DEACONESS HOSPITAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: DEACONESS HOSPITAL INC (EIN 35-0593390)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2012-03-05
IRS object ID: 201230659349300413
Schema version: 2010v3.4
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-03-05T08:24:53-06:00	Timestamp
Tax Period End Date	2011-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

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	2010-10-01	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	2012-03-05	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

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

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	SHAWN MCCOY	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	587152577	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	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	5419	TotalNbrEmployees
Total Nbr Volunteers	117	TotalNbrVolunteers
Total Gross UBI	8658993	TotalGrossUBI
Net Unrelated Business Txbl Income	28948	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1809153	ContributionsGrantsPriorYear
Contributions Grants Current Year	1557790	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	487028074	ProgramServiceRevenuePriorYear
Program Service Revenue CY	501428355	ProgramServiceRevenueCY
Investment Income Prior Year	4920579	InvestmentIncomePriorYear
Investment Income Current Year	6874717	InvestmentIncomeCurrentYear
Other Revenue Prior Year	34195826	OtherRevenuePriorYear
Other Revenue Current Year	40944570	OtherRevenueCurrentYear
Total Revenue Prior Year	527953632	TotalRevenuePriorYear
Total Revenue Current Year	550805432	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	215303	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	270222	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	225824244	SalariesEtcPriorYear
Salaries Etc Current Year	232797203	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	369517	TotalFundrsngExpCurrentYear
Other Expense Prior Year	257674542	OtherExpensePriorYear
Other Expenses Current Year	267994072	OtherExpensesCurrentYear
Total Expenses Prior Year	483714089	TotalExpensesPriorYear
Total Expenses Current Year	501061497	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	44239543	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	49743935	RevenuesLessExpensesCY
Total Assets BOY	734618250	TotalAssetsBOY
Total Assets EOY	756476184	TotalAssetsEOY
Total Liabilities BOY	361198226	TotalLiabilitiesBOY
Total Liabilities EOY	359697615	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	373420024	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	396778569	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	157158579	Expense
Grants	0	Grants
Revenue	307222085	Revenue
Description	PATIENT SERVICE REVENUE. SEE SCHEDULE O.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	304562246	Expense
Grants	0	Grants
Revenue	184297424	Revenue
Description	CHARITY CARE/SUBSIDIZED CARE. SEE SCHEDULE O.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	15858968	Expense
Grants	0	Grants
Revenue	9908846	Revenue
Description	GRADUATE MEDICAL EDUCATION, MEDICAL EDUCATION AND COMMUNITY BENEFIT. SEE SCHEDULE O.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	270222	Expense
Grants	270222	Grants
Revenue	22865964	Revenue
Description	OTHER PROGRAM SERVICE REVENUE CONSISTS OF DEACONESS HOSPITAL'S INCOMEFROM THE INVESTMENT IN JOINT VENTURES. OTHER PROGRAM SERVICE EXPENSESCONSISTED OF COMMUNITY BENEFIT GRANTS/ASSISTANCE.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	270222	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	270222	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	22865964	TotalOfOtherProgramServiceRev
Total Program Service Expense	477850015	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	0	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	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	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	366	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	5419	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	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	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 (34 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
LINDA E WHITE
PRESIDENT/ CEO	70.00	X	X	409381	288612	199407
JEROME A BENKERT JR
CHAIRMAN	5.00	X		5200	0	0
STEVEN T TITZER CPA
VICE CHAIRMAN	5.00	X		6600	0	0
JOHN ENGELBRECHT
TREASURER	5.00	X		7200	0	0
ROBERT G JONES
SECRETARY	5.00	X		3400	0	0
BRUCE ADYE MD
DIRECTOR	5.00	X		9333	0	0
IRA G BOOTS
DIRECTOR	5.00	X		4800	0	0
STEVEN A CHURCH
DIRECTOR	5.00	X		4600	0	0
REV DR JOSEPH FRACCARO
DIRECTOR	5.00	X		5200	0	0
DR H RAY HOOPS
DIRECTOR	5.00	X		6600	0	0
DAVID A KOEHLER JR MD
DIRECTOR	5.00	X		21400	176722	10575
MATTHEW R LEE MD
DIRECTOR	5.00	X		7400	0	0
WILLIAM PENLAND MD
DIRECTOR	5.00	X		8000	0	0
RUSTON L STOLTZ MD
