DEACONESS ILLINOIS SPECIALTY CLINIC INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- DEACONESS ILLINOIS SPECIALTY CLINIC INC (EIN 92-0904755)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-08-17
- IRS object ID
- 202632309349302213
- Schema version
- 2024v5.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-17T17:46:09-05:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N MERIDIAN ST SUITE 200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 920904755 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEACONESS ILLINOIS SPECIALTY CLINIC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DEAC | BusinessNameControlTxt |
| Phone | 8124503296 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MARY ST | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47710 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES PORTER MD | PersonNm |
| Person Title | CHAIRMAN | PersonTitleTxt |
| Phone | 8124503296 | PhoneNum |
| Signature | 2026-08-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EMILIE M KNIERIEM CPA | PreparerPersonNm |
| PTIN | P01330194 | PTIN |
| Phone | 3176334705 | PhoneNum |
| Preparation | 2026-08-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES PORTER MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MARY ST | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47710 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,348,024 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SCHEDULE O | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2022 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | TO DELIVER HEALTH CARE TO THE PUBLIC. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 300 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,617,156 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,229,734 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $118,290 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $19,617,156 | PYTotalRevenueAmt |
| CY Total Revenue | $20,348,024 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $32,723,825 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $36,618,998 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,676,475 | PYOtherExpensesAmt |
| CY Other Expenses | $23,229,515 | CYOtherExpensesAmt |
| PY Total Expenses | $47,400,300 | PYTotalExpensesAmt |
| CY Total Expenses | $59,848,513 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$27,783,144 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$39,500,489 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $31,289,745 | TotalAssetsBOYAmt |
| Total Assets EOY | $24,396,422 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,584,442 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $16,638,286 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,705,303 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,758,136 | NetAssetsOrFundBalancesEOYAmt |
| Mission | IN KEEPING WITH OUR CHRISTIAN HERITAGE AND TRADITION OF SERVICE, THE MISSION OF DEACONESS IS TO ADVANCE THE HEALTH AND WELL-BEING OF OUR COMMUNITY, WITH A COMPASSIONATE AND CARING SPIRIT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $53,592,192 | ExpenseAmt |
| Revenue | $20,229,734 | RevenueAmt |
| Desc | DELIVERING, OR ARRANGING OR SUPPORTING THE DELIVERY OF QUALITY, COST-EFFECTIVE HEALTH CARE AND MEDICAL SERVICES TO THE PUBLIC, INCLUDING PHYSICIAN SERVICES. | Desc |
| Total Program Service Expenses | $53,592,192 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 47 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 300 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KYLE DILLMAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8124503296 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MARY ST | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47710 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DR JAMES PORTER | ||||||||
| CHAIR | 10.00 | 50.00 | Yes (X) | Yes (X) | $0 | $1,073,178 | $187,360 | |
| DR BRADLEY SCHEU | ||||||||
| VICE CHAIR (PARTIAL YR) | 5.00 | 55.00 | Yes (X) | Yes (X) | $0 | $737,851 | $148,050 | |
| JULIE DINGMAN | ||||||||
| SECRETARY (PARTIAL YR) | 5.00 | 55.00 | Yes (X) | Yes (X) | $0 | $293,710 | $22,200 | |
| KYLE DILLMAN | ||||||||
| TREASURER | 5.00 | 55.00 | Yes (X) | Yes (X) | $0 | $155,189 | $40,227 | |
| JAY WOODLAND MD | ||||||||
| PRESIDENT | 10.00 | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TODD DUCKWORTH | ||||||||
