Totals
- Total revenue
- $597,314
- Total expenses
- $2,597,139
- Contributions and grants received
- $597,314
- Grants paid
- $2,244,646
- Program services expenses (Part IX)
- $2,597,139
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $2,597,139
Program services were 100.0% 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
- $1,181,527
- From this org
- $0
- From related orgs
- $1,013,414
- Other
- $168,113
- Hours/week
- 1 + 41 related
Schedule J breakdown matched by us
- Base
- $0 + $686,228 related
- Bonus
- $0 + $298,849 related
- Other
- $0 + $28,337 related
- Deferred
- $0 + $133,484 related
- Nontaxable benefits
- $0 + $34,629 related
- Filer's total
- $0 + $1,181,527 related
-
Theresa Gunden
Board Chair
- Total calculated
- $0
- Hours/week
- 1
-
Amy Sink
Secretary/Treasurer
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
John Leavitt
Past Chair
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Derald Bontrager
Director
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Steve Brenneman
Director
- Total calculated
- $0
- Hours/week
- 1
-
Joe Caffee
Director
- Total calculated
- $0
- Hours/week
- 1
-
Eric Essig
Director
- Total calculated
- $0
- Hours/week
- 1
-
Bill Johnson
Director
- Total calculated
- $0
- Hours/week
- 1
-
Wes Herschberger
Director
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Gordon Lord
Director
- Total calculated
- $0
- Hours/week
- 1
-
Max Mertz MD
Director
- Total calculated
- $56,735
- From this org
- $0
- From related orgs
- $54,553
- Other
- $2,182
- Hours/week
- 1 + 2 related
-
Lisa Orn DO
Director
- Total calculated
- $168,251
- From this org
- $0
- From related orgs
- $152,784
- Other
- $15,467
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $120,805 related
- Bonus
- $0 + $30,979 related
- Other
- $0 + $1,000 related
- Deferred
- $0 + $6,279 related
- Nontaxable benefits
- $0 + $9,188 related
- Filer's total
- $0 + $168,251 related
-
Fred Ramser
Director
- Total calculated
- $0
- Hours/week
- 1
-
Doug Smoker
Director
- Total calculated
- $0
- Hours/week
- 1
-
Jeff Showalter
Director
- Total calculated
- $0
- Hours/week
- 1
-
Bob Steury
Director
- Total calculated
- $0
- Hours/week
- 1
-
Sharon Welsh
Director
- Total calculated
- $0
- Hours/week
- 1
-
Jim Caskey
VP of Foundation
- Total calculated
- $317,235
- From this org
- $0
- From related orgs
- $266,489
- Other
- $50,746
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $210,568 related
- Bonus
- $0 + $47,502 related
- Other
- $0 + $8,419 related
- Deferred
- $0 + $25,885 related
- Nontaxable benefits
- $0 + $24,861 related
- Filer's total
- $0 + $317,235 related
-
Lisa M Wine
Chief Financial Officer
- Total calculated
- $607,787
- From this org
- $0
- From related orgs
- $529,131
- Other
- $78,656
- Hours/week
- 1 + 41 related
Schedule J breakdown matched by us
- Base
- $0 + $420,270 related
- Bonus
- $0 + $107,511 related
- Other
- $0 + $1,350 related
- Deferred
- $0 + $51,909 related
- Nontaxable benefits
- $0 + $26,747 related
- Filer's total
- $0 + $607,787 related
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 — 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
- 4b · Supplemental nonqualified retirement plan
Answered no
- 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
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- 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.
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
-
Goshen Hospital Association Inc
$2,212,673
General support
-
General support
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.
-
501(c)(3) · Healthcare · IN
-
Goshen Hospital Association Inc
501(c)(3) · Healthcare · IN · controlled entity
Directly controlled by Goshen Health System Inc
-
Goshen General Hospital Women's Auxiliary Inc
501(c)(3) · Healthcare · IN
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 4 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202403119349301735
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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