GOSHEN MEDICAL CENTER INCORPORATED: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- GOSHEN MEDICAL CENTER INCORPORATED (EIN 56-1209062)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-09-19
- IRS object ID
- 201312629349300001
- Schema version
- 2012v2.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-09-19T07:32:50-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NUNN BRASHEAR & COMPANY PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 10127 | AddressLine1 |
| City | GOLDSBORO | City |
| State | NC | State |
| ZIP Code | 27532 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561209062 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOSHEN MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GOSH | NameControl |
| Phone | 9102671942 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 187 | AddressLine1 |
| City | FAISON | City |
| State | NC | State |
| ZIP Code | 283410187 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GREGORY M BOUNDS | Name |
| Title | CEO | Title |
| Phone | 9102671942 | Phone |
| Date Signed | 2013-09-11 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | HAROLD D BRASHEAR CPA | Name |
| Phone | 9197781000 | Phone |
| Date Prepared | 2013-09-11 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GREGORY M BOUNDS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 187 | AddressLine1 |
| City | FAISON | City |
| State | NC | State |
| ZIP Code | 28341 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 19946122 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GOSHENMEDICAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1979 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE MEDICAL CARE TO INDIGENT INDIVIDUALS IN UNDERSERVED RURAL AREAS IN NORTH CAROLINA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 224 | TotalNbrEmployees |
| Total Nbr Volunteers | 9 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 6745387 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6757211 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 11410171 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 12748512 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2922 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1962 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 520401 | OtherRevenuePriorYear |
| Other Revenue Current Year | 438437 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 18678881 | TotalRevenuePriorYear |
| Total Revenue Current Year | 19946122 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 11897269 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 11748384 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7252089 | OtherExpensePriorYear |
| Other Expenses Current Year | 6593032 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 19149358 | TotalExpensesPriorYear |
| Total Expenses Current Year | 18341416 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -470477 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1604706 | RevenuesLessExpensesCY |
| Total Assets BOY | 15131791 | TotalAssetsBOY |
| Total Assets EOY | 16713317 | TotalAssetsEOY |
| Total Liabilities BOY | 3189639 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3166459 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 11942152 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 13546858 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE MEDICAL CARE TO INDIGENT INDIVIDUALS IN UNDERSERVED RURAL AREAS IN NORTH CAROLINA. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 14428562 | Expense |
| Description | GOSHEN MEDICAL CENTER, INC. IS A MEDICAL CLINIC ORGANIZED TO PROVIDE MEDICAL SERVICES TO UNDERSERVED AREAS IN EASTERN NORTH CAROLINA. THESE SERVICES INCLUDE MIGRANT HEALTH CARE, SUBSTANCE ABUSE, DENTAL, AND HIV/AIDS PROGRAMS. FEES ARE ADJUSTED FOR THOSE WHO ARE EITHER UN- INSURED OR UNDER-INSURED. | Description |
| Total Program Service Expense | 14428562 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 68 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 224 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | GREG BOUNDS | NamePerson |
| Telephone Number | 9102679997 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 412 SW CENTER ST | AddressLine1 |
| City | FAISON | City |
| State | NC | State |
| ZIP Code | 28341 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| CHESTER AYCOCK | |||||||
| BD CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | |
| PATRICIA DAVIS | |||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 | |
| HELEN BOYETTE | |||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 | |
| MATTIE ATKINSON | |||||||
| CO-CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | |
| CHARLOTTE GRAHAM | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RUTH DIAZ | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JAMES ROA | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| TANTY FREEMAN | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BETTY S ROSE | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| GREGORY M BOUNDS | |||||||
| CEO | 40.00 | X | 238913 | 0 | 15640 | ||
| HENRY T HYMAN | |||||||
| PHYSICIAN | 40.00 | 271435 | 0 | 17622 | X | ||
| ROLAND C DRAUGHN | |||||||
| PHYSICIAN | 40.00 | 193473 | 0 | 12867 | X | ||
| ENRIQUE TOMEU | |||||||
| PHYSICIAN | 40.00 | 192407 | 0 | 12942 | X | ||
| KATHERINE AVERILL | |||||||
| PHYSICIAN | 40.00 | 191182 | 0 | 935 | X | ||
| PHILLIP KOHUT | |||||||
| PHYSICIAN | 40.00 | 159686 | 0 | 10664 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1247096 | TotalReportableCompFromOrg |
| Total Other Compensation | 70670 | TotalOtherCompensation |
