2015-11-16T15:13:33-06:00 2014-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2014-01-01 351974765 GOSHEN HEALTH SYSTEM INC GOSH 5745352665 200 HIGH PARK AVENUE GOSHEN IN 46526 AMY FLORIA CFO 5745352665 2015-11-16 1 SHAWNA M JIMENEZ P01222873 3174648600 2014 2016-02-25 16:41:14Z IU HEALTH GOSHEN RANDAL CHRISTOPHEL 200 HIGH PARK AVENUE GOSHEN IN 46526 38875227 0 X WWW.IUHEALTH.ORG/GOSHEN X 1997 IN TO IMPROVE THE HEALTH OF OUR COMMUNITIES BY PROVIDING INNOVATIVE, OUTSTANDING CARE AND SERVICES. 20 16 749 20 -30154 -129871 11338514 13216717 24085684 24581614 -58746 -48471 811272 1125367 36176724 38875227 0 0 0 0 26144027 28793218 0 0 0 10239568 10278605 36383595 39071823 -206871 -196596 7154194 3733452 4875202 5574504 2278992 -1841052 X THE MISSION OF IU HEALTH GOSHEN IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES BY PROVIDING INNOVATIVE, OUTSTANDING CARE AND SERVICES, THROUGH EXCEPTIONAL PEOPLE DOING EXCEPTIONAL WORK. 0 0 35497097 25391839 IU HEALTH GOSHEN IS A NON-DENOMINATIONAL NON-FOR-PROFIT ORGANIZATION PROVIDING HEALTH CARE SERVICES FOR THE GENERAL PUBLIC. SEE SCHEDULE O FOR ADDITIONAL DETAIL.THE MISSION OF IU HEALTH GOSHEN IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES BY PROVIDING INNOVATIVE, OUTSTANDING CARE AND SERVICE, THROUGH EXCEPTIONAL PEOPLE DOING EXCEPTIONAL WORK. THE SYSTEM'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.BUILDING UPON OUR MISSION AND VALUES, IU HEALTH GOSHEN WILL DELIVER EXCEPTIONAL HEALTHCARE IN AN INTEGRATED MODEL TO THE COMMUNITIES WE SERVE, ACHIEVING PREEMINENCE WITH COMMITMENT TO QUALITY, LEADERSHIP, AND INNOVATION. BY 2015, WE WILL ACHIEVE ALL ELEMENTS OF THIS VISION BY FOCUSING ON THE FOLLOWING KEY AREAS:- LEAD THE REGION WITH OUR CANCER SERVICES.- CREATE AN ENVIRONMENT IN WHICH EACH COLLEAGUE CAN FULFILL HIS OR HER PERSONAL MISSION.- EMPHASIZE THE BENEFITS OF HEALTH AND WELLNESS.- RESPOND STRATEGICALLY TO THE EVOLVING HEALTH NEEDS OF OUR COMMUNITY.- BECOME THE GENESIS FOR CREATING A NEW ECONOMIC BASE IN THE GREATER GOSHEN COMMUNITY.KEY COMPONENTS OF IU HEALTH GOSHEN INCLUDE THE OPERATIONS OF A MULTI-SPECIALTY PHYSICIAN NETWORK OR IU HEALTH GOSHEN PHYSICIANS. THE PHYSICIAN NETWORK EMPLOYS HEALTHCARE PROVIDERS DEDICATED TO MEETING THE HEALTH CARE NEEDS OF AREA RESIDENTS, YOUNG AND OLD. THE NETWORK OF BOTH PRIMARY CARE AND SPECIALTY PROVIDERS ENHANCES THE SYSTEM'S ABILITY TO CARE FOR THE COMMUNITY. IU HEALTH GOSHEN PHYSICIANS REPRESENT THE FOLLOWING CARE AREAS: FAMILY PRACTICE, NEUROLOGY, CARDIOLOGY, ADULT INTERNAL MEDICINE, PEDIATRICS, ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY, BARIATRICS, GASTROENTEROLOGY, INFECTION CONTROL, AND ONCOLOGY.IU HEALTH GOSHEN EXCELS AT MEETING THE HEALTH CARE NEEDS OF ITS PATIENTS AS MEASURED BY PRESS GANEY AND NRC PICKER, NATIONALLY RECOGNIZED COMPANIES THAT PARTNER WITH HEALTHCARE FACILITIES TO MEASURE