GOSHEN HOSPITAL ASSOCIATION INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: GOSHEN HOSPITAL ASSOCIATION INC (EIN 35-6001540)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-05
IRS object ID: 202043109349302554
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-05T14:43:16-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	RSM US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1 S Wacker Drive Ste 800	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	356001540	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Goshen Hospital Association Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GOSH	BusinessNameControlTxt
Phone	5743642665	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 High Park Avenue	AddressLine1Txt
City	Goshen	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46526	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Ben Bontrager	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5743642665	PhoneNum
Signature	2020-11-02	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rebekuh Eley	PreparerPersonNm
PTIN	P01247672	PTIN
Phone	3126343400	PhoneNum
Preparation	2020-11-02	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	73.8.113.85	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-02	IPDt
IP Tm	13:27:00	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	26672702914E5EE26F48E546FB914E7C8585E092	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Goshen Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Randal Christophel	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 High Park Avenue	AddressLine1Txt
City	Goshen	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46526	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$270,292,644	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://goshenhealth.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1946	FormationYr
Legal Domicile State	IN	LegalDomicileStateCd
Activity Or Mission	To improve the health of our communities by providing innovative, outstanding care and services.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1822	TotalEmployeeCnt
Total Volunteers	445	TotalVolunteersCnt
Total Gross UBI	-$52,137	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$52,137	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,896,270	PYContributionsGrantsAmt
CY Contributions Grants	$74,602	CYContributionsGrantsAmt
PY Program Service Revenue	$256,269,685	PYProgramServiceRevenueAmt
CY Program Service Revenue	$248,884,437	CYProgramServiceRevenueAmt
PY Investment Income	$13,409,986	PYInvestmentIncomeAmt
CY Investment Income	$12,346,538	CYInvestmentIncomeAmt
PY Other Revenue	$9,994,504	PYOtherRevenueAmt
CY Other Revenue	$8,987,067	CYOtherRevenueAmt
PY Total Revenue	$281,570,445	PYTotalRevenueAmt
CY Total Revenue	$270,292,644	CYTotalRevenueAmt
PY Grants And Similar Paid	$579,829	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$218,614	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$104,505,489	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$108,596,248	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$149,099,695	PYOtherExpensesAmt
CY Other Expenses	$163,635,197	CYOtherExpensesAmt
PY Total Expenses	$254,185,013	PYTotalExpensesAmt
CY Total Expenses	$272,450,059	CYTotalExpensesAmt
PY Revenues Less Expenses	$27,385,432	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,157,415	CYRevenuesLessExpensesAmt
Total Assets BOY	$397,389,469	TotalAssetsBOYAmt
Total Assets EOY	$485,116,293	TotalAssetsEOYAmt
Total Liabilities BOY	$64,841,070	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$124,521,718	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$332,548,399	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$360,594,575	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	The mission of Goshen Hospital is to improve the health of our communities by providing innovative, outstanding care and service, through exceptional people doing exceptional work.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$253,446,151	ExpenseAmt
Grant	$218,614	GrantAmt
Revenue	$256,020,769	RevenueAmt
Desc	See Schedule O	Desc
Total Program Service Expenses	$253,446,151	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	149	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1822	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Ben Bontrager	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5743642665	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 High Park Avenue	AddressLine1Txt
City	Goshen	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46526	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Randal Christophel
President and CEO	40.00	2.00	Yes (X)	Yes (X)	$902,565	$0	$173,339
Hubert Fornalik MD
Physician	40.00	0.00			$0	$724,679	$30,465	Yes (X)
Ebenezer Kio MD
Physician	40.00	0.00			$0	$659,354	$57,399	Yes (X)
Houman Vaghefi MD
Physician	40.00	0.00			$0	$639,056	$53,623	Yes (X)
Leonard Henry MD
Physician	40.00	0.00			$0	$606,600	$58,727	Yes (X)
Alan Weldy
VP of HR and Compliance	40.00	1.00		Yes (X)	$548,601	$0	$98,844
Rob Myers
Chief Operating Officer	40.00	1.00		Yes (X)	$530,572	$0	$100,936
Larry Allen MD
Chief Medical Executive	40.00	0.00			$526,173	$0	$98,120		Yes (X)
Agarwal Sachin MD
Physician	40.00	0.00			$0	$526,287	$45,471	Yes (X)
Daniel Nafziger MD
Chief Medical Officer	40.00	0.00			$473,313	$0	$90,638		Yes (X)
Margaret S Franger
VP of Cancer Services	40.00	0.00			$459,688	$0	$83,597		Yes (X)
Jody Neer MD
Director	1.00	40.00	Yes (X)		$0	$460,894	$63,232
Ben Bontrager
CFO	40.00	2.00		Yes (X)	$374,930	$0	$77,114
Mark Podgorski
VP of Hospital Operations	40.00	0.00			$344,900	$0	$81,107		Yes (X)
Julie Crossley
Chief Nursing Officer	40.00	0.00			$292,572	$0	$70,230		Yes (X)
Andrew Vorhis NP
Director	1.00	40.00	Yes (X)		$0	$180,703	$36,546
Steve Garboden
Former VP Planning and Managed Care	24.00	0.00			$113,296	$0	$4,205			Yes (X)
Bruce Hughes MD
Chair	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Brenda Srof
Secretary/Treasurer	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Harshil Bhatt MD
Director	1.00	0.00	Yes (X)		$0	$0	$0
Randy Cripe
Director	1.00	0.00	Yes (X)		$0	$0	$0
Karen Pletcher
Director	1.00	0.00	Yes (X)		$0	$0	$0
Liliane Quintero
Director	1.00	0.00	Yes (X)		$0	$0	$0
Bonita Schrock
Director	1.00	0.00	Yes (X)		$0	$0	$0
Karen Smith
Director	1.00	0.00	Yes (X)		$0	$0	$0
Susan Stiffney RN
Director	1.00	0.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,566,610	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,797,573	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,223,593	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	82	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DJ Construction Co Inc
3414 Elkhart Road	Goshen	IN	46526	Construction	$13,734,356
Navin Haffty & Associates LLC
1900 W Park Drive Ste 180	Westborough	MA	01581	Consulting	$1,573,532
Southeast Anesthesiologists PC
450 E 96th Street Ste 200	Indianapolis	IN	46240	Contracted Staffing	$1,488,146
Bona Vita Architecture
6832 Tree Top Trail	Fort Wayne	IN	46845	Architecture	$1,444,381
Apogee Medical Management
15059 N Scottsdale Road Ste 600	Scottsdale	AZ	85254	Contracted Staffing	$1,317,373

