2024-08-15T14:01:32-05:00 2023-09-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2022-10-01 263083364 DEACONESS CLINIC INC DEAC 8124503296 600 MARY STREET EVANSVILLE IN 47747 BRADLEY SCHEU MD SENIOR VICE PRESIDENT 8124503296 2024-08-15 1 0 EMILIE M KNIERIEM CPA P01330194 3176334705 2024-08-14 2022 2024-08-08 14:25:15Z BRADLEY SCHEU MD 421 CHESTNUT STREET EVANSVILLE IN 47713 156398950 0 X DEACONESS.COM X 2008 IN PURPOSES WITHIN THE MEANING OF SECTION 501 (C) (3) OF THE IRS CODE WHICH INCLUDES (AMONG OTHERS):TO DELIVER HEALTH CARE TO THE PUBLIC; TO CARRY OUT SCIENTIFIC RESEARCH AND RESEARCH PROJECTS IN THE PUBLIC INTEREST IN THE FIELDS OF MEDICAL SCIENCES, MEDICAL ECONOMICS, PUBLIC HEALTH, SOCIOLOGY, AND RELATED AREA; TO IMPROVE AND DEVELOP THE CAPABILITIES OF INDIVIDUALS AND INSTITUTIONS STUDYING, TEACHING, AND PRACTICING MEDICINE AND OTHER HEALTH OCCUPATIONS; TO PROVIDE HEALTH CARE AND HEALTH-RELATED EDUCATION FOR THE BENEFIT OF THE COMMUNITY IN A SYSTEMATIC, INTEGRATED AND COORDINATED FASHION WITHIN THE DEACONESS HEALTH SYSTEM AND DEACONESS HOSPITAL, INC. AND THEIR AFFILIATES. 17 0 1577 0 507621 0 1065200 0 146041069 155119860 29292 34084 377257 861462 147512818 156015406 0 0 0 0 149618920 161543497 0 0 0 60596633 66921370 210215553 228464867 -62702735 -72449461 104959920 91072232 87666533 90662999 17293387 409233 X PURPOSES WITHIN THE MEANING OF SECTION 501 (C) (3) OF THE IRS CODE WHICH INCLUDES (AMONG OTHERS):TO DELIVER HEALTH CARE TO THE PUBLIC; TO CARRY OUT SCIENTIFIC RESEARCH AND RESEARCH PROJECTS IN THE PUBLIC INTEREST IN THE FIELDS OF MEDICAL SCIENCES, MEDICAL ECONOMICS, PUBLIC HEALTH, SOCIOLOGY, AND RELATED AREA;TO IMPROVE AND DEVELOP THE CAPABILITIES OF INDIVIDUALS AND INSTITUTIONS STUDYING, TEACHING, AND PRACTICING MEDICINE AND OTHER HEALTH OCCUPATIONS;TO PROVIDE HEALTH CARE AND HEALTH-RELATED EDUCATION FOR THE BENEFIT OF THE COMMUNITY IN A SYSTEMATIC, INTEGRATED AND COORDINATED FASHION WITHIN THE DEACONESS HEALTH SYSTEM AND DEACONESS HOSPITAL, INC. AND THEIR AFFILIATES. 0 0 201405837 154087257 PATIENT SERVICES REVENUE-DEACONESS CLINIC IS A MAJOR SOURCE OF MEDICAL SERVICES WHICH ENCOMPASSES A BROAD SPECTRUM OF EXPERTISE, REPRESENTING MORE THAN 20 MEDICAL AND SURGICAL SPECIALTIES. DEACONESS CLINIC EMPLOYS 154 PHYSICIANS, 189 MIDLEVEL PROVIDERS AND 639 FULL TIME NURSING AND ADMINISTRATIVE FULL TIME EQUIVALENTS. DEACONESS CLINIC SERVES A 25-COUNTY TRI-STATE AREA IN SOUTHWESTERN INDIANA, WESTERN KENTUCKY, AND SOUTHEASTERN ILLINOIS. THE CLINIC AND ITS FACILITIES HAVE LOCATIONS IN EVANSVILLE, NEWBURGH, MT. VERNON, PETERSBURG, FT. BRANCH, PRINCETON, OAKLAND CITY, BOONVILLE, AND REO IN INDIANA. THE CLINIC ALSO HAS LOCATIONS IN HENDERSON, MORGANFIELD, SEBREE, DIXON, AND OWENSBORO KENTUCKY. THE CLINICS SERVED 1,077,248 PATIENT VISITS FROM OCTOBER 1, 2022 THROUGH SEPTEMBER 30, 2023. 