THE LEVEL OF CUSTOMER SATISFACTION AND IMPROVE THEIR QUALITY OF HEALTH CARE DELIVERY. IN 2012, IU HEALTH GOSHEN PHYSICIANS RANKED ABOVE THE 90TH PERCENTILE IN OVERALL PATIENT SATISFACTION. IU HEALTH GOSHEN CENTER FOR CANCER CARE GOES ABOVE AND BEYOND TRADITIONAL TEAMWORK IN ORDER TO HEAL EVERY PERSON THAT ENTERS OUR DOORS. OUR HOLISTIC, FULLY INTEGRATED CARE MODEL RECENTLY RECEIVED NATIONAL RECOGNITION AS A HOPE AWARD WINNER BY HEMATOLOGY & ONCOLOGY NEWS & ISSUES MAGAZINE. THE NATIONAL PUBLICATION NAMED IU HEALTH GOSHEN CENTER FOR CANCER CARE AS "THE BEST EXAMPLE OF INTEGRATION OF CARE AMONG ENTRIES IN MEDIUM-SIZED COMMUNITY-BASED ONCOLOGY PRACTICES." IU HEALTH GOSHEN CENTER FOR CANCER CARE ALSO HAS BEEN AWARDED THE OUTSTANDING ACHIEVEMENT AWARD BY THE AMERICAN COLLEGE OF SURGEONS' COMMISSION ON CANCER (COC). ONLY SEVEN PERCENT OF APPROVED CANCER PROGRAMS IN THE UNITED STATES EARN THIS DISTINCTION.IU HEALTH GOSHEN EARNED THE 2013 APEX WORKPLACE OF DISTINCTION AWARD FROM MOREHEAD ASSOCIATES. THE APEX AWARD RECOGNIZES THE INDUSTRY'S TOP EMPLOYERS, DETERMINED BY OBJECTIVE DATA GATHERED FROM EMPLOYEE SURVEYS. OUR NATIONAL HEALTH CARE PERCENTILE RANKING FOR WORKFORCE COMMITMENT IN 2013 WAS 69TH. IU HEALTH GOSHEN HAS BEEN NAMED ONE OF INDIANA'S BEST PLACES TO WORK BY THE INDIANA CHAMBER OF COMMERCE, AND WAS NAMED TO THE LIST OF "100 BEST PLACES TO WORK IN HEALTHCARE" BY MODERN HEALTHCARE AND BECKER'S HOSPITAL REVIEW. IU HEALTH GOSHEN PHYSICIANS PROVIDES HEALTH CARE SERVICES TO ALL MEMBERS OF THE COMMUNITIES REGARDLESS OF THEIR ABILITY TO PAY. THE NETWORK 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 PROVIDE FINANCIAL INFORMATION TO ASSESS THEIR FINANCIAL POSITION. IN 2014, THE NETWORK PROVIDED APPROXIMATELY $826,534 OF CHARITY CARE TO PATIENTS.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 IU HEALTH GOSHEN 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 IUGH 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). 35497097 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 66 0 1 749 1 1 1 0 0 0 0 0 0 0 0 0 X 20 16 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 1 1 IN X DIRECTOR OF FINANCE 5745352665 200 HIGH PARK GOSHEN IN 46526 RANDAL CHRISTOPHEL PRESIDENT AND CEO 1.00 41.00 X X 0 635351 119465 EDWARD BOYTS MD TREASURER 40.00 0.00 X X 266340 0 27212 RICHARD B HOSTETTER MD SECRETARY 40.00 0.00 X X 523310 0 52696 DELMAR G GOOD PHD DIRECTOR 1.00 0.00 X 0 0 0 GERALD A TROLZ DIRECTOR 1.00 0.00 X 0 0 0 GEORGE MARLOW DIRECTOR 1.00 1.00 X 0 0 0 ALAN R TEHAN DIRECTOR 1.00 0.00 X 0 0 0 STEPHEN FIDLER DIRECTOR 1.00 0.00 X 0 0 0 PARIS BALL-MILLER DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL L KUBACKI DIRECTOR 1.00 0.00 X 0 0 0 DENISE DAVIS ESQ DIRECTOR 1.00 0.00 X 0 0 0 WES HERSCHBERGER CHAIR 1.00 0.00 X X 0 0 0 MARK DICKEN DIRECTOR 1.00 0.00 X 0 0 0 GRETCHEN LUND ESQ DIRECTOR 1.00 0.00 