DIRECTOR	5.00	X		6708	298575	13541
BRUCE STALLINGS
DIRECTOR	5.00	X		7600	0	0
ROBERT B WRIGHT
DIRECTOR	5.00	X		9400	0	0
DANIEL W WHITEHEAD MD
DIRECTOR	5.00	X		6000	0	0
RICHARD M STIVERS
SVP & CFO TERM. FEB2010	60.00		X	359324	242208	59177
CHERYL A WATHEN
INTERIM CFO BEG. MAR2010	60.00		X	222002	35266	53876
HARRY L SMITH JR
PRESIDENT	50.00		X	596687	5600	146897
SHAWN W MCCOY
CHIEF ADMINISTRATIVE OFFICER	50.00		X	331974	5800	96886
JAMES R PORTER MD
CHIEF MED OFFICER	50.00			358309	0	94039	X
CHERONA J HAJEWSKI
CHIEF NURSE OFFICER	50.00			300643	0	79362	X
BRUCE E EPMEIER
VICE PRESIDENT	50.00			221415	0	64876	X
LARRY F PILE
HR DIRECTOR	50.00			216058	0	24468	X
RICHARD B PERRY
CONTROLLER	50.00			167415	0	39275	X
JOYCE A THOMAS
PHARMACY DIRECTOR	50.00			166437	0	38737	X
JOHN L ZABROWSKI
CONTROLLER	50.00			152002	600	36304	X
REBECCA L MALOTTE
EXEC. DIRECTOR, CNO	50.00			150514	0	55559	X
VENKATESH R MADADI
ANESTHESIOLOGIST	50.00			734736	0	31924		X
RAJESH J PATEL MD
ANESTHESIOLOGIST	50.00			690645	0	35745		X
NIRMAL JOSHI MD
ANESTHESIOLOGIST	50.00			677983	0	32089		X
AYMAN ELFAR MD
ANESTHESIOLOGIST	50.00			585086	0	27841		X
LAWRENCE C KILINSKI JR MD
ANESTHESIOLOGIST	50.00			541730	0	34387		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7001782	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1053383	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1174965	TotalOtherCompensation
Number Individuals GT100 K	182	NumberIndividualsGT100K
Formers Listed	0	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
BOVIS LEND LEASE INC
1801 W END AVE SUITE 600	NASHVILLE	TN	37203	BUILDING CONTRACTOR	38595550
EVANSVILLE SURGERY CENTER ASSOC LLC
520 MARY STREET	EVANSVILLE	IN	47710	SURGICAL SERVICES	30578896
EPIC SYSTEMS CORPORATION
PO BOX 88314	MILWAUKEE	WI	53288	SOFTWARE/ CONSULTING	6457604
ARUP LABORATORIES
PO BOX 27964	SALT LAKE CITY	UT	84127	LABORATORY	2151272
WINK CONSTRUCTION INC
4007 E EICHEL AVE	EVANSVILLE	IN	47716	BUILDING CONTRACTOR	2067297

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	74	NumberOfContractorsGT100K
Fundraising Events	216383	FundraisingEvents
Government Grants	170968	GovernmentGrants
All Other Contributions	1170439	AllOtherContributions
Noncash Contributions	7961	NoncashContributions
Total Contributions	1557790	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT REVENUE	Description
Business Code	900099	BusinessCode
Total Revenue Column	501428355	TotalRevenueColumn
Related Or Exempt Function Income	501428355	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	501428355	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6830797	TotalRevenueColumn
Exclusion	$6,830,797	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	217	TotalRevenueColumn
Exclusion	$217	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	6611143	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2859705	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	3751438	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	3751438	TotalRevenueColumn
Exclusion	$3,751,438	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	33064065	Securities
Other	375700	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	32410179	Securities
Other	985883	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	653886	Securities
Other	-610183	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	43703	TotalRevenueColumn
Exclusion	$43,703	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	39640	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	216383	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	91378	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-51738	TotalRevenueColumn
Exclusion	-$51,738	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	22865964	22865964
LABORATORY SALES	621500	8258335		8258335
OTHER HOSPITAL SERVICE	900099	5719913			$5,719,913

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	400658	TotalRevenueColumn
Unrelated Business Revenue	400658	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	37244870	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	550805432	TotalRevenueColumn
Related Or Exempt Function Income	524294319	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	8658993	UnrelatedBusinessRevenue
Exclusion	$16,294,330	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	270222	Total
Program Services	270222	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5222083	Total
Management And General	5222083	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	175160446	Total
Program Services	170169552	ProgramServices
Management And General	4756502	ManagementAndGeneral
Fundraising	234392	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	14031570	Total
Program Services	12818090	ProgramServices
Management And General	1213480	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	25681945	Total
Program Services	24178658	ProgramServices
