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DEACONESS HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
DEACONESS HOSPITAL INC (EIN 35-0593390)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-02-08
IRS object ID
201110399349300811
Schema version
2009v1.7
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)
Timestamp2011-02-08T13:13:41-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 44972AddressLine1
CityIndianapolisCity
StateINState
ZIP Code462440972ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN350593390EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Deaconess Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDEACNameControl
Phone8124502370Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 MARY STREETAddressLine1
CityEVANSVILLECity
StateINState
ZIP Code47747ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLinda E WhiteName
TitlePresident & CEOTitle
Date Signed2011-02-07DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLINDA E WHITE PRESIDENTCEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1600 MARY STREETAddressLine1
CityEVANSVILLECity
StateINState
ZIP Code47747ZIPCode
FieldValueIRS element (for citing)
Gross Receipts580059742GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.deaconess.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1895YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionDEACONESS HOSPITAL PROVIDES QUALITY HEALTHCARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees5549TotalNbrEmployees
Total Nbr Volunteers109TotalNbrVolunteers
Total Gross UBI8679291TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1221896ContributionsGrantsPriorYear
Contributions Grants Current Year1809153ContributionsGrantsCurrentYear
Program Service Revenue Prior Year483100660ProgramServiceRevenuePriorYear
Program Service Revenue CY487028074ProgramServiceRevenueCY
Investment Income Prior Year11615625InvestmentIncomePriorYear
Investment Income Current Year4920579InvestmentIncomeCurrentYear
Other Revenue Prior Year37652466OtherRevenuePriorYear
Other Revenue Current Year34195826OtherRevenueCurrentYear
Total Revenue Prior Year533590647TotalRevenuePriorYear
Total Revenue Current Year527953632TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year276650GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY215303GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year215324559SalariesEtcPriorYear
Salaries Etc Current Year225824244SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year295256TotalFundrsngExpCurrentYear
Other Expense Prior Year270535827OtherExpensePriorYear
Other Expenses Current Year257674542OtherExpensesCurrentYear
Total Expenses Prior Year486137036TotalExpensesPriorYear
Total Expenses Current Year483714089TotalExpensesCurrentYear
Revenues Less Expenses Prior Year47453611RevenuesLessExpensesPriorYear
Revenues Less Expenses CY44239543RevenuesLessExpensesCY
Total Assets BOY702922543TotalAssetsBOY
Total Assets EOY734618250TotalAssetsEOY
Total Liabilities BOY370074161TotalLiabilitiesBOY
Total Liabilities EOY361198226TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY332848382NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY373420024NetAssetsOrFundBalancesEOY
Mission DescriptionDEACONESS HOSPITAL PROVIDES QUALITY HEALTHCARE SERVICES WITH A COMPASSIONATE AND CARING SPIRIT TO PERSONS, FAMILIES AND COMMUNITIES OF THE TRI-STATE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense160713938Expense
Revenue341363516Revenue
DescriptionPatient Service Revenue - Deaconess Hospital is a major referral center for a 25-county tri-state area in Southwestern Indiana, Western Kentucky, and Southeastern Illinois. The Hospital and its facilities are located on four campuses which include the main 28-acre campus on the near north side of Evansville in Vanderburgh County, the 63-acre Gateway Campus located in Warrick County on the eastern border of Vanderburgh County, and two other eastside Evansville locations for psychiatric behavioral services and rehabilitation services. The Hospital operates a Main Campus with a total of 318 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, 13 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 94 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, 32 medical/surgical beds, 16 orthopaedic beds, and 16 neurosurgical beds. The Hospital provides a full array of comprehensive outpatient and ambulatory services 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense282688443Expense
Revenue133737341Revenue
DescriptionCharity Care / Subsidized Care- Deaconess Hospital makes a distinction between charity and bad debt. In determining an individual or family's ability to pay, Deaconess Hospital evaluates whether or not the responsible party has sufficient resources available for payment. If an individual is determined to not have sufficient resources to pay, they are considered eligible for charity care and will not be processed through either internal or external collections. Accounts of charity care patients who are unable to pay do not result in bad debt and are not collected upon. Deaconess Hospital provides care to persons covered by governmental programs below cost. Recognizing its mission to the community, services are provided to both Medicare and Medicaid patients. To the extent reimbursement is below cost, Deaconess Hospital absorbs these costs in meeting its mission to the community. In support of its mission, Deaconess Hospital provided $20.6 million of charity care and $31.3 million of subsidized services to the Medicaid program, and $40.3 million of subsidized services to the Medicare program.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense17713724Expense
Revenue11927217Revenue
DescriptionGraduate Medical Education, Medical Education and Community Benefit - Deaconess Hospital plays an active role in medical education, operating a three year family medicine residency program and a post-graduate pharmacy residency program. Deaconess Hospital also provides continuing medical education programs for attending physicians, other health professionals, other allied health programs, community health programs and a chaplain residency program. In addition to educational services, Deaconess Hospital provided $5.4 million in community benefit activities (all on a cost basis), serving a minimum of 641,445 people within the Tri-State area.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp215303TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt215303TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev16089590TotalOfOtherProgramServiceRev
Total Program Service Expense461331408TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096412NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees5549NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddresstrueOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCHERYL A WATHENNamePerson
Telephone Number8124502370TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1600 MARY STREETAddressLine1
CityEvansvilleCity
StateINState
ZIP Code47747ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
LINDA WHITE
PRESIDENT/CEO50.0XX1807619350850178330
DAVID D CHRISTESON MD
DIRECTOR5.0X042907345280
RUSTON L STOLTZ MD
DIRECTOR5.0X27133062677871
DAVID A KOEHLER JR MD
DIRECTOR5.0X318871085894483
BRUCE ROMICK MD
DIRECTOR5.0X2153800
WILLIAM R PENLAND MD
DIRECTOR5.0X1160000
JEROME A BENKERT
DIRECTOR5.0X920000
BRUCE STALLINGS
DIRECTOR5.0X840000
ROBERT B WRIGHT
DIRECTOR5.0X800000
MATTHEW R LEE MD
DIRECTOR5.0X800000
DR H RAY HOOPS
DIRECTOR5.0X680000
BRUCE ADYE MD
DIRECTOR5.0X640000
JOHN D ENGELBRECHT
TREASURER5.0X600000
STEVEN T TITZER CPA
DIRECTOR5.0X600000
REV DR JOSEPH FRACCARO
DIRECTOR5.0X520000
IRA G BOOTS
DIRECTOR5.0X400000
ROBERT G JONES
DIRECTOR5.0X360000
STEVEN A CHURCH
DIRECTOR5.0X320000
RICHARD M STIVERS
SVP & CFO50.0X75979723653353438
HARRY L SMITH JR
PRESIDENT50.0X5242500132281
JAMES R PORTER MD
CHIEF MED OFFICER50.0381166098464X
SHAWN W MCCOY
CHIEF ADMIN OFFICER50.0357777086486X
CHERONA J HAJEWSKI
CHIEF NURSE OFFICER50.0318533078378X
BRUCE E EPMEIER
VICE PRESIDENT50.0251139058516X
LARRY F PILE
HR DIRECTOR50.0224674019538X
CHERYL A WATHEN
INTERIM CFO50.0216784043422X
RICHARD B PERRY
CONTROLLER50.0164296025044X
JOYCE A THOMAS
PHARMACY DIRECTOR50.0161281025817X
VENKATESH R MADADI
anesthesiologist50.0761459022872X
RAJESH J PATEL MD
anesthesiologist50.0753318029110X
NIRMAL JOSHI MD
anesthesiologist50.0729755024723X
AYMAN ELFAR MD
anesthesiologist50.0656349021728X
SUSAN DOUGLAS MD
ANESTHESIOLOGIST50.0626070017735X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8836805TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1431312TotalReportableCompFrmRltdOrgs
Total Other Compensation973516TotalOtherCompensation
Number Individuals GT100 K167NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EVANSVILLE SURGERY CENTER ASSOCLLC
520 MARY STREETEVANSVILLEIN47710SURGICAL SVCS36736387
BOVIS LEND LEASE INC
1801 W END AVENUE SUITE 600NASHVILLETN37203BLDG CONTRACTOR18450426
EPIC SYSTEMS CORPORATION
PO BOX 88314MILWAUKEEWI53288SOFTWARE/CONSUL9414572
WINK CONSTRUCTION INC
4007 E EICHEL AVENUEEVANSVILLEIN47716BLDG CONTRACTOR3033198
ARUP LABORATORIES
PO BOX 27964SALT LAKE CITYUT84127LABORATORY2165232
FieldValueIRS element (for citing)
Number Of Contractors GT100 K71NumberOfContractorsGT100K
Fundraising Events208955FundraisingEvents
Government Grants176007GovernmentGrants
All Other Contributions1424191AllOtherContributions
Noncash Contributions1454NoncashContributions
Total Contributions1809153TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column487028074TotalRevenueColumn
Related Or Exempt Function Income487028074RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue487028074TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5610522TotalRevenueColumn
Exclusion$5,610,522ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column149TotalRevenueColumn
Exclusion$149ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real6455065Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2966115Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real3488950Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3488950TotalRevenueColumn
Exclusion$3,488,950ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities48251186Securities
Other39712Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities48912951Securities
Other68039Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-661765Securities
Other-28327Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-690092TotalRevenueColumn
Exclusion-$690,092ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events39250GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events208955CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses159005FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-119755TotalRevenueColumn
Exclusion-$119,755ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
INVESTMENT IN JOINT VENTURES9000991608959016089590
LABORATORY SALES62150083586218358621
OTHER HOSPITAL SERVICES9000996057750$6,057,750

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column320670TotalRevenueColumn
Unrelated Business Revenue320670UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue30826631TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column527953632TotalRevenueColumn
Related Or Exempt Function Income503117664RelatedOrExemptFunctionIncome
Unrelated Business Revenue8679291UnrelatedBusinessRevenue
Exclusion$14,347,524ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total215303Total
Program Services215303ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5700343Total
Management And General5700343ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total168387792Total
Program Services165923744ProgramServices
Management And General2245308ManagementAndGeneral
Fundraising218740Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total13817103Total
Program Services12650921ProgramServices
Management And General1166182ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total25694618Total
Program Services24467077ProgramServices
Management And General1227541ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total12224388Total
Program Services11671599ProgramServices
Management And General552789ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total966032Total
Program Services365607ProgramServices
Management And General600425ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total233451Total
Management And General233451ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total30764Total
Management And General30764ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total277335Total
Management And General276834ManagementAndGeneral
Fundraising501Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total54068416Total
Program Services50707079ProgramServices
Management And General3354214ManagementAndGeneral
Fundraising7123Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total685024Total
Program Services100026ProgramServices
Management And General584998ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total91407208Total
Program Services90657240ProgramServices
Management And General705264ManagementAndGeneral
Fundraising44704Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8532400Total
Program Services7553523ProgramServices
Management And General978877ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total16230644Total
Program Services14748454ProgramServices
Management And General1482190ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total605528Total
Program Services511315ProgramServices
Management And General93905ManagementAndGeneral
Fundraising308Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total621129Total
Program Services470147ProgramServices
Management And General150982ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6374865Total
Program Services6374865ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total30877465Total
Program Services28736287ProgramServices
Management And General2138916ManagementAndGeneral
Fundraising2262Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total3154119Total
Program Services3149602ProgramServices
Management And General4517ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PROVISION FOR BAD DEBTS2378472623784726
EQUIP RENTAL/MAINTENANCE1353280313372783160020
AGENCY COLLECTION FEES51504315150431
DUES & SUBSCRIPTIONS5719322891392812631530
MISCELLANEOUS57027043154011864220088

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total483714089Total
Program Services461331408ProgramServices
Management And General22087425ManagementAndGeneral
Fundraising295256Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY27945770BOY
EOY45404178EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY90460730BOY
EOY103136210EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3682013BOY
EOY5359268EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4811478BOY
EOY4844936EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis646537046LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec321425049LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY284502073BOY
EOY325111997EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY230672547BOY
EOY192039805EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY34159545BOY
EOY31252043EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY16076946BOY
EOY15940119EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10611441BOY
EOY11529694EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY702922543BOY
EOY734618250EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY54382213BOY
EOY55207479EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY229031236BOY
EOY224161915EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY139127BOY
EOY19721EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY86521585BOY
EOY81809111EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY370074161BOY
EOY361198226EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY325414596BOY
EOY365289535EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2968260BOY
EOY3424795EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4465526BOY
EOY4705694EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY332848382BOY
EOY373420024EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY702922543BOY
EOY734618250EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$30,764OtherActivitiesAmount
Total Lobbying Expenditures IIB30764TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchedule CIdentifier
Return ReferencePart II-B, Line 1iReturnReference
ExplanationLobbying 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

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance7433786BeginningOfYearBalance
Contributions1683536Contributions
Investment Earnings Or Losses281910InvestmentEarningsOrLosses
Grants Or Scholarships192998GrantsOrScholarships
Other Expenditures790792OtherExpenditures
Administrative Expenses284953AdministrativeExpenses
End Of Year Balance8130489EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance7797671BeginningOfYearBalance
Contributions728055Contributions
Investment Earnings Or Losses203927InvestmentEarningsOrLosses
Grants Or Scholarships203726GrantsOrScholarships
Other Expenditures1211206OtherExpenditures
Administrative Expenses288387AdministrativeExpenses
End Of Year Balance7433786EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.66000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.34000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10266155OtherCostOrOtherBasis