X 0 0 0 JAMES ALVAREZ DIRECTOR 1.00 0.00 X 0 0 0 SHERYL EAKINS DIRECTOR 1.00 0.00 X 0 0 0 JOHN LEAVITT DIRECTOR 1.00 1.00 X 0 0 0 DERALD BONTRAGER VICE CHAIR 1.00 1.00 X X 0 0 0 LINDA BAXLEY DIRECTOR 1.00 1.00 X 0 0 0 DANIEL BERGER MD DIRECTOR 40.00 0.00 X 260966 0 22128 NEIL PICKETT DIRECTOR - IU HEALTH 1.00 0.00 X 0 0 0 MARK KING PHD DIRECTOR 1.00 0.00 X 0 0 0 AMY FLORIA CFO 1.00 40.00 X 0 387278 41006 RANDALL CAMMENGA MD COO 1.00 40.00 X 0 458204 55607 LARRY ALLEN MD CMO 1.00 40.00 X 0 369262 37060 ALAN WELDY VP OF HR AND CORPORATE COMPLIANCE 1.00 40.00 X 0 442918 49169 MARGARET S FRANGER VP OF CANCER SERVICES 1.00 40.00 X 0 256160 35087 PAM KARSEN VP OF NURSING 1.00 40.00 X 0 311868 14375 LARRY BROOKS VP OF MARKETING 1.00 40.00 X 0 261187 29418 STEVE GARBODEN VP PLANNING AND MANAGED CARE 1.00 40.00 X 0 238359 20743 MARK PODGORSKI VP OF HOSPITAL OPERATIONS 1.00 40.00 X 0 262621 31920 VLADIMIR RADIVOJEVIC VP OF SURGICAL SERVICES 1.00 40.00 X 0 201076 29136 RICK TARSKE VP OF GOSHEN PHYSICIANS 1.00 40.00 X 0 40092 5199 MARK SMUCKER MD PHYSICIAN 40.00 0.00 X 763226 0 38177 DAVID KORONKIEWICZ MD PHYSICIAN 40.00 0.00 X 652023 0 28210 KENNETH PENNINGTON MD PHYSICIAN 40.00 0.00 X 592570 0 31446 PETER KIM MD PHYSICIAN 40.00 0.00 X 695247 0 26475 MADHUSUDANA RAO MD PHYSICIAN 40.00 0.00 X 623514 0 23645 JAMES DAGUE FORMER OFFICER 0.00 0.00 X 0 224590 0 4377196 4088966 718174 64 1 1 0 GNKL PROPERTIES 1824 DORCHESTER COURT GOSHEN IN 46526 RENT 371420 LARRY ALLEN MD 13275 N EAST SHORE DRIVE SYRACUSE IN 46567 RENT 185442 QUEST DIAGNOSTICS PO BOX 12989 CHICAGO IL 60693 MEDICAL SERVICES 170954 AJJM LLC 2523 MESSICK DRIVE GOSHEN IN 46526 RENT 168801 SOUTH BEND CLINIC LLP 211 N EDDY STREET SOUTH BEND IN 46617 PHYSICIAN COVERAGE 119500 5 13216717 13216717 HEALTHCARE SERVICES 621110 24537446 24537446 EKG REVENUE 621110 44168 44168 24581614 -48471 -30154 -18317 111720 0 111720 111720 111720 BILLINGS 561000 203422 203422 TEAM BARIATRICS 621110 29062 29062 SPECIALIST X-RAY 621500 22350 22350 758813 758813 1013647 38875227 25391839 -30154 296825 1152652 1152652 22210880 20477256 1733624 1437610 1346755 90855 2765986 2271602 494384 1226090 1086965 139125 46792 46792 2488615 2488615 1964896 1879942 84954 313594 241046 72548 723166 549073 174093 490414 490260 154 CLINICAL SUPPLIES 2245591 2243376 2215 PURCHASED SERVICES 2005537 1222763 782774 39071823 35497097 3574726 0 1957361 1683589 542974 552707 7528501 6031345 1785583 1497156 2116267 752009 0 7154194 3733452 4875202 5574504 0 4875202 5574504 X 2278992 -1841052 2278992 -1841052 7154194 3733452 X -196596 -752009 -3171439 X 0 1 X 1 0 X X 1 GOSHEN HOSPITAL ASSOCIATION INC 356001540 3 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 SCHEDULE A, PART IV, SECTION D, LINE 3: GOSHEN HEALTH SYSTEM, INC. IS ORGANIZED TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF GOSHEN HOSPITAL