| SECRETARY | 5.00 | 55.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JACQUES PAPAZIAN | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $811,791 | $0 | $27,216 | Yes (X) | ||
| VICTOR MWANSA | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $770,508 | $0 | $33,999 | Yes (X) | ||
| BRIAN ERICKSON | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $750,074 | $0 | $10,056 | Yes (X) | ||
| MACK MCCAIN | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $732,689 | $0 | $18,686 | Yes (X) | ||
| AHMAD ABDIN | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $683,584 | $0 | $22,112 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,748,646 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,259,928 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $509,906 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 68 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CHG COMPANIES INC | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | PHYSICIAN SERVICES | $1,135,032 |
| DAVID ZHU MD | |||||
| 18 BRIAR CLIFF ST | ST LOUIS | MO | 63124 | HEALTHCARE SERVICES | $556,014 |
| GLADSTONE TUCKER MD | |||||
| 1606 CASTLEBERRY DRIVE | MARION | IL | 62959 | PHYSICIAN SERVICES | $417,967 |
| HDR HEALTH LLC | |||||
| 2700 PRAIRIE MEADOW DR | CHAMPAIGN | IL | 61822 | HOSPITALIST | $379,050 |
| INTEGRITAS EMERGENCY PHYSICIANS | |||||
| 2250 N ILLINOIS AVE | CARBONDALE | IL | 62901 | PHYSICIAN SERVICES | $377,490 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $20,229,734 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,229,734 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,229,734 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $118,290 | TotalRevenueColumnAmt |
| Exclusion | $118,290 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,348,024 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,229,734 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $118,290 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,441,814 | TotalAmt |
| Program Services | $28,456,185 | ProgramServicesAmt |
| Management And General | $2,985,629 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $814,334 | TotalAmt |
| Program Services | $737,007 | ProgramServicesAmt |
| Management And General | $77,327 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,574,045 | TotalAmt |
| Program Services | $2,199,519 | ProgramServicesAmt |
| Management And General | $374,526 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,788,805 | TotalAmt |
| Program Services | $1,602,888 | ProgramServicesAmt |
| Management And General | $185,917 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,146 | TotalAmt |
| Program Services | $1,976 | ProgramServicesAmt |
| Management And General | $170 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,222,560 | TotalAmt |
| Program Services | $14,935,301 | ProgramServicesAmt |
| Management And General | $1,287,259 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,780 | TotalAmt |
| Program Services | $2,491 | ProgramServicesAmt |
| Management And General | $289 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,452 | TotalAmt |
| Program Services | $183,203 | ProgramServicesAmt |
| Management And General | $21,249 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,624,877 | TotalAmt |
| Program Services | $1,617,765 | ProgramServicesAmt |
| Management And General | $1,007,112 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,355 | TotalAmt |
| Program Services | $30,784 | ProgramServicesAmt |
| Management And General | $3,571 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73 | TotalAmt |
| Program Services | $65 | ProgramServicesAmt |
| Management And General | $8 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,914 | TotalAmt |
| Program Services | $128,620 | ProgramServicesAmt |
| Management And General | $60,294 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,671,072 | TotalAmt |
| Program Services | $1,497,391 | ProgramServicesAmt |
| Management And General | $173,681 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $1,652,169 | $1,637,955 | $14,214 |
| GUARANTEE EXPENSE | $457,984 | $410,384 | $47,600 |
| SALES TAX | $18,556 | $16,627 | $1,929 |
| LICENSES | $15,089 | $13,521 | $1,568 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,488 | TotalAmt |
| Program Services | $120,510 | ProgramServicesAmt |
