ELKHART GENERAL HOSPITAL INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ELKHART GENERAL HOSPITAL INC (EIN 35-0877574)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-13
- IRS object ID
- 201403179349306960
- Schema version
- 2013v3.1
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-13T21:17:16-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| 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 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350877574 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Elkhart General Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JEFFREY COSTELLO | InCareOfNm |
| Business Name Control | ELKH | BusinessNameControlTxt |
| Phone | 5745233208 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST BLVD | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | ELKHART | City |
| State | IN | State |
| ZIP Code | 46514 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFFERY COSTELLO | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2014-11-13 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANGELA MOORE | PreparerPersonNm |
| PTIN | P00244342 | PTIN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GREGORY LOSASSO PRESIDENT | PrincipalOfficerNm |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $350,550,965 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.EGH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1909 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O HOSPITAL GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF COMMUNITY VOLUNTEERS. EMPHASES IS PLACED ON ENSURING EVERYONE IN THE COMMUNITY R | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 2326 | TotalEmployeeCnt |
| Total Volunteers | 256 | TotalVolunteersCnt |
| Total Gross UBI | $1,269,883 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$113,043 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $117,931 | PYContributionsGrantsAmt |
| CY Contributions Grants | $149,782 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $298,557,557 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $287,755,451 | CYProgramServiceRevenueAmt |
| PY Investment Income | $22,193,215 | PYInvestmentIncomeAmt |
| CY Investment Income | $13,598,189 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,991,713 | PYOtherRevenueAmt |
| CY Other Revenue | $10,164,725 | CYOtherRevenueAmt |
| PY Total Revenue | $326,860,416 | PYTotalRevenueAmt |
| CY Total Revenue | $311,668,147 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $336,347 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $351,361 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $121,905,595 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $125,018,755 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $163,554,402 | PYOtherExpensesAmt |
| CY Other Expenses | $168,491,596 | CYOtherExpensesAmt |
| PY Total Expenses | $285,796,344 | PYTotalExpensesAmt |
| CY Total Expenses | $293,861,712 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $41,064,072 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $17,806,435 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $441,322,004 | TotalAssetsBOYAmt |
| Total Assets EOY | $470,365,287 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $184,515,719 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $158,809,555 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $256,806,285 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $311,555,732 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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 HOLISTIC 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $251,203,523 | ExpenseAmt |
| Grant | $351,361 | GrantAmt |
| Revenue | $295,180,715 | RevenueAmt |
| Desc | Elkhart General Hospital, Inc, has been providing comprehensive, advanced medical care primarily to Elkhart County and other contiguous counties in north central Indiana and south central Michigan for over 100 years. Elkhart General Hospital, Inc. consists of a 365-bed licensed hospital and 20 primary and specialty care physician clinics that provide services without regard to patient race, religion, national origin, economic status, or ability to pay. During 2013, the Hospital admitted 11,566 patients for a total of 49,250 inpatient days. Inpatient units consisted of medical, post-surgical, oncology, pediatric, critical care, cardiac care, behavioral health, rehabilitation, obstetric, and nursery intensive care. The Hospital also provided services for 194,530 of outpatient visits including 3,093 outpatient surgeries, 64,426 emergency room visits, and 127,011 visits for diagnostic services. The primary and specialty care physician practices provided service in 188,266 encounters. During 2013, the unreimbursed cost of free or discounted medical care provided to patients that were deemed indigent under state, county, or internal guidelines was $23,679,353 which included $4,219,306 of traditional charity care and $19,460,047 in unpaid costs for Medicaid or other public programs for the poor. Elkhart General Hospital also provided $42,139,747 in unreimbursed care to the elderly covered by Medicare. Part of the mission of Elkhart General Hospital is to provide for a healthier community through health fairs, health screenings, and free clinics, the hospital incurred $501,200 in unbilled services to the poor and broader community. | Desc |
| Total Program Service Expenses | $251,203,523 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 192 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2326 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFFREY COSTELLO | PersonNm |
| Phone | 5746473549 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 N MICHIGAN STREET | AddressLine1 |
| City | SOUTH BEND | City |
| State | IN | State |
| ZIP Code | 46601 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Pam Hluchota | |||||||||
| Treasurer | 2.0 | 0.0 | Yes (X) | Yes (X) | $150 | ||||
| Wilbur Bontrager | |||||||||
| VOLUNTEER BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $150 | |||||
| Mark Klaaseen MD | |||||||||
| Secretary | 2.0 | 0.0 | Yes (X) | Yes (X) | $344 | ||||
| Todd Martin | |||||||||
| VOLUNTEER BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $150 | |||||
| Linda Rothrock-Jurus | |||||||||
| VOLUNTEER BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $247 | |||||
| Frank Smole | |||||||||
| VOLUNTEER BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $247 | |||||
| Bruce Newswanger DO | |||||||||
| VOLUNTEER BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $344 | |||||
| John K Martin | |||||||||
| Chairman | 2.0 | 2.0 | Yes (X) | Yes (X) | $150 | ||||
| Matthew Pletcher | |||||||||
| VICE CHAIR | 2.0 | 0.0 | Yes (X) | Yes (X) | $344 | ||||
| Gregory Losasso | |||||||||
| President | 50.0 | 0.0 | Yes (X) | Yes (X) | $489,879 | $0 | $92,457 | ||
| Laura Munkel | |||||||||
| Physician | 50.0 | 0.0 | Yes (X) | $279,479 | $25,526 | ||||
| Leonard Kibiloski MD | |||||||||
| Volunteer Board Member | 1.0 | 0.0 | Yes (X) | $150 | |||||
| Kelly Puster MD | |||||||||
| Volunteer Board Member | 1.0 | 0.0 | Yes (X) | $247 | |||||
| Alex Strati Jr | |||||||||
| Volunteer Board Member | 1.0 | 0.0 | Yes (X) | $344 | |||||
| Tim Shelly | |||||||||
| VOLUNTEER BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $150 | |||||
| Walter Halloran MD | |||||||||
| Physician | 50.0 | 1.0 | $1,194,089 | $41,238 | Yes (X) | ||||
| Jeffrey P Costello | |||||||||
| CFO/Asst. Treasurer | 1.0 | 46.0 | Yes (X) | $638,830 | $105,422 | ||||
| Phillip A Newbold | |||||||||
| CEO | 1.0 | 46.0 | Yes (X) | $2,465,079 | $198,050 | ||||
| Jeff Howe | |||||||||
| Physician | 50.0 | 0.0 | $627,470 | $38,993 | Yes (X) | ||||
| Majid Malik | |||||||||
| Physician | 50.0 | 0.0 | $365,573 | $40,880 | Yes (X) | ||||
| Burton Boron | |||||||||
| Physician | 50.0 | 0.0 | $575,654 | $26,880 | Yes (X) | ||||
| Edwin Annan | |||||||||
| Physician | 50.0 | 0.0 | $410,493 | $18,229 | Yes (X) | ||||
| Gregory Lintjer | |||||||||