ASSOCATION, INC. ("THE HOSPITAL"). GOSHEN HEALTH SYSTEM, INC. AS THE PARENT AND SUPPORTING ORGANIZATION OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM, MANAGES AND DIRECTS THE HOSPITAL'S DELIVERY OF HEALTH CARE SERVICES. GOSHEN HEALTH SYSTEM, INC.'S GOVERNING BODY IS COMPOSED OF AT LEAST FIVE OR MORE MEMBERS OF THE GOVERNING BODY OF THE HOSPITAL. IN ADDITION, THERE IS AN OVERLAP OF OFFICERS BETWEEN GOSHEN HEALTH SYSTEM, INC. AND THE HOSPITAL. THE OVERLAP IN MEMBERS OF THE GOVERNING BODY AND OFFICERS BETWEEN ORGANIZATIONS HELP TO ENSURE THAT THERE IS A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH THE HOSPITAL. THE HOSPITAL HAS A SIGNIFICANT VOICE IN GOSHEN HEALTH SYSTEM'S OPERATIONS, INCLUDING THE USE OF ITS INCOME AND ASSETS. FOR EXAMPLE, BUDGETS ARE SUBMITTED BY THE HOSPITAL TO GOSHEN HEALTH SYSTEM, INC. FOR APPROVAL. THIS SUBMISSION ALLOWS THE HOSPITAL TO ARTICULATE ITS NEEDS (TRAVEL, CASH FLOW, ETC.) FOR CONSIDERATION OF FUNDING. IN ADDITION, THE HOSPITAL HAS INPUT INTO ALL THE INVESTMENT POLICIES OF GOSHEN HEALTH SYSTEM, INC. THROUGH THE HOSPITAL'S PRESENCE ON THE GOVERNING BOARD OF GOSHEN HEALTH SYSTEM, INC. SCHEDULE A, PART IV, SECTION E, LINE 3A: GOSHEN HEALTH SYSTEM, INC., HAS THE POWER TO ELECT A MAJORITY OF THE OFFICERS AND DIRECTORS OF GOSHEN HOSPITAL ASSOCIATION, INC. SCHEDULE A, PART IV, SECTION E, LINE 3B: GOSHEN HEALTH SYSTEM, INC. IS ORGANIZED TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF GOSHEN HOSPITAL ASSOCATION, INC. ("THE HOSPITAL"). GOSHEN HEALTH SYSTEM, INC. AS THE PARENT AND SUPPORTING ORGANIZATION OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM, MANAGES AND DIRECTS THE HOSPITAL'S DELIVERY OF HEALTH CARE SERVICES, INCLUDING PROVIDING LONG-RANGE AND STRATEGIC PLANNING, FINANCIAL CONTROL, AND PROGRAMS AND POLICIES THAT CAUSE THE HOSPITAL TO FUNCTION AS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. GOSHEN HEALTH SYSTEM, INC. IS RESPONSIBLE FOR THE APPROVAL OF THE HOSPITAL BUDGET, STRATEGIC PLANNING, RESOURCE ALLOCATION, AND COMMUNITY BENEFIT ACTIVITIES. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7508454 6031345 1477109 20047 20047 1497156 1 1 0 0 0 0 0 0 0 RANDAL CHRISTOPHEL PRESIDENT AND CEO 0 438667 0 161494 0 35190 0 112090 0 7375 0 754816 0 0 EDWARD BOYTS MD TREASURER 140301 0 126039 0 0 0 18647 0 8565 0 293552 0 0 0 RICHARD B HOSTETTER MD SECRETARY 450134 0 55676 0 17500 0 45321 0 7375 0 576006 0 0 0 DANIEL BERGER MD DIRECTOR 110038 0 150928 0 0 0 16772 0 5356 0 283094 0 0 0 AMY FLORIA CFO 0 279609 0 77240 0 30429 0 36277 0 4729 0 428284 0 0 RANDALL CAMMENGA MD COO 0 341060 0 90214 0 26930 0 46558 0 9049 0 513811 0 0 LARRY ALLEN MD CMO 0 282812 0 67736 0 18714 0 33945 0 3115 0 406322 0 0 ALAN WELDY VP OF HR AND CORPORATE COMPLIANCE 0 335352 0 93744 0 13822 0 44294 0 4875 0 492087 0 0 MARGARET S FRANGER VP OF CANCER SERVICES 0 205766 