1037285 1032603 THE DEACONESS RESEARCH INSTITUTE ASSISTS THE DEACONESS HEALTH SYSTEM THROUGH ITS 20 HOSPITAL LOCATIONS, 100+ OF CLINICS & AMBULATORY FACILITIES, AND VARIOUS COMMUNITY PARTNERS IN THE TRI-STATE AREA IN GAINING ACCESS TO LEADING EDGE MEDICAL SCIENCE AND NEW TREATMENTS FOR ACUTE AND CHRONIC ILLNESSES. THE INSTITUTE WAS AWARDED 10 NEW AND EXPANDED CLINICAL RESEARCH GRANTS THIS YEAR TO STUDY INVESTIGATIONAL DRUGS AND DEVICES ACROSS 9 FIELDS OF MEDICINE INCLUDING, BUT NOT LIMITED TO, NEW TREATMENTS FOR HEART DISEASE, CHRONIC SPONTANEOUS UTICARIA, HEREDITARY, ANGIOEDEMA, PEDIATRIC MIGRAIND, EOSINOPHILIC ESOPHAGITIS, ASTHMA,, AND NEW TECHNOLOGY FOR CANCER SCREENINGS. THE NEW RESEARCH CONTRACTS PROVIDED TREATMENT OR TESTING OPPORTUNITIES AND PREVENTATIVE HEALTH SERVICES FOR THOUSANDS OF PATIENTS. IN ALL, THE NEWLY AWARDED GRANTS AND CONTRACTS THIS YEAR TOTALED $0.939 MILLION TO COVER THE COSTS ASSOCIATED WITH THE CONDUCT OF THE CLINICAL TRIALS WITHIN THE REGION. 113 PATIENTS WERE SCREENED FOR CLINICAL TRIAL QUALIFICATION THROUGHOUT THE YEAR, WITH 107 NEW PATIENTS ENROLLED ONTO CLINICAL PROTOCOLS, RESULTING IN 1,320 RESEARCH RELATED PATIENT VISITS. 202443122 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 120 0 1 1577 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X KYLE DILLMAN 8124507399 600 MARY STREET EVANSVILLE IN 47747 STEPHEN TITZER CHAIRMAN 5.00 0.00 X X 2400 0 0 MIA HINDI MD DIRECTOR & VICE CHAIR 50.00 10.00 X X 1176195 16028 56769 CHERYL WATHEN SECRETARY/TREASURER 5.00 60.00 X X 0 820174 201621 CHRIS CHACKO MD DIRECTOR 50.00 0.00 X 310831 0 41677 GARY KEEPES MD DIRECTOR 50.00 0.00 X 482582 0 28087 GARRETT KOON MD DIRECTOR 50.00 0.00 X 331619 0 17279 BARRY PHILLIPS MD DIRECTOR 50.00 0.00 X 484027 0 27946 JAMES PORTER MD DIRECTOR 5.00 63.00 X 0 1083242 209328 ASHLEY RICHESON MD DIRECTOR 50.00 0.00 X 241756 0 46391 WILLIAM SMITH MD DIRECTOR 50.00 1.00 X 336922 0 31572 JOANN WOOD MD DH CMO & VP 5.00 55.00 X X 0 575994 125409 JAMIE MULL MD DIRECTOR 50.00 0.00 X 970819 0 33190 DHRUVIN MEHTA MD DIRECTOR 50.00 0.00 X 433199 0 26953 JASON WHITE MD DIRECTOR 50.00 0.00 X 871409 0 51820 NAROTHAMA R AEDDULA DIRECTOR 50.00 5.00 X 970108 0 30981 BRADLEY SCHEU MD SENIOR VICE PRESIDENT 50.00 12.00 X X 500579 0 129103 SNESHA MODI MD DIRECTOR PARTIAL TERM 50.00 0.00 X 381795 0 16922 JULIE DINGMAN OPERATIONS ADMINSTRATOR 50.00 2.00 X 257799 0 30582 JON C DAVIS PHYSICIAN 50.00 0.00 X 2965610 0 51420 MANGA D KODALI PHYSICIAN 50.00 0.00 X 1571204 0 8181 YASODA D DEVABHAKTUNI PHYSICIAN 50.00 0.00 X 1523208 0 39076 MIR FAHAD FAISAL PHYSICIAN 50.00 1.00 X 1489181 7500 49108 BRUCE W SCHNEIDER PHYSICIAN 