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DEACONESS HOSPITAL OF CINCINNATI OH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
DEACONESS HOSPITAL OF CINCINNATI OH (EIN 31-0537109)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201243199349305624
Schema version
2011v1.2
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)
Timestamp2012-11-14T14:15:16-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

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 Signed2012-11-14DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts5590548GrossReceipts
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 Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees111TotalNbrEmployees
Total Nbr Volunteers2TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1950902ContributionsGrantsPriorYear
Contributions Grants Current Year1913180ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12905660ProgramServiceRevenuePriorYear
Program Service Revenue CY3677368ProgramServiceRevenueCY
Investment Income Prior Year15InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year14856577TotalRevenuePriorYear
Total Revenue Current Year5590548TotalRevenueCurrentYear
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 Year10972826SalariesEtcPriorYear
Salaries Etc Current Year2144012SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year18636748OtherExpensePriorYear
Other Expenses Current Year6721901OtherExpensesCurrentYear
Total Expenses Prior Year29609574TotalExpensesPriorYear
Total Expenses Current Year8865913TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-14752997RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3275365RevenuesLessExpensesCY
Total Assets BOY9811622TotalAssetsBOY
Total Assets EOY5832925TotalAssetsEOY
Total Liabilities BOY44149330TotalLiabilitiesBOY
Total Liabilities EOY51739535TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-34337708NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-45906610NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
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 Services1SignificantNewProgramServices
Significant Change1SignificantChange
Expense6305220Expense
Grants0Grants
Revenue3677368Revenue
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 2011, the Hospital's food service operations provided patient meals to patients being treated in the facility. In 2011, the transportation network provided over 3500 trips and the medical montoring system provided service to 1,200 clients.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense6305220TotalProgramServiceExpense
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 Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109620NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees111NumberOfEmployees
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 Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
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 WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
E Anthony Woods
Chairman5XX01872000330933
Kay French
Board Member0X000
John J Schiff Jr
Board Member0X000
Thomas R Schiff
Board Member0X000
Lee Scroggins
Secretary0X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1872000TotalReportableCompFrmRltdOrgs
Total Other Compensation330933TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line2AddressOfContractor/AddressUS/AddressLine2
Pricewaterhouse Coopers LLP
PO Box 75647ChicagoIL60675Auditing services219632
Crothall Facilities Management
955 Chesterbrook BlvdWaynePA19087Housekeeping Maintenance Services898398Suite 300
Morrison Management
5801 Peachtree Dunwoody RdAtlantaGA30342Dietary Services453854
Securitas
PO Box 40412AtlantaGA30384Security Services221931
GE Medical Systems
PO Box 96483ChicagoIL60693Biomedical Services170613
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations1913180RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions0AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions1913180TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Net Patient Service Revenue6220007315547315540$0
Other Operating Revenue561210294581429458140$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 Revenue3677368TotalProgramServiceRevenue

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 Column5590548TotalRevenueColumn
Related Or Exempt Function Income3677368RelatedOrExemptFunctionIncome
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)
Total327062Total
Program Services156889ProgramServices
Management And General170173ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1330135Total
Program Services0ProgramServices
Management And General1330135ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total457869Total
Program Services4792ProgramServices
Management And General453077ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total28946Total
Program Services11080ProgramServices
Management And General17866ManagementAndGeneral
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)
Total59992Total
Program Services0ProgramServices
Management And General59992ManagementAndGeneral
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)
Total1834343Total
Program Services1631699ProgramServices
Management And General202644ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total26314Total
Program Services26314ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total793069Total
Program Services664395ProgramServices
Management And General128674ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total177773Total
Program Services0ProgramServices
Management And General177773ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

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

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1259847Total
Program Services1259847ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total2520Total
Program Services2465ProgramServices
Management And General55ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