Management And General	1503287	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12701159	Total
Program Services	12003160	ProgramServices
Management And General	697999	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	789509	Total
Program Services	379971	ProgramServices
Management And General	409538	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	116539	Total
Management And General	116539	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	30132	Total
Management And General	30132	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	294990	Total
Management And General	283801	ManagementAndGeneral
Fundraising	11189	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	55753567	Total
Program Services	54225886	ProgramServices
Management And General	1519891	ManagementAndGeneral
Fundraising	7790	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1255243	Total
Program Services	195470	ProgramServices
Management And General	1059773	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	93132215	Total
Program Services	92232058	ProgramServices
Management And General	852057	ManagementAndGeneral
Fundraising	48100	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	8098960	Total
Program Services	7011601	ProgramServices
Management And General	1087359	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	16883721	Total
Program Services	15467609	ProgramServices
Management And General	1416112	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	687983	Total
Program Services	586613	ProgramServices
Management And General	100988	ManagementAndGeneral
Fundraising	382	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	869648	Total
Program Services	685987	ProgramServices
Management And General	183661	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	9065847	Total
Program Services	9065847	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	30695739	Total
Program Services	28858583	ProgramServices
Management And General	1836845	ManagementAndGeneral
Fundraising	311	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3950360	Total
Program Services	3934143	ProgramServices
Management And General	16217	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
PROVISION FOR BAD DEBT	26914235	26914235
EQUIP RENTAL/MAINTENANC	12200725	12066398	134327
AGENCY COLLECTION FEES	6034020	6034020
MISCELLANEOUS	642680	473268	105999	63413
DUES & SUBSCRIPTIONS	577959	278644	295375	3940

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	501061497	Total
Program Services	477850015	ProgramServices
Management And General	22841965	ManagementAndGeneral
Fundraising	369517	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	45404178	BOY
EOY	47488383	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	103136210	BOY
EOY	110821835	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5359268	BOY
EOY	4376580	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	4844936	BOY
EOY	4629844	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	688014101	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	353492266	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	325111997	BOY
EOY	334521835	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	192039805	BOY
EOY	195636448	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	31252043	BOY
EOY	31470720	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	15940119	BOY
EOY	15522009	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	11529694	BOY
EOY	12008530	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	734618250	BOY
EOY	756476184	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	55207479	BOY
EOY	50602508	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	224161915	BOY
EOY	219065919	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	19721	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	81809111	BOY
EOY	90029188	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	361198226	BOY
EOY	359697615	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	365289535	BOY
EOY	388425141	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3424795	BOY
EOY	3304070	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4705694	BOY
EOY	5049358	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	373420024	BOY
EOY	396778569	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	734618250	BOY
EOY	756476184	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	49743935	ReconcilationRevenueExpenses
Reconcilation Other Changes	-26385390	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	$30,132	OtherActivitiesAmount
Total Lobbying Expenditures IIB	30132	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF OTHER LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1I:	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	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 Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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	0.69000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.31000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10268530	OtherCostOrOtherBasis
