GOSHEN HOSPITAL ASSOCIATION INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- GOSHEN HOSPITAL ASSOCIATION INC (EIN 35-6001540)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-07
- IRS object ID
- 202333119349304408
- Schema version
- 2022v5.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-07T16:51:12-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 South Wacker Dr Suite 3300 | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606063392 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 356001540 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Goshen Hospital Association Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOSH | BusinessNameControlTxt |
| Phone | 5743642665 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 High Park Avenue | AddressLine1Txt |
| City | Goshen | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46526 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lisa M Wine | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5743642665 | PhoneNum |
| Signature | 2023-11-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Lisa | PersonFirstNm |
| Person Last | Wine | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 356001540 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rebekuh Eley | PreparerPersonNm |
| PTIN | P01247672 | PTIN |
| Phone | 3126343400 | PhoneNum |
| Preparation | 2023-11-02 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Goshen Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Randal Christophel | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 High Park Avenue | AddressLine1Txt |
| City | Goshen | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46526 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $314,357,052 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://goshenhealth.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1946 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | To improve the health of our communities by providing innovative, outstanding care and services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1894 | TotalEmployeeCnt |
| Total Volunteers | 184 | TotalVolunteersCnt |
| Total Gross UBI | $70,125 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,237,312 | PYContributionsGrantsAmt |
| CY Contributions Grants | $167,919 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $252,833,700 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $249,619,281 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,983,069 | PYInvestmentIncomeAmt |
| CY Investment Income | $46,233,307 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,291,131 | PYOtherRevenueAmt |
| CY Other Revenue | $8,768,584 | CYOtherRevenueAmt |
| PY Total Revenue | $278,345,212 | PYTotalRevenueAmt |
| CY Total Revenue | $304,789,091 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $23,203,799 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $28,527,836 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $108,103,120 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $116,806,956 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $142,359,150 | PYOtherExpensesAmt |
| CY Other Expenses | $165,337,524 | CYOtherExpensesAmt |
| PY Total Expenses | $273,666,069 | PYTotalExpensesAmt |
| CY Total Expenses | $310,672,316 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,679,143 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,883,225 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $566,570,613 | TotalAssetsBOYAmt |
| Total Assets EOY | $467,057,367 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $141,588,273 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $139,652,427 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $424,982,340 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $327,404,940 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Goshen Hospital is to improve the health of our communities by providing innovative, outstanding care and service, through exceptional people doing exceptional work. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $291,735,248 | ExpenseAmt |
| Grant | $28,527,836 | GrantAmt |
| Revenue | $256,476,253 | RevenueAmt |
| Desc | See Schedule O | Desc |
| Total Program Service Expenses | $291,735,248 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | 0 | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 125 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1894 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | 0 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lisa M Wine | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5743642665 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 High Park Avenue | AddressLine1Txt |
| City | Goshen | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46526 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Randal Christophel | ||||||||||
| President and CEO | 40.00 | 2.00 | Yes (X) | Yes (X) | $946,559 | $0 | $158,933 | |||
| Bolanle Adepoju MD | ||||||||||
| Director and Physician (as of 5/22) | 41.00 | 0.00 | Yes (X) | $0 | $565,351 | $37,262 | ||||
| Jody Neer MD | ||||||||||
| Director | 1.00 | 40.00 | Yes (X) | $0 | $474,884 | $37,045 | ||||
| Andrew Vorhis NP | ||||||||||
| Director | 1.00 | 40.00 | Yes (X) | $0 | $165,934 | $27,058 | ||||
| Bonita Schrock | ||||||||||
| Chair | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Susan Stiffney RN | ||||||||||
| Secretary/Treasurer | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Harshil Bhatt MD | ||||||||||
| Director (until 5/22) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Randy Cripe | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Bruce Hughes MD | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Karen Pletcher | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Liliana Quintero | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Karen Smith | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jewel Yoder | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Lisa Wine as of 12022 | ||||||||||
| Chief Financial Officer | 40.00 | 2.00 | Yes (X) | $362,426 | $0 | $71,137 | ||||
| Rob Myers | ||||||||||
| Chief Operating Officer | 40.00 | 1.00 | Yes (X) | $590,354 | $0 | $81,155 | ||||
| Chris Hutfless Chief Legal | ||||||||||
| HR & Compliance Officer | 40.00 | 1.00 | Yes (X) | $471,298 | $0 | $63,805 | ||||
| Daniel Nafziger MD | ||||||||||
| Chief Medical Officer | 40.00 | 0.00 | $539,399 | $0 | $76,107 | Yes (X) | ||||
| Margaret S Franger | ||||||||||
| VP of Population Health & Bus Devlp. | 40.00 | 0.00 | $488,307 | $0 | $65,038 | Yes (X) | ||||
| Mark Podgorski | ||||||||||
| VP of Hospital Operations | 40.00 | 0.00 | $412,983 | $0 | $65,462 | Yes (X) | ||||
| Julie Crossley | ||||||||||
| Chief Nursing Officer | 40.00 | 0.00 | $352,674 | $0 | $54,666 | Yes (X) | ||||
| Ebenezer Kio MD | ||||||||||
| Physician | 40.00 | 0.00 | $0 | $721,021 | $34,929 | Yes (X) | ||||
| Houman Vaghefi MD | ||||||||||
| Physician | 40.00 | 0.00 | $0 | $729,167 | $36,096 | Yes (X) | ||||
| Irina Sparks MD | ||||||||||
| Physician | 40.00 | 0.00 | $0 | $553,505 | $40,802 | Yes (X) | ||||
| Urs Von Holzen MD | ||||||||||
| Physician | 40.00 | 0.00 | $0 | $667,036 | $42,237 | Yes (X) | ||||
| Leonard Henry | ||||||||||
| Physician | 40.00 | 0.00 | $0 | $470,563 | $29,071 | Yes (X) | ||||
| Ben Bontrager | ||||||||||
