2014-05-10T12:53:42-05:00 2013-09-30 351178661 BLUE & CO LLC ONE AMERICAN SQUARE 2200 INDIANAPOLIS IN 46282 990 2012-10-01 263083364 DEACONESS CLINIC INC DEAC 8124503296 600 MARY STREET EVANSVILLE IN 47747 ALLEN WHITE MD 8124503296 2014-05-08 1 AMBER KOCHER CPA P01286298 3176334705 2012 2015-11-30 17:44:51Z ALLEN WHITE MD 421 CHESTNUT STREET EVANSVILLE IN 47713 61262128 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 AREAS;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. 14 1 653 0 43748 3279 0 0 53813247 59283657 0 168505 1879933 1393775 55693180 60845937 0 0 0 0 52308474 57652941 0 0 0 21441281 23091586 73749755 80744527 -18056575 -19898590 11950468 13273456 8905046 9513361 3045422 3760095 X NONE 0 0 71484601 57281525 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 95 PHYSICIANS, 27 MIDLEVEL PROVIDERS AND 396 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, AND REO IN INDIANA. THE CLINIC ALSO HAS LOCATIONS IN HENDERSON AND MORGANFIELD, KENTUCKY. THE CLINICS SERVED 482,288 PATIENT VISITS FROM OCTOBER 1, 2012 THROUGH SEPTEMBER 2013. 1603670 2002132 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 37 NEW AND EXPANDED CLINICAL RESEARCH GRANTS THIS YEAR TO STUDY INVESTIGATIONAL DRUGS AND DEVICES ACROSS 12 FIELDS OF MEDICINE INCLUDING NEW TREATMENTS FOR AUTISM, OBESITY, OSTEOPOROSIS, BLADDER CANCER,DIABETIC FOOT ULCERS, COPD, DEPRESSION, CAROTID STENTING, AND NUMEROUS CARDIAC IMPLANTABLE DEVICES. THE NEW RESEARCH GRANTS PROVIDED TREATMENT OPPORTUNITES AND PREVENTATIVE HEALTH SERVICES FOR UP TO 514 PATIENTS. IN ALL, THE NEWLLY AWARDED GRANTS THIS YEAR TOTALED $6.9 MILLION TO COVER THE COSTS 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 3,121 RESEARCH RELATED PATIENT VISITS. THE RESEARCH INSTITUTE ALSO CONTINUED THE EXPLORATION OF A NUMBER OF INVESTIGATOR INITIATED RESEARCH PROJECTS IN SUPPORT OF MEDICAL ADVANCEMENTS INCLUDING: ALLERGENIC FOOD SUPPLEMENT FOR INFANTS; THE EFFECTIVENESS OF DOWN TITRATION OF A NEW MEDICATION FOR URTICARIA; THE EARLY DETECTION OF BLADDER CANCER; A PAIN TREATMENT OF CARPAL TUNNEL PAIN; AND THE LONG TERM EFFICACY OF HISTERLIN ABDOMINAL IMPLANTS IN PATIENTS WITH PROSTATE CANCER. THE INSTITUTE OVERSAW THE TRAINING OF SEVEN NEW CLINICAL INVESTIGATORS IN 2013, INCLUDING THEIR RESEARCH CERTIFICATION THROUGH THE NATIONAL INSTITUTE OF HEALTH IN GOOD CLINICAL PRACTICE AND THE PROTECTION OF HUMAN SUBJECTS. 73088271 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 89 0 1 653 1 1 1 0 0 0 0 0 0 0 0 0 X 14 1 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 IN X RICHARD PERRY 8124503296 600 MARY STREET EVANSVILLE IN 47747 STEPHEN TITZER 5.00 10.00 X X 1200 6000 0 CHERYL WATHEN 5.00 55.00 X X 0 454077 107341 DAVID CHRISTESON MD 50.00 0.00 X X 427911 0 59348 MOHAMMED ALLAW MD 50.00 5.00 X 352751 22519 31160 AMANDA E BOHLEBER MD 50.00 0.00 X 248327 0 13814 GARY KEEPES MD 50.00 0.00 