| Number Individuals GT100 K | 23 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Business Name Line2NameOfContractor/NameBusiness/BusinessNameLine2 | Address Line1AddressOfContractor/AddressUS/AddressLine1 | Address Line2AddressOfContractor/AddressUS/AddressLine2 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|---|---|
| INTERIM MEDICAL LLC | |||||||
| INTERIM MEDICAL LLC | 312 WEST MILLBROOK RD STE 241 | 312 WEST MILLBROOK RD STE 241 | RALEIGH | NC | 27609 | MED. PROVIDERS | 819654 |
| PRIORITY MANAGMENT GROUP INC | |||||||
| PRIORITY MANAGEMENT GROUP INC | 700 SCHOOL ST | 700 SCHOOL ST | PAWTUCKET | RI | 02860 | MEDICAL BILLING | 648433 |
| STAR WIRLES INC | |||||||
| STAR WIRLES INC | PO BOX 1088 | PO BOX 1088 | CLINTON | NC | 28329 | IT SERVICES | 165091 |
| REAL MED INC | |||||||
| REAL MED INC | 510 E 96TH ST STE 400 | 510 E 96TH ST STE 400 | INDIANAPOLIS | IN | 46240 | MEDICAL BILLING | 124776 |
| ALLSCRIPTS LLC | |||||||
| ALLSCRIPTS LLC | 24630 NETWORK PLACE | 24630 NETWORK PLACE | CHICAGO | IL | 60673 | MEDICAL BILLING | 117221 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Government Grants | 6757211 | GovernmentGrants |
| Noncash Contributions | 48 | NoncashContributions |
| Total Contributions | 6757211 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| PATIENT FEES, NET OF ADJ. | 18348893 | 18348893 |
| 340B-PHARMACY | 1753060 | 1753060 |
| MISCELLANEOUS OFFICE SPACE | 8450 | 8450 |
| CHARITY CARE ADJUSTMENTS | -2414073 | -2414073 |
| CONTRACTUAL ADJUSTMENTS | -4947818 | -4947818 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 12748512 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1962 | TotalRevenueColumn |
| Exclusion | $1,962 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| CAROLINA ACCESS INCOME | 278774 | 278774 |
| CIGNA INCENTIVE INCOME | 86268 | 86268 |
| MISC. REBATES/TAX REFUNDS | 51204 | 51204 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22191 | TotalRevenueColumn |
| Related Or Exempt Function Income | 22191 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 438437 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19946122 | TotalRevenueColumn |
| Related Or Exempt Function Income | 13186949 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,962 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 254553 | Total |
| Management And General | 254553 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9388685 | Total |
| Program Services | 7934086 | ProgramServices |
| Management And General | 1454599 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 412546 | Total |
| Program Services | 310300 | ProgramServices |
| Management And General | 102246 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1030610 | Total |
| Program Services | 783333 | ProgramServices |
| Management And General | 247277 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 661990 | Total |
| Program Services | 546892 | ProgramServices |
| Management And General | 115098 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 536 | Total |
| Management And General | 536 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56574 | Total |
| Management And General | 56574 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1978456 | Total |
| Program Services | 1145079 | ProgramServices |
| Management And General | 833377 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5920 | Total |
| Program Services | 950 | ProgramServices |
| Management And General | 4970 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 671645 | Total |
| Program Services | 445836 | ProgramServices |
| Management And General | 225809 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1194506 | Total |
| Program Services | 918753 | ProgramServices |
| Management And General | 275753 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70166 | Total |
| Program Services | 27226 | ProgramServices |
| Management And General | 42940 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40575 | Total |
| Program Services | 17814 | ProgramServices |
| Management And General | 22761 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92981 | Total |
| Program Services | 92981 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 647543 | Total |
| Program Services | 467267 | ProgramServices |
| Management And General | 180276 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95775 | Total |
| Management And General | 95775 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| COGS | 1067527 | 1067527 |
| MEDICAL-DRUGS | 451143 | 451143 |
| UNCOLLECTIBLE ACCOUNTS | 213336 | 213336 |
| MEDICAL-MISCELLANEOUS | 2850 | 2850 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3499 | Total |
| Program Services | 3189 | ProgramServices |
| Management And General | 310 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18341416 | Total |
| Program Services | 14428562 | ProgramServices |
| Management And General | 3912854 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2650390 | BOY |
| EOY | 3980492 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 491994 | BOY |
| EOY | 493823 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 391668 | BOY |
| EOY | 489331 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1284740 | BOY |
| EOY | 1342711 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3000 | BOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 137072 | BOY |
| EOY | 179145 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 15070795 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4872319 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9833847 | BOY |