| Former CFO | 0.00 | 0.00 | $103,245 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,267,245 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,347,461 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $920,803 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 172 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| Hagerman Inc | |||||
| 510 W Washington Blvd | Ft Wayne | IN | 46802 | Construction | $7,252,991 |
| Fastaff LLC | |||||
| 5700 S Quebec St Suite 300 | Greenwood Village | CO | 80111 | Contracted Staffing | $4,968,999 |
| Quest Diagnostics | |||||
| PO Box 775460 | Chicago | IL | 60677 | Medical Services | $4,214,202 |
| AYA Healthcare Inc | |||||
| 5930 Cornerstone Crt W Suite 300 | San Diago | CA | 92121 | Contracted Staffing | $3,267,063 |
| Triage LLC | |||||
| PO Box 773328 | Chicago | IL | 60677 | Contracted Staffing | $2,539,612 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 65 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $167,919 | RelatedOrganizationsAmt |
| Total Contributions | $167,919 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Care | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $249,619,281 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $249,619,281 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $249,619,281 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,583,609 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $70,125 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,513,484 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,681,425 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,681,425 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,681,425 | TotalRevenueColumnAmt |
| Exclusion | $1,681,425 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $50,165,073 | SecuritiesAmt |
| Other | $52,586 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,567,961 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $40,597,112 | SecuritiesAmt |
| Other | $52,586 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,649,698 | TotalRevenueColumnAmt |
| Exclusion | $40,649,698 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Food Service Revenue | 722514 | $219,615 | $219,615 | |
| Other Oncology Rev Misc | 621500 | $45,583 | $45,583 | |
| Finance Charges | 900099 | $10,572 | $10,572 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,811,389 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,811,389 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,087,159 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $304,789,091 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $256,476,253 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $70,125 | UnrelatedBusinessRevenueAmt |
| Exclusion | $48,074,794 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,527,836 | TotalAmt |
| Program Services | $28,527,836 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,164,000 | TotalAmt |
| Program Services | $1,254,499 | ProgramServicesAmt |
| Management And General | $2,909,501 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,938,067 | TotalAmt |
| Program Services | $80,385,297 | ProgramServicesAmt |
| Management And General | $6,552,770 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,824,524 | TotalAmt |
| Program Services | $3,427,292 | ProgramServicesAmt |
| Management And General | $397,232 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,700,300 | TotalAmt |
| Program Services | $14,069,596 | ProgramServicesAmt |
| Management And General | $1,630,704 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,180,065 | TotalAmt |
| Program Services | $5,538,176 | ProgramServicesAmt |
| Management And General | $641,889 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,541,845 | TotalAmt |
| Management And General | $3,541,845 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,466 | TotalAmt |
| Management And General | $174,466 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $265,789 | TotalAmt |
| Management And General | $265,789 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $546,116 | TotalAmt |
| Management And General | $546,116 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,912,264 | TotalAmt |
| Program Services | $40,912,264 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,851,658 | TotalAmt |
| Program Services | $2,851,658 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,884,195 | TotalAmt |
| Program Services | $3,884,195 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $520,801 | TotalAmt |
| Program Services | $520,801 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,868,171 | TotalAmt |
| Program Services | $2,868,171 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $649,899 | TotalAmt |
| Program Services | $649,899 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,276,756 | TotalAmt |
| Management And General | $2,276,756 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,109,481 | TotalAmt |
| Program Services | $14,109,481 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,755,005 | TotalAmt |
| Program Services | $2,755,005 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Drugs & Medical Supplie | $58,756,112 | $58,756,112 |
| Repairs & Maintenance | $13,473,882 | $13,473,882 |
| Hospital Assessment | $12,856,037 | $12,856,037 |
| Bad Debt Expense | $1,284,239 | $1,284,239 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,610,808 | TotalAmt |
| Program Services | $3,610,808 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $310,672,316 | TotalAmt |
| Program Services | $291,735,248 | ProgramServicesAmt |
| Management And General | $18,937,068 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,776,343 | BOYAmt |
| EOY | $322,427 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,851,162 | BOYAmt |
| EOY | $4,800,267 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,014,022 | BOYAmt |
| EOY | $28,286,396 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,766,020 | BOYAmt |
| EOY | $7,926,721 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,755,023 | BOYAmt |
| EOY | $16,453,751 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $350,762,678 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $160,740,492 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,313,211 | BOYAmt |
| EOY | $190,022,186 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $292,930,927 | BOYAmt |
| EOY | $210,304,410 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,163,905 | BOYAmt |
| EOY | $8,941,209 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $566,570,613 | BOYAmt |
| EOY | $467,057,367 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,813,799 | BOYAmt |
| EOY | $39,629,391 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,186,506 | BOYAmt |
| EOY | $73,806,354 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $11,528,599 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,849,209 | BOYAmt |
| EOY | $5,835,222 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,738,759 | BOYAmt |
| EOY | $8,852,861 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,588,273 | BOYAmt |
| EOY | $139,652,427 | 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 | $424,982,340 | BOYAmt |
| EOY | $327,404,940 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $424,982,340 | BOYAmt |
| EOY | $327,404,940 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $566,570,613 | BOYAmt |