| FORMER OFFICER | 0.0 | 0.0 | $360,776 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,306,430 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,103,909 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $587,675 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 97 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| South Bend Medical Foundation | |||||
| 530 North Lafayette Blvd | SOUTH BEND | IN | 46601 | Lab Services | $11,928,789 |
| Elkhart Clinic | |||||
| PO Box 201 | ELKHART | IN | 46515 | Physician Services | $5,259,390 |
| Northern Indiana Anesthesia Service | |||||
| 600 East Bvld | ELKHART | IN | 46514 | Anesthesia Services | $4,175,773 |
| Accretive Health Inc | |||||
| 401 N Michigan Ave Suite 2700 | CHICAGO | IL | 60611 | CONTRACT SERVICES | $8,320,269 |
| PEPPER CONSTRUCTION | |||||
| 1850 WEST 15TH STREET | INDIANAPOLIS | IN | 46202 | CONSTRUCTION SERVICE | $3,607,643 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 86 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $50,000 | RelatedOrganizationsAmt |
| Government Grants | $41,270 | GovernmentGrantsAmt |
| All Other Contributions | $58,512 | AllOtherContributionsAmt |
| Total Contributions | $149,782 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $283,920,863 | $283,920,863 | ||
| OUTPATIENT PHARMACY | 446110 | $3,547,350 | $194,529 | $3,352,821 | |
| RENT FROM RELATED PARTIES | 621110 | $287,238 | $72,228 | $215,010 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $287,755,451 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,453,933 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $16,787 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,437,146 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,445,318 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $512,144 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $933,174 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $933,174 | TotalRevenueColumnAmt |
| Exclusion | $933,174 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $46,499,841 | SecuritiesAmt |
| Other | $15,089 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $38,370,674 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,129,167 | SecuritiesAmt |
| Other | $15,089 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,144,256 | TotalRevenueColumnAmt |
| Exclusion | $8,144,256 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| ELECTRONIC HEALTH RECORD IMPLEMENTATION | 621110 | $3,264,528 | $3,264,528 | ||
| CAFETERIA | 722514 | $962,730 | $962,730 | ||
| CHARGEBACKS TO MICHIANA LINEN | 812300 | $2,099,743 | $1,747,917 | $351,826 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,904,550 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,412,819 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $491,731 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,231,551 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $311,668,147 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $291,418,355 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,269,883 | UnrelatedBusinessRevenueAmt |
| Exclusion | $18,830,127 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,361 | TotalAmt |
| Program Services | $351,361 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $890,358 | TotalAmt |
| Management And General | $890,358 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,322,599 | TotalAmt |
| Program Services | $80,051,872 | ProgramServicesAmt |
| Management And General | $14,270,727 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,081,276 | TotalAmt |
| Program Services | $4,346,327 | ProgramServicesAmt |
| Management And General | $734,949 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,450,328 | TotalAmt |
| Program Services | $15,554,961 | ProgramServicesAmt |
| Management And General | $2,895,367 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,274,194 | TotalAmt |
| Program Services | $5,282,871 | ProgramServicesAmt |
| Management And General | $991,323 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,559,798 | TotalAmt |
| Program Services | $9,733,350 | ProgramServicesAmt |
| Management And General | $1,826,448 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $347,245 | TotalAmt |
| Management And General | $347,245 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,154 | TotalAmt |
| Management And General | $120,154 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,852 | TotalAmt |
| Management And General | $1,852 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $886,572 | TotalAmt |
| Management And General | $886,572 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,803,777 | TotalAmt |
| Program Services | $26,769,961 | ProgramServicesAmt |
| Management And General | $5,033,816 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,648 | TotalAmt |
| Program Services | $9,808 | ProgramServicesAmt |
| Management And General | $1,840 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,698,090 | TotalAmt |
| Program Services | $6,479,197 | ProgramServicesAmt |
| Management And General | $1,218,893 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,144 | TotalAmt |
| Program Services | $963 | ProgramServicesAmt |
| Management And General | $181 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,569,201 | TotalAmt |
| Program Services | $3,817,880 | ProgramServicesAmt |
| Management And General | $751,321 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,006,811 | TotalAmt |
| Program Services | $847,735 | ProgramServicesAmt |
| Management And General | $159,076 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,673 | TotalAmt |
| Program Services | $79,715 | ProgramServicesAmt |
| Management And General | $14,958 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,790,449 | TotalAmt |
| Program Services | $1,507,558 | ProgramServicesAmt |
| Management And General | $282,891 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,006,025 | TotalAmt |
| Program Services | $10,940,715 | ProgramServicesAmt |
| Management And General | $2,065,310 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,749,486 | TotalAmt |
| Program Services | $1,473,067 | ProgramServicesAmt |
| Management And General | $276,419 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT SUPPLIES, DRUGS | $42,595,855 | $35,865,710 | $6,730,145 |
| BAD DEBT EXPENSE | $23,753,756 | $23,753,756 | |
| HOSPITAL ASSESSMENT FEE | $7,139,474 | $7,139,474 | |
| CORPORATE ALLOCATION FEES | $17,963,899 | $15,125,603 | $2,838,296 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,391,687 | TotalAmt |
| Program Services | $2,071,639 | ProgramServicesAmt |
| Management And General | $320,048 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,861,712 | TotalAmt |
| Program Services | $251,203,523 | ProgramServicesAmt |
| Management And General | $42,658,189 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,767 | BOYAmt |
| EOY | $13,467 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,078,730 | BOYAmt |
| EOY | $28,884,387 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,499,396 | BOYAmt |
| EOY | $42,491,354 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $898,927 | BOYAmt |
| EOY | $834,374 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,208,103 | BOYAmt |
| EOY | $6,549,354 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,149,176 | BOYAmt |
| EOY | $1,964,431 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $258,876,855 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $119,491,848 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $128,364,707 | BOYAmt |
| EOY | $139,385,007 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $208,709,794 | BOYAmt |
| EOY | $243,617,201 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,200,461 | BOYAmt |
| EOY | $1,324,980 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,199,943 | BOYAmt |
| EOY | $5,300,732 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $441,322,004 | BOYAmt |