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	50	CntrctRcvdGreaterThan100KCnt
Related Organizations	$74,602	RelatedOrganizationsAmt
Total Contributions	$74,602	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Patient Care	Desc
Business	622110	BusinessCd
Total Revenue Column	$248,884,437	TotalRevenueColumnAmt
Related Or Exempt Func Income	$248,884,437	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$248,884,437	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,421,944	TotalRevenueColumnAmt
Unrelated Business Revenue	-$52,137	UnrelatedBusinessRevenueAmt
Exclusion	$5,474,081	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,503,215	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,503,215	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,503,215	TotalRevenueColumnAmt
Exclusion	$1,503,215	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$6,381,599	SecuritiesAmt
Other	$542,995	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$6,381,599	SecuritiesAmt
Other	$542,995	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,924,594	TotalRevenueColumnAmt
Exclusion	$6,924,594	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Food Service Revenue	722514	$347,520	$347,520
Other Oncology Rev Mis	621500	$200,821		$200,821
Finance Charges	561000	$55,173		$55,173

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,880,338	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,880,338	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,483,852	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$270,292,644	TotalRevenueColumnAmt
Related Or Exempt Func Income	$256,020,769	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$52,137	UnrelatedBusinessRevenueAmt
Exclusion	$14,249,410	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$218,614	TotalAmt
Program Services	$218,614	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,566,610	TotalAmt
Program Services	$1,292,058	ProgramServicesAmt
Management And General	$3,274,552	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$75,199,227	TotalAmt
Program Services	$69,699,537	ProgramServicesAmt
Management And General	$5,499,690	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,170,222	TotalAmt
Program Services	$4,601,498	ProgramServicesAmt
Management And General	$568,724	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,273,018	TotalAmt
Program Services	$16,262,986	ProgramServicesAmt
Management And General	$2,010,032	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,387,171	TotalAmt
Program Services	$4,794,582	ProgramServicesAmt
Management And General	$592,589	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,937,297	TotalAmt
Management And General	$3,937,297	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$410,084	TotalAmt
Management And General	$410,084	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$324,007	TotalAmt
Management And General	$324,007	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$5,124	TotalAmt
Management And General	$5,124	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$603,048	TotalAmt
Management And General	$603,048	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$19,654,629	TotalAmt
Program Services	$19,654,629	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,089,327	TotalAmt
Program Services	$3,089,327	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,523,104	TotalAmt
Program Services	$4,523,104	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,624,829	TotalAmt
Program Services	$4,624,829	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,106,077	TotalAmt
Program Services	$2,106,077	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$914,922	TotalAmt
Program Services	$914,922	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$792,601	TotalAmt
Management And General	$792,601	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$28,700,562	TotalAmt
Program Services	$28,700,562	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,021,392	TotalAmt
Program Services	$14,021,392	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,433,269	TotalAmt
Program Services	$2,433,269	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Drugs & Medical Supplie	$55,816,857	$55,816,857
Hospital Assessment Fee	$10,540,312	$10,540,312
Repairs & Maintenance	$5,994,576	$5,994,576
Bad Debt Expense	$1,659,014	$1,659,014

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,484,166	TotalAmt
Program Services	$2,498,006	ProgramServicesAmt
Management And General	$986,160	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$272,450,059	TotalAmt
Program Services	$253,446,151	ProgramServicesAmt
Management And General	$19,003,908	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,056,920	BOYAmt
EOY	$4,263,451	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,108,665	BOYAmt
EOY	$2,111,190	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$52,010,326	BOYAmt
EOY	$48,681,605	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,395,670	BOYAmt
EOY	$5,663,726	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,325,818	BOYAmt
EOY	$6,876,403	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$274,959,273	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$134,030,651	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$126,287,780	BOYAmt
EOY	$140,928,622	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$202,682,407	BOYAmt
EOY	$271,437,672	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,521,883	BOYAmt
EOY	$5,153,624	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$397,389,469	BOYAmt
EOY	$485,116,293	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$33,999,692	BOYAmt
EOY	$33,129,409	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$74,946,810	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$30,465,212	BOYAmt
EOY	$11,761,913	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$376,166	BOYAmt
EOY	$4,683,586	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$64,841,070	BOYAmt
EOY	$124,521,718	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$332,020,246	BOYAmt
EOY	$360,109,504	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$528,153	BOYAmt
EOY	$485,071	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$332,548,399	BOYAmt
EOY	$360,594,575	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$397,389,469	BOYAmt
EOY	$485,116,293	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$2,157,415	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$29,961,367	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$242,224	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$5,124	OtherActivitiesAmt
Total Lobbying Expenditures	$5,124	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	Lobbying expenses represent the portion of dues paid to the American Hospital Association and the Indiana Hospital Association that are specifically allocable to lobbying.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$4,454,769	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$4,848,513	OtherCostOrOtherBasisAmt
Book Value	$9,303,282	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$122,661,170	OtherCostOrOtherBasisAmt
Depreciation	$46,522,641	DepreciationAmt
Book Value	$76,138,529	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$158,142	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$36,948	OtherCostOrOtherBasisAmt