| EOY | $467,057,367 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$5,883,225 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$90,624,365 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,069,810 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $10,430 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,430 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Lobbying expenses represent the portion of dues paid to the American Hospital Association and the Indiana Hospital Association that are specifically allocable to lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $4,922,978 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $5,535,262 | OtherCostOrOtherBasisAmt |
| Book Value | $10,458,240 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $174,956,062 | OtherCostOrOtherBasisAmt |
| Depreciation | $55,629,351 | DepreciationAmt |
| Book Value | $119,326,711 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $158,142 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $36,948 | OtherCostOrOtherBasisAmt |
| Depreciation | $128,670 | DepreciationAmt |
| Book Value | $66,420 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $145,537,758 | OtherCostOrOtherBasisAmt |
| Depreciation | $104,982,471 | DepreciationAmt |
| Book Value | $40,555,287 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,615,528 | OtherCostOrOtherBasisAmt |
| Book Value | $19,615,528 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $190,022,186 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred Malpractice | $219,000 |
| Claims Liability | $1,264,516 |
| Lease Liability | $7,069,345 |
| Due to Third-Party Payor | $300,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,852,861 | 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 | The Internal Revenue Service has determined that Goshen Health and certain affiliated entities are tax-exempt organizations as defined in Section 501(c)(3) of the Internal Revenue Code. Certain subsidiaries of Goshen Health are taxable entities, the tax expense and liabilities of which are not material to the consolidated financial statements. Goshen Health and its tax-exempt affiliated entities each file a Form 990 (Return of Organization Exempt from Income Tax) annually. When these returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to health systems include such matters as the tax-exempt status of each entity, the continued tax-exempt status of bonds, the nature, characterization and taxability of joint venture income, and various positions relating to potential sources of unrelated business taxable income (reported on Form 990T). As of December 31, 2022 and 2021, there are no unrecognized tax benefits resulting from uncertain tax positions. Forms 990 and 990T filed by Goshen Health and its tax-exempt affiliated entities are subject to examination by the Internal Revenue Service up to three years from the extended due date of each return. Forms 990 and 990T filed by Goshen Health and its tax-exempt affiliated entities are no longer subject to examination for tax year 2019 and prior. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3912 | PersonsServedCnt |
| Total Community Benefit Expns | $2,786,784 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,786,784 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00900 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10617 | PersonsServedCnt |
| Total Community Benefit Expns | $52,695,057 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,711,647 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,983,410 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06430 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 14529 | PersonsServedCnt |
| Total Community Benefit Expns | $55,481,841 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,711,647 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,770,194 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07330 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 27654 | PersonsServedCnt |
| Total Community Benefit Expns | $29,745,023 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,965 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,736,058 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09570 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 779 | PersonsServedCnt |
| Total Community Benefit Expns | $2,557,067 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,289 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,548,778 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00820 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 19 | PersonsServedCnt |
| Total Community Benefit Expns | $307,833 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $307,833 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 29 | ActivitiesOrProgramsCnt |
| Persons Served | 28452 | PersonsServedCnt |
| Total Community Benefit Expns | $32,609,923 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,254 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,592,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10490 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 29 | ActivitiesOrProgramsCnt |
| Persons Served | 42981 | PersonsServedCnt |
| Total Community Benefit Expns | $88,091,764 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,728,901 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $55,362,863 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17820 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $79,888 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $79,888 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $79,888 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $79,888 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,211,746 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $41,356,195 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $55,417,232 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$14,061,037 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Goshen Hospital Association Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 High Park Avenue | AddressLine1Txt |
| City | Goshen | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46526 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://goshenhealth.com | WebsiteAddressTxt |
| State License | License #XXX-XX-XXXX | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | N/A | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Goshen Hospital Association Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Page 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Page 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://goshenhealth.com/patient-information/estimates-financial-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://goshenhealth.com/patient-information/estimates-financial-assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://goshenhealth.com/patient-information/estimates-financial-assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Goshen Hospital Association, Inc. | Part V, Section B, Line 5: In 2021, Goshen Hospital completed an evaluation of the communities' healthcare needs as required by the Patient Protection and Affordable Care Act. The Community Advisory Council met over multiple months and received input from community representatives, including those with special knowledge or expertise in public health. This process continues Goshen Hospital's long-standing practice of regularly identifying and addressing health needs within the community.To further identify health needs for the 2021 Community Health Needs Assessment (CHNA), additional data was collected from other sources. These sources include Latino and non-Latino parents and guardians, community leaders, focus groups, key informants from business, not-for-profit organizations, service organizations, healthcare workers, mental health workers, and vulnerable or medically underserved populations. |
