Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
DEACONESS HOSPITAL INC
 
Employer identification number

35-0593390
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2020
Page 2
Schedule L (Form 990 or 990-EZ) 2020
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) ABBY PAPARIELLA SEE PART V 73,686 COMP.   No
(2) BRITTNEY PHIPPS SEE PART V 27,209 COMP.   No
(3) JESSICA COX SEE PART V 284,946 COMP.   No
(4) JOAN MCCOY SEE PART V 56,369 COMP.   No
(5) LAUREN WATHEN SEE PART V 61,619 COMP.   No
(6) OLD NATIONAL BANK
  		SEE PART V 17,167 INVESTMENT MANAGEMENT FEES   No
(7) SHERRI MCCOY SEE PART V 21,262 COMP.   No
(8) SOUTH WESTERN COMMUNICATIONS
  		SEE PART V 300,529 TELECOMMUNICATION SERVICES   No
(9) UNIVERSITY OF SOUTHERN INDIANA
  		SEE PART V 60,204 SUPPORT   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
SCH L, PART IV, ABBREVIATION: BD MBR = BOARD MEMBERCOMP. = REPORTABLE COMPENSATIONSRVS. = SERVICES
SCH L, PART V, RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: INTERESTED PERSON: ABBY PAPARIELLARELATIONSHIP: DAUGHTER OF DAVE PAPARIELLAINTERESTED PERSON: BRITTNEY PHIPPSRELATIONSHIP: DAUGHTER OF DAVE PAPARIELLAINTERESTED PERSON: SOUTH WESTERN COMMUNICATIONSRELATIONSHIP: BOARD MEMBER KEVIN KOCH IS THE CHAIRMAN OF SOUTH WESTERN COMMUNICATIONS. SOUTH WESTERN COMMUNICATIONS PROVIDES TELECOMMUNICATION SERVICES.INTERESTED PERSON: JESSICA COXRELATIONSHIP: DAUGHTER TO LYNN LINGAFELTERINTERESTED PERSON: JOAN MCCOYRELATIONSHIP: WIFE OF SHAWN MCCOYINTERESTED PERSON: OLD NATIONAL BANKRELATIONSHIP: BOARD MEMBER JAMES RYAN IS THE CEO OF OLD NATIONAL BANK. OLD NATIONAL BANK PROVIDES INVESTMENT MANAGEMENT SERVICES.INTERESTED PERSON: SHERRI MCCOYRELATIONSHIP: SISTER OF SHAWN MCCOYINTERESTED PERSON: UNIVERSITY OF SOUTHERN INDIANARELATIONSHIP: BOARD MEMBER RON ROCHON IS PRESIDENT OF UNIVERSITY OF SOUTHERN INDIANA. DEACONESS HOSPITAL PROVIDES GENERAL SUPPORT AND HEALTH PROFESSION SCHOLARSHIPS TO THE UNIVERSITY.INTERESTED PERSON: LAUREN WATHERNRELATIONSHIP: DAUGHTER TO CHERYL WATHEN
Schedule L (Form 990 or 990-EZ) 2020


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