X 346192 0 29781 DAVID KOEHLER MD 30.00 20.00 X 167939 98015 14420 ANNE MCLAUGHLIN MD 50.00 0.00 X 659918 0 49650 BARRY PHILLIPS MD 50.00 2.00 X 409102 5400 30334 BRUCE SCHNEIDER MD 50.00 0.00 X 1129611 0 90510 YOUSSEF SIAGE MD 50.00 0.00 X 296274 0 27433 RUSTON STOLTZ MD 50.00 9.00 X 289826 10300 39110 FREDERICK WALLISCH 50.00 0.00 X 237594 0 34371 LINDA WHITE 10.00 60.00 X 0 965628 242168 W ALLEN WHITE MD 50.00 0.00 X 329226 0 50949 JULIE DINGMAN 50.00 0.00 X 152491 0 18672 MAQBOOL AHMED MD 50.00 0.00 X 1017256 0 58860 PAUL SIAMI MD 50.00 0.00 X 1009400 0 36686 JEFFREY MOORE MD 50.00 0.00 X 780385 0 45878 MAJED KOLEILAT MD 50.00 0.00 X 760151 0 54091 ANVITA SINHA MD 50.00 0.00 X 760818 0 53063 GARY ERDY MD 50.00 0.00 X 119182 0 19827 JAMES GUTMANN MD 50.00 0.00 X 278610 0 43900 ROBERT KAYLOR 50.00 0.00 X 284782 0 14739 10058946 1561939 1166105 96 1 1 0 WINK CONSTRUCTION 4001 E EICHEL AVE EVANSVILLE IN 47716 CONSTRUCTION 297529 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 MEDICAL SERVICE 246170 THREE I DESIGN 2425 W INDIANA STREET EVANSVILLE IN 47712 ENGINEERING 245625 THE ADVISORY BOARD COMPANY PO BOX 79461 BALTIMORE MD 21279 CONSULTING 121754 RICHARD RIEDFORD MD 9921 OGELSBY DRIVE EVANSVILLE IN 47720 MEDICAL SERVICE 104957 5 NET PATIENT REVENUE 621110 57281525 57281525 NET RESEARCH REVENUE 621110 2002132 2002132 59283657 9461 9461 309334 293961 15373 15373 15373 281274 122230 159044 159044 159044 CMS MEANINGFUL USE 900099 1026000 1026000 USI CAPITATION 900099 308654 308654 SKIN CARE PRODUCTS 621110 43748 43748 1378402 60845937 59283657 43748 1518532 6196046 5705392 490654 42611177 40683433 1927744 3868292 3659070 209222 2679524 2534598 144926 2297902 2173617 124285 298760 47747 251013 22122 22122 5402167 1900503 3501664 797906 505036 292870 4796876 4690657 106219 1343757 1283079 60678 7726807 7582658 144149 110020 102820 7200 460379 298514 161865 1202349 1140154 62195 930443 780993 149450 80744527 73088271 7656256 0 6865103 7333226 428929 439148 8813999 4902034 3476492 3911965 122230 1057714 1589117 11950468 13273456 8905046 9513361 8905046 9513361 X 3045422 3760095 3045422 3760095 11950468 13273456 X -19898590 20613263 X X 0 1 X 1 0 X SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: 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 SIMILARLY 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 22122 22122 0 EXPLANATION OF LOBBYING ACTIVITIES: 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. 2848792 1452820 1395972 5748305 3449214 2299091 216902 216902 3911965 DUE FROM RELATED ORGANIZATION 1442439 INVESTMENTS IN JOINT VENTURES 97818 INTANGIBLES 48860 1589117 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2013 AND 2012, 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. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 CHERYL WATHEN 0 318546 0 121875 0 13656 0 66429 0 40912 0 561418 0 0 DAVID CHRISTESON MD 328661 0 97399 0 1851 0 37888 0 21460 0 487259 0 0 0 MOHAMMED ALLAW MD 303687 0 47213 0 1851 22519 11217 0 19943 0 383911 22519 0 0 AMANDA E BOHLEBER MD 238237 0 9370 0 720 0 13371 0 443 0 262141 0 0 0 GARY KEEPES MD 288789 0 55835 0 1568 0 10761 0 19020 0 375973 0 0 0 DAVID KOEHLER MD 167939 98015 0 0 0 0 14420 0 0 0 182359 98015 0 0 ANNE MCLAUGHLIN MD 608507 0 49560 0 1851 0 29205 0 20445 0 709568 0 0 0 BARRY PHILLIPS MD 350010 0 57241 0 1851 5400 10391 0 19943 0 439436 5400 0 0 BRUCE SCHNEIDER MD 1094244 0 34364 0 1003 0 70567 0 19943 0 1220121 0 0 0 YOUSSEF SIAGE MD 232059 0 62364 0 1851 0 13170 0 14263 0 323707 0 0 0 RUSTON STOLTZ MD 249249 0 38726 0 1851 10300 19167 0 19943 0 328936 10300 0 0 FREDERICK WALLISCH 225720 0 10023 0 1851 0 14428 0 19943 0 271965 0 0 0 LINDA WHITE 0 628856 0 320304 0 16468 0 221738 0 20430 0 1207796 0 0 W ALLEN WHITE MD 271913 0 56310 0 1003 0 30529 0 20420 0 380175 0 0 0 JULIE DINGMAN 128237 0 23774 0 480 0 17190 0 1482 0 171163 0 0 0 MAQBOOL AHMED MD 842183 0 173222 0 1851 0 38917 0 19943 0 1076116 0 0 0 PAUL SIAMI MD 917462 0 90574 0 1364 0 21181 0 15505 0 1046086 0 0 0 JEFFREY MOORE MD 686482 0 92052 0 1851 0 22485 0 23393 0 826263 0 0 0 MAJED KOLEILAT MD 690421 0 67880 0 1850 0 32321 0 21770 0 814242 0 0 0 ANVITA SINHA MD 755169 0 4929 0 720 0 45725 0 7338 0 813881 0 0 0 GARY ERDY MD 109133 0 9041 0 1008 0 9711 0 10116 0 139009 0 0 0 JAMES GUTMANN MD 188618 0 89001 0 991 0 22735 0 21165 0 322510 0 0 0 ROBERT KAYLOR 243059 0 41508 0 215 0 0 0 14739 0 299521 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- $17,000 -0- DAVID CHRISTESON, MD 0 17,000 0 GARY KEEPES, MD 0 17,000 0 DAVID KOEHLER, MD 0 17,000 0 ANNE MCLAUGHLIN, MD 0 17,000 0 YOUSSEF SIAGE, MD 0 17,000 0 RUSTON STOLTZ, MD 0 17,000 0 LINDA WHITE 0 17,000 0 W. ALLEN WHITE, MD 0 17,000 0 MAQBOOL AHMED, MD 0 17,000 0 PAUL SIAMI, MD 0 17,000 0 JEFFREY MOORE, MD 0 17,000 0 MAJED KOLEILAT, MD 0 17,000 0 SEVERANCE NONQUALIFIED EQUITY-BASED (CONT.) GARY ERDY, MD $ -0- $11,551 $ -0- PART 1, LINE 4B: CHERYL WATHEN: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $51,429. LINDA WHITE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $206,738. 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 THE DEACONESS HEALTH SYSTEM, INC. MUST APPROVE THE CHOSEN DEACONESS CLINIC CHIEF PHYSICIAN ADMINISTRATIVE OFFICER FORM 990, PART VI, SECTION A, LINE 7B APPOINTMENT OF CHIEF PHYSICIAN ADMINISTRATIVE OFFICER (CPAO) REQUIRES APPROVAL OF THE MEMBER. CHANGES TO PHYSICIAN COMPENSATION PLAN REQUIRES THE APPROVAL OF THE 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. OFFICERS WHO CANNOT BE REACHED: GARY ERDY, MD 1045 APT C SEACOVE CIRCLE LONDON, OH 43140 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CAPITAL CONTRIBUTED 20,613,263. OVERSIGHT OF AUDIT FORM 990, PART XII, LINE 2C 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