50.00 0.00 X 1274531 0 58426 LINDA WHITE FORMER DIRECTOR 0.00 51.00 X 0 212056 15832 WILLIAM WHITE FORMER DIRECTOR 0.00 58.00 X 0 241995 51245 MAQBOOL AHMED FORMER DIRECTOR 50.00 5.00 X 500905 169400 0 RENEE M GALEN FORMER DIRECTOR 50.00 0.00 X 322111 0 47101 JOSEPH C KLINK FORMER DIRECTOR 50.00 0.00 X 1070636 0 39442 MAJED A KOLEILAT FORMER DIRECTOR 50.00 0.00 X 913730 0 55839 19383156 3126389 1521300 293 1 1 0 LOCUM TENENSCOM LLC PO BOX 405547 ATLANTA GA 303845547 PHYSICIAN SERVICES 585233 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 PHYSICIAN SERVICES 488498 SCRIBE AMERICA LLC 1200 E LOS OLAS BLVD SUITE 1 201 FT LAUDERDALE FL 33001 SCRIBE PROGRAM 470211 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 PHYSICIAN SERVICES 419294 PHONAK LLC SONVA USA 35555 EAGLE WAY CHICAGO IL 606781355 MEDICAL SERVICES 385435 15 NET PATIENT REVENUE 621111 154678729 154678729 NET RESEARCH REVENUE 621111 441131 441131 155119860 34084 34084 358858 383544 -24686 -24686 -24686 ELECTIVE PROCEDURES 621110 507621 507621 USI CAPITATION 621111 378527 378527 886148 156015406 155119860 507621 387925 138536213 130827880 7708333 5699062 5662334 36728 10902012 10831754 70258 6406210 6364925 41285 562716 562716 11637 11637 21209968 8645074 12564894 556825 298170 258655 21051721 21051721 1762965 1737443 25522 16713185 13032443 3680742 152223 140127 12096 563919 543990 19929 1681151 1608680 72471 2655060 1698581 956479 228464867 202443122 26021745 0 15727535 16509367 75541 4954155 5863481 485049 770406 24950375 12466189 12199888 12484186 54667130 345455 16926163 55023796 104959920 91072232 41257884 30941803 46408649 59721196 87666533 90662999 X 17293387 409233 17293387 409233 104959920 91072232 X -72449461 55565307 X X 0 1 X 1 0 X SCHEDULE A, LINE 3: DEACONESS CLINIC HAS BEEN DETERMINED BY THE IRS TO BE A PUBLIC CHARITY UNDER IRS CODE SECTION 170(B)(1)(A)(III). PER SCHEDULE H INSTRUCTIONS ONLY ORGANIZATIONS THAT OPERATE AT LEAST ONE FACILITY THAT IS, OR IS REQUIRED TO BE, LICENSED, REGISTERED, OR SIMILARILY RECOGNIZED BY A STATE AS A HOSPITAL IS REQUIRED TO COMPLETE THE SCHEDULE. THE CLINIC IS NOT LICENSED AS A HOSPITAL FOR THE STATE OF INDIANA. 0 0 0 0 0 0 0 0 1 11637 11637 0 PART II-B, LINE 1: LOBBYING EXPENDITURES CONSISTED OF A PORTION OF MEMBERSHIP DUES TO PROFESSIONAL ORGANIZATIONS IN WHICH DEACONESS CLINIC AND ITS EMPLOYEES ARE MEMBERS. THE LOBBYING PORTION OF THE DUES IS NOTED ON THE MEMBERSHIP APPLICATION OR BILLING STATEMENT. 