ELKHART GENERAL HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ELKHART GENERAL HOSPITAL INC (EIN 35-0877574)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-11
- IRS object ID
- 201113159349300106
- Schema version
- 2010v3.4
- 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 J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-11T09:09:52-00:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Elkhart General Hospital Inc | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | 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) |
|---|---|---|
| Name Control | ELKH | NameControl |
| Phone | 5745233208 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 East Blvd | AddressLine1 |
| City | Elkhart | City |
| State | IN | State |
| ZIP Code | 46514 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Gregory Lintjer President | Name |
| Title | Kevin Higdon VP of Finance | Title |
| Phone | 5745233208 | Phone |
| Date Signed | 2011-11-08 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kevin Higdon | Name |
| Phone | 5745233208 | Phone |
| Date Prepared | 2011-11-10 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Gregory Lintjer President and CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 East Blvd | AddressLine1 |
| City | Elkhart | City |
| State | IN | State |
| ZIP Code | 46514 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 334583712 | 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, not just what they can afford. In 2010, Elkhart General provided $30 million in community benefit. 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, not just what they can afford. In 2010, Elkhart General provided 30 million in community benefit. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2421 | TotalNbrEmployees |
| Total Nbr Volunteers | 19 | TotalNbrVolunteers |
| Total Gross UBI | 1416814 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -124352 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 189180 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 103273 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 263367257 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 258542709 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5072512 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4521669 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3382106 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2991267 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 272011055 | TotalRevenuePriorYear |
| Total Revenue Current Year | 266158918 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 127951174 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 119711865 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 138865192 | OtherExpensePriorYear |
| Other Expenses Current Year | 138580864 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 266816366 | TotalExpensesPriorYear |
| Total Expenses Current Year | 258292729 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5194689 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 7866189 | RevenuesLessExpensesCY |
| Total Assets BOY | 385353010 | TotalAssetsBOY |
| Total Assets EOY | 412102223 | TotalAssetsEOY |
| Total Liabilities BOY | 145512479 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 142914170 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 239840531 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 269188053 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | See Schedule O for Elkhart General Hospitals Mission Statement. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 249355200 | Expense |
| Revenue | 251336133 | Revenue |
| Description | For over 100 years, Elkhart General Hospital has been providing comprehensive, advanced medical care to Elkhart and surrounding communities. Each year, particular emphasis is placed on making sure everyone in the community receives the health care they need, not necessarily what they can afford. The simple truth is that Elkhart General is often the only source of health care for many of the poor and disadvantaged in our community, and this responsibility is taken very seriously. During 2010, Elkhart General provided more than 19 million in health services that were unreimbursed by Medicaid, and more than 22 million unreimbursed by Medicare. In addition, the Hospital provided community outreach contributions, or nonbilled services, valued at over 1.4 million for free and below-cost commmunity screenings, educational lectures, and support for more than 50 health-related, not-for-profit organizations. The Hospital also furnished more than 4 million in traditional charity care and over 4 million in uninsured discounts to patients. | Description |
| Total Program Service Expense | 249355200 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| 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 | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | false | FinancialStmtAttached |
| Grants To Organizations | false | 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 | true | 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 | 198 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 2421 | NumberOfEmployees |
| 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 | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | 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 | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | 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 | Kevin Higdon Vice President of Fina | NamePerson |
| Telephone Number | 5745233208 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 East Blvd | AddressLine1 |
| City | Elkhart | City |
| State | IN | State |
| ZIP Code | 46514 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Donald Anderson | ||||||||
| Volunteer Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Scott Troeger | ||||||||
