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Nonprofiteer
← GOSHEN HOSPITAL ASSOCIATION INC

Form 990 for tax year 2022

Filed by GOSHEN HOSPITAL ASSOCIATION INC.

Totals

Total revenue
$304,789,091
Total expenses
$310,672,316
Contributions and grants received
$167,919
Grants paid
$28,527,836
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$291,735,248
Management and general expenses
$18,937,068
Fundraising expenses
$0
Program service expenses (Part III)
$291,735,248

Program services were 93.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Randal Christophel

    President and CEO

    Total calculated
    $1,105,492
    From this org
    $946,559
    From related orgs
    $0
    Other
    $158,933
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $646,632
    Bonus
    $274,219
    Other
    $25,708
    Deferred
    $127,048
    Nontaxable benefits
    $31,885
    Filer's total
    $1,105,492

  • Bolanle Adepoju MD

    Director and Physician (as of 5/22)

    Total calculated
    $602,613
    From this org
    $0
    From related orgs
    $565,351
    Other
    $37,262
    Hours/week
    41

    Schedule J breakdown matched by us

    Base
    $0 + $466,107 related
    Bonus
    $0 + $45,206 related
    Other
    $0 + $54,038 related
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $25,062 related
    Filer's total
    $0 + $602,613 related

  • Jody Neer MD

    Director

    Total calculated
    $511,929
    From this org
    $0
    From related orgs
    $474,884
    Other
    $37,045
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $433,828 related
    Bonus
    $0 + $16,056 related
    Other
    $0 + $25,000 related
    Deferred
    $0 + $11,289 related
    Nontaxable benefits
    $0 + $25,756 related
    Filer's total
    $0 + $511,929 related

  • Andrew Vorhis NP

    Director

    Total calculated
    $192,992
    From this org
    $0
    From related orgs
    $165,934
    Other
    $27,058
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $165,934 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $6,869 related
    Nontaxable benefits
    $0 + $20,189 related
    Filer's total
    $0 + $192,992 related

  • Bonita Schrock

    Chair

    Total calculated
    $0
    Hours/week
    1

  • Susan Stiffney RN

    Secretary/Treasurer

    Total calculated
    $0
    Hours/week
    1

  • Harshil Bhatt MD

    Director (until 5/22)

    Total calculated
    $0
    Hours/week
    1

  • Randy Cripe

    Director

    Total calculated
    $0
    Hours/week
    1

  • Bruce Hughes MD

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Karen Pletcher

    Director

    Total calculated
    $0
    Hours/week
    1

  • Liliana Quintero

    Director

    Total calculated
    $0
    Hours/week
    1

  • Karen Smith

    Director

    Total calculated
    $0
    Hours/week
    1

  • Jewel Yoder

    Director

    Total calculated
    $0
    Hours/week
    1

  • Lisa Wine as of 12022

    Chief Financial Officer

    Total calculated
    $433,563
    From this org
    $362,426
    From related orgs
    $0
    Other
    $71,137
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $361,271
    Bonus
    $0
    Other
    $1,155
    Deferred
    $49,773
    Nontaxable benefits
    $21,364
    Filer's total
    $433,563

  • Rob Myers

    Chief Operating Officer

    Total calculated
    $671,509
    From this org
    $590,354
    From related orgs
    $0
    Other
    $81,155
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $426,866
    Bonus
    $103,724
    Other
    $59,764
    Deferred
    $56,440
    Nontaxable benefits
    $24,715
    Filer's total
    $671,509

  • Chris Hutfless Chief Legal

    HR & Compliance Officer

    Total calculated
    $535,103
    From this org
    $471,298
    From related orgs
    $0
    Other
    $63,805
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $374,194
    Bonus
    $87,506
    Other
    $9,598
    Deferred
    $48,661
    Nontaxable benefits
    $15,144
    Filer's total
    $535,103

  • Daniel Nafziger MD

    Chief Medical Officer

    Total calculated
    $615,506
    From this org
    $539,399
    From related orgs
    $0
    Other
    $76,107
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $429,983
    Bonus
    $103,872
    Other
    $5,544
    Deferred
    $53,290
    Nontaxable benefits
    $22,817
    Filer's total
    $615,506

  • Margaret S Franger

    VP of Population Health & Bus Devlp.

    Total calculated
    $553,345
    From this org
    $488,307
    From related orgs
    $0
    Other
    $65,038
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $370,570
    Bonus
    $91,032
    Other
    $26,705
    Deferred
    $46,936
    Nontaxable benefits
    $18,102
    Filer's total
    $553,345

  • Mark Podgorski

    VP of Hospital Operations

    Total calculated
    $478,445
    From this org
    $412,983
    From related orgs
    $0
    Other
    $65,462
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $275,285
    Bonus
    $90,930
    Other
    $46,768
    Deferred
    $35,910
    Nontaxable benefits
    $29,552
    Filer's total
    $478,445

  • Julie Crossley

    Chief Nursing Officer

    Total calculated
    $407,340
    From this org
    $352,674
    From related orgs
    $0
    Other
    $54,666
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $267,861
    Bonus
    $61,583
    Other
    $23,230
    Deferred
    $33,201
    Nontaxable benefits
    $21,465
    Filer's total
    $407,340

  • Ebenezer Kio MD

    Physician

    Total calculated
    $755,950
    From this org
    $0
    From related orgs
    $721,021
    Other
    $34,929
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $647,895 related
    Bonus
    $0 + $73,126 related
    Other
    $0
    Deferred
    $0 + $9,373 related
    Nontaxable benefits
    $0 + $25,556 related
    Filer's total
    $0 + $755,950 related

  • Houman Vaghefi MD

    Physician

    Total calculated
    $765,263
    From this org
    $0
    From related orgs
    $729,167
    Other
    $36,096
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $604,689 related
    Bonus
    $0 + $117,326 related
    Other
    $0 + $7,152 related
    Deferred
    $0 + $5,995 related
    Nontaxable benefits
    $0 + $30,101 related
    Filer's total
    $0 + $765,263 related

  • Irina Sparks MD

    Physician

    Total calculated
    $594,307
    From this org
    $0
    From related orgs
    $553,505
    Other
    $40,802
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $504,337 related
    Bonus
    $0 + $49,168 related
    Other
    $0
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $28,602 related
    Filer's total
    $0 + $594,307 related

  • Urs Von Holzen MD

    Physician

    Total calculated
    $709,273
    From this org
    $0
    From related orgs
    $667,036
    Other
    $42,237
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $453,816 related
    Bonus
    $0 + $203,220 related
    Other
    $0 + $10,000 related
    Deferred
    $0 + $11,520 related
    Nontaxable benefits
    $0 + $30,717 related
    Filer's total
    $0 + $709,273 related

  • Leonard Henry

    Physician

    Total calculated
    $499,634
    From this org
    $0
    From related orgs
    $470,563
    Other
    $29,071
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $372,693 related
    Bonus
    $0 + $97,870 related
    Other
    $0
    Deferred
    $0 + $9,064 related
    Nontaxable benefits
    $0 + $20,007 related
    Filer's total
    $0 + $499,634 related

  • Ben Bontrager

    Former CFO

    Total calculated
    $103,245
    From this org
    $103,245
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $21,777
    Bonus
    $81,468
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $103,245

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Travel for companions
  • 1a · Tax indemnification and gross-up payments
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 1b · Written policy on the line-1a expenses
  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 1a
Goshen Hospital reimbursed 4 directors and 2 officers reported on Form 990, Part VII for travel expenses of companions. For 1 of the officers listed on Form 990, Part VII, Goshen Hospital added the taxable value of an automobile as additional compensation to the employees' W-2.
Part I, Line 1b
Goshen Hospital does not have a specific written policy for the reimbursement of expense for companion travel, but does require all expenses to be substantiated in accordance with an accountable plan. These reimbursements of expenses were regarded as a bona fide business expense and were not treated as taxable to the individuals. Goshen Hospital does not have a specific written policy for the use of automobiles, but does add the taxable value of the automobile to the employees' W-2 as additional compensation.
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: Randal Christophel Rob Myers Daniel Nafziger, MD Lisa Wine Chris Hutfless Margaret S. Franger Mark Podgorski Julie Crossley No non-qualified plan payments were made during the year to any listed persons in Part VII.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Parkmor Drug Inc

    C · Pharmacy Sales · IN · controlled entity

    Directly controlled by Goshen Health System Inc

  • PILR Inc

    C · Development · IN · controlled entity

    Directly controlled by Goshen Health System Inc

  • Radiation Oncology Resources Inc

    C · Healthcare · IN · controlled entity

    Directly controlled by Goshen Health System Inc

Provenance

Return type
form_990
Tax year
2022
Filed
2 November 2023
IRS schema version
2022v5.0
Source object
202333119349304408

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