ELKHART GENERAL HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: ELKHART GENERAL HOSPITAL INC (EIN 35-0877574)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-15
IRS object ID: 201233209349309708
Schema version: 2011v1.3
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-15T18:58:14-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE SUITE 2600	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	46204	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	350877574	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ELKHART GENERAL HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% JEFFREY COSTELLO	InCareOfName
Name Control	ELKH	NameControl
Phone	5745233208	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	600 EAST BLVD	AddressLine1
City	ELKHART	City
State	IN	State
ZIP Code	46514	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Jefferey Costello	Name
Title	CFO	Title
Date Signed	2012-11-15	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3176817000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	GREGORY LOSASSO PRESIDENT	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	600 EAST BLVD	AddressLine1
City	ELKHART	City
State	IN	State
ZIP Code	46514	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	301243858	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.EGH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1909	YearFormation
State Legal Domicile	IN	StateLegalDomicile
Activity Or Mission Description	Elkhart General is a not-for profit hospital governed by a Board of Directors comprised of community volunteers. Emphasis is placed on ensuring everyone in the community receives the health care they need.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	19	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	2431	TotalNbrEmployees
Total Nbr Volunteers	304	TotalNbrVolunteers
Total Gross UBI	1581482	TotalGrossUBI
Net Unrelated Business Txbl Income	-234241	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	103273	ContributionsGrantsPriorYear
Contributions Grants Current Year	134135	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	258542709	ProgramServiceRevenuePriorYear
Program Service Revenue CY	244738131	ProgramServiceRevenueCY
Investment Income Prior Year	4521669	InvestmentIncomePriorYear
Investment Income Current Year	10965156	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2991267	OtherRevenuePriorYear
Other Revenue Current Year	5675770	OtherRevenueCurrentYear
Total Revenue Prior Year	266158918	TotalRevenuePriorYear
Total Revenue Current Year	261513192	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	150720	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	119711865	SalariesEtcPriorYear
Salaries Etc Current Year	118395670	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	138580864	OtherExpensePriorYear
Other Expenses Current Year	146860167	OtherExpensesCurrentYear
Total Expenses Prior Year	258292729	TotalExpensesPriorYear
Total Expenses Current Year	265406557	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	7866189	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-3893365	RevenuesLessExpensesCY
Total Assets BOY	412102223	TotalAssetsBOY
Total Assets EOY	396503204	TotalAssetsEOY
Total Liabilities BOY	142914170	TotalLiabilitiesBOY
Total Liabilities EOY	180798559	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	269188053	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	215704645	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO CREATE A HEALTHIER COMMUNITY BY BEING A PREMIER PROVIDER OF HEALTHCARE; PROMOTING THE HEALTH AND WELL BEING OF INDIVIDUALS AND FAMILIES BY PROVIDING EDUCATION THAT MAY AID IN DETECTION AND PREVENTION OF DISEASE; CONDUCTING OUR ACTIVITIES WITH COMPASSION AND RESPECT; ACTING WITH RECOGNITION THAT HEALTH IS WHOLISTIC AND EMBRACES THE BODY, MIND, AND SPIRIT; SEEKING AND PARTNERING WITH THOSE WHO SHARE OUR MISSION; CONTINUOUSLY IMPROVING THE QUALITY AND COST-EFFECTIVENESS OF OUR SERVICES; MAINTAINING THE FINANCIAL VIABILITY OF THE HOSPITAL WHILE CONTINUING OUR CHARITABLE ROLE IN THE COMMUNITY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	240178772	Expense
Grants	150720	Grants
Revenue	247042391	Revenue
Description	For over 100 years, Elkhart General Hospital has been providing comprehensive, advanced medical care to Elkhart and surrounding communities. Each year, particular emphasis is placed on making sure everyone in the community received the health care they need, not necessarily what they can afford. The simple truth is that Elkhart General is often the only source of health care for many of the poor and disadvantaged in our community, and this responsibility is taken very seriously. During 2011, Elkhart General provided more than $20 million in health services that were unreimbursed by Medicaid, and more than $33 million unreimbursed by Medicare. In addition, the Hospital provided community outreach contributions, or nonbilled services, valued at over $1.5 million for free and below-cost community screenings, educational lectures, and support for more than 50 health-related, not-for-profit organization. The Hospital also furnished more than $3 million in traditional charity care and over $5 million in uninsured discounts to patients. During 2011, the summation of charity care, other reimbursed care, and community benefit was $26,099,063 using VHA and CHA guidelines and definitions. In 2011, the unemployment rate in Elkhart County was 10.9%. The Hospital does provide services without charge or at amounts less than its established rates to patients who meet the criteria of its charity care or uninsured policies. The criteria for charity care takes into consideration Health and Human Services Federal Poverty Guidelines, family assets, family size, employment status, ordinary family expenses, and other related information. The net cost of charity care provided was approximately $3,634,177 based upon the cost to charge ratio. Unpaid costs related to Medicaid and Medicare programs were estimated to be $54,757,687. In addition, the Hospital is involved in many community benefits activities, including health education, screenings, and support groups. Elkhart General Hospital provides an emergency room with open 24/7 access. In 2011, the emergency room served 59,871 patients. In 2011, the hospital had 12,543 inpatient admissions and 172,088 outpatient registrations.	Description
Total Program Service Expense	240178772	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	194	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2431	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	19	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	IN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JEFFREY COSTELLO	NamePerson
Telephone Number	5746473549	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	615 N MICHIGAN STREET	AddressLine1
City	SOUTH BEND	City
State	IN	State
ZIP Code	46601	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Other CompensationOtherCompensation	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Donald Anderson
Volunteer Board Member	1.0	X
Scott Troeger
Volunteer Board Member	1.0	X
Pam Hluchota
Volunteer Board Member	1.0	X
David D Van Ryn MD
Vol Board Member thru May 2011	1.0	X
Wilbur Bontrager
Volunteer Board Member	1.0	X
Ron Fenech
Volunteer Board Member, Secret	1.0	X	X
Walter Halloran MD
Volunteer Board Member	1.0	X		49278	24762
Glenn Killoren
Volunteer Board Member, Vice C	1.0	X	X
Mark Klaaseen MD
Volunteer Board Member	1.0	X
Don Krabill
Volunteer Board Member, Chairm	1.0	X	X
Todd Martin
Volunteer Board Member	1.0	X
Linda Rothrock-Jurus
Volunteer Board Member	1.0	X
Frank Smole
Volunteer Board Member	1.0	X
Bruce Newswanger MD
Volunteer Board Member	1.0	X
Dan Morrison
Volunteer Board Member, Treasu	1.0	X	X
John K Martin
Volunteer Board Member	1.0	X
Matthew Pletcher
Volunteer Board Member	1.0	X
Gregory Lintjer
President thru 12/15/2011	50.0	X	X	937168	1240497
Gregory Losasso
President	50.0	X	X	364110	64681
Jeffrey Costello
CFO effective 12/21/2011	1.0	X	X		32936	608049
Phillip Newbold
CEO effective 12/11/11	1.0	X	X	0	42358	1675637
Kevin Higdon
VP of Finance thru 12/31/2011	50.0		X	329312	655364
Kurt Meyer
VP of Human Resources	50.0			211680	16294		X
Danielle Dyer
VP of Strategic Planning	50.0			231282	48525		X
Jeff Howe
Physician	50.0			497881	86656			X
Majid Malik
Physician	50.0			321807	55285			X
Burton Boron
Physician	50.0			308744	91175			X
Douglas Jarvis
Physician	50.0			315190	48204			X
Laura Munkel
Physician	50.0			294126	59889			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3860578	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2283686	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2466626	TotalOtherCompensation
Number Individuals GT100 K	74	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
South Bend Medical Foundation
530 North Lafayette Blvd	SOUTH BEND	IN	46601	Lab Services	12355650
Elkhart Clinic
PO Box 201	ELKHART	IN	46515	Physician Services	5054299
Northern Indiana Anesthesia Service
600 East Bvld	ELKHART	IN	46514	Anesthesia Services	4590099
Caretech Solutions Inc
901 Wilshire	ELKHART	MI	48084	IT Services/Support	4312433
McKesson Technologies Inc
PO Box 98347	ELKHART	IL	60693	IT Services/Support	2418382

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	65	NumberOfContractorsGT100K
