2015-02-13T08:44:51-06:00 2014-09-30 351178661 BLUE & CO LLC ONE AMERICAN SQUARE 2200 INDIANAPOLIS IN 46282 990 2013-10-01 263083364 DEACONESS CLINIC INC DEAC 8124503296 600 MARY STREET EVANSVILLE IN 47747 ALLEN WHITE MD VICE PRESIDENT 8124503296 2015-02-12 1 AMBER KOCHER CPA P01286298 3176334705 2013 2016-02-25 16:41:14Z ALLEN WHITE MD 421 CHESTNUT STREET EVANSVILLE IN 47713 69230291 0 X DEACONESS.COM X 2008 IN DEACONESS CLINIC WAS ORGANIZED EXCLUSIVELY FOR CHARITABLE, EDUCATION, AND SCIENTIFIC PROGRAM 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 WITH THE DEACONESS HEALTH SYSTEM AND DEACONESS HOSPITAL, INC. AND THEIR AFFILIATES. 15 1 731 0 21236 2051 0 0 59283657 67686525 168505 286 1393775 1254264 60845937 68941075 0 0 0 0 57652941 63703642 0 0 0 23091586 24337198 80744527 88040840 -19898590 -19099765 13273456 12822491 9513361 10976961 3760095 1845530 X NONE 0 0 76431614 0 66020928 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 98 PHYSICIANS, 38 MIDLEVEL PROVIDERS AND 429 FULL TIME NURSING AND ADMINISTRATIVE FULL TIME EQUIVALENTS. DEACONESS CLINIC SERVES A 26-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, AND REO IN INDIANA. THE CLINIC ALSO HAS LOCATIONS IN HENDERSON AND MORGANFIELD, KENTUCKY. THE CLINICS SERVED 517,161 PATIENT VISITS FROM OCTOBER 1, 2013 THROUGH SEPTEMBER 2014. 1699541 0 1665597 THE RESEARCH INSTITUTE OF DEACONESS CLINIC ASSISTS DEACONESS CLINIC'S MORE THAN 100+ PHYSICIANS, AS WELL AS OTHER PHYSICIANS THROUGHOUT THE COMMUNITY IN GAINING ACCESS TO LEADING EDGE MEDICAL SCIENCE AND NEW TREATMENTS FOR ACUTE AND CHRONIC ILLNESSES. THE INSTITUTE WAS AWARDED 26 NEW AND EXPANDED CLINICAL RESEARCH GRANTS THIS YEAR TO STUDY INVESTIGATIONAL DRUGS AND DEVICES ACROSS 10 FIELDS OF MEDICINE INCLUDING, BUT NOT LIMITED TO, NEW TREATMENTS FOR ASTHMA, OBESITY IN PATIENTS WITH CARDIOVASCULAR RISK FACTORS, DISLIPIDEMIA, ONYCHOMYCOSIS, CHRONIC BACK PAIN, GOUT, OVERACTIVE BLADDER, ACTINIC KERATOSIS, AND DIABETES. THE NEW RESEARCH GRANTS PROVIDED TREATMENT OPPORTUNITES AND PREVENTATIVE HEALTH SERVICES FOR UP TO 362 PATIENTS. IN ALL, THE NEWLLY AWARDED GRANTS THIS YEAR TOTALED $4.1 MILLION TO COVER THE COSTS [CONTINUATION FROM PAGE 2] ASSOCIATED WITH THE CONDUCT OF THE CLINICAL TRIALS WITHIN THE REGION. MORE THAN 270 PATIENTS WERE ENROLLED INTO CLINICAL TRIALS THROUGHOUT THE YEAR, RESULTING IN 3,477 RESEARCH RELATED PATIENT VISITS. THE RESEARCH INSTITUTE ALSO COMPLETED RESEARCH ON AN INVESTIGATOR-INITIATED RESEARCH PROJECT STUDYING THE LONG TERM EFFICACY OF HISTERLIN ABDOMINAL IMPLANTS IN PATIENTS WITH PROSTATE CANCER. THE RESULTS AND MANUSCRIPT WERE PUBLISHED IN THE JOURNAL OF PROSTATE CANCER. THE INSTITUTE OVERSAW THE TRAINING OF EIGHT NEW CLINICAL INVESTIGATORS IN 2014, INCLUDING THEIR RESEARCH CERTIFICATIONS IN GOOD CLINICAL PRACTICE AND THE PROTECTION OF HUMAN SUBJECTS. 