| Goshen Hospital Association, Inc. | Part V, Section B, Line 11: Health needs were identified after an extensive analysis of primary and secondary data. Working with community stakeholders in the Community Advisory Council, this data was analyzed to identify and prioritize health needs in Goshen Hospital communities. The committee identified 29 health needs and prioritized the top 7 accordingly. Prioritized Health Needs1. Mental health2. Diabetes treatment and prevention3. Poverty4. Obesity/Weight management5. Lack of access to health care6. Substance abuse/Addictions7. Heath educationGoshen Hospital took the following actions in 2022 with respect to the Community Health Needs Assessment conducted in 2021.Mental HealthStrategy #1: Integrate mental health service access in support of primary care physicians within Indiana Lakes. This work will relate directly to Oaklawn's access redesign, which intends to enhance outpatient services integration and support for all communities we serve. Based on the initial outcomes of this platform, Goshen Health will support expansion by Oaklawn with additional resources or implementation of alternative strategies.2022 Activity: Due to a delay in project financing on Oaklawn's behalf, this project is currently on hold. Goshen Health has dedicated resources to support the project when funding becomes available. The Patient Center Medical Home Committee of Indiana Lakes Accountable Care Organization coordinated with Oaklawn to communicate changes regarding the access center to community primary care physicians late in 2022 and continues to work collaboratively to support community mental health access. Strategy #2: Investigate mental health intervention support for inpatient care for pilot studies. Telehealth platforms will be reviewed, and one will be selected and implemented to track and evaluate progress regarding our inpatient mental health needs. 2022 Activity: While there is still a need, the demand for crisis inpatient mental health support has decreased significantly post-COVID. Goshen Health has implemented two strategies in this area. The first strategy is that we increased the availability of our social workers to better serve patients in the hospital and emergency department. The second strategy is that we provide monthly financial support to Oaklawn in exchange for enhanced social service support for our emergency department. Strategy #3: Goshen Health will align the focus of our community education and outreach efforts to specifically engage community members and organizations in mental health awareness, education, and prevention tactics in measurable ways. Our efforts to seamlessly engage community partners in successful outreach programs is well demonstrated in obesity/nutrition over the last three years. Our intent is to take that model forward into mental health programming with our school and community partners. 2022 Activity: In partnership with the Goshen Theater, Goshen Health hosted a Youth Mental Health Event which consisted of a showing of the movie "Inside Out". Community organizations provided information and activities on youth mental health and a station where youth could create their own mental health self-care kits. 526 individuals attended this event. As part of this effort, we also created and implemented a Brain Break Challenge geared for 2nd and 3rd grade students. 1,372 students representing six local schools participated.We attempted to pilot a community Mental Health Matters education series in partnership with North Webster Community Center. The pilot did not generate good participation, so we plan to pivot this fall and partner with local libraries.In Partnership with Oaklawn at St. John's Church, Goshen Health hosted a webinar and live watch party in Spanish on the impact of COVID on Mental Health. 75 individuals attended this event.Get Fit Get Healthy created a mental health training program (Mental Health First Aid) that was then launched to their program partners.Obesity/Weight management and Heath educationStrategy #1: Continue engagement with coalitions throughout our service areas that target obesity/nutrition. Directly support efforts that impact high risk populations, cultural minorities, and children by leveraging community assets and advancing impactful programming choices.2022 Activity: 852 total outreach efforts engaging with 36,607 individuals occurred in 2022. This was completed in collaboration with 144 community partners. Some of these events included Run the Halls, Summer Health Lunch Bunch, Emoji Puzzle Challenge, Cultivate Food Rescue, and Summer Camp Health Series. Strategy #2: Pursue grants for partnership expansion and deeper community reach. 2022 Activity: Grant proposals for several projects were written and submitted in 2022. In July and August of 2022, Goshen Health was awarded two grants:Indiana Department of Health Issues and Challenges grant was awarded to fund mobile container gardening units, weekend backpack meals, and activity signs at local parks. The process for finalizing the contract with the IDOH was delayed, so actual work on the grant activities did not start until December 2022. In December, we began the process of interviewing, hiring, and training a contract Coordinator to oversee these grant projects in 2023 and 2024.City of Goshen grant was awarded to fund summer weekend backpacks meals in the City of Goshen starting in the summer of 2023. Lack of Access to Health Care Strategy #1: Establish a pilot program to send community workers into the homes of community members following an acute care visit. This program is designed to send a community health worker directly into the home to assess social determinants of health (SDOH) and identify gaps that can be closed. Those gaps are then reported to a coordinating team member who connects the patient to services that are available in the community on their behalf. Interventions may include but not limited to transportation support, Medicaid enrollment support, homesite risk, and food insecurity. This pilot will initially target a defined subset of acute care visits and be limited to $50,000. We will work with a partner, Firefly Health, to provide community health workers for the pilot. Upon pilot completion and evaluation, we intend to seek grants to support this going forward.2022 Activity: Planning work on this project has started. We have identified community partners for the project and established baseline expectations for how the project will operate. We are currently awaiting funding.Strategy #2: Primary care providers are uniquely positioned to both identify and flag SDOH within their patient care panels. However, they need additional support when these needs are outside of routine medical care. Goshen Health will expand coordination services for patients with SDOH needs. This expansion plan will take a scaled approach and be implemented through the Indiana Lakes Accountable Care Organization. This intervention may be internally developed or integrated with community partners. 2022 Activity: Due to the launch of new software within multiple EMR systems, we are focusing on establishing and utilizing the SDOH tools embedded in software for reporting in 2024. Our social workers in the Ambulatory Care Coordination (ACC) department currently address SDOH on an ongoing basis with high risk, high need patients, but we anticipate that the new software tools will enable us to assist these patients further. We currently support 1.5 FTE social workers in the ACO that continues to carry a significant panel of patients where they address SDOH gaps. Our acute care hospital setting has also established an SDOH work group recently to set milestones for 2023 and 2024. |
| Goshen Hospital Association, Inc. | Part V, Section B, Line 13h: Family size is another factor in determining discounts granted to patients. |
| Goshen Hospital Association, Inc. | Part V, Section B, Line 7, CHNA Policy Website:https://goshenhealth.com/health-library/community-health-needsGoshen Hospital Association, Inc.Part V, Section B, Line 10, Implementation Strategy Website:https://goshenhealth.com/health-library/community-health-needs |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Goshen Hospital | ||||
| 200 High Park Avenue | Goshen | IN | 46526 | Clinic |
| 2 - The Retreat Women's Health Center | ||||
| 1135 Professional Drive | Goshen | IN | 46526 | Clinic |
| 3 - Indiana Lakes Accountable Care | ||||
| 2018 South Main Street | Goshen | IN | 46526 | ACO: Ambulatory Care Coordination |
| 4 - Indiana Lakes Managed Care | ||||
| 2018 South Main Street | Goshen | IN | 46526 | Health Care Management |
| 5 - New Paris Medical Clinic | ||||
| 200 High Park Avenue | Goshen | IN | 46526 | Clinic |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | Goshen Hospital Association, Inc. reports community benefit information as part of the Goshen Health, Inc. annual community benefit report (EIN: 35-1955872). |
| Part I, Line 7: | Goshen Hospital calculated the cost of financial assistance and means-tested government programs, using the cost-to-charge ratio derived from Schedule H, Worksheet 2, and ratio of patient care cost-to-charges. Other benefits amounts reported on line 7 were calculated using costs charged directly to the individual programs via the financial accounting system. An indirect cost allocation factor for shared services is also calculated and included in applicable programs listed in other benefits. |
| Part II, Community Building Activities: | Goshen Hospital promoted the health of the community by supporting various local organizations that engage in community building activities. |
| Part III, Line 2: | Goshen Hospital's analysis and assessment of the allowance for doubtful accounts and related bad debt expense uses a receipts "look-back" method utilizing historical payment data on accounts, including contractual adjustments for payer discounts, as well as patient payments, such as co-pays and deductibles, to establish anticipated collectability rates for accounts receivable within each payer category. |
| Part III, Line 3: | Goshen Hospital estimated the possible amount of charity care within bad debt expense by reviewing accounts that were internally coded as having been provided a financial assistance application, but that was not completed by the patient or guarantor, in which the account was subsequently written off to bad debt. |
| Part III, Line 4: | The following narrative addresses the allowance for doubtful accounts which is included in the footnotes in the financial statements for Goshen Hospital.In 2018 and prior years, the provision for uncollected patient accounts was recognized when services were provided based upon management's assessment of historical and expected net collections, taking into consideration business and economic conditions, changes and trends in health care coverage, and other collection indicators. Periodically, management assessed the adequacy of the allowance for uncollectible accounts based upon accounts receivable payor composition and aging, the significance of individual payors to outstanding accounts receivable balances, and historical write-off experience by payor category, as adjusted for collection indicators. The results of this review were then used to make any modifications to the provision of uncollectible accounts and the allowance for uncollectible accounts. In addition, Goshen Hospital followed established guidelines for placing certain past due patient balances with collection agencies. Patient accounts that are uncollected, including those placed with collection agencies, were initially charged against the allowance for uncollectible accounts in accordance with collection policies of Goshen Hospital and, in certain cases, were reclassified to charity care if deemed to otherwise meet financial assistance policies of Goshen Hospital.In 2019, Goshen Hospital adopted ASU 2014-09 requiring an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised good or services to customers. The effect of adopting ASU 2014-09 is considered immaterial as revenue recognition under the new standard is not materially different compared to Goshen Hospital's current practice. The primary effect is certain amounts previously reported as provision for uncollectible accounts are now considered implicit price concessions reported as a reduction of patient service revenue. The remaining provision for uncollectible accounts is reported as an operating expense under the new revenue recognition standard rather than as a reduction of patient service revenue. |
| Part III, Line 8: | Actual month and year to date revenue, contractuals, accounts receivable balances, ratios and statistics are compared to prior years on a monthly basis. Variances are reviewed and analyzed by finance representatives, hospital directors and the CFO. Additionally, actual contractual allowance as a percentage of gross accounts receivable and contractual provision as a percentage of gross patient charges are compared to prior years. This is done as part of the hospital's monthly close process. Explanations to variances (or non-variances when expected) are researched and provided by the appropriate personnel and reviewed with management of the hospital. The finance department also considers these key performance indicators when developing their estimates of contractual allowances to ensure recorded amounts appear reasonable based on actual data available.Financial representatives prepare and update the contractual allowance model as a basis for all third party payors based on actual statistics (e.g. discharges, days, etc.) and on current reimbursement rates. The model analyzes patient receivables and contractual allowance by payor and by patient status. The model estimates the collectability of patient accounts based on historical collection rates. Finance colleagues also update the model to account for changes in reimbursement rules. After the model is prepared, it is reviewed by the CFO for appropriateness and reasonableness.Contractual allowance calculations are reconciled to the general ledger on a monthly basis. Once the calculation is prepared, the finance department adjusts the general ledger accounts. |
| Part III, Line 9b: | Financial assistance is granted to those patients unable to pay all or a portion of their bill and who are unable to qualify for assistance through federal and state government assistance programs. If after insurance reimbursement additional assistance is needed, all patients may obtain financial assistance if the income criteria are met. All financial assistance applications are based on policy guidelines. Uninsured patients are required to provide documentation and an application. When approved, the adjustment is applied to the patient's account. For patients who do not qualify for financial assistance, payment plans and lump sum settlements are available. Goshen Hospital also partners with a local financing institution to provide a flexible and affording financing solution. |
| Part VI, Line 2: | As a community hospital, Goshen Hospital is dedicated to meeting the specific health care needs of our community. The hospital has 105 patient beds and over 275 physicians on its medical staff in 30 specialties. These physicians, together with other dedicated professionals, provide a wide range of services including the following: acute medical & surgical, emergency, home health, radiology, laboratory, cancer care, bariatrics, women's health, pain management, sleep studies, rehabilitation, patient and community health education and professional education.The Center for Cancer Care is a leader in innovative cancer treatment. We were among the first to adopt a comprehensive, multidisciplinary approach to cancer treatment. We offer holistic programs for strengthening minds as well as bodies, place a premium on family involvement and spiritual needs, and encourage patients to play a decision-making role in treatment selection. The Center for Cancer Care has specifically trained surgical oncologists, breast surgeons, medical oncologist, radiation oncologist, naturopathic practitioners, and highly distinguished magnet designated nurses.Goshen Hospital improves the health and well-being of its communities by providing community wellness and education programs. Through local partnerships, the hospital identifies health issues and creates programs to ensure our community is the healthiest place to live, work and raise a family. The first of these programs cover CPR, EMS, diabetes, childbirth, fitness, nutrition, community education and health screenings the Elkhart County childhood obesity initiative. The CPR class is for anyone - professionals or private citizens - who want to know how to perform life-saving cardiopulmonary resuscitation; first aid classes are also offered. EMS training is available for persons interested in becoming emergency medical technicians or paramedics. The diabetes education helps people delay the onset and slow the progression of complications from this disease. It includes seminars, support groups, consultations, and screenings. Childbirth education prepares expectant mothers and their families during this significant time in their life. |
| Part VI, Line 3: | Uninsured patients are screened during the pre-registration process for eligibility in the Healthy Indiana Plan and offer any other known sources of financial assistance. All registration locations have financialassistance forms available for self-pay patients to complete and will have information on the criteria and process for applying for financial assistance. Applications are also provided to any patients with a balancedue who may qualify for financial assistance. Counselors are available to patients to aid in the application process including the collection of information to complete the application. Payment options and information on financial assistance is available on the hospital's website. Patients may download a preliminary application, and the patient agreement associated with financial assistance form the website, this information is available in English and Spanish. |
| Part VI, Line 4: | Goshen Hospital serves the northern Indiana area in Elkhart County. According to the 2021 census, the population of Elkhart County is 206,921. The median income for a household in Elkhart County is $58,509. Approximately 9.8% of the population were below the poverty line. The racial makeup of the county was about 73.2% White, 6.2% African-American, and 17.6% Hispanic or Latino. The remaining 3.0% of the population is a makeup of all other races. |
| Part VI, Line 5: | All the Hospital's governing body is comprised of persons who reside in the organization's primary or secondary service areas. A majority of the board members are independent of the organization. The governing body approves medical staff privileges as indicated in the organization's credentialing and privileging policies and as recommended by the medical executive committee of the hospital. The hospital's governing body approves the annual operating budget for the hospital and the expenditure of capital funds above certain dollar amounts. The governing body also participates in strategic planning initiatives to determine goals objectives focused on patient care for the community. |
| Part VI, Line 6: | Hospital management provides Goshen Health with the hospital's annual operating budget and key strategic objectives. In addition, the hospital management provides Goshen Hospital with various key metrics involving patient satisfaction, patient quality, and Colleague satisfaction. Goshen Hospital reviews the data to ensure key initiatives are focused on promoting and meeting the healthcare needs of the communities. In addition, the hospital collaborates with Goshen Health to provide necessary nursing education and physician recruitment to assist in meeting the health needs of the community. |
| Part VI, Line 7, Reports Filed With States | IN |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|
| Goshen Health System Inc | |||||||||
| 200 High Park Avenue | Goshen | IN | 46526 | 351974765 | 501(c)(3) | $28,123,226 | $0 | FMV | Operating Support |
| Goshen Health Foundation Inc | |||||||||
| 200 High Park Avenue | Goshen | IN | 46526 | 462565300 | 501(c)(3) | $386,302 | $0 | FMV | Operating Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Organization's Procedures for monitoring the use of grant funds in the U.S. consists of requiring the completion of a follow-up report form with subsequent grant fund applications. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Randal Christophel | ||||||||||||||
| President and CEO | $646,632 | $0 | $274,219 | $0 | $25,708 | $0 | $127,048 | $0 | $31,885 | $0 | $1,105,492 | $0 | $0 | $0 |
| Houman Vaghefi MD | ||||||||||||||
| Physician | $0 | $604,689 | $0 | $117,326 | $0 | $7,152 | $0 | $5,995 | $0 | $30,101 | $0 | $765,263 | $0 | $0 |
| Ebenezer Kio MD | ||||||||||||||
| Physician | $0 | $647,895 | $0 | $73,126 | $0 | $0 | $0 | $9,373 | $0 | $25,556 | $0 | $755,950 | $0 | $0 |
| Urs Von Holzen MD | ||||||||||||||
| Physician | $0 | $453,816 | $0 | $203,220 | $0 | $10,000 | $0 | $11,520 | $0 | $30,717 | $0 | $709,273 | $0 | $0 |
| Rob Myers | ||||||||||||||
| Chief Operating Officer | $426,866 | $0 | $103,724 | $0 | $59,764 | $0 | $56,440 | $0 | $24,715 | $0 | $671,509 | $0 | $0 | $0 |
| Daniel Nafziger MD | ||||||||||||||
| Chief Medical Officer | $429,983 | $0 | $103,872 | $0 | $5,544 | $0 | $53,290 | $0 | $22,817 | $0 | $615,506 | $0 | $0 | $0 |
| Bolanle Adepoju MD | ||||||||||||||
| Director and Physician (as of 5/22) | $0 | $466,107 | $0 | $45,206 | $0 | $54,038 | $0 | $12,200 | $0 | $25,062 | $0 | $602,613 | $0 | $0 |
| Irina Sparks MD | ||||||||||||||
| Physician | $0 | $504,337 | $0 | $49,168 | $0 | $0 | $0 | $12,200 | $0 | $28,602 | $0 | $594,307 | $0 | $0 |
| Margaret S Franger | ||||||||||||||
| VP of Population Health & Bus Devlp. | $370,570 | $0 | $91,032 | $0 | $26,705 | $0 | $46,936 | $0 | $18,102 | $0 | $553,345 | $0 | $0 | $0 |
| Chris Hutfless Chief Legal | ||||||||||||||