| Volunteer Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Pam Hluchota | ||||||||
| Volunteer Board Member | 001.00 | X | 0 | 0 | 0 | |||
| L Craig Fulmer | ||||||||
| Volunteer Board Member, partial year | 001.00 | X | 0 | 0 | 0 | |||
| James Hiatt | ||||||||
| Volunteer Board Member, partial year | 001.00 | X | 0 | 0 | 0 | |||
| Wilbur Bontrager | ||||||||
| Volunteer Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Ron Fenech | ||||||||
| Volunteer Board Member, Secretary | 001.00 | X | 0 | 0 | 0 | X | ||
| Walter Halloran M D | ||||||||
| Volunteer Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Glenn Killoren | ||||||||
| Volunteer Board Member, Vice Chairman of the Board | 001.00 | X | 0 | 0 | 0 | X | ||
| Mark Klaassen M D | ||||||||
| Volunteeer Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Don Krabill | ||||||||
| Volunteer Board Member, Chairman of the Board | 001.00 | X | 0 | 0 | 0 | X | ||
| Todd Martin | ||||||||
| Volunteer Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Linda Rothrock-Jurus | ||||||||
| Volunteer Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Frank Smole | ||||||||
| Volunteer Board Member | 001.00 | X | 0 | 0 | 0 | |||
| David Van Ryn M D | ||||||||
| Volunteer Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Scott Welch | ||||||||
| Volunteer Board Member, partial year | 001.00 | X | 0 | 0 | 0 | |||
| Dan Morrison | ||||||||
| Volunteer Board Member, Treasurer | 001.00 | X | 0 | 0 | 0 | X | ||
| John K Martin | ||||||||
| Volunteer Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Matthew Pletcher | ||||||||
| Volunteer Board Member | 001.00 | X | 0 | 0 | 0 | |||
| Gregory Lintjer | ||||||||
| President | 050.00 | X | 764422 | 0 | 1001617 | X | ||
| Kevin Higdon | ||||||||
| VP of Finance | 050.00 | 297795 | 0 | 134819 | X | |||
| Gregory Losasso | ||||||||
| VP of Operations | 050.00 | 284018 | 0 | 108348 | X | |||
| Kurt Meyer | ||||||||
| VP of Human Resources | 050.00 | 227424 | 0 | 109934 | X | |||
| Danielle Dyer | ||||||||
| VP of Strategic Planning | 050.00 | 202881 | 0 | 79319 | X | |||
| Burton Boron | ||||||||
| Physician | 050.00 | 636234 | 0 | 73573 | X | |||
| Jeff Howe | ||||||||
| Physician | 050.00 | 525625 | 0 | 52009 | X | |||
| Douglas Jarvis | ||||||||
| Physician | 050.00 | 299556 | 0 | 41163 | X | |||
| Majid Malik | ||||||||
| Physician | 050.00 | 293684 | 0 | 33764 | X | |||
| Laura Munkel | ||||||||
| Physician | 050.00 | 277572 | 0 | 56268 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3809211 | TotalReportableCompFromOrg |
| Total Other Compensation | 1690814 | TotalOtherCompensation |
| Number Individuals GT100 K | 66 | NumberIndividualsGT100K |
| Formers Listed | false | 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 Inc | |||||
| 530 North Lafayette Blvd | South Bend | IN | 46601 | Lab Services | 12216775 |
| Caretech Solutions Inc | |||||
| 901 Wilshire | Troy | MI | 48084 | IT Services and Support | 3651074 |
| Northern Indiana Anesthesia Services PC | |||||
| 600 East Blvd | Elkhart | IN | 46514 | Anesthesia Services | 3810299 |
| McKesson HBOC | |||||
| 4884 Windward Parkway | Alpharetta | GA | 30005 | IT Services and IS and IT | 2860608 |
| Elkhart Clinic | |||||
| 303 South Nappanee Street | Elkhart | IN | 46514 | Medical Services | 1304242 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 45 | NumberOfContractorsGT100K |
| Related Organizations | 71760 | RelatedOrganizations |
| Government Grants | 16700 | GovernmentGrants |
| All Other Contributions | 14813 | AllOtherContributions |
| Total Contributions | 103273 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Business CodeBusinessCode | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Patient Service Revenue | 250689568 | 250689568 | |||
| Home Medical Equipment | 2462480 | 446199 | 1069007 | $1,393,473 | |
| Laundry Services | 298674 | 812300 | 298674 | ||
| Outpatient Pharmacy | 3043293 | 446110 | 41850 | $3,001,443 | |
| Physician Billing and other Services | 2048694 | 2048694 | 621990 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 258542709 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6670089 | TotalRevenueColumn |
| Exclusion | $6,670,089 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1555602 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 732060 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 823542 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 823542 | TotalRevenueColumn |
| Exclusion | $823,542 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 63774611 | Securities |
| Other | 1769703 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 66299238 | Securities |
| Other | 1393496 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -2524627 | Securities |
| Other | 376207 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2148420 | TotalRevenueColumn |
| Exclusion | -$2,148,420 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Joint Venture Activities | 621400 | 665589 | 658306 | 7283 | |
| Nutritional Services | 722210 | 1502136 | $1,502,136 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2167725 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 266158918 | TotalRevenueColumn |
| Related Or Exempt Function Income | 253396568 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1416814 | UnrelatedBusinessRevenue |
| Exclusion | $11,242,263 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 3210577 | Total |
| Management And General | 3210577 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22503 | Total |
| Program Services | 22503 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88835541 | Total |
| Program Services | 86465718 | ProgramServices |
| Management And General | 2369823 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6633793 | Total |
| Program Services | 6235766 | ProgramServices |
