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DEACONESS HOSPITAL OF CINCINNATI OH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
DEACONESS HOSPITAL OF CINCINNATI OH (EIN 31-0537109)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201313179349305126
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-13T13:58:04-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310537109EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DEACONESS HOSPITAL OF CINCINNATI OHBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDEACNameControl
Phone5135592100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1311 Straight StreetAddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45219ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameE Anthony WoodsName
TitleChairmanTitle
Phone5135592100Phone
Date Signed2013-11-13DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonE Anthony WoodsNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1311 Straight StreetAddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45219ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5591401GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.deaconess-healthcare.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1888YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionDeaconess Hospital eliminated inpatient services in late 2010. In addition to continuing to provide select outpatient services under the Deaconess Association, Inc. umbrella, the Hospital provides space and supportive services to other community healthcare providers of inpatient care within the facility setting. The Hospital also provides space and operational support to charitable community initiatives.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees6TotalNbrEmployees
Total Nbr Volunteers2TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1913180ContributionsGrantsPriorYear
Contributions Grants Current Year998799ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3677368ProgramServiceRevenuePriorYear
Program Service Revenue CY4592602ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year5590548TotalRevenuePriorYear
Total Revenue Current Year5591401TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2144012SalariesEtcPriorYear
Salaries Etc Current Year3509701SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6721901OtherExpensePriorYear
Other Expenses Current Year4971510OtherExpensesCurrentYear
Total Expenses Prior Year8865913TotalExpensesPriorYear
Total Expenses Current Year8481211TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3275365RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2889810RevenuesLessExpensesCY
Total Assets BOY5832925TotalAssetsBOY
Total Assets EOY5550320TotalAssetsEOY
Total Liabilities BOY51739535TotalLiabilitiesBOY
Total Liabilities EOY55867010TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-45906610NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-50316690NetAssetsOrFundBalancesEOY
Mission DescriptionDeaconess Hospital continues to provide select outpatient services under the Deaconess Associations, Inc. umbrella. The Hospital also provides space and supportive services to other community healthcare providers of inpatient care within the facility setting. The Hospital also provides space and operational support to charitable community initiatives.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4684988Expense
Grants0Grants
Revenue4592602Revenue
DescriptionDeaconess Hospital continues to provide select outpatient services under the Deaconess Associations, Inc. umbrella. The Hospital also provides space and supportive services to other community healthcare providers of inpatient care within the facility setting. The Hospital also provides space and operational support to charitable community initiatives; such as a regional transportation network for the blind and elderly, a medical monitoring system for the homebound, and a senior education network. During 2012, the Hospital's food service operations provided patient meals to patients being treated in the facility. In 2012, the medical monitoring system provided service to 1,245 clients.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense4684988TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees6NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address1OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJennifer SimonNamePerson
Telephone Number5135592100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1311 Straight StreetAddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45219ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
E Anthony Woods
Chairman535XX0877149567751
William Bahl
Board Member00X000
AJ McPhie
Board Member00X000
Rodger Reed
Board Member00X000
William Zimmer
Board Member00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs877149TotalReportableCompFrmRltdOrgs
Total Other Compensation567751TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1Address Line2AddressOfContractor/AddressUS/AddressLine2CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Crothall Facilities Management
955 Chesterbrook BlvdSuite 300WaynePA19087Housekeeping/Maintenance Services940771
Morrison Management
5801 Peachtree Dunwoody RdAtlantaGA30342Dietary Services685281
Securitas
PO Box 40412AtlantaGA30384Security Services288190
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations998799RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions0AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions998799TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Net Patient Service Revenue62200080789807890$0
Other Operating Revenue561210451181345118130$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue4592602TotalProgramServiceRevenue

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5591401TotalRevenueColumn
Related Or Exempt Function Income4592602RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total120518Total
Program Services15045ProgramServices
Management And General105473ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3313748Total
Program Services0ProgramServices
Management And General3313748ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total65761Total
Program Services8755ProgramServices
Management And General57006ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9674Total
Program Services963ProgramServices
Management And General8711ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total23770Total
Program Services0ProgramServices
Management And General23770ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1967130Total
Program Services1855172ProgramServices
Management And General111958ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total10026Total
Program Services0ProgramServices
Management And General10026ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total909187Total
Program Services825359ProgramServices
Management And General83828ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total69694Total
Program Services0ProgramServices
Management And General69694ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1089633Total
Program Services1089633ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total3916Total
Program Services3876ProgramServices
Management And General40ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1669Total
Program Services1669ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total302523Total
Program Services302523ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total570034Total
Program Services570034ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total23928Total
Program Services11959ProgramServices
Management And General11969ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8481211Total
Program Services4684988ProgramServices
Management And General3796223ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY324976BOY
EOY481907EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY128301BOY
EOY189037EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY19464BOY
EOY17135EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY96846BOY
EOY102710EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis48363686LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec45089428LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3835207BOY
EOY3274258EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY12810BOY
EOY12823EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1415321BOY
EOY1472450EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5832925BOY
EOY5550320EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY20950928BOY
EOY22081389EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY30788607BOY
EOY33785621EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY51739535BOY
EOY55867010EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-45906610BOY
EOY-50316690EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-45906610BOY
EOY-50316690EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5832925BOY
EOY5550320EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2889810ReconcilationRevenueExpenses
Reconciliation Unrealized Invest0ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment0ReconcilationPriorAdjustment
Reconcilation Other Changes-1520270ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1Deaconess Associations IncBusinessNameLine1
FieldValueIRS element (for citing)
EIN311209377EIN
Type Of Organization11cTypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts
General ExplanationPart I Line 11h(A) Deaconess Hospital supported Deaconess Diagnostic, which is a disregarded entity under Deaconess Associations, Inc.GeneralExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis385594OtherCostOrOtherBasis
Book Value385594BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis17597396OtherCostOrOtherBasis
Depreciation16772204Depreciation
Book Value825192BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis30380696OtherCostOrOtherBasis
Depreciation28317224Depreciation
Book Value2063472BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3274258TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionWorker's comp stop loss receivablesDescription
Book Value1472450BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1472450TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to affiliates$31,660,525
Long Term Workers Comp Reserve$2,125,096
FieldValueIRS element (for citing)
Total Of Amounts33785621TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonE Anthony WoodsNamePerson
TitleChairmanTitle
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs330933CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs546216OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs567751DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs1444900TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs330933CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L03Schedule J, Part I, Line 3The CEO is compensated by a related organization; the related organization establishes the compensation. The filing organization does not provide any compensation, thus no boxes are checked on Line 3.