Book Value	10268530	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	412984109	OtherCostOrOtherBasis
Depreciation	199127298	Depreciation
Book Value	213856811	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	197148694	OtherCostOrOtherBasis
Depreciation	154364968	Depreciation
Book Value	42783726	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	67612768	OtherCostOrOtherBasis
Book Value	67612768	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	334521835	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION/ACCRUED SICK	$69,251,860
TAXABLE BOND- SERIES 1999B	$10,200,000
CAPITAL LEASE OBLIGATIONS	$6,572,522
ESTIMATED THIRD PARTY SETTLEMENTS	$4,004,806

Field	Value	IRS element (for citing)
Total Of Amounts	90029188	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	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, 2011 AND 2010, 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 VII AND IX ARE NOT COMPLETED DUE TO THE TOTAL OF EACH LINE BEING LESS THAN 5% OF THE TOTAL ASSETS LISTED ON PART X, LINE 16. PART XI, XII, AND XIII 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.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	DH PARTY OF YR	NameOfEvent1
Gross Receipts Event1	153125	GrossReceiptsEvent1
Charitable Contributions Event1	130625	CharitableContributionsEvent1
Gross Revenue Event1	22500	GrossRevenueEvent1
Food And Beverage Event1	1000	FoodAndBeverageEvent1
Entertainment Event1	8095	EntertainmentEvent1
Other Direct Expenses Event1	34582	OtherDirectExpensesEvent1
Name Of Event2	DH CLASSIC	NameOfEvent2
Gross Receipts Event2	102898	GrossReceiptsEvent2
Charitable Contributions Event2	85758	CharitableContributionsEvent2
Gross Revenue Event2	17140	GrossRevenueEvent2
Food And Beverage Event2	17670	FoodAndBeverageEvent2
Entertainment Event2	16863	EntertainmentEvent2
Other Direct Expenses Event2	13168	OtherDirectExpensesEvent2
Total Number Of Other Events	0	TotalNumberOfOtherEvents
Gross Receipts Total	256023	GrossReceiptsTotal
Charitable Contributions Total	216383	CharitableContributionsTotal
Gross Revenue Total Events	39640	GrossRevenueTotalEvents
Food And Beverage Total Events	18670	FoodAndBeverageTotalEvents
Entertainment Total Events	24958	EntertainmentTotalEvents
Other Direct Expenses Total Events	47750	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	91378	DirectExpenseSummaryEvents
Net Income Summary	-51738	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	24814686	TotalCommunityBenefitExpense
Net Community Benefit Expense	24814686	NetCommunityBenefitExpense
Percent Of Total Expense	0.04770	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	52475514	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17314788	DirectOffsettingRevenue
Net Community Benefit Expense	35160726	NetCommunityBenefitExpense
Percent Of Total Expense	0.06760	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	77290200	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17314788	DirectOffsettingRevenue
Net Community Benefit Expense	59975412	NetCommunityBenefitExpense
Percent Of Total Expense	0.11530	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	813331	TotalCommunityBenefitExpense
Direct Offsetting Revenue	83718	DirectOffsettingRevenue
Net Community Benefit Expense	729613	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3899792	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1444783	DirectOffsettingRevenue
Net Community Benefit Expense	2455009	NetCommunityBenefitExpense
Percent Of Total Expense	0.00470	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8963481	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7049451	DirectOffsettingRevenue
Net Community Benefit Expense	1914030	NetCommunityBenefitExpense
Percent Of Total Expense	0.00370	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	834835	TotalCommunityBenefitExpense
Direct Offsetting Revenue	339059	DirectOffsettingRevenue
Net Community Benefit Expense	495776	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14511439	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8917011	DirectOffsettingRevenue
Net Community Benefit Expense	5594428	NetCommunityBenefitExpense
Percent Of Total Expense	0.01080	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	91801639	TotalCommunityBenefitExpense
Direct Offsetting Revenue	26231799	DirectOffsettingRevenue
Net Community Benefit Expense	65569840	NetCommunityBenefitExpense
Percent Of Total Expense	0.12610	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	193	TotalCommunityBuildingExpense
Net Community Building Expense	193	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	6655	TotalCommunityBuildingExpense
Net Community Building Expense	6655	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	15122	TotalCommunityBuildingExpense