| Management And General | 398027 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14731458 | Total |
| Program Services | 13847427 | ProgramServices |
| Management And General | 884031 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6277993 | Total |
| Program Services | 5901313 | ProgramServices |
| Management And General | 376680 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 302862 | Total |
| Program Services | 43239 | ProgramServices |
| Management And General | 259623 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100800 | Total |
| Management And General | 100800 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26480726 | Total |
| Program Services | 25780828 | ProgramServices |
| Management And General | 699898 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2021526 | Total |
| Program Services | 2021526 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2533990 | Total |
| Program Services | 2477499 | ProgramServices |
| Management And General | 56491 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8432462 | Total |
| Program Services | 8239614 | ProgramServices |
| Management And General | 192848 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 529387 | Total |
| Program Services | 489075 | ProgramServices |
| Management And General | 40312 | 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 | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2147402 | Total |
| Program Services | 2147402 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17303118 | Total |
| Program Services | 17214376 | ProgramServices |
| Management And General | 88742 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1871807 | Total |
| Program Services | 1858705 | ProgramServices |
| Management And General | 13102 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debt | 16300685 | 16300685 | |
| Patient Supplies, Drugs, Implantables, etc. | 49700585 | 49700585 | |
| Repairs and Maintenance | 3674394 | 3673705 | 689 |
| Utilities | 3453745 | 3450379 | 3366 |
| Food | 990327 | 957477 | 32850 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2737048 | Total |
| Program Services | 2527378 | ProgramServices |
| Management And General | 209670 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 258292729 | Total |
| Program Services | 249355200 | ProgramServices |
| Management And General | 8937529 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14845519 | BOY |
| EOY | 8897071 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20082732 | BOY |
| EOY | 21877462 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43339219 | BOY |
| EOY | 53017982 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 404884 | BOY |
| EOY | 463393 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6285036 | BOY |
| EOY | 5502740 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7249275 | BOY |
| EOY | 8168805 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 295859426 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 156624735 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 149017745 | BOY |
| EOY | 139234691 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 141692434 | BOY |
| EOY | 170431045 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2436166 | BOY |
| EOY | 4509034 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 385353010 | BOY |
| EOY | 412102223 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24111704 | BOY |
| EOY | 25763610 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88555000 | BOY |
| EOY | 86555000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32845775 | BOY |
| EOY | 30595560 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145512479 | BOY |
| EOY | 142914170 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 235320421 | BOY |
| EOY | 264170632 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4120110 | BOY |
| EOY | 4617421 | 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 | 239840531 | BOY |
| EOY | 269188053 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 385353010 | BOY |
| EOY | 412102223 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 7866189 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 21481333 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Public Support Pertcentage170 | 0.00000 | PublicSupportPertcentage170 |
| Public Support Percentage509 | 0.00000 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
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) |
|---|---|---|
| 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 | $5,664 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 5664 | TotalLobbyingExpendituresIIB |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | II-B | Identifier |
| Return Reference | 1i | ReturnReference |
| Explanation | Indiana Hospital Association IHA Annual Dues x 5.45 IHA determined to be attributable to lobbying as defined by federal law. IHA deemed as lobbying and not Elkhart General Hospital directly. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Included On FS | false | IncludedOnFS |
Current Year CurrentYear
| 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 Minus1 Year CurrentYearMinus1Year
| 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 Minus2 Years CurrentYearMinus2Years
| 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 | 0.92000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.08000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4860330 | OtherCostOrOtherBasis |
| Book Value | 4860330 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 170717680 | OtherCostOrOtherBasis |
| Depreciation | 73488898 | Depreciation |
| Book Value | 97228782 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1524031 | OtherCostOrOtherBasis |
| Depreciation | 787525 | Depreciation |
| Book Value | 736506 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 114290654 | OtherCostOrOtherBasis |
| Depreciation | 82348312 | Depreciation |
| Book Value | 31942342 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4466731 | OtherCostOrOtherBasis |
| Book Value | 4466731 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 139234691 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Accrued Pension Liabilities | $24,000,972 |
| Other Liabilities | $5,716,511 |
| Accrued interest | $878,077 |
| Capital lease obligations |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 30595560 | TotalOfAmounts |
| Total Revenue | 266158918 | TotalRevenue |
| Total Expenses | 258292729 | TotalExpenses |
| Excess Or Deficit For Year | 7866189 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 18008924 | NetUnrealizedGLOnInvestments |
| Other | $3,472,408 | OtherAmount |
| Total Adjustments | 21481332 | TotalAdjustments |
| Excess Or Deficit Per FS | 29347521 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 285076050 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 18008924 | NetUnrealizedGainsInvestments |
| Other Revenues | 4204468 | OtherRevenues |
| Revenue Not Rptd F990 | 22213392 | RevenueNotRptdF990 |
| Revenue Subtotal | 262862658 | RevenueSubtotal |
| Investment Expenses Not Included | 888362 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 2407898 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 3296260 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 266158918 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 255728529 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 732060 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 732060 | ExpensesNotRptdF990 |
| Expenses Subtotal | 254996469 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 888362 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 2407898 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 3296260 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 258292729 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| XI | 8 | Minimum Pension Liability Adjustment of 3,372,238 and Joint Venture book to tax adjustment of 100,170. |
| XII | 2d | Joint Venture book to tax adjustment of 100,170 |
| XII | 2d | Minimum Pension Liability Adjustment of 3,372,238. |
| XII | 2d | Rental expenses of 732,060 |
| XII | 4b | Interest Expense of 2,147,402. |
| XII | 4b | Loan writeoffs, other, miscellaneous costs of 260,496 |
| XIII | 4b | Interest Expense of 2,147,402. |
| XIII | 4b | Loan writeoffs, other, miscellaneous expense 260,496 |
| XIII | 2d | Rental expenses of 732,060 |
| X | 2 | US GAAP requires that a tax position is recognized as a benefit only if it is more likely than not that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50 likely of being realized on examination . For tax positions not meeting the more likely than not test, no tax benefit is recorded. Due to its tax-exempt status, the Hospital is not subject to US |
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 | false | FPGReferenceFreeCare |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4878 | PersonsServed |
| Total Community Benefit Expense | 4402089 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4402089 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01700 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 33371927 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13999226 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19372701 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07500 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4878 | PersonsServed |
| Total Community Benefit Expense | 37774016 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13999226 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 23774790 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09200 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1002950 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1002950 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00390 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 34 | NumberOfActivitiesOrPrograms |
| Persons Served | 101 | PersonsServed |
| Total Community Benefit Expense | 193992 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 193992 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5204989 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 285932 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4919057 | NetCommunityBenefitExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 203726 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 203726 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 34 | NumberOfActivitiesOrPrograms |
| Persons Served | 101 | PersonsServed |
| Total Community Benefit Expense | 6605657 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 285932 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6319725 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00550 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 34 | NumberOfActivitiesOrPrograms |
| Persons Served | 4979 | PersonsServed |
| Total Community Benefit Expense | 44379673 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14285158 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 30094515 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09750 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $6,550,154 | BadDebtExpenseAmount |
| Amount Attributable To | 3275077 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 86390183 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 108674525 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -22284342 | 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 | false | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership |
|---|---|---|---|
| RiverPointe Surgery Center LLC | |||
| Surgeries | 0.40000 | 0.60000 | |
| Wakarusa Medical Clinic LLC | |||
| Medical Clinic Building | 0.41780 | 0.58220 | |
