2026-08-17T17:46:09-05:00 2025-09-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2024-10-01 920904755 DEACONESS ILLINOIS SPECIALTY CLINIC INC DEAC 8124503296 600 MARY ST EVANSVILLE IN 47710 JAMES PORTER MD CHAIRMAN 8124503296 2026-08-17 1 0 EMILIE M KNIERIEM CPA P01330194 3176334705 2026-08-14 2024 2025-03-06 01:10:19Z JAMES PORTER MD 600 MARY ST EVANSVILLE IN 47710 20348024 0 X SCHEDULE O X 2022 IL TO DELIVER HEALTH CARE TO THE PUBLIC. 4 0 300 0 0 0 0 0 19617156 20229734 0 118290 0 0 19617156 20348024 0 0 0 0 32723825 36618998 0 0 0 14676475 23229515 47400300 59848513 -27783144 -39500489 31289745 24396422 18584442 16638286 12705303 7758136 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. 0 0 53592192 20229734 DELIVERING, OR ARRANGING OR SUPPORTING THE DELIVERY OF QUALITY, COST-EFFECTIVE HEALTH CARE AND MEDICAL SERVICES TO THE PUBLIC, INCLUDING PHYSICIAN SERVICES. 53592192 1 0 0 0 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 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 47 0 1 300 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X KYLE DILLMAN 8124503296 600 MARY ST EVANSVILLE IN 47710 X DR JAMES PORTER CHAIR 10.00 50.00 X X 0 1073178 187360 DR BRADLEY SCHEU VICE CHAIR (PARTIAL YR) 5.00 55.00 X X 0 737851 148050 JULIE DINGMAN SECRETARY (PARTIAL YR) 5.00 55.00 X X 0 293710 22200 KYLE DILLMAN TREASURER 5.00 55.00 X X 0 155189 40227 JAY WOODLAND MD PRESIDENT 10.00 40.00 X X 0 0 0 TODD DUCKWORTH SECRETARY 5.00 55.00 X X 0 0 0 JACQUES PAPAZIAN PHYSICIAN 50.00 0.00 X 811791 0 27216 VICTOR MWANSA PHYSICIAN 50.00 0.00 X 770508 0 33999 BRIAN ERICKSON PHYSICIAN 50.00 0.00 X 750074 0 10056 MACK MCCAIN PHYSICIAN 50.00 0.00 X 732689 0 18686 AHMAD ABDIN PHYSICIAN 50.00 0.00 X 683584 0 22112 3748646 2259928 509906 68 0 1 0 CHG COMPANIES INC PO BOX 972651 DALLAS TX 75397 PHYSICIAN SERVICES 1135032 DAVID ZHU MD 18 BRIAR CLIFF ST ST LOUIS MO 63124 HEALTHCARE SERVICES 556014 GLADSTONE TUCKER MD 1606 CASTLEBERRY DRIVE MARION IL 62959 PHYSICIAN SERVICES 417967 HDR HEALTH LLC 2700 PRAIRIE MEADOW DR CHAMPAIGN IL 61822 HOSPITALIST 379050 INTEGRITAS EMERGENCY PHYSICIANS 2250 N ILLINOIS AVE CARBONDALE IL 62901 PHYSICIAN SERVICES 377490 17 NET PATIENT SERVICE REVENUE 621110 20229734 20229734 20229734 118290 118290 20348024 20229734 0 118290 X 31441814 28456185 2985629 814334 737007 77327 2574045 2199519 374526 1788805 1602888 185917 2146 1976 170 16222560 14935301 1287259 2780 2491 289 204452 183203 21249 2624877 1617765 1007112 34355 30784 3571 73 65 8 188914 128620 60294 1671072 1497391 173681 SUPPLIES 1652169 1637955 14214 GUARANTEE EXPENSE 457984 410384 47600 SALES TAX 18556 16627 1929 LICENSES 15089 13521 1568 134488 120510 13978 59848513 53592192 6256321 0 24025692 4310838 4957386 2224662 935990 339610 336280 864167 701081 1972473 488817 1078773 1483656 24117 14403915 31289745 24396422 12883973 14036117 5700469 2602169 18584442 16638286 X 12705303 7758136 12705303 7758136 31289745 24396422 X -39500489 34553322 X 0 1 X 1 1 1 X 12399828 19617156 20229734 52246718 12399828 19617156 20229734 52246718 0 0 0 52246718 118290 118290 118290 118290 12399828 19617156 20348024 52365008 X 1413993 488817 925176 558480 558480 1483656 DEPOSITS 1147399 INTERCOMPANY RECEIVABLE 10930713 RIGHT OF USE ASSETS 2325803 14403915 LEASE LIABILITIES 2394048 OTHER LIABILITIES 208121 2602169 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, 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. 0 1 0 0 0 0 0 0 0 DR JAMES PORTER CHAIR 0 682862 0 213203 0 177113 0 160685 0 26675 0 1260538 0 173122 DR BRADLEY SCHEU VICE CHAIR (PARTIAL YR) 0 507696 0 135364 0 94791 0 107962 0 40088 0 885901 0 92095 JACQUES PAPAZIAN PHYSICIAN 797987 0 0 0 13804 0 16075 0 11141 0 839007 0 0 0 VICTOR MWANSA PHYSICIAN 751109 0 15605 0 3794 0 16075 0 17924 0 804507 0 0 0 BRIAN ERICKSON PHYSICIAN 673193 0 60236 0 16645 0 6085 0 3971 0 760130 0 0 0 MACK MCCAIN PHYSICIAN 715757 0 0 0 16932 0 0 0 18686 0 751375 0 0 0 AHMAD ABDIN PHYSICIAN 611615 0 0 0 71969 0 12075 0 10037 0 705696 0 0 0 JULIE DINGMAN SECRETARY (PARTIAL YR) 0 239453 0 52737 0 1520 0 10364 0 11836 0 315910 0 0 KYLE DILLMAN TREASURER 0 130963 0 22985 0 1241 0 5736 0 34491 0 195416 0 0 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 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. 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 N/A 0 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 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 CROSSROADS HEALTH SERVICES RECIPROCAL 100 BANK STREET SUITE 500 BURLINGTON VT 05401 814762330 INDUSTRIAL INSURANCE RECIPROCAL REINSURANCE VT N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0