ELKHART GENERAL HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ELKHART GENERAL HOSPITAL INC (EIN 35-0877574)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-12
IRS object ID: 201323169349303237
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
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)
Timestamp	2013-11-12T11:22:04-06:00	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	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	350877574	EIN

Name Name

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

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	600 EAST BLVD	AddressLine1
Address Line2	Suite	AddressLine2
City	ELKHART	City
State	IN	State
ZIP Code	46514	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JEFFERY COSTELLO	Name
Title	CFO	Title
Date Signed	2013-11-11	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3176817431	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	391508772	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.EGH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1909	YearFormation
State Legal Domicile	IN	StateLegalDomicile
Activity Or Mission Description	Elkhart General is a not-for-profit hospital governed by a Board of Directors comprised of community volunteers. Emphasis is placed on ensuring everyone in the community receives the health care they need.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	2291	TotalNbrEmployees
Total Nbr Volunteers	259	TotalNbrVolunteers
Total Gross UBI	1055615	TotalGrossUBI
Contributions Grants Prior Year	134135	ContributionsGrantsPriorYear
Contributions Grants Current Year	117931	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	244738131	ProgramServiceRevenuePriorYear
Program Service Revenue CY	298557557	ProgramServiceRevenueCY
Investment Income Prior Year	10965156	InvestmentIncomePriorYear
Investment Income Current Year	22193215	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5675770	OtherRevenuePriorYear
Other Revenue Current Year	5991713	OtherRevenueCurrentYear
Total Revenue Prior Year	261513192	TotalRevenuePriorYear
Total Revenue Current Year	326860416	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	150720	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	336347	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	118395670	SalariesEtcPriorYear
Salaries Etc Current Year	121905595	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	146860167	OtherExpensePriorYear
Other Expenses Current Year	163554402	OtherExpensesCurrentYear
Total Expenses Prior Year	265406557	TotalExpensesPriorYear
Total Expenses Current Year	285796344	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-3893365	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	41064072	RevenuesLessExpensesCY
Total Assets BOY	396503204	TotalAssetsBOY
Total Assets EOY	441322004	TotalAssetsEOY
Total Liabilities BOY	180798559	TotalLiabilitiesBOY
Total Liabilities EOY	184515719	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	215704645	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	256806285	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO CREATE A HEALTHIER COMMUNITY BY BEING A PREMIER PROVIDER OF HEALTHCARE; PROMOTING THE HEALTH AND WELL BEING OF INDIVIDUALS AND FAMILIES BY PROVIDING EDUCATION THAT MAY AID IN DETECTION AND PREVENTION OF DISEASE; CONDUCTING OUR ACTIVITIES WITH COMPASSION AND RESPECT; ACTING WITH RECOGNITION THAT HEALTH IS WHOLISTIC AND EMBRACES THE BODY, MIND, AND SPIRIT; SEEKING AND PARTNERING WITH THOSE WHO SHARE OUR MISSION; CONTINUOUSLY IMPROVING THE QUALITY AND COST-EFFECTIVENESS OF OUR SERVICES; MAINTAINING THE FINANCIAL VIABILITY OF THE HOSPITAL WHILE CONTINUING OUR CHARITABLE ROLE IN THE COMMUNITY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	234628507	Expense
Grants	336347	Grants
Revenue	301411972	Revenue
Description	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 2012, the Hospital admitted 12,283 patients for a total of 48,892 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 199,200 of outpatient visits including 2,494 outpatient surgeries, 62,931 emergency room visits, and 132,209 visits for diagnostic services. The primary and specialty care physician practices provided service in 173,327 encounters. During 2012, the unreimbursed cost of free or discounted medical care provided to patients that were deemed indigent under state, county, or internal guidelines was $8,029,463 which included $4,045,046 of traditional charity care and $3,984,417 in unpaid costs for Medicaid or other public programs for the poor. Elkhart General Hospital also provided 24,792,291 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 1,078,196 in unbilled services to the poor and broader community.	Description
Total Program Service Expense	234628507	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	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	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	214	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2291	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	IN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Other CompensationOtherCompensation	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Highest Compensated EmployeeHighestCompensatedEmployee	Key EmployeeKeyEmployee	FormerFormer
Pam Hluchota
Treasurer	2.0	0.0	X	X	0	0
Wilbur Bontrager
Volunteer Board Member	1.0	0.0	X		0	0	0
Mark Klaaseen MD
Secretary	2.0	0.0	X	X	0	0	0
Todd Martin
Volunteer Board Member	1.0	0.0	X		0	0	0
Linda Rothrock-Jurus
Volunteer Board Member	1.0	0.0	X		0	0	0
Frank Smole
Volunteer Board Member	1.0	0.0	X		0	0	0
Bruce Newswanger DO
Volunteer Board Member	1.0	0.0	X		0	0	0
John K Martin
Chairman	2.0	0.0	X	X	0	0	0
Matthew Pletcher
Vice Chairman	2.0	0.0	X	X	0	0	0
Gregory Losasso
President	50.0	0.0	X	X	360884	269635	0
Laura Munkel
Physician	50.0	0.0	X		292107	57273	0
Leonard Kibiloski MD
Volunteer Board Member	1.0	0.0	X		0	0	0
Kelly Puster MD
Volunteer Board Member	1.0	0.0	X		0	0	0
Alex Strati Jr
Volunteer Board Member	1.0	0.0	X		0	0	0
Don Krabill
Vol Board Member thru 4/2012	1.0	0.0	X		0	0	0
Ron Fenech
Vol Board Member thru 4/2012	1.0	0.0	X		0	0	0
Dan Morrison
Vol Board Member thru 4/2012	1.0	0.0	X		0	0	0
Scott Troeger
Vol Board Member thru 4/2012	1.0	0.0	X		0	0	0
Donald Anderson
Vol Board Member thru 4/2012	1.0	0.0	X		0	0	0
Walter Halloran MD
Physician	50.0	0.0			1171629	57483	0	X
Jeffrey Costello
CFO - Non Voting	1.0	40.0		X	0	82813	631580
Phillip Newbold
CEO - Nov Voting	1.0	40.0		X	0	163374	1382738
Danielle Dyer
VP of Strategic Planning	50.0	0.0			235695	151464	0		X
Jeff Howe
Physician	50.0	0.0			623981	139556	0	X
Majid Malik
Physician	50.0	0.0			368341	50423	0	X
Burton Boron
Physician	50.0	0.0			504889	146915	0	X
Douglas Jarvis
Physician	50.0	0.0			326037	36613	0	X
Gregory Lintjer
President thru 12/15/2011	2.0	0.0			1444588	1708081	0			X
Teresa Hilyard
V.P. of Nursing	0.0	0.0			446069	0	0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5774220	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2014318	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2863630	TotalOtherCompensation
Number Individuals GT100 K	77	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
South Bend Medical Foundation
530 North Lafayette Blvd	SOUTH BEND	IN	46601	Lab Services	11866569
Elkhart Clinic
PO Box 201	ELKHART	IN	46515	Physician Services	6171540
Northern Indiana Anesthesia Service
600 East Bvld	ELKHART	IN	46514	Anesthesia Services	4304950
Caretech Solutions Inc
901 Wilshire	ELKHART	MI	48084	IT Services/Support	2703221
Accretive Health Inc
401 N Michigan Ave Suite 2700	CHICAGO	IL	60611	CONTRACT SERVICES	7715128