| Management And General | $13,978 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,848,513 | TotalAmt |
| Program Services | $53,592,192 | ProgramServicesAmt |
| Management And General | $6,256,321 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,025,692 | BOYAmt |
| EOY | $4,310,838 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,957,386 | BOYAmt |
| EOY | $2,224,662 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $935,990 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $339,610 | BOYAmt |
| EOY | $336,280 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $864,167 | BOYAmt |
| EOY | $701,081 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,972,473 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $488,817 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,078,773 | BOYAmt |
| EOY | $1,483,656 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,117 | BOYAmt |
| EOY | $14,403,915 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,289,745 | BOYAmt |
| EOY | $24,396,422 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,883,973 | BOYAmt |
| EOY | $14,036,117 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,700,469 | BOYAmt |
| EOY | $2,602,169 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,584,442 | BOYAmt |
| EOY | $16,638,286 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,705,303 | BOYAmt |
| EOY | $7,758,136 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,705,303 | BOYAmt |
| EOY | $7,758,136 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,289,745 | BOYAmt |
| EOY | $24,396,422 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$39,500,489 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $34,553,322 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $12,399,828 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,617,156 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,229,734 | CurrentTaxYearAmt |
| Total | $52,246,718 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $12,399,828 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,617,156 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,229,734 | CurrentTaxYearAmt |
| Total | $52,246,718 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $52,246,718 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $118,290 | CurrentTaxYearAmt |
| Total | $118,290 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $118,290 | CurrentTaxYearAmt |
| Total | $118,290 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $12,399,828 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,617,156 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,348,024 | CurrentTaxYearAmt |
| Total | $52,365,008 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,413,993 | OtherCostOrOtherBasisAmt |
| Depreciation | $488,817 | DepreciationAmt |
| Book Value | $925,176 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $558,480 | OtherCostOrOtherBasisAmt |
| Book Value | $558,480 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,483,656 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS | $1,147,399 |
| INTERCOMPANY RECEIVABLE | $10,930,713 |
| RIGHT OF USE ASSETS | $2,325,803 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $14,403,915 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE LIABILITIES | $2,394,048 |
| OTHER LIABILITIES | $208,121 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,602,169 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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, 2025 AND 2024, 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR JAMES PORTER | ||||||||||||||
| CHAIR | $0 | $682,862 | $0 | $213,203 | $0 | $177,113 | $0 | $160,685 | $0 | $26,675 | $0 | $1,260,538 | $0 | $173,122 |
| DR BRADLEY SCHEU | ||||||||||||||
| VICE CHAIR (PARTIAL YR) | $0 | $507,696 | $0 | $135,364 | $0 | $94,791 | $0 | $107,962 | $0 | $40,088 | $0 | $885,901 | $0 | $92,095 |
| JACQUES PAPAZIAN | ||||||||||||||
| PHYSICIAN | $797,987 | $0 | $0 | $0 | $13,804 | $0 | $16,075 | $0 | $11,141 | $0 | $839,007 | $0 | $0 | $0 |
| VICTOR MWANSA | ||||||||||||||
| PHYSICIAN | $751,109 | $0 | $15,605 | $0 | $3,794 | $0 | $16,075 | $0 | $17,924 | $0 | $804,507 | $0 | $0 | $0 |
| BRIAN ERICKSON | ||||||||||||||
| PHYSICIAN | $673,193 | $0 | $60,236 | $0 | $16,645 | $0 | $6,085 | $0 | $3,971 | $0 | $760,130 | $0 | $0 | $0 |
| MACK MCCAIN | ||||||||||||||
| PHYSICIAN | $715,757 | $0 | $0 | $0 | $16,932 | $0 | $0 | $0 | $18,686 | $0 | $751,375 | $0 | $0 | $0 |