| HR & Compliance Officer | $374,194 | $0 | $87,506 | $0 | $9,598 | $0 | $48,661 | $0 | $15,144 | $0 | $535,103 | $0 | $0 | $0 |
| Jody Neer MD | ||||||||||||||
| Director | $0 | $433,828 | $0 | $16,056 | $0 | $25,000 | $0 | $11,289 | $0 | $25,756 | $0 | $511,929 | $0 | $0 |
| Leonard Henry | ||||||||||||||
| Physician | $0 | $372,693 | $0 | $97,870 | $0 | $0 | $0 | $9,064 | $0 | $20,007 | $0 | $499,634 | $0 | $0 |
| Mark Podgorski | ||||||||||||||
| VP of Hospital Operations | $275,285 | $0 | $90,930 | $0 | $46,768 | $0 | $35,910 | $0 | $29,552 | $0 | $478,445 | $0 | $0 | $0 |
| Lisa Wine as of 12022 | ||||||||||||||
| Chief Financial Officer | $361,271 | $0 | $0 | $0 | $1,155 | $0 | $49,773 | $0 | $21,364 | $0 | $433,563 | $0 | $0 | $0 |
| Julie Crossley | ||||||||||||||
| Chief Nursing Officer | $267,861 | $0 | $61,583 | $0 | $23,230 | $0 | $33,201 | $0 | $21,465 | $0 | $407,340 | $0 | $0 | $0 |
| Andrew Vorhis NP | ||||||||||||||
| Director | $0 | $165,934 | $0 | $0 | $0 | $0 | $0 | $6,869 | $0 | $20,189 | $0 | $192,992 | $0 | $0 |
| Ben Bontrager | ||||||||||||||
| Former CFO | $21,777 | $0 | $81,468 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $103,245 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Goshen Hospital reimbursed 4 directors and 2 officers reported on Form 990, Part VII for travel expenses of companions. For 1 of the officers listed on Form 990, Part VII, Goshen Hospital added the taxable value of an automobile as additional compensation to the employees' W-2. |
| Part I, Line 1b | Goshen Hospital does not have a specific written policy for the reimbursement of expense for companion travel, but does require all expenses to be substantiated in accordance with an accountable plan. These reimbursements of expenses were regarded as a bona fide business expense and were not treated as taxable to the individuals. Goshen Hospital does not have a specific written policy for the use of automobiles, but does add the taxable value of the automobile to the employees' W-2 as additional compensation. |
| Part I, Line 4b | Eligible executives participate in various non-qualified deferred compensation plans organized under code Section 457(f). The exact purpose of each plan varies, but they include: compensation limitation make-up plans, voluntary deferral plans, deferral of a portion of incentive bonus type plans, etc. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The following individuals participate in the plan: Randal Christophel Rob Myers Daniel Nafziger, MD Lisa Wine Chris Hutfless Margaret S. Franger Mark Podgorski Julie Crossley No non-qualified plan payments were made during the year to any listed persons in Part VII. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Indiana Finance Authority - 2019A | ||||||||
| A | 351602316 | 45471ATA0 | 2019-07-31 | $50,630,944 | Campus improvement project | 0 | 0 | 0 |
| Indiana Finance Authority - 2019B | ||||||||
| B | 351602316 | 45471ATA0 | 2019-07-31 | $25,360,000 | Campus improvement project | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $50,630,944 | $628,854 | $50,002,090 | 2022 | 0 | 0 | 0 | Yes (1) | |
| B | $25,360,000 | $359,751 | $21,721,732 | 2022 | 0 | 0 | 0 | Yes (1) | $3,278,517 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a, Program Service Description: | The mission of Goshen Hospital is to improve the health of our communities by providing innovative, outstanding care and service, through exceptional people doing exceptional work. The hospital's values include: -Compassion - and commitment to service with empathy. -Accountability - with integrity and action. -Respect - through treating others as you wish to be treated. -Excellence - in all we do. The organization created the current three-year strategic plan during 2022 to run from 1/1/2023 through 12/31/2025. The current strategic priorities are as follows: 1. Growth of Key Service Lines 2. Timely and Efficient Access to Services 3. Recruitment and Retention of Colleagues and Providers 4. Clinical Quality 5. Partnerships with Insurers and Employers As a community hospital, Goshen Hospital is dedicated to meeting the specific health care needs of our communities. As a community leader, the hospital is committed to providing care in an innovating and dynamic environment. The hospital has 105 patient beds and over 275 physicians on its medical staff in 30 specialties. These physicians, together with other dedicated professionals, provide a wide range of services including the following: acute medical & surgical, emergency, home health, radiology, laboratory, cancer care, bariatrics, women's health, pain management, sleep studies, rehabilitation, patient and community health education and professional education. The American Nurses Credentialing Center's (ANCC) magnet recognition program for excellence in nursing services has designated Goshen Hospital as a magnet hospital since 2004. Designated hospitals have successfully created a work environment that nurses find both personally and professionally rewarding, advancing the practice of nursing and improving patient outcomes. Research shows that magnet hospitals are more effective at attracting and keeping quality nurses. Goshen Hospital is among an elite group of hospitals in the nation to be re-designated as a magnet facility. The Goshen Center for Cancer Care is accredited by the Commission on Cancer (COC). Receiving care at a COC-approved center for cancer care assures that patients will have access to: -quality care close to home. -comprehensive care offering a range of state-of-the art services and equipment. -a multidisciplinary team approach to coordinate the best treatment options available to cancer patients. -participation in cancer clinical trials, education and support. -lifelong patient follow-up through a cancer registry that collects data on type and stage of cancers and treatment results. -ongoing monitoring and improvement in care. The Center for Cancer Care is a leader in innovative cancer treatment. We were among the first to adopt a comprehensive, multidisciplinary approach to cancer treatment. We offer holistic programs for strengthening minds as well as bodies, place a premium on family involvement and spiritual needs, and encourage patients to play a decision-making role in treatment selection. The Center for Cancer Care has specifically trained surgical oncologists, breast surgeons, medical oncologist, radiation oncologist, naturopathic practitioners and highly distinguished magnet designated nurses. Goshen Hospital improves the health and well-being of its communities by providing community wellness and education programs. Through local partnerships, the hospital identifies health issues and creates programs to ensure our community is the healthiest place to live, work and raise a family. The first of these programs cover CPR, EMS, diabetes, childbirth, fitness, nutrition, community education and health screenings the Elkhart County childhood obesity initiative. The CPR class is for anyone - professionals or private citizens - who want to know how to perform life-saving cardiopulmonary resuscitation; first aid classes are also offered. EMS training is available for persons interested in becoming emergency medical technicians or paramedics. The diabetes education helps people delay the onset and slow the progression of complications from this disease. It includes seminars, support groups, consultations and screenings. Childbirth