8568079 2652805 5915274 15016536 9813384 5203152 1365760 1365760 12484186 INVESTMENTS IN JOINT VENTURES 664598 457 PLAN 3975318 OTHER ACCOUNTS RECEIVABLE 677377 RIGHT OF USE ASSETS 49706503 55023796 OPERATING LEASE 49572467 PHYCIAN 457F 3975318 RELATED PARTY PAYABLE 6173411 59721196 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI AND XII: SECTIONS ARE NOT REQUIRED AS THE ORGANIZATION IS 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. X 1 1 X X X X X 0 1 0 0 0 1 1 0 0 JON C DAVIS PHYSICIAN 2430021 0 527423 0 8166 0 21210 0 30210 0 3017030 0 0 0 MANGA D KODALI PHYSICIAN 1510033 0 52387 0 8784 0 7320 0 861 0 1579385 0 0 0 YASODA D DEVABHAKTUNI PHYSICIAN 1453877 0 48706 0 20625 0 16580 0 22496 0 1562284 0 0 0 MIR FAHAD FAISAL PHYSICIAN 1301955 0 178325 0 8901 7500 16580 0 32528 0 1538289 7500 0 0 BRUCE W SCHNEIDER PHYSICIAN 1072025 0 177528 0 24978 0 36820 0 21606 0 1332957 0 0 0 JAMES PORTER MD DIRECTOR 0 632974 0 174754 0 275514 0 172267 0 37061 0 1292570 0 267465 MIA HINDI MD DIRECTOR & VICE CHAIR 982969 0 161680 0 31546 16028 21210 0 35559 0 1232964 16028 0 0 JOSEPH C KLINK FORMER DIRECTOR 899372 0 163013 0 8251 0 13890 0 25552 0 1110078 0 0 0 CHERYL WATHEN SECRETARY/TREASURER 0 577576 0 134675 0 107923 0 159494 0 42127 0 1021795 0 92511 JAMIE MULL MD DIRECTOR 788732 0 169482 0 12605 0 16580 0 16610 0 1004009 0 0 0 NAROTHAMA R AEDDULA DIRECTOR 789364 0 126890 0 53854 0 0 0 30981 0 1001089 0 0 0 MAJED A KOLEILAT FORMER DIRECTOR 816725 0 86907 0 10098 0 25840 0 29999 0 969569 0 0 0 JASON WHITE MD DIRECTOR 795992 0 65319 0 10098 0 21210 0 30610 0 923229 0 0 0 JOANN WOOD MD DH CMO & VP 0 462273 0 106786 0 6935 0 106362 0 19047 0 701403 0 2691 MAQBOOL AHMED FORMER DIRECTOR 358692 0 141493 0 720 169400 0 0 0 0 500905 169400 0 0 BRADLEY SCHEU MD SENIOR VICE PRESIDENT 395518 0 102385 0 2676 0 92726 0 36377 0 629682 0 0 0 BARRY PHILLIPS MD DIRECTOR 365509 0 113810 0 4708 0 0 0 27946 0 511973 0 0 0 GARY KEEPES MD DIRECTOR 298110 0 181672 0 2800 0 0 0 28087 0 510669 0 0 0 DHRUVIN MEHTA MD DIRECTOR 333651 0 49921 0 49627 0 16580 0 10373 0 460152 0 0 0 SNESHA MODI MD DIRECTOR PARTIAL TERM 217981 0 131459 0 32355 0 16370 0 552 0 398717 0 0 0 RENEE M GALEN FORMER DIRECTOR 180194 0 132625 0 9292 0 25840 0 21261 0 369212 0 0 0 WILLIAM SMITH MD DIRECTOR 223416 0 104247 0 9259 0 21210 0 10362 0 368494 0 0 0 CHRIS CHACKO MD DIRECTOR 220407 0 81300 0 9124 0 21210 0 20467 0 352508 0 0 0 GARRETT KOON MD DIRECTOR 202282 0 126996 0 2341 0 16580 0 699 0 348898 0 0 0 WILLIAM WHITE FORMER DIRECTOR 0 151977 0 44609 0 45409 0 26812 0 24433 0 293240 0 0 JULIE DINGMAN OPERATIONS ADMINSTRATOR 221219 0 35200 0 1380 0 6390 0 24192 0 288381 0 0 0 ASHLEY RICHESON MD DIRECTOR 182258 0 57746 0 1752 0 13149 0 33242 0 288147 0 0 0 LINDA WHITE FORMER DIRECTOR 0 177170 0 27529 0 7357 0 5002 0 10830 0 227888 0 0 PART I, LINE 1A SOCIAL CLUB DUES ARE PAID FOR LINDA WHITE FOR ORGANIZATION BUSINESS ONLY. ANY PERSONAL USE OF THE CLUB MUST BE PAID BY THE EMPLOYEE. PART I, LINE 4B SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS: SEVERANCE NONQUALIFIED EQUITY-BASED CHERYL WATHEN $ -0- $ 20,500 $ -0- JAMES PORTER, MD 0 20,500 0 MIA HINDI, MD 0 20,500 0 BRADLEY SCHEU, MD 0 20,500 0 NAROTHAMA AEDDULA 0 20,500 0 GARY KEEPES 0 20,500 0 JAMIE MULL 0 20,500 0 BARRY PHILLIPS 0 20.500 0 JOANN WOOD 0 20,500 0 JON DAVIS 0 20,500 0 MANGA KODALI 0 20,500 0 YASODA DEVABHAKTUNI 0 20,500 0 SEVERANCE NONQUALIFIED EQUITY-BASED BRUCE SCHNIEDER $ -0- $ 20,500 $ -0- LINDA WHITE 0 20,500 0 WILLIAM WHITE 0 15,209 0 MAQBOOL AHMED 0 20,500 0 JOSEPH KLINK, MD 0 20,500 0 PART 1, LINE 4B: CHERYL WATHEN: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $119,207. SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $92,511. JAMES PORTER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $138,747. SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $267,465. JOANN WOOD: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $89,782. SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $2,691. BRADLEY SCHEU: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $71,516. SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $0.00 WILLIAM WHITE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $21,523. SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $21,523. PART I, LINE 6 COMPENSATION CONTINGENT UPON NET EARNINGS: INCENTIVE COMPENSATION PAYMENTS MADE BY THE ORGANZIATION 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 OF BOTH THE ORGANIZATION AND RELATED ORGANIZATIONS. DEACONESS CLINIC'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. DHRUVIN MEHTA DIRECTOR TRANSITIONAL LOAN - SIGN-ON BONUS AND STUDENT LOAN REPAYMENT X 188000 75541 0 1 1 75541 JUNG WOOK KANG SMITH FAMILY OF BD MBR 317100 COMPENSATION 0 SCH L, PART IV DR. JUNG WOOK KANG SMITH IS MARRIED TO DR. WILLIAM SMITH, A BOARD MEMBER OF DEACONESS CLINIC, INC. SHE IS AN EMPLOYED PHYSICIAN AT DEACONESS CLINIC, INC. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: DEACONESS HEALTH SYSTEM, INC., A TAX EXEMPT 501(C)(3) ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF DEACONESS CLINIC, INC. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF MEMBERS AND THEIR RIGHTS: DEACONESS HEALTH SYSTEM, INC. MUST APPROVE THE CHOSEN DEACONESS CLINIC VICE PRESIDENT. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUBJECT TO APPROVAL OF MEMBERS: APPOINTMENT OF VICE PRESIDENT REQUIRES APPROVAL OF THE MEMBER. CHANGES TO PHYSICIAN COMPENSATION PLAN REQUIRES THE APPROVAL OF THE MEMBER THOUGH ITS COMPENSATION COMMITTEE WHICH IS COMPRISED OF INDEPENDANT MEMBERS OF THE DEACONESS HEALTH SYSTEM BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS THAT DEACONESS CLINIC 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 OF DEACONESS HEALTH SYSTEM 