Related Organizations	85165	RelatedOrganizations
Government Grants	34619	GovernmentGrants
All Other Contributions	14351	AllOtherContributions
Total Contributions	134135	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Patient Service Revenue	622110	240606042	240606042
Home Medical Equipment	446199	1188826		535197	$653,629
Outpatient Pharmacy	446110	2943263		39917	$2,903,346

Field	Value	IRS element (for citing)
Total Program Service Revenue	244738131	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	8639521	TotalRevenueColumn
Exclusion	$8,639,521	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1195992	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	327271	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	868721	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	868721	TotalRevenueColumn
Exclusion	$868,721	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	40773805	Securities
Other	955225	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	39232940	Securities
Other	170455	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1540865	Securities
Other	784770	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2325635	TotalRevenueColumn
Exclusion	$2,325,635	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Joint Venture Activities	621400	437323	580792	-143469
CAFETERIA	722210	1496421			$1,496,421
CHARGEBACKS TO MICHIANA LINEN	621400	1395639	1395639

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1477666	TotalRevenueColumn
Related Or Exempt Function Income	327829	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1149837	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	4807049	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	261513192	TotalRevenueColumn
Related Or Exempt Function Income	242910302	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1581482	UnrelatedBusinessRevenue
Exclusion	$16,887,273	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	150720	Total
Program Services	150720	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4098913	Total
Management And General	4098913	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	14177	Total
Program Services	14177	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	86334883	Total
Program Services	81651514	ProgramServices
Management And General	4683369	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5884027	Total
Program Services	5313276	ProgramServices
Management And General	570751	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	15736864	Total
Program Services	14210149	ProgramServices
Management And General	1526715	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6326806	Total
Program Services	5713106	ProgramServices
Management And General	613700	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	979036	Total
Management And General	979036	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	115000	Total
Management And General	115000	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	209113	Total
Management And General	209113	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	31462608	Total
Program Services	28867538	ProgramServices
Management And General	2595070	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2208177	Total
Program Services	1993984	ProgramServices
Management And General	214193	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3082893	Total
Program Services	2538689	ProgramServices
Management And General	544204	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	8556520	Total
Program Services	7726538	ProgramServices
Management And General	829982	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3429468	Total
Program Services	3081988	ProgramServices
Management And General	347480	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1903860	Total
Program Services	1719186	ProgramServices
Management And General	184674	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	2041798	Total
Program Services	1843744	ProgramServices
Management And General	198054	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	17542115	Total
Program Services	15836385	ProgramServices
Management And General	1705730	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2965301	Total
Program Services	2677667	ProgramServices
Management And General	287634	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Patient Supplies, Drugs, Impla	46160325	41682773	4477552
Uncollectible Accounts	18369211	18369211
Repairs and Maintenance	3455552	3118912	336640
DUES AND SUBSCRIPTIONS	721580	721580

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3657610	Total
Program Services	2947635	ProgramServices
Management And General	709975	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	265406557	Total
Program Services	240178772	ProgramServices
Management And General	25227785	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	8897071	BOY
EOY	5130299	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	21877462	BOY
EOY	30848820	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	53017982	BOY
EOY	43006515	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	463393	BOY
EOY	695008	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5502740	BOY
EOY	6689720	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8168805	BOY
EOY	9378949	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	302372995	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	171993008	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	139234691	BOY
EOY	130379987	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	170431045	BOY
EOY	163988406	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	4489199	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	4509034	BOY
EOY	1896301	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	412102223	BOY
EOY	396503204	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	25763610	BOY
EOY	29556673	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	86555000	BOY
EOY	83983000	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	30595560	BOY
EOY	67258886	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	142914170	BOY
EOY	180798559	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	264170632	BOY
EOY	211041016	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4617421	BOY
EOY	4263629	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	400000	BOY
EOY	400000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	269188053	BOY
EOY	215704645	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	412102223	BOY
EOY	396503204	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-3893365	ReconcilationRevenueExpenses
Reconcilation Other Changes	-49590043	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$5,641	OtherActivitiesAmount
Total Lobbying Expenditures IIB	5641	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION	Identifier
Return Reference	Part II-B, Line 1i	ReturnReference
Explanation	Indiana Hospital Association (IHA) annual dues x 5.29% IHA determined to be attributable to lobbying as defined by federal law. IHA deemed as lobbying and not Elhart General Hospial directly.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5017421	BeginningOfYearBalance
Investment Earnings Or Losses	-201313	InvestmentEarningsOrLosses
Other Expenditures	125000	OtherExpenditures
Administrative Expenses	27479	AdministrativeExpenses
End Of Year Balance	4663629	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4520109	BeginningOfYearBalance
Investment Earnings Or Losses	567312	InvestmentEarningsOrLosses
Other Expenditures	70000	OtherExpenditures
End Of Year Balance	5017421	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3604156	BeginningOfYearBalance
Investment Earnings Or Losses	915953	InvestmentEarningsOrLosses
End Of Year Balance	4520109	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5361117	BeginningOfYearBalance
Investment Earnings Or Losses	-1616961	InvestmentEarningsOrLosses
Other Expenditures	140000	OtherExpenditures
End Of Year Balance	3604156	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.91000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.09000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2650901	OtherCostOrOtherBasis
Book Value	2650901	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	176069183	OtherCostOrOtherBasis
Depreciation	81299422	Depreciation
Book Value	94769761	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	120799363	OtherCostOrOtherBasis
Depreciation	90693586	Depreciation
Book Value	30105777	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2853548	OtherCostOrOtherBasis
Book Value	2853548	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	130379987	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION LIABILITY	$60,420,085
OTHER LIABILITIES	$5,746,222
DUE TO THIRD-PARTY PAYORS	$1,092,579

Field	Value	IRS element (for citing)
Total Of Amounts	67258886	TotalOfAmounts
Total Revenue	261513192	TotalRevenue
Total Expenses	265406557	TotalExpenses
Excess Or Deficit For Year	-3893365	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-11135992	NetUnrealizedGLOnInvestments
Other	-$38,321,746	OtherAmount
Total Adjustments	-49457738	TotalAdjustments
Excess Or Deficit Per FS	-53351103	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	232559000	TotRevenueEtcAuditedFinclStmt
Other Revenues	125000	OtherRevenues
Revenue Not Rptd F990	125000	RevenueNotRptdF990
Revenue Subtotal	232434000	RevenueSubtotal