Depreciation	$109,693	DepreciationAmt
Book Value	$85,397	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$128,040,641	OtherCostOrOtherBasisAmt
Depreciation	$87,398,317	DepreciationAmt
Book Value	$40,642,324	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,759,090	OtherCostOrOtherBasisAmt
Book Value	$14,759,090	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$140,928,622	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Asset Retirement Obligation	$9,743
Deferred Malpractice	$200,000
Claims Liability	$678,527
Lease Liability	$3,795,316

Field	Value	IRS element (for citing)
Total Liability	$4,683,586	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part X, Line 2:	FormAndLineReferenceDesc
Explanation	The Internal Revenue Service has determined that Goshen Health and certain affiliated entities are tax-exempt organizations as defined in Section 501(c)(3) of the Internal Revenue Code. Certain subsidiaries of Goshen Health are taxable entities, the tax expense and liabilities of which are not material to the consolidated financial statements. Goshen Health and its tax-exempt affiliated entities each file a Form 990 (Return of Organization Exempt from Income Tax) annually. When these returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to health systems include such matters as the tax-exempt status of each entity, the continued tax-exempt status of bonds, the nature, characterization and taxability of joint venture income, and various positions relating to potential sources of unrelated business taxable income (reported on Form 990T). As of December 31, 2019 and 2018, there are no unrecognized tax benefits resulting from uncertain tax positions. Forms 990 and 990T filed by Goshen Health and its tax-exempt affiliated entities are subject to examination by the Internal Revenue Service up to three years from the extended due date of each return. Forms 990 and 990T filed by Goshen Health and its tax-exempt affiliated entities are no longer subject to examination for tax year 2016 and prior.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	6433	PersonsServedCnt
Total Community Benefit Expns	$3,824,551	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,824,551	NetCommunityBenefitExpnsAmt
Total Expense	0.01400	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	7793	PersonsServedCnt
Total Community Benefit Expns	$41,429,576	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,867,957	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,561,619	NetCommunityBenefitExpnsAmt
Total Expense	0.05340	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	14226	PersonsServedCnt
Total Community Benefit Expns	$45,254,127	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,867,957	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,386,170	NetCommunityBenefitExpnsAmt
Total Expense	0.06740	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	17015	PersonsServedCnt
Total Community Benefit Expns	$1,916,085	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,260	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,874,825	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	788	PersonsServedCnt
Total Community Benefit Expns	$1,085,568	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,161	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,074,407	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,166,095	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,166,095	NetCommunityBenefitExpnsAmt
Total Expense	0.10340	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	72	PersonsServedCnt
Total Community Benefit Expns	$441,841	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$441,841	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	17875	PersonsServedCnt
Total Community Benefit Expns	$31,609,589	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,421	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,557,168	NetCommunityBenefitExpnsAmt
Total Expense	0.11580	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	32101	PersonsServedCnt
Total Community Benefit Expns	$76,863,716	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,920,378	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$49,943,338	NetCommunityBenefitExpnsAmt
Total Expense	0.18320	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$123,898	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$123,898	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$123,898	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$123,898	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$10,272,171	BadDebtExpenseAmt
Reimbursed By Medicare	$40,946,172	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$51,213,228	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$10,267,056	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Goshen Hospital Association Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 High Park Avenue	AddressLine1Txt
City	Goshen	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46526	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://goshenhealth.com	WebsiteAddressTxt
State License	License #XXX-XX-XXXX	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Goshen Hospital Association Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://goshenhealth.com/promo-pages/community-needs	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	https://goshenhealth.com/promo-pages/community-needs	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://goshenhealth.com/patient-information/estimates-financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://goshenhealth.com/patient-information/estimates-financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://goshenhealth.com/patient-information/estimates-financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Goshen Hospital Association, Inc.	Part V, Section B, Line 5: In 2018, Goshen Hospital completed an evaluation of the communities' healthcare needs as required by the Patient Protection and Affordable Care Act. The Community Action Council met over multiple months and received input from community representatives, including those with special knowledge or expertise in public health. This process continues Goshen Hospital's long-standing practice of regularly identifying and addressing health needs within the community.In an effort to further identify health needs for the 2018 Community Health Needs Assessment (CHNA), additional data was collected from other sources. These sources include Latino and non-Latino parents and guardians, Amish community leaders, focus groups, key informants from business, not-for-profit organizations, service organizations, health care workers, mental health workers, and vulnerable or medically underserved populations. Goshen Hospital contracted with Indiana University School of Medicine to analyze various existing health, social, and economic data sets. The Bowen Center for Health Workforce Research and Policy provided data related to Indiana's health workforce and medically underserved areas. Elkhart County data was compared with Kosciusko, LaGrange and Noble counties, as well as the State of Indiana.
Goshen Hospital Association, Inc.	Part V, Section B, Line 11: Health needs were identified after an extensive analysis of primary and secondary data that included surveys, focus groups and key informants. Working with community stakeholders in the Community Action Council, this data was analyzed to identify and prioritize health needs in Goshen Hospital communities. The committee identified 13 needs and ranked accordingly. Prioritized Health Need1. Mental health2. Obesity3. Substance abuse: alcohol, drugs, addiction4. Diabetes5. Mental health providers6. Tobacco use/smoking7. Poverty8. Nutrition9. Physical fitness10. Physicians: primary care and other11. Insurance coverage12. Family support13. Health educationGoshen Hospital reviewed the prioritized list and evaluated based on the following questions: How much control or influence do we have over each particular category? Can we make a material change in 2-3 years? Are some of these categories related in a way that we can address more than one with our efforts? Do we have key community partners we can collaborate with in these efforts?This evaluation process collapsed the original priorities list to the 7 below. Condensed Categories1. Mental Health and Mental Health Provider Access2. Obesity/Nutrition/Physical Fitness3. Substance Abuse4. Diabetes5. Tobacco/Smoking6. PCP Access/Availability7. Insurance CoverageTo accomplish meaningful and measurable change, the decision was made to target interrelated health conditions and behaviors, including obesity, nutrition, health education, physical fitness, and diabetes. Resources may be refocused to best address the needs of the community as they change over time. Goshen Hospital took the following actions in 2019 with respect to the Community Health Needs Assessment conducted in 2018.Priority Area: Obesity/Physical Fitness/Nutrition/Health EducationGoal: Reduce the rate of obesity in Goshen Hospital service areas through internal and external programs.Long Term Indicators of Impact1. Slow or halt the accelerating rate of adult obesity within the community Baseline Values - Elkhart County: 32.8%, 11.2% increase over 4 years2. Reduce the percentage of adults reporting physical inactivity within the community Baseline Values - 25.9% reporting physical inactivity in Elkhart County in 2013 and 26.4% from 2014-20183. Increase engagement in health education related to nutrition, physical fitness, and obesity within the community. Baseline Values - 2019 is a benchmark year for programming.Strategy #1: Lead a community coalition focused on improving and expanding broad access obesity initiatives with outcomes measures. This group will focus on high risk populations and cultural minorities, leveraging community assets and advancing the role of social determinants of health in programming.2019 ActivityThe Let's Move city-wide designation was identified as a target opportunity to promote physical activity and slow the acceleration of obesity. This decision was made after community evaluation and discussion with the Goshen Mayor's Office. Rather than creating our own coalition to focus on obesity initiatives, other coalitions were identified in the communities severed with the emphasis on obesity. Goshen Hospital joined these coalitions to accelerate growth and tracking metrics. In 2019, we partnered with Live Well of Kosciusko County, Reducing Obesity Coalition of Saint Joseph County, and Elkhart County Food Council. Goshen Hospital developed or expanded successful programs, including community nutrition and education programs, summer foods, inflatable 5k, run the halls, and obesity related health screenings. These programs served a total of 7,518 participants in 2019. Strategy #2: Establish a consistent, evidence based pathway for obese patients within the Accountable Care Organization2019 ActivityEstablished BMI tracking as an indicator throughout our medical homes. Patients with a BMI over 35 are connected with our PAM assessment system for activation. The pilot provides patients with a curriculum to help them move forward on a continuum of success. Progress is recorded as patients show improvement.The prepare system has been blended into care coordination. Through targeted medical assistance, vocational training, and transportation support, we are supporting lifestyle changes for individuals in our communities. Strategy #3: Establish an evidence-based pathway for overweight or obese pediatric patients while considering social determinants of health.2019 ActivityWhile this has a natural connection to the first strategy and the coalitions built during the year, we also reached out to organizations who focus on the health needs of children. Goshen Hospital partnered with the Boys and Girls Club, Wawasee Community Schools, and Goshen Community Schools to expand programing, including Run the Halls, Summer Food, Community Nutrition programs, and Inflatable 5k. These programs served a total of 1,473 participants in 2019. Goshen Hospital established a medical home pathway for referred individuals and is tracking BMI. Priority area: Diabetes/Nutrition/Health EducationGoal: Reduce the rate of uncontrolled diabetics within the ACO population.Long Term Indicators of ImpactSlow or halt the accelerating rate of diabetes in our community Baseline Values - 10.4% in Elkhart County, with an increase of 11.8% over 4 years.Strategy #1: Establish primary care driven intervention platform for uncontrolled diabetes.2019 ActivityReferred 925 patients to diabetes education in 2019 with 84% of referrals engaging in the program.SummaryIn 2019, Goshen Hospital addressed prioritized health needs by: Informing 11,960 participants through community health education events Serving 2,353 individuals with community based clinical services Expanding access to care by educating 685 doctors, nurses, and other health professional students Partnering with 72 other organizations across the community in support of their health-building initiatives
Goshen Hospital Association, Inc.	Part V, Section B, Line 13h: Family size is another factor in determining discounts granted to patients.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Goshen Hospital
200 High Park Avenue	Goshen	IN	46526	Clinic
2 - The Retreat Women's Health Center
1135 Professional Drive	Goshen	IN	46526	Clinic
3 - Indiana Lakes Accountable Care
2018 South Main Street	Goshen	IN	46526	ACO: Ambulatory Care Coordination
4 - Indiana Lakes Managed Care
2018 South Main Street	Goshen	IN	46526	Health Care Management
5 - New Paris Medical Clinic
200 High Park Avenue	Goshen	IN	46526	Clinic

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 6a:	Goshen Hospital Association, Inc. reports community benefit information as part of the Goshen Health, Inc. annual community benefit report (EIN: 35-1955872).
Part I, Line 7:	Goshen Hospital calculated the cost of financial assistance and means-tested government programs, using the cost-to-charge ratio derived from Schedule H, Worksheet 2, ratio of patient care cost-to-charges. Other benefits amounts reported on line 7 were calculated using costs charged directly to the individual programs via the financial accounting system. An indirect cost allocation factor for shared services is also calculated and included in applicable programs listed in other benefits.
Part II, Community Building Activities:	Goshen Hospital promoted the health of the community by supporting various local organizations that engage in community building activities.
Part III, Line 2:	Goshen Hospital's analysis and assessment of the allowance for doubtful accounts and related bad debt expense uses a receipts "look-back" method utilizing historical payment data on accounts, including contractual adjustments for payer discounts, as well as patient payments, such as co-pays and deductibles, to establish anticipated collectability rates for accounts receivable within each payer category.
Part III, Line 3:	Goshen Hospital estimated the possible amount of charity care within bad debt expense by reviewing accounts that were internally coded as having been provided a financial assistance application, but that was not completed by the patient or guarantor, in which the account was subsequently written off to bad debt.