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, SECTION B, LINE 12C 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 "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 WELL AS THEIR FAMILY MEMBERS. ON A PERIODIC BASIS, REVIEWS OCCUR TO ENSURE DEACONESS CLINIC 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, SECTION B, LINE 15 COMPENSATION FOR TOP OFFICIALS AND OTHER OFFICERS: SALARIES AND BENEFITS OF OFFICERS AND PHYSICIANS AT DEACONESS CLINIC ARE APPROVED BY THE DEACONESS HEALTH SYSTEM COMPENSATION COMMITTEE. DEACONESS CLINIC BOARD CAN ONLY MAKE RECOMMENDATION TO THE DEACONESS HEALTH SYSTEM COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS OF DEACONESS HEALTH SYSTEM INC. AND MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE SEC. THE COMMITTEE HAS THE POWER AND AUTHORITY TO: 1. ANNUALLY REVIEW, APPROVE, AND RECOMMEND TO THE BOARD OF DIRECTORS FOR ITS FINAL APPROVAL FOR THE VICE PRESIDENT AND EACH OTHER EXECUTIVE OFFICERS ALL ELEMENTS OF EXECUTIVE COMPENSATION. 2. MONITOR BROADLY THE STRUCTURE, PHILOSOPHY OR COMPETITIVENESS OF THE SYSTEM'S GENERAL HIRING OR COMPENSATION PRACTICES. 3. OVERSEE THE ESTABLISHMENT AND ADMINISTRATION OF THE COMPANY'S BROAD-BASED BENEFIT PLANS AND PROGRAMS. 4. REVIEW OR APPROVE SIGNIFICANT AMENDMENTS OR CHANGES TO THE PLANS AND PROGRAMS. 5. RETAIN AND TERMINATE ANY COMPENSATION CONSULTANT TO BE USED TO ASSIST IN THE EVALUATION OF DIRECTOR, VICE PRESIDENT OR EXECUTIVE OFFICE COMPENSATION. 6. SOLE AUTHORITY TO APPROVE THE CONSULTANT'S FEES AND OTHER RETENTION TERMS. 7. OBTAIN ADVICE AND ASSISTANCE FROM INTERNAL OR EXTERNAL LEGAL, ACCOUNTING OR OTHER ADVISORS. 8. APPROVE ALL PHYSICIAN AND PHYSICIAN-RELATED CONTRACTS. 9. MAKE REGULAR REPORTS TO THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 DEACONESS CLINIC'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE SECRETARY OF STATE'S WEBSITE. AS REQUIRED BY LAW, DEACONESS CLINIC SUBMITS ITS CONSOLIDATED FINANCIAL STATEMENTS TO THE INDIANA DEPARTMENT OF HEALTH WHICH ARE PUBLISHED ON ITS WEBSITE. GOVERNING DOCUMENTS, ASIDE FROM THE ARTICLES OF INCORPORATION, AND THE CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE FOR PUBLIC INSPECTION. FORM 990, PART XI, LINE 9: TRANSFERS 55,565,307. FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. DEACONESS HEALTH SYSTEM INC 600 MARY STREET EVANSVILLE IN 47747 351532889 HEALTHCARE IN 501(C)(3) LINE 12A, I N/A 0 DEACONESS HOSPITAL INC 600 MARY STREET EVANSVILLE IN 47747 350593390 HEALTHCARE IN 501(C)(3) LINE 3 DEACONESS HEALTH SYSTEM INC 0 DEACONESS VNA PLUS LLC 610 E WALNUT ST EVANSVILLE IN 47713 465223267 HEALTHCARE IN 501(C)(3) LINE 10 DEACONESS HEALTH SYSTEM INC 0 DEACONESS SPECIALTY PHYSICIANS INC 600 MARY STREET EVANSVILLE IN 47747 824503095 HEALTHCARE IN 501(C)(3) LINE 3 DEACONESS HEALTH SYSTEM INC 0 DEACONESS HEALTH KENTUCKY INC 600 MARY STREET EVANSVILLE IN 47747 830966826 HEALTHCARE IN 501(C)(3) LINE 10 DEACONESS HEALTH SYSTEM INC 0 METHODIST HEALTH INC PO BOX 48 HENDERSON KY 42419 610461753 HEALTHCARE KY 501(C)(3) LINE 3 DEACONESS HEALTH KENTUCKY INC 0 DEACONESS GIBSON HOSPITAL 1808 SHERMAN DR PRINCETON IN 47670 350877575 HEALTHCARE IN 501(C)(3) LINE 3 DEACONESS HEALTH SYSTEM INC 0 UNION COUNTY METHODIST HOSPITAL FOUNDATION 4604 US HWY 60 WEST MORGANFIELD KY 42437 611230297 SUPPORT METHODIST HEALTH KY 501(C)(3) LINE 10 DEACONESS HEALTH KENTUCKY INC 0 GIBSON GENERAL HEALTH FOUNDATION INC 1808 SHERMAN DR PRINCETON IN 47670 350950175 SUPPORT DEACONESS GIBSON HOSPITAL IN 501(C)(3) LINE 12A, I DEACONESS GIBSON HOSPITAL 0 DEACONESS UNION COUNTY HOSPITAL 4604 US HWY 60 WEST MORGANFIELD KY 42437 862614124 HEALTHCARE KY 501(C)(3) LINE 3 DEACONESS HEALTH KENTUCKY INC 0 DEACONESS ILLINOIS SPECIALTY CLINIC 600 MARY STREET EVANSVILLE IN 47747 920904755 HEALTHCARE IL 501(C)(3) LINE 3 DEACONESS HEALTH SYSTEM INC 0 DEACONESS ILLINOIS CLINIC 600 MARY STREET EVANSVILLE IN 47747 920574205 HEALTHCARE IL 501(C)(3) LINE 3 DEACONESS HEALTH SYSTEM INC 0 DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA LLC 4199 GATEWAY BLVD NEWBURGH IN 47630 352062016 HEALTHCARE IN 501(C)(3) LINE 3 DEACONESS HEALTH SYSTEM INC 0 DEACONESS HEALTH PLANS LLC 7100 EAGLE CREST BLVD EVANSVILLE IN 47715 383492529 PREFERRED PROVIDER NETWORK IN DEACONESS CLINIC RELATED 23059 67970 0 0 0.20700 ENCOMPASS HEALTH DEACONESS REHABILIATION 9001 LIBERTY PARKWAY BIRMINGHAM AL 35242 721375246 OUTPATIENT AL N/A 0 0 MAINSPRING MANAGERS LLC 4011 GATEWAY BLVD NEWBURGH IN 47630 464601001 NEUROLOGY SERVICES IN N/A 0 0 ORTHOALIGN LLC 4011 GATEWAY BLVD NEWBURGH IN 47630 812816013 HEALTHCARE IN N/A 0 0 PROGRESSIVE HEALTH OF IN LLC 150 N ROSENBERGER EVANSVILLE IN 47712 208480988 OUTPATIENT IN N/A 0 0 TRI - STATE HEALTHCARE CONSULTING LLC 4199 GATEWAY BLVD NEWBURGH IN 47630 922120911 HEALTHCARE IN N/A 0 0 TRI-STATE RADIATION ONCOLOGY PO BOX 819067 TAX DEPT DALLAS TX 75381 263706834 OUTPATIENT DE N/A 0 0 VASCMED LLC 600 MARY STREET EVANSVILLE IN 47747 472578168 VASCULAR SERVICES IN N/A 0 0 BURKHARDT CANCER CENTER 4972 LINCOLN AVENUE STE 100 EVANSVILLE IN 47715 300256432 HEALTHCARE IN N/A 0 0 BOSTON IVF FERTILITY SERVICES AT THE WOMEN'S HOSPITAL 4199 GATEWAY BLVD NEWBURGH IN 47630 455549778 HEALTHCARE IN N/A 0 0 INNOVATIVE HEALTHCARE COLLABORATIVE OF INDIANA LLC 600 MARY STREET EVANSVILLE IN 47747 833592473 HEALTHCARE IN N/A 0 0 TRI-STATE MEDICAL MANAGEMENT INC 600 MARY STREET EVANSVILLE IN 47747 351875888 PHYSICIAN MANAGEMENT IN N/A C 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0