| Community Occupational Medicine LLC | |||
| Occupational Medicine | 0.26390 | 0.63420 | 0.10190 |
| RiverPointe Cardiovascular Laboratory LLC | |||
| Cardiovascular Procedures | 0.50000 | 0.50000 | |
| WaNee Walk In Clinic LLC | |||
| 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) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (18 entries)
| Hospital Facility NumberHospitalFacilityNumber |
|---|
| Elkhart General Home Care |
| 1 |
| Elkhart General Home Medical Equipment |
| 2 |
| Family Practice Associates |
| 3 |
| For Women Only |
| 4 |
| Center for Behavioral Management |
| 5 |
| Wakarusa Medical Clinic |
| 6 |
| Family Medicine Center |
| 7 |
| Bristol Family Practice |
| 8 |
| Osceola Clinic |
| 9 |
| Nappanee Family Medical Clinic |
| 10 |
| Center for Family Practice |
| 11 |
| Bittersweet Medical Associates |
| 12 |
| Edwardsburg Family Medicine |
| 13 |
| EGH Health Education Center |
| 14 |
| RiverPointe Ambulatory Surgery Center |
| 15 |
| RiverPoint Cardiovascular Laboratory LLC |
| 16 |
| Community Occupational Medicine |
| 17 |
| WaNee Walk In Clinic LLC |
| 18 |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 18 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (18 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Elkhart General Home Care | ||||
| 2020 Industrial Parkway | Elkhart | IN | 46516 | 0 |
| Elkhart General Home Medical Equipment | ||||
| 225 East Jackson Blvd | Elkhart | IN | 46516 | Home Health Care Provider |
| Family Practice Associates | ||||
| 3301 County Road 6 East | Elkhart | IN | 46514 | Durable Medical Equipment Store |
| For Women Only | ||||
| 1215 Lawn Avenue Suite 100 | Elkhart | IN | 46514 | Owned Physician Practice |
| Center for Behavioral Management | ||||
| 1506 Osolo Road Suite A | Elkhart | IN | 46514 | Owned Physician Practice |
| Wakarusa Medical Clinic | ||||
| 207 North Elkhart Street | Wakarusa | IN | 46573 | Owned Physician Practice |
| Family Medicine Center | ||||
| 2120 Reith Blvd | Goshen | IN | 46526 | Owned Physician Practice |
| Bristol Family Practice | ||||
| 306 East Vistula | Bristol | IN | 46507 | Owned Physician Practice |
| Osceola Clinic | ||||
| 5314 Lincolnway East | Mishawaka | IN | 46544 | Owned Physician Practice |
| Nappanee Family Medical Clinic | ||||
| 357 Nappanee Street | Nappanee | IN | 46550 | Owned Physician Practice |
| Center for Family Practice | ||||
| 1753 Fulton Street | Elkhart | IN | 46514 | Owned Physician Practice |
| Bittersweet Medical Associates | ||||
| 12340 Bittersweet Commons Blvd | Granger | IN | 46530 | Owned Physician Practice |
| Edwardsburg Family Medicine | ||||
| 27082 West Main Street | Edwardsburg | MI | 49112 | Owned Physician Practice |
| EGH Health Education Center | ||||
| 2220 Reith Blvd | Goshen | IN | 46526 | Owned Physician Practice |
| RiverPointe Ambulatory Surgery Center | ||||
| 500 Arcade Ave | Elkhart | IN | 46514 | Health Education Center |
| RiverPoint Cardiovascular Laboratory LLC | ||||
| 500 Arcade Ave | Elkhart | IN | 46514 | Surgery Center Joint Venture |
| Community Occupational Medicine | ||||
| 22818 Old US 20 | Elkhart | IN | 46516 | Cardiovascular Lab Joint Venture |
| WaNee Walk In Clinic LLC | ||||
| 1208 A East Waterford Street | Wakarusa | IN | 46573 | Occupational Health Clinic Joint Venture |
Form990 Schedule H Part VI Form990ScheduleHPartVI (27 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part I line 3c | The hospital does not specifically use FPG to determine eligibility for financial assistance. The hospital uses both an asset test and an income/expense test to determine eligibility for financial assistance, either in whole or in part. The asset test consists of the patient or responsible party reporting assets that might be used to make payment to reduce or eliminate the financial obligation to the hospital. Typical household assets are never requested to be liquidated. |
| Part I line 3c | Assets of a significant, extraordinary nature such as stocks, bonds, retirement savings, other savings, second homes, etc, which are not needed or required to provide normal, ongoing living expenses for the household are excess. These assets may be requested to be liquidated and used toward payment of the financial obligation of the hospital. |
| Part I line 3c | An income/expense test is also used to determine a patients or a responsible partys ability to pay based upon current monthly net income. The responsible party is requested to provide information about household income and household expenses. Only expenses in excess of a reasonable norm would not be considered when compared with monthly net or spendable income. In order to deny financial assistance, ones net income must significantly exceed ones reasonable expenses. |
| Part I line 3c | Additionally, while the actual charity care did not exceed budget, charity care will not be denied should charity care exceed budgetary levels. |
| Part I line 6a | Elkhart General Hospital, Inc. prepares a Community Benefit Report annually, both for the State of Indiana and for the Annual Report, which is posted at www.egh.org. |
| Part I line 7g | Physician Clinics are a vital piece of the inpatient mission of the hospital, and correspondingly contribute to charity care and community benefit just as the hospital itself does. |
| Part I line 7 column f | No portion of bad debt expense is being included in line 7. |
| Part I line 7 | Hospital-wide cost to charge ratio is used when the activity is not isolated within a single department. |
| Part III line 4 | Bad debt expense is not footnoted within the audited financial statement. Also, bad debt expense is not classified as community benefit. Provision for bad debt expense of 16,300,686 is recorded as an expense at gross, within the expense classification of the Statement of Operations. After applying the cost to charge ratio, bad debt expense at cost would be 6,550,154. It is estimated that half of the bad debt expense cases would actually qualify for charity care, had the patient gone |