SchJ_P01_S00_L04Schedule J, Part I, Line 4E. Anthony Woods, Chairman, CEO, and CFO of Deaconess Associations, Inc., participates in a nonqualified supplemental executive retirement plan. He received distributions of $326,853 from the plan during 2012 that were reported on form 1099-R.
SchJ_P01_S00_L07Schedule J, Part I, Line 7E. Anthony Woods, Chairman, CEO, and CFO of Deaconess Associations, Inc., was paid out $546,216 in 2012 for investment returns on compensation that was deferred from years 2008, 2009, 2010, and 2011. The compensation earned under the service agreement with Deaconess Associations, Inc. could be deferred and allowed to gain or lose value, depending on market performance. The investment return calculation was performed by Fourth Street Performance Partners.
SchJ_P02_S00_L00Schedule J, Part IILine 1B(I) and F - E. Anthony Woods was paid out $330,993 in 2012 for compensation that was deferred from 2011.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1John J and Thomas R Schiff and CompanyBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipJohn and Thomas Schiff are former board membersRelationship
Amount Of Transaction264046AmountOfTransaction
Description Of Transactionprovides business insuranceDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L09Form 990, Part VI, Section A, Line 9William Bahl, 6475 Given Rd., Cincinnati OH 45243; A.J. McPhie, 10801 Fallsington Ct., Cincinnati OH 45243;Rodger Reed, 8461 Calumet Way, Cincinnati OH 45241; William Zimmer, 8005 Spooky Hollow Dr., Cincinnati OH 45242
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bCopies of the 990s are provided to the Chairman for presentation to the Board
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cEach manger, officer, and director are given a copy of the Conflict of Interest Policy to review and are required to fill out certification forms, which are reviewed and updated on an annual basis
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15Compensation for the Chairman/CEO is reviewed and approved by the Board and the Compensation Committee, which established compensation after reviewing comparability data
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19No copies of the governing documents, etc., are available to the public other than those publicly available through the Secretary of State website, or other similar reporting agencies
F990_P07_S0A_L01aForm 990, Part VII, Section A, Line 1aE. Anthony Woods - Average hours per week (estimate only for standard 40 hour week) on behalf of all Deaconess related organizations: Deaconess Associations (20); Deaconess Long Term Care (10); Deaconess Hospital (5); Deaconess Health Association Fund (5)
F990_P11_S00_L09Form 990, Part XI, Line 9There was a decrease in the pension liability of $1,447,868 which is primarily attributed to the market value of investments in the plan. Also, there was $72,402 written off for intercompany transfers.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
Deaconess Associations Inc
311 Straight StreetCincinnatiOH45219311209377parent company - provides management servicesOH501(c)(3)11cN/A0
Tristate Health Systems Inc
311 Straight StreetCincinnatiOH45219311385584medical servicesOH501(c)(3)3N/A0
Deaconess Health Care Services
311 Straight StreetCincinnatiOH45219311365388medical servicesOH501(c)(3)3N/A0
Cottingham Retirement Community
c/o DLTC 330 Straight StreetCincinnatiOH45219311338449health care servicesOH501(c)(3)11bN/A0
Deaconess Long Term Care Inc
330 Straight StreetCincinnatiOH45219311391195parent company - provides management servicesOH501(c)(3)11bN/A0
Deaconess Long Term Care of Missouri
330 Straight StreetCincinnatiOH45219431693036health care servicesOH501(c)(3)3N/A0
Deaconess Long Term Care of Ohio Inc
330 Straight StreetCincinnatiOH45219311394484health care servicesOH501(c)(3)3N/A0
Ottawa Retirement Village
c/o DLTC 330 Straight StreetCincinnatiOH45219480955654health care servicesKS501(c)(3)3N/A0
Ottawa Retirement Plaza
c/o DLTC 330 Straight StreetCincinnatiOH45219481101021health care servciesKS501(c)(3)11bN/A0
Ottawa Medical Services Inc
c/o DLTC 330 Straight StreetCincinnatiOH45219481114608health care servciesKS501(c)(3)11bN/A0
Deaconess Health Association Fund Inc
311 Straight StreetCincinnatiOH45219311209378fundraisingOH501(c)(3)11bN/A0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Ottawa ServicesBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1c/o DLTC 330 Straight StreetAddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45219ZIPCode
FieldValueIRS element (for citing)
Primary ActivityOwns building usedPrimaryActivity
Legal Domicile StateKSLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Predominant Income TypeRelatedPredominantIncomeType
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg