GOSHEN HOSPITAL ASSOCIATION INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- GOSHEN HOSPITAL ASSOCIATION INC (EIN 35-6001540)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-05
- IRS object ID
- 201913099349301606
- Schema version
- 2018v3.1
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-05T10:40:33-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | 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 | 52700 Independence Court PO Box 99 | AddressLine1Txt |
| City | Elkhart | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46515 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | 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 | Ben Bontrager | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5743642665 | PhoneNum |
| Signature | 2019-10-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rebekuh Eley | PreparerPersonNm |
| PTIN | P01247672 | PTIN |
| Phone | 5745220410 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 66.98.98.131 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-10-16 | IPDt |
| IP Tm | 14:13:07 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 49D5A1596642B6DD837368B1E984A310120BB776 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | 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 | $286,264,586 | 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 | 10 | VotingMembersIndependentCnt |
| Total Employee | 1803 | TotalEmployeeCnt |
| Total Volunteers | 434 | TotalVolunteersCnt |
| Total Gross UBI | $27,988 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $206,635 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,896,270 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $240,916,847 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $256,269,685 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,100,497 | PYInvestmentIncomeAmt |
| CY Investment Income | $13,409,986 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,176,451 | PYOtherRevenueAmt |
| CY Other Revenue | $9,994,504 | CYOtherRevenueAmt |
| PY Total Revenue | $261,400,430 | PYTotalRevenueAmt |
| CY Total Revenue | $281,570,445 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $612,176 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $579,829 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $101,902,953 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $104,505,489 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $136,563,582 | PYOtherExpensesAmt |
| CY Other Expenses | $149,099,695 | CYOtherExpensesAmt |
| PY Total Expenses | $239,078,711 | PYTotalExpensesAmt |
| CY Total Expenses | $254,185,013 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $22,321,719 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $27,385,432 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $392,614,896 | TotalAssetsBOYAmt |
| Total Assets EOY | $397,389,469 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $60,723,012 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $64,841,070 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $331,891,884 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $332,548,399 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | See Schedule O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $237,893,522 | ExpenseAmt |
| Grant | $579,829 | GrantAmt |
| Revenue | $264,479,524 | RevenueAmt |
| Desc | See Schedule O | Desc |
| Total Program Service Expenses | $237,893,522 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 159 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1803 | 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 | 10 | 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 | Ben Bontrager | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5743642665 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 High Park Ave | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Randy Cripe | ||||||||||
| Chair | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Brenda Srof | ||||||||||
| Secretary/Treasurer | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Jody Neer MD | ||||||||||
| Vice Chair | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $443,622 | $63,156 | |||
| Randal Christophel | ||||||||||
| President and CEO | 40.00 | 2.00 | Yes (X) | Yes (X) | $883,932 | $0 | $166,858 | |||
| Martha Suzie Yeager | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Karen Smith | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Susan Stiffney RN | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Karen Pletcher | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Liliane Quintero | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Daniel Nafziger MD | ||||||||||
| Director (until 12/31/18) | 40.00 | 0.00 | Yes (X) | $369,792 | $0 | $85,490 | ||||
| Bonita Schrock | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Lane Reed MD | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ben Bontrager | ||||||||||
| CFO (as of 1/1/18) | 40.00 | 2.00 | Yes (X) | $217,016 | $0 | $63,743 | ||||
| Alan Weldy | ||||||||||
| VP of HR and Compliance | 40.00 | 1.00 | Yes (X) | $525,693 | $0 | $95,991 | ||||
| Rob Myers | ||||||||||
| Chief Operating Officer | 40.00 | 1.00 | Yes (X) | $503,615 | $0 | $94,643 | ||||
| Margaret S Franger | ||||||||||
| VP of Cancer Services | 40.00 | 0.00 | $431,335 | $0 | $81,621 | Yes (X) | ||||