Net Community Building Expense	15122	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1200	TotalCommunityBuildingExpense
Net Community Building Expense	1200	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	4526	TotalCommunityBuildingExpense
Net Community Building Expense	4526	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	405	TotalCommunityBuildingExpense
Net Community Building Expense	405	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	40590	TotalCommunityBuildingExpense
Direct Offsetting Revenue	14005	DirectOffsettingRevenue
Net Community Building Expense	26585	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	68691	TotalCommunityBuildingExpense
Direct Offsetting Revenue	14005	DirectOffsettingRevenue
Net Community Building Expense	54686	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$8,426,847	BadDebtExpenseAmount
Amount Reimbursed By Medicare	127727071	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	145399292	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-17672221	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	Permit Report To Credit AgencyPermitReportToCreditAgency	Permit LawsuitPermitLawsuit	Permit Lien On ResidencePermitLienOnResidence	Collection ActivitiesCollectionActivities	Report To Credit AgencyReportToCreditAgency	LawsuitLawsuit	Lien On ResidenceLienOnResidence	Notify Before DischargeNotifyBeforeDischarge	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	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	X	X	X	1	X	X	X	X	X	X	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	X	X	X	1	X	X	X	X	X	X	1		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	X	X	X	1	X	X	X	X	X	X	1		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 260	EVANSVILLE	IN	47747	OUTPATIENT SERVICES
DEACONESS CHEMOTHERAPY INFUSION CTR
4055 GATEWAY BLVD SUITE 1200	NEWBURGH	IN	47630	OUTPATIENT SERVICES
DEACONESS CLINIC GATEWAY
4233 GATEWAY BLVD	NEWBURGH	IN	17630	DIAGNOSTIC CENTER
DEACONESS COMPREHENSIVE PAIN CTR & PROG
4600 W LLOYD EXPRESSWAY	EVANSVILLE	IN	47712	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 CRITICAL CARE GROUP
519 HARRIET STREET	EVANSVILLE	IN	47747	OUTPATIENT PHYSICIAN CLINIC
DEACONESS COMPREHENSIVE PAIN CTR-GATEWAY
4099 GATEWAY BLVD	NEWBURGH	IN	47630	OUTPATIENT SERVICES
CHANCELLOR CENTER FOR ONCOLOGY
4055 GATEWAY BLVD	NEWBURGH	IN	47630	OUTPATIENT SERVICES
DEACONESS OHIO VALLEY HOSPICE
701 GARFIELD STREET	EVANSVILLE	IN	47747	HOSPICE
DEACONESS SLEEP LAP
350 W COLUMBIA STREET SUITE 210	EVANSVILLE	IN	47710	OUTPATIENT SERVICES
DEACONESS HOSPITAL SLEEP LAB
350 W COLUMBIA STREET SUITE LL-10	EVANSVILLE	IN	47710	DIAGNOSTIC CENTER
DEACONESS HOSPITAL BREAST CENTER
520 MARY STREET SUITE 140	EVANSVILLE	IN	47710	DIAGNOSTIC CENTER
DEACONESS HOME CARE
701 GARFIELD STREET	EVANSVILLE	IN	47747	HOME HEALTH AGENCY
DEACONESS CLINIC WEST
545 S BOEHNE CAMP ROAD	EVANSVILLE	IN	47712	OUTPATIENT PHYSICIAN CLINIC
DEACONESS CLINIC PRINCETON MED OFC BLDG
685 VAIL STREET	PRINCETON	IN	47670	OUTPATIENT PHYSICIAN CLINIC
DEACONESS COMP CENTER
329 W COLUMBIA STREET	EVANSVILLE	IN	47710	OUTPATIENT PHYSICIAN CLINIC
DEACONESS FAMILY PRACTICE CENTER
515 READ STREET	EVANSVILLE	IN	47710	OUTPATIENT PHYSICIAN CLINIC
DEACONESS MEC MEDICAL CENTER
3844 FIRST AVENUE	EVANSVILLE	IN	47710	OUTPATIENT PHYSICIAN CLINIC
DEACONESS URGENT CARECOMP CARE
10455 ORTHOPAEDIC DRIVE	EVANSVILLE	IN	47630	OUTPATIENT PHYSICIAN CLINIC
DEACONESS WOUND CARE CENTER
611 HARRIET STREET SUITE 501	EVANSVILLE	IN	47710	OUTPATIENT SERVICES
DEACONESS ANTICOAGULATION CLINIC
4107 GATEWAY BLVD	NEWBURGH	IN	47710	OUTPATIENT SERVICES
USI STUDENT HEALTH CENTER
8600 UNIVERSITY BLVD	EVANSVILLE	IN	47712	OUTPATIENT PHYSICIAN CLINIC
MT VERNON MEDICAL CENTER
1900 W FOURTH STREET	MT VERNON	IN	47620	DIAGNOSTIC CENTER
MIDWEST RADIOLOGIC IMAGING
10455 ORTHOPAEDIC DRIVE	NEWBURGH	IN	47630	DIAGNOSTIC CENTER
MIDWEST RADIOLOGICAL IMAGING
4087 GATEWAY BLVD	NEWBURGH	IN	47630	DIAGNOSTIC CENTER
DOCTOR'S PLAZA X-RAY
611 HARRIET STREET	EVANSVILLE	IN	47710	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
DEACONESS PRIMARY CARE FOR SENIORS
4498 FIRST AVENUE	EVANSVILLE	IN	47710	OUTPATIENT PHYSICIAN CLINIC
DEACONESS PRIMARY CARE FOR SENIORS
1750 OAK HILL ROAD	EVANSVILLE	IN	47711	OUTPATIENT PHYSICIAN CLINIC
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 PRE-ADMISSION TESTING
520 MARY STREET SUITE 330	EVANSVILLE	IN	47747	DIAGNOSTIC CENTER
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 HOSPITAL MAMMOGRAPHY & IMAGING
421 CHESTNUT STREET	EVANSVILLE	IN	47713	DIAGNOSTIC CENTER
DEACONESS REGIONAL LABORATORY
4494 N FIRST AVENUE	EVANSVILLE	IN	47710	DIAGNOSTIC CENTER
DEACONESS REGIONAL LABORATORY
4133 GATEWAY BLVD SUITE 110	NEWBURGH	IN	47630	DIAGNOSTIC CENTER
DEACONESS REGIONAL LABORATORY
421 CHESTNUT STREET	EVANSVILLE	IN	47713	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 A SEPARATE COMMUNITY BENEFIT REPORT.