| EOY | $470,365,287 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,749,393 | BOYAmt |
| EOY | $44,403,859 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,788 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,816,203 | BOYAmt |
| EOY | $85,675,704 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,908,335 | BOYAmt |
| EOY | $28,729,992 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,515,719 | BOYAmt |
| EOY | $158,809,555 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $251,571,517 | BOYAmt |
| EOY | $305,277,388 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,834,768 | BOYAmt |
| EOY | $5,878,344 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $400,000 | BOYAmt |
| EOY | $400,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,806,285 | BOYAmt |
| EOY | $311,555,732 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $441,322,004 | BOYAmt |
| EOY | $470,365,287 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $17,806,435 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $8,616,973 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $28,326,039 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $1,852 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,852 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i | FormAndLineReferenceDesc |
| Explanation | Indiana Hospital Association (IHA) annual dues x 5.44% IHA determined to be attributable to lobbying as defined by federal law. IHA deemed as lobbying and not Elhart General Hospital directly. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $29,895,939 | BeginningYearBalanceAmt |
| Contributions | $2,180,336 | ContributionsAmt |
| Investment Earnings Or Losses | $2,985,268 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $984,717 | GrantsOrScholarshipsAmt |
| Other Expenditures | $125,000 | OtherExpendituresAmt |
| Administrative Expenses | $30,727 | AdministrativeExpensesAmt |
| End Year Balance | $33,921,099 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,862,451 | BeginningYearBalanceAmt |
| Contributions | $1,501,904 | ContributionsAmt |
| Investment Earnings Or Losses | $2,551,948 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $923,860 | GrantsOrScholarshipsAmt |
| Other Expenditures | $69,000 | OtherExpendituresAmt |
| Administrative Expenses | $27,504 | AdministrativeExpensesAmt |
| End Year Balance | $29,895,939 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,017,421 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$201,313 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $125,000 | OtherExpendituresAmt |
| Administrative Expenses | $27,479 | AdministrativeExpensesAmt |
| End Year Balance | $4,663,629 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,520,109 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $567,312 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $70,000 | OtherExpendituresAmt |
| End Year Balance | $5,017,421 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,604,156 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $915,953 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $4,520,109 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.79140 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.19120 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.01740 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,507,036 | OtherCostOrOtherBasisAmt |
| Book Value | $3,507,036 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $172,279,548 | OtherCostOrOtherBasisAmt |
| Depreciation | $77,507,636 | DepreciationAmt |
| Book Value | $94,771,912 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,758,748 | OtherCostOrOtherBasisAmt |
| Depreciation | $41,984,212 | DepreciationAmt |
| Book Value | $33,774,536 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,331,523 | OtherCostOrOtherBasisAmt |
| Book Value | $7,331,523 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $139,385,007 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION LIABILITY | $26,550,984 |
| OTHER LIABILITIES | $2,179,008 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $28,729,992 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Supplemental Information | Schedule D, Part V, line 4 Permanently restricted net assets have been restricted by donors to be maintained by the Hospital and/or it's related entities, in perpetuity. In accordance with the restrictions, 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 with a value of $6,278,344. 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. As a member organization of Beacon Health System, the Hospital also can benefit from endowment funds held by related entities, the value of which was $27,642,755 at 12/31/2013. In 2013, the Hospital received $0 from the related party endowment funds. |
| PART X, LINE 2 | ELKHART GENERAL HOSPITAL DID NOT HAVE A FOOTNOTE ADDRESSING FIN 48 (ASC 740) LIABILITIES FOR UNCERTAIN TAX POSITIONS IN ITS CONSOLIDATED FINANCIAL STATEMENTS. ELKHART GENERAL HOSPITAL DID NOT HAVE ANY UNCERTAIN TAX POSITIONS RECORDED DURING THE CURRENT TAX YEAR. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,988,097 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,988,097 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01480 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,023,389 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,950,856 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,072,533 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11130 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,011,486 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,950,856 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,060,630 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12610 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $863,220 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $275,114 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $588,106 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $369,775 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $192,375 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $177,400 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $351,361 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $351,361 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,584,356 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $467,489 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,116,867 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00420 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,595,842 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,418,345 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,177,497 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,665,337 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,882,669 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $58,002,865 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $82,683,184 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$24,680,319 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct |
|---|---|---|---|
| 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 | 0.74000 | 0.01000 |
| WaNee Walk-in Clinic | |||
| Medical Clinic | 0.50000 | 0.50000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Elkhart General Hospital Inc | BusinessNameLine1 |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.egh.org | WebsiteAddressTxt |
| State License | 14-005017-1 | 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 | Elkhart General Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.egh.org | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (true) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 350. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 3 | ELKHART GENERAL HOSPITAL INCLUDED INPUT FROM HEART CITY HEALTH CENTER, MAPLE CITY HEALTH CENTER, AND THE CENTER FOR HEALING AND HOPE. IN ADDITION, ELKHART GENERAL HOSPITAL REACHED OUT TO THE ELKHART COUNTY MINORITY HEALTH COALITION, THE HISPANIC LATINO HEALTH COALITION OF NORTHERN INDIANA, AND THE INDIANA MINORITY HEALTH COALITION. |