Book Value10266155BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis358532138OtherCostOrOtherBasis
Depreciation182464922Depreciation
Book Value176067216BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis188130649OtherCostOrOtherBasis
Depreciation138960127Depreciation
Book Value49170522BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis89608104OtherCostOrOtherBasis
Book Value89608104BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings325111997TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION/ ACCRUED SICK$60,709,075
TAXABLE BOND-SERIES 1999B$11,200,000
CAPITAL LEASE OBLIGATIONS$5,858,590
ESTIMATED THIRD-PARTY SETTLEMENTS$4,041,446
FieldValueIRS element (for citing)
Total Of Amounts81809111TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierIntended Uses for Endowment FundsIdentifier
Return ReferencePart V, Line 4ReturnReference
ExplanationThe Deaconess Hospital Foundation utilizes endowment funds to support and benefit the mission of Deaconess Hospital. Specifically, endowment funds are used to help support activities or projects that help to provide quality healthcare services with a compassionate and caring spirit to persons, families and communities of the Tri-State. Part XIV 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, XIII are not required as the organization is a part of a consolidated financial statement. The consolidated financial statement is audited by an independent accounting firm and is prepared in accordance with generally accepted accounting principles.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DH PARTY OF YRNameOfEvent1
Gross Receipts Event1154903GrossReceiptsEvent1
Charitable Contributions Event1132503CharitableContributionsEvent1
Gross Revenue Event122400GrossRevenueEvent1
Rent Facility Costs Event19007RentFacilityCostsEvent1
Food And Beverage Event158615FoodAndBeverageEvent1
Entertainment Event19495EntertainmentEvent1
Other Direct Expenses Event132543OtherDirectExpensesEvent1
Name Of Event2DH CLASSICNameOfEvent2
Gross Receipts Event293302GrossReceiptsEvent2
Charitable Contributions Event276452CharitableContributionsEvent2
Gross Revenue Event216850GrossRevenueEvent2
Food And Beverage Event217273FoodAndBeverageEvent2
Entertainment Event219001EntertainmentEvent2
Other Direct Expenses Event213071OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total248205GrossReceiptsTotal
Charitable Contributions Total208955CharitableContributionsTotal
Gross Revenue Total Events39250GrossRevenueTotalEvents
Rent Facility Costs Total Events9007RentFacilityCostsTotalEvents
Food And Beverage Total Events75888FoodAndBeverageTotalEvents
Entertainment Total Events28496EntertainmentTotalEvents
Other Direct Expenses Total Events45614OtherDirectExpensesTotalEvents
Direct Expense Summary Events159005DirectExpenseSummaryEvents
Net Income Summary-119755NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage300.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense19638639TotalCommunityBenefitExpense
Net Community Benefit Expense19638639NetCommunityBenefitExpense
Percent Of Total Expense0.03900PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense46660663TotalCommunityBenefitExpense
Direct Offsetting Revenue14778402DirectOffsettingRevenue
Net Community Benefit Expense31882261NetCommunityBenefitExpense
Percent Of Total Expense0.06340PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense66299302TotalCommunityBenefitExpense
Direct Offsetting Revenue14778402DirectOffsettingRevenue
Net Community Benefit Expense51520900NetCommunityBenefitExpense
Percent Of Total Expense0.10240PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense747633TotalCommunityBenefitExpense
Direct Offsetting Revenue82111DirectOffsettingRevenue
Net Community Benefit Expense665522NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3616209TotalCommunityBenefitExpense
Direct Offsetting Revenue1433196DirectOffsettingRevenue
Net Community Benefit Expense2183013NetCommunityBenefitExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense10261099TotalCommunityBenefitExpense
Direct Offsetting Revenue8397662DirectOffsettingRevenue
Net Community Benefit Expense1863437NetCommunityBenefitExpense
Percent Of Total Expense0.00370PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1169759TotalCommunityBenefitExpense
Direct Offsetting Revenue289671DirectOffsettingRevenue
Net Community Benefit Expense880088NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense15794700TotalCommunityBenefitExpense
Direct Offsetting Revenue10202640DirectOffsettingRevenue
Net Community Benefit Expense5592060NetCommunityBenefitExpense
Percent Of Total Expense0.01110PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense82094002TotalCommunityBenefitExpense
Direct Offsetting Revenue24981042DirectOffsettingRevenue
Net Community Benefit Expense57112960NetCommunityBenefitExpense
Percent Of Total Expense0.11350PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense348TotalCommunityBuildingExpense
Net Community Building Expense348NetCommunityBuildingExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1760TotalCommunityBuildingExpense
Net Community Building Expense1760NetCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense11234TotalCommunityBuildingExpense
Net Community Building Expense11234NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense5097TotalCommunityBuildingExpense
Net Community Building Expense5097NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense72159TotalCommunityBuildingExpense
Direct Offsetting Revenue15405DirectOffsettingRevenue
Net Community Building Expense56754NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense90598TotalCommunityBuildingExpense
Direct Offsetting Revenue15405DirectOffsettingRevenue
Net Community Building Expense75193NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$7,803,769BadDebtExpenseAmount