Other Revenues Not Included	29079192	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	29079192	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	261513192	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	244573000	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	244573000	ExpensesSubtotal
Other Expenses Not Included	20833557	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	20833557	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	265406557	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Supplemental Information	Identifier
Explanation	Schedule D, Part V, line 4 Permanently restricted net assets have been restricted by donors to be maintained by the Hospital in perpetuity. In accordance with the restriction, a majority of the investment income and investment gains or losses from permanently restricted net assets are to be reinvested with the principal and are therefore temporarily restricted. A specified portion of income earned by the temporarily restricted net assests is released from restriction and used for operations each year. The Hospital has one endowment fund established for patient care purposes. The Hospital has established investment and spending policies related to the appreciation of this endowment. Should the underlying assets fall below this targeted amount the Hospital pursues action consistent with established policies to return the endowment to the targeted amount. Based on these policies, endowment amounts are temporarily restricted until Board authorized release of funds for patient care purposes are approved. Income Tax Position Footnote U.S. GAAP requires that a tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. Due to its tax-exempt status, the Hospital is not subject to U.S. federal income tax or state income tax. The Hospital is, however, subject to income taxes on income generated from activities that are un-related to its exempt purpose. The Hospital's Form 990 has not been subject to examination by the Internal Revenue Service or the State of Indiana for the last three years. The Hospital does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Hospital recognizes interest and/or penalties related to income tax matters in income tax expense. The Hospital did not have any amounts recorded for interest and penalties at December 31, 2011 and 2010. Schedule D, Part XI, line 8 Pension Liability - (37,967,955) Temporarily Restricted Investment Income - (353,791) Total - (38,321,746) Schedule D, Part XII, line 2d Net Assets Realeased From Resriction- 125,000 Schedule D, Part XII, line 4b Bad Debt Expense - 18,369,211 Non-operating Investment Income - 8,378,699 Non-operating Realized Gain on Investment - 1,544,381 Gain on Disposal of Assets - 784,770 Accretive Revenue - 72,097 Rental Expenses (327,271) Temporarily restricted Investment Income- 260,821 Temporary Gain on Restricted Assets- (3,516) Total - 28,821,887 Schedule D, Part XIII, line 4b Bad Debt Expense - 18,369,211 Non-operating Investment Fees - 264,750 Impairment Expense - 1,670,000 Gain on Disposal of Assets - 784,770 Accretive Expenses - 72,097 Rental Expenses (327,271) Total - 20,833,557	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	false	FPGReferenceFreeCare
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	4551	PersonsServed
Total Community Benefit Expense	3685794	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	3685794	NetCommunityBenefitExpense
Percent Of Total Expense	0.01490	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	33905106	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13146277	DirectOffsettingRevenue
Net Community Benefit Expense	20758829	NetCommunityBenefitExpense
Percent Of Total Expense	0.08410	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	4551	PersonsServed
Total Community Benefit Expense	37590900	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13146277	DirectOffsettingRevenue
Net Community Benefit Expense	24444623	NetCommunityBenefitExpense
Percent Of Total Expense	0.09900	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	301769	PersonsServed
Total Community Benefit Expense	1571588	TotalCommunityBenefitExpense
Direct Offsetting Revenue	260799	DirectOffsettingRevenue
Net Community Benefit Expense	1310789	NetCommunityBenefitExpense
Percent Of Total Expense	0.00530	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	99	PersonsServed
Total Community Benefit Expense	421132	TotalCommunityBenefitExpense
Direct Offsetting Revenue	244243	DirectOffsettingRevenue
Net Community Benefit Expense	176889	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	150720	TotalCommunityBenefitExpense
Net Community Benefit Expense	150720	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	301868	PersonsServed
Total Community Benefit Expense	2143440	TotalCommunityBenefitExpense
Direct Offsetting Revenue	505042	DirectOffsettingRevenue
Net Community Benefit Expense	1638398	NetCommunityBenefitExpense
Percent Of Total Expense	0.00660	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	306419	PersonsServed
Total Community Benefit Expense	39734340	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13651319	DirectOffsettingRevenue
Net Community Benefit Expense	26083021	NetCommunityBenefitExpense
Percent Of Total Expense	0.10560	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$5,962,956	BadDebtExpenseAmount
Amount Attributable To	2981478	AmountAttributableTo
Amount Reimbursed By Medicare	55577040	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	76149327	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-20572287	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	false	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership
RiverPointe Surg Ctr
Surgeries	0.40000	0.60000
Wakarusa Med Clin
Medical Clinic Building	0.42000	0.58000
Comm Occupational Md
Occupational Medicine	0.25000	0.65000	0.10000
WaNee Walk-in Clinic
Medical Clinic	0.50000	0.50000
Riverpointe Cardiov
Cardiovascular Procedures	0.50000	0.50000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ELKHART GENERAL HOSPITAL INC	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	600 East Blvd	AddressLine1
City	Elkhart	City
State	IN	State
ZIP Code	46514	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ELKHART GENERAL HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	false	UsesFPGFree
Uses FPG Discounted	false	UsesFPGDiscounted
Explains Basis	false	ExplainsBasis
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	26	NumberOfOtherFacilities

Other Facilities OtherFacilities (26 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
FAMILY PRACTICE ASSOCIATES
3301 County Road 6 East	Elkhart	IN	46514	Owned Physician Practice
FOR WOMEN ONLY OB-GYN
1215 Lawn Avenue Suite 100	Elkhart	IN	46514	Owned Physician Practice
HOME MEDICAL EQUIPMENT & SUPPLY
225 East Jackson Blvd	Elkhart	IN	46516	Durable Medical Equipment
ELKHART CARDIOLOGY
303 Napannee Street	Elkhart	IN	46514	Owned Physician Practice
FAMILY MEDICINE CENTER
2120 Reith Blvd	Goshen	IN	46526	Owned Physician Practice
HOME HEALTH CLINICAL SERVICE
2020 Industrial Parkway	Elkhart	IN	46516	Home Health Care Provider
WAKARUSA
207 North Elkhart Street	Wakarusa	IN	46573	Owned Physician Practice
PHYSCHIATRIC PHYSICIANS
1506 Osolo Road Suite A	Elkhart	IN	46514	Owned Physician Practice
BRISTOL FAMILY PRACTICE
306 Vistula	Bristol	IN	46507	Owned Physician Practice
THE OSCEOLA CLINIC
5314 Lincolnway East	Mishawaka	IN	46544	Owned Physician Practice
HOME INFUSION
2020 Industrial Parkway	Elkhart	IN	46516	Home Health Care Provider
PRIVATE DUTY CERTIFIED
2020 Industrial Parkway	Elkhart	IN	46516	Home Health Care Provider
PSYCH SOCIAL WORKERS
1506 Osolo Road Suite A	Elkhart	IN	46514	Owned Physician Practice
ELKHART GASTROENTEROLOGY
225 East Jackson Blvd	Elkhart	IN	46516	Owned Physician Practice
NAPPANEE CLINIC
357 Nappanee Street	Nappanee	IN	46550	Owned Physician Practice
CENTER FOR FAMILY PRACTICE
1753 Fulton Street	Elkhart	IN	46514	Owned Physician Practice
BITTERSWEET MEDICAL ASSOCIATES
12340 Bittersweet Commons Blvd	Granger	IN	46530	Owned Physician Practice
EDWARDSBURG FAMILY MEDICINE
27082 West Main Street	Edwardsburg	IN	46514	Owned Physician Practice
RIVERPOINTE ASC
500 Arcade Ave	Elkhart	IN	46514	Surgery Center Joint Venture
NORTH CENTRAL CARDIOVASCULAR SPECIALISTS
500 Arcade Ave Suite 400	Elkhart	IN	46514	Owned Physician Practice
SLEEP CONSULTANTS OF MICHIANA
3301 County Road 6 East	Elkhart	IN	46514	Owned Physician Practice
CARDIOTHORACIC SURGERY OF NRTHRN INDIANA
500 Arcade Ave Suite 200	Elkhart	IN	46514	Owned Physician Practice
SPECIALTY CLINIC SVS-WANEE
1208 A East Waterford Street	Wakarusa	IN	46573	Physician Practice Joint Venture
COMMUNITY TRAINING CENTER
2220 Reith Blvd	Goshen	IN	46526	Health Education Center
CENTER FOR OCCUPATIONAL MEDICINE
22818 Old US 20	Elkhart	IN	46516	Occupational Health Clinic Joint Venture
RIVERPOINTE CARDIO
500 Arcade Ave	Elkhart	IN	46514	Cardiovascular Lab Joint Venture

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

IdentifierIdentifier	ExplanationExplanation