| PART V, SECTION B, LINE 4 | OTHER HOSPITAL FACILITIES INCLUDED INDIANA UNIVERSITY HEALTH GOSHEN. |
| PART V, SECTION B, LINE 5D | ELKHART GENERAL HOSPITAL PROVIDED ELECTRONIC COPIES TO INDIVIDUAL EMAIL ADDRESSES UPON REQUEST. ELKHART GENERAL HOSPITAL STAFF ALSO PRESENTED THE RESULTS OF THE CHNA TO COMMUNITY GROUPS UPON REQUEST. |
| PART V, SECTION B, LINE 14G | 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, LINE 20D | MAXIMUM AMOUNT TO BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE, ELKHART GENERAL HOSPITAL USED THE AVERAGED DISCOUNT FOR THE THREE CONTRACTS THAT HAD THE HIGHEST PERCENT DISCOUNT TO CHARGES (EXCLUDING ALL PER DIEM AND CASE RATE CONTRACT). |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 25 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| 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 |
| ELKHART CARDIOLOGY | ||||
| 303 Napannee Street | Elkhart | IN | 46514 | Owned Physician Practice |
| FAMILY MEDICINE CENTER | ||||
| 2120 Reith Blvd Suite A | Goshen | IN | 46526 | Owned Physician Practice |
| WAKARUSA MEDICAL CLINIC | ||||
| 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 |
| 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 | ||||
| 2120 Reith Blvd Suite C | Goshen | IN | 46526 | 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 |
| Fulton Street Specialists | ||||
| 1753 Fulton Street | Elkhart | IN | 46514 | Owned Physician Practice |
| Pain Management Consultants | ||||
| 600 East Boulevard | Elkhart | IN | 46514 | Owned Physician Practice |
| Steven Hanberg MD | ||||
| 724 W Bristol Street | Elkhart | IN | 46514 | Owned Physician Practice |
| MIDDLEBURY FAMILY PHYSICIANS | ||||
| 206 W WARREN STREET | MIDDLEBURY | IN | 46540 | OWNED PHYSICIAN PRACTICE |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c | NOT APPLICABLE Part I, Line 6a COMMUNITY COLLABORATION INTRODUCTION CREATING COMMUNITY HEALTH IS AT THE CORE OF ELKHART GENERAL HOSPITAL'S MISSION. PROMOTION OF COMMUNITY HEALTH IS OUR SOCIAL RESPONSIBILITY AND A KEY TO LONG-TERM COST EFFECTIVENESS. IN ADDITION, IMPROVING THE HEALTH STATUS OF A COMMUNITY IS AS MUCH A SOCIAL, ECONOMIC AND ENVIRONMENTAL ISSUE, AS IT IS A MEDICAL ONE. CONSEQUENTLY, THE ORGANIZATION TAKES A BROAD APPROACH TO CREATING COMMUNITY HEALTH. THIS APPROACH HAS INCLUDED: ONGOING EDUCATION OF BOARD MEMBERS, STAFF AND LOCAL LEADERS THROUGH COMMUNITY PLUNGES (EXPERIENTIAL ACTIVITIES TO INVOLVE THE COMMUNITY RESIDENTS WITH A NEIGHBORHOOD-BASED AGENCY), COMMUNITY FOUNDATION SUPPORT, STRATEGIC ALLOCATION OF TITHING RESOURCES, A CLEAR STATEMENT OF VISION AND GOALS, A COMMITMENT TO CONTINUOUS QUALITY IMPROVEMENT AND PROMOTION OF VOLUNTEER INVOLVEMENT AND COMMUNITY PARTNERSHIPS. ELKHART GENERAL HOSPITAL TITHES 10% OF THE PREVIOUS YEAR'S BOTTOM LINE AND TRANSFERS IT TO THE COMMUNITY BENEFIT FUND FOR INVESTMENT IN THE COMMUNITY. THIS INVESTMENT IS IN ADDITION TO THE HOSPITAL'S CHARITY CARE AND PREVENTION, AND EDUCATION ACTIVITIES SUPPORTED THROUGH ITS OPERATING BUDGET. THE COMMUNITY HEALTH ENHANCEMENT COMMITTEE OF THE BOARD MAKES ONGOING POLICY AND OVERSEES THE ADMINISTRATION OF THE FUND AND DETERMINES SPECIFIC INVESTMENT ALLOCATIONS BASED UPON THE ASSETS AND NEEDS OF THE COMMUNITY. VOLUNTEERS AND STAFF ARE COMMITTED TO PRUDENTLY INVESTING THESE RESOURCES IN AN ACCOUNTABLE MANNER. AS A COMMUNITY NOT-FOR-PROFIT ORGANIZATION, WE TAKE SERIOUSLY OUR RESPONSIBILITY TO INVEST OUR RESOURCES AND ENERGIES INTO UNDERSTANDING AND MEETING THE DIVERGENT HEALTH CARE NEEDS OF ALL, AND ENSURE THAT EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY, RECEIVES THE CARE THEY NEED. ELKHART GENERAL HOSPITAL HAS LONG BEEN RECOGNIZED FOR THE COLLABORATION EFFORTS WHICH ENGAGE INDIVIDUALS AND ORGANIZATIONS WITH DIVERSE SOCIO-ECONOMIC RELIGIOUS, ETHNIC, RACE, AGE, AND GENDER IDENTITY CHARACTERISTICS. OUR TEAM OF PASSIONATE AND DEDICATED HEALTH CARE PROFESSIONALS, ALONG WITH MANY PARTNERS THROUGHOUT THE NORTHERN INDIANA AND SOUTHERN MICHIGAN (MICHIANA) REGION, HELPED US CONTRIBUTE SIGNIFICANTLY TO THE HEALTH AND WELL-BEING OF OUR COMMUNITY. FURTHER, ELKHART GENERAL HOSPITAL PLAYS A KEY ROLE IN SERVING THE COMMUNITY AS A WHOLE. Part I, Line 7 The costing methodology used to calculate Financial Assistance and Other Community Benefits was the cost-to-charge ratio. Part I, Line 7 Column (f) Bad debt expense removed from total expenses $23,753,756. Part II COMMUNITY SUPPORT In 2013 Elkhart General Hospital provided community building activities that focused on child care, mentoring opportunities and support groups to the community's vulnerable populations, including low-income families, minorities, young teens, and at-risk youth. Elkhart General Hospital, in collaboration with the YMCA of Elkhart County, hosted an interactive health education series for at-risk female youth including topics of sexual abstinence and risk avoidance, healthy body image, and self-esteem. EGH continued its 16-year history of partnership with Elkhart and Baugo Schools Systems to provide the Peers Educating and Encouraging Relationship Skills (PEERS) Project, where EGH staff interviewed, recruited, and trained approximately 175 teen high-school mentors who in turn facilitated a five-session risk avoidance curriculum to 1,100 seventh and eight graders in Elkhart and Baugo Community Schools systems. The PEERS program curriculum focused on identifying consequences of risk behavior, and provided asertiveness training in abstaining from health risk behaviors of early sexual activity, alcohol, smoking, and drug use. The goals of the program are to optimize the opportunities for the community's youth to create a healthy and successful future, and to mitigate the mental health effects of the consequences of these behaviors. The high-schoolers completed a significant leadership peer mentor training prior to facilitating the classroom lessons to the underclassmen. In recognition of the importance of modeling the lifestyle being promoted, teen mentors signed a leadership agreement pledging to practice risk avoidance behaviors in their lifestyles. Elkhart General Hospital sponsored and helped facilitate three American Cancer Society "Look Good Feel Better" support groups for cancer patients. In these groups, cosmetologists trained in enhancing the appearance of persons undergoing chemotherapy or radiation treatment worked with cancer patients to improve their self-esteem and confidence regarding their physical appearance. Elkhart General Hospital continued to be actively engaged in community coalitions to improve the quality of life for Elkhart County residents both in leadership and committee level representation. Elkhart General Hospital representatives served as President of the Elkhart County Board of Health, the Treasurer of the Center for Healing and Hope, the Assistant Treasurer of the Elkhart General Hospital Foundation, Vice-Chair of the Associated for the Disabled of Elkhart county, and the Co-Chair of the Elkhart County Child Fatality Review Committee. Elkhart General Hospital provided leadership and representation on the National College Advisory Board, March of Dimes and American Heart Association Marketing Committees, Elkhart Area Career Center Advisory Board, Elkhart County United Way, the Midwest Cardiovascular Research and Education Foundation, the National College Medical Assistant Advisory Board, the Southwestern Michigan College School of Nursing Advisory Board, the Indiana Medical Group Management Association Education Committee, Elkhart County 4-H Fair Board, the Ivy Tech South Bend Respiratory Care Program Advisory Board, the Elkhart County Council on Aging Board, and the Catherine Kasper Life Center Board, the Elkhart County Homeless Coalition, the Downtown Churches Coalition, Ekhart County Covering Kids and Families Indiana Coalition, Tobacco Control of Elkhart County Advisory Board, the Elkhart Back2School Steering Committee, and the Elkhart County Safe Kids Coalition Board. Elkhart General Hospital provided staffing