Amount Reimbursed By Medicare123661234AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare138807124CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-15145890MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (46 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursOtherOther
Deaconess Hospital Inc
600 Mary StreetEvansvilleIN47747XXXX
Deaconess Gateway Hospital
4011 Gateway BlvdNewbrughIN47630XXXX
Deaconess Cross Pointe
7200 E Indiana StreetEvansvilleIN47715X
Deaconess Primary Care for Seniors
4498 First AvenueEvansvilleIN47710Outpatient Physician Clinic
Mt Vernon Medical Center
1900 W Fourth StreetMt VernonIN47620Diagnostic Center
Deaconess Diabetes Center
421 Chestnut StreetEvansvilleIN47713Outpatient Services
Deaconess Mec Medical Center
3844 First AvenueEvansvilleIN47710Outpatient Physician Clinic
Deaconess Pain Management
4099 Gateway BlvdNewburghIN47630Outpatient Services
Deaconess Riley Childrens Specialty Ctr
4133 Gateway BlvdNewburghIN47630Outpatient Physician Clinic
Deaconess Hospital Sleep Lab
350 W Columbia Street Suite LL-10EvansvilleIN47710Diagnostic Center
Deaconess Family Practice Center
515 Read StreetEvansvilleIN47710Outpatient Physician Clinic
Deaconess Cardiac Rehab Heart Care Ctr
415 W ColumbiaEvansvilleIN47710Outpatient Services
Deaconess Regional Laboratory
4494 N First AvenueEvansvilleIN47710Diagnostic Center
Deaconess Regional Laboratory
611 Harriet Street Suite 102EvansvilleIN47710Diagnostic Center
Deaconess Wound Care Center
611 Harriet Street Suite 501EvansvilleIN47710Outpatient Services
Chancellor Center for Oncology
4055 Gateway BlvdNewburghIN47630Outpatient Services
Deaconess Primary Care for Seniors
1750 Oak Hill RoadEvansvilleIN47711Outpatient Physician Clinic
Deaconess Cross Pointe Outpatient Clinic
445 Cross Pointe BlvdEvansvilleIN47715Outpatient Services
Surgical Weight Loss Clinic
310 W Iowa StreetEvansvilleIN47710Outpatient Physician Clinic
Deaconess Comp Center
329 W Columbia StreetEvansvilleIN47710Outpatient Physician Clinic
Deaconess Cross Pointe-Princeton
1808 Sherman DrivePrincetonIN47670Outpatient Physician Clinic
Deaconess Cross Pointe-Rockport
2792 N US Highway 231RockportIN47635Outpatient Physician Clinic
USI Student Health Center
8600 University BlvdEvansvilleIN47712Outpatient Physician Clinic
Deaconess Cross Pointe-Owensboro
920 Frederica Suite 1003OwensboroKY42301Outpatient Physician Clinic
Deaconess Cross Pointe-Henderson
209 N Elm StreetHendersonKY42420Outpatient Physician Clinic
Deaconess Procedure Center
421 Chestnut StreetEvansvilleIN47713Outpatient Services
Deaconess Hospital Physical Medicine
520 Mary Street Suite 260EvansvilleIN47747Outpatient Services
Deaconess Family Medicine
520 Mary Street Suite 340EvansvilleIN47747Outpatient Physician Clinic
Deaconess Family Medicine
4121 Gateway BlvdNewburghIN47630Outpatient Physician Clinic
Deaconess Pre-Admission Testing
520 Mary Street Suite 330EvansvilleIN47747Diagnostic Center
Deaconess Primary Care for Seniors
4107 Gateway BlvdNewburghIN47630Outpatient Physician Clinic
Deaconess Urgent CareComp Care
10455 Orthopaedic DriveNewburghIN47630Outpatient Physician Clinic
Midwest Radiological Imaging Gateway Phy
4087 Gateway BlvdNewburghIN47630Diagnostic Center
Deaconess Hospital Physical Medicine
10455 Orthopaedic DriveNewburghIN47630Outpatient Services
Deaconess Clinic Princeton Med Ofc Bldg
685 Vail StreetPrincetonIN47670Diagnostic Center
Deaconess Chemotherapy Infusion Ctr
4055 Gateway Blvd Suite 1200NewburghIN47630Outpatient Services
Deaconess Clinic West
545 S Boehne Camp RoadEvansvilleIN47712Diagnostic Center
Deaconess Clinic Gateway
4233 Gateway BlvdNewburghIN47630Diagnostic Center
Deaconess Critical Care Group
519 Harriett StreetEvansvilleIN47747Outpatient Physician Clinic
Deaconess Gateway Gastroenterology
4133 Gateway BlvdNewburghIN47630Outpatient Physician Clinic
Deaconess Hospital Infusion Svcs
421 Chestnut StreetEvansvilleIN47713Outpatient Services
Deaconess Hospital Mammography & Imaging
421 Chestnut StreetEvansvilleIN47713Diagnostic Center
Deaconess Radiology
611 Harriett Street Suite 103EvansvilleIN47710Diagnostic Center
Deaconess Regional Laboratory
4155 Gateway Blvd Suite 110NewburghIN47630Diagnostic Center
Deaconess Sleep Center
350 W Columbia Street Suite 210EvansvilleIN47710Outpatient Services
Doctor's Plaza X-Ray
611 Harriett StreetEvansvilleIN47710Diagnostic Center

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Annual Community Benefit ExplnNot Applicable - Deaconess Hospital prepares its own Community Benefit Report.AnnualCommunityBenefitExpln
Costing Method UsedA cost to charge ratio was used for most of the calculations for the table. 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.CostingMethodUsed
Subsidized Health Services ExplnSubsidized health services attributed to physician clinics have a cost of $891,803.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnBad debt expense included on Form 990, Part IX, line 25, column (a), but subtracted for purposes of calculating percentage in this column is $23,784,726.PercentOfTotalExpenseExpln
Bad Debt FootnoteDeaconess Hospital's audited financial statements do not include a footnote discussing bad debt expense.BadDebtFootnote
Shortfall As Community BenefitThe Medicare total revenue and allowable costs were estimated based upon the 2009 Medicare Cost Report and the 2010 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.ShortfallAsCommunityBenefit
Debt Collection PolicyDeaconess Hospital makes a distinction between charity and bad debt. In determining an individual or family's ablility 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.DebtCollectionPolicy
Needs AssessmentDeaconess 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 review of previous or current assessments 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.NeedsAssessment
Patient Education AssistanceDeaconess Hospital utilizes Financial Counselors to educate, inform and assist patients and families in understanding their financial obligation, ability to qualify for financial assistance through Deaconess Hospital's Financial Assistance Program and payment options. Specifically, Financial Counselors staff the Emergency Department, Registration Areas, Cashier Area as well as float among Inpatient areas to ensure each and every patient requiring assistance is reached. In addition to the personal and individualized counseling provided by the Financial Counselors, various forms of media are distributed throughout Deaconess Hospital explaining the financial assistance process. Additionally, policies for financial assistance are posted widely throughout Deaconess Hospital and on the internet at www.deaconess.com.PatientEducationAssistance
Community InformationDeaconess Hospital is a major referral center for a 25-county Tri-State area in Southwestern Indiana, Western Kentucky, and Southeastern Illinois. The Hospital and its facilities are located on four campuses which include the main 28-acre campus on the near north side of Evansville in Vanderburgh County, the 63-acre Gateway Campus located in Warrick County on the eastern border of Vanderburgh County, and two other eastside Evansville locations for psychiatric behavioral services and rehabilitation services. The Hospital operates a Main Campus with a total of 318 beds consisting of 24 intensive care beds, 26 cardiac intensive beds, 66 cardiac beds, 23 oncology/pulmonology beds, 61 orthopaedic/neurological beds, 5 pediatric trauma beds, 13 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 94 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, 32 medical/surgical beds, 16 orthopaedic beds and 16 neurosurgical beds. The Hospital provides a full array of comprehensive outpatient and ambulatory services 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, Deaconess Women's Hospital of Southern Indiana, LLC d/b/a The Women's Hospital, a free standing specialty 74-bed women's and infant's hospital (located on the Gateway Campus), 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 and 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, a post-graduate pharmacy residency 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.`CommunityInformation
Community Building ActivitiesDeaconess 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.CommunityBuildingActivities
Other InformationList of States Where Community Benefit Report is Filed: INDIANAOtherInformation
Affiliated Health Care SystemDeaconess Hospital works in concert with Deaconess Health System and Deaconess Clinic to provide healthcare services with a compassionate and caring spirit to persons, families and communities of the Tri-State. Deaconess Health System works to increase access to healthcare services within our community through Deaconess Hospital and Deaconess Clinic. Deaconess Hospital is a medical institution dedicated to providing qualtiy 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-speciality healthcare in a personalized fashion with a dedicated focus to serve the community with excellent, timely and compasssionate patient care.AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Aurora Inc
1100 Lincoln AvenueEvansvilleIN47714351759576310000General Support
Evansville Area Comm Churches
713 N 2nd AvenueEvansvilleIN47710350886837312000Food for Food Pantry
Girl Scouts of Raintree Council
PO Box 1350EvansvilleIN4770635387638037575Healthier You Prog
Economic Development Coalition
100 NW 2nd StSte 208EvansvilleIN47737320152630325000General Support
Evansville Museum of Arts & Science
411 SE Riverside DriveEvansvilleIN47713350874517310000Capital Campaign
American Cancer Society 6301
Old Boonville HwySteBEvansvilleIN4771538138712036000General Support
YMCA of SW Indiana Inc
222 NW 6th StreetEvansvilleIN47708350869074311500General Support
Evansville Regional Buisness
One Vectren Sq Ste 744EvansvilleIN47708030408032610000General Support
Four Rivers Resource Services
1001 E Main St PO Box 367WashingtonIN4750135166514036000Capital Campaign
United Way of Southwestern Indiana
PO Box 18EvansvilleIN47701350868069315000General Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants10TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierAdditional InformationIdentifier
Return ReferencePart 1, Line2ReturnReference
ExplanationDeaconess Hospital confirms all recipients of funds are organizations 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

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LINDA WHITE
307823289696151669013481276515416140501416714167198319136901713976940
DAVID D CHRISTESON MD
034105808607401941025113025482047966800
RUSTON L STOLTZ MD
027624302930427137200760105585271331945300
RICHARD M STIVERS
2085441962329026704609864570137315010719107198078312526524912460
HARRY L SMITH JR
4214040950620778440001124670308830667600400000
JAMES R PORTER MD
319584059641019410829030210570485126000
SHAWN W MCCOY
288399064603047752800711900220820451049280000
CHERONA J HAJEWSKI
264087049833046130503400283810397254000
BRUCE E EPMEIER
19538803678901896204636301697103144730155210
LARRY F PILE
19077403227801622058470190060249527000
CHERYL A WATHEN
193664021419017012200228250259120265521220000
RICHARD B PERRY
13523702783801221078420225170194655000
JOYCE A THOMAS
14204001924100023517076150192413000
VENKATESH R MADADI
69953800061921067490214390789647000
RAJESH J PATEL MD
696713000566050106550237700787743000
NIRMAL JOSHI MD
66093600068819053080247300759793000
AYMAN ELFAR MD
59973200056617056050214390683393000
SUSAN DOUGLAS MD
571854000542160120400101500648260000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePart 1, Line 1aReturnReference