0 49410 0 984 0 25096 0 9991 0 291247 0 0 PAM KARSEN VP OF NURSING 0 240981 0 62051 0 8836 0 12276 0 2099 0 326243 0 0 LARRY BROOKS VP OF MARKETING 0 23217 0 53002 0 184968 0 28701 0 717 0 290605 0 0 STEVE GARBODEN VP PLANNING AND MANAGED CARE 0 162183 0 44986 0 31190 0 14616 0 6127 0 259102 0 0 MARK PODGORSKI VP OF HOSPITAL OPERATIONS 0 208175 0 52514 0 1932 0 28869 0 3051 0 294541 0 0 VLADIMIR RADIVOJEVIC VP OF SURGICAL SERVICES 0 157015 0 38115 0 5946 0 22761 0 6375 0 230212 0 0 MARK SMUCKER MD PHYSICIAN 690036 0 57575 0 15615 0 28210 0 9967 0 801403 0 0 0 DAVID KORONKIEWICZ MD PHYSICIAN 652023 0 0 0 0 0 28210 0 0 0 680233 0 0 0 KENNETH PENNINGTON MD PHYSICIAN 413771 0 178799 0 0 0 28210 0 3236 0 624016 0 0 0 PETER KIM MD PHYSICIAN 623834 0 53913 0 17500 0 17810 0 8665 0 721722 0 0 0 MADHUSUDANA RAO MD PHYSICIAN 559521 0 63893 0 100 0 17810 0 5835 0 647159 0 0 0 JAMES DAGUE FORMER OFFICER 0 0 0 125000 0 99590 0 0 0 0 0 224590 0 99590 PART I, LINE 3 GOSHEN HOSPITAL ASSOCIATION, INC., A RELATED TAX-EXEMPT ORGANIZATION OF GOSHEN HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4A: AS PER OUR EMPLOYMENT AGREEMENT, UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM IU HEALTH GOSHEN. JAMES DAGUE $99,590 LARRY BROOKS $172,206 PART I, LINE 4B: ELIGIBLE EXECUTIVES PARTICIPATE IN VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES, BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. THE FOLLOWING INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS OF: STEVE GARBODEN $10,500 FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING OFFICERS, BOARD MEMBERS, AND KEY EMPLOYEES ARE EMPLOYEES OF IU HEALTH GOSHEN OR ITS RELATED ORGANIZATIONS, AND SERVE ON OTHER RELATED TAXABLE BOARDS: RANDY CHRISTOPHEL AMY FLORIA ALAN WELDY FORM 990, PART VI, SECTION A, LINE 6 IU HEALTH IS THE SOLE MEMBER OF IU HEALTH GOSHEN. FORM 990, PART VI, SECTION A, LINE 7A IU HEALTH, AS THE SOLE MEMBER OF IU HEALTH GOSHEN, HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF IU HEALTH GOSHEN. FORM 990, PART VI, SECTION A, LINE 7B ITEMS THAT REQUIRE APPROVAL OF IU HEALTH GOSHEN INCLUDE ANY AMENDMENT OF THE OPERATING AGREEMENT, DISSOLUTION OF THE ORGANIZATION OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 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. THE DISCLOSURES ARE 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 IU HEALTH GOSHEN'S TOP MANAGEMENT OFFICIALS AND OTHER OFFICERS ARE COMPENSATED BY IU HEALTH GOSHEN HOSPITAL, A RELATED TAX-EXEMPT ORGANIZATION. AN INDEPENDENT COMMITTEE APPROVES THE COMPENSATION WHICH IS DETERMINED TO BE REASONABLE BASED UPON INDEPENDENT COMPARABILITY DATA. APPROVAL OF AMOUNTS ARE DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 IU HEALTH GOSHEN WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFER -3,171,439. 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