| Part III line 4 | through the process, but it is not currently classified at all as charity care. |
| Part III line 8 | The hospital consistently uses the Hospital-wide cost to charge ratio to determine cost overall. Simply stated, the calculation divides the operating costs less the bad debt expense by the gross revenue. While we believe the Medicare shortfall is a benefit to the community and reduces the government burden, none of the Medicare shortfall is being recorded as community benefit. |
| Part III line 9b | Patients who are known to qualify for charity care or financial assistance are immediately eliminated from the hospitals collection protocols. Thus, they are no longer subject to hospital collection practices. |
| Part VI Line 2 | In 2010, Elkhart General Hospital embarked on a new community health needs assessment CHNA. Hospital representatives worked with other public health representatives to secure participation of a broad base of partners in implementing the assessment. More than 40 representatives were involved in the CHNA. One of the initial tasks was to conduct a healthcare provider survey, which netted 283 responses. From the survey, the healthcare CHNA partners worked on ranking priorities and deciding |
| Part VI Line 2 | on next steps to address the communitys health needs. Elkhart General will use plans developed by the partners to guide the 2011 community outreach activities and help improve healthcare access and affordability. Additionally, Elkhart General conducts annual market projections by diseases for our primary and secondary service areas. Indiana hospital use rates are applied to the local population to achieve these projections. Unemployment and uninsured statistics are obtained from the |
| Part VI Line 2 | 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. |
| Part VI Line 3 | The hospital provides four 4 full time equivalents FTEs to counsel patients without insurance regarding their ability to qualify for the State of Indiana Medicaid programs. In addition, billing statements sent to all patients address the concern of financial hardship and what a patient can do to make the hospital aware of any financial hardship that they may be incurring. Our billing statements also provide patient information about their first steps to obtain financial assistance. |
| Part VI Line 3 | Additionally, a patient financial services brochure, available during the intake process, describes our financial assistance policy and what steps can be taken if the patient experiences a financial hardship. Patients are also made aware of financial assistance program via telephone conversation with our Patient Accounts staff. Staff is particularly sensitive to address this program with anyone who indicates that there might be a financial need. |
| Part VI Line 4 | Elkhart County is considered to be Elkhart General Hospitals primary service area. According to the US Census Bureau, currently Elkhart County has a population of 197,559 with a median household income of 43,531. 11.5 are age 65 and over. 77.2 of the population is white, non-Hispanic 14.1 is Hispanic 5.7 is black. 21.3 of the adults over the age of 25 have less than a high school education. 14.4 of the community is below poverty level. In December 2010, Elkhart Countys |
| Part VI Line 4 | unemployment rate was 12.3. |
| Part VI Line 5 | Elkhart General Hospitals goal is to create a healthier community by seeking out and partnering with organizations that share our mission. We strive to promote the health and well being of individuals and families by providing education that may aid in detection and prevention of disease, while also assisting these families in finding the non health-related services needed to keep their families and our community strong. In 2010, Elkhart General Hosptial partnered with many organizations |
| Part VI Line 5 | including the low-income Elkhart Community School System to offer support for the Elkhart County Childhood Obesity Initiative ECCOI to identify preventative measures and ways to reduce obesity among the countys children, over 40 of whom are currently obese or at risk for obesity, the Peers Educating and Encouraging Relationship Skills PEERS Project, and the K-6th grade Mentoring Program Heart City Health Center to provide free pap tests to uninsured women the Minority and Latino Health |
| Part VI Line 5 | Coalitions to educate the community about diversity, working together to create healthier families, and creating common goals to build stronger neighborhoods the Back2School Elkhart Program to provide groceries, shoes, school supplies, back packs, and free health screenings and education to Title 1 School Systems over 6,000 people attended this event in 2010 the Elkhart County Health Department to analyze Perinatal Periods of Risk PPOR data to eventually reduce perinatal death rates in |
| Part VI Line 5 | Elkhart County and the Elkhart Chamber of Commerce Leadership Programs to offer education to the underserved Hispanic population served as a patient advocate through the Medications Assistance Program MAP to assist over 600 community members in acquiring free or discounted medications partnered with YMCA to help educate more than 1,000 children and their families about nutrition offered support to local clinics who serve the under-insured and uninsured populations provided a large number |
| Part VI Line 5 | of free health screenings to community members including pap, prostate, cancer, cholesterol, bone density, blood glucose, and PAD screenings and sponsored multiple health fairs at local schools, churches, and other public organizations. Elkhart General Hospitals governing body is comprised of persons who reside in Elkhart County. The 17 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 |