of the Elkhart County Healthy Schools Workgroup which provided support to school personnel and administration in addressing youth health. Specific focus of Workgroup activities has been in the prevention and reduction of childhood obesity, as well as nutrition education and physical activity opportunities. The Workgroup also served as an informal networking opportunity for school health staff to share ideas and proactively strategize for improving childhood health. Elkhart General Hospital actively participated in the Coordinated School Health Committees of the Baugo, Middlebury and Goshen Community Schools systems. Throughout 2013, Elkhart General Hospital's Dame Tu Mano Hispanic Latino health outreach program partnered with the Purdue University Extension to provide Spanish language diabetes support services for diabetic adult Hispanic Latino community members. Care for the children of the participants was provided through a series of age-appropriate health education sessions concurrently provided during the adult support group education. Elkhart General Hospital's Dame Tu Mano Hispanic Latino health outreach program has established a robust communication and advocacy network of over 30 Hispanic Latino-focused 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 has continued to seek input from its minority health partners, including the Indiana Minority Health Coalition, the Northern Indiana Hispanic Health Coalition, Indiana Black Expo Elkhart, and the Minority Health Coalition of Elkhart County on potential ventures to reduce health disparities between cultures and races within the county. In 2013 Elkhart General Hospital continued its exploratory work with the process for the establishment of a multidisciplinary coalition to address sexual assault. This effort, spearheaded by the YWCA of North Central Indiana and supported by Elkhart General Hospital, continues to plan preliminary data review for establishing a 24/7/365 treatment center for Elkhart County victims of sexual assalt. Planned services include forensic examinations, investigative support, victim and family support, and hygiene amenities for adult and child victims of sexual assault. Elkhart General Hospital continued to participate in a public health-based coalition to identify trends in perinatal outcomes to ultimately reduce perinatal race disparity in the region. The partners in this effort with Elkhart General Hospital included Beacon Health System partner Memorial Hospital of South Bend, Indiana University Health Goshen Hospital, St. Joseph Regional Medical Center, the health departments of Elkhart and St. Joseph Counties, the Univ |
| Part III, Line 2,3 | THE CORPORATION EVALUATES THE COLLECTABILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING, PAYOR CLASS, AND THE ANTICIPATED FUTURE UNCOLLECTIBLE AMOUNTS BASED ON HISTORICAL EXPERIENCE. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE. COSTING METHODOLOGY IS THE SAME AS TAX FORM 990, SCHEDULE H, WORKSHEET 2 METHODOLOGY. PATIENT CARE IS COST ADJUSTED BY NON-PATIENT ACTIVITY, EXPENSES, AND PATIENT CARE CHARGES. PART III, LINE 4 THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS TAKING INTO CONSIDERATION THE TRENDS IN HEALTH CARE COVERAGE, HISTORICAL ECONOMIC TRENDS, AND OTHER COLLECTION INDICATORS. MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCES PERIODICALLY THROUGHOUT THE YEAR BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY MAJOR PAYOR CATEGORY. THE RESULTS OF THE REVIEW ARE THEN UTILIZED TO MAKE MODIFICATIONS, AS NECESSARY, TO THE PROVISION FOR BAD DEBTS TO PROVIDE FOR AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. A SIGNIFICANT PORTION OF THE CORPORATION'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PART III, LINE 8 RATIONALE FOR INCLUSION OF THE MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. 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 COLLECTION POLICY THE COLLECTION POLICY AND ROCEDURES RELATED TO PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE AS FOLLOWS: TO ENSURE THE HOSPITAL FULFILLS ITS MISSION AND COMMITMENT TO THE POOR, THE HOSPITAL SHALL ANNUALLY PLAN FOR AND PROVIDE FREE HEALTH CARE AND HEALTH-RELATED SERVICES TO THE POOR AND QUALIFIED UNINSURED/UNDERINSURED. A PATIENT IS CONSIDERED FOR FINANCIAL ASSISTANCE IF ALL OTHER STATE AND FEDERAL ASSISTANCE OPPORTUNITIES HAVE BEEN EXHAUSTED. THE FEDERAL INCOME AND POVERTY GUIDELINES WILL SERVE AS A GUIDE IN DETERMINING THOSE PATIENTS THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE. ALL PATIENTS SHALL BE TREATED CONSISTENTLY IN THE APPROVAL PROCESS INCLUDING MEDICARE AND NON MEDICARE PATIENTS. PURPOSE: TO PROVIDE FINANCIAL ASSISTANCE TO THOSE PATIENTS WHO CANNOT AFFORD TO PAY AND TO PROVIDE DISCOUNTED CARE TO UNINSURED PATIENTS RECEIVING HEALTHCARE SERVICES FROM ELKHART GENERAL HOSPITAL OF ELKHART. PROCEDURE: 1.ELKHART GENERAL HOSPITAL WILL ASSIST PATIENTS IN MAKING A DETERMINATION REGARDING WHETHER OR NOT THE PATIENT MAY BE ABLE TO QUALIFY FOR SOME FORM OF ENTITLEMENT THROUGH A FEDERAL OR STATE GOVERNMENT PROGRAM AND COMPLETE THE APPROPRIATE APPLICATIONS FOR ASSISTANCE. IT IS REQUIRED THAT THE PATIENT WILL ASSIST IN THE DETERMINATION AND APPLICATION PROCESS. IF THE PATIENT DOES NOT QUALIFY FOR ANY FEDERAL OR STATE ASSISTANCE, WE WILL START THE FINANCIAL ASSISTANCE APPROVAL PROCESS. 2.IDENTIFY PATIENTS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE THROUGH THE PRE-REGISTRATION, ADMISSION, ELIGIBILITY PROCESS, OR THROUGH SELF PAY ACCOUNT REVIEW AND COLLECTION ACTIVITIES. 3.PROVIDE TO THE PATIENT A FINANCIAL EVALUATION FORM. 4.OBTAIN OR RECEIVE A SIGNED, COMPLETED FINANCIAL EVALUATION FORM FROM THE PATIENT. 5.DETERMINE ELIGIBILITY BY OBTAINING THE FOLLOWING INFORMATION FROM THE PATIENT: A)GROSS INCOME AND MOST RECENT W-2 B)PRIOR YEARS TAX RETURN (INCLUDING ALL SCHEDULES) C)LAST 3 PAY STUBS (IF UNEMPLOYED, WORK ONE STATEMENT OF EARNINGS) D)EMPLOYMENT STATUS AND FUTURE EARNINGS CAPACITY E)FAMILY SIZE F)MEDICAL EXPENSES INCLUDING DRUGS AND MEDICAL SUPPLIES G)LAST THREE BANK STATEMENTS IF THE PATIENT DOES NOT HAVE A PRIOR YEAR TAX RETURN, WE WILL MAKE OUR DETERMINATION BASED ON CURRENT INCOME. A CREDIT REPORT MAY BE RUN TO SUBSTANTIATE DOCUMENTATION. THERE MAY BE CIRCUMSTANCES WHERE A PATIENT MAY NOT BE ABLE TO PROVIDE ALL THE ABOVE DOCUMENTATION NEEDED TO APPROVE FINANCIAL ASSISTANCE. IT WILL BE UP TO THE DISCRETION OF THE DEPARTMENT DIRECTOR AND/OR THE CFO TO GRANT APPROVAL IN THIS CIRCUMSTANCE. 6.DETERMINE THE AMOUNT OF FINANCIAL ASSISTANCE BY UTILIZING THE FEDERAL POVERTY GUIDELINES AS A BASIS FOR QUALIFICATION LEVELS. GROSS ANNUAL INCOME PLUS CASH ASSETS ARE USED AS THE BASIS FOR INCOME CALCULATIONS. FINANCIAL ASSISTANCE WILL BE GRANTED FOR THOSE PATIENTS WHO ARE HOMELESS. IF A PATIENT IS DECEASED AND HAS NO ESTATE, WE WILL GRANT CHARITY ON ANY OUTSTANDING SELF PAY ACCOUNT BALANCES. DOCUMENTATION THAT AN ESTATE HAS NOT BEEN FILED WILL BE ATTACHED TO THE FINANCIAL ASSISTANCE APPROVAL FORM. NOTE: APPROVAL MAY BE MADE BASED ON MEDICAL INDIGENCE. IE: PATIENTS WHO HAVE EXCESSIVE PHARMACY, OXYGEN, OR ONGOING MEDICAL EXPENSE. THIS AMOUNT WOULD BE DEDUCTED FROM THEIR GROSS INCOME. FINANCIAL ASSISTANCE WILL NOT BE GRANTED FOR NON-MEDICALLY NECESSARY SERVICES. 7.COMPLETE THE FINANCIAL ASSISTANCE APPROVAL FORM AND FORWARD TO THE COLLECTION COORDINATOR. 8.THE COLLECTION COORDINATOR WILL REVIEW THE FINANCIAL ASSISTANCE APPLICATION TO ENSURE THAT IT IS COMPLETE. THE COORDINATOR WILL APPROVE OR DENY THE APPLICATION BEFORE SENDING IT TO THE PATIENT ACCOUNT MANAGER FOR APPROVAL. DEPENDING ON THE DOLLAR AMOUNT OF THE FINANCIAL ASSISTANCE WRITE OFF, APPROVAL SIGNATURES ARE REQUIRED. THE APPROVAL GUIDELINES ARE AS FOLLOWS: $1.00 TO $2,500.00 COLLECTION COORDINATOR $2,501.00 TO $10,000.00 PATIENT ACCOUNT SERVICE MANAGER $10,001.00 TO $25,000.00 DIRECTOR, PATIENT ACCOUNT SERVICES $25,001.00 AND ABOVE VICE PRESIDENT, CFO. 9. AFTER ALL THE APPROPRIATE SIGNATURES HAVE BEEN OBTAINED, THE FINANCIAL ASSISTANCE WRITE OFF ALONG WITH THE CORRESPONDING DOCUMENTATION WILL BE FORWARDED TO CASH APPLICATION FOR WRITE OFF. 10.SEND DETERMINATION LETTER TO NOTIFY PATIENT OF THE APPROVAL FOR FINANCIAL ASSISTANCE. 11.FINANCIAL ASSISTANCE APPROVALS WILL APPLY RETROACTIVELY TO ALL OPEN ACCOUNTS WITH EXISTING BALANCES (INCLUDING ACCOUNTS IN COLLECTIONS) AND WILL BE ACTIVE FOR 6 MONTHS FOLLOWING THE DATE OF APPROVAL. 12.THE DOCUMENT WILL BE PLACED IN THE FINANCIAL ASSISTANCE FILE DRAWER UNDER THE DATE THE WRITE OFF WAS POSTED. UNINSURED SELF PAY DISCOUNTS FOR THOSE PATIENTS WHO HAVE NO INSURANCE AND DO NOT MEET THE ABOVE FINANCIAL ASSISTANCE GUIDELINES, ELKHART GENERAL HOSPITAL WILL PROVIDE AN UNINSURED DISCOUNT BASED ON THE FOLLOWING TIERED STRUCTURE: 30% DISCOUNT IF ACCOUNT IS PAID WITHIN 30 DAYS FROM DATE OF SERVICE, 20% DISCOUNT IF ACCOUNT IS PAID WITHIN 90 DAYS FROM DATE OF SERVICE, 10% DISCOUNT IF PATIENT CHOOSES TO PARTICIPATE IN THE CAREPAYMENT FINANCING ANY EXCEPTIONS MUST BE APPROVED BY THE DEPARTMENT MANAGER OR DIRECTOR. |
| 2. Needs Assessment | Beginning in August 2011, Elkhart General Hospital and Indiana University Health Goshen jointly initiated an Elkhart County community health needs assessment (CHNA) as per federal law under the 2010 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 from input from those representing the broad interests of the community, with the purpose of developing implementation strategies and a plan framework for the respective hospitals in their address of the community's priority health needs. Specific efforts were made to include local public health advocates, including Elkhart County Health Department, as well as other community entities that provide safety net health coverage for the community's most vulnerable populations. These entities included the two Federally Qualified Health Centers in Elkhart County, namely Heart City Health Center and Maple City Health Center, and the Center for Healing and Hope, an ecumenically-based volunteer health clinic. In addition, Elkhart General Hospital reached out to health advocacy entities conversant with local trends in racial health disparities and outcomes, including the Elkhart County Minority Health Coalition, the Hispanic Latino Health Coalition of Northern Indiana, and the Indiana Minority Health Coalition. Also invited to be part of the assessment process were those entities that represent marginalized populations within the county, including local relief agencies, and agencies representing child abuse prevention, elderly, homeless/transient, and the disabled populations within the county. The CHNA 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 health indicators, including public health data, behavioral risk factor data, socioeconomic and crime statistics, and 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 Steering Committee dialogue identified the community health needs as obesity/diabetes, smoking, access to primary health care, and access to mental health services. Elkhart General Hospital initiated dialogue with Indiana University Health Goshen Hospital beginning in 2011 to assess interest in partnering on a joint CHNA process. Both hospitals entered into an agreement to jointly complete the CHNA process. In JUNE 2012 the CHNA report and the implementation strategies for addressing the community health needs were submitted to the Elkhart General Hospital Board of Directors for review and approval. Subsequent to the Board's June 2012 approval of the community health needs assessment and RELATED implementation strategies, THE CHNA WAS made widely available to the community through posting on the Elkhart General Hospital website WWW.EGH.ORG UNDER THE ICON "ABOUT US, COMMUNITY HEALTH NEEDS ASSESSMENT." ALSO, hard copies ARE made available by request; through email transmission upon request; and through ongoing communication to the Elkhart County community by hospital representatives. Elkhart General Hospital staff also presented the results of the CHNA to community groups upon request. 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. Unemployment and uninsured statistics are obtained from the Elkhart County Department of Economic Development. |
| 3. Patient Education of Eligibility for Assistance | WHEN UNINSURED PATIENTS PRESENT TO OUR HOSPITAL, THEY ARE OFFERED THE OPPORTUNITY TO MEET WITH OUR ELIGIBILITY SPECIALISTS. OUR ELIGIBILITY SPECIALISTS DISCUSS THE POTENTIAL ELIGIBILITY OF THE PATIENT FOR MULTIPLE ASSISTANCE PROGRAMS, INCLUDING OUR OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. OUR STATEMENTS ALSO INCLUDE A NOTICE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO PATIENTS, AND THEY CAN CONTACT OUR CUSTOMER SERVICE GROUP FOR GUIDELINES. 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. 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 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 2013 US Census estimates, Elkhart County has a population of 200,563, up slightly from the 2012 Census data report of 199,258 with a median household income of $46,712 and a per capita income of $21,866 Of the Elkhart County population, 16.5% lived below the base poverty level. The percentage of persons 65 years and older is estimated at 12.7%. Census data showed that 76.7% of Elkhart County residents are white persons not of Hispanic descent; 14.5% are Hispanic/Latino; and 6.0% are black. Elkhart County's labor force was 94,513, of which 87,354 were employed and 7,159 persons, or 7.6% of the total labor force, were unemployed. In 2013, the County Health Rankings, sponsored by the Robert Wood Johnson Foundation, ranked Elkhart County as the 14th healthiest county in Indiana of all 92 counties for health outcomes (a gauge of the health status of a county) and 65th healthiest for health factors (those factors that influence the health of a county). The top five leading causes for Elkhart County are as follows: (1) Major Cardiovascular Disease, (2) Cancer, (3) Chronic Lower Respiratory Disease, (4) Motor Vehicle Accidents, and (5) Diabetes. This order is comparable to the state of Indiana as a whole with one exception: the category Motor Vehicle Accidents does not occur in the top five causes of death for the State. |
| 5. Promotion of Community Health | The mission of Elkhart General Hospital, as a Beacon Health System partner, is to enhance the physical, mental, emotional and spiritual well-being of the communities we serve. Beacon Health System is committed to clinical excellence, compassionate care, and the ongoing improvement of quality of life. Our commitment will lead the Health System to be the community's provider of outstanding quality, superior value and comprehensive health care services. Both Beacon Health System and Elkhart General Hospital have community Boards of Directors, and consistently invest funds to improve the quality of life for our communities. Beacon Health System values reflect an unwavering commitment to the communities we serve. Elkhart General Hospital, as a Beacon Health System partner, has as its values: Patients are at the center - Patient needs, care and safety are our top priority. Trust - Our actions will firmly demonstrate reliability on our integrity, abilities and our character. Respect - We will treat our patients, community members and each other with the highest level of regard, demonstrating an understanding of different perspectives, cultures, interests and needs of others. Integrity - We will continually do the right thing for our patients, associates and communities we serve. Compassion - We will demonstrate the emotional capacities of empathy and sympathy, and express the desire to help. Elkhart General seeks to promote the health and well being of Elkhart County residents, with specific focus on the most vulnerable populations, by providing education to aid in early detection and prevention of disease and to improve the health status of the community as a whole. A key mechanism by which this goal is carried out is Elkhart General Hospital's serious, consistent, and partnership with partnerships with like-minded organizations. Elkhart General Hospital continues to seek out partnerships with multiple community entities to address the needs of the medically underserved and to improve the health status of our community. These collaborative alliances included local public health, schools, churches, social service agencies, minority advocacy groups, victim assistance, and community health providers. |
| 6. Affiliated Health Care System | Elkhart General Hospital's governing body is comprised of persons who reside in Elkhart County. The 15 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. The Beacon Health System Board of Directors consists of 14 voting Board members. |
| 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) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2 |
|---|---|---|---|---|---|---|---|---|---|
| RIBBON OF HOPE | |||||||||
| 600 EAST BOULEVARD | ELKHART | IN | 46514 | 352118856 | 501(c)(3) | $35,000 | CASH | CANCER SUPPORT | |
| HEART REACH MICHIANA | |||||||||
| 500 ARCADE STREET | ELKHART | IN | 46514 | 202527524 | 501(c)(3) | $10,000 | CASH | SPONSORSHIP | SUITE 230 |
| DOWNTOWN ELKHART INC | |||||||||
| 418 SOUTH MAIN STREET | ELKHART | IN | 46516 | 311173964 | 501(c)(3) | $10,000 | CASH | Jazz Festival | |
| ECONOMIC DEVELOPMENT CORP | |||||||||
| 300 NIBCO PARKWAY | ELKHART | IN | 46516 | 351973845 | 501(C)(3) | $10,000 | CASH | INVESTMENT | |
| UNITED WAY OF ELKHART COUNTY | |||||||||
| 601 CR 17 | ELKHART | IN | 46515 | 350953433 | 501(C)(3) | $71,924 | CASH | CORPORATE MATCH | |
| COUNCIL ON AGING OF ELKHART COUNTY | |||||||||
| 230 EAST JACKSON BLVD | ELKHART | IN | 46516 | 510178910 | 501(C)(3) | $10,000 | CASH | PEARLS PROGRAM | |
| AMERICAN HEART ASSOCIATION | |||||||||
| PO BOX 681550 | INDIANAPOLIS | IN | 46268 | 135613797 | 501(C)(3) | $7,500 | CASH | SPONSORSHIP | |
| HORIZON HEALTH ALLIANCE | |||||||||
| 124 EAST WASHINGTON ST | GOSHEN | IN | 46528 | 460803293 | 501(C)(3) | $25,000 | CASH | SPONSORSHIP | |
| ELKHART GENERAL HOSPITAL FOUNDATION | |||||||||
| PO BOX 447 | ELKHART | IN | 46515 | 356061200 | 501(C)(3) | $10,000 | CASH | SPONSORSHIP | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 9 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | CHARITABLE DONATIONS | FormAndLineReferenceDesc |
| Explanation | PART OF THE ORGANIZATION'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNYTY. 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. SINCE ALL PAYMENTS ARE MADE TO 501(C)(3) ENTITIES, THERE ARE NO PROCEDURES FOR MONITORING THE USE OF THE FUNDS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | 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 | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Walter Halloran MD | ||||||||||||||
| Physician | $621,199 | $570,258 | $2,632 | $10,200 | $0 | $31,038 | $0 | $1,235,327 | $0 | $0 | $0 | |||
| Gregory Lintjer | ||||||||||||||
| FORMER OFFICER | $0 | $0 | $360,776 | $0 | $0 | $0 | $0 | $360,776 | $0 | $246,997 | $0 | $0 | $0 | $0 |
| Gregory Losasso | ||||||||||||||
| President | $347,707 | $132,227 | $9,945 | $70,415 | $0 | $22,042 | $0 | $582,336 | $0 | $0 | $0 | $0 | $0 | $0 |
| Jeff Howe | ||||||||||||||
| Physician | $480,510 | $146,042 | $918 | $10,200 | $0 | $28,793 | $0 | $666,463 | $0 | $0 | $0 | |||
| Majid Malik | ||||||||||||||
| Physician | $255,242 | $92,392 | $17,939 | $10,200 | $0 | $30,680 | $0 | $406,453 | $0 | $0 | $0 | |||
| Burton Boron | ||||||||||||||
| Physician | $389,697 | $183,325 | $2,632 | $10,200 | $0 | $16,680 | $0 | $602,534 | $0 | $0 | $0 | |||
| Laura Munkel | ||||||||||||||
| Physician | $221,708 | $56,733 | $1,038 | $10,218 | $0 | $15,308 | $0 | $305,005 | $0 | $0 | $0 | |||
| Jeffrey P Costello | ||||||||||||||
| CFO/Asst. Treasurer | $0 | $89,178 | $0 | $16,244 | $0 | $744,252 | $0 | $0 | $329,330 | $214,200 | $95,300 | |||
| Phillip A Newbold | ||||||||||||||
| CEO | $0 | $173,788 | $0 | $24,262 | $0 | $2,663,129 | $0 | $134,645 | $647,623 | $644,645 | $1,172,811 | |||
| Edwin Annan | ||||||||||||||
| Physician | $338,566 | $43,780 | $28,147 | $3,215 | $0 | $15,014 | $0 | $428,722 | $0 | $0 | $0 | |||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Supplemental Compensation Information | FormAndLineReferenceDesc |
| Explanation | PART I, LINE 1A BEACON HEALTH SYSTEM, INC. REIMBURSES DIRECTORS FOR THE TAX EFFECT OF THE 1099 REPORTABLE BENEFITS FOR SPOUSAL TRAVEL. BEACON HEALTH SYSTEM ALSO REIMBURSES FOR DIRECT EXPENSES RELATED TO ANY TRAVEL ON THE ORGANIZATION'S BEHALF. PART I, LINE 3 BEACON HEALTH SYSTEM DETERMINES METHODS FOR ESTABLISHING CEO COMPENSATION. PART I, LINE 4A OTHER REPORTABLE COMPENSATION FOR MR. LINTJER INCLUDED $246,997 IN SEVERANCE PAYMENTS, AND $113,779 IN MEDICAL CLAIMS. PART I, LINE 4B MR. LINTJER PARTICIPATES IN A SUPPLEMENTAL RETIREMENT PLAN, HOWEVER THERE WERE NO PAYMENTS MADE TO HIM IN 2013 OUT OF THIS PLAN. BEACON HEALTH SYSTEM IMPLEMENTED AN EXECUTIVE RETENTION PLAN TO ATTRACT AND RETAIN KEY EMPLOYEES BY PROVIDING ADDITIONAL DEFERRED COMPENSATION. THE CHIEF EXECUTIVE OFFICER WILL PARTICIPATE IN THE PLAN AND WILL SELECT OTHER PARTICIPANTS PURSUANT TO THE GUIDELINES SET BY THE EMPLOYER'S BOARD OF DIRECTORS. THE EMPLOYER MAY MAKE CONTRIBUTIONS UNDER THE PLAN AND HAS SOLE DISCRETION OVER WHETHER TO MAKE A CONTRIBUTION. VESTING OCCURS ON JANUARY 1 OF THE FIFTH YEAR FOR WHICH SUCH CONTRIBUTIONS ARE MADE FOR PARTICIPANTS WHO HAVE BEEN CONTINUOUSLY EMPLOYED. THE PLAN ALSO ALLOWS VESTING TO OCCUR IF THE PARTICIPANT ATTAINS THE AGE OF 62. PHIL NEWBOLD IS VESTED BECAUSE HE IS OVER THE AGE OF 62. PHIL WAS PAID $134,645 IN MARCH 2013. PART I, LINE 7 THE RELATED ORGANIZATION, BEACON HEALTH SYSTEM, HAS THREE INCENTIVE PLANS (EMPLOYEE, MANAGEMENT AND EXECUTIVE) WHICH HAVE A NET OPERATING INCOME TO BUDGET MEASUREMENT FOR THE PAYOUT THRESHOLD. THE EMPLOYEE PLAN SHARES THE EXCESS OVER BUDGET NET OPERATING INCOME WITH THE NON-MANAGEMENT EMPLOYEES FOR BEACON HEALTH SYSTEM, INC. AND THE AFFILIATED ENTITIES. THE EMPLOYEE INCENTIVE HAS A MAXIMUM CAP OF $4,500,000. THE PAYOUT AND AMOUNT OF THE PAYOUT FOR THE EMPLOYEE INCENTIVE PLAN IS MADE AT THE DISCRETION OF THE BOARD. THE MANAGEMENT INCENTIVE PLAN PAYS A SLIDING PERCENTAGE OF BASE COMPENSATION IF THE NET OPERATING INCOME IS EQUAL TO OR GREATER THAN 80% OF THE BUDGETED NET OPERATING INCOME. THE SLIDING SCALE CAPS WHEN OPERATING INCOME REACHES 120% OF THE BUDGETED OPERATING INCOME. THE PAYOUT OF THE MANAGEMENT INCENTIVE PLAN IS MADE AT THE DISCRETION OF THE BOARD. EXECUTIVES ARE COVERED UNDER THE BEACON HEALTH SYSTEM EXECUTIVE SHORT-TERM INCENTIVE PLAN (ESTIP). THE ESTIP PLAN PAYS A SLIDING PERCENTAGE OF BASE COMPENSATION IF THE NET OPERATING INCOME IS EQUAL TO OR GREATER THAN 80% OF THE BUDGETED NET INCOME. THE SLIDING SCALE CAPS WHEN OPERATING INCOME REACHES 120% OF THE BUDGETED OPERATING INCOME. THE PAYOUT OF THE ESTIP IS MADE AT THE DISCRETION OF THE BOARD. The physicians employed as part of Elkhart General's Medical Group participate in a compensation program that is based on individual physician productivity. The physicians participate in an incentive compensation program related to the financial improvement performance of the their practice site and quality of care criteria. Elkhart General's Medical Group physicians may also earn additional compensation by actively serving as medical directors in various specialty areas throughout the hospital or by serving as practice site clinical oversight directors. | ExplanationTxt |
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 |
|---|---|---|---|---|---|---|---|---|
| HOSPITAL AUTHORITY OF ELKHART COUNTY | ||||||||
| A | 351657690 | 287468EM0 | 2008-12-09 | $47,800,000 | REFUND BONDS ISSUED 04/02/2003 | false | false | false |
| INDIANA FINANCE AUTHORITY | ||||||||