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 $322,750.
PART I, L7 COL(F): BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING PERCENTAGE IN THIS COLUMN IS $26,914,235.
PART II: DEACONESS HOSPITAL AND ITS RELATED ORGANIZATIONS PARTICIPATE IN VARIOUS COMMUNITY BUILDING ACTIVITIES. DEACONESS CROSS POINTE IS A MEMBER OF THE SUICIDE PREVENTION COALITION. DEACONESS CROSS POINTE OFFERS A VARIETY OF FREE SUICIDE AWARENESS AND PREVENTION PROGRAMS TO HELP REDUCE THE INCIDENCE OF SUICIDE IN THE TRI-STATE. 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 LEADERS AND ADMINISTRATORS SERVE AS BOARD MEMBERS ON LOCAL UNIVERSITY BOARDS. THEY SERVE ON EDUCATIONAL PLANNING COMMITTEES AND DETERMINE THE EDUCATIONAL NEEDS OF STUDENTS AND BUSINESSES IN THE COMMUNITY.
PART III, LINE 4: SECTION A. BAD DEBT EXPENSE. LINE 2 FOOTNOTE TO ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: MANAGEMENT ESTIMATES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE BASED ON AN EVALUATION OF HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO THE SYSTEM'S CUSTOMER BASE.
PART III, LINE 8: THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE WERE ESTIMATED BASED UPON THE 2010 MEDICARE COST REPORT AND THE 2011 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 DISTICTION 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. THE COMMITTEE USES A DYNAMIC, ONGOING PROCESS TO INCLUDE A REVEIW OF PREVIOUS OR CURRENT ASSESMENTS BY OTHER COMMUNITY GROUPS, PRESENTATIONS MADE BY OUTSIDE GROUPS SOLICITING DEACONESS' 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 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.
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 ILLINIOS. 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 IS 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 323 BEDS CONSISTING OF 24 INTENSIVE CARE BEDS, 26 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 4 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 AND INFANT HOSPITAL LOCATED ON THE GATEWAY CAMPUS.2. HEALTHSOUTH/DEACONESS, LLC D/B/A TRI-STATE REGIONAL REHABILITATION HOSPITAL, A 78-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 WHICH RESIDES ON THE GATEWAY CAMPUS. THE HOSPITAL PLAYS AN ACTIVE ROLE IN MEDICAL EDUCATION, OPERATING A THREE YEAR FAMILY MEDICINE RESIDENCY PROGRAM AND 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 6: 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 7: DEACONESS 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 (11 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ECONOMIC DEVELOPEMENT COALITION
100 NW 2ND ST 208	EVANSVILLE	IN	47737	320152630	3	25000	GENERAL SUPPORT
EVANSVILLE KIDNEY ASSOCIATION
1312 PROFESSIONAL BLVD	EVANSVILLE	IN	47714	260219765	3	20000	GENERAL SUPPORT
KOMEN GREATER EVANSVILLE AFFILIATE
4424 VOGEL RD STE 744	EVANSVILLE	IN	47708	752844632	3	15000	GENERAL SUPPORT
YMCA
118 VINE STREET	EVANSVILLE	IN	47708	350869075	3	12500	GENERAL SUPPORT
YMCA OF SW INDIANA INC
222 NW 6TH ST	EVANSVILLE	IN	47708	350869074	3	12500	GENERAL SUPPORT
EVANSVILLE AREA COMMUNITY CHURCHES
713 N 2ND AVE	EVANSVILLE	IN	47710	350886837	3	12000	FOOD FOR FOOD PANTRY
EVANSVILLE MUSEUM OF ARTS AND SCIENCE
411 SE RIVERSIDE DR	EVANSVILLE	IN	47713	350874517	3	10000	CAPITAL CAMPAIGN
EVANSVILLE REGIONAL BUSINESS
ONE VECTREN SQ 744	EVANSVILLE	IN	47708	030408032	6	10000	GENERAL SUPPORT
MEDIA MINISTRIES DREAM CENTER
16 W MORGAN AVENUE	EVANSVILLE	IN	47710	352061699	3	10000	CAPITAL CAMPAIGN
EVANSVILLE SOCCER CLUB
PO BOX 15906	EVANSVILLE	IN	47716	352086976	3	10000	GENERAL SUPPORT
OTHERS 5000
						133222	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	9	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	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	1	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 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
280724	282612	118697	0	9960	6000	108846	60637	14962	14962	533189	364211	258	0
DAVID A KOEHLER JR MD
0	152046	0	23881	21400	795	0	5415	0	5160	21400	187297	0	0
RUSTON L STOLTZ MD
0	265918	0	31937	6708	720	0	8191	0	5350	6708	312116	0	0
RICHARD M STIVERS