Part III, Line 4:	The following narrative addresses the allowance for doubtful accounts which is included in the footnotes in the financial statements for Goshen Hospital.In 2018 and prior years, the provision for uncollected patient accounts was recognized when services were provided based upon management's assessment of historical and expected net collections, taking into consideration business and economic conditions, changes and trends in health care coverage, and other collection indicators. Periodically, management assessed the adequacy of the allowance for uncollectible accounts based upon accounts receivable payor composition and aging, the significance of individual payors to outstanding accounts receivable balances, and historical write-off experience by payor category, as adjusted for collection indicators. The results of this review were then used to make any modifications to the provision of uncollectible accounts and the allowance for uncollectible accounts. In addition, Goshen Hospital followed established guidelines for placing certain past due patient balances with collection agencies. Patient accounts that are uncollected, including those placed with collection agencies, were initially charged against the allowance for uncollectible accounts in accordance with collection policies of Goshen Hospital and, in certain cases, were reclassified to charity care if deemed to otherwise meet financial assistance policies of Goshen Hospital.In 2019, Goshen Hospital adopted ASU 2014-09 requiring an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised good or services to customers. The effect of adopting ASU 2014-09 is considered immaterial as revenue recognition under the new standard is not materially different compared to Goshen Hospital's current practice. The primary effect is certain amounts previously reported as provision for uncollectible accounts are now considered implicit price concessions reported as a reduction of patient service revenue. The remaining provision for uncollectible accounts is reported as an operating expense under the new revenue recognition standard rather than as a reduction of patient service revenue.
Part III, Line 8:	Actual month and year to date revenue, contractuals, accounts receivable balances, ratios and statistics are compared to budget and prior year on a monthly basis. Variances are reviewed and analyzed by finance representatives, hospital directors and the CFO. Additionally, actual contractual allowance as a percentage of gross accounts receivable and contractual provision as a percentage of gross patient charges compared to budgeted and prior year amounts are monitored. This is done as part of the hospital's monthly close process, explanations to variances (or non-variances when expected) are researched and provided by the appropriate personnel and reviewed with management of the hospital. The finance department also considers these key performance indicators when developing their estimates of contractual allowances to ensure recorded amounts appear reasonable based on actual data available.Financial representatives prepare and update the contractual allowance model as a basis for all third party payors based on actual statistics (e.g. discharges, days, etc.) and on current reimbursement rates. The model analyzes patient receivables and contractual allowance by payor and by patient status. The model estimates the collectability of patient accounts based on historical collection rates. Finance colleagues also update the model to account for changes in reimbursement rules. After the model is prepared, it is reviewed by the CFO for appropriateness and reasonableness.Contractual allowance calculations are reconciled to the general ledger on a monthly basis. Once the calculation is prepared, the finance department adjusts the general ledger accounts.
Part III, Line 9b:	Financial assistance is granted to those patients unable to pay all or a portion of their bill and who are unable to qualify for assistance through federal and state government assistance programs. If after insurance reimbursement additional assistance is needed, all patients may obtain financial assistance if the income criteria are met. All financial assistance applications are based on policy guidelines. Uninsured patients are required to provide documentation and an application. When approved, the adjustment is applied to the patient's account. For patients who do not qualify for financial assistance, payment plans and lump sum settlements are available. Goshen Hospital also partners with a local financing institution to provide a flexible and affording financing solution.
Part VI, Line 2:	As a community hospital, Goshen Hospital is dedicated to meeting the specific health care needs of our community. The hospital has 122 patient beds and over 240 physicians on its medical staff in nearly 25 specialties. These physicians, together with other dedicated professionals, provide a wide range of services including the following: acute medical & surgical, emergency, home health, radiology, laboratory, cancer care, bariatrics, women's health, pain management, sleep studies, rehabilitation, patient and community health education and professional education.The Center for Cancer Care is a leader in innovative cancer treatment. We were among the first to adopt a comprehensive, multidisciplinary approach to cancer treatment. We offer holistic programs for strengthening minds as well as bodies, place a premium on family involvement and spiritual needs, and encourage patients to play a decision-making role in treatment selection. The Center for Cancer Care has specifically trained surgical oncologists, a breast surgeon, medical oncologist, radiation oncologist, naturopathic practitioners and highly distinguished magnet designated nurses.Goshen Hospital improves the health and well-being of the communities by providing community wellness and education programs. Through local partnerships, the hospital identifies health issues and creates programs to ensure our community is the healthiest place to live, work and raise a family. The first of these programs cover CPR, EMS, diabetes, childbirth, fitness, nutrition, community education and health screenings the Elkhart County childhood obesity initiative. The CPR class is for anyone - professionals or private citizens - who want to know how to perform life-saving cardiopulmonary resuscitation; first aid classes are also offered. EMS training is available for persons interested in becoming emergency medical technicians or firefighters. The diabetes education helps people delay the onset and slow the progression of complications from this disease. It includes seminars, support groups, consultations and screenings. Childbirth education prepares expectant mothers and their families during this significant time in their life. Classes review many aspects of childbirth including labor rehearsal, cesarean deliveries, single-teen issues, breast-feeding and a class just for siblings.
Part VI, Line 3:	Uninsured patients are screened during the pre-registration process for eligibility in the Healthy Indiana Plan and offer any other known sources of financial assistance. All registration locations have financial assistance forms available for self-pay patients to complete and will have information on the criteria and process for applying for financial assistance. Applications are also provided to any patients with a balance due who may qualify for financial assistance. Counselors are available to patients to aid in the application process including the collection of information to complete the application. Payment options and information on financial assistance is available on the hospital's website. Patients may download a preliminary application, and the patient agreement associated with financial assistance form the website, this information is available in English and Spanish.
Part VI, Line 4:	Goshen Hospital serves the northern Indiana area in Elkhart County. According to the 2019 census, the population of Elkhart County is 206,341. The median income for a household is Elkhart County based on the 2018 census is $55,399. Approximately 11.5% of the population were below the poverty line. The racial makeup of the county was about 74.1% White, 6.1% African-American, and 16.8% Hispanic or Latino. The remaining 3.0% of the population is a makeup of all other races.
Part VI, Line 5:	All of the Hospital's governing body is comprised of persons who reside in the organization's primary or secondary service areas. A majority of the board members are independent of the organization. The governing body approves medical staff privileges as indicated in the organization's credentialing and privileging policies and as recommended by the medical executive committee of the hospital. The hospital's governing body approves the annual operating budget for the hospital and the expenditure of capital funds above certain dollar amounts. The governing body also participates in strategic planning initiatives to determine goals objectives focused on patient care for the community.
Part VI, Line 6:	Hospital management provides Goshen Health with the hospital's annual operating budget and key strategic objectives. In addition, the hospital management provides Goshen Hospital with various key metrics involving patient satisfaction, patient quality and colleague satisfaction. Goshen Hospital reviews the data to ensure key initiatives are focused towards the promoting and meeting the healthcare needs of the communities. In addition, the hospital collaborates with Goshen Health to provide necessary nursing education and physician recruitment to assist in meeting the health needs of the community.
Part VI, Line 7, Reports Filed With States	IN

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
Northern Indiana Hispanic Health
444 Nappanee Street	Elkhart	IN	46514	320039221	501(c)(3)	$50,000	$0	Operating Support
Maple City Health Care Center
213 Middlebury Street	Goshen	IN	46528	351749398	501(c)(3)	$20,000	$0	Operating Support
Goshen College Inc
1700 S Main Street	Goshen	IN	46526	352158366	501(c)(3)	$15,000	$0	Operating Support
The Horizon Educational Alliance
124 E Washington Street	Goshen	IN	46528	460803293	501(c)(3)	$15,000	$0	Operating Support
Center for Healing and Hope
423 E Jefferson Street	Goshen	IN	46528	020560511	501(c)(3)	$13,380	$0	Operating Support
United Cancer Services
23971 US 33 East	Elkhart	IN	46517	351091429	501(c)(3)	$12,100	$0	Operating Support
Oaklawn Psychiatric Center
2600 Oakland Avenue	Elkhart	IN	46517	351070041	501(c)(3)	$10,250	$0	Operating Support
Council on Aging of Elkhart County Inc
230 E Jackson Boulevard	Elkhart	IN	46516	510178910	501(c)(3)	$10,250	$0	Operating Support
Boys & Girls Clubs Elkhart County
102 West Lincoln Suite 240	Goshen	IN	46527	351033735	501(c)(3)	$10,250	$0	Operating Support
Care Foundation Inc
64468 Meadow Ridge Drive	Goshen	IN	46526	352111562	501(c)(3)	$10,000	$0	Operating Support
Elkhart County Clubhouse
PO Box 173	Goshen	IN	46527	271151738	501(c)(3)	$8,000	$0	Operating Support
Family Christian Development Center
151 S Locke Street	Nappanee	IN	46550	351979463	501(c)(3)	$6,150	$0	Operating Support
Bashor Home of the UMC Inc
62226 County Road 15	Goshen	IN	46526	350933555	501(c)(3)	$5,000	$0	Operating Support

Field	Value	IRS element (for citing)
Total501c3 Org	13	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	The Organization's Procedures for monitoring the use of grant funds in the U.S. consists of requiring the completion of a follow-up report form with subsequent grant fund applications.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Randal Christophel
President and CEO	$613,607	$0	$273,777	$0	$15,181	$0	$139,549	$0	$33,790	$0	$1,075,904	$0	$0	$0
Hubert Fornalik MD
Physician	$0	$627,217	$0	$97,462	$0	$0	$0	$29,758	$0	$707	$0	$755,144	$0	$0
Ebenezer Kio MD
Physician	$0	$589,421	$0	$69,933	$0	$0	$0	$29,276	$0	$28,123	$0	$716,753	$0	$0
Houman Vaghefi MD
Physician	$0	$564,097	$0	$74,959	$0	$0	$0	$22,924	$0	$30,699	$0	$692,679	$0	$0
Leonard Henry MD
Physician	$0	$527,629	$0	$78,971	$0	$0	$0	$28,599	$0	$30,128	$0	$665,327	$0	$0
Alan Weldy
VP of HR and Compliance	$422,872	$0	$115,459	$0	$10,270	$0	$68,379	$0	$30,465	$0	$647,445	$0	$0	$0
Rob Myers
Chief Operating Officer	$406,402	$0	$114,232	$0	$9,938	$0	$71,797	$0	$29,139	$0	$631,508	$0	$0	$0
Larry Allen MD
Chief Medical Executive	$391,715	$0	$97,737	$0	$36,721	$0	$70,007	$0	$28,113	$0	$624,293	$0	$0	$0
Agarwal Sachin MD
Physician	$0	$481,898	$0	$44,389	$0	$0	$0	$18,697	$0	$26,774	$0	$571,758	$0	$0
Daniel Nafziger MD
Chief Medical Officer	$379,038	$0	$90,663	$0	$3,612	$0	$66,137	$0	$24,501	$0	$563,951	$0	$0	$0
Margaret S Franger
VP of Cancer Services	$361,561	$0	$96,263	$0	$1,864	$0	$63,405	$0	$20,192	$0	$543,285	$0	$0	$0
Jody Neer MD
Director	$0	$417,859	$0	$15,250	$0	$27,785	$0	$29,607	$0	$33,625	$0	$524,126	$0	$0
Ben Bontrager
CFO	$312,667	$0	$61,423	$0	$840	$0	$57,223	$0	$19,891	$0	$452,044	$0	$0	$0
Mark Podgorski
VP of Hospital Operations	$252,596	$0	$69,916	$0	$22,388	$0	$48,825	$0	$32,282	$0	$426,007	$0	$0	$0
Julie Crossley
Chief Nursing Officer	$230,285	$0	$59,985	$0	$2,302	$0	$47,273	$0	$22,957	$0	$362,802	$0	$0	$0
Andrew Vorhis NP
Director	$0	$129,047	$0	$51,656	$0	$0	$0	$15,083	$0	$21,463	$0	$217,249	$0	$0
Steve Garboden
Former VP Planning and Managed Care	$53,296	$0	$0	$0	$60,000	$0	$4,205	$0	$0	$0	$117,501	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	Goshen Hospital reimbursed 3 directors and 2 officers reported on Part VII, Section A for travel expenses of companions. Goshen Hospital paid for country club dues for 1 of the officers listed in Form 990, part VII. All reimbursements are considered taxable income to employees. Goshen Hospital grossed up the taxable value of automobiles for 2 of the officers listed in form 990, part VII and included the amount in the employees' W-2 as additional compensation.
Part I, Line 1b	Goshen Hospital does not have a specific written policy for the reimbursement of expense for travel for companions, but does require all expenses to be substantiated in accordance with an accountable plan. These reimbursements of expenses were regarded as a bona fide business expense and were not treated as taxable to the individuals.
Part I, Line 4b	Eligible executives participate in various non-qualified deferred compensation plans organized under code Section 457(f). The exact purpose of each plan varies, but they include: compensation limitation make-up plans, voluntary deferral plans, deferral of a portion of incentive bonus type plans, etc. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The following individuals participate in the plan: Randal Christophel Alan Weldy Rob Myers Larry Allen, MD Julie Crossley Margaret S. Franger Mark Podgorski Ben Bontrager Daniel Nafziger, MD

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Indiana Finance Authority - 2019A
A	351602316	45471ATA0	2019-07-31	$50,630,944	Campus improvement project	0	0	0
Indiana Finance Authority - 2019B
B	351602316	45471ATA0	2019-07-31	$25,360,000	Campus improvement project	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$50,630,944	$628,854	$17,234,446	$32,767,643	2022	0	0	0	Yes (1)
B	$25,360,000	$359,751		$25,000,249	2022	0	0	0	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	0	0	0	0	0	0
B	0	Yes (1)	0	0	Yes (1)	0	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	Jody Neer MD	PersonNm
Relationship With Org	Trustee	RelationshipWithOrgTxt
Loan Purpose	Miscellaneous	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$75,000	OriginalPrincipalAmt
Balance Due	$10,000	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$10,000	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a, Program Service Description:	The mission of Goshen Hospital is to improve the health of our communities by providing innovative, outstanding care and service, through exceptional people doing exceptional work. The hospital's values include: -Compassion - and commitment to service with empathy. -Accountability - with integrity and action. -Respect - through treating others as you wish to be treated. -Excellence - in all we do. The organization created the current three year strategic plan during 2019 to run from 1/1/2020 through 12/31/2022. The current strategic priorities for 2023 are as follows: 1. Access & Consumerism: Provide more access to convenient health services than any competitor in order to grow and secure our market position. 2. Provider Network: Attract and retain the highest-quality providers through a variety of alignment mechanisms. 3. Service Complement: Selectively grow and deepen our service offerings to meet the evolving needs of our community. 4. Value-Based Care: Build new and leverage our existing population health management capabilities as we prepare for value-based care to become increasingly prevalent. As a community hospital, Goshen Hospital is dedicated to meeting the specific health care needs of our communities. As a community leader, the hospital is committed to providing care in an innovating and dynamic environment. The hospital has 122 patient beds and over 240 physicians on its medical staff in nearly 25 specialties. These physicians, together with other dedicated professionals, provide a wide range of services including the following: acute medical & surgical, emergency, home health, radiology, laboratory, cancer care, bariatrics, women's health, pain management, sleep studies, rehabilitation, patient and community health education and professional education. The American Nurses Credentialing Center's (ANCC) magnet recognition program for excellence in nursing services has designated Goshen Hospital as a magnet hospital since 2004. Designated hospitals have successfully created a work environment that nurses find both personally and professionally rewarding, advancing the practice of nursing and improving patient outcomes. Research shows that magnet hospitals are more effective at attracting and keeping quality nurses. Goshen Hospital is among an elite group of hospitals in the nation to be re-designated as a magnet facility. The Goshen Center for Cancer Care is accredited by the Commission on Cancer of the American College of Surgeons (COC). Receiving care at a COC-approved center for cancer care assures that patients will have access to: -quality care close to home. -comprehensive care offering a range of state-of-the art services and equipment. -a multidisciplinary team approach to coordinate the best treatment options available to cancer patients. -participation in cancer clinical trials, education and support. -lifelong patient follow-up through a cancer registry that collects data on type and stage of cancers and treatment results. -ongoing monitoring and improvement in care. The Center for Cancer Care is a leader in innovative cancer treatment. We were among the first to adopt a comprehensive, multidisciplinary approach to cancer treatment. We offer holistic programs for strengthening minds as well as bodies, place a premium on family involvement and spiritual needs, and encourage patients to play a decision-making role in treatment selection. The Center for Cancer Care has specifically trained surgical oncologists, a breast surgeon, medical oncologist, radiation oncologist, naturopathic practitioners and highly distinguished magnet designated nurses. Goshen Hospital improves the health and well-being of its communities by providing community wellness and education programs. Through local partnerships, the hospital identifies health issues and creates programs to ensure our community is the healthiest place to live, work and raise a family. The first of these programs cover CPR, EMS, diabetes, childbirth, fitness, nutrition, community education and health screenings the Elkhart County childhood obesity initiative. The CPR class is for anyone - professionals or private citizens - who want to know how to perform life-saving cardiopulmonary resuscitation; first aid classes are also offered. EMS training is available for persons interested in becoming emergency medical technicians or firefighters. The diabetes education helps people delay the onset and slow the progression of complications from this disease. It includes seminars, support groups, consultations and screenings. Childbirth education prepares expectant mothers and their families during this significant time in their life. Classes review many aspects of childbirth including labor rehearsal, cesarean deliveries, single-teen issues, breast-feeding and a class just for siblings. The Goshen Health Community Benefit Fund is one example of how Goshen Health re-invests money into the communities we serve. 2019 marks the 21st anniversary of the health system's commitment. Any nonprofit organization with a mission consistent with that of Goshen Health and works toward meeting the needs of the community are encouraged to apply. Since its inception in 1998, the Community Benefit Grant Committee of Goshen Health's Board of Directors has awarded more than $6 million in grants to community organizations and projects that meet the health needs of our community. In 2019, the Community Benefit Fund Grant Committee awarded $325,000 to 21 different organizations in Goshen and surrounding communities. Goshen Hospital provides health care services to all members of the communities regardless of their ability to pay. The hospital offers financial assistance to those patients unable to pay all or a portion of their bill and who are unable to qualify for assistance through federal and state government assistance programs. Patients are asked to complete a financial aid application to determine their eligibility for financial assistance. The hospital provides the assistance of a financial advocate to help patients complete this application and to investigate other forms of available assistance including enrollment in marketplace plans. In 2019, the hospital extended charity care to 6,433 accounts totaling $11.6 million. Goshen Hospital also partners with a financial institution to provide flexible and affordable financing solutions for a patient's medical care. Goshen Health received the beacon award for excellence from the American Association of Critical Care Nurses in 2016. This is the third time Goshen Health has won the award and the second time Goshen has achieved the highest status, gold. Goshen Hospital has been named an accredited heart failure institute by the National Healthcare Accreditation Colloquium. The National Accreditation Program for Breast Centers (NAPBC) has awarded three-year, full accreditation to Goshen Health Retreat Women's Health Center. Press Ganey has awarded Goshen Health with 7 summit awards. In addition, Goshen Health has received the H&V Platinum Performance Achievement Award (NCDR) and the WHO baby-friendly designation.
Form 990, Part VI, Section A, line 2	The following officers, board members, and key employees are employees of Goshen Hospital or its related organizations, and serve on other related taxable boards: Randal Christophel, Alan Weldy, Rob Myers, Larry Allen, MD, Ben Bontrager and Mark Podgorski.
Form 990, Part VI, Section A, line 6	The sole member of Goshen Hospital Association, Inc. is Goshen Health System, Inc. an Indiana not-for-profit corporation that serves as the corporate parent of the health system.
Form 990, Part VI, Section A, line 7a	Goshen Health System, Inc., a section 501(c)(3) exempt organization and the parent of the exempt healthcare system, is the sole corporate member of the filing organization. Directors shall be appointed as provided in the Bylaws by the member to a term as designated at the time of appointment.
Form 990, Part VI, Section B, line 11b	A full copy of the Form 990 is provided to the board of directors and the audit committee in November for review and questions before the return is filed with the IRS.
Form 990, Part VI, Section B, line 12c	Each board member completes an annual disclosure of known or potential conflicts. Each disclosure is reviewed by the VP-legal. Additionally when agenda items are discussed at meetings it is asked if there are any known or potential conflicts of interest, and conflicted parties must recuse themselves.
Form 990, Part VI, Section B, line 15	An independent committee approves the compensation which is determined to be reasonable based upon independent comparability data provided by an independent consultant. Approval of amounts are documented in the minutes.
Form 990, Part VI, Section C, line 19	Goshen Hospital will provide any documents open to public inspection upon request for the same period of disclosure as set forth in IRC Section 6104(d).
Form 990, Part XI, line 9:	Interest Rate Swap 519. Equity Transfer 241,705.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Indiana Lakes Managed Care Org LLC
200 High Park Avenue	Goshen	IN	46526	351946663	Healthcare	IN	-$65,488	$126,692	Goshen Hospital Association Inc
Indiana Lakes Accountable Care Org LLC
200 High Park Avenue	Goshen	IN	46526	455450141	Healthcare	IN	$296,227	$1,644,824	Goshen Hospital Association Inc

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Goshen Health System Inc
200 High Park Avenue	Goshen	IN	46526	351974765	Healthcare	IN	501(c)(3)	Line 12c, III-FI	N/A	0
Goshen Health Foundation Inc
200 High Park Avenue	Goshen	IN	46526	462565300	Fundraising	IN	501(c)(3)	Line 12a, I		Yes (1)	Goshen Health System Inc
Goshen Hospital Women's Auxiliary Inc
200 High Park Avenue	Goshen	IN	46526	237017521	Healthcare	IN	501(c)(3)	Line 12d, III-O	N/A	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	New Paris Clinic LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2018 S Main Street	AddressLine1Txt
City	Goshen	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46526	ZIPCd

Field	Value	IRS element (for citing)
EIN	352075244	EIN
Primary Activities	Commerical Rentals	PrimaryActivitiesTxt
Legal Domicile State	IN	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Goshen Health System Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	n/a	PredominantIncomeTypeTxt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
Parkmor Drug Inc
1501 S Main Street	Goshen	IN	46526	351394980	Pharmacy Sales	IN	Goshen Health System Inc	C	Yes (1)
PILR Inc
200 High Park Avenue	Goshen	IN	46526	204294750	Development	IN	Goshen Health System Inc	C	Yes (1)
Radiation Oncology Resources Inc
200 High Park Avenue	Goshen	IN	46526	262008424	Healthcare	IN	Goshen Health System Inc	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Goshen Health Foundation Inc
C	$74,602	FMV
Goshen Health Foundation Inc
R	$534,468	FMV