Part I, Line 3c	The hospital does not specifically use FPG to determine eligibility for financial assistance. The hospital uses both an asset test and an income/expense test to determine eligibility for financial assistance, either in whole or in part. The asset test consists of the patient or the responsible party reporting assets that might be used to make payment to reduce or eliminate the financial obligation to the hospital. Typical household assets are never requested to be liquidated. Assets of a significant, and extraordinary nature such as stocks, bonds, retirement savings, other savings, second home, etc. which are not needed or required to provide normal, ongoing living expenses for the household are excess. These assets may be requested to be liquidated and used toward payment of the financial obligation of the hospital. An income/expense test is also used to determine a patient's or a responsible party's ability to pay based upon current monthly net income. The responsible party is requested to provide information about household income and household expenses. Only expenses in excess of a reasonable norm would not be considered when compared with monthly "net" or spendable income. In order to deny financial assistance, one's net income must significantly exceed one's reasonable expenses. Additionally, while the actual charity care did not exceed budget, charity care will not be denied should charity care exceed budgetary levels. Part I, Line 6a Elkhart General Hospital, Inc. prepares a Community Benefit Report annually, both for the State of Indiana and for the Annual Report, which is posted at www.egh.org. Part I Ln 7 - Costs for this section were determined based on the organization's cost to charge ratio. Part I, Line 7 Column (f) Bad debt expense removed from total expenses $18,369,211. Part II Community Support Elkhart General Hospital has supported community-based efforts at improving perinatal outcomes and reducing perinatal race disparity through participation in the regional perinatal risk analysis effort with area hospitals and University of Notre Dame researchers and the Michiana Health Information Exchange. Perinatal outcomes are critical indicators of community health status, and through EGH's participation in this forum, opportunities have been created to produce consistent perinatal risk reporting from the hospitals and the health information exchange. Elkhart General Hospital, in collaboration with Elkhart Community Schools, spearheaded an interactive mentoring conference to expose young at-risk females to career options, self-esteem building, and body image. A number of EGH professionals from multiple disciplines provided information on career choices and healthy decision-making for the future. Topics of the conference also included sexual abstinence, creating a healthy body image, partner abuse and violence prevention, and self-esteem. Elkhart General Hospital employees continue to participate in school mentoring programs, partnering with Title I schools in Elkhart to provide one-on-one mentoring time to at-risk elementary school children. Throughout 2011, Elkhart General Hospital's Dame Tu Mano Hispanic Latino health outreach program enjoyed a successful year with its monthly Spanish language diabetes support group program, providing support and resources to Spanish-speaking persons with diabetes. The children of the participants received mentoring support and health education concurrent to the diabetes support group classes. In 2011, EGH continued its 14-year history of partnership with Elkhart and Baugo Schools Systems to provide the Peers Educating and Encouraging Relationship Skills (PEERS) Project, where EGH interviews, recruits, trains approximately 175 teen mentors to annually provide a five-session risk avoidance curriculum to 1,100 seventh and eight graders. The curriculum focuses on identifying and abstaining from health risk behaviors of early sexual activity, alcohol, smoking, and drug use, to optimize the youths' opportunities for a healthy and successful future. In 2011 Elkhart General continued to provide operational oversight for the Healthy Indiana Plan (HIP) state-sponsored health insurance program for low-income residents. Elkhart General Hospital staff assist applicants in navigating the application process, including document verification, residency status, etc., and monitor the status of application in the enrollment process. In this capacity Elkhart General Hospital advocated for the applicants and enrollees to ensure the health insurance plan could be accessed. In 2011 Elkhart General Hospital participated in the analysis of Elkhart County perinatal risk data as part of a perinatal risk reduction project funded by the Indiana State Department of Health and facilitated by Purdue University Healthcare Assistance Program. This project sought to analyze perinatal risk trends to address poor perinatal outcomes. Other project partners included Elkhart County Health Department, Indiana University Health Goshen, and the Minority Health Coalition of Elkhart County. Leadership Development and Training for Community Members Elkhart General Hospital's Dame tu Mano program has provided critically needed Spanish language interpretative and translative services for the community agencies and members. Through the Dame Tu Mano program, staff and bilingual volunteers help provide interpretative services for Elkhart General Hospital's large-scale Spanish language health education, leadership, and empowerment efforts. Throughout 2011 Dame tu Mano health topics were promoted on two daily Spanish language radio programs and through bimonthly educational columns in the Spanish language newspaper. Specifically, through the Dame tu Mano radio programming, family health topics included conflict resolution, anger management, appropriate youth discipline, domestic violence prevention, depression, mental health, and self-esteem enhancement. Many Spanish families experience significant internal stress due to feelings of isolation and failure to fully acclimate in the local community because of cultural perceptions. Dame tu Mano's biannual summits address these internal stressors, healthy relationships and conflict resolution within families. Through Elkhart General Hospital sponsorship of the PEERS (Peers Educating and Encouraging Relationship Skills) program, EGH trains approximately 175 10th-12th graders a five-session sequential risk avoidance curriculum to underclassmen. These high-schoolers complete a significant leadership peer mentor training. Prior to facilitating the classroom lessons to the underclassmen, and in recognition of the importance of modeling the lifestyle being promoted, all teen mentors sign a leadership agreement pledging to practice risk avoidance behaviors in their lifestyles. The PEERS program lessons include components of assertiveness training for avoiding peer pressure to indulge in risky behaviors including early sexual involvement, alcohol, drugs, and smoking. Medical interpreters based in Elkhart General Hospital hospital help Spanish-speaking individuals navigate the health care setting and advocate for patient care. Coalition Building Elkhart General Hospital is actively engaged in community coalitions to improve the quality of life for Elkhart County residents. The Hospital is represented on the Elkhart County Lead Prevention Task Force, the Elkhart County Homeless Coalition, and the Elkhart Back2School Steering Committee. In 2011, Elkhart General Hospital, along with Elkhart County Health Department and Indiana University Health Goshen, continued to lead the county's childhood obesity prevention coalition, which provides vital support to school personnel and administration in addressing childhood obesity. The coalition regularly meets to identify evidence-based outcomes for reducing rates of childhood obesity, to provide resources to school health personnel, and proactively strategize for improving childhood health. Elkhart General Hospital's Dame tu Mano staff helped to create an ongoing robust coalition network of over 20 Spanish-centric businesses, media, and social service organizations, and is regularly sought out to lead community health initiatives in the Hispanic Latino communities of Elkhart County. Elkhart General Hospital regularly works with the Indiana Minority Health Coalition, the Northern Indiana Hispanic Health Coalition, and the Minority Health Coalition of Elkhart County on ventures to reduce health disparities between cultures and races. Community Health Improvement/Advocacy Elkhart General Hospital Medication Assistance Program provides a full-time patient advocate who assists low-income individuals in applying for and securing free prescription medications through many pharmaceutical assistance programs in the pharmaceutical industry. Elkhart General Hospital provided health education activities on-site at various worksites in the county, offering health risk a