| Steve Garboden | ||||||||||
| VP Planning and Managed Care | 16.00 | 0.00 | $200,897 | $0 | $23,502 | Yes (X) | ||||
| Julie Crossley | ||||||||||
| Chief Nursing Officer | 40.00 | 0.00 | $273,033 | $0 | $66,967 | Yes (X) | ||||
| Mark Podgorski | ||||||||||
| VP of Hospital Operations | 40.00 | 0.00 | $316,517 | $0 | $75,361 | Yes (X) | ||||
| Larry Allen MD | ||||||||||
| Chief Medical Executive | 40.00 | 0.00 | $478,896 | $0 | $92,155 | Yes (X) | ||||
| Daniel Bruetman MD | ||||||||||
| Physician | 40.00 | 0.00 | $0 | $589,636 | $56,076 | Yes (X) | ||||
| Houman Vaghefi MD | ||||||||||
| Physician | 40.00 | 0.00 | $0 | $627,213 | $53,973 | Yes (X) | ||||
| Ebenezer Kio MD | ||||||||||
| Physician | 40.00 | 0.00 | $0 | $602,159 | $56,800 | Yes (X) | ||||
| Hubert Fornalik MD | ||||||||||
| Physician | 40.00 | 0.00 | $0 | $670,941 | $30,219 | Yes (X) | ||||
| Leonard Henry MD | ||||||||||
| Physician | 40.00 | 0.00 | $0 | $556,320 | $59,177 | Yes (X) | ||||
| Amy Floria | ||||||||||
| Former CFO (until 12/31/17) | 0.00 | 0.00 | $542,630 | $0 | $5,155 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,743,356 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,489,891 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,170,887 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 76 | 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 |
|---|---|---|---|---|---|
| Weigand Construction Inc | |||||
| 7808 Honeywell Drive | Fort Wayne | IN | 46825 | Construction | $4,394,960 |
| DJ Construction Co Inc | |||||
| 3414 Elkhart Road | Goshen | IN | 46526 | Construction | $3,031,509 |
| Bona Vita Architecture | |||||
| 6832 Tree Top Trail | Fort Wayne | IN | 46845 | Architecture | $1,691,070 |
| Apogee Medical Management | |||||
| 15059 N Scottsdale Road Suite 600 | Scottsdale | AZ | 852542685 | Contracted Staffing | $1,397,397 |
| Quest Diagnostics | |||||
| PO Box 12989 | Chicago | IL | 60693 | Medical Services | $1,287,871 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 49 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,896,270 | RelatedOrganizationsAmt |
| Total Contributions | $1,896,270 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Care | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $256,269,685 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $256,269,685 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $256,269,685 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,151,937 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $27,988 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,123,949 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,447,137 | 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 | $1,447,137 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,447,137 | TotalRevenueColumnAmt |
| Exclusion | $1,447,137 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,916,859 | SecuritiesAmt |
| Other | $35,331 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,694,141 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,222,718 | SecuritiesAmt |
| Other | $35,331 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,258,049 | TotalRevenueColumnAmt |
| Exclusion | $7,258,049 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Finance Charges | 561000 | $392,546 | $392,546 | |
| Food Service Revenue | 722514 | $337,528 | $337,528 | |
| Other Oncology Rev Mis | 621500 | $215,626 | $215,626 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,601,667 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,601,667 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,547,367 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $281,570,445 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $264,479,524 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $27,988 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,166,663 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $579,829 | TotalAmt |
| Program Services | $579,829 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,743,356 | TotalAmt |
| Program Services | $1,121,721 | ProgramServicesAmt |
| Management And General | $3,621,635 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,709,836 | TotalAmt |
| Program Services | $66,031,620 | ProgramServicesAmt |
| Management And General | $4,678,216 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,138,038 | TotalAmt |
| Program Services | $4,572,854 | ProgramServicesAmt |
| Management And General | $565,184 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,820,205 | TotalAmt |
| Program Services | $16,749,982 | ProgramServicesAmt |
| Management And General | $2,070,223 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,094,054 | TotalAmt |
| Program Services | $4,533,708 | ProgramServicesAmt |
| Management And General | $560,346 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,277,347 | TotalAmt |
| Management And General | $2,277,347 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,789 | TotalAmt |
| Management And General | $185,789 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,000 | TotalAmt |
| Management And General | $174,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,293 | TotalAmt |
| Management And General | $13,293 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $556,268 | TotalAmt |
| Management And General | $556,268 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,642,996 | TotalAmt |
| Program Services | $17,642,996 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,314,886 | TotalAmt |
| Program Services | $3,314,886 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,538,988 | TotalAmt |
| Program Services | $4,538,988 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,051,978 | TotalAmt |
| Program Services | $3,051,978 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,221,873 | TotalAmt |
| Program Services | $2,221,873 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $832,382 | TotalAmt |
| Program Services | $832,382 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $968,455 | TotalAmt |
| Management And General | $968,455 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,112,532 | TotalAmt |
| Program Services | $27,112,532 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,792,482 | TotalAmt |
| Program Services | $11,792,482 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,101,039 | TotalAmt |
| Program Services | $2,101,039 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Drugs & Medical Supplie | $56,133,722 | $56,133,722 | |
| Hospital Assessment Fee | $8,378,328 | $8,378,328 | |
| Repairs & Maintenance | $5,109,251 | $5,109,251 | |
| Shared Savings | $620,735 | $620,735 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,073,351 | TotalAmt |
| Program Services | $2,073,351 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,185,013 | TotalAmt |
| Program Services | $237,893,522 | ProgramServicesAmt |
| Management And General | $16,291,491 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,210,110 | BOYAmt |
| EOY | $1,056,920 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,106,519 | BOYAmt |
| EOY | $2,108,665 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,374,015 | BOYAmt |
| EOY | $52,010,326 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,131,522 | BOYAmt |
| EOY | $5,395,670 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,516,023 | BOYAmt |
| EOY | $6,325,818 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $251,601,444 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $125,313,664 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,136,771 | BOYAmt |
| EOY | $126,287,780 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $217,542,917 | BOYAmt |
| EOY | $202,682,407 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,597,019 | BOYAmt |
| EOY | $1,521,883 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $392,614,896 | BOYAmt |
| EOY | $397,389,469 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,793,277 | BOYAmt |
| EOY | $33,999,692 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,565,292 | BOYAmt |
| EOY | $30,465,212 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,443 | BOYAmt |
| EOY | $376,166 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,723,012 | BOYAmt |
| EOY | $64,841,070 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $331,213,036 | BOYAmt |
| EOY | $332,020,246 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $678,848 | BOYAmt |
| EOY | $528,153 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $331,891,884 | BOYAmt |
| EOY | $332,548,399 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $392,614,896 | BOYAmt |
| EOY | $397,389,469 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $27,385,432 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$25,205,451 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,523,466 | 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 | 0 | FederalGrantAuditRequiredInd |
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 | $13,293 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $13,293 | 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 | $2,736,366 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $4,027,467 | OtherCostOrOtherBasisAmt |
| Book Value | $6,763,833 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $109,960,397 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,774,861 | DepreciationAmt |
| Book Value | $66,185,536 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $377,004 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $36,948 | OtherCostOrOtherBasisAmt |
| Depreciation | $195,290 | DepreciationAmt |
| Book Value | $218,662 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $115,783,262 | OtherCostOrOtherBasisAmt |
| Depreciation | $81,343,513 | DepreciationAmt |
| Book Value | $34,439,749 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,680,000 | OtherCostOrOtherBasisAmt |
| Book Value | $18,680,000 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $126,287,780 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Asset Retirement Obligation | $96,352 |
| Deferred Malpractice | $145,000 |
| Interest Rate Swap | $519 |
| Claims Liability | $134,295 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $376,166 | 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, 2018 and 2017, 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 2015 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 | 6208 | PersonsServedCnt |
| Total Community Benefit Expns | $3,998,449 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,998,449 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01570 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 8245 | PersonsServedCnt |
| Total Community Benefit Expns | $34,662,736 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,256,508 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,406,228 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06450 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 14453 | PersonsServedCnt |
| Total Community Benefit Expns | $38,661,185 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,256,508 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,404,677 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08020 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 19943 | PersonsServedCnt |
| Total Community Benefit Expns | $2,721,739 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,942 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,677,797 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01050 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1564 | PersonsServedCnt |
| Total Community Benefit Expns | $757,185 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,795 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $737,390 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,494,682 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $26,494,682 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10420 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 64 | PersonsServedCnt |
| Total Community Benefit Expns | $536,594 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $536,594 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 21571 | PersonsServedCnt |
| Total Community Benefit Expns | $30,510,200 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,737 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,446,463 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11970 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 36024 | PersonsServedCnt |
| Total Community Benefit Expns | $69,171,385 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,320,245 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $50,851,140 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.19990 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $200,215 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $200,215 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $200,215 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $200,215 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,730,980 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $45,993,320 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $70,168,435 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$24,175,115 | 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 |
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 | 18 | 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 | https://goshenhealth.com/promo-pages/community-needs | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://goshenhealth.com/promo-pages/community-needs | 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 (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Goshen Hospital Association, Inc. | Part V, Section B, Line 5: The Hospital took into account input from persons who represent the community, including those with special knowledge or expertise in public health. The health needs of Elkhart County were identified and prioritized through a systematic data informed process and with the input of individuals throughout Elkhart County and in the Elkhart County Health Department.More than 23,000 surveys, available in both English and Spanish, were sent to community members, including the minority populations of Amish, Hispanic and African-American. Persons receiving the community survey could respond via a web link, through the post, or by phone (available 24/7) from the last week of May 2015 through the second week of June 2015. Over 600 surveys were returned, 599 (93.2%) of these from Elkhart County.Besides providing residential and demographic information, recipients were also asked to rate their own health, the community's health, the top health needs in the community, whether or not there were enough programs to meet these needs, and how Goshen Hospital Association, Inc. could improve. Elkhart County health department officials were also consulted. No comments were received from the public regarding the last CHNA report and implementation plan.Goshen Hospital Association, Inc. contracted with the Bowen Research Center, Department of Family Medicine, Indiana University School of Medicine, to analyze primary data collected from the surveys. The Bowen Center also analyzed various existing health, social, and economic secondary data sets. For contextual comparisons, Elkhart County data were compared with Kosciusko, LaGrange, Marshall, Noble and St. Joseph counties, as well as the State of Indiana. |
| Goshen Hospital Association, Inc. | Part V, Section B, Line 11: The health needs listed below account for 96.6% of the health needs identified by community residents and supported by secondary data from Elkhart County.-obesity/exercise/healthy eating-access to health services-treatment of chronic diseases-mental health/addiction/depression-poverty-health literacy-tobacco use/smokingGoshen Hospital Association, Inc. considered the following sources of information in prioritizing the health needs that it would address:-community perceptions - these were obtained through the community survey-statistical health information - secondary data for Elkhart County was compared to its benchmarks-expertise of health leaders - the Elkhart County health department on the most significant health needsAfter careful consideration, Goshen Hospital Association, Inc. has identified the following health needs in rank order that it is best equipped to address:-obesity-access to health services-mental health issues-treatment of chronic diseases - focusing specifically on diabetes and hypertension, potentially cancer related health issues-tobacco use/smokingIn addition, Goshen Hospital Association, Inc. will indirectly address poverty. Goshen Hospital Association, Inc. is also aware of and sensitive to the health-related needs of all members of the community, and continually seeks innovative ways for providing improved access to health services for those in poverty. Through ongoing program development and monitoring, Goshen Hospital Association, Inc. will continue existing programs for addressing health literacy. However, the expertise of Goshen health is best suited to formally address the five priority needs noted.Goshen Hospital Association, Inc. did take the following actions during tax year 2018 with respect to its previously conducted CHNA:Health Need Identified: ObesityServices were provided by center for weight reduction which is a multi-disciplinary program for weight reduction. It provides both surgical and non-surgical weight loss options. Programs are designed for the patient through a team approach and includes an on-site fitness center, support groups, and community education. The number of persons served in 2017 and 2018 is 425 and 551 respectively. Goshen Hospital Association, Inc. offered community programs focusing on obesity prevention, nutrition and weight management. The number of persons served in 2017 and 2018 is 713 and 324 respectively. Education programs, Couch to 5K, Run the Halls, and the annual get up and Goshen event was offered to the community. The number of persons served in 2017 and 2018 is 1,219 and 1,608 respectively.Health Need Identified: Access to Health ServicesA total of 7 new providers in 2017 and 12 in 2018, primary care and specialty physicians were utilized by Goshen Hospital Association, Inc. to help increase the access to health services. The number of persons served in 2017 and 2018 is 2,157 and 7,564, respectively. Goshen Hospital Association, Inc. participated in nursing clinicals as well as provided various types of education to medical students and other health professions. The number of persons served in 2017 and 2018 is 2,084 and 1,564 respectively. Low or no-cost community screening events were hosted in the community. The number of persons served in 2017 and 2018 is 1,912 and 911 respectively. Health Need Identified: Mental Health Access and Coordination Goshen Hospital Association, Inc. provided screenings which were conducted for depression, distress, depression and mental health. The number of persons served in 2017 and 2018 is 28,308 and 33,135 respectively.Group therapy was offered by the center for cancer care. The number of persons served in 2017 and 2018 is 46 and 54 respectively.Health Need Identified: Treatment of Chronic ConditionsQuality measures regarding diabetes, heart failure, depression and other areas determined by payors are monitored and used to evaluate processes and workflows to improve the quality of care provided to patients. The number of persons served in 2017 and 2018 is 39,368 and 13,408 respectively.Diabetes education, support groups, action plans and seminars were provided by Goshen Hospital Association, Inc. the number of persons served in 2017 and 2018 is 1,177 and 1,554 respectively.Ambulatory nurse care coordination was given to high-risk ACO patients. The number of persons served in 2017 and 2018 is 1,230 and 1,445 respectively.Goshen Hospital Association, Inc. coordinated services with health coaches, home health care and hospice. The number of persons served in 2017 and 2018 is 149 and 184 respectively.A chronic-disease support group as well as cancer support group was provided. The number of persons served in 2017 and 2018 is 2,617 and 7,485 respectively.Goshen Health created a colorectal screen kit initiative in 2017 and 2018 that served 135 and 155, respectively.Goshen Hospital held a megabody health fair and free screening event in 2017 and 2018 that served 2,913 and 1,483, respectively.Health Need Identified: Tobacco Use/Smoking CessationGoshen Hospital Association, Inc. provided tobacco education and support groups. The number of persons served in 2017 and 2018 is 9,215 and 9,418 respectively. |
| Goshen Hospital Association, Inc. | Part V, Section B, Line 13h: Family size is another factor in determining discounts granted to patients. |
| 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 Association, Inc. calculated the cost of financial assistance and means-tested government programs, using the cost-to-charge ratio derived from Schedule H, Worksheet 2, 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 I, Line 7, Column (f):The bad debt expense included on Form 990, Part IX, Line 25(a), but subtracted for purposes of calculating the percentage in this column is $28,246,675. |
| Part II, Community Building Activities: | Goshen Hospital Association, Inc. promoted the health of its community by supporting various local organizations that engage in community building activities. |
| Part III, Line 2: | Goshen Hospital Association, Inc.'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 Association, Inc. 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 Association, Inc.:The provision for uncollected patient accounts is recognized when services are 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 assesses 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 are then used to make any modifications to the provision of uncollectible accounts and the allowance for uncollectible accounts. In addition, Goshen Hospital follows established guidelines for placing certain past due patient balances with collection agencies. Patient accounts that are uncollected, including those placed with collection agencies, are initially charged against the allowance for uncollectible accounts in accordance with collection policies of Goshen Hospital and, in certain cases, are reclassified to charity care if deemed to otherwise meet financial assistance policies of Goshen Hospital. |
| Part III, Line 8: | Actual month and year to date revenue, contractuals, accounts receivable balances, ratios and statistics are compared to budget and prior year 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 compared to budgeted and prior year amounts are monitored. This is done as part of thehospital'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 chief financial officer 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 Association, Inc. also partners with a financing institution to provide zero-interest, flexible financing solutions. |
| Part VI, Line 2: | As a community hospital, Goshen Hospital Association, Inc. is dedicated to meeting the specific health care needs of our community. The hospital has 122 patient beds and over 247 physicians on its medical staff in nearly 25 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, a breast surgeon, 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 firefighters. 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. Classes review many aspects of childbirth including labor rehearsal, cesarean deliveries, single-teen issues, breast-feeding and a class just for siblings. |
| 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 2018 census, the population of Elkhart County is 205,560. The median income for a household is Elkhart County based on the 2017 census is $52,449. Approximately 10.8% of the population were below the poverty line. The racial makeup of the county was about 74.6% White, 6.1% African-American, and 16.3% Hispanic or Latino. The remaining 3.0% of the population is a makeup of all other races. |
| Part VI, Line 5: | All of the Hospital's governing body is comprised of persons who reside in the organization's primary service area. 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 Association, Inc. with various key metrics involving patient satisfaction, patient quality and colleague satisfaction. Goshen Hospital Association, Inc. reviews the data to ensure key initiatives are focused towards the 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 (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Maple City Health Care Center | |||||||
| 213 Middlebury Street | Goshen | IN | 46528 | 351749398 | 501(c)(3) | $220,000 | Operating Support |
| Boys & Girls Clubs Elkhart County | |||||||
| 102 West Lincoln Suite 240 | Goshen | IN | 46527 | 351033735 | 501(c)(3) | $60,250 | Operating Support |
| Northern Indiana Hispanic Health | |||||||
| 444 Nappanee Street | Elkhart | IN | 46514 | 320039221 | 501(c)(3) | $60,075 | Operating Support |
| Goshen Theater Inc | |||||||
| 234 S Main Street Suite 4 | Goshen | IN | 46526 | 900964247 | 501(C)(3) | $30,000 | Operating Support |
| The Horizon Educational Alliance | |||||||
| 124 E Washington Street | Goshen | IN | 46528 | 460803293 | 501(c)(3) | $25,000 | Operating Support |
| Center for Healing and Hope | |||||||
| 423 E Jefferson Street | Goshen | IN | 46528 | 020560511 | 501(c)(3) | $21,810 | Operating Support |
| Council on Aging of Elkhart County Inc | |||||||
| 230 E Jackson Boulevard | Elkhart | IN | 46516 | 510178910 | 501(c)(3) | $20,000 | Operating Support |
| United Cancer Services | |||||||
| 23971 US 33 East | Elkhart | IN | 46517 | 351091429 | 501(c)(3) | $15,450 | Operating Support |
| Elkhart County Clubhouse | |||||||
| PO Box 173 | Goshen | IN | 46527 | 271151738 | 501(c)(3) | $10,250 | Operating Support |
| Care Foundation Inc | |||||||
| 64468 Meadow Ridge Drive | Goshen | IN | 46526 | 352111562 | 501(c)(3) | $10,200 | Operating Support |
| Oaklawn Psychiatric Center | |||||||
| 2600 Oakland Avenue | Elkhart | IN | 46517 | 351070041 | 501(c)(3) | $10,000 | Operating Support |
| Family Christian Development Center | |||||||
| 151 S Locke Street | Nappanee | IN | 46550 | 351979463 | 501(c)(3) | $9,150 | Operating Support |
| Bashor Home of the UMC Inc | |||||||
| 62226 County Road 15 | Goshen | IN | 46526 | 350933555 | 501(c)(3) | $8,750 | Operating Support |
| Amish Youth Vision Project | |||||||
| PO Box 191 | Topeka | IN | 46571 | 260865808 | 501(C)(3) | $5,000 | Operating Support |
| Mennonite Disabilities Committee IN | |||||||
| 1514 College Avenue | Goshen | IN | 46526 | 311205424 | 501(C)(3) | $5,000 | Operating Support |
| Child and Parent Services | |||||||
| 100 W Hively Avenue | Elkhart | IN | 46517 | 350888765 | 501(c)(3) | $5,000 | Operating Support |
| Church Community Services | |||||||
| 907 Oakland Avenue | Elkhart | IN | 46516 | 351155054 | 501(C)(3) | $5,000 | Operating Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 17 | 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 |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| 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 | Yes (1) | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jody Neer MD | ||||||||||||||
| Vice Chair | $0 | $416,999 | $0 | $2,688 | $0 | $23,935 | $0 | $29,327 | $0 | $33,829 | $0 | $506,778 | $0 | $0 |
| Randal Christophel | ||||||||||||||
| President and CEO | $587,607 | $0 | $276,089 | $0 | $20,236 | $0 | $133,068 | $0 | $33,790 | $0 | $1,050,790 | $0 | $0 | $0 |
| Daniel Nafziger MD | ||||||||||||||
| Director (until 12/31/18) | $335,035 | $0 | $31,145 | $0 | $3,612 | $0 | $64,218 | $0 | $21,272 | $0 | $455,282 | $0 | $0 | $0 |
| Ben Bontrager | ||||||||||||||
| CFO (as of 1/1/18) | $216,260 | $0 | $0 | $0 | $756 | $0 | $43,993 | $0 | $19,750 | $0 | $280,759 | $0 | $0 | $0 |
| Alan Weldy | ||||||||||||||
| VP of HR and Compliance | $400,102 | $0 | $117,096 | $0 | $8,495 | $0 | $65,526 | $0 | $30,465 | $0 | $621,684 | $0 | $0 | $0 |
| Rob Myers | ||||||||||||||
| Chief Operating Officer | $390,859 | $0 | $107,440 | $0 | $5,316 | $0 | $65,504 | $0 | $29,139 | $0 | $598,258 | $0 | $0 | $0 |
| Margaret S Franger | ||||||||||||||
| VP of Cancer Services | $331,842 | $0 | $97,716 | $0 | $1,777 | $0 | $61,429 | $0 | $20,192 | $0 | $512,956 | $0 | $0 | $0 |
| Steve Garboden | ||||||||||||||
| VP Planning and Managed Care | $128,413 | $0 | $69,817 | $0 | $2,667 | $0 | $16,420 | $0 | $7,082 | $0 | $224,399 | $0 | $0 | $0 |
| Julie Crossley | ||||||||||||||
| Chief Nursing Officer | $211,249 | $0 | $59,482 | $0 | $2,302 | $0 | $44,490 | $0 | $22,477 | $0 | $340,000 | $0 | $0 | $0 |
| Mark Podgorski | ||||||||||||||
| VP of Hospital Operations | $243,442 | $0 | $67,007 | $0 | $6,068 | $0 | $48,451 | $0 | $26,910 | $0 | $391,878 | $0 | $0 | $0 |
| Larry Allen MD | ||||||||||||||
| Chief Medical Executive | $370,151 | $0 | $94,441 | $0 | $14,304 | $0 | $63,562 | $0 | $28,593 | $0 | $571,051 | $0 | $0 | $0 |
| Daniel Bruetman MD | ||||||||||||||
| Physician | $0 | $533,412 | $0 | $56,224 | $0 | $0 | $0 | $28,892 | $0 | $27,184 | $0 | $645,712 | $0 | $0 |
| Houman Vaghefi MD | ||||||||||||||
| Physician | $0 | $546,696 | $0 | $80,517 | $0 | $0 | $0 | $23,034 | $0 | $30,939 | $0 | $681,186 | $0 | $0 |
| Ebenezer Kio MD | ||||||||||||||
| Physician | $0 | $529,757 | $0 | $72,402 | $0 | $0 | $0 | $29,512 | $0 | $27,288 | $0 | $658,959 | $0 | $0 |
| Hubert Fornalik MD | ||||||||||||||
| Physician | $0 | $657,435 | $0 | $13,506 | $0 | $0 | $0 | $29,512 | $0 | $707 | $0 | $701,160 | $0 | $0 |
| Leonard Henry MD | ||||||||||||||
| Physician | $0 | $490,481 | $0 | $65,839 | $0 | $0 | $0 | $29,254 | $0 | $29,923 | $0 | $615,497 | $0 | $0 |
| Amy Floria | ||||||||||||||
| Former CFO (until 12/31/17) | $63,271 | $0 | $108,222 | $0 | $371,137 | $0 | $4,911 | $0 | $244 | $0 | $547,785 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Goshen Hospital reimbursed 2 directors and 2 officers reported on Part VII, Section A for travel expenses of companions. Goshen Hospital paid for country club dues for 1 of the officers listed in form 990, part VII. All reimbursements are considered taxable income to employees. Goshen Hospital grossed up the taxable value of automobiles for 2 of the officers listed in form 990, part VII and included the amount in the employees' W-2 as additional compensation. |
| Part I, Line 1b | Goshen Hospital does not have a specific written policy for the reimbursement of expense for travel for companions, 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. |
| Part I, Lines 4a-b | The following individuals received severance payments in 2018 that were treated as taxable and included in Schedule J, Part II, Column (b)(iii): Amy Floria $371,137 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 Alan Weldy Rob Myers Larry Allen, MD Julie Crossley Margaret S. Franger Mark Podgorski Ben Bontrager Daniel Nafziger, MD |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jody Neer MD | PersonNm |
| Relationship With Org | Trustee | RelationshipWithOrgTxt |
| Loan Purpose | Miscellaneous | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $75,000 | OriginalPrincipalAmt |
| Balance Due | $25,000 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $25,000 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 1, Description of Organization's 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. 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. |
