0	33294	0	19180	0	214849	0	0	0
VENKATESH R MADADI
665968	0	0	0	45926	0	0	0	23960	0	735854	0	0	0
NIRMAL JOSHI MD
612741	0	0	0	60017	0	0	0	27070	0	699828	0	0	0
RAJESH J PATEL MD
618194	0	0	0	35976	0	11098	0	25485	0	690753	0	0	0
AYMAN ELFAR MD
611650	0	0	0	35876	0	0	0	23960	0	671486	0	0	0
LAWRENCE C KILINSKI JR MD
561213	0	0	0	45882	0	0	0	25837	0	632932	0	0	0
HARRY L SMITH JR
23410	0	39347	0	571780	1600	5880	0	30287	0	670704	1600	67981	0
RICHARD M STIVERS
0	0	0	0	206460	130822	2940	2940	939	939	210339	134701	68458	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
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, LINES 4A-B	SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS: SEVERANCE NONQUALIFIED EQUITY-BASED LINDA E. WHITE $ -0- $16,500 $ -0- RUSTON L. STOLTZ, MD. 0 16,500 0 DAVID A. KOEHLER, JR., MD. 0 16,500 0 SHAWN W. MCCOY 0 16,500 0 JAMES R. PORTER, MD. 0 16,500 0 CHERONA J. HAJEWSKI 0 16,500 0 BRUCE E. EPMEIER 0 16,500 0 VENKATESH R. MADADI, MD. 0 16,500 0 RAJESH J. PATEL, MD. 0 16,500 0 LAWRENCE C. KILINSKI, JR., MD. 0 16,500 0 RICHARD M. STIVERS 265,487 0 0 HARRY L. SMITH, JR. 391,056 16,500 0 PART I, 4B: LINDA WHITE: CONTRIBUTIONS MADE TO A SUPPLEMENTAL ACCUMULATION ACCOUNT OF $158,038. HARRY SMITH: SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $67,981. RICHARD STIVERS: SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $68,458. JAMES PORTER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $73,960. SHAWN MCCOY: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $74,839. CHERONA HAJEWSKI: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $42,021. BRUCE EPMEIER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $35,890; SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $93,773. CHERYL WATHEN: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $52,328.
PART I, LINE 5	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

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
INDIANA FINANCE AUTHORITY
351602316	45471AAK8	2009-03-26	55914771	FACILITY CONSTRUCTION	0	0	0
INDIANA FINANCE AUTHORITY
351602316	45471AAG7	2009-03-26	40000000	FACILITY CONSTRUCTION	0	0	0
INDIANA HLTH FACILITY FINANCING AUTHORITY
351611409	4547977Y1	2004-05-27	55371597	FACILITY CONSTRUCTION	0	0	0
INDIANA HLTH FACILITY FINANCING AUTHORITY
351611409	4547978A2	2004-05-27	25000000	FACILITY CONSTRUCTION	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Credit EnhancementCreditEnhancement
55914771	5636806	5733841	828073	43061620	699759	2011	1	1
40000000			402226	36864650	2672335	2011	1	1	60789
55581965		3742909	611421	47524358	1515868	2006	1	1	2187409
25000000			181203	24677516		2006	1	1	141281

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Any Lease ArrangementsAnyLeaseArrangements	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	0.01590	0.01590	1
1	0.01000	0.01000	1
1	0.01100	0.01100	1
1	0.01760	0.01760	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
TRINITY PLUS
1	0	0	1	2.000000000000	1	0	1
CREDIT AGRICOLE
1	1	0	1	2.000000000000	1	0	1
(no name)
1	0	0	0			0	1
(no name)
1	1	0	0			0	1

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	INDIANA FINANCE AUTHORITY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	351602316	IssuerEIN
CUSIP Number	45471AFF4	CUSIPNumber
Date Issued	2011-12-02	DateIssued
Issue Price	20667197	IssuePrice
Description Of Purpose	3/15/99 BOND REFUNDING	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Bond Defeased	20270000	AmountBondDefeased
Total Proceeds	397197	TotalProceeds
Issuance Costs From Proceeds	396556	IssuanceCostsFromProceeds
Other Spent Proceeds	541	OtherSpentProceeds
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Post Issuance Compliance Procdrs	0	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Exception To Rebate	1	ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (10 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
ADRIENNE WATHAN
FAMILY OF OFFICER	10537	COMPENSATION	0
SHERRI MCCOY
FAMILY OF OFFICER	27503	COMPENSATION	0
MISTY ADYE
FAMILY OF BD MBR	31978	COMPENSATION	0
LETTA FRACCARO
FAMILY OF BD MBR	48592	COMPENSATION	0
ALEX SEIBERT
FAMILY OF OFFICER	74188	COMPENSATION	0
ANN TORNATTA
FAMILY OF BD MBR	106110	COMPENSATION	0
NANCY KOEHLER
FAMILY OF BD MBR	127156	COMPENSATION	0
SOUTH CENTRAL COMMUNICATIONS
COMMON BD MBR	161838	ADVERTISING PROVIDER	0
EVANSVILLE RADIOLOGY PC
COMMON BD MBR	744907	MANAGEMENT SERVICES	0
VECTREN ENERGY DELIVERY
COMMON BOARD MEMBER	5742366	GAS/ ELECTRIC UTILITY	0