Part III, Line 4	Bad debt expense is not footnoted within the audited financial statement. Also, bad debt expense is not classified as community benefit. Provision for bad debt is recorded as an expense at gross, within the deductions from charge classification of the Statement of Operations. The cost to charge ratio is applied to bad debt expense to arrive at bad debt cost. It is estimated that half of the bad debt expense cases would actually qualify for charity care, had the patient gone through the process, but it is not currently classified as charity care. RATIONALE FOR INCLUSION OF THE MEDICARE SHORTFALL AS A COMMUNITY BENEFIT PART III, LINE 8 PARTICIPATION IN THE GOVERNMENTAL MEDICARE PROGRAM DOES NOT PROVIDE THE OPPORTUNITY FOR A HOSPITAL TO NEGOTIATE A REIMBURSEMENT RATE OR STRUCTURE THAT WOULD ALLOW THE HOSPITAL TO COVER THE COST OF THE MEDICAL SERVICE RENDERED TO THE PROGRAM PARTICIPANT, AS WOULD BE THE CASE IN CONTRACTUAL NEGOTIATIONS WITH COMMERCIAL INSURANCE COMPANIES. NOR IS THE HOSPITAL ALLOWED TO PROVIDE ONLY THE SERVICES FOR WHICH REIMBURSEMENT COVERS THE DIRECT COST OF CARE. THIS PRODUCES THE SAME SHORTFALL OUTCOME AS DOES THE PARTICIPATION IN THE MEDICAID PROGRAM. THE MEDICAID PROGRAM IS RECOGNIZED AS A COMMUNITY BENEFIT ON SCHEDULE H AND ON COMMUNITY BENEFIT REPORTS FOR MOST STATES. THE QUALITY AND COST OF THE PATIENT CARE IS THE SAME REGARDLESS OF PAYOR SOURCE. HENCE THE ACCEPTANCE OF MEDICARE REIMBURSEMENT REPRESENTS A REDUCTION OR RELIEF OF THE GOVERNMENT BURDEN TO PAY THE FULL COST OF CARE PROVIDED. Part III, Line 9b In the Collection Policy it does indicate the criteria for determining eligibility for financial assistance is based on the income vs. debt calculation. Also, patients who are known to qualify for charity care or financial assistance are immediately eliminated from the hospital's collection protocols, and therefore, they are no longer subject to hospital collection practices. Part V Section B Lines: 1j,3,4,5c,6i,7,11h, - Not required for 2011 . Part V, Section B, Line 13g Brochures are provided to patients explaining the financial assistance program. Additionally, there is a message included in each statement a patient received telling them if this is a hardship to please contact the hospital billing department for assistance. Part V, Section B, Line 15e Accounts are sent to the collection agency who then handle all collection actions including reporting to credit agency. In doing so, the collection agency complies with the hospital guidelines. Part V, Section B, Line 16e Collection agency will also make payment arrangements. Part V Section B Ln17e - N/A Part V Section B Ln18d - N/A Part V, Section B, Line 19d FAP-eligible individuals are given a 30% discount for Inpatient services and a 27% discount on Outpatient services. Part V Section B Ln20 - N/A Part V Section B Ln21 - N/A
2. Needs Assessment	In 2011, Elkhart General Hospital and Indiana University Health Goshen jointly initiated an Elkhart County community health needs assessment as per federal law under the Patient Protection and Affordable Care Act. Elkhart County was defined as the community served, and staff from both hospitals consulted with numerous individuals representing the broad interests of the community to provide input during the course of the assessment. From these efforts, a Steering Committee was formed, comprised of community representatives from the public health, religious, education, minority advocacy, healthcare, social service, and private sectors. The hospitals contracted with Purdue University Healthcare Technical Assistance Program to facilitate the assessment process and to assist with data collection. The goal of the assessment was to identify and prioritize community health needs through data collected from myriad sources and through the input from those representing the broad interests of the community, with the purpose of providing a plan framework for the respective hospitals in their address of the community's priority health needs. The individuals who committed to participate in the assessment process to ensure the broad interests of the community were represented included: Steve Braden, Pastor, First Presbyterian Church Larry Brooks, Vice President Marketing and Fund Development, Indiana University Health Goshen Kathy Brown, Executive Assistant to Vice President of Marketing, Indiana University Health Goshen Renee Cocanower, Health Coordinator, Concord Community Schools Jim Conner, Superintendent, Middlebury Community Schools David Daugherty, President and CEO, Greater Goshen Chamber of Commerce Jim DuBois, Superintendent, Baugo Community Schools Danielle Dyer, Chief Officer, Strategy and Planning, Elkhart General Hospital/Memorial Hospital Newly Affiliated Company Carl Ellison, COO, Indiana Minority Health Coalition Wendy Fletcher, Director, Golden Living Center Steve Garboden, Assistant Vice President Planning/Managed Care, Indiana University Health Goshen Dr. James Gingerich, Medical Director, Maple City Health Care Center Patty Gremaux, Director of Community Outreach, Elkhart General Hospital Dorinda Heiden-Guss, President, Economic Development Corporation of Elkhart County Gene Hollingsworth, Pastor, First English Lutheran Church Tom Housand, Broker, Housand and Associates John Hutchings, Director of Student Services, Elkhart Community Schools Allan Kauffman, Mayor, City of Goshen Mark King, President and CEO, Greencroft Communities Fr. Glen Kohrman, Pastor, St. Vincent de Paul Catholic Church Greg Losasso, President, Elkhart General Hospital Stacy Malcolm, School Nurse, Concord Community Schools Waldo Mikels-Carrasco, Research Associate Director, University of Notre Dame Institute for Latino Studies Diana Montiel, Program Coordinator, Elkhart General Hospital Dame tu Mano Hispanic Latino Health Outreach Tara Morris, Executive Director, Minority Health Coalition of Elkhart County Mark Mow, Superintendent, Elkhart Community Schools Dr. Dan Nafziger, Health Officer, Elkhart County Health Department Laurie Nafziger, CEO, Oaklawn Diane Nita, CFO, Heart City Health Center Phil Penn, President, Greater Elkhart Chamber of Commerce Mike Pennington, Deputy Director, Elkhart County Emergency Management Mike Perez, Director of Fundraising, Faith Mission of Elkhart Liliana Quintero, Executive Director, Northern Indiana Hispanic Health Coalition Bill Rieth, President and CEO, United Way of Elkhart County Nancy Roeder, School Nurse, WaNee Community Schools Dr. Mark Sandock, Physician Consultant, Elkhart General Hospital Jenny Schrock, Division Manager, Elkhart County Health Department Healthy Beginnings Paula Shively, CEO, Association for the Disabled of Elkhart County (ADEC) Deb Stack, Market Informatics Manager/Analyst, Indiana University Health Goshen Bruce Stahly, Superintendent, Goshen Community Schools Susan Stiffney, School Health Coordinator, Goshen Community Schools Wayne Stubbs, Superintendent, Concord Community Schools Ross Swihart, Executive Director, Faith Mission of Elkhart Larry Thompson, Mayor, City of Nappanee Jennifer Tobey, Director, Elkhart County Emergency Management Vernita Todd, CEO, Heart City Health Center Tom Tumey, Superintendent, Fairfield Community Schools Dale Wentorf, Executive Director, Center for Healing and Hope Brian Wiebe, Director, Horizon Education Alliance Candy Yoder, Executive Director, Child Abuse Prevention Services (CAPS) The assessment process included the analysis of priority health needs survey results submitted from 283 healthcare providers in the area. Data analyses and subsequent group discussion were solicited on multiple Elkhart County public health, behavioral, socioeconomic, healthcare utilization indicators culled from local, regional, state, and national data sources. Both individual and group input were facilitated on community health needs, resulting in individual and collective weighted rankings of the needs. Through nominal rating, the community process identified Elkhart County's overall health needs of teen pregnancy, lack of social messaging for health promotion, diabetes, access to prescription medications, access to dental care, obesity, smoking, access to primary health care, and access to mental health services. Using a subsequent weighted ranking process to rate each health need based on the size of population impacted by the health need, the seriousness of the health need in the community and the effectiveness of known interventions in addressing the health need, the priority health needs were identified as obesity, smoking, access to primary health care, and access to mental health services. In 2012 the community health needs assessment deliverables and the Elkhart General Hospital's resultant 2012 community health plan will be submitted to the Elkhart General Hospital Board of Directors for review and approval. Dependent on and subsequent to the Board approval, the community health needs assessment report and EGH's resultant 2012 community health plan will be made widely available to the community through the hospital's website, through hard copies by request, and through ongoing communication from hospital representatives. Using the assessment information as the framework, Elkhart General Hospital will develop its community health planning strategies for 2012 and beyond. Additionally, Elkhart General Hospital conducts annual market projections by diseases for our primary and secondary service area. Indiana hospital use rates are applied to the local population to achieve these projections. Unemployment and uninsured statistics are obtained from the Elkhart County Department of Economic Development. To ensure there are enough providers to care for the population and the projected disease rates, a medical staff development plan is conducted every two years. The Medical Staff Development Plan is used to determine the number of physicians by specialty needed to serve the community. New physician recruits and retirements are taken into account.
3. Patient Education of Eligibility for Assistance	The hospital provides four (4) full-time equivalents (FTEs) to counsel patients without insurance regarding their ability to qualify for the State of Indiana Medicaid program(s). In addition, billing statements sent to all patients address the concern of "financial hardship" and what a patient can do to make the hospital aware of any financial hardship they may be incurring. Our billing statements also provide patient information about their first steps to obtain financial assistance. Additionally, a patient financial services brochure, available during the intake process, describes our financial assistance policy and what steps can be taken if the patient experiences a financial hardship. Patients are also made aware of our financial assistance program via telephone conversation with our Patient Accounts staff. Staff is particularly sensitive to address this program with anyone who indicates there might be a financial need.
4. Community Information	Elkhart County, Indiana, was established in 1830, with the original county seat in Dunlap, which was later moved to Goshen. Today Elkhart County has three growing cities, four towns, and 16 townships. Elkhart County is located in northern Indiana and borders the state of Michigan. The County is approximately 463.91 square miles in size. Elkhart County lies halfway between Chicago and Cleveland and is conveniently located near Interstate 80/90 and the Indiana Toll Road. Ranked 19th healthiest of all 92 counties in Indiana, Elkhart County's service providers have a history of actively forming partnerships in an effort to meet the health needs of its residents. Elkhart County, Indiana takes pride in offering its residents a great place to live and continually striving to establish new businesses and provide an entrepreneurial atmosphere. Elkhart County is considered to be Elkhart General Hospital's primary service area. According to the 2010 US Census estimates, Elkhart County has a population of 198,941, up slightly from the April 2010 Census data report of 197,559 with a median household income of $43,531. The percentage of persons 65 years and older is estimated at 12.4% in 2011, slightly higher than 11.5 percent are age 65 and older in 2010. For 2011, Census estimates indicate that 76.9% of Elkhart County residents are white persons not of Hispanic descent; 14.5% are Hispanic/Latino; and 6.0% are black. Per capita income average for 2006-2010 is $22,187, and the percent of Elkhart County residents below the poverty level was 13.7%. As of December 2011, Elkhart County's labor force was 91,081, of which 81,113 were employed and 9.968 persons, or 10.9% of the total labor force, were unemployed. In 2011, the County Health Rankings, sponsored by the Robert Wood Johnson Foundation, ranked Elkhart County as the 19th healthiest county in Indiana of all 92 counties for health outcomes (a gage of the health status of a county) and 79th healthiest for health factors (those factors that influence the health of a county).
5. Promotion of Community Health	Specific goals of Elkhart General Hospital's mission statement are to meet the needs of medically underserved of our community, defined as Elkhart County residents, and to promote the health and well being of individuals and families by providing education to aid in early detection and prevention of disease. These two goals are in part carried out by a third goal, namely, to seek out and partner with organizations that share our mission. In 2011, Elkhart General Hospital continued established partnerships and forged new collaboratives with myriad like-minded community entities to address the needs of the medically underserved and to improve the health status of our community. These collaborative efforts include partnerships with numerous Title I elementary schools to provide free health screenings, education, and physicals to low-income families. Elkhart General was an active partner in the 2011 Back2School Elkhart, an annual program to provide groceries, shoes, school supplies, back packs, free health screenings, and nutrition education to families with low-income children in the county, with just under 6,000 people in attendance. Elkhart General has partnered on the Elkhart and St. Joseph Counties perinatal risk reduction collaborative, which is developing a mechanism to standardize perinatal risk data from area hospitals and healthcare providers to identify trends associated with local perinatal risk factors with the goal of reducing perinatal health disparities by race for the Michiana region. In addition to Elkhart General, other perinatal partners are Memorial Hospital of South Bend, St. Joseph Regional Medical Center, Indiana University Health Goshen, Elkhart and St. Joseph County Health Departments, University of Notre Dame Institute of Latino Studies, and Michiana Health Information Network. Elkhart General Hospital partnered with the City of Elkhart and the Elkhart County Health Department to support and sustain the Tolson Center Community Garden, located in a socioeconomically stressed area of Elkhart, which annually adopts out garden plots to low-income families and seniors to provide a venue for growing healthy fruits and vegetables for their family's consumption. An ongoing childhood obesity prevention initiative between Elkhart General Hospital, Elkhart County Health Department, and Indiana University Health Goshen provides ongoing education, advocacy, and support to Elkhart County school nurses and educators for addressing the epidemic of childhood obesity. This initiative helps to identify preventive measures and ways to reduce the obesity among the county's children, over 40 percent of which 44% score in the 85th percentile or higher for body mass index, indicating current obesity or overweight. For over 14 years, Elkhart General Hospital has proudly partnered with Elkhart and Baugo Schools Systems to provide the Peers Educating and Encouraging Relationship Skills (PEERS) Project, whereby EGH interviews, recruits, trains approximately 175 teen mentors to annually provide a five-session risk avoidance curriculum to 1,100 seventh and eight graders. The curriculum focuses on identifying and abstaining from health risk behaviors of early sexual activity, alcohol, smoking, and drug use, to optimize the youths' opportunities for a healthy and successful future. Elkhart General Hospital has continued the K-6th grade Mentoring Program whereby Elkhart General Hospital employees provide weekly mentoring and learning opportunities with at-risk children in Elkhart schools. With Heart City Health Center, Elkhart's Federally Qualified Health Center, Elkhart General Hospital has provided free pap tests to low-income and/or uninsured women. Elkhart General Hospital has partnered with Heart City Health Center and the Center for Healing and Hope to provide free health screening and education events. Elkhart General Hospital enjoys robust relationships with the Northern Indiana Hispanic Health Coalition and the Minority Health Coalition of Elkhart County, to provide screening supplies, support, and other opportunities for partnership. These collaboratives provide opportunities to educate the community about diversity, to work together to create healthier families, and to create common goals to build stronger neighborhoods. Elkhart General Hospital is an active participant in the Elkhart Chamber of Commerce Leadership Programs to offer education and community building for area business people, including healthcare professionals.
6. Affiliated Health Care System	Elkhart General Hospital's governing body is comprised of persons who reside in Elkhart County. The 17 member Board of Directors, who serve without pay, guides the system in its mission to provide high quality, affordable health care to the communities it serves. The Board's roles include guaranteeing fair and equal access, approving new medical staff members and approving long-term strategies for the continued success of the hospital. Additionally, Elkhart General Hospital extends medical staff privileges to all qualified physicians in our community. In 2011 Elkhart General Hospital affiliated with Memorial Hospital of South Bend, Indiana, under the name of Beacon Health System, Inc. Both organizations continue as full-care providers for their respective counties, and both organizations are committed to promoting the health of the communities they serve.
7. State Filing of Community Benefit Report	Elkhart General Hospital, Inc., prepares a Community Benefit Report both for the State of Indiana and for the Annual Report, which is posted at www.egh.org.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1	Address Line2AddressUS/AddressLine2	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Purpose Of GrantPurposeOfGrant
UNITED WAY OF ELKHART COUNTY
601 CR 17	PO BOX 3048	ELKHART	IN	46515	350953433	501(c)(3)	60755	CASH	Corporate match of employees contributions. Community benefit for various education, social, and health concerns addressed by United Way.
RIBBON OF HOPE
600 EAST BOULEVARD		ELKHART	IN	46514	352118856	501(c)(3)	35000	CASH	CANCER SUPPORT
HEART REACH MICHIANA
500 ARCADE STREET	SUITE 230	ELKHART	IN	46514	202527524	501(c)(3)	12500	CASH	Automated External Defibrillators placed in public places and with local emergency responders
INDIANA UNIVERSITY FOUNDATION
1234 NOTRE DAME AVENUE		SOUTH BEND	IN	46617	356018940	501(c)(3)	15000	CASH	Medical Student social event to attract physicians to area
DOWNTOWN ELKHART INC
418 SOUTH MAIN STREET		ELKHART	IN	46516	311173964	501(c)(3)	10000	CASH	Jazz Festival

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	5	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE I, PART II	Identifier
Return Reference	CHARITABLE DONATIONS	ReturnReference
Explanation	PART OF THE ORGANIZATION'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY. IN ORDER TO FULFILL THIS GOAL, OUR ADMINISTRATORS HAVE THE ABILITY TO MAKE DONATIONS TO ORGANIZATIONS THAT IMPROVE THE HEALTH AND WELL BEING OF OUR COMMUNITY.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Gregory Lintjer
552998	358371	25799	1224109	16388	2177665	358371
Kevin Higdon
272076	54742	2494	634733	20631	984676	54742
Gregory Losasso
270734	92732	644	48100	16581	428791	43378
Kurt Meyer
164095	44370	3215	0	16294	227974	44370
Danielle Dyer
175508	55535	239	33852	14673	279807	21403
Jeff Howe
398629	99252	0	68670	17986	584537	15612
Majid Malik
265658	46561	9588	36832	18453	377092	2148
Burton Boron
258131	50613	0	78052	13123	399919	41105
Douglas Jarvis
234462	56270	24458	32227	15977	363394	7231
Laura Munkel
222780	70492	854	43284	16605	354015	26152
Jeffrey Costello
							282072	303186	22791	17402	15534	640985	202350
Phillip Newbold
0	0	0	0	0	0	0	559219	891563	224855	22046	20312	1717995	448804

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Supplemental Compensation Information	Identifier
Explanation	Part I, line 1a Health or social club dues are taxable and added to the appropriate W-2 for Gregory Lintjer, President, dues were paid to YMCA and Rotary. These are correctly reported in column Biii for Mr. Lintjer. Part I, line 4b RELATED ORGANIZATION (MEMORIAL HEALTH SYSTEM, INC.) EMPLOYEE 2011 EARNED VESTED 457(f): EMPLOYEE 2011 EARNED 457(f) PHILIP NEWBOLD $191,729 MEMORIAL HEALTH SYSTEM PROVIDED A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) TO CERTAIN EXECUTIVES. THE PURPOSE OF THE PLAN WAS TO PROVIDE AN ADDED RETIREMENT BENEFIT OVER THE QUALIFIED RETIREMENT PROGRAM. QUALIFIED INDIVIDUALS WERE ELIGIBLE TO RECEIVE A BENEFIT, IN THE FORM OF AN AFTER TAX LUMP SUM WHICH WAS THE ACTUARIAL EQUIVALENT OF AN ANNUITY, EQUAL TO 65% OF THE AVERAGE OF THEIR LAST FIVE YEARS OF PRERETIREMENT EARNINGS, OR 70% WITH MORE THAN 25 YEARS OF SERVICE, WITH OFFSETS FOR THE VALUE OF SOCIAL SECURITY AND QUALIFIED RETIREMENT PLAN BENEFITS. PARTICIPANTS WERE VESTED INTO THE SERP AFTER FIVE YEARS OF SERVICE. THE INCREASE IN VALUE OF THE BENEFIT EACH YEAR WAS INCLUDED IN THE TAXABLE COMPENSATION OF VESTED SERP PARTICIPANTS. SUCH AMOUNTS WERE INCLUDED IN PART II COLUMN (b)(iii). IF A VESTED EMPLOYEE LEAVES EMPLOYEMENT, THE ANNUAL VALUE OF THE BENEFIT IS CONVERTED TO A LUMP SUM AND PAID TO THE PARTICIPANT AFTER FULFILLING THE TERMS OF THEIR NON-COMPETE AGREEMENT. THE PLAN WAS TERMINATED ON 12/31/2011. Deferred benefits under defined benefit Supplemental Employee Retirement Plan (SERP) expense at $502,586 for Gregory Lintjer, President. The SERP benefits are included in Schedule J, Column C and will not be paid out until after Mr. Lintjer retires. SERP is part of the overall retirement plan. Deferred benefits under the defined benefit Restoration Plan Expense, which is included in Schedule J, Column C for the following employees: Gregory Lintjer, $189,267, Kurt Meyer, $4,160; and Kevin Higdon, $5,951. Consistent with the above SERP, the payment will be made in accordance with plan terms. Other deferred compensation (column c) includes management bonuses and capital accumulation benefits earned. For Mr. Lintjer, total incentive compensation reported was $457,620 for bonuses and $76,321 for capital accumulation. Deferred compensation and severance in the amount of $577,501 was reported in Schedule J, Column C for Kevin Higdon. This payment is the subject of a lawsuit and may not be paid. In column (F), compensation reported previously for Mr. Lintjer includes a management bonus of $221,484 and capital accumulation benefit of $136,887. The amounts reported for the other individuals represent bonuses. Walter Halloran served as a volunteer board member, but was compensated for his services as a physician beginning in December 2011.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	HOSPITAL AUTHORITY OF ELKHART COUNTY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	351657690	IssuerEIN
CUSIP Number	287468EM0	CUSIPNumber
Date Issued	2008-12-09	DateIssued
Issue Price	47800000	IssuePrice
Description Of Purpose	SEE PART VI	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	2275000	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	47800000	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	478471	IssuanceCostsFromProceeds
Credit Enhancement	33988	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	0	CapitalExpenditures
Other Spent Proceeds	47287541	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Year Of Subst Completion	2004	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	true	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Engage Bond Counsel Research	false	EngageBondCounselResearch
Prcntge Prvt Business Use By Others	0.01900	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.01900	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	true	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	true	ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	Part I Line A(f)	Identifier
Return Reference	0	ReturnReference
Explanation	TO REFUND 04/02/2003 BOND ISSUE. THE REFUNDED BONDS WERE ISSUED TO PAY FOR OR REIMBURSE THE COST OF CONSTRUCTION OF CERTAIN PORTIONS OF A NEW BUILDING, A NEW PARKING GARAGE, A NEW PATIENT RECORDS SYSTEM, AND OTHER CAPITAL EQUIPMENT OR BUILDING IMPROVEMENTS.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	PATRICIA KILLOREN	NamePerson

Field	Value	IRS element (for citing)
Relationship	WIFE OF BOARD MEMBER	Relationship
Amount Of Transaction	14869	AmountOfTransaction