| EOY | 10198476 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 339080 | BOY |
| EOY | 29339 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15131791 | BOY |
| EOY | 16713317 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1027313 | BOY |
| EOY | 1220785 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2162326 | BOY |
| EOY | 1808506 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 137168 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3189639 | BOY |
| EOY | 3166459 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11942152 | BOY |
| EOY | 13408555 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 138303 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11942152 | BOY |
| EOY | 13546858 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15131791 | BOY |
| EOY | 16713317 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 1604706 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6457308 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6963164 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7734872 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6745387 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6757211 | CurrentTaxYear |
| Total | 34657942 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6457308 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6963164 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7734872 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6745387 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6757211 | CurrentTaxYear |
| Total | 34657942 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 34657942 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17398 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4704 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3628 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2922 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1962 | CurrentTaxYear |
| Total | 30614 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 34688556 | TotalSupport |
| Gross Receipts From Admissions Etc | 13186949 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99910 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99890 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1657428 | OtherCostOrOtherBasis |
| Book Value | 1657428 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 161986 | OtherCostOrOtherBasis |
| Depreciation | 71390 | Depreciation |
| Book Value | 90596 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4191365 | OtherCostOrOtherBasis |
| Depreciation | 3013597 | Depreciation |
| Book Value | 1177768 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 66142 | OtherCostOrOtherBasis |
| Depreciation | 34666 | Depreciation |
| Book Value | 31476 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2957268 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEDICAID PAYABLE | Description |
| Amount | $137,168 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 137168 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 19946122 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 19946122 | RevenueSubtotal |
| Total Revenue Per Form990 | 19946122 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 18341416 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 18341416 | ExpensesSubtotal |
| Total Expenses Per Form990 | 18341416 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|
| GREGORY M BOUNDS | |||||
| CEO | 217950 | 20963 | 14960 | 680 | 254553 |
| HENRY T HYMAN | |||||
| PHYSICIAN | 247435 | 24000 | 16942 | 680 | 289057 |
| ROLAND C DRAUGHN | |||||
| PHYSICIAN | 193473 | 12187 | 680 | 206340 | |
| ENRIQUE TOMEU | |||||
| PHYSICIAN | 192407 | 12262 | 680 | 205349 | |
| KATHERINE AVERILL | |||||
| PHYSICIAN | 189768 | 1414 | 255 | 680 | 192117 |
| PHILLIP KOHUT | |||||
| PHYSICIAN | 155536 | 4150 | 9984 | 680 | 170350 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS | FORM 990, PAGE 1, PART I, LINE 6 | THE BOARD OF DIRECTORS OF GOSHEN MEDICAL CENTER, INC. SERVE ON A VOLUNTEER BASIS AND ARE NOT PAID FOR THEIR SERVICES. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE BOARD OF DIRECTORS ARE PRESENTED A COPY OF THE FORM 990 FOR THEIR REVIEW AT THE MONTHLY BOARD MEETING BEFORE BEING FILED. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | THE BOARD MEMBER SHALL ANNOUNCE SUCH POSSIBLE CONFLICT OF INTEREST AS NOTED IN THE ORGANIZATION'S BYLAWS ARTICLE 8. CONFLICT OF INTEREST IS DISCUSSED AT BOARD MEETINGS WHEN ONE EXPRESSES THEIR OPINION OR IF VOTING IS TO OCCUR. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS APPROVES THE CEO'S BONUS AND PAY RATE. THE CEO DETERMINES THE PAYRATE FOR TOP MANAGEMENT AND KEY EMPLOYEES OF THE ORGANIZATION. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | OTHER OFFICERS AND EMPLOYEES PAY RATES ARE SET BY THE CEO AND REVIEWED BY HUMAN RESOURCES AND AN EXECUTIVE. BONUS COMPENSATION IS CALCULATED ON SALARY, TENURE, PRODUCTION AND INDIVIDUAL RATES FROM AN APPROVED FUNDING BY THE BOARD OF DIRECTORS. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | THESE DOCUMENTS ARE AVAILABLE FOR INSPECTION IN THE CORPORATE OFFICES UPON REQUEST OF THE CEO. |
| OTHER FEES FOR SERVICES | FORM 990, PART IX, LINE 11G | MEDICAL-CONSULTANTS/CONTRACTS 906,833 0 0 ADMIN-CONSULTANTS/CONTRACTS 0 817,926 0 FACILITY-CONSULTANTS/CONTRACT 8,977 0 0 MEDICAL-FEES 11,599 0 0 ADMIN-FEES 0 14,680 0 FACILITY-FEES -3,860 0 0 COMMUNITY-FEES 276 0 0 MEDICAL-RECRUITMENT 67,821 0 0 ADMIN-RECRUITMENT 0 308 0 MEDICAL-RELOCATION AND MOVING 0 0 0 MEDICAL-REFERRALS 153,403 0 0 ADMIN-REFERRALS 0 463 0 COMMUNITY-REFERRALS 30 0 0 |
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