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	83	NumberOfContractorsGT100K
Related Organizations	84287	RelatedOrganizations
Government Grants	21255	GovernmentGrants
All Other Contributions	12389	AllOtherContributions
Total Contributions	117931	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
PATIENT SERVICE REVENUE	621110	294647053	294647053
OUTPATIENT PHARMACY	446110	3564009		197841	$3,366,168
RENT FROM RELATED PARTIES	621110	215601	43330	172271
FEE REVENUE	621110	130894	130894

Field	Value	IRS element (for citing)
Total Program Service Revenue	298557557	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	23822706	TotalRevenueColumn
Unrelated Business Revenue	28650	UnrelatedBusinessRevenue
Exclusion	$23,794,056	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1560095	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	500514	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1059581	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1059581	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	62501883	Securities
Other	16468	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	63946912	Securities
Other	200930	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-1445029	Securities
Other	-184462	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-1629491	TotalRevenueColumn
Exclusion	-$1,629,491	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
JOINT VENTURE ACTIVITIES	621400	-502728	-511671	8943
CAFETERIA	722514	1295079			$1,295,079
CHARGEBACKS TO MICHIANA LINEN	812300	1655219	1439513	215706

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2484562	TotalRevenueColumn
Related Or Exempt Function Income	2052358	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	432204	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	4932132	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	326860416	TotalRevenueColumn
Related Or Exempt Function Income	297801477	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1055615	UnrelatedBusinessRevenue
Exclusion	$26,825,812	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	336347	Total
Program Services	336347	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4616416	Total
Management And General	4616416	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	86183449	Total
Program Services	72497255	ProgramServices
Management And General	13686194	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6134880	Total
Program Services	4901769	ProgramServices
Management And General	1233111	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	18933484	Total
Program Services	15158484	ProgramServices
Management And General	3775000	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6037366	Total
Program Services	4823855	ProgramServices
Management And General	1213511	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	12847403	Total
Program Services	10265075	ProgramServices
Management And General	2582328	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	423233	Total
Management And General	423233	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	90288	Total
Management And General	90288	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	5574	Total
Management And General	5574	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1156312	Total
Management And General	1156312	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	30480669	Total
Program Services	24341728	ProgramServices
Management And General	6138941	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1706822	Total
Program Services	1363751	ProgramServices
Management And General	343071	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6933946	Total
Program Services	5536360	ProgramServices
Management And General	1397586	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3597096	Total
Program Services	2874080	ProgramServices
Management And General	723016	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4855731	Total
Program Services	3823997	ProgramServices
Management And General	1031734	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	448996	Total
Program Services	358748	ProgramServices
Management And General	90248	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	5878	Total
Program Services	4697	ProgramServices
Management And General	1181	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2022985	Total
Program Services	1616365	ProgramServices
Management And General	406620	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	17151687	Total
Program Services	13696723	ProgramServices
Management And General	3454964	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1980390	Total
Program Services	1582332	ProgramServices
Management And General	398058	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PATIENT SUPPLIES, DRUGS, IMPLA	41218701	32933742	8284959
BAD DEBT EXPENSE	21550405	21550405
HOSPITAL ASSESSMENT FEE	15935649	15935649
DUES AND SUBSCRIPTIONS	568052	568052

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	574585	Total
Program Services	459093	ProgramServices
Management And General	115492	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	285796344	Total
Program Services	234628507	ProgramServices
Management And General	51167837	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5130299	BOY
EOY	12767	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	30848820	BOY
EOY	30078730	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

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

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	43006515	BOY
EOY	47499396	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

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

Receivables From Disqual Persons ReceivablesFromDisqualPersons

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

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	695008	BOY
EOY	898927	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6689720	BOY
EOY	7208103	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	9378949	BOY
EOY	5149176	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	234830135	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	106465428	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	130379987	BOY
EOY	128364707	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	163988406	BOY
EOY	208709794	EOY

Investments Other Securities InvestmentsOtherSecurities

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

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	4489199	BOY
EOY	1200461	EOY

Intangible Assets IntangibleAssets

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

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1896301	BOY
EOY	12199943	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	396503204	BOY
EOY	441322004	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	29556673	BOY
EOY	38749393	EOY

Grants Payable GrantsPayable

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

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	41788	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	83983000	BOY
EOY	81816203	EOY

Escrow Account Liability EscrowAccountLiability

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

Loans From Officers Directors LoansFromOfficersDirectors

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

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

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

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	67258886	BOY
EOY	63908335	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	180798559	BOY
EOY	184515719	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	211041016	BOY
EOY	251571517	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4263629	BOY
EOY	4834768	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

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

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	215704645	BOY
EOY	256806285	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	396503204	BOY
EOY	441322004	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	41064072	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	571139	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-533571	ReconcilationOtherChanges
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 Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$5,574	OtherActivitiesAmount
Total Lobbying Expenditures IIB	5574	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION	Identifier
Return Reference	Part II-B, Line 1i	ReturnReference
Explanation	Indiana Hospital Association (IHA) annual dues x 5.44% IHA determined to be attributable to lobbying as defined by federal law. IHA deemed as lobbying and not Elhart General Hospital directly.	Explanation

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	26862451	BeginningOfYearBalance
Contributions	1501904	Contributions
Investment Earnings Or Losses	2551948	InvestmentEarningsOrLosses
Grants Or Scholarships	923860	GrantsOrScholarships
Other Expenditures	69000	OtherExpenditures
Administrative Expenses	27504	AdministrativeExpenses
End Of Year Balance	29895939	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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