Description Of Transaction	PAYROLL - COMP AS NURSE	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Relationships	Form 990, Part VI, Question 2	Scott Troeger and Glenn Killoren: Business Relationship. John Martin and Todd Martin: Family Relationship. Dan Morrison and Craig Fulmer: Family Relationship. Description of Significant Changes to Organizing or Enabling Document Form 990, Part VI, Question 4 In March 2011, Memorial Health System, Inc. (MHS) and Elkhart General Hospital, Inc. (EGH) completed a memorandum of understanding to form an affiliation. Effective December 1, 2011, a newly formed corporation, Beacon Health System, Inc. (Beacon), became the sole corporate member for both MHS and EGH. Members of the Organization Form 990, Part VI, Question 6 Beacon Health System, Inc. is the sole corporate member of Elkhart General Hospital, Inc. ELECTION OF BOARD MEMBERS FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBER SHALL APPOINT THE BOARD OF DIRECTORS OF ELKHART GENERAL HOSPITAL, INC. AND SHALL HAVE SUCH POWERS OF ADVANCE APPROVAL REGARDING CORPORATE ACTIONS AS ARE DELINEATED IN THE BY-LAWS OF ELKHART GENERAL HOSPITAL, INC. DECISIONS OF THE BOARD OF DIRECTORS FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE BOARD OF DIRECTORS MUST BE APPROVED BY THE CORPORATE MEMBER. Describe the Process used by Management &/or Governing Body to Review 990 Form 990, Part VI, Question 11B THE ORGANIZATION INCORPORATES NUMEROUS PARTIES IN THE PRODUCTION AND REVIEW OF THE FORM 990 AND ASSOCIATED SCHEDULES. SENIOR ACCOUNTING STAFF AND MANAGEMENT COMPLETE THE FORM 990 AND SCHEDULES. THE FORMS AND SCHEDULES ARE REVIEWED BY THE CONTROLLER AND CFO. SUBSEQUENT TO THOSE STEPS, THE ORGANIZATION ENGAGED ERNST & YOUNG TO REVIEW THE COMPLETED FORM 990 AND APPROPRIATE SCHEDULES. AFTER FILING THE RETURN, THE COMPENSATION COMMITTEE OF THE ORGANIZATION AND THE CEO CONDUCT A GENERAL OVERVIEW OF THE FORM 990, INCLUDING APPLICABLE COMPENSATION SCHEDULES. IN ADDITION, THE BOARD OF DIRECTORS AND THE AUDIT COMMITTEE WILL RECEIVE A COPY OF THE 990 PRIOR TO FILING. Description of Process to Monitor Transactions for Conflicts of Interest Form 990, Part VI, Question 12c The Hospital has a conflict of interest policy to protect the Hospital's interest when it is contemplating entering into a transaction or arrangement in which an Officer, Director, or Key Employee of the Hospital is financially interested. Annually, board members and key employees complete and sign a conflict of interest questionnaire. The replies are reviewed by the Chief Financial Officer and further clarification or information is sought as deemed necessary. For new or non-routine action items, the board chair will inquire of board members prior to voting as to whether or not someone might have a conflict. In connection with any actual or possible conflicts of interest, an interested person must disclose the existence and nature of his or her financial interest to the directors and the members of board committees considering the proposed transaction or arrangement. After disclosure, the interested person shall leave the Board or Committee meeting while the financial interest is being voted upon. The remaining Board or Committee members shall decide if a conflict of interest exists. If the Board or Committee has reasonable cause to believe that a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an explanation. Offices & Positions for Which Process was Used, & Year Process was Begun Form 990, Part VI, Question 15a & 15b The full board has delegated responsibility for the review and determination of executive compensation to the Executive Committee of the Board. Prior to making any salary or benefit changes for the Chief Executive Officer (CEO), the Committee obtains and relies upon comparative hospital compensation and benefits data provided by an independent compensation firm. The Committee, excluding the CEO, considers the independent data in conjunction with the job performance of the CEO. Compensation and/or benefit changes are approved by the Committee and duly documented in the Committee meeting minutes. Changes to Vice Presidents' salaries are also reviewed and approved by the Executive Committee of the Board. Every other year, the Committee authorizes Human Resources to engage an independent compensation firm to conduct a complete review of the compensation and benefits structure for senior leadership. The CEO considers the independent data in conjunction with job performance to evaluate and then recommend salary changes to the Committee. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public Form 990, Part VI, Question 19 The governing documents and conflict of interest policy statements are made available upon request and upon approval by the President. The financial statements are made available at an annual meeting held in April which is open to the public. financial statements are made available at an annual meeting held in April which is open to the public. Form 990, Part XI, line 5 Unrealized Loss on Investments - (11,622,088) Pension Liability - (37,967,955) Total - (49,590,043)
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Jeffrey Costello TITLE:CFO effective 12/21/2011 HOURS:44
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Phillip Newbold TITLE:CEO effective 12/11/11 HOURS:44

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Elkhart General Hospital Foundation
600 East Blvd	Elkhart	IN	46514	356061200	Charitable Su	IN	501(c)(3)	11, Type II	NA	false
Elkhart General Hospital Auxiliary
600 East Blvd	Elkhart	IN	46514	350938148	Volunteer Sup	IN	501(c)(3)	11, Type I	NA	false
MEMORIAL HEALTH SYSTEM INC
615 N MICHIGAN STREET	SOUTH BEND	IN	46601	351536132	CORP SVC/CLIN	IN	501(C)(3)	9	BEACON	true
MEMORIAL HEALTH FOUNDATION INC
615 N MICHIGAN STREET	SOUTH BEND	IN	46601	351536129	FINANCIAL SUP	IN	501(C)(3)	9	MHS	true
MEMORIAL ENDOWMENT FUND FOR MEMORIAL HOS
PO BOX 1602	SOUTH BEND	IN	46634	350877574	ENDOWMENT	IN	501(C)(3)	11D III-O	MHSB	true
BEACON HEALTH SYSTEM INC
600 EAST BOULEVARD	ELKHART	IN	46514	453864076	PARENT ORG.	IN	501(c)(3)	11c 111-FI	NA	false
Memorial Hospital of South Bend Inc
615 N Michigan Street	South Bend	IN	46601	350868132	Hospital	IN	501(c)(3)	3	BEACON	true

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
RiverPointe Cardiovascular Laboratory L
500 Arcade Ave Ste 410	Elkhart	IN	46514	352042178	Cardiovascular La	IN	NA	Related	-49464	-8681	false	$0	false	0.50000
Wakarusa Medical Clinic LLC
PO Box 501	Nappanee	IN	46550	200273243	Building Lessor		NA	Related	52191	407261	false	$0	false	0.41780
WaNee Walk In Clinic LLC
1028-A East Waterford St PO Box 3	Wakarusa	IN	46573	272192375	Medical Clinic		NA	Related	18037	41314	false	$0	true	0.50000
Michiana Linen Service LLC
600 East Blvd	Elkhart	IN	46514	272182953	Linen Washing		NA	Related	20652	1616125	true	$0	true	0.50000
Elkhart General-ANC Home Care LLC
1700 Edison Drive Suite 300	Milford	OH	45150	452094186	Home Care		NA	Related	-348500	1165564	false		false	0.50000
Elkhart General - CMS Home Medical Equip
1700 Edison Dr Ste 300	Milford	OH	45150	452094744	Medical Equipment		NA	Related	-107219	758637	false		false	0.50000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
Wakarusa Medical Clinic LLC
j	141600
Michiana Linen LLC
k	1373875
Michiana Linen LLC
l	1162687
Elkhart General ANC Home Care LLC
b	1514464
Elkhart General ANC Home Care LLC
a	172000
Elkhart General CMS Home Medical LLC
b	663540
Elkhart General CMS Home Medical LLC
a	82000