GOSHEN HOSPITAL ASSOCIATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: GOSHEN HOSPITAL ASSOCIATION INC (EIN 35-6001540)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-15
IRS object ID: 201243209349303654
Schema version: 2011v1.2
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 D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-15T11:01:22-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE SUITE 2000	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	462045108	ZIPCode

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	356001540	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	GOSHEN HOSPITAL ASSOCIATION INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	GOSH	NameControl
Phone	5745352665	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 HIGH PARK AVENUE	AddressLine1
City	GOSHEN	City
State	IN	State
ZIP Code	46526	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	AMY FLORIA	Name
Title	CFO	Title
Phone	5745352661	Phone
Date Signed	2012-11-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	SHAWNA M JIMENEZ	Name
PTIN	P01222873	PTIN
Phone	3174648600	Phone

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

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	IU HEALTH GOSHEN HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JAMES DAGUE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2024 S MAIN ST	AddressLine1
City	GOSHEN	City
State	IN	State
ZIP Code	46526	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	209643720	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.GOSHENHEALTH.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1946	YearFormation
State Legal Domicile	IN	StateLegalDomicile
Activity Or Mission Description	TO IMPROVE THE HEALTH OF OUR COMMUNITIES BY PROVIDING INNOVATIVE, OUTSTANDING CARE AND SERVICES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	1377	TotalNbrEmployees
Total Nbr Volunteers	340	TotalNbrVolunteers
Total Gross UBI	1924	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	175927	ContributionsGrantsPriorYear
Contributions Grants Current Year	158830	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	184695165	ProgramServiceRevenuePriorYear
Program Service Revenue CY	200406955	ProgramServiceRevenueCY
Investment Income Prior Year	1380192	InvestmentIncomePriorYear
Investment Income Current Year	5421558	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4046145	OtherRevenuePriorYear
Other Revenue Current Year	3656377	OtherRevenueCurrentYear
Total Revenue Prior Year	190297429	TotalRevenuePriorYear
Total Revenue Current Year	209643720	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	203000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	260500	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	70200359	SalariesEtcPriorYear
Salaries Etc Current Year	76970083	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	104312949	OtherExpensePriorYear
Other Expenses Current Year	117865606	OtherExpensesCurrentYear
Total Expenses Prior Year	174716308	TotalExpensesPriorYear
Total Expenses Current Year	195096189	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	15581121	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	14547531	RevenuesLessExpensesCY
Total Assets BOY	196983221	TotalAssetsBOY
Total Assets EOY	207700119	TotalAssetsEOY
Total Liabilities BOY	66823409	TotalLiabilitiesBOY
Total Liabilities EOY	69536171	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	130159812	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	138163948	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE MISSION OF IU HEALTH GOSHEN HOSPITAL IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES BY PROVIDING INNOVATIVE, OUTSTANDING CARE AND SERVICES, THROUGH EXCEPTIONAL PEOPLE DOING EXCEPTIONAL WORK.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	164606973	Expense
Grants	260500	Grants
Revenue	202040068	Revenue
Description	IU HEALTH GOSHEN HOSPITAL IS A NON-DENOMINATIONAL NON-FOR-PROFIT ORGANIZATION PROVIDING HEALTH CARE SERVICES FOR THE GENERAL PUBLIC AS WELL AS CHARITY WITHIN THE COMMUNITY. SEE SCHEDULE O FOR ADDITIONAL DETAIL.THE MISSION OF IU HEALTH GOSHEN HOSPITAL IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES BY PROVIDING INNOVATIVE, OUTSTANDING CARE AND SERVICE, THROUGH EXCEPTIONAL PEOPLE DOING EXCEPTIONAL WORK.THE HOSPITAL'S VALUES INCLUDE: COMPASSION - AND COMMITMENT TO SERVICE WITH EMPATHY. ACCOUNTABILITY - WITH INTEGRITY AND ACTION. RESPECT - THROUGH TREATING OTHERS AS YOU WISH TO BE TREATED. EXCELLENCE - IN ALL WE DO.BUILDING UPON OUR HERITAGE AND VALUES, IU HEALTH GOSHEN HOSPITAL WILL DELIVER EXCEPTIONAL HEALTHCARE IN AN INTEGRATED MODEL TO THE COMMUNITIES WE SERVE, ACHIEVING PREEMINENCE WITH COMMITMENT TO QUALITY, LEADERSHIP, AND INNOVATION. BY 2015, WE WILL ACHIEVE ALL ELEMENTS OF THIS VISION BY FOCUSING ON THE FOLLOWING KEY AREAS:- PROVIDING HIGH-QUALITY CARE WITH COMPASSION, VALUE AND STATE-OF-THE-ART TECHNOLOGY;- CREATING AN ENVIRONMENT THAT FOSTERS THE HIGHEST LEVEL OF ENTHUSIASM, COMMITMENT, COLLABORATION AND SATISFACTION;- STRATEGICALLY RESPONDING TO OUR DIVERSE COMMUNITY'S CHANGING HEALTHCARE NEEDS, WITH INCREASING EMPHASIS ON WELLNESS; AND- HELPING OUR COMMUNITIES TO BE THE "BEST PLACES" TO LIVE AND WORK.AS A COMMUNITY HOSPITAL, IU HEALTH GOSHEN HOSPITAL IS DEDICATED TO MEETING THE SPECIFIC HEALTH CARE NEEDS OF OUR COMMUNITIES. AS A COMMUNITY LEADER, THE HOSPITAL IS COMMITTED TO PROVIDE CARE IN AN INNOVATIVE AND DYNAMIC ENVIRONMENT. THE HOSPITAL HAS 123 PATIENT BEDS AND OVER 146 PHYSICIANS ON ITS MEDICAL STAFF IN NEARLY 33 SPECIALTIES. THESE PHYSICIANS, TOGETHER WITH OTHER DEDICATED PROFESSIONALS, PROVIDE A WIDE RANGE OF SERVICES INCLUDING THE FOLLOWING: ACUTE MEDICAL & SURGICAL, EMERGENCY, HOME HEALTH, RADIOLOGY, LABORATORY, CANCER CARE, BARIATRICS, WOMEN'S HEALTH, PAIN MANAGEMENT, SLEEP STUDIES, REHABILITATION, PATIENT AND COMMUNITY HEALTH EDUCATION AND PROFESSIONAL EDUCATION.IU HEALTH GOSHEN HOSPITAL HAS CONSISTENTLY MET NATIONAL QUALITY STANDARDS. THE HOSPITAL COMPOSITE SCORES FOR PUBLICLY REPORTED QUALITY MEASURES IN THE AREAS OF ACUTE MYOCARDIAL INFARCTION, PNEUMONIA, HEART FAILURE, SURGICAL CARE IMPROVEMENT PROJECT, AND HOSPITAL OUTPATIENT EXCEED 95% IN 2011. IN ADDITION, HEALTHCARE EXCEL (QUALITY IMPROVEMENT ORGANIZATION FOR INDIANA) REPORTED THAT THE HOSPITAL WAS ABOVE OUR PEER GROUP AND OVERALL STATE PERFORMANCE IN ALL AREAS OF OUR PUBLICLY REPORTED MEASURES FOR THE 4 QUARTERS ENDING MARCH 31, 2011.THE AMERICAN NURSES CREDENTIALING CENTER'S (ANCC) MAGNET RECOGNITION PROGRAM FOR EXCELLENCE IN NURSING SERVICES HAS DESIGNATED IU HEALTH GOSHEN HOSPITAL AS A MAGNET HOSPITAL. DESIGNATED HOSPITALS HAVE SUCCESSFULLY CREATED A WORK ENVIRONMENT THAT NURSES FIND BOTH PERSONALLY AND PROFESSIONALLY REWARDING, ADVANCING THE PRACTICE OF NURSING AND IMPROVING PATIENT OUTCOMES. RESEARCH SHOWS THAT MAGNET HOSPITALS ARE MORE EFFECTIVE AT ATTRACTING AND KEEPING QUALITY NURSES. IU HEALTH GOSHEN HOSPITAL IS AMONG AN ELITE GROUP OF ONLY 2% OF HOSPITALS IN THE NATION TO BE RE-DESIGNATED AS A MAGNET FACILITY AND THE ONLY FACILITY IN THE REGION.THE GOSHEN CENTER FOR CANCER CARE IS ACCREDITED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS (COC). RECEIVING CARE AT A COC-APPROVED CENTER FOR CANCER CARE ASSURES THAT PATIENTS WILL HAVE ACCESS TO:- QUALITY CARE CLOSE TO HOME.- COMPREHENSIVE CARE OFFERING A RANGE OF STATE-OF-THE ART SERVICES AND EQUIPMENT.- A MULTIDISCIPLINARY TEAM APPROACH TO COORDINATE THE BEST TREATMENT OPTIONS AVAILABLE TO CANCER PATIENTS.- PARTICIPATION IN CANCER CLINICAL TRIALS, EDUCATION AND SUPPORT.- LIFELONG PATIENT FOLLOW-UP THROUGH A CANCER REGISTRY THAT COLLECTS DATA ON TYPE AND STAGE OF CANCERS AND TREATMENT RESULTS.- ONGOING MONITORING AND IMPROVEMENT IN CARE.THE CENTER FOR CANCER CARE IS A LEADER IN INNOVATIVE CANCER TREATMENT. WE WERE AMONG THE FIRST TO ADOPT A COMPREHENSIVE, MULTIDISCIPLINARY APPROACH TO CANCER TREATMENT. WE OFFER HOLISTIC PROGRAMS FOR STRENGTHENING MINDS AS WELL AS BODIES, PLACE A PREMIUM ON FAMILY INVOLVEMENT AND SPIRITUAL NEEDS, AND ENCOURAGE PATIENTS TO PLAY A DECISION-MAKING ROLE IN TREATMENT SELECTION. THE CENTER FOR CANCER CARE HAS SPECIALLY TRAINED SURGICAL ONCOLOGISTS, A BREAST SURGEON, MEDICAL ONCOLOGIST, A RADIATION ONCOLOGIST, NATUROPATHIC PRACTITIONERS AND HIGHLY DISTINGUISHED MAGNET DESIGNATED NURSES.IU HEALTH GOSHEN HOSPITAL IMPROVES THE HEALTH AND WELL-BEING OF ITS COMMUNITIES BY PROVIDING COMMUNITY WELLNESS AND EDUCATION PROGRAMS. THROUGH LOCAL PARTNERSHIPS, THE HOSPITAL IDENTIFIES HEALTH ISSUES AND CREATES PROGRAMS TO ENSURE OUR COMMUNITY IS THE HEALTHIEST PLACE TO LIVE, WORK AND RAISE A FAMILY. THE FIRST OF THESE PROGRAMS COVER CPR, EMS, DIABETES, CHILDBIRTH, FITNESS, NUTRITION, COMMUNITY EDUCATION AND HEALTH SCREENINGS AND ELKHART COUNTY CHILDHOOD OBESITY INITIATIVE. THE CPR CLASS IS FOR ANYONE - PROFESSIONALS OR PRIVATE CITIZENS - WHO WANT TO KNOW HOW TO PERFORM LIFE-SAVING CARDIOPULMONARY RESUSCITATION; FIRST AID CLASSES ARE ALSO OFFERED. EMS TRAINING IS AVAILABLE FOR PERSONS INTERESTED IN BECOMING EMERGENCY MEDICAL TECHNICIANS OR FIREFIGHTERS. THE DIABETES EDUCATION HELPS PEOPLE DELAY THE ONSET AND SLOW THE PROGRESSION OF COMPLICATIONS FROM THIS DISEASE. IT INCLUDES SEMINARS, SUPPORT GROUPS, CONSULTATIONS AND SCREENINGS. CHILDBIRTH EDUCATION PREPARES EXPECTANT MOTHERS AND THEIR FAMILIES DURING THIS SIGNIFICANT TIME IN THEIR LIFE. CLASSES REVIEW MANY ASPECTS OF CHILDBIRTH INCLUDING LABOR REHEARSAL, CESAREAN DELIVERIES, SINGLE-TEEN ISSUES, BREAST FEEDING AND A CLASS JUST FOR SIBLINGS. IN ADDITION TO VARIOUS COMMUNITY WELLNESS AND EDUCATION PROGRAMS, IU HEALTH GOSHEN HOSPITAL PROVIDES A FULL-SERVICE RESOURCE FOR COMPREHENSIVE HEALTH INFORMATION AND ASSISTANCE. NURSE ON CALL (NOC) IS FULL-SERVICE, MULTI-LINGUAL HEALTH INFORMATION, REFERRAL AND NURSE TRIAGE TELEPHONE SERVICE AVAILABLE 24 HOURS A DAY, 7 DAYS WEEK. NOC IS STAFFED BY SPECIALLY TRAINED, KNOWLEDGEABLE AND EXPERIENCED REGISTERED NURSES. THIS FREE SERVICE PROVIDES MEDICAL GUIDANCE WHEN SICK OR INJURED, INFORMATION ON PHYSICIANS IN THE AREA, REFERRALS TO COMMUNITY RESOURCES AND REGISTRATION FOR CLASSES AND EVENTS. ANNUALLY, IU HEALTH GOSHEN HOSPITAL MAKES CONTRIBUTIONS TO WELL-DESERVING ORGANIZATIONS FROM GOSHEN AND THE SURROUNDING COMMUNITIES. THE HOSPITAL SUPPORTS AREA NON-PROFIT AGENCIES THAT SHARES ITS MISSION, VISION AND VALUES THROUGH THE COMMUNITY BENEFIT FUND. THE PROGRAM IS AN EFFORT TO FURTHER THE IMPACT THESE ORGANIZATIONS CAN MAKE AND INCREASE THE NUMBER OF BENEFICIAL PROGRAMS AVAILABLE TO THE COMMUNITY. IN 2011, THE HOSPITAL PROVIDED OVER $329,500 TO 52 ORGANIZATIONS. SINCE ITS INCEPTION IN 1998, THE COMMUNITY BENEFIT FUND HAS GIVEN OVER $1.7 MILLION IN GRANT MONEY. IU HEALTH GOSHEN HOSPITAL PROVIDES HEALTH CARE SERVICES TO ALL MEMBERS OF THE COMMUNITIES REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OFFERS FINANCIAL ASSISTANCE TO THOSE PATIENTS UNABLE TO PAY ALL OR A PORTION OF THEIR BILL AND WHO ARE UNABLE TO QUALIFY FOR ASSISTANCE THROUGH FEDERAL AND STATE GOVERNMENT ASSISTANCE PROGRAMS. PATIENTS ARE ASKED TO COMPLETE A FINANCIAL AID APPLICATION TO DETERMINE THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE HOSPITAL PROVIDES THE ASSISTANCE OF A FINANCIAL ADVOCATE TO HELP PATIENTS COMPLETE THIS APPLICATION AND TO INVESTIGATE OTHER FORMS OF AVAILABLE ASSISTANCE. IN 2011, THE HOSPITAL EXTENDED CHARITY CARE TO OVER 3,924 PATIENTS TOTALING $8.4 MILLION. IU HEALTH GOSHEN HOSPITAL ALSO PARTNERS WITH A LOCAL FINANCIAL INSTITUTION TO PROVIDE A FLEXIBLE AND AFFORDABLE FINANCING SOLUTION FOR A PATIENT'S MEDICAL CARE.IU HEALTH GOSHEN HOSPITAL RECEIVED THE GOLD PERFORMANCE ACHIEVEMENT AWARD BY THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION'S NCDR ACTION REGISTRY (2011) - ONE OF ONLY 167 HOSPITALS NATIONWIDE TO EARN THE DISTINCTION. IU HEALTH GOSHEN HOSPITAL WAS NAMED AMONG "100 BEST PLACES TO WORK IN HEALTHCARE" BY HOSPITAL REVIEW MAGAZINE.IU HEALTH GOSHEN HOSPITAL WAS RECOGNIZED BY THE AMERICAN COLLEGE OF SURGEONS THROUGH THEIR NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM AS ONE OF 26 HOSPITALS ACHIEVING EXEMPLARY PERFORMANCE FOR SURGICAL PATIENT CARE.IU HEALTH GOSHEN HOSPITAL'S IT DEPARTMENT WAS NAMED TO HEALTHCARE IT NEWS' "WHERE TO WORK: BEST HOSPITAL IT DEPARTMENTS" LIST AS ONE OF THE TOP 10 BEST OF MEDIUM-SIZED HOSPITALS.IU HEALTH GOSHEN HOSPITAL WAS NAMED AN ACCREDITED HEART FAILURE INSTITUTE BY THE NATIONAL HEALTHCARE ACCREDITATION COLLOQUIUM.	Description
Total Program Service Expense	164606973	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	114	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1377	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	IN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	DIRECTOR OF FINANCE	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5745352665	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	200 HIGH PARK AVENUE	AddressLine1
City	GOSHEN	City
State	IN	State
ZIP Code	46526	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
JAMES DAGUE
PRESIDENT & CEO	40.00	X	X	1167072	0	24383
LINDA BAXLEY
VICE CHAIRMAN	1.00	X	X	0	0	0
JESSE BERGER
DIRECTOR	1.00	X		0	0	0
RAO BETINA MD
DIRECTOR	1.00	X		0	0	0
DERALD BONTRAGER
CHAIRMAN	1.00	X	X	0	0	0
EDWARD BOYTS MD
DIRECTOR	1.00	X		0	203301	28846
DANIEL BRUETMAN MD
DIRECTOR	1.00	X		0	496762	30314
RANDY CRIPE
DIRECTOR	1.00	X		0	0	0
KEVIN DEARY
DIRECTOR	1.00	X		0	0	0
CHRISTOPHER GRAFF
DIRECTOR	1.00	X		0	0	0
DAVID KORONKIEWICZ DO
DIRECTOR	1.00	X		0	336607	29968
DON OGLE
DIRECTOR	1.00	X		0	0	0
JACKIE PARK
DIRECTOR	1.00	X		0	0	0
KAREN PLETCHER
DIRECTOR	1.00	X		0	0	0
MARTHA SUZIE YEAGER
DIRECTOR	1.00	X		0	0	0
DAN BERGER MD
DIRECTOR	1.00	X		0	165229	17983
AMY FLORIA
CFO	40.00		X	337545	0	26290
RANDY CHRISTOPHEL
EVP & COO	40.00		X	588307	0	30906
ALAN WELDY
VP-LEGAL	40.00		X	420317	0	24479
POOPALASINGHAM POOVENDRAN MD
PHYSICIAN	40.00			565290	0	25315	X
JOSEPH GAGLIARDI
SENIOR VICE PRESIDENT	40.00			436546	0	11519	X
RANDALL CAMMENGA MD
PHYSICIAN, VP OF MEDICAL AFFAIRS	40.00			414191	0	22993	X
MIN YAN MD
PHYSICIAN	40.00			315937	0	17918	X
PAMELA KARSEN
VICE PRESIDENT OF NURSING	40.00			298828	0	12205	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4544033	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1201899	TotalReportableCompFrmRltdOrgs
Total Other Compensation	303119	TotalOtherCompensation
Number Individuals GT100 K	35	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
HEALTH TRAN DBA BENESCRIPT
8300 EAST MAPLEWOOD AVENUE SUITE 1	GREENWOOD VILLAGE	CO	80111	COLLEAGUE DRUG BENEFIT	2075255
GERIG SURGICAL
303 SOUTH MAIN STREET	MISHAWAKA	IN	46544	ON CALL SERVICES	1089484
CUMMINS CROSSPOINT
PO BOX 663811	INDIANAPOLIS	IN	46266	REPAIR SERVICES	588246
GLOBAL PHYSICS SOLUTIONS
PO BOX 809153	CHICAGO	IL	606809153	PHYSICS SERVICES	564000
INDIANA LAKES MANAGED CARE
200 HIGH PARK AVENUE	GOSHEN	IN	46526	ACCESS FEES	361889