Current Year Minus4 Years CurrentYearMinus4Years

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

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.80830	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.17190	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.01980	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1213581	OtherCostOrOtherBasis
Book Value	1213581	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	167615980	OtherCostOrOtherBasis
Depreciation	72531944	Depreciation
Book Value	95084036	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	60018495	OtherCostOrOtherBasis
Depreciation	33933483	Depreciation
Book Value	26085012	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5982078	OtherCostOrOtherBasis
Book Value	5982078	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	128364707	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION LIABILITY	$55,780,260
OTHER LIABILITIES	$2,665,768
DEFERRED LIABILITY	$5,462,307

Field	Value	IRS element (for citing)
Total Of Amounts	63908335	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
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 $5,234,768. 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 $24,661,171 at 12/31/2012. In 2012, the Hospital received $0 from the related party endowment funds.
FIN 48 DISCLOSURE	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.	PART X, LINE 2

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent350	X	Pcent350
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3799483	TotalCommunityBenefitExpense
Net Community Benefit Expense	3882738	NetCommunityBenefitExpense
Percent Of Total Expense	0.01440	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	38542823	TotalCommunityBenefitExpense
Direct Offsetting Revenue	24293585	DirectOffsettingRevenue
Net Community Benefit Expense	14249238	NetCommunityBenefitExpense
Percent Of Total Expense	0.05380	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	42342306	TotalCommunityBenefitExpense
Direct Offsetting Revenue	24293585	DirectOffsettingRevenue
Net Community Benefit Expense	18131976	NetCommunityBenefitExpense
Percent Of Total Expense	0.06820	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1467393	TotalCommunityBenefitExpense
Direct Offsetting Revenue	284507	DirectOffsettingRevenue
Net Community Benefit Expense	1182886	NetCommunityBenefitExpense
Percent Of Total Expense	0.00450	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	514188	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22065	DirectOffsettingRevenue
Net Community Benefit Expense	492123	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	336347	TotalCommunityBenefitExpense
Net Community Benefit Expense	336347	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2317928	TotalCommunityBenefitExpense
Direct Offsetting Revenue	306572	DirectOffsettingRevenue
Net Community Benefit Expense	2011356	NetCommunityBenefitExpense
Percent Of Total Expense	0.00770	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	44660234	TotalCommunityBenefitExpense
Direct Offsetting Revenue	24600157	DirectOffsettingRevenue
Net Community Benefit Expense	20143332	NetCommunityBenefitExpense
Percent Of Total Expense	0.07590	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$7,572,812	BadDebtExpenseAmount
Amount Attributable To	3786406	AmountAttributableTo
Amount Reimbursed By Medicare	56065980	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	86476241	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-30410261	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership
Riverpointe Surg Ctr
Surgeries	0.40000	0.60000
Wakarusa Med Clin
Medical Clinic Building	0.42000	0.58000
Comm Occupational Md
Occupational Medicine	0.25000	0.74000	0.01000
WaNee Walk-in Clinic
Medical Clinic	0.50000	0.50000

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

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

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Elkhart General Hospital Inc	BusinessNameLine1

Address Address

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

Field	Value	IRS element (for citing)
Website Address	www.egh.org	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Elkhart General Hospital Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	350.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	24	NumberOfOtherFacilities

Other Facilities OtherFacilities (24 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
FAMILY PRACTICE ASSOCIATES
3301 County Road 6 East	Elkhart	IN	46514	Owned Physician Practice
FOR WOMEN ONLY OB-GYN
1215 Lawn Avenue Suite 100	Elkhart	IN	46514	Owned Physician Practice
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

