GOSHEN HOSPITAL ASSOCIATION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: GOSHEN HOSPITAL ASSOCIATION INC (EIN 35-6001540)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-11
IRS object ID: 201433159349301823
Schema version: 2013v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-11T14:34:55-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	861065772	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE SUITE 2000	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	462045108	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	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	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	GOSH	BusinessNameControlTxt
Phone	5745352665	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 HIGH PARK AVENUE	AddressLine1
City	GOSHEN	City
State	IN	State
ZIP Code	46526	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	AMY FLORIA	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5745352661	PhoneNum
Signature	2014-11-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SAMANTHA BOKORI	PreparerPersonNm
PTIN	P01057347	PTIN
Phone	3174648600	PhoneNum
Preparation	2014-11-07	PreparationDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	IU HEALTH GOSHEN HOSPITAL	BusinessNameLine1

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	AddressLine1
City	GOSHEN	City
State	IN	State
ZIP Code	46526	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$216,944,139	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.IUHEALTH.ORG/GOSHEN	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	13	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1506	TotalEmployeeCnt
Total Volunteers	369	TotalVolunteersCnt
Total Gross UBI	-$302,364	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$302,364	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$126,834	PYContributionsGrantsAmt
CY Contributions Grants	$227,536	CYContributionsGrantsAmt
PY Program Service Revenue	$219,847,588	PYProgramServiceRevenueAmt
CY Program Service Revenue	$204,699,075	CYProgramServiceRevenueAmt
PY Investment Income	$2,802,296	PYInvestmentIncomeAmt
CY Investment Income	$5,194,961	CYInvestmentIncomeAmt
PY Other Revenue	$6,848,866	PYOtherRevenueAmt
CY Other Revenue	$6,822,567	CYOtherRevenueAmt
PY Total Revenue	$229,625,584	PYTotalRevenueAmt
CY Total Revenue	$216,944,139	CYTotalRevenueAmt
PY Grants And Similar Paid	$208,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$264,870	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$79,425,542	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$84,576,236	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$107,837,862	PYOtherExpensesAmt
CY Other Expenses	$102,004,634	CYOtherExpensesAmt
PY Total Expenses	$187,471,404	PYTotalExpensesAmt
CY Total Expenses	$186,845,740	CYTotalExpensesAmt
PY Revenues Less Expenses	$42,154,180	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$30,098,399	CYRevenuesLessExpensesAmt
Total Assets BOY	$253,624,903	TotalAssetsBOYAmt
Total Assets EOY	$284,452,212	TotalAssetsEOYAmt
Total Liabilities BOY	$68,217,308	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$59,029,069	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$185,407,595	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$225,423,143	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF IU HEALTH GOSHEN HOSPITAL IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES BY PROVIDING INNOVATIVE, OUTSTANDING CARE AND SERVICES, THROUGH EXCEPTIONAL PEOPLE DOING EXCEPTIONAL WORK.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$153,995,254	ExpenseAmt
Grant	$264,870	GrantAmt
Revenue	$209,476,728	RevenueAmt
Desc	IU HEALTH GOSHEN HOSPITAL IS A NON-DENOMINATIONAL NON-FOR-PROFIT ORGANIZATION PROVIDING HEALTH CARE SERVICES FOR THE GENERAL PUBLIC AS WELL AS CHARITY WITHIN THE COMMUNITY. SEE SCHEDULE O FOR ADDITIONAL DETAIL.THE MISSION OF IU HEALTH 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.BUILDING UPON OUR HERITAGE AND VALUES, IU HEALTH GOSHEN HOSPITAL 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:- PROVIDING HIGH-QUALITY CARE WITH COMPASSION, VALUE AND STATE-OF-THE-ART TECHNOLOGY;- CREATING AN ENVIRONMENT THAT FOSTERS THE HIGHEST LEVEL OF ENTHUSIASM, COMMITMENT, COLLABORATION AND SATISFACTION;- STRATEGICALLY RESPONDING TO OUR DIVERSE COMMUNITY'S CHANGING HEALTHCARE NEEDS, WITH INCREASING EMPHASIS ON WELLNESS; AND- HELPING OUR COMMUNITIES TO BE THE "BEST PLACES" TO LIVE AND WORK.AS A COMMUNITY HOSPITAL, IU HEALTH 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 INNOVATIVE AND DYNAMIC ENVIRONMENT. THE HOSPITAL HAS 123 PATIENT BEDS AND OVER 137 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.IU HEALTH 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 EXCEED 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 IU HEALTH GOSHEN HOSPITAL AS A MAGNET HOSPITAL. 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. IU HEALTH GOSHEN HOSPITAL IS AMONG AN ELITE GROUP OF ONLY 7% OF HOSPITALS IN THE NATION TO BE RE-DESIGNATED AS A MAGNET FACILITY AND THE ONLY FACILITY IN THE REGION.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 SPECIALLY TRAINED SURGICAL ONCOLOGISTS, A BREAST SURGEON, MEDICAL ONCOLOGIST, A RADIATION ONCOLOGIST, NATUROPATHIC PRACTITIONERS AND HIGHLY DISTINGUISHED MAGNET DESIGNATED NURSES.IU HEALTH 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 AND 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. IN ADDITION TO VARIOUS COMMUNITY WELLNESS AND EDUCATION PROGRAMS, IU HEALTH GOSHEN HOSPITAL PROVIDES A FULL-SERVICE RESOURCE FOR COMPREHENSIVE HEALTH INFORMATION AND ASSISTANCE. NURSE ON CALL (NOC) IS FULL-SERVICE, MULTI-LINGUAL HEALTH INFORMATION, REFERRAL AND NURSE TRIAGE TELEPHONE SERVICE AVAILABLE 24 HOURS A DAY, 7 DAYS WEEK. NOC IS STAFFED BY SPECIALLY TRAINED, KNOWLEDGEABLE AND EXPERIENCED REGISTERED NURSES. THIS FREE SERVICE PROVIDES MEDICAL GUIDANCE WHEN SICK OR INJURED, INFORMATION ON PHYSICIANS IN THE AREA, REFERRALS TO COMMUNITY RESOURCES AND REGISTRATION FOR CLASSES AND EVENTS. ANNUALLY, IU HEALTH GOSHEN HOSPITAL MAKES CONTRIBUTIONS TO WELL-DESERVING ORGANIZATIONS FROM GOSHEN AND THE SURROUNDING COMMUNITIES. THE HOSPITAL SUPPORTS AREA NON-PROFIT AGENCIES THAT SHARES ITS MISSION, VISION AND VALUES THROUGH THE COMMUNITY BENEFIT FUND. THE PROGRAM IS AN EFFORT TO FURTHER THE IMPACT THESE ORGANIZATIONS CAN MAKE AND INCREASE THE NUMBER OF BENEFICIAL PROGRAMS AVAILABLE TO THE COMMUNITY. IN 2013, THE HOSPITAL PROVIDED APPROXIMATELY $250,000 TO 47 ORGANIZATIONS. SINCE ITS INCEPTION IN 1998, THE COMMUNITY BENEFIT FUND HAS GIVEN OVER $2.3 MILLION IN GRANT MONEY. IU HEALTH 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. IN 2013, THE HOSPITAL EXTENDED CHARITY CARE TO 5,217 ACCOUNTS TOTALING $8.6 MILLION. IU HEALTH GOSHEN HOSPITAL ALSO PARTNERS WITH A LOCAL FINANCIAL INSTITUTION TO PROVIDE A FLEXIBLE AND AFFORDABLE FINANCING SOLUTION FOR A PATIENT'S MEDICAL CARE.IU HEALTH GOSHEN HOSPITAL RECEIVED THE PLATINUM PERFORMANCE ACHIEVEMENT AWARD BY THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION'S NCDR ACTION REGISTRY (2013) - ONE OF ONLY 256 HOSPITALS NATIONWIDE TO EARN THE DISTINCTION. IU HEALTH GOSHEN RECEIVED THE BEACON AWARD FOR EXCELLENCE FROM THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES. THIS IS THE SECOND TIME IU HEALTH GOSHEN HAS WON THE AWARD AND IS ONLY ONE OF TWO IN THE STATE TO BE A RECIPIENT.IU HEALTH GOSHEN HOSPITAL WAS RECOGNIZED IN 2011 BY THE AMERICAN COLLEGE OF SURGEONS THROUGH THEIR NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM AS ONE OF 26 HOSPITALS ACHIEVING EXEMPLARY PERFORMANCE FOR SURGICAL PATIENT CARE.IU HEALTH 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 IU HEALTH GOSHEN RETREAT WOMEN'S HEALTH CENTER.	Desc
Total Program Service Expenses	$153,995,254	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	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	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	0	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	128	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1506	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	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	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
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	DIRECTOR OF FINANCE	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	5743642665	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 HIGH PARK AVENUE	AddressLine1
City	GOSHEN	City
State	IN	State
ZIP Code	46526	ZIPCode

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 CHRISTOPHEL
PRESIDENT AND CEO	40.00	2.00	Yes (X)	Yes (X)	$596,505	$0	$31,823
LINDA BAXLEY
CHAIR	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
MARTHA SUZIE YEAGER
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
DON OGLE
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
RANDY CRIPE
TREASURER	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
KAREN PLETCHER
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
DANIEL NAFZIGER MD
VICE CHAIR	1.00	40.00	Yes (X)	Yes (X)	$0	$169,702	$12,198
JODY NEER MD
DIRECTOR	1.00	40.00	Yes (X)		$0	$386,106	$28,248
KAREN SMITH
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
SUSAN STIFFNEY
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
DANIEL DIENER
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
VERNITA TODD
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
BRENDA SROF
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
DANIEL BERGER MD
DIRECTOR - PARTIAL YEAR	1.00	40.00	Yes (X)		$0	$237,554	$18,754
AMY FLORIA
CFO	40.00	1.00		Yes (X)	$478,030	$0	$46,498
RANDALL CAMMENGA MD
COO	40.00	1.00		Yes (X)	$633,410	$0	$59,353
LARRY ALLEN MD
CMO	32.00	8.00		Yes (X)	$310,126	$0	$30,476
ALAN WELDY
V/P OF HR	40.00	1.00		Yes (X)	$585,225	$0	$54,841
MARGARET S FRANGER
V/P OF CANCER SERVICES	40.00	1.00			$226,876	$0	$39,580	Yes (X)
PAM KARSEN
V/P OF NURSING	40.00	1.00			$316,118	$0	$36,555	Yes (X)
POOPALASINGHAM POOVENDRAN MD
PHYSICIAN	40.00	0.00			$590,791	$0	$34,521		Yes (X)
MIN YAN
PHYSICIAN	40.00	0.00			$375,280	$0	$26,886		Yes (X)
MARK PODGORSKI
V/P OF OPERATIONS	40.00	0.00			$347,146	$0	$40,935		Yes (X)
MARIA GARCIA
PHYSICIAN	40.00	0.00			$283,130	$0	$23,718		Yes (X)
LARRY BROOKS
V/P OF MARKETING	40.00	1.00			$369,884	$0	$44,749		Yes (X)
JAMES DAGUE
FORMER OFFICER	0.00	0.00			$700,411	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,812,932	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$793,362	TotReportableCompRltdOrgAmt
Total Other Compensation	$529,135	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	55	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
INDIANA UNIVERSITY HEALTH
2227 RELIABLE PARKWAY	CHICAGO	IL	606860022	INSURANCE	$1,780,422
GERIG SURGICAL ASSOCIATES PC
2006 SOUTH MAIN ST STE A	GOSHEN	IN	46526	ON CALL SERVICES	$951,341
VARIAN MEDICAL SYSTEM
70140 NETWORK PLACE	CHICAGO	IL	606731701	MEDICAL SUPPLIES	$872,105
QUEST DIAGNOSTICS
PO BOX 12989	CHICAGO	IL	60693	LAB SERVICES	$678,252
ADVISORY BOARD CO
PO BOX 79461	BALTIMORE	MD	212790461	CONSULTING SERVICES	$377,490

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
Related Organizations	$58,634	RelatedOrganizationsAmt
All Other Contributions	$168,902	AllOtherContributionsAmt
Total Contributions	$227,536	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT CARE	Desc
Business	621110	BusinessCd
Total Revenue Column	$204,699,075	TotalRevenueColumnAmt
Related Or Exempt Func Income	$204,699,075	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$204,699,075	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,194,961	TotalRevenueColumnAmt
Unrelated Business Revenue	-$302,364	UnrelatedBusinessRevenueAmt
Exclusion	$5,497,325	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,067,395	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	$1,067,395	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,067,395	TotalRevenueColumnAmt
Exclusion	$1,067,395	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FOOD SERVICE REVENUE	721000	$977,519	$977,519
FINANCE CHARGES	561000	$289,909		$289,909
OTHER ONCOLOGY REV MIS	621500	$193,940		$193,940

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,293,804	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,293,804	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,755,172	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$216,944,139	TotalRevenueColumnAmt
Related Or Exempt Func Income	$209,476,728	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$302,364	UnrelatedBusinessRevenueAmt
Exclusion	$7,542,239	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$264,870	TotalAmt
Program Services	$264,870	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,146,290	TotalAmt
Management And General	$3,146,290	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$58,759,414	TotalAmt
Program Services	$40,310,697	ProgramServicesAmt
Management And General	$18,448,717	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,053,761	TotalAmt
Program Services	$2,646,749	ProgramServicesAmt
Management And General	$1,407,012	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,529,262	TotalAmt
Program Services	$9,444,020	ProgramServicesAmt
Management And General	$5,085,242	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,087,509	TotalAmt
Program Services	$2,656,881	ProgramServicesAmt
Management And General	$1,430,628	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,183,713	TotalAmt
Management And General	$1,183,713	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$154,674	TotalAmt
Management And General	$154,674	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$7,480	TotalAmt
Management And General	$7,480	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$16,176	TotalAmt
Program Services	$16,176	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,998,225	TotalAmt
Program Services	$15,998,225	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,149,552	TotalAmt
Program Services	$3,149,552	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,134,174	TotalAmt
Program Services	$3,134,174	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,396,159	TotalAmt
Program Services	$1,396,159	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$327,580	TotalAmt
Program Services	$327,580	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$650,685	TotalAmt
Program Services	$650,685	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,986,730	TotalAmt
Management And General	$1,986,730	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$11,338,514	TotalAmt
Program Services	$11,338,514	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,210,429	TotalAmt
Program Services	$10,210,429	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,613,969	TotalAmt
Program Services	$1,613,969	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
DRUGS & MED. SUPPLIES	$38,176,864	$38,176,864	$0	$0
REPAIRS & MAINTENANCE	$6,232,929	$6,232,929	$0	$0
EQUIPMENT RENTAL	$2,899,766	$2,899,766	$0	$0
UTILITIES	$1,554,090	$1,554,090	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,972,925	TotalAmt
Program Services	$1,972,925	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$186,845,740	TotalAmt
Program Services	$153,995,254	ProgramServicesAmt
Management And General	$32,850,486	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$24,428,555	BOYAmt
EOY	$15,754,791	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$12,511,479	BOYAmt
EOY	$155,162	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$29,335,784	BOYAmt
EOY	$28,692,510	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,292,423	BOYAmt
EOY	$1,275,121	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,005,926	BOYAmt
EOY	$5,920,152	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,232,372	BOYAmt
EOY	$3,556,776	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$217,916,215	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$116,755,623	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$102,548,753	BOYAmt
EOY	$101,160,592	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$71,931,547	BOYAmt
EOY	$126,482,320	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,338,064	BOYAmt
EOY	$1,454,788	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$253,624,903	BOYAmt
EOY	$284,452,212	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$22,783,313	BOYAmt
EOY	$23,230,561	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$43,481,171	BOYAmt
EOY	$34,092,821	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,952,824	BOYAmt
EOY	$1,705,687	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$68,217,308	BOYAmt
EOY	$59,029,069	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$184,767,777	BOYAmt
EOY	$224,756,361	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$639,818	BOYAmt
EOY	$666,782	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$185,407,595	BOYAmt
EOY	$225,423,143	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$253,624,903	BOYAmt
EOY	$284,452,212	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$30,098,399	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$9,505,526	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$490,279	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$901,902	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$7,480	OtherActivitiesAmt
Total Lobbying Expenditures	$7,480	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 EXPENSE REPRESENT THE PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$2,988,795	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$3,883,888	OtherCostOrOtherBasisAmt
Book Value	$6,872,683	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$97,842,162	OtherCostOrOtherBasisAmt
Depreciation	$33,723,942	DepreciationAmt
Book Value	$64,118,220	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$377,004	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$113,748	OtherCostOrOtherBasisAmt
Depreciation	$187,246	DepreciationAmt
Book Value	$303,506	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$109,006,410	OtherCostOrOtherBasisAmt
Depreciation	$82,844,435	DepreciationAmt
Book Value	$26,161,975	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,704,208	OtherCostOrOtherBasisAmt
Book Value	$3,704,208	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$101,160,592	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
BOARD DESIGNATED FUNDS	$114,205,680	F
CANCER CENTER INVESTMENT	$1,817,403	F
LONG TERM INVESTMENTS	$10,459,237	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$126,482,320	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ASSET RETIREMENT OBLIGATION	$202,335
DEFERRED COMPENSATION	$551,417
DEFERRED MALPRACTICE CLAIMS	$298,900
INTEREST RATE SWAP	$653,035

Field	Value	IRS element (for citing)
Total Liability	$1,705,687	TotalLiabilityAmt

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	5217	PersonsServedCnt
Total Community Benefit Expns	$3,228,586	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,228,586	NetCommunityBenefitExpnsAmt
Total Expense	0.01730	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	6864	PersonsServedCnt
Total Community Benefit Expns	$19,977,612	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,805,494	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,172,118	NetCommunityBenefitExpnsAmt
Total Expense	0.02230	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	12081	PersonsServedCnt
Total Community Benefit Expns	$23,206,198	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,805,494	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,400,704	NetCommunityBenefitExpnsAmt
Total Expense	0.03960	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	47432	PersonsServedCnt
Total Community Benefit Expns	$990,311	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,679	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$907,632	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	632	PersonsServedCnt
Total Community Benefit Expns	$179,654	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,736	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$145,918	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	240	PersonsServedCnt
Total Community Benefit Expns	$303,416	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$303,416	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	48304	PersonsServedCnt
Total Community Benefit Expns	$1,473,381	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$116,415	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,356,966	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	60385	PersonsServedCnt
Total Community Benefit Expns	$24,679,579	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,921,909	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,757,670	NetCommunityBenefitExpnsAmt
Total Expense	0.04690	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,253	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,253	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	18	PersonsServedCnt
Total Community Benefit Expns	$10,108	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,108	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,885	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,885	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	18	PersonsServedCnt
Total Community Benefit Expns	$36,246	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,246	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,009,346	BadDebtExpenseAmt
Bad Debt Expense Attributable	$882,004	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$41,192,914	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$43,763,125	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,570,211	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	IU HEALTH GOSHEN HOSPITAL	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 HIGH PARK AVENUE	AddressLine1
City	GOSHEN	City
State	IN	State
ZIP Code	46526	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.IUHEALTH.ORG/GOSHEN	WebsiteAddressTxt
State License	100270430	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	IU HEALTH GOSHEN HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE LINE 5A DISCLOSURE	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	0	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Other Factors	Yes (X)	OtherFactorsInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Lowest Negotiated Rates	Yes (X)	LowestNegotiatedRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
IU HEALTH GOSHEN HOSPITAL	PART V, SECTION B, LINE 3: THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. ELKHART COUNTY HEALTHCARE, SOCIAL SERVICE AND PUBLIC HEALTH PROVIDERS WERE SOLICITED FOR THEIR PERSPECTIVES ON THE HEALTH STATUS OF ELKHART COUNTY. STEERING COMMITTEE MEMBERS REPRESENTING ORGANIZATIONS DEDICATED TO HEALTH, SOCIAL SERVICE, FAITH, COMMERCE, EDUCATION, AND EMERGENCY MANAGEMENT HELD A SERIES OF MEETINGS TO DEVELOP A SURVEY INSTRUMENT. THE RESULTING PRODUCT EVALUATED VARIOUS ASPECTS OF ELKHART COUNTY'S EXISTING HEALTHCARE SYSTEM, INCLUDING QUANTITY AND QUALITY OF SERVICES, HEALTH ISSUES IMPACTING ELKHART COUNTY, AND BARRIERS/CHALLENGES TO CARE FOR ELKHART COUNTY RESIDENTS.DATA FROM PROVIDER SURVEYS WERE COLLECTED USING AN ONLINE FORMAT. THE RESULTING SAMPLE IN ELKHART COUNTY WAS COMPRISED OF 30% MEDICAL PROVIDERS (I.E., PHYSICIANS, PODIATRISTS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS), 45% HEALTHCARE PROVIDERS (NONPHYSICIAN RESPONDENTS PROVIDING DIRECT CARE) AND 25% COMMUNITY PROVIDERS (NONMEDICAL PROVIDERS THAT PROVIDE SUPPORT TO RESIDENTS). DATA COLLECTED WERE EXTENSIVELY PROCESSED BY INDIVIDUALS AND GROUPS IN ELKHART COUNTY. THIS PROCESS RESULTED IN THE DEVELOPMENT OF A COMPREHENSIVE PICTURE OF THE COMMUNITY AND ITS HEALTH NEEDS AND IN THE PRIORITIZATION OF THESE NEEDS.
IU HEALTH GOSHEN HOSPITAL	PART V, SECTION B, LINE 4: THE OTHER HOSPITAL FACILITY WITH WHICH THE REPORTING HOSPITAL FACILITY CONDUCTED ITS CHNA, INCLUDES ELKHART GENERAL HOSPITAL.
IU HEALTH GOSHEN HOSPITAL	PART V, SECTION B, LINE 7: THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED ACCESS TO DENTAL CARE, VISION CARE, LONG-TERM CARE, AND PRESCRIPTION DRUGS AS NEEDS OF THE COMMUNITY. THE HOSPITAL DID NOT TAKE ACTION TO ADDRESS THESE NEEDS AS IT HAS LIMITED FINANCIAL AND OTHER RESOURCES, AND WITH THE COMMUNITY'S INPUT USED ITS RESOURCES TO ADDRESS THE TOP FIVE PRIORITIES.
IU HEALTH GOSHEN HOSPITAL	PART V, SECTION B, LINE 12I: FAMILY SIZE IS ANOTHER FACTOR IN DETERMINING DISCOUNTS GRANTED TO PATIENTS.
IU HEALTH GOSHEN HOSPITAL:	PART V, SECTION B, LINE 5A: IU HEALTH GOSHEN HOSPITAL'S CHNA WAS MADE AVAILABLE AT THE FOLLOWING URL ON THE HOSPITAL FACILITY'S WEBSITE: HTTP://IUHEALTH.ORG/GOSHEN/2012-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
IU HEALTH GOSHEN
200 HIGH PARK AVENUE	GOSHEN	IN	46526	CLINIC
THE RETREAT WOMEN'S HEALTH CENTER
1135 PROFESSIONAL DRIVE	GOSHEN	IN	46526	CLINIC
INDIANA LAKES MANAGED CARE
2018 SOUTH MAIN STREET	GOSHEN	IN	46526	HEALTH CARE MANAGEMENT
NEW PARIS MEDICAL CLINIC
2018 SOUTH MAIN STREET	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 INDIANA UNIVERSITY 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 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 ASSOCATION, 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 ASSOCATION, 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 IU HEALTH: THE PROVISION FOR UNCOLLECTED PATIENT ACCOUNTS, FOR ALL PAYORS, 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 FOR UNCOLLECTED PATIENT ACCOUNTS AND THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN ADDITION, THE INDIANA UNIVERSITY HEALTH SYSTEM 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 THE INDIANA UNIVERSITY HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET FINANCIAL ASSISTANCE POLICIES OF THE INDIANA UNIVERSITY HEALTH SYSTEM.
PART III, LINE 8:	ACTUAL MONTH TO DATE AND YEAR TO DATE REVENUES, CONTRACTUALS, REVENUE AND ACCOUNTS RECEIVABLE RELATED RATIOS, AND REVENUE RELATED STATISTICS (DAYS, DISCHARGES, ETC.) ARE COMPARED TO BUDGET AND PRIOR YEAR AMOUNTS ON A MONTHLY BASIS BY THE CFO OF GOSHEN HOSPITAL'S DIRECTORS AND FINANCIAL REPRESENTATIVES. 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 THE HOSPITAL'S MONTHLY CLOSE PROCESS. EXPLANATIONS TO VARIANCES (OR NON-VARIANCES WHEN EXPECTED) ARE RESEARCHED AND PROVIDED BY THE APPROPRIATE PERSONNEL AND REVIEWED WITH MANAGEMENT OF THE HOSPITAL. THE FINANCE DEPARTMENT ALSO CONSIDERS THESE KEY PERFORMANCE INDICATORS WHEN DEVELOPING THEIR ESTIMATES OF CONTRACTUAL ALLOWANCES TO ENSURE RECORDED AMOUNTS APPEAR REASONABLE BASED ON ACTUAL DATA AVAILABLE.FINANCIAL REPRESENTATIVES PREPARE AND UPDATE THE CONTRACTUAL ALLOWANCE MODEL AS A BASIS FOR ALL THIRD PARTY PAYORS BASED ON ACTUAL STATISTICS (E.G. DISCHARGES, DAYS, ETC.) AND ON CURRENT REIMBURSEMENT RATES. THE MODEL ANALYZES PATIENT RECEIVABLES AND CONTRACTUAL ALLOWANCE BY PAYOR AND BY PATIENT STATUS. THE MODEL ESTIMATES THE COLLECTABILITY OF PATIENT ACCOUNTS BASED ON HISTORICAL COLLECTION RATES. FINANCE COLLEAGUES ALSO UPDATE THE MODEL TO ACCOUNT FOR CHANGES IN REIMBURSEMENT RULES. AFTER THE MODEL IS PREPARED, IT IS REVIEWED BY THE 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 CHARITY CARE OF FINANCIAL ASSISTANCE, PAYMENT PLANS AND LUMP SUM SETTLEMENTS ARE AVAILABLE. IU HEALTH GOSHEN HOSPITAL ALSO PARTNERS WITH A LOCAL FINANCING INSTITUTION TO PROVIDE A FLEXIBLE AND AFFORDING FINANCING SOLUTION.
PART VI, LINE 2:	AS A COMMUNITY HOSPITAL, IU HEALTH GOSHEN HOSPITAL IS DEDICATED TO MEETING THE SPECIFIC HEALTH CARE NEEDS OF OUR COMMUNITY. THE HOSPITAL HAS 123 PATIENT BEDS AND OVER 137 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 SPECIALLY TRAINED SURGICAL ONCOLOGISTS, A BREAST SURGEON, MEDICAL ONCOLOGISTS, A RADIATION ONCOLOGIST, NATUROPATHIC PRACTITIONERS AND HIGHLY DISTINGUISHED MAGNET DESIGNATED NURSES.IU HEALTH 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 AND 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. IN ADDITION TO VARIOUS COMMUNITY WELLNESS AND EDUCATION PROGRAMS, IU HEALTH GOSHEN HOSPITAL PROVIDES A FULL-SERVICE RESOURCE FOR COMPREHENSIVE HEALTH INFORMATION AND ASSISTANCE. NURSE ON CALL (NOC) IS FULL-SERVICE, MULTI-LINGUAL HEALTH INFORMATION, REFERRAL AND NURSE TRIAGE TELEPHONE SERVICE AVAILABLE 24 HOURS A DAY, 7 DAYS WEEK. NOC IS STAFFED BY SPECIALLY TRAINED, KNOWLEDGEABLE AND EXPERIENCED REGISTERED NURSES. THIS FREE SERVICE PROVIDES MEDICAL GUIDANCE WHEN SICK OR INJURED, INFORMATION ON PHYSICIANS IN THE AREA, REFERRALS TO COMMUNITY RESOURCES AND REGISTRATION FOR CLASSES AND EVENTS.
PART VI, LINE 3:	UNINSURED PATIENTS ARE SCREENED DURING THE PRE-REGISTRATION PROCESS FOR ELIGIBILITY IN THE HEALTHY INDIANA PLAN AND FOR ANY OTHER KNOWN SOURCES OF FINANCIAL ASSISTANCE. ALL REGISTRATION LOCATIONS HAVE FINANCIAL ASSISTANCE 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 BALANCE DUE 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 FROM THE WEBSITE. THIS INFORMATION IS AVAILABLE IN ENGLISH AND SPANISH.
PART VI, LINE 4:	IU HEALTH GOSHEN HOSPITAL SERVES THE NORTHERN INDIANA AREA IN ELKHART COUNTY. ACCORDING TO THE 2013 CENSUS, THE POPULATION OF ELKHART COUNTY IS 200,563. THE MEDIAN INCOME FOR A HOUSEHOLD IN ELKHART COUNTY BASED ON THE 2013 CENSUS IS $46,712 AND THE MEDIAN INCOME FOR A FAMILY IS $54,193. APPROXIMATELY 12.7% OF FAMILIES AND 16.5% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 25.4% OF THOSE UNDER THE AGE 18 AND 8.0% OF THOSE AGE 65 AND OVER. THE RACIAL MAKEUP OF THE COUNTY WAS ABOUT 76.3% WHITE, 6.1% AFRICAN AMERICAN, AND 14.9% HISPANIC OR LATINO. THE REMAINING 2.7% 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 IU HEALTH WITH THE HOSPITAL'S ANNUAL OPERATING BUDGET AND KEY STRATEGIC OBJECTIVES. IN ADDITION, THE HOSPITAL MANAGEMENT PROVIDES IU HEALTH WITH VARIOUS KEY METRICS INVOLVING PATIENT SATISFACTION, PATIENT QUALITY AND COLLEAGUE SATISFACTION. IU HEALTH 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 IU 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 (22 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
BASHOR CHILDREN'S HOME
62226 COUNTY ROAD 15	GOSHEN	IN	46526	350933555	501(C)(3)	$10,195	OPERATING SUPPORT
BIG BROTHERS BIG SISTERS OF ELKHART COUNTY
59029 COUNTY ROAD 13	ELKHART	IN	46517	351272588	501(C)(3)	$10,000	OPERATING SUPPORT
BOYS & GIRLS CLUB OF GREATER GOSHEN INC
102 WEST LINCOLN SUITE 240	GOSHEN	IN	46526	351033735	501(C)(3)	$20,000	OPERATING SUPPORT
CARE FOUDATION INC
64468 MEADOW RIDGE DRIVE	GOSHEN	IN	46526	352111562	501(C)(3)	$20,000	OPERATING SUPPORT
CENTER FOR HEALING AND HOPE
423 E JEFFERSON STREET	GOSHEN	IN	46528	020560511	501(C)(3)	$10,000	OPERATING SUPPORT
CHILD AND PARENT SERVICES
100 W HIVELY AVENUE	ELKHART	IN	46517	350888765	501(C)(3)	$5,400	OPERATING SUPPORT
CHURCH COMMUNITY SERVICES
PO BOX 2346	ELKHART	IN	46515	351155054	501(C)(3)	$5,000	OPERATING SUPPORT
COMMUNITY DENTAL CLINIC INC
7750 W 200 SOUTH	TOPEKA	IN	46571	352068053	501(C)(3)	$5,000	OPERATING SUPPORT
COUNCIL ON AGING OF ELKHART COUNTY INC
230 E JACKSON BLVD	ELKHART	IN	46516	510178910	501(C)(3)	$10,000	OPERATING SUPPORT
ELKHART COUNTY CLUBHOUSE
114 S 5TH STREET	GOSHEN	IN	46528	271151738	501(C)(3)	$12,000	OPERATING SUPPORT
FAMILY CHRISTIAN DEVELOPMENT CENTER
151 S LOCKE STREET	NAPPANEE	IN	46550	351979463	501(C)(3)	$5,000	OPERATING SUPPORT
LACASA INC
202 N COTTAGE AVE	GOSHEN	IN	46528	351554538	501(C)(3)	$5,000	OPERATING SUPPORT
LAGRANGE COUNTY COUNCIL ON AGING
PO BOX 107	LAGRANGE	IN	46761	237455893	501(C)(3)	$5,000	OPERATING SUPPORT
MAPLE CITY HEALTH CARE CENTER
213 MIDDLEBURY STREET	GOSHEN	IN	46528	351749398	501(C)(3)	$20,000	OPERATING SUPPORT
MDC GOLDENROD
1514 COLLEGE AVENUE	GOSHEN	IN	46526	311205424	501(C)(3)	$5,000	OPERATING SUPPORT
MOTHERHOOD AND MORE INC
57596 STATE ROAD 15	GOSHEN	IN	46528	463280725	501(C)(3)	$5,000	OPERATING SUPPORT
NORTHERN INDIANA HISPANIC HEALTH COALITION
444 N NAPPANEE STREET	ELKHART	IN	46514	320039221	501(C)(3)	$10,000	OPERATING SUPPORT
OAKLAWN PSYCHIATRIC CENTER
330 LAKEVIEW DRIVE	GOSHEN	IN	46527	351070041	501(C)(3)	$10,000	OPERATING SUPPORT
THE HORIZON EDUCATION ALLIANCE
124 E WASHINGTON STREET	GOSHEN	IN	46528	460803293	501(C)(3)	$5,000	OPERATING SUPPORT
THE WINDOW INC
223 S MAIN STREET	GOSHEN	IN	46526	351427937	501(C)(3)	$6,000	OPERATING SUPPORT
UNITED CANCER SERVICES OF ELKHART COUNTY INC
23971 US HIGHWAY 33	ELKHART	IN	46530	351091429	501(C)(3)	$20,000	OPERATING SUPPORT
WHEELCHAIRHELPORG INC
515 EAST STREET	ELKHART	IN	46516	013683350	501(C)(3)	$5,000	OPERATING SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	22	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)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
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	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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
RANDY CHRISTOPHEL
PRESIDENT AND CEO	$419,461	$0	$141,765	$0	$35,279	$0	$25,315	$0	$6,508	$0	$628,328	$0	$0	$0
DANIEL NAFZIGER MD
VICE CHAIR	$0	$56,390	$0	$108,212	$0	$5,100	$0	$11,900	$0	$298	$0	$181,900	$0	$0
JODY NEER MD
DIRECTOR	$0	$303,483	$0	$53,681	$0	$28,942	$0	$19,731	$0	$8,517	$0	$414,354	$0	$0
DANIEL BERGER MD
DIRECTOR - PARTIAL YEAR	$0	$162,160	$0	$75,394	$0	$0	$0	$16,419	$0	$2,335	$0	$256,308	$0	$0
AMY FLORIA
CFO	$264,300	$0	$80,272	$0	$133,458	$0	$41,704	$0	$4,794	$0	$524,528	$0	$0	$0
RANDALL CAMMENGA MD
COO	$329,590	$0	$123,447	$0	$180,373	$0	$50,742	$0	$8,611	$0	$692,763	$0	$0	$0
LARRY ALLEN MD
CMO	$261,348	$0	$35,640	$0	$13,138	$0	$27,207	$0	$3,269	$0	$340,602	$0	$0	$0
ALAN WELDY
V/P OF HR	$330,460	$0	$103,605	$0	$151,160	$0	$50,833	$0	$4,008	$0	$640,066	$0	$0	$0
MARGARET S FRANGER
V/P OF CANCER SERVICES	$175,666	$0	$50,400	$0	$810	$0	$27,427	$0	$12,153	$0	$266,456	$0	$0	$0
PAM KARSEN
V/P OF NURSING	$233,767	$0	$69,989	$0	$12,362	$0	$34,682	$0	$1,873	$0	$352,673	$0	$0	$0
POOPALASINGHAM POOVENDRAN MD
PHYSICIAN	$567,715	$0	$0	$0	$23,076	$0	$25,315	$0	$9,206	$0	$625,312	$0	$0	$0
MIN YAN
PHYSICIAN	$332,680	$0	$25,000	$0	$17,600	$0	$19,151	$0	$7,735	$0	$402,166	$0	$0	$0
MARK PODGORSKI
V/P OF OPERATIONS	$203,057	$0	$61,121	$0	$82,968	$0	$38,560	$0	$2,375	$0	$388,081	$0	$0	$0
MARIA GARCIA
PHYSICIAN	$283,130	$0	$0	$0	$0	$0	$19,850	$0	$3,868	$0	$306,848	$0	$0	$0
LARRY BROOKS
V/P OF MARKETING	$175,910	$0	$64,777	$0	$129,197	$0	$39,688	$0	$5,061	$0	$414,633	$0	$0	$0
JAMES DAGUE
FORMER OFFICER	$0	$0	$125,000	$0	$575,411	$0	$0	$0	$0	$0	$700,411	$0	$575,411	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IU HEALTH GOSHEN HOSPITAL GROSSED UP THE TAXABLE VALUE OF AUTOMOBILES FOR 4 OF THE OFFICERS LISTED IN FORM 990, PART VII AND INCLUDED THE AMOUNT IN THE EMPLOYEES' W-2 AS ADDITIONAL COMPENSATION. HEALTH OR SOCIAL CLUB DUES IU HEALTH GOSHEN HOSPITAL PAID FOR COUNTRY CLUB DUES FOR 4 OF THE OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES LISTED IN FORM 990, PART VII. ALL REIMBURSEMENTS ARE CONSIDERED TAXABLE INCOME TO THE EMPLOYEES.
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 $575,411
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: AMY FLORIA $102,959 ALAN WELDY $138,118 RANDALL CAMMENGA, MD $153,915 MARK PODGORSKI $81,036 LARRY ALLEN, MD $6,349 LARRY BROOKS $102,814

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING OFFICERS, BOARD MEMBERS, AND KEY EMPLOYEES ARE EMPLOYEES OF IU HEALTH GOSHEN HOSPITAL 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 GOSHEN IS THE SOLE MEMBER OF IU HEALTH GOSHEN HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	IU HEALTH GOSHEN AS THE SOLE MEMBER OF IU HEALTH GOSHEN HOSPITAL HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF THE HOSPITAL.
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 OCTOBER 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	IU HEALTH GOSHEN HOSPITAL WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART XI, LINE 9:	TRANSFER OF NET ASSETS TO IU HEALTH GOSHEN FOUNDATION, INC. 527,903. EQUITY TRANSFER TO VARIOUS ENTITIES 52,171. INTEREST RATE SWAPS 321,828.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Direct Controlling NADirectControllingNACd
NAPPANEE CLINIC LLC
200 HIGH PARK AVE	GOSHEN	IN	46526	201068334	HEALTHCARE	IN	$0	$0	GHS
INDIANA LAKES MANAGED CARE ORG LLC
200 HIGH PARK AVE	GOSHEN	IN	46526	351946663	HEALTHCARE	IN	-$32,594	$315,798		N/A
INDIANA LAKES ACCOUNTABLE CARE ORGANIZATION
200 HIGH PARK AVE	GOSHEN	IN	46526	455450141	HEALTHCARE	IN	-$111,685	$0		N/A
PILR INC
200 HIGH PARK AVE	GOSHEN	IN	46526	204294750	DEVELOPMENT	IN	$0	$0	GHS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (42 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CLARIAN TRANSPLANT INSTITUTE INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	134350599	HEALTHCARE	IN	501(C)(3)	9	IUH	Yes (1)
GOSHEN HEALTH SYSTEM INC
200 HIGH PARK AVE	GOSHEN	IN	46526	351974765	HEALTHCARE	IN	501(C)(3)	11 III-FI	IUH	Yes (1)
HEALTHLINC INC
714 S ROGERS ST	BLOOMINGTON	IN	47402	263571507	HEALTHCARE	IN	501(C)(3)	9	IUHB	Yes (1)
INDIANA RADIOLOGY PARTNERS INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	201017034	HEALTHCARE	IN	501(C)(3)	3	IUH	Yes (1)
INDIANA UNIVERSITY HEALTH INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	351955872	HEALTHCARE	IN	501(C)(3)	3		0	N/A
IU HEALTH ARNETT FOUNDATION INC
2600 GREENBUSH ST	LAFAYETTE	IN	47904	356079797	FUNDRAISING	IN	501(C)(3)	11 I	IUHA	Yes (1)
IU HEALTH ARNETT INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	263162145	HEALTHCARE	IN	501(C)(3)	3	IUH	Yes (1)
IU HEALTH BALL MEMORIAL HOSPITAL INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	350867958	HEALTHCARE	IN	501(C)(3)	3	IUH	Yes (1)
IU HEALTH BALL MEMORIAL PHYSICIANS INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	351925641	HEALTHCARE	IN	501(C)(3)	9	IUHBMH	Yes (1)
IU HEALTH BEDFORD INC
2900 W 16TH ST	BEDFORD	IN	47421	237042323	HEALTHCARE	IN	501(C)(3)	3	IUH	Yes (1)
IU HEALTH BLACKFORD HOSPITAL INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	010646166	HEALTHCARE	IN	501(C)(3)	3	IUHBMH	Yes (1)
IU HEALTH BLOOMINGTON INC
PO BOX 1149	BLOOMINGTON	IN	47403	351720796	HEALTHCARE	IN	501(C)(3)	3	IUH	Yes (1)
IU HEALTH BMH FOUNDATION INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	311111784	FUNDRAISING	IN	501(C)(3)	11 I	IUHBMH	Yes (1)
IU HEALTH CARE ASSOCIATES INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	351747218	HEALTHCARE	IN	501(C)(3)	9	IUH	Yes (1)
IU HEALTH LAPORTE HOSPITAL INC
PO BOX 250	LAPORTE	IN	46352	351125434	HEALTHCARE	IN	501(C)(3)	3	IUH	Yes (1)
IU HEALTH LAPORTE PHYSICIANS INC
PO BOX 250	LAPORTE	IN	46352	311070868	HEALTHCARE	IN	501(C)(3)	3	IUHLH	Yes (1)
IU HEALTH MORGAN HOSPITAL INC
2209 JOHN R WOODEN DR	MARTINSVILLE	IN	46151	273533027	HEALTHCARE	IN	501(C)(3)	3	IUH	Yes (1)
IU HEALTH NORTH HOSPITAL INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	351932442	HEALTHCARE	IN	501(C)(3)	3	IUH	Yes (1)
IU HEALTH PAOLI HOSP FOUNDATION INC
PO BOX 499	PAOLI	IN	47454	310992486	FUNDRAISING	IN	501(C)(3)	11 III-O	IUHP	Yes (1)
IU HEALTH PAOLI INC
PO BOX 499	PAOLI	IN	47454	352090919	HEALTHCARE	IN	501(C)(3)	3	IUHB	Yes (1)
IU HEALTH TIPTON HOSPITAL INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	262772226	HEALTHCARE	IN	501(C)(3)	3	IUH	Yes (1)
IU HEALTH WEST HOSPITAL INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	351814660	HEALTHCARE	IN	501(C)(3)	3	IUH	Yes (1)
IU HEALTH WHITE MEMORIAL HOSPITAL INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	273532963	HEALTHCARE	IN	501(C)(3)	3	IUH	Yes (1)
IU MEDICAL GROUP FOUNDATION INC
340 W 10TH ST NO FS5100	INDIANAPOLIS	IN	46202	201093251	FUNDRAISING	IN	501(C)(3)	11 II		0	N/A
METHODIST HEALTH FOUNDATION INC
1800 N CAPITOL AVE	INDIANAPOLIS	IN	46202	356043086	FUNDRAISING	IN	501(C)(3)	11 I	IUH	Yes (1)
METHODIST HEALTH GROUP INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	350876390	HEALTHCARE	IN	501(C)(3)	11 III-FI		0	N/A
METHODIST MEDICAL GROUP INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	351945384	HEALTHCARE	IN	501(C)(3)	3	IUH	Yes (1)
METHODIST OCCUP HEALTH CENTERS INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	351844176	HEALTHCARE	IN	501(C)(3)	3	IUH	Yes (1)
METHODIST RESEARCH INSTITUTE INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	352023710	HEALTHCARE	IN	501(C)(3)	11 I	IUH	Yes (1)
MH HEALTHCARE INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	351766531	HEALTHCARE	IN	501(C)(3)	3	MMG	Yes (1)
MORGAN CO MEM HOSP FOUNDATION INC
2209 JOHN R WOODEN DR	MARTINSVILLE	IN	46151	352035162	FUNDRAISING	IN	501(C)(3)	11 II	IUHMH	Yes (1)
MORGAN CO MEM HOSP GUILD INC
2209 JOHN R WOODEN DR	MARTINSVILLE	IN	46151	310886844	FUNDRAISING	IN	501(C)(3)	11 III-FI	IUHMH	Yes (1)
MORGAN HEALTH SERVICES INC
1949 HOSPITAL DR	MARTINSVILLE	IN	46151	351968564	HEALTHCARE	IN	501(C)(3)	3	IUHMH	Yes (1)
WHITE CO MEM HOSP FOUNDATION INC
PO BOX 952	MONTICELLO	IN	47960	351671806	FUNDRAISING	IN	501(C)(3)	11 III-O	IUHWMH	Yes (1)
UNIVERSITY FAMILY PHYSICIANS INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	237427350	HEALTHCARE	IN	501(C)(3)	9	IUHCA	Yes (1)
REHABILITATION HOSPITAL OF INDIANA INC
4141 SHORE DRIVE	INDIANAPOLIS	IN	46254	351786005	HEALTHCARE	IN	501(C)(3)	3	MHH	Yes (1)
RHI FOUNDATION INC
4141 SHORE DRIVE	INDIANAPOLIS	IN	46254	351932349	FUNDRAISING	IN	501(C)(3)	11 I	RHI	Yes (1)
IU HEALTH GOSHEN FOUNDATION INC
200 HIGH PARK AVE	GOSHEN	IN	46526	462565300	FUNDRAISING	IN	501(C)(3)	11 I	GHS	Yes (1)
LAPORTE HOSPITAL FOUNDATION INC
PO BOX 250	LAPORTE	IN	46352	310952775	FUNDRAISING	IN	501(C)(3)	11 I		0	N/A
THE CHEER GUILD OF RILEY HOSP FOR CHILDREN
705 RILEY HOSPITAL DR	INDIANAPOLIS	IN	46202	356018517	FUNDRAISING	IN	501(C)(3)	11 III-FI		0	N/A
INDIANA HEALTH INFORMATION EXCHANGE INC
846 N SENATE AVE	INDIANAPOLIS	IN	46202	364550324	HEALTHCARE	IN	501(C)(3)	11 I		0	N/A
GOSHEN HOSPITAL & HEALTH CARE FOUNDATION INC
1926 W LINCOLN AVENUE SUITE A	GOSHEN	IN	46526	237092692	FUNDRAISING	IN	501(C)(3)	11 III-FI		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (21 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
BALL OUTPATIENT SURGERY CENTER LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	270275794	HEALTHCARE	IN	N/A
BELTWAY SURGERY CENTERS LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	352072586	HEALTHCARE	IN	N/A
BLOOMINGTON ENDOSCOPY CENTERS LLC
PO BOX 1149	BLOOMINGTON	IN	47402	352117943	HEALTHCARE	IN	N/A
BMH OUTPATIENT SURGERY SERVICES LLC
2401 W UNIVERSITY AVE	MUNCIE	IN	47303	204567998	HEALTHCARE	IN	N/A
BOSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	454147343	HEALTHCARE	IN	N/A
CARDINAL HEALTH INITIATIVES LLC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	300102702	PURCHASING	IN	N/A
CHV FUND I LLC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	262523206	VENTURE CAPITAL	IN	N/A
CHV FUND MANAGEMENT LLC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	262523151	VENTURE CAPITAL	IN	N/A
CLARIAN HEALTH NETWORK LLC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	352055030	HEALTHCARE	IN	N/A
EAGLE HIGHLANDS SURGERY CENTER LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	352259204	HEALTHCARE	IN	N/A
EHSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	454147879	HEALTHCARE	IN	N/A
HEALTH VENTURE MANAGEMENT LLC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	205740218	MANAGEMENT	IN	N/A
IEC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	454148032	HEALTHCARE	IN	N/A
INDIANA ENDOSCOPY CENTERS LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	208398421	HEALTHCARE	IN	N/A
BSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	452314634	HEALTHCARE	IN	N/A
MID-AMERICA SURGERY CENTER LLC
2401 W UNIVERSITY AVE	MUNCIE	IN	47303	352002953	HEALTHCARE	IN	N/A
ROC SURGERY LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	271497960	HEALTHCARE	IN	N/A
ROCS HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	454148369	HEALTHCARE	IN	N/A
SENATE STREET SURGERY CENTER LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	421709357	HEALTHCARE	IN	N/A
SSSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	454148167	HEALTHCARE	IN	N/A
CARDINAL HEALTH ALLIANCE LLC
2401 W UNIVERSITY AVE	MUNCIE	IN	47303	351966281	MANAGED CARE	IN	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (22 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	CountryForeignAddress/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
BMH MEDICAL PAVILION ASSOCIATION INC
2525 W UNIVERSITY AVE	MUNCIE	IN	47303	351858408	CONDO MANAGEMENT	IN	N/A	C	Yes (1)
CARDINAL HEALTH VENTURES INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	351611424	MANAGEMENT	IN	N/A	C	Yes (1)
CHV CAPITAL INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	260752507	VENTURE CAPITAL	IN	N/A	C	Yes (1)
IU HEALTH ACO INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	454421020	HEALTHCARE	IN	N/A	C	Yes (1)
IU HEALTH BOARD DESIGNATED TRUST
400 HOWARD ST	SAN FRANCISCO	CA	94105	306309021	INVESTMENTS	IN	N/A	T	Yes (1)
IU HEALTH NTGI S&P500 FUND CF
PO BOX 804358	CHICAGO	IL	60680	306298263	INVESTMENTS	IN	N/A	T	Yes (1)
IU HEALTH PLANS INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	262127080	HMO	IN	N/A	C	Yes (1)
IU HEALTH RISK PURCHASING GROUP INC
151 MEETING ST STE 301	CHARLESTON	SC	29401	260202446	INSURANCE	IN	N/A	C	Yes (1)
IU HEALTH RISK RETENTION GROUP INC
151 MEETING ST STE 301	CHARLESTON	SC	29401	201107674	INSURANCE	SC	N/A	C	Yes (1)
IU HEALTH SOUTHERN IN PHYSICIANS INC
PO BOX 1149	BLOOMINGTON	IN	47402	351913875	HEALTHCARE	IN	N/A	C	Yes (1)
IUH ASSURANCE LTD
				980395429	INSURANCE		N/A	C	Yes (1)	720 W BAY RD PO BOX 69	GRAND CAYMAN	CJ	CJ
OCC-HEALTH REVENUE SYSTEMS INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	203308057	WORK COMP PPO	IN	N/A	C	Yes (1)
PARKMOR DRUG INC
200 HIGH PARK AVE	GOSHEN	IN	46526	351394980	PHARMACY SALES	IN		C	Yes (1)					GHS	$388,976	$3,405,383	1.00000
RADIATION ONCOLOGY RESOURCES INC
200 HIGH PARK AVE	GOSHEN	IN	46526	262008424	HEALTHCARE	IN		C	Yes (1)					GHS	-$528,771	$223,273	1.00000
SCANS INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	453080392	HEALTHCARE	IN	N/A	C	Yes (1)
UNIVERSITY HEALTH MANAGEMENT INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	272891143	MANAGEMENT	IN	N/A	C	Yes (1)
UNIVERSITY HEALTH MGMT (CHINA) INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	273891311	MANAGEMENT	IN	N/A	C	Yes (1)
PROTEUO FUND LP
				981075227	INVESTMENTS		N/A	C	Yes (1)	PO BOX 31106 89 NEXUS WAY	GRAND CAYMAN	CJ	CJ
INDIANA UNIVERSITY HEALTH PLANS HOLDING COMPANY INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	463794815	INSURANCE	IN	N/A	C	Yes (1)
INDIANA UNIVERSITY HEALTH PLANS NFP INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	463803873	INSURANCE	IN	N/A	C	Yes (1)
UNIVERSITY HEALTH (SHANGHAI) MANAGEMENT CONSULTING CO LTD
					MANAGEMENT		N/A	C	Yes (1)	88 CENTURY AVE	SHANGHAI	CH	CH
GUGGENHEIM HIGH-YIELD PLUS FUND SPC
					INSURANCE		N/A	C	Yes (1)	PO BOX 309 UGLAND HOUSE	GRAND CAYMAN	CJ	CJ

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	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
IU HEALTH GOSHEN FOUNDATION INC
C	$58,634	FMV
GOSHEN HEALTH SYSTEM INC
O	$11,569,821	FMV
GOSHEN HEALTH SYSTEM INC
R	$11,338,514	FMV
IU HEALTH GOSHEN FOUNDATION INC
R	$527,903	FMV
GOSHEN HEALTH SYSTEM INC
S	$11,940,806	FMV