32607	32607	49058	0	277659	209601	39343	0	9917	9917	408584	252125	91297	0
CHERYL A WATHEN
190775	29866	29571	0	1656	5400	28805	0	16410	8661	267217	43927	0	0
HARRY L SMITH JR
407891	0	74396	0	114400	5600	113732	0	33165	0	743584	5600	109394	0
SHAWN W MCCOY
278019	0	50559	0	3396	5800	72192	0	24694	0	428860	5800	0	0
JAMES R PORTER MD
309738	0	46675	0	1896	0	71625	0	22414	0	452348	0	0	0
CHERONA J HAJEWSKI
256935	0	39000	0	4708	0	54828	0	24534	0	380005	0	0	0
BRUCE E EPMEIER
189228	0	28791	0	3396	0	46391	0	18485	0	286291	0	0	0
LARRY F PILE
184618	0	30078	0	1362	0	5286	0	19182	0	240526	0	0	0
RICHARD B PERRY
131907	0	34332	0	1176	0	13397	0	25878	0	206690	0	0	0
JOYCE A THOMAS
150799	0	15598	0	40	0	30977	0	7760	0	205174	0	0	0
JOHN L ZABROWSKI
132440	0	19031	0	531	600	7449	0	28855	0	188306	600	0	0
REBECCA L MALOTTE
131274	0	19002	0	238	0	37487	0	18072	0	206073	0	0	0
VENKATESH R MADADI
669660	0	0	0	65076	0	10536	0	21388	0	766660	0	0	0
RAJESH J PATEL MD
640978	0	0	0	49667	0	11724	0	24021	0	726390	0	0	0
NIRMAL JOSHI MD
614050	0	0	0	63933	0	6092	0	25997	0	710072	0	0	0
AYMAN ELFAR MD
538160	0	0	0	46926	0	6453	0	21388	0	612927	0	0	0
LAWRENCE C KILINSKI JR MD
482448	0	0	0	59282	0	12342	0	22045	0	576117	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 1A	SOCIAL CLUB DUES ARE PAID FOR LINDA WHITE AND HARRY SMITH 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 RICHARD M. STIVERS 324,538 1,240 0 HARRY L. SMITH, JR. 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 0 16,500 0 RAJESH J. PATEL, MD. 0 16,500 0 LINDA WHITE: CONTRIBUTIONS MADE TO A SUPPLEMENTAL ACCUMULATION ACCOUNT OF $157,723 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $258 RICHARD STIVERS: SUPPLEMENTAL RETIREMENT PAYMENT OF $51,526 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $39,772 HARRY SMITH: CONTRIBUTIONS MADE TO SUPPLEMENTAL ACCUMULATION ACCOUNT OF $101,972 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $109,394 SHAWN MCCOY: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $60,432 JAMES PORTER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $59,865 CHERONA HAJEWSKI: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $43,068 BRUCE EPMEIER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $36,947
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	45471AAJI	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	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Credit EnhancementCreditEnhancement
55914771	12025077	825245	43064449	2011	1	1
40000000	2672335	399807	36867068	2011	1	1	60789
55581965	5255622	611421	47527513	2006	1	1	2187409
25000000		161203	24677516	2006	1	1	161281

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
VECTREN ENERGY DELIVERY
COMMON BOARD MEMBER	5762004	GAS/ ELECTRIC UTILITY	0
SOUTH CENTRAL COMMUNICATIONS
COMMON BD MBR	164685	ADVERTISING PROVIDER	0
EVANSVILLE RADIOLOGY PC
COMMON BD MBR	728657	MANAGEMENT SERVICES	0
MISTY ADYE
FAMILY OF BD MBR	33369	COMPENSATION	0
LETTA FRACCARO
FAMILY OF BD MBR	47071	COMPENSATION	0
ANN TORNATTA
FAMILY OF BD MBR	97933	COMPENSATION	0
NANCY KOEHLER
FAMILY OF BD MBR	116306	COMPENSATION	0
ALEX SEIBERT
FAMILY OF OFFICER	71606	COMPENSATION	0
SHERRI MCCOY
FAMILY OF OFFICER	22938	COMPENSATION	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 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 HEALTHLY 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 ILLINIOS. 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 IS 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 323 BEDS CONSISTING OF 24 INTENSIVE CARE BED, 26 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 4 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, 16NEUROSURGICAL 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	DECONESS HOSPITAL MAKES A DISTINCTION BETWEEN CHARITY CARE AND BAD DEBT. IN DETERMINING AN INDIVIDUAL OR FAMILIY'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 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 GOVENMENTAL 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 $26 MILLION OF CHARITY CARE & $37.8 MILLION OF SUBSIDIZED SERVICES TO THE MEDICAID PROGRAM, AND $33.6 OF SUBSIDIZED SERVICES TO THE MEDICARE PROGRAM.