| Part VI Line 5 | serves. The Boards 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 extends medical staff privileges to all qualified physicians in our community. |
| Part VI Line 6 | n/a |
| Part VI Line 7 | IN |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | 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 | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|---|---|
| Gregory Lintjer | ||||||
| 528063 | 210992 | 25367 | 986418 | 15199 | 1766039 | 135745 |
| Kevin Higdon | ||||||
| 251836 | 43747 | 2212 | 115377 | 19442 | 432614 | |
| Gregory Losasso | ||||||
| 227615 | 55934 | 469 | 92456 | 15892 | 392366 | 23583 |
| Kurt Meyer | ||||||
| 198667 | 20935 | 7822 | 94828 | 15106 | 337358 | |
| Danielle Dyer | ||||||
| 158237 | 44449 | 195 | 65835 | 13484 | 282200 | 22581 |
| Burton Boron | ||||||
| 397197 | 239037 | 60705 | 12868 | 709807 | 171065 | |
| Jeff Howe | ||||||
| 446767 | 78858 | 35212 | 16797 | 577634 | 35300 | |
| Douglas Jarvis | ||||||
| 234330 | 45796 | 19430 | 26831 | 14332 | 340719 | 8458 |
| Majid Malik | ||||||
| 261318 | 22778 | 9588 | 16848 | 16916 | 327448 | |
| Laura Munkel | ||||||
| 250835 | 25898 | 839 | 40852 | 15416 | 333840 | 16358 |
Form990 Schedule J Part III Form990ScheduleJPartIII (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| I | 1a | Health or social dues are taxable and added to the appropriate W-2. For Gregory Lintjer, President, dues were paid to YMCA and Rotary. These are correctly shown in Column Biii for Mr. Lintjer. |
| I | 4b | Deferred benefits under defined benefit Supplemental Employee Retirement Plan SERP expense at 501,532 for Gregory Lintjer, President. The SERP benefits are included in Schedule J, Column C and will not be paid out until after Mr. Lintjer retires. SERP is part of the overall retirement plan. Deferred benefits under the defined benefit Restoration Plan Expense, which is included in Schedule J, Column C for the following employees Gregory Lintjer, 170,998 Kurt Meyer, 4,738 and Kevin Higdon, 6,293. Consistent with the above SERP, the Restoration Plan payouts would be part of the retirement plan package received after the retirement of the employee. |
| II | TAXABLE WAGES reported to the Federal and State governments on the employee W-2 is broken down into segments in columns Bi, Bii, Biii. The summation of these three columns agrees to the respective employees W-2 for 2010. Column Bi BASE COMPENSATION represents payment for a typical work week, and includes regular pay, vacation pay, holiday pay, and the employees contribution into EGHs 403b retirement plan. | |
| II | Column Bii BONUS AND INCENTIVE COMPENSATION includes payments received in the current year upon being vested in the capital accumulation plan. The capital accumulation plan had funds put aside in a previous year and recorded as deferred. When each management employee becomes vested in their respective amount, those funds shift from being deferred to being received. The bonus column also includes bonuses paid out in the current year based upon achieved goals. | |
| II | COLUMN Biii OTHER COMPENSATION includes premiums on supplemental life insurance for benefits exceeding 50,000. For Mr. Lintjer, Biii also includes a car allowance and club dues. | |
| II | Column C RETIREMENT AND OTHER DEFERRED COMPENSATION represents compensation deferred until a defined future date or until retirement. Included in column C are retirement benefits such as actuarially calculated increases in the SERP, Restoration, and hospital pension retirement plans. Examples of compensation deferred to a future date are capital accumulation funds set aside, or the current year earned bonuses that will be paid out in the following year. | |
| II | Column C DEFERRED COMPENSATION funds often appear to overstate the overall benefit package, as they appear in the deferred compensation column one year, and in the W-2 Compensation in a future year. | |
| II | Column D NON-TAXABLE BENEFITS column includes both employee and employer payments for standard benefits such as medical, dental and life insurance, etc. | |
| II | Column E TOTAL OF ALL COLUMNS is simply an addition of the taxable wages, deferred compensation, future retirement benefits accrued in current year and nontaxable benefits. This does not represent the total compensation the employee actually received during the year. | |
| II | Column F COMPENSATION REPORTED ON PRIOR FORM 990 reflects taxable current year earnings which were reported in a previous year as deferred. This includes such programs as annual bonus accruals accrued in one year and paid in the following year and capital accumulation funds put aside in one year and received by the employee, if vested, in a future year. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
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 | 287468EM0 | CUSIPNumber |
| Date Issued | 2008-12-09 | DateIssued |
| Issue Price | 47800000 | IssuePrice |
| Description Of Purpose | Refund 2003 Series Bonds, which were used for capital expenditures. | 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) |
|---|---|---|
| Amount Retired | 1485000 | AmountRetired |
| Total Proceeds | 47800000 | TotalProceeds |
| Issuance Costs From Proceeds | 478471 | IssuanceCostsFromProceeds |
| Credit Enhancement | 33988 | CreditEnhancement |
| Working Capital Expenditures | 87541 | WorkingCapitalExpenditures |
| Capital Expenditures | 47200000 | CapitalExpenditures |
| 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) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | true | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | true | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.01900 | PrcntgePrvtBusinessUseByOthers |
| Total Private Business Use | 0.01900 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | true | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | true | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Patricia Killoren | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Wife of G. Killoren, Volunteer Board Member | Relationship |
| Amount Of Transaction | 22503 | AmountOfTransaction |
| Description Of Transaction | Compensation as nurse | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990 Part VI | 2 | Scott Troeger Glenn Killoren Business Relationship |
| Form 990 Part VI | 2 | John Martin Todd Martin Family Relationship |
| Form 990 Part VI | 2 | Dan Morrison Craig Fulmer Family Relationship |
| Form 990 Part VI | 11b | Elkhart General Hospital accounting staff prepared Form 990 and an independent CPA firm reviewed the return. Accounting staff then presented the return to the Vice President of Finance and the President of the Hospital for their review. Prior to filing, the President made the entire Form 990 available for review by all board members. The form will be presented to the full board at a regularly scheduled meeting. |
| Form 990 Part XI | 5 | Unrealized gain of 18,008,924 plus joint venture book to tax adjustment of 100,171 plus Minimum Pension Liability Adjustment of 3,372,238 |
| Form 990 Part VI | 12c | The Hospital has a conflict of interest policy to protect the Hospitals interest when it is contemplating entering into a transaction or arrangement in which an Officer, Director, or Key Employee of the Hospital is financially interested. Annually, board members and key employees complete and sign a conflict of interest questionnaire. In connection with any actual or possible conflilcts of interest, an interested person must disclose the existence and nature of his or her financial interest to the directors and the members of board committees considering the proposed transaction or arrangement. After disclosure, the interested person shall leave the Board or Committee meeting while the financial interest is being voted upon. The remaining Board or Committee members shall decide if a conflict of interest exists. If the Board or Committee has |
| Form 990 Part VI | 12c | continued.... reasonable cause to believe that a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an explanation. |
| Form 990 Part VI | 15ab | The full Board has delegated responsibility for the review and determination of executive compensation to the Executive Committee of the Board. Prior to making any salary or benefit changes for the Chief Executive Officer CEO, the Committee obtains and relies upon comparative hospital compensation and benefits data provided by an independent compensation firm. The Committee, excluding the CEO, considers the independent data in conjunction with the job performance of the CEO. Compensation and/or benefit changes are approved by the Committee and duly documented in the Committee meeting minutes. Changes to Vice Presidents salaries are also reviewed and approved by the Executive Committee of the Board. Every other year, the Committee authorizes Human Resources to engage an independent compensation firm to conduct a complete review of the compensation and benefits structure for senior |
| Form 990 Part VI | 15ab | continued... leadership. The CEO considers the independent data in conjunction with job performance to evaluate and then recommend salary changes to the Committee. |
| Form 990 Part III | 1 | MIssion To create a healthier community by being a premier provider of healthcare Promoting the health and well being of individuals and families by providing education that may aid in detection and prevention of disease conducting our activities with compassion and respect acting with recognition that health is 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Elkhart General Hospital Foundation | ||||||||||
| 600 East Blvd | Elkhart | IN | 46514 | 356061200 | Charitable support | IN | 501c 3 | Type II | N/A | false |
| Elkhart General Hospital Auxiliary | ||||||||||
| 600 East Blvd | Elkhart | IN | 46514 | 350938148 | Volunteer support | IN | 501c 3 | Type I | N/A | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (4 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 | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RiverPointe Cardiovascular Laboratory LLC | |||||||||||||
| 500 Arcade Avenue Suite 410 | Elkhart | IN | 46514 | 352042178 | Cardiovascular lab | IN | Not applicable | Related | -17880 | 40783 | false | false | 0.50000 |
| Wakarusa Medical Clinic LLC | |||||||||||||
| PO Box 501 | Nappanee | IN | 46550 | 200273243 | Building Lessor | IN | Not applicable | Related | 48107 | 406961 | false | false | 0.41780 |
| WaNee Walk In Clinic LLC | |||||||||||||
| 1028-A East Waterford Street | Wakarusa | IN | 46573 | 272192375 | Medical Clinic | IN | Not applicable | Related | -68323 | 24951 | false | true | 0.50000 |
| Michiana Linen Service LLC | |||||||||||||
| 600 East Blvd | Elkhart | IN | 46514 | 272182953 | Linen Washing | IN | Not applicable | Related | 27631 | 1022174 | true | true | 0.50000 |
| 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 | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | true | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | 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 | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| RiverPointe Cardiovascular LLC | ||
| a | 79772 | FMV |
| Michiana Linen Services LLC | ||
| b | 786210 | FMV |
| WaNee Walk In Clinic LLC | ||
| b | 93274 | FMV |
| Michiana Linen Services LLC | ||
| f | 429653 | FMV |
| Wakarusa Medical Clinic LLC | ||
| j | 141600 | FMV |
| Michiana Linen Services LLC | ||
| k | 1009279 | FMV |
| Michiana Linen Services LLC | ||
| l | 705169 | FMV |
| Michiana Linen Services LLC | ||
| p | 241487 | FMV |
Comments