| B | 351602316 | 45471ALS9 | 2013-05-21 | $38,582,380 | REFUND BONDS ISSUED 12/15/1998 | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $4,010,000 | $0 | $47,800,000 | $0 | $0 | $0 | $566,012 | $33,988 | $0 | $0 | $47,200,000 | $0 | 2004 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $1,845,276 | $0 | $38,582,380 | $0 | $0 | $0 | $307,145 | $0 | $0 | $0 | $38,275,235 | $0 | 2013 | Yes (true) | false | false | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | 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 | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | Yes (true) | Yes (true) | false | 0.01900 | 0.00000 | 0.01900 | false | false | 0.00000 | false | Yes (true) |
| B | 0 |
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 | Business Name Line1GICProviderName/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | Yes (true) | Yes (true) | false | Yes (true) | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| B | false | Yes (true) | Yes (true) | false | false | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, LINE 11,COLUMN A: | PRINCIPAL OF AND INTEREST ON REFUNDED BONDS |
| PART III, COLUMN B: |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Part I, Question 1 | FormAndLineReferenceDesc |
| Explanation | 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. Form 990, Part VI, Question 2 John Martin and Todd Martin: Family Relationship 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. PRIOR TO 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, EACH BOARD MEMBER RECEIVES NOTIFICATION OF THE IRS FORM 990 PLACEMENT ON THE ORGANIZATION'S BOARD PORTALS WHICH ALLOWS FOR BOARD MEMBER REVIEW PRIOR TO FILING THE RETURN. CONFLICT OF INTEREST STATEMENTS CORE FORM, PART VI, SECTION B, LINE 12C THERE ARE THREE SEPARATE FORMS THAT ARE SENT OUT THROUGH THE INTERNAL AUDIT DEPARTMENT TO KEY EMPLOYEES OR BOARD MEMBERS REGARDING CONFLICT OF INTEREST. THEY ARE AS FOLLOWS: 1. THE FIRST IS A CONFLICT OF INTEREST STATEMENT THAT IS SENT TO SENIOR LEVEL ADMINISTRATION, MANAGEMENT, AND SELECT STAFF SUCH AS PURCHASING DEPARTMENT EMPLOYEES. THE PURPOSE OF THE STATEMENT IS TO REQUIRE THESE EMPLOYEES TO DISCLOSE ANY POTENTIAL CONFLICT OF INTERESTS THEY MAY HAVE. THE STATEMENTS ARE SENT IN JANUARY OF EACH YEAR for the previous year activities. WE PURSUE THE REPLIES TO GET A 100% RESPONSE RATE. IN THE CURRENT YEAR WE SENT OUT OVER 250 STATEMENTS AND DID ACHIEVE A 100% RESPONSE RATE. EACH RESPONSE IS REVIEWED BY THE DIRECTOR OF INTERNAL AUDIT AND THE RESULTS ARE REPORTED TO THE CEO OF Beacon Health System, the Audit Committee Chairman, AS WELL AS THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. 2. THE SECOND STATEMENT IS THE BOARD DUALITY OF INTEREST STATEMENT THAT is SENT TO CURRENT BOARD MEMBERS, FORMER BOARD MEMBERS FROM THE LAST FIVE YEARS, and OTHER KEY EMPLOYEES. THE DUALITY OF INTEREST STATEMENT is sent using a web-based survey tool provided by Ernst & Young. THE REPLIES ARE REVIEWED BY THE DIRECTOR OF INTERNAL AUDIT. THE RESULTS of the surveys are summarized using the web-based tool, and are reviewed by Ernst & Young in completing the 990. The RESULTS ARE REPORTED TO THE CEO OF Beacon Health System, the Audit Committee Chairman, AND THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. 3. THE THIRD STATEMENT IS ENTITLED "CODE OF ETHICS FOR SENIOR FINANCIAL OFFICERS". THE STATEMENT REQUIRES AN ACKNOWLEDGEMENT FORM TO BE SIGNED BY Beacon Health System's KEY FINANCIAL EMPLOYEES THAT Beacon's FINANCIAL INFORMATION IS TO THE BEST OF THEIR KNOWLEDGE TRUE AND ACCURATE. THIS STATEMENT WAS SENT OUT IN EARLY JANUARY, 2014 AND THE SIGNED ACKNOWLEDGEMENTS ARE KEPT BY THE DIRECTOR OF INTERNAL AUDIT. IN 2014, TWENTY DESIGNATED EMPLOYEES WERE REQUESTED TO SIGN THE FORM AND WE HAD A 100% COMPLIANCE RATE. ANY POTENTIAL CONFLICTS OF INTERESTS ARE REVIEWED BY INDEPENDENT PARTIES BOTH INTERNAL AND EXTERNAL TO THE ORGANIZATION, AND IF NECESSARY, CORRECTIVE ACTION WOULD BE TAKEN TO RESOLVE A TRUE CONFLICT. THE INDIVIDUAL WITH THE POTENTIAL CONFLICT OF INTEREST would be EXCLUDED FROM ALL REVIEW PROCEEDINGS. FORM 990, PART VI, SECTION B, LINE 15 AN EXTENSIVE EXAMINATION IS CONDUCTED USING COMPARABLE MARKET DATA AND IS THEN REVIEWED BY AN INDEPENDENT CONSULTANT HIRED BY, AND REPORTING TO, THE BOARD OF DIRECTORS. RECOMMENDATIONS ARE PRESENTED TO THE COMPENSATION COMMITTEE OF THE BEACON HEALTH SYSTEM, INC. BOARD FOR DELIBERATION AND FINAL DECISION. DELIBERATION AND FINAL DECISION ARE PERFORMED BY THE INDEPENDENT MEMBERS OF THE BOARD. PUBLIC AVAILABILITY FOR DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE DISTRIBUTED QUARTERLY TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE AS PART OF THE CONTINUING DISCLOSURES FOR BEACON HEALTH SYSTEM, INC. BONDS. Form 990, Part IX, line 11g Consulting Fees - 1,840,122, Physician Fees - 594,460, Lab Fees - 10,463,840, Blood Products - 2,693,321, Other Purchased Services - 6,714,847, Collection Fees - 1,925,495, Repair and Maintenance - 2,890,743, Service Contracts - 4,736,766, Less Rental Expense - (55,817), Total - 31,803,777. Form 990, Part XI, line 9 Pension Liability - 26,887,734 SERP/RESTORE - (51,601) Write off Intercompany Balances, Beacon Medical Group - 8,633,802 Write off Intercompany Balances, Memorial Hospital - 2,587,174 Write off Intercompany Balances, Beacon Health System - (9,731,070) Total - 28,326,039. | ExplanationTxt |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Beacon Medical Group | ||||||||||
| 615 N MICHIGAN STREET | SOUTH BEND | IN | 46601 | 351536132 | PHYS PRACTICE | IN | 501(C)(3) | 9 | BHS | Yes (true) |
| MEMORIAL HEALTH FOUNDATION INC | ||||||||||
| 615 N MICHIGAN STREET | SOUTH BEND | IN | 46601 | 351536129 | FIN SUPPORT | IN | 501(C)(3) | 9 | MHS | Yes (true) |
| MEMORIAL ENDOWMENT FUND FOR MEMORIAL HOS | ||||||||||
| PO BOX 1602 | SOUTH BEND | IN | 46634 | 356068581 | ENDOWMENT | IN | 501(C)(3) | 11D III-O | MHSB | Yes (true) |
| BEACON HEALTH SYSTEM INC | ||||||||||
| 615 N MICHIGAN STREET | SOUTH BEND | IN | 46601 | 453864076 | PARENT ORG. | IN | 501(C)(3) | 11c III-FI | NA | false |
| Memorial Hospital of South Bend Inc | ||||||||||
| 615 N Michigan Street | South Bend | IN | 46601 | 350868132 | Hospital | IN | 501(C)(3) | 3 | BHS | Yes (true) |
| ELKHART GENERAL HOSPITAL FOUNDATION | ||||||||||
| 600 EAST BLVD | ELKHART | IN | 46514 | 356061200 | CHAR SUPPORT | IN | 501(C)(3) | 11,TYPE II | NA | false |
| ELKHART GENERAL HOSPITAL AUXILIARY | ||||||||||
| 600 EAST BLVD | ELKHART | IN | 46514 | 350938148 | VOL SUPPORT | IN | 501(C)(3) | 11,TYPE II | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Wakarusa Med Clinic | ||||||||||||||
| PO Box 501 | Nappanee | IN | 46550 | 200273243 | Blding Lessor | IN | EGH | RELATED | $52,281 | $407,273 | false | $0 | Yes (true) | 0.41780 |
| WaNee Walk-In Cl | ||||||||||||||
| 1028-A East Waterford St PO Box 3 | Wakarusa | IN | 46573 | 272192375 | Medical Clini | IN | EGH | RELATED | $2,880 | $55,610 | false | $0 | Yes (true) | 0.50000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Entity TypeEntityTypeTxt |
|---|---|---|---|---|---|---|---|
| Beacon Health Ventures Inc | |||||||
| 615 N Michigan St | South Bend | IN | 46601 | 351901068 | Home Medical | IN | C |
| Beacon Health Ventures Michigan Inc | |||||||
| 615 N Michigan St | South Bend | IN | 46601 | 208259773 | Home Medical | IN | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Wakarusa Medical Clinic LLC | ||
| j | $137,811 | FMV |
| Memorial Hospital of South Bend | ||
| c | $2,587,174 | Acct. Activity |
| Memorial Hospital of South Bend | ||
| p | $11,366,226 | INVOICE REVIEW |
| Memorial Hospital of South Bend | ||
| s | $12,710,854 | Cash Transfer |
| Beacon Health Ventures | ||
| j | $215,010 | FMV |
| Memorial Hospital of South Bend | ||
| r | $5,613,504 | Cash Transfer |
| Memorial Hospital of South Bend | ||
| q | $1,729,224 | ACCT. ACTIVITY |
| Beacon Medical Group | ||
| k | $54,086 | Acct. Charges |
| Beacon Medical Group | ||
| p | $8,817,276 | Acct. Charges |
| Beacon Medical Group | ||
| s | $8,817,276 | Acct. Charges |
| Beacon Medical Group | ||
| c | $8,633,802 | Acct. Charges |
| Beacon Health Ventures | ||
| a | $17,230 | FMV |
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