PROGRAM SERVICES ACCOMPLISHMENT 3: MEDICAL EDUCATION & COMMUNITY BENEFITS	FORM 990, PART III, LINE 4C	DEACONESS HOSPITAL PLAYS AN ACTIVE ROLE IN MEDICAL EDUCATION, OPERATING A THREE YEAR FAMILY MEDICINE RESIDENCY PROGRAM AND A POST-GRADUATE PHARMACY RESIDENT 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 PROVIDES $5.5 MILLION IN COMMUNITY BENEFIT ACTIVITIES (ALL ON A COST BASIS), SERVING A MINIMUM OF 626,389 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 RECCOMENDATION BY THE GOVERNANCE COMMITTEE FOR MEMBERSHIP TO THE BOARD OF DIRECTORS. THAT RECCOMENDATION IS THEN REVEIWED 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 CONTROLLER, CFO AND CEO OF THE ORGANIZATION FOR REVEIW. 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 "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, AND PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS.
	FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR TOP OFFICIALS AND OTHER OFFICERS: DEACONESS UTILIZES A COMPENSATION COMMITTEE TO APPROVE EXECUTIVE, DIRECTOR, AND PHYSICIAN COMPENSATION AS WELL AS EXECUTIVE AND PHYSICIAN BENEFIT 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 18	DEACONESS DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTERST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
	FORM 990, PART VI, SECTION C, LINE 19	DEACONESS HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC	FORM 990, PART VII	RICHARD M STIVERS - 9901 BROWNING ROAD, EVANSVILLE, IN 47630. HARRY L SMITH, JR - 916 WOODRIDGE COURT, 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, MS. WATHEN, AND MR. STIVERS. 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 MR. STIVERS 5 5 50 60
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -3,563,788. CHANGE IN PENSION LIABILITY -3,997,955. CAPITAL CONTRIBUTION TO DEACONESS HEALTH SYSTEM -17,833,520. CAPITAL CONTRIBUTION FROM DEACONESS FOUNDATION 200,000. FOUNDATION MONIES RELEASED FROM RESTRICTION -1,190,127. TOTAL TO FORM 990, PART XI, LINE 5: -26,385,390.
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
350 W COLUMBIA SUITE 400	EVANSVILLE	IN	47710	383492529	PERF PROV	IN	N/A	RELATED	503475	2165183	0	0	0.93000
HEARTCARE HEALTH SYSTEM
415 W COLUMBIA	EVANSVILLE	IN	47710	352038344	HEALTHCARE	IN	N/A	RELATED	-365329	74980	0	0	0.70000
PROGRESSIVE HLTH IN
150 N ROSENBERGER	EVANSVILLE	IN	47712	208480988	OUTPATIENT	IN	N/A	RELATED	1643528	1105739	0	0	0.51000
HEART HOSPITAL AT DEACONESS GATEWAY
4007 GATEWAY BLVD	NEWBURGH	IN	47630	261766835	HOSPITAL	DE	N/A	RELATED	2726392	6808578	0	0	0.51000
TRI-STATE RADIATION ONCOLOGY
1500 ROSECRANS AVENUE	MANHATTAN BEACH	CA	90266	263706834	OUTPATIENT	DE	N/A	RELATED	1878002	3069727	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	55358
HEART HOSP AT DEAC GATEWAY LLC
N	7767054
HEART HOSP AT DEAC GATEWAY LLC
O	2274096
HEART HOSP AT DEAC GATEWAY LLC
P	5408156
DEACONESS HEALTH PLANS LLC
P	169229