| Form 990, Part III, Line 4a, Program Service Description: | Building upon our mission and values, Goshen Hospital will deliver exceptional healthcare to the communities we serve using an integrated model of care and achieving excellence through a commitment to quality, leadership, and innovation. By 2020, we will achieve this vision by focusing on the following strategic priorities: -lead the region in clinical integration and management of population health. -deliver high value to our patients, providers, payers and colleagues. -Goshen's oncology and heart & vascular service lines become the destination of choice in our broader region. -cultivate a culture for colleagues where personal and professional missions are aligned. -inspire a spirit of partnership and generosity by engaging our community with opportunities that meet regional health needs. 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 122 patient beds and over 247 physicians on its medical staff in nearly 25 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. Goshen Hospital has consistently met national quality standards. The hospital composite scores for publicly reported quality measures in the areas of acute myocardial infarction, pneumonia, heart failure, surgical care improvement project, and hospital outpatient exceeded 95% in 2013. In addition, healthcare excel (quality improvement organization for Indiana) reported that the hospital was above our peer group and overall state performance in 17 out of 19 areas of our publicly reported measures for CY 2013. 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 of the American College of Surgeons (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, a breast surgeon, 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 firefighters. 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. Classes review many aspects of childbirth including labor rehearsal, cesarean deliveries, single-teen issues, breast-feeding and a class just for siblings. The Goshen Health Community Benefit Fund is one example of how Goshen Health re-invests money into the communities we serve. 2018 marks the 20th anniversary of the health system's commitment. 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 $5.7 million in grants to community organizations and projects that meet the health needs of our community. In 2018, the Community Benefit Fund Grant Committee awarded $345,500 to 28 different organizations in Goshen and surrounding communities. 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 2018, the hospital extended charity care to 6,208 accounts totaling $11.3 million. Goshen Hospital also partners with a financial institution to provide flexible and affordable financing solutions for a patient's medical care. Goshen Health received the beacon award for excellence from the American Association of Critical Care Nurses in 2016. This is the third time Goshen Health has won the award and the second time Goshen has achieved the highest status, gold. Goshen Hospital has been named an accredited heart failure institute by the National Healthcare Accreditation Colloquium. The National Accreditation Program for Breast Centers (NAPBC) has awarded three-year, full accreditation to Goshen Health Retreat Women's Health Center. Press Ganey has awarded Goshen Health with 7 summit awards. The following achievements were awarded in 2014: NCDR action registry GWTG platinum performance achievement award; the center of distinction award and the Robert A. Warriner III, M.D., center of excellence award was given to Goshen Health Wound Center by Healogics, Inc.; Goshen Hospital received accreditation from the Intersocietal Accreditation Commission (IAC) for four testing areas; 2014 Press Ganey Guardian of Excellence award winner for Goshen Health by reaching the 95th percentile for each reporting period for the award year for employee engagement; outstanding achievement award from the Commission on Cancer (COC) of the American College of Surgeons (ACOS). 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, Alan Weldy, Rob Myers, Larry Allen, MD, Ben Bontrager and Mark Podgorski. |
| 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 Systems, 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 XI, line 9: | Interest Rate Swap 2,238. Equity Transfer -1,525,704. |
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 | -$20,753 | $791,430 | Goshen Hospital Association Inc |
| Indiana Lakes Accountable Care Org LLC | |||||||||
| 200 High Park Avenue | Goshen | IN | 46526 | 455450141 | Healthcare | IN | -$525,890 | $1,641,151 | 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 12a, I | Yes (1) | Goshen Health System Inc | |
| Goshen Hospital Women's Auxiliary Inc | |||||||||||
| 200 High Park Avenue | Goshen | IN | 46526 | 237017521 | Healthcare | IN | 501(c)(3) | Line 12d, III-O | 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 Systems 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 Systems Inc | C | Yes (1) |
| PILR Inc | |||||||||
| 200 High Park Avenue | Goshen | IN | 46526 | 204294750 | Development | IN | Goshen Health Systems Inc | C | Yes (1) |
| Radiation Oncology Resources Inc | |||||||||
| 200 High Park Avenue | Goshen | IN | 46526 | 262008424 | Healthcare | IN | Goshen Health Systems 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 | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 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 | $1,896,270 | FMV |
| Goshen Health Foundation Inc | ||
| R | $617,850 | FMV |