78131155 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 101 0 1 731 1 1 1 0 0 0 0 0 0 0 0 0 X 15 1 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 1 1 IN X RICHARD PERRY 8124503296 600 MARY STREET EVANSVILLE IN 47747 STEPHEN TITZER CHAIRMAN 5.00 10.00 X X 1600 0 0 CHERYL WATHEN SECRETARY/TREASURER 5.00 60.00 X X 0 482422 131610 MOHAMMED ALLAW MD DIRECTOR 50.00 5.00 X 376014 6608 32319 AAMANDA BOHLEBER MD DIRECTOR 50.00 0.00 X 270833 0 18452 GARY KEEPES MD DIRECTOR 50.00 0.00 X 363659 0 30549 DAVID KOEHLER MD DIRECTOR 30.00 30.00 X 181149 116743 18452 ANNE MCLAUGHLIN MD DIRECTOR 50.00 0.00 X 707226 0 38773 BARRY PHILLIPS MD DIRECTOR 50.00 2.00 X 416924 4410 31971 JAMES PORTER DIRECTOR 5.00 55.00 X 0 609835 135412 BRUCE SCHNEIDER MD DIRECTOR 50.00 0.00 X 1412529 0 45188 YOUSSEF SIAGE MD DIRECTOR 50.00 0.00 X 315436 0 34942 RUSTON STOLTZ MD DIRECTOR 50.00 10.00 X 315174 11075 47897 FREDERICK WALLISCH DIRECTOR 50.00 0.00 X 257737 0 43934 LINDA WHITE DIRECTOR 5.00 65.00 X 0 1339707 242339 DAVID CHRISTESON MD DIRECTOR/ FORMER CPAO 50.00 0.00 X 415661 0 62679 W ALLEN WHITE MD NON-VOTING DIRECT/ VICE PRESIDENT 50.00 0.00 X X 342468 0 51998 JULIE DINGMAN PRACTICE DIRECTOR 50.00 0.00 X 152538 0 27670 MAQBOOL AHMED MD MD 50.00 0.00 X 1062028 0 36008 PAUL SIAMI MD MD 50.00 0.00 X 945902 0 37411 JEFFREY MOORE MD MD 50.00 0.00 X 805727 0 44169 CHRISTOPHER BRADEN MD MD 50.00 2.00 X 786455 594 39808 ANVITA SINHA MD MD 50.00 0.00 X 772539 0 26212 9901599 2571394 1177793 111 0 1 0 DANCO CONSTRUCTION 3201 INTERSTATE DRIVE EVANSVILLE IN 47715 CONSTRUCTION 838194 WINK CONSTRUCTION 4001 E EICHEL AVE EVANSVILLE IN 47716 CONSTRUCTION 477339 M TOLL INC PO BOX 8142 EVANSVILLE IN 47716 CLEANING SERVICE 321887 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 MEDICAL SERVICE 220895 THE ADVISORY BOARD COMPANY PO BOX 79461 BALTIMORE MD 21279 CONSULTING 153580 8 NET PATIENT REVENUE 621110 66020928 66020928 NET RESEARCH REVENUE 621110 1665597 1665597 67686525 286 286 317976 289216 28760 28760 28760 CMS MEANINGFUL USE 900099 778850 778850 USI CAPITATION 900099 425418 425418 SKIN CARE PRODUCTS 621110 21236 21236 1225504 68941075 67686525 21236 1233314 5854733 5399460 455273 47931856 44617691 3314165 3170380 2924771 245609 4191276 3866579 324697 2555397 2357431 197966 341562 341562 20735 20735 6582825 2339473 4243352 550383 427470 122913 5980133 5902527 77606 64772 26412 38360 8576296 8505134 71162 86571 71901 14670 470247 318402 151845 747741 725549 22192 915933 648355 267578 88040840 78131155 9909685 0 32568 7333226 7711765 439148 449883 9584868 5649682 3911965 3935186 1589117 693089 13273456 12822491 9513361 10976961 9513361 10976961 X 3760095 1845530 3760095 1845530 13273456 12822491 X -19099765 17185200 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 20735 20735 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. 3349412 1641588 1707824 6203120 4008094 2195026 32336 32336 3935186 DUE FROM RELATED ORGANIZATION 455841 INVESTMENTS IN JOINT VENTURES 97818 INTANGIBLES 139430 693089 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, 2014 AND 2013, 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 0 0 0 0 CHERYL WATHEN SECRETARY/TREASURER 0 356123 0 112354 0 13945 0 88574 0 43036 0 614032 0 0 MOHAMMED ALLAW MD DIRECTOR 322238 0 51880 0 1896 6608 10357 0 21962 0 408333 6608 0 0 AAMANDA BOHLEBER MD DIRECTOR 257308 0 12805 0 720 0 18009 0 443 0 289285 0 0 0 GARY KEEPES MD DIRECTOR 304294 0 57763 0 1602 0 9736 0 20813 0 394208 0 0 0 DAVID KOEHLER MD DIRECTOR 158944 92775 21485 17368 720 6600 18009 0 443 0 199601 116743 0 0 ANNE MCLAUGHLIN MD DIRECTOR 646195 0 59135 0 1896 0 14046 