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

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1197Total
Program Services718ProgramServices
Management And General479ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total346396Total
Program Services346396ProgramServices
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)
Total2179232Total
Program Services2179232ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total29835Total
Program Services10010ProgramServices
Management And General19825ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionCollection feesDescription
Total11383Total
Program Services11383ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8865913Total
Program Services6305220ProgramServices
Management And General2560693ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY265684BOY
EOY324976EOY

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)
BOY1885169BOY
EOY128301EOY

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)
BOY4459BOY
EOY19464EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY110546BOY
EOY96846EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis48354600LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec44519393LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6139885BOY
EOY3835207EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY64656BOY
EOY12810EOY

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)
BOY1341223BOY
EOY1415321EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9811622BOY
EOY5832925EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15417666BOY
EOY20950928EOY

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)
BOY28731664BOY
EOY30788607EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY44149330BOY
EOY51739535EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-34337708BOY
EOY-45906610EOY

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-34337708BOY
EOY-45906610EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9811622BOY
EOY5832925EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3275365ReconcilationRevenueExpenses
Reconcilation Other Changes-8293537ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Line1Tristate Health Systems IncBusinessNameLine1
FieldValueIRS element (for citing)
EIN311385584EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$27,405Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts27405SumOfAmounts

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis385594InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value385594BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis17597396InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation16537181Depreciation
Book Value1060215BookValue

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 Basis30371610InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation27982212Depreciation
Book Value2389398BookValue

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 Buildings3835207TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionWorker's comp stop loss receivablesDescription
Book Value1415321BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1415321TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to affiliates$28,622,695
Long Term Worker's Comp Reserve$2,165,912
FieldValueIRS element (for citing)
Total Of Amounts30788607TotalOfAmounts

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 Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonE Anthony WoodsNamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs1872000CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs330933DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs2202933TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs1716000CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (3 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 and CEO of Deaconess Associations, Inc., participates in a nonqualified supplemental executive retirement plan. He received distributions of 326,853 from the plan during 2011 that were reported on from 1099-R.
SchJ_P02_S00_L00Schedule J, Part IILine 1B(i) and F - E. Anthony Woods was paid out $1,762,000 in 2011 for compensation that was deferred from years 2008, 2009, and 2010.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJohn J and Thomas R Schiff and CoNamePerson
FieldValueIRS element (for citing)
RelationshipJohn Schiff and Thomas Schiff are former board membersRelationship
Amount Of Transaction384168AmountOfTransaction
Description Of Transactionprovides business insuranceDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P03_S00_L02Form 990, Part III, Line 2The Hospital provides space and supportive services to other community healthcare providers of inpatient care within the facility setting.
F990_P03_S00_L03Form 990, Part III, Line 3The Hospital eliminated inpatient care services in late 2010. Outpatient Radiology services and Urgent Care services transferred to other companies under the Deaconess Associations, Inc. umbrella.
F990_P06_S0A_L09Form 990, Part VI, Section A, Line 9Directors and officers not at Deaconess Hospital or Deaconess Associations, Inc. can be reached at: Kay French,2412 Ingleside Ave., Cincinnati OH 45206; John J. Schiff Jr.,8720 Camargo Rd., Cincinnati, OH 45243; Thomas R. Schiff, 4 Grandin Terrace, Cincinnati, OH 45208; Lee Scroggins, 7905 Graves Rd., Cincinnati OH 45243
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bCopies of the 990's are provided to the Chairman for presentation to the Board
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cEach manager, 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 othse publicly available through the Secretary of State's 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 (25); Deaconess Long Term Care (5); Deaconess Hospital (5); Deaconess Health Associations Fund (5).
F990_P11_S00_L05Form 990, Part XI, Line 5There was a decrease in the pension liability of $7,773,824 which is primarily attributed to the market value of investments in the plan. Also, there was $519,713 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
Deaoness 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
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
Code V$0CodeVAmount
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
Sale Of Assets To Other Org1SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets1ExchangeOfAssets
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