education prepares expectant mothers and their families during this significant time in their life. The Goshen Health Community Benefit Fund is one example of how Goshen Health re-invests money into the communities we serve. Any nonprofit organization with a mission consistent with that of Goshen Health and works toward meeting the needs of the community are encouraged to apply. Since its inception in 1998, the Community Benefit Grant Committee of Goshen Health's Board of Directors has awarded more than $6 million in grants to community organizations and projects that meet the health needs of our community. Goshen Hospital provides health care services to all members of the communities regardless of their ability to pay. The hospital offers financial assistance to those patients unable to pay all or a portion of their bill and who are unable to qualify for assistance through federal and state government assistance programs. Patients are asked to complete a financial aid application to determine their eligibility for financial assistance. The hospital provides the assistance of a financial advocate to help patients complete this application and to investigate other forms of available assistance including enrollment in marketplace plans. In 2022, the hospital extended charity care to 3,912 accounts totaling $7.7 million. Goshen Hospital also partners with a financial institution to provide flexible and affordable financing solutions for a patient's medical care. Goshen Hospital first received the beacon award for excellence from the American Association of Critical Care Nurses in 2010. This is a three-year accreditation and 2019 marked the fourth time Goshen has won the award and the third time Goshen has achieved the highest status, gold. The National Accreditation Program for Breast Centers (NAPBC) has awarded multiple three-year, full accreditation to Goshen Health Retreat Women's Health Center beginning in 2010. Press Ganey has awarded Goshen Health with 7 summit awards. In addition, Goshen Health has received the H&V Platinum Performance Achievement Award (NCDR) and the WHO baby-friendly designation. |
| Form 990, Part VI, Section A, line 2 | The following officers, board members, and key employees are employees of Goshen Hospital or its related organizations, and serve on other related taxable boards: Randal Christophel, Chris Hutfless, Rob Myers, and Lisa Wine. |
| Form 990, Part VI, Section A, line 6 | The sole member of Goshen Hospital Association, Inc. is Goshen Health System, Inc. an Indiana not-for-profit corporation that serves as the corporate parent of the health system. |
| Form 990, Part VI, Section A, line 7a | Goshen Health System, Inc., a section 501(c)(3) exempt organization and the parent of the exempt healthcare system, is the sole corporate member of the filing organization. Directors shall be appointed as provided in the Bylaws by the member to a term as designated at the time of appointment. |
| Form 990, Part VI, Section B, line 11b | A full copy of the Form 990 is provided to the board of directors and the audit committee in November for review and questions before the return is filed with the IRS. |
| Form 990, Part VI, Section B, line 12c | Each board member completes an annual disclosure of known or potential conflicts. Each disclosure is reviewed by the VP-legal. Additionally when agenda items are discussed at meetings it is asked if there are any known or potential conflicts of interest, and conflicted parties must recuse themselves. |
| Form 990, Part VI, Section B, line 15 | An independent committee approves the compensation which is determined to be reasonable based upon independent comparability data provided by an independent consultant. Approval of amounts are documented in the minutes. |
| Form 990, Part VI, Section C, line 19 | Goshen Hospital will provide any documents open to public inspection upon request for the same period of disclosure as set forth in IRC Section 6104(d). |
| Form 990, Part IX, line 11g | Outside Purchased Services: Program service expenses 21,452,765. Management and general expenses 0. Fundraising expenses 0. Total expenses 21,452,765. Temp Staffing: Program service expenses 16,694,096. Management and general expenses 0. Fundraising expenses 0. Total expenses 16,694,096. Outside Purchased Anesthesia: Program service expenses 1,661,722. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,661,722. Goshen Marketing: CRM: Program service expenses 342,409. Management and general expenses 0. Fundraising expenses 0. Total expenses 342,409. Collection Services: Program service expenses 297,543. Management and general expenses 0. Fundraising expenses 0. Total expenses 297,543. Snow Removal: Program service expenses 218,806. Management and general expenses 0. Fundraising expenses 0. Total expenses 218,806. Trash Removal: Program service expenses 151,753. Management and general expenses 0. Fundraising expenses 0. Total expenses 151,753. Medical Professional Fees: Program service expenses 93,170. Management and general expenses 0. Fundraising expenses 0. Total expenses 93,170. |
| Form 990, Part XI, line 9: | Equity Transfer -1,069,810. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Indiana Lakes Managed Care Org LLC | |||||||||
| 200 High Park Avenue | Goshen | IN | 46526 | 351946663 | Healthcare | IN | $239,322 | $113,719 | Goshen Hospital Association Inc |
| Indiana Lakes Accountable Care Org LLC | |||||||||
| 200 High Park Avenue | Goshen | IN | 46526 | 455450141 | Healthcare | IN | $2,762,428 | $3,134,767 | Goshen Hospital Association Inc |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Goshen Health System Inc | |||||||||||
| 200 High Park Avenue | Goshen | IN | 46526 | 351974765 | Healthcare | IN | 501(c)(3) | Line 12c, III-FI | N/A | 0 | |
| Goshen Health Foundation Inc | |||||||||||
| 200 High Park Avenue | Goshen | IN | 46526 | 462565300 | Fundraising | IN | 501(c)(3) | Line 7 | Yes (1) | Goshen Health System Inc | |
| Goshen General Hospital Women's Auxiliary Inc | |||||||||||
| 200 High Park Avenue | Goshen | IN | 46526 | 237017521 | Healthcare | IN | 501(c)(3) | Line 7 | N/A | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | New Paris Clinic LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2018 S Main Street | AddressLine1Txt |
| City | Goshen | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46526 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352075244 | EIN |
| Primary Activities | Commerical Rentals | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Goshen Health System Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | n/a | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Parkmor Drug Inc | |||||||||
| 1501 S Main Street | Goshen | IN | 46526 | 351394980 | Pharmacy Sales | IN | Goshen Health System Inc | C | Yes (1) |
| PILR Inc | |||||||||
| 200 High Park Avenue | Goshen | IN | 46526 | 204294750 | Development | IN | Goshen Health System Inc | C | Yes (1) |
| Radiation Oncology Resources Inc | |||||||||
| 200 High Park Avenue | Goshen | IN | 46526 | 262008424 | Healthcare | IN | Goshen Health System Inc | C | Yes (1) |
| 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 | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | 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 | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Goshen Health Foundation Inc | ||
| C | $167,919 | FMV |
| Goshen Health Foundation Inc | ||
| R | $386,302 | FMV |