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Explanation	SCH L, PART IV, ABBREVIATION: BD MBR = BOARD MEMBER	Explanation

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	15	NumberOfContributions
Noncash Contribs Rptd F990	65000	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	GIFT CERTIFICATES	55	32025	COST
X	OFFICE EQUIPMENT	1	5000	COST

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	THIRD PARTY USE:	Identifier
Return Reference	PART I, LINE 32B:	ReturnReference
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.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION:	FORM 990, PART III, LINE 1	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.
PROGRAM SERVICES ACCOMPLISHMENT 1: PATIENT SERVICE REVENUE.	FORM 990, PART III, LINE 4A	DEACONESS HOSPITAL IS A MAJOR REFERRAL CENTER FOR A 25 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, 5 PEDIATRIC TRAUMA BEDS, 18 MENTAL HEALTH 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.
PROGRAM SERVICES ACCOMPLISHMENT 2: CHARITY CARE/ SUBSIDIZED CARE.	FORM 990, PART III, LINE 4B	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 $24.9 MILLION OF CHARITY CARE AND $17.6 MILLION OF SUBSIDIZED SERVICES TO THE MEDICAID PROGRAM, AND $50.3 MILLION OF SUBSIDIZED SERVICES TO THE MEDICARE PROGRAM.
PROGRAM SERVICE STATEMENT	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 $6.5 MILLION IN COMMUNITY BENEFIT ACTIVITIES (ALL ON A COST BASIS), SERVING A MINIMUM OF 698,675 PEOPLE WITHIN THE TRI-STATE AREA.
	FORM 990, PART VI, SECTION A, LINE 6	DEACONESS HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER OF DEACONESS HOSPITAL, INC.
	FORM 990, PART VI, SECTION A, LINE 7A	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	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 ASSISTANT CONTROLLER, CONTROLLER, 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	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	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.
CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC	FORM 990, PART VII	LARRY F PILE - 8065 WYNGATE CIRCLE, NEWBURGH, IN 47630.
AVERAGE HOURS PER WEEK	FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B)	THE AVERAGE HOURS WORKED PER WEEK INCLUDE RELATED PARTY HOURS FOR MS. WHITE AND MS. WATHEN. HOURS LISTED IN PART VII RELATE TO TIME DEVOTED TO DEACONESS HEALTH SYSTEM (DHS), DEACONESS CLINIC, INC. (DCI), AND DEACONESS HOSPITAL, INC. (DHI). SEE THE AVERAGE HOURS PER WEEK BELOW: DHS DCI DHI TOTAL MS. WHITE 20 10 40 70 MS. WATHEN 5 5 50 60
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 20,240,846. CHANGE IN PENSION LIABILITY -20,535,930. CAPITAL CONTRIBUTION TO DEACONESS HEALTH SYSTEM -17,807,842. CHANGE IN BENEFICIAL INTERESTS IN TRUSTS 1,070,967. FOUNDATION MONIES GRANTED FROM RESTRICTION -842,006. TOTAL TO FORM 990, PART XI, LINE 5: -17,873,965.
OVERSIGHT OF AUDIT	FORM 990, PART XII, LINE 2C	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

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	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

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
DEACONESS HEALTH PLANS LLC
350 W COLUMBIA SUITE 400	EVANSVILLE	IN	47710	383492529	PREFERRED PROVIDER NETWORK	IN	N/A	RELATED	31152	1567218	0	0	0.94130
HEARTCARE HEALTH SYSTEM
415 W COLUMBIA	EVANSVILLE	IN	47710	352038344	HEALTHCARE	IN	N/A	RELATED	936		0	0	0.70000
PROGRESSIVE HEALTH OF IN LLC
150 N ROSENBERGER	EVANSVILLE	IN	47712	208480988	OUTPATIENT	IN	N/A	RELATED	1793485	884170	0	0	0.51000
HEART HOSPITAL AT DEACONESS GATEWAY LLC
4007 GATEWAY BLVD	NEWBURGH	IN	47630	261766835	HOSPITAL	DE	N/A	RELATED	5114109	7834883	0	0	0.51000
TRI-STATE RADIATION ONCOLOGY
1500 ROSECRANS AVENUE	MANHATTAN BEACH	CA	90266	263706834	OUTPATIENT	DE	N/A	RELATED	1573419	2699820	0	0	0.51000

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	TRI-STATE MEDICAL MANAGEMENT INC	BusinessNameLine1

Address US AddressUS

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 Activity	PHYSICIAN MANAGEMENT	PrimaryActivity
Legal Domicile State	IN	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity
Percentage Ownership	1.00000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
DEACONESS HEALTH PLANS LLC
I	57585
HEART HOSP AT DEAC GATEWAY LLC
N	8419820
HEART HOSP AT DEAC GATEWAY LLC
O	3367863
HEART HOSP AT DEAC GATEWAY LLC
P	5819241
DEACONESS HEALTH PLANS LLC
P	91730