| AHMAD ABDIN | ||||||||||||||
| PHYSICIAN | $611,615 | $0 | $0 | $0 | $71,969 | $0 | $12,075 | $0 | $10,037 | $0 | $705,696 | $0 | $0 | $0 |
| JULIE DINGMAN | ||||||||||||||
| SECRETARY (PARTIAL YR) | $0 | $239,453 | $0 | $52,737 | $0 | $1,520 | $0 | $10,364 | $0 | $11,836 | $0 | $315,910 | $0 | $0 |
| KYLE DILLMAN | ||||||||||||||
| TREASURER | $0 | $130,963 | $0 | $22,985 | $0 | $1,241 | $0 | $5,736 | $0 | $34,491 | $0 | $195,416 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE FOLLOWING METHODS WERE USED BY DEACONESS HEALTH SYSTEM, A RELATED NON-PROFIT ORGANIZATION, TO DETERMINE THE COMPENSATION FOR THE CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION STUDY OR SURVEY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINE 4B | NONQUALIFIED PAYMENTS: BRADLEY SCHEU $23,000 JAMES PORTER $23,000 AHMAD ABDIN $23,000 PART 1, 4B: JAMES PORTER: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $148,610 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $173,122 BRADLEY SCHEU: SUPPLEMENTAL ACCUMLATION ACCOUNT CONTRIBUTIONS OF $95,887 SUPPLEMENTAL ACCUMLATION ACCOUNT PAYOUT OF $92,095 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE J | WWW.DEACONESS.COM/ILLINOIS/DEACONESS-ILLINOIS-CLINICS-AND-SPECIALTY-CLIN ICS |
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERS OF DEACONESS ILLINOIS SPECIALTY CLINIC ARE DEACONESS HEALTH SYSTEM, INC., AN INDIANA NONPROFIT CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAXATION UNDER SECTION 501(A) OF THE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE, AND DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS, INC., AN ILLINOIS NOT-FOR-PROFIT CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAXATION UNDER SECTION 501(A) OF THE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBER (DEACONESS HEALTH SYSTEM, INC.) SHALL APPOINT AND REMOVE DIRECTORS OF THE CORPORATION IN ACCORDANCE WITH THE PROVISIONS OF ARTICLE III OF THE ORGANIZATION'S BYLAWS. |
| FORM 990, PART VI, SECTION A, LINE 7B | PURSUANT TO THE BYLAWS, THE MEMBERS (DEACONESS HEALTH SYSTEM, INC. AND DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS, INC.) RESERVE THE AUTHORITY TO TAKE ANY ACTION ON BEHALF OF, OR WITH RESPECT TO, THE CORPORATION THAT IS REQUIRED TO ACHIEVE COMPLIANCE WITH APPLICABLE LAW OR TO PRESERVE, PROTECT, OR PROMOTE THE CORPORATION'S TAX-EXEMPT STATUS. ADDITIONALLY, THE MEMBERS EXERCISE RIGHTS AND DUTIES AS PROVIDED BY THE ACT, THE ARTICLES OF INCORPORATION, AND THE BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE PROCESS THAT DEACONESS ILLINOIS SPECIALTY 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 ILLINOIS SPECIALTY 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 ILLINOIS SPECIALTY CLINIC ARE APPROVED BY THE DEACONESS HEALTH SYSTEM COMPENSATION COMMITTEE. DEACONESS ILLINOIS SPECIALTY 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 ILLINOIS SPECIALTY CLINIC'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE SECRETARY OF STATE'S WEBSITE. AS REQUIRED BY LAW, DEACONESS ILLINOIS SPECIALTY 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 VII & SCHEDULE J, PART II: | WE DO NOT USE A COMMON PAYMASTER. ALL SHARED STAFF AND DUAL-OFFICERS ARE PAID AND W-2'D SOLELY BY DHS. DEACONESS ILLINOIS SPECIALTY CLINIC REPORTS ALL SUCH COMPENSATION AS RELATED ORGANIZATION COMPENSATION IN PART VII COL (E) AND SCHEDULE J ROW (II). THE INTERCOMPANY ALLOCATION AND SUBSIDY ARE REPORTED AS OPERATIONAL TRANSFERS/ALLOCATIONS, NOT AS DIRECT COMPENSATION BY THE SUBSIDIARY. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 14,935,301. MANAGEMENT AND GENERAL EXPENSES 1,287,259. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,222,560. |
| FORM 990, PART XI, LINE 9: | AFFILIATE TRANSFER 34,553,322. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DEACONESS HEALTH KENTUCKY INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 830966826 | HEALTHCARE | KY | 501(C)(3) | LINE 10 | DEACONESS HEALTH SYSTEM | 0 | |
| DEACONESS ILLINOIS CLINIC INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 920574205 | HEALTHCARE | IL | 501(C)(3) | LINE 10 | DEACONESS HEALTH SYSTEM | 0 | |
| DEACONESS VNA PLUS LLC | |||||||||||
| 611 HARRIET STREET | EVANSVILLE | IN | 47710 | 465223267 | HEALTHCARE | IN | 501(C)(3) | LINE 10 | DEACONESS HEALTH SYSTEM | 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 | 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 | 0 | |