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	14	NumberOfContractorsGT100K
All Other Contributions	158830	AllOtherContributions
Total Contributions	158830	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT CARE	Description
Business Code	621110	BusinessCode
Total Revenue Column	200406955	TotalRevenueColumn
Related Or Exempt Function Income	200406955	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	200406955	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5421558	TotalRevenueColumn
Unrelated Business Revenue	1924	UnrelatedBusinessRevenue
Exclusion	$5,419,634	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1086414	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1086414	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1086414	TotalRevenueColumn
Exclusion	$1,086,414	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FOOD SERVICE REVENUE	721000	936850	$936,850
FINANCE CHARGES	561000	217470		217470
OTHER ONCOLOGY REV MIS	621500	190501		190501

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1225142	TotalRevenueColumn
Related Or Exempt Function Income	1225142	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	2569963	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	209643720	TotalRevenueColumn
Related Or Exempt Function Income	202040068	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1924	UnrelatedBusinessRevenue
Exclusion	$7,442,898	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	260500	Total
Program Services	260500	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2513241	Total
Management And General	2513241	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	55804090	Total
Program Services	37906265	ProgramServices
Management And General	17897825	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3931057	Total
Program Services	2555187	ProgramServices
Management And General	1375870	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	10852725	Total
Program Services	7054271	ProgramServices
Management And General	3798454	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3868970	Total
Program Services	2514831	ProgramServices
Management And General	1354139	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1162774	Total
Management And General	1162774	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	282909	Total
Management And General	282909	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	43541	Total
Program Services	43541	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	18234721	Total
Program Services	18234721	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	4371861	Total
Program Services	4371861	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	974462	Total
Program Services	974462	ProgramServices

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1458966	Total
Program Services	1458966	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1381618	Total
Program Services	1381618	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	746455	Total
Program Services	746455	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	2104004	Total
Management And General	2104004	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	8276251	Total
Program Services	8276251	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	10076011	Total
Program Services	10076011	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1441818	Total
Program Services	1441818	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
DRUGS AND MEDICAL SUPPL	37858665	37858665	0	0
BAD DEBT	19379205	19379205	0	0
REPAIRS & MAINTENANCE	5024911	5024911	0	0
EQUIPMENT RENTAL	1976331	1976331

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3071103	Total
Program Services	3071103	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	195096189	Total
Program Services	164606973	ProgramServices
Management And General	30489216	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	6293820	BOY
EOY	12472332	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	16068380	BOY
EOY	11282149	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	25361491	BOY
EOY	27017971	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	523731	BOY
EOY	860326	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5275839	BOY
EOY	4577268	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2730703	BOY
EOY	2555123	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	198144645	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	97659723	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	94018792	BOY
EOY	100484922	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	45879836	BOY
EOY	47774955	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	110922	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	719707	BOY
EOY	675073	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	196983221	BOY
EOY	207700119	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	18463427	BOY
EOY	22615615	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	46386972	BOY
EOY	44970675	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1973010	BOY
EOY	1949881	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	66823409	BOY
EOY	69536171	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	129697959	BOY
EOY	137554991	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	461853	BOY
EOY	608957	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	130159812	BOY
EOY	138163948	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	196983221	BOY
EOY	207700119	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	14547531	ReconcilationRevenueExpenses
Reconcilation Other Changes	-6543395	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	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 D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	2988795	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	3883888	OtherCostOrOtherBasis
Book Value	6872683	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	86919191	OtherCostOrOtherBasis
Depreciation	27620526	Depreciation
Book Value	59298665	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	377005	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	113748	OtherCostOrOtherBasis
Depreciation	152160	Depreciation
Book Value	338593	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	95249793	OtherCostOrOtherBasis
Depreciation	69887037	Depreciation
Book Value	25362756	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8612225	OtherCostOrOtherBasis
Book Value	8612225	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	100484922	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
BOARD DESIGNATED FUNDS	46420047	F
CANCER CENTER INVESTMENT	1354908	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	47774955	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
ASSET RETIREMENT OBLIGATION	$269,410
DEFERRED COMPENSATION	$437,602
DEFERRED MALPRACTICE CLAIMS	$256,460
INTEREST RATE SWAP	$986,409

Field	Value	IRS element (for citing)
Total Of Amounts	1949881	TotalOfAmounts

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3494774	TotalCommunityBenefitExpense
Net Community Benefit Expense	3494774	NetCommunityBenefitExpense
Percent Of Total Expense	0.01990	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15028635	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7109023	DirectOffsettingRevenue
Net Community Benefit Expense	7919612	NetCommunityBenefitExpense
Percent Of Total Expense	0.04510	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18523409	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7109023	DirectOffsettingRevenue
Net Community Benefit Expense	11414386	NetCommunityBenefitExpense
Percent Of Total Expense	0.06500	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	876669	TotalCommunityBenefitExpense
Direct Offsetting Revenue	40185	DirectOffsettingRevenue
Net Community Benefit Expense	836484	NetCommunityBenefitExpense
Percent Of Total Expense	0.00480	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	216267	TotalCommunityBenefitExpense
Direct Offsetting Revenue	450	DirectOffsettingRevenue
Net Community Benefit Expense	215817	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	240171	TotalCommunityBenefitExpense
Net Community Benefit Expense	240171	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	720476	TotalCommunityBenefitExpense
Net Community Benefit Expense	720476	NetCommunityBenefitExpense
Percent Of Total Expense	0.00410	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2053583	TotalCommunityBenefitExpense
Direct Offsetting Revenue	40635	DirectOffsettingRevenue
Net Community Benefit Expense	2012948	NetCommunityBenefitExpense
Percent Of Total Expense	0.01150	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20576992	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7149658	DirectOffsettingRevenue
Net Community Benefit Expense	13427334	NetCommunityBenefitExpense
Percent Of Total Expense	0.07650	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	53613	TotalCommunityBuildingExpense
Net Community Building Expense	53613	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	3434	TotalCommunityBuildingExpense
Direct Offsetting Revenue	170	DirectOffsettingRevenue
Net Community Building Expense	3264	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	4018	TotalCommunityBuildingExpense
Net Community Building Expense	4018	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	4428	TotalCommunityBuildingExpense
Net Community Building Expense	4428	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	782	TotalCommunityBuildingExpense
Net Community Building Expense	782	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	67437	TotalCommunityBuildingExpense
Net Community Building Expense	67437	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	133712	TotalCommunityBuildingExpense
Direct Offsetting Revenue	170	DirectOffsettingRevenue
Net Community Building Expense	133542	NetCommunityBuildingExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$6,432,793	BadDebtExpenseAmount
Amount Attributable To	1260077	AmountAttributableTo
Amount Reimbursed By Medicare	38621221	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	46686196	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-8064975	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	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
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	IU HEALTH GOSHEN HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	200 HIGH PARK AVENUE	AddressLine1
City	GOSHEN	City
State	IN	State
ZIP Code	46526	ZIPCode

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	IU HEALTH GOSHEN HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Other Factors	X	OtherFactors
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Lowest Negotiated Rates	X	LowestNegotiatedRates
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	4	NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
NEW PARIS MEDICAL CLINIC
2018 SOUTH MAIN STREET	GOSHEN	IN	46526	CLINIC
INDIANA LAKES MANAGED CARE
2018 SOUTH MAIN STREET	GOSHEN	IN	46526	HEALTH CARE MANAGEMENT
THE RETREAT WOMEN'S HEALTH CENTER
1135 PROFESSIONAL DRIVE	GOSHEN	IN	46526	CLINIC
IU HEALTH GOSHEN
200 HIGH PARK AVENUE	GOSHEN	IN	46526	CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, L7 COL(F): A COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO DETERMINE COSTS FOR LINES A THROUGH C REPORTED IN THE TABLE.
PART III, LINE 4: A DETAILED COLLECTION POLICY IS FOLLOWED. BAD DEBT COSTS ARE BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED COLLECTIONS TAKING INTO CONSIDERATION BUSINESS AND ECONOMIC CONDITIONS. THESE ALLOWANCES ARE PERIODICALLY REVIEWED FOR ACCURACY AND IF ANY FURTHER ACTIONS ARE REQUIRED. THE FOLLOWING NARRATIVE ADDRESSES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHICH IS INCLUDED IN THE FOOTNOTES IN THE FINANCIAL STATEMENTS FOR IU HEALTH: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTIONINDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON ESTIMATED COLLECTIONS BY PAYOR CATEGORY AND AGING. THE RESULTS OF THESE ESTIMATES ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN ADDITION, THE SYSTEM HAS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES.
PART III, LINE 8: ACTUAL MONTH TO DATE AND YEAR TO DATE REVENUES, CONTRACTUALS, REVENUE AND ACCOUNTS RECEIVABLE RELATED RATIOS, AND REVENUE RELATED STATISTICS (DAYS, DISCHARGES, ETC.) ARE COMPARED TO BUDGET AND PRIOR YEAR AMOUNTS ON A MONTHLY BASIS BY CFO OF IU HEALTH GOSHEN HOSPITAL DEPARTMENT HEADS AND FINANCIAL REPRESENTATIVES. ADDITIONALLY, ACTUAL CONTRACTUAL ALLOWANCE AS A PERCENTAGE OF GROSS ACCOUNTS RECEIVABLE AND CONTRACTUAL PROVISION AS A PERCENTAGE OF GROSS PATIENT CHARGES COMPARED TO BUDGETED AND PRIOR YEAR AMOUNTS ARE MONITORED. THIS IS DONE AS PART OF THE HOSPITAL'S MONTHLY CLOSE PROCESS. EXPLANATIONS TO VARIANCES (OR NON-VARIANCES WHEN EXPECTED) ARE RESEARCHED AND PROVIDED BY THE APPROPRIATE PERSONNEL AND REVIEWED WITH MANAGEMENT OF THE HOSPITAL. THE FINANCE DEPARTMENT ALSO CONSIDERS THESE KEY PERFORMANCE INDICATORS WHEN DEVELOPING THEIR ESTIMATES OF CONTRACTUAL ALLOWANCES TO ENSURE RECORDED AMOUNTS APPEAR REASONABLE BASED ON ACTUAL DATA AVAILABLE.FINANCIAL REPRESENTATIVES PREPARE AND UPDATE THE CONTRACTUAL ALLOWANCE MODEL A MINIMUM OF THREE TIMES THROUGHOUT THE YEAR AS A BASIS FOR ALL THIRD PARTY PAYORS BASED ON ACTUAL STATISTICS (E.G. DISCHARGES, DAYS, ETC.) AND ON CURRENT REIMBURSEMENT RATES. THE MODEL ANALYZES PATIENT RECEIVABLES AND CONTRACTUAL ALLOWANCE BY PAYOR AND BY PATIENT STATUS. THE MODEL ESTIMATES THE COLLECTABILITY OF PATIENT ACCOUNTS BASED ON HISTORICAL COLLECTION RATES. FINANCE COLLEAGUES ALSO UPDATE THE MODEL TO ACCOUNT FOR CHANGES IN REIMBURSEMENT RULES. AFTER THE MODEL IS PREPARED, IT IS REVIEWED BY THE CHIEF FINANCIAL OFFICER FOR APPROPRIATENESS AND REASONABLENESS.CONTRACTUAL ALLOWANCE CALCULATIONS ARE RECONCILED TO THE GENERAL LEDGER ON A MONTHLY BASIS. ONCE THE CALCULATION IS PREPARED, THE FINANCE DEPARTMENT ADJUSTS THE GENERAL LEDGER ACCOUNTS.
PART III, LINE 9B: FINANCIAL ASSISTANCE IS GRANTED TO THOSE PATIENTS UNABLE TO PAY ALL OR A PORTION OF THEIR BILL AND WHO ARE UNABLE TO QUALIFY FOR ASSISTANCE THROUGH FEDERAL AND STATE GOVERNMENT ASSISTANCE PROGRAMS. IF AFTER INSURANCE REIMBURSEMENT ADDITIONAL ASSISTANCE IS NEEDED, ALL PATIENTS MAY OBTAIN FINANCIAL ASSISTANCE IF THE INCOME CRITERIA ARE MET. ALL FINANCIAL ASSISTANCE APPLICATIONS ARE BASED ON POLICY GUIDELINES. UNINSURED PATIENTS ARE REQUIRED TO PROVIDE DOCUMENTATION AND AN APPLICATION. WHEN APPROVED, THE ADJUSTMENT IS APPLIED TO THE PATIENT'S ACCOUNT. FOR PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE OF FINANCIAL ASSISTANCE, PAYMENT PLANS AND LUMP SUM SETTLEMENTS ARE AVAILABLE. IU HEALTH GOSHEN HOSPITAL ALSO PARTNERS WITH A LOCAL FINANCING INSTITUTION TO PROVIDE A FLEXIBLE AND AFFORDING FINANCING SOLUTION.
PART V, SECTION B, LINE 11H: FAMILY SIZE IS ANOTHER FACTOR IN DETERMINING AMOUNTS CHARGED TO PATIENTS.	IU HEALTH GOSHEN HOSPITAL
PART VI, LINE 2: AS A COMMUNITY HOSPITAL, IU HEALTH GOSHEN HOSPITAL IS DEDICATED TO MEETING THE SPECIFIC HEALTH CARE NEEDS OF OUR COMMUNITY. THE HOSPITAL HAS 123 PATIENT BEDS AND OVER 146 PHYSICIANS ON ITS MEDICAL STAFF IN NEARLY 33 SPECIALTIES. THESE PHYSICIANS, TOGETHER WITH OTHER DEDICATED PROFESSIONALS, PROVIDE A WIDE RANGE OF SERVICES INCLUDING THE FOLLOWING: ACUTE MEDICAL & SURGICAL, EMERGENCY, HOME HEALTH, RADIOLOGY, LABORATORY, CANCER CARE, BARIATRICS, WOMEN'S HEALTH, PAIN MANAGEMENT, SLEEP STUDIES, REHABILITATION, PATIENT AND COMMUNITY HEALTH EDUCATION AND PROFESSIONAL EDUCATION.THE CENTER FOR CANCER CARE IS A LEADER IN INNOVATIVE CANCER TREATMENT. WE WERE AMONG THE FIRST TO ADOPT A COMPREHENSIVE, MULTIDISCIPLINARY APPROACH TO CANCER TREATMENT. WE OFFER HOLISTIC PROGRAMS FOR STRENGTHENING MINDS AS WELL AS BODIES, PLACE A PREMIUM ON FAMILY INVOLVEMENT AND SPIRITUAL NEEDS, AND ENCOURAGE PATIENTS TO PLAY A DECISION-MAKING ROLE IN TREATMENT SELECTION. THE CENTER FOR CANCER CARE HAS SPECIALLY TRAINED SURGICAL ONCOLOGISTS, A BREAST SURGEON, MEDICAL ONCOLOGISTS, A RADIATION ONCOLOGIST, NATUROPATHIC PRACTITIONERS AND HIGHLY DISTINGUISHED MAGNET DESIGNATED NURSES.IU HEALTH GOSHEN HOSPITAL IMPROVES THE HEALTH AND WELL-BEING OF ITS COMMUNITIES BY PROVIDING COMMUNITY WELLNESS AND EDUCATION PROGRAMS. THROUGH LOCAL PARTNERSHIPS, THE HOSPITAL IDENTIFIES HEALTH ISSUES AND CREATES PROGRAMS TO ENSURE OUR COMMUNITY IS THE HEALTHIEST PLACE TO LIVE, WORK AND RAISE A FAMILY. THE FIRST OF THESE PROGRAMS COVER CPR, EMS, DIABETES, CHILDBIRTH, FITNESS, NUTRITION, COMMUNITY EDUCATION AND HEALTH SCREENINGS AND ELKHART COUNTY CHILDHOOD OBESITY INITIATIVE. THE CPR CLASS IS FOR ANYONE - PROFESSIONALS OR PRIVATE CITIZENS - WHO WANT TO KNOW HOW TO PERFORM LIFE-SAVING CARDIOPULMONARY RESUSCITATION; FIRST AID CLASSES ARE ALSO OFFERED. EMS TRAINING IS AVAILABLE FOR PERSONS INTERESTED IN BECOMING EMERGENCY MEDICAL TECHNICIANS OR FIREFIGHTERS. THE DIABETES EDUCATION HELPS PEOPLE DELAY THE ONSET AND SLOW THE PROGRESSION OF COMPLICATIONS FROM THIS DISEASE. IT INCLUDES SEMINARS, SUPPORT GROUPS, CONSULTATIONS AND SCREENINGS. CHILDBIRTH EDUCATION PREPARES EXPECTANT MOTHERS AND THEIR FAMILIES DURING THIS SIGNIFICANT TIME IN THEIR LIFE. CLASSES REVIEW MANY ASPECTS OF CHILDBIRTH INCLUDING LABOR REHEARSAL, CESAREAN DELIVERIES, SINGLE-TEEN ISSUES, BREAST FEEDING AND A CLASS JUST FOR SIBLINGS. IN ADDITION TO VARIOUS COMMUNITY WELLNESS AND EDUCATION PROGRAMS, IU HEALTH GOSHEN HOSPITAL PROVIDES A FULL-SERVICE RESOURCE FOR COMPREHENSIVE HEALTH INFORMATION AND ASSISTANCE. NURSE ON CALL (NOC) IS FULL-SERVICE, MULTI-LINGUAL HEALTH INFORMATION, REFERRAL AND NURSE TRIAGE TELEPHONE SERVICE AVAILABLE 24 HOURS A DAY, 7 DAYS WEEK. NOC IS STAFFED BY SPECIALLY TRAINED, KNOWLEDGEABLE AND EXPERIENCED REGISTERED NURSES. THIS FREE SERVICE PROVIDES MEDICAL GUIDANCE WHEN SICK OR INJURED, INFORMATION ON PHYSICIANS IN THE AREA, REFERRALS TO COMMUNITY RESOURCES AND REGISTRATION FOR CLASSES AND EVENTS.
PART VI, LINE 3: UNINSURED PATIENTS ARE SCREENED DURING THE PRE-REGISTRATION PROCESS FOR ELIGIBILITY IN THE HEALTHY INDIANA PLAN AND FOR ANY OTHER KNOWN SOURCES OF FINANCIAL ASSISTANCE. ALL REGISTRATION LOCATIONS HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE AND WILL HAVE INFORMATION ON THE CRITERIA AND PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE. APPLICATIONS ARE ALSO PROVIDED TO ANY PATIENTS WITH A BALANCE DUE WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE. COUNSELORS ARE AVAILABLE TO PATIENTS TO AID IN THE APPLICATION PROCESS INCLUDING THE COLLECTION OF INFORMATION TO COMPLETE THE APPLICATION. PAYMENT OPTIONS AND INFORMATION ON FINANCIAL ASSISTANCE IS AVAILABLE ON THE HOSPITAL'S WEBSITE. PATIENTS MAY DOWNLOAD A PRELIMINARY APPLICATION, AND THE PATIENT AGREEMENT ASSOCIATED WITH FINANCIAL ASSISTANCE FROM THE WEBSITE. THIS INFORMATION IS AVAILABLE IN ENGLISH AND SPANISH.
PART VI, LINE 4: IU HEALTH GOSHEN HOSPITAL SERVES THE NORTHERN INDIANA AREA IN ELKHART COUNTY. ACCORDING TO THE 2011 CENSUS, THE POPULATION OF ELKHART COUNTY IS 200,561. THE MEDIAN INCOME FOR A HOUSEHOLD IN ELKHART COUNTY BASED ON THE 2011 CENSUS IS $34,863 AND THE MEDIAN INCOME FOR A FAMILY IS $51,100. APPROXIMATELY 9.6% OF FAMILIES AND 13.0% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 21.8% OF THOSE UNDER THE AGE 18 AND 6.5% OF THOSE AGE 65 AND OVER. THE RACIAL MAKEUP OF THE COUNTY WAS ABOUT 76.9% WHITE, 6.0% AFRICAN AMERICAN, AND 17.1% OTHER RACES. 3.4% OF THE POPULATION IS HISPANIC OR LATINO OR ANY RACE.
PART VI, LINE 5: ALL OF THE HOSPITAL'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. A MAJORITY OF THE BOARD MEMBERS ARE INDEPENDENT OF THE ORGANIZATION. THE GOVERNING BODY APPROVES MEDICAL STAFF PRIVILEGES AS INDICATED IN THE ORGANIZATION'S CREDENTIALING AND PRIVILEGING POLICIES AND AS RECOMMENDED BY THE MEDICAL EXECUTIVE COMMITTEE OF THE HOSPITAL. THE HOSPITAL'S GOVERNING BODY APPROVES THE ANNUAL OPERATING BUDGET FOR THE HOSPITAL AND THE EXPENDITURE OF CAPITAL FUNDS ABOVE CERTAIN DOLLAR AMOUNTS. THE GOVERNING BODY ALSO PARTICIPATES IN STRATEGIC PLANNING INITIATIVES TO DETERMINE GOALS OBJECTIVES FOCUSED ON PATIENT CARE FOR THE COMMUNITY.
PART VI, LINE 6: HOSPITAL MANAGEMENT PROVIDES IU HEALTH WITH THE HOSPITAL'S ANNUAL OPERATING BUDGET AND KEY STRATEGIC OBJECTIVES. IN ADDITION, THE HOSPITAL MANAGEMENT PROVIDES IU HEALTH WITH VARIOUS KEY METRICS INVOLVING PATIENT SATISFACTION, PATIENT QUALITY AND COLLEAGUE SATISFACTION. IU HEALTH REVIEWS THE DATA TO ENSURE KEY INITIATIVES ARE FOCUSED TOWARDS THE PROMOTING AND MEETING THE HEALTHCARE NEEDS OF THE COMMUNITIES. IN ADDITION, THE HOSPITAL COLLABORATES WITH IU HEALTH TO PROVIDE NECESSARY NURSING EDUCATION AND PHYSICIAN RECRUITMENT TO ASSIST IN MEETING THE HEALTH NEEDS OF THE COMMUNITY.
IN	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (26 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
AMIGO CENTRE
26455 BANKER	STURGIS	MI	49091	351103269	501(C)(3)	15000	OUTDOOR ENVIRONMENTAL EDUCATION PROGRAM EXPENSES
AMISH YOUTH VISION PROJECT
PO BOX 191	TOPEKA	IN	46571	260865808	501(C)(3)	6000	YOUTH DRUG AND ALCOHOL ABUSE PREVENTION PROGRAM EXPENSES
BASHOR CHILDREN'S HOME
PO BOX 843	GOSHEN	IN	46527	350933555	501(C)(3)	10000	PART TIME ASSISTANCE
BIG BROTHERS BIG SISTERS OF ELKHART COUNTY
59029 CR 13	ELKHART	IN	46517	351272588	501(C)(3)	6000	SPONSORSHIP EXPENSES
BOYS & GIRLS CLUB OF GREATER GOSHEN INC
PO BOX 614	GOSHEN	IN	46527	351033735	501(C)(3)	20000	SPORTS, PLAY & ACTIVE RECREATION FOR KIDS INITIATIVE
CAPS - CHILD AND PARENT SERVICES
1000 W HIVELY	ELKHART	IN	46517	350888765	501(C)(3)	5000	BABY THINK IT OVER PROGRAM
CARE FOUNDATION
1505 S MAIN	GOSHEN	IN	46526	352111562	501(C)(3)	20000	CARE HOUSE EXPENSES
CENTER FOR COMMUNITY JUSTICE
121 S THIRD ST	GOSHEN	IN	46526	351620204	501(C)(3)	5000	WAGES AND PERSONNEL BENEFITS
CENTER FOR HEALING AND HOPE
PO BOX 195	GOSHEN	IN	46527	020560511	501(C)(3)	10000	DIABETES PREVENTION PROJECT EXPENSES
COMMUNITY DENTAL CLINIC
7750 W 200 S	TOPEKA	IN	46571	352068053	501(C)(3)	6000	DENTAL CARE EXPENSES
COUNCIL ON AGING OF ELKHART COUNTY INC
2555 OAKLAND	GOSHEN	IN	46517	510178910	501(C)(3)	10000	RESOURCE LIBRARY AND ADVOCACY CENTER EXPENSES
ELKHART COUNTY CHAPTER OF THE AMERICAN RED CROSS
721 RIVERVIEW	ELKHART	IN	46516	350909968	501(C)(3)	12000	BASIC AID TRAINING PROGRAM EXPENSES
ELKHART COUNTY HEALTH DEPARTMENT - HEALTHY BEGINNINGS DIVISION
1400 HUDSON	ELKHART	IN	46516	356000142	GOV'T ENTITY	7000	PAYMENTS FOR SALARIES
FAMILY CHRISTIAN DEVELOPMENT CENTER
PO BOX 227	NAPPANEE	IN	46550	351979463	501(C)(3)	5000	MEDICINE ASSISTANCE PROGRAM EXPENSES
FAMILY SERVICES OF ELKHART COUNTY INC
101 E HIVELY	ELKHART	IN	46517	350868079	501(C)(3)	7500	MENTAL HEALTH SERVICES
GOSHEN COLLEGE RECREATION CENTER
1700 S MAIN	GOSHEN	IN	46526	352158366	501(C)(3)	5000	OPERATING EXPENSES
GOSHEN COLLEGE DEPARTMENT OF NURSING
1700 S MAIN	GOSHEN	IN	46526	352158366	501(C)(3)	10000	PAYMENTS FOR SCHOLARSHIPS
GOSHEN HIGH SCHOOL
ONE REDSKIN	GOSHEN	IN	46526	356002423	501(C)(3)	10000	SCHOOL-BASED CHILD CARE EXPENSES
HABITAT FOR HUMANITY OF ELKHART COUNTY
PO BOX 950	GOSHEN	IN	46526	351685313	501(C)(3)	5000	GREEN BUILDING COSTS
HISPANICLATINO HEALTH COALITION OF ELKHART CO
323 STOCKER	ELKHART	IN	46516	320039221	501(C)(3)	10000	HEALTH FAIR EXPENSES
LACASA INC
202 N COTTAGE	GOSHEN	IN	46528	351554538	501(C)(3)	20000	VIOLENCE AGAINST WOMEN ACT AND VISA IMMIGRATION DOCUMENT PREP EXPENSES
MAPLE CITY HEALTH CARE CENTER
213 MIDDLEBURY	GOSHEN	IN	46528	351749398	501(C)(3)	20000	HEALTHCARE EXPENSES
MDC GOLDENROD
1514 COLLEGE	GOSHEN	IN	46526	311205424	501(C)(3)	6000	MERIMNA HOMES EXPENSES
THE SOURCE
2600 OAKLAND	ELKHART	IN	46517	351070041	501(C)(3)	10000	SOURCE PROGRAM EXPENSES
THE WINDOW
223 S MAIN	GOSHEN	IN	46526	351155054	501(C)(3)	5000	NUTRIONAL MEAL EXPENSES
UNITED CANCER SERVICES OF ELKHART COUNTY INC
23971 US HWY 33	ELKHART	IN	46517	351091429	501(C)(3)	15000	UCS PROGRAMS' EXPENSES

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	26	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Explanation	PART I, LINE 2: THE ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. CONSISTS OF REQUIRING THE COMPLETION OF A FOLLOW-UP REPORT FORM WITH THE SUBSEQUENT GRANT FUND APPLICATIONS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

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
JAMES DAGUE
544190	0	203000	0	419882	0	0	0	24383	0	1191455	0	0	0
EDWARD BOYTS MD
0	148088	0	55213	0	0	0	0	0	28846	0	232147	0	0
DANIEL BRUETMAN MD
0	451150	0	45612	0	0	0	0	0	30314	0	527076	0	0
DAVID KORONKIEWICZ DO
0	335532	0	1075	0	0	0	0	0	29968	0	366575	0	0
DAN BERGER MD
0	98971	0	66258	0	0	0	0	0	17983	0	183212	0	0
AMY FLORIA
249500	0	74520	0	13525	0	0	0	26290	0	363835	0	0	0
RANDY CHRISTOPHEL
352897	0	103959	0	131451	0	0	0	30906	0	619213	0	0	0
ALAN WELDY
311384	0	96420	0	12513	0	0	0	24479	0	444796	0	0	0
POOPALASINGHAM POOVENDRAN MD
549809	0	15481	0	0	0	0	0	25315	0	590605	0	0	0
JOSEPH GAGLIARDI
297597	0	119953	0	18996	0	0	0	11519	0	448065	0	0	0
RANDALL CAMMENGA MD
298278	0	95773	0	20140	0	0	0	22993	0	437184	0	0	0
MIN YAN MD
304939	0	75	0	10923	0	0	0	17918	0	333855	0	0	0
PAMELA KARSEN
207310	0	83346	0	8172	0	0	0	12205	0	311033	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINE 1A

TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IU HEALTH GOSHEN HOSPITAL GROSSED UP THE TAXABLE VALUE OF AUTOMOBILES FOR 4 OF THE OFFICERS LISTED IN FORM 990, PART VII AND INCLUDED THE AMOUNT IN THE EMPLOYEES' W-2 AS ADDITIONAL COMPENSATION. HEALTH OR SOCIAL CLUB DUES IU HEALTH GOSHEN HOSPITAL PAID FOR COUNTRY CLUB DUES FOR 7 OF THE OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES LISTED IN FORM 990, PART VII. ALL REIMBURSEMENTS ARE CONSIDERED TAXABLE INCOME TO THE EMPLOYEES.

PART I, LINE 4B

THE FOLLOWING INDIVIDUALS RECEIVED CONTRIBUTIONS TO A NON-QUALIFIED DEFERRED COMPENSATION PLAN: RANDY CHRISTOPHEL - 27,838 JAMES DAGUE - 103,389 AMY FLORIA - 20,071 ALAN WELDY - 24,685 RANDY CAMMENGA - 24,765 PAMELA KARSEN - 16,401

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING OFFICERS, BOARD MEMBERS, AND KEY EMPLOYEES ARE EMPLOYEES OF IU HEALTH GOSHEN OR ITS RELATED ORGANIZATIONS, AND SERVE ON OTHER RELATED IU HEALTH GOSHEN BOARDS: JAMES DAGUE EDWARD BOYTS, MD AMY FLORIA RANDY CHRISTOPHEL ALAN WELDY DAVID KORONKIEWICZ, DO
FORM 990, PART VI, SECTION A, LINE 6	IU HEALTH GOSHEN IS THE SOLE MEMBER OF IU HEALTH GOSHEN HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	IU HEALTH GOSHEN AS THE SOLE MEMBER OF IU HEALTH GOSHEN HOSPITAL HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B	ITEMS THAT REQUIRE APPROVAL OF IU HEALTH GOSHEN INCLUDE ANY AMENDMENT OF THE OPERATING AGREEMENT, DISSOLUTION OF THE ORGANIZATION OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS AND THE AUDIT COMMITTEE IN OCTOBER FOR REVIEW AND QUESTIONS BEFORE THE RETURN IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	EACH BOARD MEMBER COMPLETES AN ANNUAL DISCLOSURE OF KNOWN OR POTENTIAL CONFLICTS. THE DISCLOSURE ARE REVIEWED BY THE VP-LEGAL. ADDITIONALLY WHEN AGENDA ITEMS ARE DISCUSSED AT MEETINGS IT IS ASKED IF THERE ARE ANY KNOWN OR POTENTIAL CONFLICTS OF INTEREST, AND CONFLICTED PARTIES MUST RECUSE THEMSELVES.
FORM 990, PART VI, SECTION B, LINE 15	AN INDEPENDENT COMMITTEE APPROVES THE COMPENSATION WHICH IS DETERMINED TO BE REASONABLE BASED UPON INDEPENDENT COMPARABILITY DATA PROVIDED BY AN INDEPENDENT CONSULTANT. APPROVAL OF AMOUNTS ARE DOCUMENTED IN THE MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	IU HEALTH GOSHEN HOSPITAL WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VII:	EDWARD BOYTS, MD - 40 HOURS DANIEL BRUETMAN, MD - 40 HOURS DAVID KORONKIEWICZ, DO - 40 HOURS DAN BERGER, MD - 40 HOURS	AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS:
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -6,702,104. EQUITY TRANSFERS 332,662. INTEREST RATE SWAP -173,953. TOTAL TO FORM 990, PART XI, LINE 5: -6,543,395.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	NAPPANEE CLINIC LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	200 HIGH PARK AVENUE	AddressLine1
City	GOSHEN	City
State	IN	State
ZIP Code	46526	ZIPCode

Field	Value	IRS element (for citing)
EIN	201068334	EIN
Primary Activities	HEALTHCARE	PrimaryActivities
Legal Domicile State	IN	LegalDomicileState
Total Income	0	TotalIncome
EOY Assets	0	EOYAssets
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (35 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	Direct Controlling Entity NADirectControllingEntityNA
BALL MEMORIAL HOSPITAL AUXILIARY INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	356025400	HEALTHCARE	IN	501(C)(3)	11 III-FI	IUHBMH	1
CLARIAN TRANSPLANT INSTITUTE INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	134350599	HEALTHCARE	IN	501(C)(3)	9	IUH	1
GOSHEN HEALTH SYSTEM INC
200 HIGH PARK AVE	GOSHEN	IN	46526	351974765	HEALTHCARE	IN	501(C)(3)	11 I	IUH	1
HEALTHLINC INC
714 S ROGERS ST	BLOOMINGTON	IN	47402	263571507	HEALTHCARE	IN	501(C)(3)	9	IUHB	1
INDIANA RADIOLOGY PARTNERS INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	201017034	HEALTHCARE	IN	501(C)(3)	3	IUH	1
INDIANA UNIVERSITY HEALTH INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	351955872	HEALTHCARE	IN	501(C)(3)	3		0	N/A
IU HEALTH ARNETT FOUNDATION INC
2600 GREENBUSH ST	LAFAYETTE	IN	47904	356079797	FUNDRAISING	IN	501(C)(3)	11 I	IUHA	1
IU HEALTH ARNETT INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	263162145	HEALTHCARE	IN	501(C)(3)	3	IUH	1
IU HEALTH BALL MEMORIAL HOSPITAL INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	350867958	HEALTHCARE	IN	501(C)(3)	3	IUH	1
IU HEALTH BALL MEMORIAL PHYSICIANS INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	351925641	HEALTHCARE	IN	501(C)(3)	9	IUHBMH	1
IU HEALTH BEDFORD INC
2900 W 16TH ST	BEDFORD	IN	47421	237042323	HEALTHCARE	IN	501(C)(3)	3	IUH	1
IU HEALTH BLACKFORD HOSPITAL INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	010646166	HEALTHCARE	IN	501(C)(3)	3	IUHBMH	1
IU HEALTH BLOOMINGTON INC
PO BOX 1149	BLOOMINGTON	IN	47403	351720796	HEALTHCARE	IN	501(C)(3)	3	IUH	1
IU HEALTH BMH FOUNDATION INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	311111784	FUNDRAISING	IN	501(C)(3)	11 I	IUHBMH	1
IU HEALTH CARE ASSOCIATES INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	351747218	HEALTHCARE	IN	501(C)(3)	9	IUH	1
IU HEALTH LAPORTE HOSPITAL INC
PO BOX 250	LAPORTE	IN	46352	351125434	HEALTHCARE	IN	501(C)(3)	3	IUH	1
IU HEALTH LAPORTE PHYSICIANS INC
PO BOX 250	LAPORTE	IN	46352	311070868	HEALTHCARE	IN	501(C)(3)	3	IUHLH	1
IU HEALTH MORGAN HOSPITAL INC
2209 JOHN R WOODEN DR	MARTINSVILLE	IN	46151	273533027	HEALTHCARE	IN	501(C)(3)	3	IUH	1
IU HEALTH NORTH HOSPITAL INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	351932442	HEALTHCARE	IN	501(C)(3)	3	IUH	1
IU HEALTH PAOLI HOSP FOUNDATION INC
PO BOX 499	PAOLI	IN	47454	310992486	FUNDRAISING	IN	501(C)(3)	11 III-O	IUHP	1
IU HEALTH PAOLI INC
PO BOX 499	PAOLI	IN	47454	352090919	HEALTHCARE	IN	501(C)(3)	3	IUHB	1
IU HEALTH TIPTON HOSPITAL INC
1000 S MAIN ST	TIPTON	IN	46072	262772226	HEALTHCARE	IN	501(C)(3)	3	IUH	1
IU HEALTH WEST HOSPITAL INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	351814660	HEALTHCARE	IN	501(C)(3)	3	IUH	1
IU HEALTH WHITE MEMORIAL HOSPITAL INC
720 S SIXTH ST	MONTICELLO	IN	47960	273532963	HEALTHCARE	IN	501(C)(3)	3	IUH	1
IU MEDICAL GROUP FOUNDATION INC
340 W 10TH ST NO FS5100	INDIANAPOLIS	IN	46202	201093251	FUNDRAISING	IN	501(C)(3)	11 II		0	N/A
METHODIST HEALTH FOUNDATION INC
1800 N CAPITOL AVE	INDIANAPOLIS	IN	46202	356043086	FUNDRAISING	IN	501(C)(3)	11 I	IUH	1
METHODIST HEALTH GROUP INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	350876390	HEALTHCARE	IN	501(C)(3)	11 III-FI		0	N/A
METHODIST MEDICAL GROUP INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	351945384	HEALTHCARE	IN	501(C)(3)	3	IUH	1
METHODIST OCCUP HEALTH CENTERS INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	351844176	HEALTHCARE	IN	501(C)(3)	3	IUH	1
METHODIST RESEARCH INSTITUTE INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	352023710	HEALTHCARE	IN	501(C)(3)	11 I	IUH	1
MH HEALTHCARE INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	351766531	HEALTHCARE	IN	501(C)(3)	3	MMG	1
MORGAN CO MEM HOSP FOUNDATION INC
2209 JOHN R WOODEN DR	MARTINSVILLE	IN	46151	352035162	FUNDRAISING	IN	501(C)(3)	11 II	IUHMH	1
MORGAN CO MEM HOSP GUILD INC
2209 JOHN R WOODEN DR	MARTINSVILLE	IN	46151	310886844	FUNDRAISING	IN	501(C)(3)	11 III-FI	IUHMH	1
MORGAN HEALTH SERVICES INC
1949 HOSPITAL DR	MARTINSVILLE	IN	46151	351968564	HEALTHCARE	IN	501(C)(3)	3	IUHMH	1
WHITE CO MEM HOSP FOUNDATION INC
PO BOX 952	MONTICELLO	IN	47960	351671806	FUNDRAISING	IN	501(C)(3)	11 III-O	IUHWMH	1

Form990 Schedule R Part III Form990ScheduleRPartIII (26 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
BALL OUTPATIENT SUR CTR LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	270275794	HEALTHCARE	IN	N/A
BELTWAY SURGERY CENTERS LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	352072586	HEALTHCARE	IN	N/A
BLOOMINGTON ENDOSCOPY CENTERS LLC
PO BOX 1149	BLOOMINGTON	IN	47402	352117943	HEALTHCARE	IN	N/A
BMH OUTPATIENT SURGERY SERVICES LLC
2401 W UNIVERSITY AVE	MUNCIE	IN	47303	204567998	HEALTHCARE	IN	N/A
BOSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	454147343	HEALTHCARE	IN	N/A
CARDINAL HEALTH INITIATIVES LLC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	300102702	PURCHASING	IN	N/A
CHV FUND I LLC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	262523206	VENTURE CAPITAL	IN	N/A
CHV FUND MANAGEMENT LLC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	262523151	VENTURE CAPITAL	IN	N/A
CLARIAN HEALTH NETWORK LLC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	352055030	HEALTHCARE	IN	N/A
CLARIAN HEALTH NORTH LLC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	431980602	HEALTHCARE	IN	N/A
CLARIAN HEALTH WEST LLC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	431980611	HEALTHCARE	IN	N/A
CTF INTERNATIONAL GROWTH PORTFOLIO
280 CONGRESS ST STE 500	BOSTON	MA	02210	200231923	INVESTMENTS	MA	N/A
EAGLE HIGH SURG CENTER LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	352259204	HEALTHCARE	IN	N/A
EHSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	454147879	HEALTHCARE	IN	N/A
HEALTH VENTURE MANAGEMENT LLC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	205740218	MANAGEMENT	IN	N/A
IEC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	454148032	HEALTHCARE	IN	N/A
INDIANA ENDOSCOPY CENTERS LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	208398421	HEALTHCARE	IN	N/A
INDIANA LAKES MANAGED CARE ORG LLC
200 HIGH PARK AVENUE	GOSHEN	IN	46526	351946663	HEALTHCARE	IN		GGH	RELATED	-7094	0	0
IUH SURGERY CENTERS LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	452314634	HEALTHCARE	IN	N/A
MID-AMERICA SURGERY CENTER LLC
2401 W UNIVERSITY AVE	MUNCIE	IN	47303	352002953	HEALTHCARE	IN	N/A
NEW PARIS CLINIC LLC
2018 SOUTH MAIN STREET	GOSHEN	IN	46526	352075244	HEALTHCARE	IN	N/A		RELATED	12095	0	0	175310	0.50000
ROC SURGERY LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	271497960	HEALTHCARE	IN	N/A
ROCS HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	454148369	HEALTHCARE	IN	N/A
SENATE STREET SURGERY CENTER LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	421709357	HEALTHCARE	IN	N/A
SSSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	454148167	HEALTHCARE	IN	N/A
THE HEALTHCARE GROUP LLC
1776 MERIDIAN ST STE 300	INDIANAPOLIS	IN	46202	352067373	MANAGED CARE	IN	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
BMH MEDICAL PAVILION ASSOCIATION INC
2525 W UNIVERSITY AVE	MUNCIE	IN	47303	351858408	CONDO MANAGEMENT	IN	N/A	C
CARDINAL HEALTH VENTURES INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	351611424	MANAGEMENT	IN	N/A	C
CHV CAPITAL INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	260752507	VENTURE CAPITAL	IN	N/A	C
IU HEALTH ACO INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	454421020	HEALTHCARE	IN	N/A	C
IU HEALTH BOARD DESIGNATED TRUST
400 HOWARD ST	SAN FRANCISCO	CA	94105	306309021	INVESTMENTS	IN	N/A	T
IU HEALTH NTGI S&P500 FUND CF
PO BOX 804358	CHICAGO	IL	60680	306298263	INVESTMENTS	IN	N/A	T
IU HEALTH PLANS INC
1776 MERIDIAN ST STE 300	INDIANAPOLIS	IN	46202	262127080	HMO	IN	N/A	C
IU HEALTH RISK PURCHASING GROUP INC
151 MEETING ST STE 301	CHARLESTON	SC	29401	260202446	INSURANCE	IN	N/A	C
IU HEALTH RISK RETENTION GROUP INC
151 MEETING ST STE 301	CHARLESTON	SC	29401	201107674	INSURANCE	SC	N/A	C
IU HEALTH SOUTHERN IN PHYSICIANS INC
PO BOX 1149	BLOOMINGTON	IN	47402	351913875	HEALTHCARE	IN	N/A	C
IUH ASSURANCE LTD
				980395429	INSURANCE		N/A	C	720 W BAY RD PO BOX 69	GRAND CAYMAN	CJ	CJ
OCC-HEALTH REVENUE SYSTEMS INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	203308057	WORK COMP PPO	IN	N/A	C
PARKMOR DRUG INC
200 HIGH PARK AVE	GOSHEN	IN	46526	351394980	HEALTHCARE	IN		C					GHS	394657	2860291	1.00000
PILR INC
200 HIGH PARK AVE	GOSHEN	IN	46526	204294750	DEVELOPMENT	IN	N/A	C
RADIATION ONCOLOGY RESOURCES INC
200 HIGH PARK AVE	GOSHEN	IN	46526	262008424	HEALTHCARE	IN		C					GHS	-226345	293909	1.00000
SCANS INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	453080392	HEALTHCARE	IN	N/A	C
UNIVERSITY HEALTH MANAGEMENT INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	272891143	MANAGEMENT	IN	N/A	C
UNIVERSITY HEALTH MGMT (CHINA) INC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	273891311	MANAGEMENT	IN	N/A	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
GOSHEN HEALTH SYSTEM INC
N	10483707	FMV
GOSHEN HEALTH SYSTEM INC
Q	8276251	FMV
GOSHEN HEALTH SYSTEM INC
R	9712331	FMV