2024-11-06T12:34:00-06:00 2023-12-31 420714325 RSM US LLP 30 South Wacker Dr Suite 3300 Chicago IL 606063392 990 2023-01-01 462565300 Goshen Health Foundation Inc GOSH 5745352665 200 High Park Avenue Goshen IN 46526 Lisa M Wine CFO 5745352665 2024-11-04 1 1 Rebekuh Eley P01247672 3126343400 2024-11-04 2023 2024-10-15 13:58:12Z Randal Christophel 200 High Park Avenue Goshen IN 46526 597314 0 X https://goshenhealth.com/foundation X 2013 IN To inspire generosity and make the experience of giving transformational. 18 15 0 16 0 0 882292 597314 0 0 0 0 0 0 882292 597314 199809 2244646 0 0 148257 131183 0 0 0 227005 221310 575071 2597139 307221 -1999825 6502804 4571862 82405 85738 6420399 4486124 The mission of Goshen Health Foundation, Inc. is to inspire generosity, invite individuals and organizations to partner with Goshen Health to meet the needs of our community, and make the experience of giving transformational. 0 0 2597139 2244646 0 Goshen Health Foundation, Inc. is a not-for-profit charitable organization that provides support for the Goshen Health System. 2597139 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 IN X Lisa M Wine 5745352665 200 High Park Avenue Goshen IN 46526 Randal Christophel President and CEO 1.00 41.00 X X 0 1013414 168113 Theresa Gunden Board Chair 1.00 0.00 X X 0 0 0 Amy Sink Secretary/Treasurer 1.00 1.00 X X 0 0 0 John Leavitt Past Chair 1.00 1.00 X X 0 0 0 Derald Bontrager Director 1.00 1.00 X 0 0 0 Steve Brenneman Director 1.00 0.00 X 0 0 0 Joe Caffee Director 1.00 0.00 X 0 0 0 Eric Essig Director 1.00 0.00 X 0 0 0 Bill Johnson Director 1.00 0.00 X 0 0 0 Wes Herschberger Director 1.00 1.00 X 0 0 0 Gordon Lord Director 1.00 0.00 X 0 0 0 Max Mertz MD Director 1.00 2.00 X 0 54553 2182 Lisa Orn DO Director 1.00 40.00 X 0 152784 15467 Fred Ramser Director 1.00 0.00 X 0 0 0 Doug Smoker Director 1.00 0.00 X 0 0 0 Jeff Showalter Director 1.00 0.00 X 0 0 0 Bob Steury Director 1.00 0.00 X 0 0 0 Sharon Welsh Director 1.00 0.00 X 0 0 0 Jim Caskey VP of Foundation 40.00 0.00 X 0 266489 50746 Lisa M Wine Chief Financial Officer 1.00 41.00 X 0 529131 78656 0 2016371 315164 0 0 1 0 0 325859 271455 597314 597314 0 0 0 2244646 2244646 100282 100282 30901 30901 92472 92472 1440 1440 88003 88003 20042 20042 1206 1206 15948 15948 2199 2199 2597139 2597139 0 0 5462294 3964471 1040510 607391 6502804 4571862 16855 0 65550 85738 82405 85738 X 801045 863107 5619354 3623017 6420399 4486124 6502804 4571862 X -1999825 65550 X 0 1 X 1 0 X 5891355 3591974 761294 882292 597314 11724229 5891355 3591974 761294 882292 597314 11724229 2241826 9482403 11724229 0.80880 0.80670 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 Intercompany Payables 85738 85738 X Part X, Line 2: The Internal Revenue Service has determined that Goshen Health and certain affiliated entities are tax-exempt organizations as defined in Section 501(c)(3) of the Internal Revenue Code. Certain subsidiaries of Goshen Health are taxable entities, the tax expense and liabilities of which are not material to the consolidated financial statements. Goshen Health and its tax-exempt affiliated entities each file a Form 990 (Return of Organization Exempt from Income Tax) annually. When these returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to health systems include such matters as the tax-exempt status of each entity, the continued tax-exempt status of bonds, the nature, characterization and taxability of joint venture income, and various positions relating to potential sources of unrelated business taxable income (reported on Form 990T). As of December 31, 2023 and 2022, there are no unrecognized tax benefits resulting from uncertain tax positions. Forms 990 and 990T filed by Goshen Health and its tax-exempt affiliated entities are subject to examination by the Internal Revenue Service up to three years from the extended due date of each return. Forms 990 and 990T filed by Goshen Health and its tax-exempt affiliated entities are no longer subject to examination for tax year 2020 and prior. 1 Goshen Hospital Association Inc 200 High Park Avenue Goshen IN 46526 356001540 501(c)(3) 2212673 0 General support The Foundation For The Center For Hospice And Palliative Care Inc 501 Comfort Place Goshen IN 46545 300433147 501(c)(3) 10000 0 General support 2 0 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 subsequent grant fund applications. 0 1 0 0 0 0 0 0 0 Randal Christophel President and CEO 0 686228 0 298849 0 28337 0 133484 0 34629 0 1181527 0 0 Lisa M Wine Chief Financial Officer 0 420270 0 107511 0 1350 0 51909 0 26747 0 607787 0 0 Jim Caskey VP of Foundation 0 210568 0 47502 0 8419 0 25885 0 24861 0 317235 0 0 Lisa Orn DO Director 0 120805 0 30979 0 1000 0 6279 0 9188 0 168251 0 0 Part I, Line 3 Goshen Hospital Association, Inc., a related tax-exempt organization of Goshen Health Foundation, Inc., uses the following to establish the compensation of the organization's top management official. - Compensation Committee - Compensation Survey or Study - Independent Compensation Consultant - Approval by the Board or Compensation Committee Part I, Line 4b Eligible executives participate in various non-qualified deferred compensation plans organized under code Section 457(f). The exact purpose of each plan varies, but they include: compensation limitation make-up plans, voluntary deferral plans, deferral of a portion of incentive bonus type plans, etc. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The following individuals participate in the plan: Jim Caskey Randal Christophel Lisa M. Wine No non-qualified plan payments were made during the year to any listed persons in Part VII. Form 990, Part VI, Section B, line 11b A full copy of the Form 990 is provided to the board of directors and the audit committee in November 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. Each disclosure is 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 C, line 19 A copy of the governing documents, conflict of interest policy and financial statements are available upon request for the same period of disclosure as set forth in IRC Section 6104(d). Form 990, Part XI, line 9: Equity Transfer 65,550. Goshen Health System Inc 200 High Park Avenue Goshen IN 46526 351974765 Healthcare IN 501(c)(3) Line 12c, III-FI N/A 0 Goshen Hospital Association Inc 200 High Park Avenue Goshen IN 46526 356001540 Healthcare IN 501(c)(3) Line 3 Goshen Health System Inc 1 Goshen General Hospital Women's Auxiliary Inc 200 High Park Avenue Goshen IN 46526 237017521 Healthcare IN 501(c)(3) Line 7 N/A 0 New Paris Clinic LLC 2018 S Main Street Goshen IN 46526 352075244 Commerical Rentals IN Goshen Health System Inc n/a 0 0 Parkmor Drug Inc 1501 S Main Street Goshen IN 46526 351394980 Pharmacy Sales IN Goshen Health System Inc C 1 PILR Inc 200 High Park Avenue Goshen IN 46526 204294750 Development IN Goshen Health System Inc C 1 Radiation Oncology Resources Inc 200 High Park Avenue Goshen IN 46526 262008424 Healthcare IN Goshen Health System Inc C 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Goshen Hospital Association Inc B 2212673 FMV Goshen Hospital Association Inc C 325859 FMV