| DEACONESS HEALTH SYSTEM INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 351532889 | HEALTHCARE | IN | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 800 WEST NINTH STREET | JASPER | IN | 47546 | 351359445 | SUPPORT DEACONESS MEMORIAL MEDICAL CENTER, INC. | IN | 501(C)(3) | LINE 12A, I | DEACONESS MEMORIAL MEDICAL CENTER INC | 0 | |
| DEACONESS CLINIC INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 263083364 | HEALTHCARE | IN | 501(C)(3) | LINE 10 | DEACONESS HEALTH SYSTEM | 0 | |
| GIBSON GENERAL HOSPITAL | |||||||||||
| 1808 SHERMAN DR | PRINCETON | IN | 47670 | 350877575 | HEALTHCARE | IN | 501(C)(3) | LINE 3 | DEACONESS HEALTH SYSTEM | 0 | |
| DEACONESS HOSPITAL INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 350593390 | HEALTHCARE | IN | 501(C)(3) | LINE 3 | DEACONESS HEALTH SYSTEM | 0 | |
| DEACONESS SPECIALTY PHYSICIANS INC | |||||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 824503095 | HEALTHCARE | IN | 501(C)(3) | LINE 10 | DEACONESS HEALTH SYSTEM | 0 | |
| DEACONESS UNION COUNTY HOSPITAL INC | |||||||||||
| 4604 US HWY 60 WEST | MORGANFIELD | KY | 42437 | 862614124 | HEALTHCARE | KY | 501(C)(3) | LINE 3 | DEACONESS HEALTH KENTUCKY | 0 | |
| METHODIST HEALTH INC | |||||||||||
| PO BOX 48 | HENDERSON | KY | 42419 | 610461753 | HEALTHCARE | KY | 501(C)(3) | LINE 3 | DEACONESS HEALTH KENTUCKY | 0 | |
| DEACONESS MEMORIAL MEDICAL CENTER INC | |||||||||||
| 800 WEST NINTH STREET | JASPER | IN | 47546 | 350985964 | HEALTHCARE | IN | 501(C)(3) | LINE 3 | DEACONESS HEALTH SYSTEM | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| BOSTON IVF FERTILITY SERVICES AT THE WOMEN'S HOSPITAL | |||||||||
| 4199 GATEWAY BLVD | NEWBURGH | IN | 47630 | 455549778 | HEALTHCARE | IN | N/A | 0 | 0 |
| BAPTIST HEALTH DEACONESS LLC | |||||||||
| 1901 CAMPUS PLACE | LOUISVILLE | KY | 40299 | 872361058 | HEALTHCARE | KY | N/A | 0 | 0 |
| BURKHARDT CANCER CENTER LLC | |||||||||
| 4972 LINCOLN AVENUE STE 100 | EVANSVILLE | IN | 47715 | 300256432 | HEALTHCARE | IN | N/A | 0 | 0 |
| DEACONESS HEALTH PLANS LLC | |||||||||
| 7100 EAGLE CREST BLVD | EVANSVILLE | IN | 47715 | 383492529 | PREFERRED PROVIDER NETWORK | IN | N/A | 0 | 0 |
| DEACONESS HOME HEALTH LLC | |||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45140 | 843167946 | HEALTHCARE | OH | N/A | 0 | 0 |
| DUBOIS PSYCH PROPERTIES LLC | |||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47710 | 992349209 | MENTAL HEALTH SERVICES | IN | N/A | 0 | 0 |
| ENCOMPASS HEALTH DEACONESS REHABILIATION | |||||||||
| 9001 LIBERTY PARKWAY | BIRMINGHAM | AL | 35242 | 721375246 | OUTPATIENT | AL | N/A | 0 | 0 |
| EVANSVILLE SURGERY SERVICES LLC | |||||||||
| 520 MARY STREET | EVANSVILLE | IN | 47747 | 994656829 | HEALTHCARE | IN | N/A | 0 | 0 |
| INNOVATIVE HEALTHCARE COLLABORATIVE OF INDIANA LLC | |||||||||
| 7330 SHADELAND STATION STE 200 | INDIANAPOLIS | IN | 46256 | 833592473 | HEALTHCARE | IN | N/A | 0 | 0 |
| LOFIELD DIALYSIS LLC | |||||||||
| PO BOX 4388 | FEDERAL WAY | WA | 98063 | 812592834 | HEALTHCARE | WA | N/A | 0 | 0 |
| MAINSPRING MANAGERS LLC | |||||||||
| 4011 GATEWAY BLVD | NEWBURGH | IN | 47630 | 464601001 | NEUROLOGY SERVICES | IN | N/A | 0 | 0 |
| MEMORIAL HOSPITAL OUTPATIENT SURGERY CENTER LLC | |||||||||
| 600 WEST 13TH STREET | JASPER | IN | 47546 | 274828606 | OUTPATIENT | IN | N/A | 0 | 0 |
| ORTHOALIGN LLC | |||||||||
| 4011 GATEWAY BLVD | NEWBURGH | IN | 47630 | 812816013 | HEALTHCARE | IN | N/A | 0 | 0 |
| ORTHOPRIME LLC | |||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 993575306 | HEALTHCARE | IN | N/A | 0 | 0 |
| PROGRESSIVE HEALTH OF INDIANA LLC | |||||||||
| 150 N ROSENBERGER | EVANSVILLE | IN | 47712 | 208480988 | OUTPATIENT | IN | N/A | 0 | 0 |
| TRI-STATE HEALTHCARE CONSULTANTS LLC | |||||||||
| 4199 GATEWAY BLVD | NEWBURGH | IN | 47630 | 922120911 | HEALTHCARE | IN | N/A | 0 | 0 |
| TRI-STATE RADIATION ONCOLOGY CENTERS LLC | |||||||||
| 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROSSROADS HEALTH SERVICES RECIPROCAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 BANK STREET SUITE 500 | AddressLine1Txt |
| City | BURLINGTON | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 814762330 | EIN |
| Primary Activities | INDUSTRIAL INSURANCE RECIPROCAL REINSURANCE | PrimaryActivitiesTxt |
| Legal Domicile State | VT | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments