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Nonprofiteer
← DEACONESS WOMENS HOSPITAL OF SOUTHERN INDIANA LLC

Form 990 for tax year 2024

Filed by DEACONESS WOMENS HOSPITAL OF SOUTHERN INDIANA LLC.

Totals

Total revenue
$153,702,311
Total expenses
$132,577,207
Contributions and grants received
$562,828
Grants paid
$92,720
Program services expenses (Part IX)
$117,623,381
Management and general expenses
$14,953,826
Fundraising expenses
$0
Program service expenses (Part III)
$117,623,381

Program services were 88.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • LINDA WHITE

    CHAIRMAN

    Total calculated
    $322,893
    From this org
    $0
    From related orgs
    $296,521
    Other
    $26,372
    Hours/week
    5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $236,224 related
    Bonus
    $0 + $56,706 related
    Other
    $0 + $3,591 related
    Deferred
    $0 + $14,871 related
    Nontaxable benefits
    $0 + $11,501 related
    Filer's total
    $0 + $322,893 related

  • CHERYL WATHEN

    SECRETARY/TREASURER

    Total calculated
    $1,183,383
    From this org
    $0
    From related orgs
    $988,864
    Other
    $194,519
    Hours/week
    5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $660,905 related
    Bonus
    $0 + $178,364 related
    Other
    $0 + $149,595 related
    Deferred
    $0 + $148,420 related
    Nontaxable benefits
    $0 + $46,099 related
    Filer's total
    $0 + $1,183,383 related

  • SHAWN MCCOY

    CEO OF DEACONESS HOSPITAL

    Total calculated
    $2,377,687
    From this org
    $0
    From related orgs
    $2,016,238
    Other
    $361,449
    Hours/week
    5 + 56 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,238,547 related
    Bonus
    $0 + $457,318 related
    Other
    $0 + $320,373 related
    Deferred
    $0 + $316,483 related
    Nontaxable benefits
    $0 + $44,966 related
    Filer's total
    $0 + $2,377,687 related

  • JAMES PORTER MD

    PRESIDENT OF DEACONESS HOSPITAL

    Total calculated
    $1,260,538
    From this org
    $0
    From related orgs
    $1,073,178
    Other
    $187,360
    Hours/week
    5 + 56 related

    Schedule J breakdown matched by us

    Base
    $0 + $682,862 related
    Bonus
    $0 + $213,203 related
    Other
    $0 + $177,113 related
    Deferred
    $0 + $160,685 related
    Nontaxable benefits
    $0 + $26,675 related
    Filer's total
    $0 + $1,260,538 related

  • CHRISTINA M RYAN

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $793,325
    From this org
    $762,850
    From related orgs
    $0
    Other
    $30,475
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $488,276
    Bonus
    $161,864
    Other
    $112,710
    Deferred
    $12,075
    Nontaxable benefits
    $18,400
    Filer's total
    $793,325

  • ALLISON INGLER

    CAO

    Total calculated
    $414,727
    From this org
    $247,893
    From related orgs
    $135,214
    Other
    $31,620
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $210,806 + $114,985 related
    Bonus
    $36,142 + $19,714 related
    Other
    $945 + $515 related
    Deferred
    $8,752 + $4,774 related
    Nontaxable benefits
    $11,708 + $6,386 related
    Filer's total
    $268,353 + $146,374 related

  • CLAYTON FITZPATRICK

    CMO

    Total calculated
    $1,013,055
    From this org
    $977,929
    From related orgs
    $0
    Other
    $35,126
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $834,747
    Bonus
    $141,271
    Other
    $1,911
    Deferred
    $12,075
    Nontaxable benefits
    $23,051
    Filer's total
    $1,013,055

  • BARTON STAAT MD

    PHYSICIAN

    Total calculated
    $978,891
    From this org
    $925,530
    From related orgs
    $0
    Other
    $53,361
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $604,777
    Bonus
    $303,477
    Other
    $17,276
    Deferred
    $16,075
    Nontaxable benefits
    $37,286
    Filer's total
    $978,891