0 24727 0 745999 0 0 0 BARRY PHILLIPS MD DIRECTOR 359298 0 55730 0 1896 4410 9573 0 22398 0 448895 4410 0 0 JAMES PORTER DIRECTOR 0 398080 0 118197 0 93558 0 106099 0 29313 0 745247 0 88062 BRUCE SCHNEIDER MD DIRECTOR 1367618 0 43897 0 1014 0 23226 0 21962 0 1457717 0 0 0 YOUSSEF SIAGE MD DIRECTOR 231365 0 82175 0 1896 0 14046 0 20896 0 350378 0 0 0 RUSTON STOLTZ MD DIRECTOR 274007 0 39474 0 1693 11075 25935 0 21962 0 363071 11075 0 0 FREDERICK WALLISCH DIRECTOR 245596 0 10245 0 1896 0 21972 0 21962 0 301671 0 0 0 LINDA WHITE DIRECTOR 0 721151 0 294599 0 323957 0 221244 0 21095 0 1582046 0 308155 DAVID CHRISTESON MD DIRECTOR/ FORMER CPAO 329644 0 84121 0 1896 0 39290 0 23389 0 478340 0 0 0 W ALLEN WHITE MD NON-VOTING DIRECT/ VICE PRESIDENT 292530 0 48924 0 1014 0 29235 0 22763 0 394466 0 0 0 JULIE DINGMAN PRACTICE DIRECTOR 130616 0 20990 0 932 0 13532 0 14138 0 180208 0 0 0 MAQBOOL AHMED MD MD 882586 0 177546 0 1896 0 14046 0 21962 0 1098036 0 0 0 PAUL SIAMI MD MD 859251 0 85931 0 720 0 21973 0 15438 0 983313 0 0 0 JEFFREY MOORE MD MD 772565 0 31266 0 1896 0 24625 0 19544 0 849896 0 0 0 CHRISTOPHER BRADEN MD MD 750949 0 33814 0 1692 594 14046 0 25762 0 826263 594 0 0 ANVITA SINHA MD MD 767696 0 4123 0 720 0 18126 0 8086 0 798751 0 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- $17,500 -0- DAVID CHRISTESON, MD 0 17,500 0 GARY KEEPES, MD 0 17,500 0 DAVID KOEHLER, MD 0 17,500 0 ANNE MCLAUGHLIN, MD 0 17,500 0 YOUSSEF SIAGE, MD 0 17,500 0 RUSTON STOLTZ, MD 0 17,500 0 LINDA WHITE 0 17,500 0 W. ALLEN WHITE, MD 0 17,500 0 MAQBOOL AHMED, MD 0 17,500 0 PAUL SIAMI, MD 0 17,500 0 JEFFREY MOORE, MD 0 17,500 0 SEVERANCE NONQUALIFIED EQUITY-BASED (CONT.) JAMES R. PORTER $ -0- $17,500 $ -0- PART 1, LINE 4B: CHERYL WATHEN: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $73,274. JAMES PORTER: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $90,799. SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $88,062. LINDA WHITE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $205,955. SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $308,155. 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 SELECTED DEACONESS CLINIC VICE PRESIDENT, FORMALLY KNOWN AS CHIEF PHYSICIAN ADMINISTRATIVE OFFICER (CPAO). FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS: APPOINTMENT OF THE VICE PRESIDENT, FORMALLY KNOWN AS CHIEF PHYSICIAN ADMINISTRATIVE OFFICER (CPAO), REQUIRES APPROVAL OF THE SOLE CORPORATE MEMBER; AND, CHANGES TO THE PHYSICIAN COMPENSATION PLAN REQUIRES THE APPROVAL OF THE SOLE CORPORATE MEMBER THROUGH ITS COMPENSATION COMMITTEE WHICH IS COMPRISED OF INDEPENDENT MEMBERS OF THE DEACONESS HEALTH SYSTEM BOARD. FORM 990, PART VI, SECTION B, LINE 11 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 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, 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 15A 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 CPAO 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, CPAO 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: CAPITAL CONTRIBUTED 17,185,200. 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 11A, 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 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0