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        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Each manager officer, and director are given a copy of the Conflict of Interest Policy to review and are required to fill out certification forms, which are reviewed and updated on an annual basis</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for the Chairman/CEO is reviewed and approved by the Board and the Compensation Committee, which established compensation after reviewing comparability data</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>No copies of the governing documents, etc. are available to the public other than those publicly available through the Secretary of State website or other similar reporting agencies</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>E. Anthony Woods - Average hours per week (estimate only for standard 40 hour work week) on behalf of all Deaconess related organizations: Deaconess Associations (20); Deaconess Long Term Care (10); Deaconess Hospital (2); Deaconess Health Associations Fund (8)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Includes outsourcing of maintenance, housekeeping, dietary, and security services</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>There was an increase in the pension liability of $1,892,598.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
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</Return>