2012-11-14T14:15:16-07:00 2011-12-31 990 2011-01-01 310537109 DEACONESS HOSPITAL OF CINCINNATI OH DEAC 5135592100 311 Straight Street Cincinnati OH 45219 E Anthony Woods 5135592100 2012-11-14 2011 2016-02-24 21:20:13Z E Anthony Woods 311 Straight Street Cincinnati OH 45219 5590548 0 X www.deaconess-healthcare.com X 1888 OH Deaconess 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. 6 5 111 2 0 0 1950902 1913180 12905660 3677368 15 0 0 0 14856577 5590548 0 0 0 0 10972826 2144012 0 0 0 18636748 6721901 29609574 8865913 -14752997 -3275365 9811622 5832925 44149330 51739535 -34337708 -45906610 X Deaconess 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. 1 1 6305220 0 3677368 Deaconess 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. 0 0 0 6305220 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 0 1 20 0 1 111 1 0 0 0 0 0 0 X 6 5 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 0 OH X Jennifer Simon 5135592100 311 Straight Street Cincinnati OH 45219 X E Anthony Woods 5 X X 0 1872000 330933 Kay French 0 X 0 0 0 John J Schiff Jr 0 X 0 0 0 Thomas R Schiff 0 X 0 0 0 Lee Scroggins 0 X 0 0 0 0 1872000 330933 0 0 1 0 Pricewaterhouse Coopers LLP PO Box 75647 Chicago IL 60675 Auditing services 219632 Crothall Facilities Management 955 Chesterbrook Blvd Suite 300 Wayne PA 19087 Housekeeping Maintenance Services 898398 Morrison Management 5801 Peachtree Dunwoody Rd Atlanta GA 30342 Dietary Services 453854 Securitas PO Box 40412 Atlanta GA 30384 Security Services 221931 GE Medical Systems PO Box 96483 Chicago IL 60693 Biomedical Services 170613 6 0 0 0 1913180 0 0 0 1913180 Net Patient Service Revenue 622000 731554 731554 0 0 Other Operating Revenue 561210 2945814 2945814 0 0 0 0 0 0 3677368 0 0 0 0 0 0 5590548 3677368 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 327062 156889 170173 0 1330135 0 1330135 0 457869 4792 453077 0 28946 11080 17866 0 0 0 0 0 59992 0 59992 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1834343 1631699 202644 0 26314 26314 0 0 793069 664395 128674 0 177773 0 177773 0 0 0 0 0 1259847 1259847 0 0 2520 2465 55 0 0 0 0 0 1197 718 479 0 346396 346396 0 0 0 0 0 0 2179232 2179232 0 0 29835 10010 19825 0 Collection fees 11383 11383 0 0 8865913 6305220 2560693 0 265684 324976 0 0 0 0 1885169 128301 0 0 0 0 0 0 4459 19464 110546 96846 48354600 44519393 6139885 3835207 64656 12810 0 0 0 0 0 0 1341223 1415321 9811622 5832925 15417666 20950928 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28731664 30788607 44149330 51739535 X -34337708 -45906610 0 0 0 0 -34337708 -45906610 9811622 5832925 X -3275365 -8293537 X 0 1 1 X 0 X X X 0 0 0 Tristate Health Systems Inc 311385584 3 1 1 1 27405 1 27405 385594 0 385594 17597396 0 16537181 1060215 0 0 0 0 30371610 0 27982212 2389398 0 0 0 0 3835207 Worker's comp stop loss receivables 1415321 1415321 0 Due to affiliates 28622695 Long Term Worker's Comp Reserve 2165912 30788607 0 1 0 0 0 0 0 0 0 E Anthony Woods 0 1872000 0 0 0 0 0 330933 0 0 0 2202933 0 1716000 SchJ_P01_S00_L03 Schedule J, Part I, Line 3 The 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_L04 Schedule J, Part I, Line 4 E. 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_L00 Schedule J, Part II Line 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. John J and Thomas R Schiff and Co John Schiff and Thomas Schiff are former board members 384168 provides business insurance 0 F990_P03_S00_L02 Form 990, Part III, Line 2 The Hospital provides space and supportive services to other community healthcare providers of inpatient care within the facility setting. F990_P03_S00_L03 Form 990, Part III, Line 3 The 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_L09 Form 990, Part VI, Section A, Line 9 Directors 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_L11b Form 990, Part VI, Section B, Line 11b Copies of the 990's are provided to the Chairman for presentation to the Board F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c Each 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_L15 Form 990, Part VI, Section B, Line 15 Compensation 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_L19 Form 990, Part VI, Section C, Line 19 No 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_L01a Form 990, Part VII, Section A, Line 1a E. 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_L05 Form 990, Part XI, Line 5 There 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. Deaconess Associations Inc 311 Straight Street Cincinnati OH 45219 311209377 parent company - provides management services OH 501(c)(3) 11c N/A 0 Tristate Health Systems Inc 311 Straight Street Cincinnati OH 45219 311385584 medical services OH 501(c)(3) 3 N/A 0 Deaconess Health Care Services 311 Straight Street Cincinnati OH 45219 311365388 medical services OH 501(c)(3) 3 N/A 0 Cottingham Retirement Community c/o DLTC 330 Straight Street Cincinnati OH 45219 311338449 health care services OH 501(c)(3) 11b N/A 0 Deaconess Long Term Care Inc 330 Straight Street Cincinnati OH 45219 311391195 parent company - provides management services OH 501(c)(3) 11b N/A 0 Deaoness Long Term Care of Missouri 330 Straight Street Cincinnati OH 45219 431693036 health care services OH 501(c)(3) 3 N/A 0 Deaconess Long Term Care of Ohio Inc 330 Straight Street Cincinnati OH 45219 311394484 health care services OH 501(c)(3) 3 N/A 0 Ottawa Retirement Village c/o DLTC 330 Straight Street Cincinnati OH 45219 480955654 health care services KS 501(c)(3) 3 N/A 0 Ottawa Retirement Plaza c/o DLTC 330 Straight Street Cincinnati OH 45219 481101021 health care servcies KS 501(c)(3) 11b N/A 0 Ottawa Medical Services Inc c/o DLTC 330 Straight Street Cincinnati OH 45219 481114608 health care servcies KS 501(c)(3) 11b N/A 0 Deaconess Health Association Fund Inc 311 Straight Street Cincinnati OH 45219 311209378 fundraising OH 501(c)(3) 11b N/A 0 Ottawa Services c/o DLTC 330 Straight Street Cincinnati OH 45219 Owns building used KS N/A Related 0 0 0 0 0 0 1 0 1 0 0 1 0 1 1 0 0 0 0 1 1 1 1 1