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

IdentifierIdentifier	ExplanationExplanation
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 ORGANIZATION 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 7a and b Unreimbursed Medicaid and Other Means Tested Government Programs In 2012, total offsetting revenue for Line 7b, Medicaid did not include amounts that were received in 2012 that related to prior years. Those amounts are Hospital Assessment Fee (HAF) payments for 2011 in the amount of $9,727,477, and $2,306,519 of BNA (Rural Floor Budget Neutrality Act) monies. Additionally, for 2012, HAF payments made in 2012 that related to 2011 in the amount of $5,313,075 were excluded from the computations for Worksheet 2, cost to charge ratio. Part I, Line 7 Column (f) Bad debt expense removed from total expenses $21,550,405. Part II COMMUNITY SUPPORT In 2012 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 Crossing (a regional alternative education effort for students who best succeed in nontraditional school settings) sponsored and hosted an interactive mentoring conference to expose young at-risk females to career options, self-esteem building, and body image. Elkhart General Hospital provided information on career choices and healthy decision-making for the future, and provided opportunities for the young women to interface with professional women. Topics of the conference included sexual abstinence and risk avoidance, healthy body image, partner abuse and violence prevention, and self-esteem. Elkhart General Hospital provided self-help and empowerment education to students at Elkhart Community Schools Alternative Education Program. Elkhart General Hospital provided health education and empowerment series to at-risk females through the YMCA Wanke Center. EGH continued its 15-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. Elkhart General Hospital provided leadership and representation in the Elkhart County Lead Prevention Task Force, the Elkhart County Homeless Coalition, the Downtown Churches Coalition, Elkhart County Covering Kids and Families Indiana Coalition, Tobacco Control of Elkhart County Advisory Board, and the Elkhart Back2School Steering Committee. Ekhart General Hospital was approached to participate as a member of the Elkhart County Safe Kids Coalition Board. Elkhart General Hospital provided leadership and 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 both Middlebury and Goshen Community Schools systems. Throughout 2012, Elkhart General Hospital's Dame Tu Mano Hispanic Latino health outreach program held monthly Spanish language diabetes education and support group programs 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 fall 2012 Elkhart General Hospital was sought out to lead a community health planning process for the establishment of a multidisciplinary coalition to address sexual assault. Preliminary data review and community input led to the concept of establishing a 24/7/365 sexual assault treatment center to provide forensic examinations, investigative support, victim and family support, and hygiene amenities for adult and child victims of sexual assault. This concept was identified as a result of community dialogue on victim assault incidence data reported in the county, and the resultant community dialogue identifying current gaps in treatment and services for victims, especially for acute cases of sexual assault. Elkhart General Hospital spearheaded sector-specific discussions with the intended goal of future broad-sector community dialogue and
Part III, Line 4	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 COST ADJUSTED BY NON-PATIENT ACTIVITY, EXPENSES, AND PATIENT CARE CHARGES. RATIONALE FOR INCLUSION OF THE MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. PART III, LINE 8 PARTICIPATION IN THE GOVERNMENTAL MEDICARE PROGRAM DOES NOT PROVIDE THE OPPORTUNITY FOR A HOSPITAL TO NEGOTIATE A REIMBURSEMENT RATE OR STRUCTURE THAT WOULD ALLOW THE HOSPITAL TO COVER THE COST OF THE MEDICAL SERVICE RENDERED TO THE PROGRAM PARTICIPANT, AS WOULD BE THE CASE IN CONTRACTUAL NEGOTIATIONS WITH COMMERCIAL INSURANCE COMPANIES. NOR IS THE HOSPITAL ALLOWED TO PROVIDE ONLY THE SERVICES FOR WHICH REIMBURSEMENT COVERS THE DIRECT COST OF CARE. THIS PRODUCES THE SAME SHORTFALL OUTCOME AS DOES THE PARTICIPATION IN THE MEDICAID PROGRAM. THE MEDICAID PROGRAM IS RECOGNIZED AS A COMMUNITY BENEFIT ON SCHEDULE H AND ON COMMUNITY BENEFIT REPORTS FOR MOST STATES. THE QUALITY AND COST OF THE PATIENT CARE IS THE SAME REGARDLESS OF PAYOR SOURCE. HENCE THE ACCEPTANCE OF MEDICARE REIMBURSEMENT REPRESENTS A REDUCTION OR RELIEF OF THE GOVERNMENT BURDEN TO PAY THE FULL COST OF CARE PROVIDED. PART III, LINE 9B COLLECTION POLICY THE COLLECTION POLICY AND PROCEDURES ARE AS FOLLOWS RELATED TO PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE: 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. 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. Maximum Amount to be charged to FAP-eligible individuals Part V, Line 20d. TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE, MEMORIAL HOSPITAL USED THE AVERAGED DISCOUNT FOR THE THREE CONTRACTS THAT HAD THE HIGHEST PERCENT DISCOUNT TO CHARGES (EXCLUDING ALL PER DIEM AND CASE RATE CONTRACTS).
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 May 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 implementation strategies within the 2012 community health plan, these deliverables were made widely available to the community through posting on the Elkhart General Hospital website; through hard copies made available by request; through email transmission upon request; and through ongoing communication to the Elkhart County community by hospital representatives. In addition to posting the CHNA and 2012 implementation strategies narrative to the EGH website and making copies available upon request, Elkhart General Hospital also provided electronic copies to individual email addresses upon request. Elkhart General Hospital staff also presented the results of the CHNA and the 2012 implementation strategies to community groups upon request. The Elkhart General Hospital CHNA was made widely available to the public on its website www.egh.org under the icon About Us, Community Health Needs Assessment. 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. projections. 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. 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 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 2011 US Census estimates, Elkhart County has a population of 198,941, up slightly from the April 2010 Census data report of 197,559 with a median household income of $43,531. The percentage of persons 65 years and older is estimated at 12.4% in 2011, slightly higher than 11.5 percent are age 65 and older in 2010. For 2011, Census estimates indicate that 76.9% of Elkhart County residents are white persons not of Hispanic descent; 14.5% are Hispanic/Latino; and 6.0% are black. Per capita income average for 2006-2010 was $22,187, and the percent of Elkhart County residents below the poverty level was 13.7%. As of December 2011, Elkhart County's labor force was 91,081, of which 81,113 were employed and 9,968 persons, or 10.9% of the total labor force, were unemployed. In 2012, the County Health Rankings, sponsored by the Robert Wood Johnson Foundation, ranked Elkhart County as the 19th healthiest county in Indiana of all 92 counties for health outcomes (a gage of the health status of a county) and 79th healthiest for health factors (those factors that influence the health of a county). 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 12 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)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Purpose Of GrantPurposeOfGrant	Address Line2AddressUS/AddressLine2
RIBBON OF HOPE
600 EAST BOULEVARD	ELKHART	IN	46514	352118856	501(c)(3)	35000	CASH	CANCER SUPPORT
HEART REACH MICHIANA
500 ARCADE STREET	ELKHART	IN	46514	202527524	501(c)(3)	10000	CASH	Automated External Defibrillators placed in public places and with local emergency responders	SUITE 230
INDIANA UNIVERSITY FOUNDATION
1234 NOTRE DAME AVENUE	SOUTH BEND	IN	46617	356018940	501(c)(3)	15000	CASH	Medical Student social event to attract physicians to area
DOWNTOWN ELKHART INC
418 SOUTH MAIN STREET	ELKHART	IN	46516	311173964	501(c)(3)	10000	CASH	Jazz Festival
SOUTH BEND MEDICAL FOUNDATION
530 N LAFAYETTE BLVD	SOUTH BEND	IN	46601	350868178	501(C)(3)	12500	CASH	CENTENNIAL SPONSOR
Health and Hospital Corporation
3838 North Rural Street	Indianapolis	IN	46205	356005697	501(C)(3)	22000	Cash	Medicaid Enrollment