ExplanationSocial 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 1, Line 4b Linda White: supplemental retirement payout of $1,309,125; contributions made to a supplemental accumulation account of $149,645; contributions made to a 457 plan of $16,500; suppplemental accumulation account payout of $88,569 Harry Smith: contributions to supplemental accumulation account of $100,707; contributions made to a 457 plan of $16,500 Richard Stivers: supplemental retirement payment of $433,225; supplemental accumulation account payout of $58,023; contributions made to a 457 plan of $16,500 James Porter: supplemental accumulation account contributions of $71,143; contributions made to a 457 plan of $16,500 Shawn McCoy: supplemental accumulation account contributions of $59,430; contributions made to a 457 plan of $16,500 Cherona Hajewski: supplemental accumulation account contributions of $38,580; contributions made to a 457 plan of $16,500 Bruce Epmeier: supplemental accumulation account contributions of $37,149; contributions made to a 457 plan of $16,500; supplemental accumulation account payout of $15,521 Nirmal Joshi: contributions made to a 457 plan of $438 Ayman Elfar: contributions made to a 457 plan of $2,885 Rajesh Patel: contributions made to a 457 plan of $16,500 Venkatesh Madadi: contributions made to a 457 plan of $16,500 David Christeson: contributions made to a 457 plan of $16,500 Ruston Stoltz: contributions made to a 457 plan of $16,500 Part 1, Line 6b 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.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
INDIANA FINANCE AUTHORITY
35160231645471AAJI2009-03-2655914771FACILITY CONSTRUCTIONfalsefalse
INDIANA FINANCE AUTHORITY
35160231645471AAG72009-03-2640000000FACILITY CONSTRUCTIONfalsefalse
INDIANA HLTH FACILITY FINANCING AUTHORITY
3516114094547977Y12004-05-2755371597FACILITY CONSTRUCTIONfalsefalse
INDIANA HLTH FACILITY FINANCING AUTHORITY
3516114094547978A22004-05-2725000000FACILITY CONSTRUCTIONfalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
5591477112025077825245430644492011falsefalsefalsetrue
400000002672335460597368670682011falsefalsefalsetrue
5558196552556222798830475275132006falsefalsetruetrue
25000000322484246775162006falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetrue0.015900.01590true
falsefalsefalsefalsetrue0.010000.01000true
falsetruefalsefalsetrue0.011000.01100true
falsetruefalsefalsetrue0.017600.01760true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
TRINITY PLUS
truefalsefalsetrue2.truefalsetrue
CREDIT AGRICOLE
truetruefalsetrue2.truefalsetrue
(no name)
truefalsefalsefalsefalsetrue
(no name)
truetruefalsefalsefalsetrue

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Misty Adye
Family Mbr of Bd Mbr30851Compensationfalse
Alex Seibert
Family of Key Employee72636Compensationfalse
Letta Fraccaro
Family Mbr of Bd Mbr45365Compensationfalse
Ann Tornatta
Family Mbr of Bd Mbr95074Compensationfalse
Nancy Koehler
Family Mbr of Bd Mbr111316Compensationfalse
Vectren Energy Delivery
Common Bd Mbr5216591Gas/ Electric Utilityfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part I, Line 1Organization's Mission or Most Significant ActivitiesDeaconess 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. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES Other Program Service Revenue consists of Deaconess Hospital's income from the investment in joint ventures. Other Program Service expenses consisted of Community Benefit grants/assistance.
FORM 990, Part VI, Line 6CLASSES OF MEMBERS OR STOCKHOLDERSDeaconess Health System, Inc. is the sole corporate member of Deaconess Hospital, Inc. Form 990, Part VI, Line 7a ELECTION OF MEMBERS AND THEIR RIGHTS The Board of Directors may elect one or more Non-Medical Staff Members of the governing body through an approved election and approval process. The election and approval process for Non-Medical Staff Members begins with a recommendation by the Governance Committee for Membership to the Board of Directors. That recommendation is then reviewed and approved by the Board of Directors. Depending on the decision reached by the Board of Directors, Membership may or may not be granted to that individual. Medical Staff Executive Council Leadership are appointed to Board of Directors 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, Line 9 OFFICERS WHO CANNOT BE REACHED Richard M. Stivers 9901 Browning Road Evansville, IN 47725 Form 990, Part VI, Line 11a Organization's process to review form 990 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 review. After this review is performed and all questions are answered, the Form 990 is presented to the Board of Directors at the board meeting prior to the filing date of the Form 990. Any additional questions are answered and the final filing is then completed. Form 990, Part VI, Line 12c ENFORCEMENT OF CONFLICTS POLICY Conflict of Interest review and compliance activities are conducted throughout the year under the direction of Deaconess Hospital's Corporate Compliance Officer. Upon appointment and, annually, thereafter, officers, directors, trustees, and key employees, also known as interested persons, are required to complete "The Conflicts of Interest Questionnaire" and/or "The Disclosure Questionnaire". These documents serve to ensure interested persons or committee members with board delegated powers have an appropriate and timely manner in which to disclose any potential conflicts. Conflicts are considered with respect to outside interest, investments, outside activities, and business interests among the interested persons as will as their family members. On a periodic basis, reviews occur to ensure Deaconess Hospital operates in a manner consistent with its charitable purpose. Subjects that are reviewed on a periodic basis include compensation, physician relationships, partnership and joint venture arrangements.