  • DANIEL GRIFFIN MD

    PHYSICIAN

    Total calculated
    $609,245
    From this org
    $558,110
    From related orgs
    $0
    Other
    $51,135
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $462,759
    Bonus
    $93,800
    Other
    $1,551
    Deferred
    $16,075
    Nontaxable benefits
    $35,060
    Filer's total
    $609,245

  • KARENROSE MARTINEZ MD

    PHYSICIAN

    Total calculated
    $897,610
    From this org
    $849,451
    From related orgs
    $0
    Other
    $48,159
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $629,209
    Bonus
    $218,557
    Other
    $1,685
    Deferred
    $16,075
    Nontaxable benefits
    $32,084
    Filer's total
    $897,610

  • SAMER SCHUMAN MD

    PHYSICIAN

    Total calculated
    $1,769,078
    From this org
    $1,653,175
    From related orgs
    $98,426
    Other
    $17,477
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $858,704
    Bonus
    $793,645
    Other
    $826 + $98,426 related
    Deferred
    $16,075
    Nontaxable benefits
    $1,402
    Filer's total
    $1,670,652 + $98,426 related

  • SPENCER KUPER MD

    PHYSICIAN

    Total calculated
    $1,166,277
    From this org
    $1,114,443
    From related orgs
    $0
    Other
    $51,834
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $620,046
    Bonus
    $481,135
    Other
    $13,262
    Deferred
    $16,075
    Nontaxable benefits
    $35,759
    Filer's total
    $1,166,277

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Health or social club dues or initiation fees
  • 4b · Supplemental nonqualified retirement plan
  • 6a · Pay contingent on this organization's net earnings
  • 7 · Other non-fixed payments

Answered no

  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
SOCIAL CLUB DUES ARE PAID FOR LINDA WHITE AND SHAWN MCCOY FOR ORGANIZATION BUSINESS ONLY. ANY PERSONAL USE OF THE CLUB MUST BE PAID BY THE EMPLOYEES.
PART I, LINE 3
THE FOLLOWING METHODS WERE USED BY DEACONESS HEALTH SYSTEM, A RELATED NON-PROFIT ORGANIZATION, TO DETERMINE THE COMPENSATION FOR THE CEO: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION STUDY OR SURVEY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS: NONQUALIFIED: LINDA WHITE $23,000 SHAWN MCCOY $23,000 JAMES PORTER $23,000 CHERYL WATHEN $23,000 SAMER SCHUMAN $23,000 PART 1, 4B: SHAWN MCCOY: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $ 304,408 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $ 313,370 JAMES PORTER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $148,610 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $173,122 CHERYL WATHEN: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $136,345 SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $143,448 CHRISTINA M. RYAN SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $107,415
PART I, LINE 6
INCENTIVE COMPENSATION PAYMENTS MADE BY THE ORGANIZATION ARE BASED ON THE SUCCESSFUL ACHIEVEMENT OF ESTABLISHED INPATIENT SATISFACTION MEASURES, OUTPATIENT SATISFACTION MEASURES, COMPLIANCE WITH PUBLICLY REPORTED QUALITY INDICATORS, OPERATING MARGIN TARGETS, AS WELL AS OTHER TECHNICAL, PERSONAL, AND FUNCTIONAL GOALS OF THE ORGANIZATION AND ITS AFFILIATED ENTITIES. DEACONESS WOMEN'S HOSPITAL'S INCENTIVE COMPENSATION PROGRAMS ARE DESIGNED TO REWARD BEHAVIORS THAT BALANCE PATIENT NEEDS WITH THE EFFICIENT DELIVERY OF CARE, HELPING TO ENSURE THE BEST POSSIBLE PATIENT OUTCOMES.
PART I, LINE 7
PHYSICIANS ARE ELIGIBLE FOR INCENTIVE COMPENSATION. THE PHYSICIAN IS COMPENSATED FOR EACH WORK RVU PERFORMED BY A PHYSICIAN IN A CALENDAR YEAR IN EXCESS OF THE PHYSICIAN'S WORK RVU INCENTIVE THRESHOLD FOR THE CALENDAR YEAR MULTIPLIED BY THE INCENTIVE RVU PAYMENT.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2024
IRS schema version
2024v5.5
Source object
202632309349302308

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