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	6	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE I, PART II	Identifier
Return Reference	CHARITABLE DONATIONS	ReturnReference
Explanation	PART OF THE ORGANIZATION'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY. IN ORDER TO FULFILL THIS GOAL, OUR ADMINISTRATORS HAVE THE ABILITY TO MAKE DONATIONS TO ORGANIZATIONS THAT IMPROVE THE HEALTH AND WELL BEING OF OUR COMMUNITY. SINCE ALL PAYMENTS ARE MADE TO 501(C)(3) ENTITIES, THERE ARE NO PROCEDURES FOR MONITORING THE USE OF THE FUNDS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Walter Halloran MD
Physician	633453	0	498161	0	40015	0	31225	0	26258	0	1229112	0	0	0
Gregory Lintjer
President thru 12/15/2011	393993	0	377586	0	673009	0	1693066	0	15015	0	3152669	0	457620	0
Gregory Losasso
President	334065	0	26626	0	193	0	252302	0	17333	0	630519	0	22356	0
Danielle Dyer
VP of Strategic Planning	211956	0	23660	0	79	0	138897	0	12567	0	387159	0	19391	0
Jeff Howe
Physician	412414	0	211567	0	0	0	112521	0	27035	0	763537	0	49070	0
Majid Malik
Physician	268579	0	90064	0	9698	0	22908	0	27515	0	418764	0	22132	0
Burton Boron
Physician	397197	0	107677	0	15	0	134435	0	12480	0	651804	0	58452	0
Douglas Jarvis
Physician	237648	0	64908	0	23481	0	25391	0	11222	0	362650	0	12627	0
Laura Munkel
Physician	252014	0	39232	0	861	0	42765	0	14508	0	349380	0	28584	0
Jeffrey Costello
CFO - Non Voting	0	336477	0	114704	0	180399	0	78239	0	4574	0	714393	0	0
Phillip Newbold
CEO - Nov Voting	0	661503	0	326180	0	395055	0	152094	0	11280	0	1546112	0	0
Teresa Hilyard
V.P. of Nursing	0	0	24750	0	421319	0	0	0	0	0	446069	0	425862	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Supplemental Compensation Information	Identifier
Explanation	PART I, LINE 3 BEACON HEALTH SYSTEM DETERMINES METHODS FOR ESTABLISHING CEO COMPENSATION. PART I, LINE 4A OTHER REPORTABLE INCOME FOR MR. LINTJER INCLUDED $500,000 IN SEVERANCE PAYMENTS. PART I, LINE 4B Retirement and Deferred benefits for Mr. Lintjer, the former CEO & President of the Hospital included $1,239,275 for future severance and $453,791 for supplemental retirement and pension restoration benefits. Other reportable income for Mr. Lintjer included $500,000 in severance payments. Beacon Health System implemented an Executive Retention Plant 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. PART I, LINE 6A IN ORDER FOR MANAGEMENT TO RECEIVE BONUSES, A NET OPERATING INCOME MARGIN OF 2% HAD TO BE ACHIEVED.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

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

Field	Value	IRS element (for citing)
Issuer EIN	351657690	IssuerEIN
CUSIP Number	287468EMO	CUSIPNumber
Date Issued	2008-12-09	DateIssued
Issue Price	47800000	IssuePrice
Description Of Purpose	REFUND BONDS ISSUED 04/02/2003	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	3115000	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	47800000	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	478471	IssuanceCostsFromProceeds
Credit Enhancement	33988	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	0	CapitalExpenditures
Other Spent Proceeds	47287541	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Year Of Subst Completion	2004	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	true	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	true	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	true	EngageBondCounselContracts
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.01900	PrcntgePrvtBusinessUseByOthers
Total Private Business Use	0.01900	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	false	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedProp
Prcntge Bond Financed Prop	0.00000	PrcntgeBondFinancedProp
Remedial Action Taken	false	RemedialActionTaken
Non Qualified Bond Remed Procdrs	false	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiled
Rebate Not Due Yet	true	RebateNotDueYet
Exception To Rebate	true	ExceptionToRebate
No Rebate Due	false	NoRebateDue
Variable Rate Issue	true	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

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

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

Name Of GIC Provider NameOfGICProvider

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

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvested
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	false	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	PART II, LINE 11,A:	Identifier
Return Reference	0	ReturnReference
Explanation	PRINCIPAL OF AND INTEREST ON REFUNDED BONDS PART III, LINE 9, A: ON 5/21/2013, THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS OF ALL APPLICABLE REGULATIONS. PART IV, LINE 7, A: ON 5/21/2013, THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO MONITOR SECTION 148 REQUIREMENTS. PART V, A: ON 5/21/2013, THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

Field	Value	IRS element (for citing)
Identifier	Description of Relationships	Identifier
Return Reference	Form 990, Part VI, Question 2	ReturnReference
Explanation	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 AND PREPARE THE COMPLETED FORM 990 AND APPROPRIATE SCHEDULES. AFTER FILING THE RETURN, THE COMPENSATION COMMITTEE OF THE ORGANIZATION AND THE CEO CONDUCT A GENERAL OVERVIEW OF THE FORM 990, INCLUDING APPLICABLE COMPENSATION SCHEDULES. IN ADDITION, THE BOARD OF DIRECTORS AND THE AUDIT COMMITTEE WILL RECEIVE A COPY OF THE 990 PRIOR TO FILING. 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. It should be noted that in 2012 the Conflict of Interest Statement were not sent to Elkhart General Hospital Employees but will be sent for the calendar year 2013 in January, 2014. 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, 2013 AND THE SIGNED ACKNOWLEDGEMENTS ARE KEPT BY THE DIRECTOR OF INTERNAL AUDIT. IN 2013, Seventeen 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 IS 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 THE MEMORIAL HEALTH SYSTEM, INC. BONDS. Form 990, Part IX, line 11g Consulting Fees - 1,290,053, Physician Fees - 199,417, Radiology Fees - 2,666, Lab Fees - 10,329,851, Blood Products - 2,582,886, Contract Labor - 220,938, Other Purchased Services - 5,290,270, Collection Fees - 859,645, Repair and Maintenance - 2,976,932, Service Contracts - 6,794,911, Less Lobbying Expense - (5,574), Less Rental Expense - (61,326), Total - 30,480,669. Form 990, Part XI, line 9 Transfer Michiana Linen - 1,444,543, Pension Liability - (2,793,536), Write off Intercompany Balances - 685,643, Construction Contribution - 240,000, Accounts to Collections - 17,393, Home Care rent (on tax return, not on GL) - (132,614), Rounding adj - 5,000 Total - (533,571).	Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
MEMORIAL HEALTH SYSTEM INC
615 N MICHIGAN STREET	SOUTH BEND	IN	46601	351536132	CORP SVC	IN	501(C)(3)	9	BEACON HS	true
MEMORIAL HEALTH FOUNDATION INC
615 N MICHIGAN STREET	SOUTH BEND	IN	46601	351536129	FIN SUPPORT	IN	501(C)(3)	9	MHS	true
MEMORIAL ENDOWMENT FUND FOR MEMORIAL HOS
PO BOX 1602	SOUTH BEND	IN	46634	350877574	ENDOWMENT	IN	501(C)(3)	11D III-O	MHSB	true
BEACON HEALTH SYSTEM INC
600 EAST BOULEVARD	ELKHART	IN	46514	453864076	PARENT ORG.	IN	501(C)(3)	11c 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	BEACON HS	true
ELKHART GENERAL HOSPITAL FOUNDATION
600 EAST BLVD	ELKHART	IN	46514	356061200	CHAR SUPPORT	IN	501(C)(3)	II,TYPE II	NA	false
ELKHART GENERAL HOSPITAL AUXILIARY
600 EAST BLVD	ELKHART	IN	46514	350938148	VOL SUPPORT	IN	501(C)(3)	II,TYPE II	NA	false

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Wakarusa Med Clinic
PO Box 501	Nappanee	IN	46550	200273243	Blding Lessor	IN	EGH	RELATED	52781	407810	false	$0	true	0.41780
WaNee Walk-In Cl
1028-A East Waterford St PO Box 3	Wakarusa	IN	46573	272192375	Medical Clini	IN	EGH	RELATED	14437	52730	false	$0	true	0.50000
Michiana Linen Svc
600 East Blvd	Elkhart	IN	46514	272182953	Linen Washing	IN	EGH	RELATED	14048	0	true	$0	true	0.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg
Beacon Health Ventures Inc
615 N Michigan St	South Bend	IN	46601	351901068	Home Medical	IN	C	true
Beacon Health Ventures Michigan Inc
615 N Michigan St	South Bend	IN	46601	208259773	Home Medical	IN	C	true

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (17 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Wakarusa Medical Clinic LLC
j	141600	FMV
Michiana Linen LLC
l	765973	FMV
Michiana Linen LLC
m	676951	FMV
Memorial Hospital of South Bend
b	301102	Acct. Activity
Elkhart General ANC Home Care LLC
j	86740	FMV
Memorial Hospital of South Bend
o	322449	Review Invoices
Elkhart General CMS Home Medical LLC
j	55280	FMV
Memorial Health System
k	38127	Acct. Charges
Memorial Health System
p	644551	Acct. Charges
Memorial Health System
s	644551	Acct. Charges
Memorial Health System
c	835052	Acct. Charges
Memorial Hospital of South Bend
s	750000	Cash Transfer
Beacon Health Ventures
a	39657	FMV
Memorial Health System
c	1444543	FMV
Beacon Health Ventures
d	5685111	FMV
Beacon Health Ventures
a	28650	FMV
Beacon Health Ventures
a	132614	FMV