Form 990, Part VI, Line 15aCOMPENSATION PROCESS FOR TOP OFFICIAL Deaconess Hospital utilizes a compensation committee to approve executive, director and physician compensation as well as executive and physician benefits programs. The Compensation Committee is appointed by the Board of Directors and must meet the independence requirements of the SEC. The Committee has the power and authority to, 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, monitor broadly the structure, philosophy or competitiveness of the system's general hiring or compensation practices, oversee the establishment and administration of the Company's broad-based benefits plans and programs, and review or approve significant amendments or changes to the plans and programs, to retain and terminate any compensation consultant to be used to assist in the evaluation of director, CEO or executive officer compensation and shall have the sole authority to approve the consultant's fees and other retention terms. The Committee also has the authority to obtain advice and assistance from internal or external legal, accounting or other advisors, to approve all Physician and Physician-related contracts and to make regular reports to the Board. Form 990, Part VI, Line 15b Compensation Process for Officers Deaconess Hospital utilizes a compensation committee to approve executive, director and physician compensation as well as executive and physician benefits programs. The Compensation Committee is appointed by the Board of Directors and must meet the independence requirements of the SEC. The Committee has the power and authority to, 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, monitor broadly the structure, philosophy or competitiveness of the system's general hiring or compensation practices, oversee the establishment and administration of the Company's broad-based benefits plans and programs, and review or approve significant amendments or changes to the plans and programs, to retain and terminate any compensation consultant to be used to assist in the evaluation of director, CEO or executive officer compensation and shall have the sole authority to approve the consultant's fees and other retention terms. The Committee also has the authority to obtain advice and assistance from internal or external legal, accounting or other advisors, to approve all Physician and Physician-related contracts and to make regular reports to the Board. Form 990, Part VI, Line 19 Governing Documents Disclosure Explanation Deaconess Hospital does not make its governing documents, conflict of interest policy or financial statements available to the public. Form 990, PART VII, SECTION B The average worked hours of Ms. White and Mr. Stivers are reported as 50 hours per week on the Deaconess Hospital, Inc. return. This time relates to hours worked and paid from Deaconess Hospital, Inc., the paymaster for Ms. White and Mr. Stivers. A portion of those 50 hours relates to time devoted to Deaconess Health System issues and concerns. The allocation of time for service to Deaconess Health System is 20 hours and 10 hours per week for Ms. White and Mr. Stivers, respectively.
SCHEDULE L, PART IVBUSINESS TRANSACTIONS INVOLVING INTERESTS PERSONNAME AND RELATIONSHIP AMOUNT AND DESCRIPTION SHARE REVENUE SOUTH CENTRAL COMMUNICATIONS $ 143,470 BOARD MEMBER ADVERTISING PROVIDER SHERRI MCCOY $ 19,532 FAM OF KEY EMPL COMPENSATION

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Deaconess Health System Inc
600 Mary StreetEvansvilleIN47747351532889HealthcareIN501(c)(3)11ana
Deaconess Clinic Inc
421 Chestnut StreetEvansvilleIN47713263083364HealthcareIN501(c)(3)3na

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Deaconess Hlth Plns
350 W Columbia Suite 400EvansvilleIN47710383492529Perf ProvINnaRelated2594601866266falsefalse
Heartcare Hlth Sys
415 W ColumbiaEvansvilleIN47710352038344HealthcareINnaRelated-627211157166falsefalse
Progressive Hlth IN
150 N RosenbergerEvansvilleIN47712208480988OutpatientINnaRelated12815251075269falsefalse
Hrt Hosp Deac Gtewy
4007 Gateway BlvdNewburghIN47630261766835HospitalDEnaRelated9225117996728falsefalse
Tri-St Rad Oncology
1500 Rosecrans AvenueManhattan BeachCA90266263706834OutpatientDEnaRelated11832473501042falsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Tri-St Med MgmtBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1600 Mary StreetAddressLine1
CityEvansvilleCity
StateINState
ZIP Code47747ZIPCode
FieldValueIRS element (for citing)
EIN351875888EIN
Primary ActivityPhy MgmtPrimaryActivity
Legal Domicile StateINLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1naBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Deaconess Clinic Inc
p5499498
Heart Hosp at Deac Gateway LLC
p5761912
Heart Hosp at Deac Gateway LLC
n6871258
Deaconess Health Plans LLC
p214649
Deaconess Clinic Inc
i291485
Deaconess Health System LLC
p132465
Deaconess Health System LLC
j1423678
Deaconess Health System LLC
Q18171317
Heartcare Health System LLC
B595667
Deaconess Health System LLC
N664969
Heartcare Health System LLC
P238766
Deaconess Health Plans LLC
I53247