2024-11-11T08:24:22+00:00 2023-12-31 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE INDIANAPOLIS IN 462045100 990 2023-01-01 451257972 Three Rivers Health System Inc THRE 2692781145 701 S HEALTH PARKWAY THREE RIVERS MI 49093 JEFFREY COSTELLO CFO 2024-11-11 true true Jennifer D Rhoderick P00395735 3176817000 2024-11-05 2023 2024-10-15 13:58:12Z Three Rivers Health MARIA BEHR 701 S HEALTH PARKWAY THREE RIVERS MI 49093 73875836 false X WWW.BEACONHEALTHSYSTEM.ORG X 2011 MI WE DELIVER OUTSTANDING CARE, INSPIRE HEALTH, AND CONNECT WITH HEART. 7 7 536 51 0 0 4516225 761266 66637564 71858061 61987 305817 1825601 882982 73041377 73808126 12599 7792 0 34497956 33346399 0 0 41665353 40566733 76175908 73920924 -3134531 -112798 38845134 54102951 11218894 10524344 27626240 43578607 X WE DELIVER OUTSTANDING CARE, INSPIRE HEALTH, AND CONNECT WITH HEART. false true 59202693 7792 72447899 See Schedule O 59202693 true true false true false false false false true true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 79 0 true 536 true false false false false false false false false false false false false X 7 7 false false false false true true true true true false false true true true true true true true true false X JEFFREY P COSTELLO 5746473549 615 N Michigan St South Bend IN 46601 Laurie A Hines Chair 2.0 0 X X 225 0 0 Raymond L Bendure PhD Vice Chair 2.0 0 X X 225 0 0 Rick Cordes Secretary 2.0 0 X X 225 0 0 Adam Goff OD Director 2.0 0 X 1021 0 0 Jennifer Platz Director 2.0 0 X 225 0 0 Jim Stuck Director 2.0 0 X 225 0 0 Linda Evans MD Director, Physician 40.0 0 X 213151 0 18482 Jeffrey P Costello CFO 2.0 50.0 X 0 744234 118036 Kreg R Gruber CEO 2.0 50.0 X 0 1162712 170134 Maria A Behr President 40.0 0 X 264681 0 53330 Alyssa Erskine Employed Physician 40.0 0 X 370298 0 30351 Douglas Van Marel Employed Physician 40.0 0 X 268597 0 13169 James MacDonald Employed Physician 40.0 0 X 308433 0 30793 Jessica Puckett Employed Physician 40.0 0 X 397672 0 22385 Ramon Urrea Employed Physician 40.0 0 X 331391 0 26316 Hope Bailey Former VP Nursing 40.0 0 X 194974 0 25303 2351343 1906946 508300 50 true true false KALAMAZOO FOOT & ANKLE SPECIALISTS PLC 12057 WEST INDIAN LAKE DR VICKSBURG MI 49097 Physican Services 1949803 WEST MICHIGAN EAR NOSE & THROAT 3850 GLENKERRY COURT PORTAGE MI 49024 Physican Services 979243 KALAMAZOO ANESTHESIOLOGY 900 PEELER ST KALAMAZOO MI 49008 Physican Services 806644 ELITE EMERGENCY PHYSICIANS INC 600 EAST BLVD ELKHART IN 46514 Physican Services 731423 LABORATORY CORP OF AMERICA HOLDINGS PO BOX 12140 BURLINGTON NC 272162140 Lab Services 436925 48 0 0 0 0 761266 0 0 761266 Net Patient Revenue 622110 71300434 71300434 0 0 IMED Shared Service 622110 555207 555207 Medical Services to Affiliates 622110 2000 2000 420 420 0 0 71858061 333855 0 0 333855 0 0 0 0 0 0 0 0 178604 0 1472 0 177132 0 177132 0 0 177132 0 38200 0 66238 0 -28038 -28038 0 0 -28038 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340B 456110 428772 428772 0 0 Administration 622110 114012 0 0 114012 Quality Incentive 622110 57377 57377 0 0 105689 105689 0 0 705850 73808126 72449899 0 596961 X 7792 7792 331288 0 331288 0 456903 0 456903 26429952 23126208 3303744 703617 615665 87952 3597601 3147901 449700 1827038 1598658 228380 664374 664374 2090 2090 46352 46352 3368 2947 421 160232 160232 11826604 10348261 1478343 0 2581 2258 323 1445980 1265232 180748 401 351 50 1455840 1273694 182146 109670 95961 13709 70314 61525 8789 61081 53446 7635 2152912 1883798 269114 604051 528545 75506 Medical Supplies 7480022 7480022 Management Fees 6450769 6450769 Dues & Subscriptions 2210272 1933988 276284 Bad Debt Expense 5472794 5472794 347026 303647 43379 0 73920924 59202693 14718231 0 1928 935 10026543 19054651 89317 138791 6855165 8055134 0 0 0 495 972746 1031334 394894 217204 26086217 4404103 17811136 21682114 0 0 0 0 0 0 2693405 3922293 38845134 54102951 5282641 5580863 0 0 40998 32889 0 0 0 0 0 3277438 2933947 0 0 2617817 1976645 11218894 10524344 X 27626240 43578607 0 0 0 0 0 0 0 0 27626240 43578607 38845134 54102951 X -112798 16065165 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 3368 3368 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THREE RIVERS HEALTH PAID DUES TO THE FOLLOWING ORGANIZATIONS FOR WHICH THE AMOUNT OR PERCENTAGE LISTED WAS ATTRIBUTED TO LOBBYING: ACOG (American College of Obstetricians and Gynecologists) - 20% AANP (American Association of Nurse Practitioners) - 5% MHA (Michigan Health & Hospital Association) - 10% ACEND (Academy of Nutrition and Dietetics) - 10% AACVPR (American Association of Cardiovascular and Pulmonary Rehabilitation) - 20% (Michigan Home Care Hospice Association) - 20% APTA (American Physical Therapy Association) - 31% ANFP (Association of Nutrition & Foodservice Professionals) - 20% ACSM (American College of Sports Medicine) - 20% AORN (Association of OR Nurses) - 20% AWHONN (Association of Women's Health, Obstetric and Neonatal Nurses) - 20% ACR (American College of Radiology) - 20% ASHT (American Society of Hand Therapists) - 20% ASPAN (American Society of PeriAnesthesia Nurses) - 20% AOTA (American Occupational Therapy Association) - 20% AASM (American Academy of Sleep Medicine) - 20% INCPAS (Indiana CPA Society) - 20% When unable to ascertain allocation of dues attributed to Lobbying a conservative estimate of 20% is applied. 38758960 2440358 2682415 1424963 0 0 42456770 0 46675185 -4645970 3270255 0 0 38758960 0 0 0 0 0 0 0.7449 0.0 0.2551 false true true 6425257 6425257 11748384 1189274 10559110 0 0 0 7912576 3214829 4697747 0 0 0 21682114 Other Receivables 405412 Third Party Receivables 3516881 3922293 Third Party Payables 1976645 1976645 X Schedule D, Part V, Line 4 INTENDED USES OF ENDOWMENT FUNDS NET ASSETS WITH DONOR RESTRICTIONS CONSIST OF ASSETS WHOSE USE IS LIMITED BY DONOR IMPOSED, TIME AND/OR PURPOSE RESTRICTIONS. IN ACCORDANCE WITH THE RESTRICTION, A MAJORITY OF THE INVESTMENT INCOME AND INVESTMENT GAINS OR LOSSES FROM THESE NET ASSETS ARE RESTRICTED BY THE DONOR FOR A SPECIFIC PURPOSE. A SPECIFIED PORTION OF INCOME EARNED BY THE NET ASSETS IS RELEASED FROM RESTRICTION AND USED FOR OPERATIONS EACH YEAR AND, THEREFORE, IS INCLUDED IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AS OTHER REVENUE. THE BOARD HAS DISCRETION TO UTILIZE EACH YEAR THE INCOMES, REVENUES AND PROFITS ARISING AND ACCRUING FROM THE ENDOWMENTS IN DEFRAYING COSTS ASSOCIATED WITH THE TRUST AND THE REMAINDER FOR SUPPORT, BETTERMENT, IMPROVEMENT, UPKEEP, EXPANSION AND REPLACEMENT OF BEACON HEAL TH SYSTEM, INC. AND ITS CORPORATE AFFILIATES. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote ASC 740, Income Taxes, requires that realization of an uncertain income tax position is more likely than not (i.e., greater than 50% likelihood of receiving a benefit) before it is recognized in the consolidated financial statements as the amount most likely to be realized assuming a review by tax authorities having all relevant information and applying current conventions. This interpretation also clarifies the financial statement classification of tax-related penalties and interest and sets forth new disclosures regarding unrecognized tax benefits. No amount was recorded for the years ended December 31, 2023 or 2022. true true X true X true X true true true false true true 61318 61318 0.0009 16705871 15664448 1041424 0.0152 0 0.0 0 0 16767189 15664448 1102742 0.0161 15266 15266 0.0002 728709 728709 0.0106 11774293 7470606 4303687 0.0629 0 0.0 0 0.0 0 0 12518268 7470606 5047662 0.0737 0 0 29285457 23135054 6150404 0.0899 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 5472793 1788509 2857094 9539983 -6682889 X true true 1 1 THREE RIVERS HEALTH 701 S HEALTH PARKWAY THREE RIVERS MI 49093 1060000006 X X X THREE RIVERS HEALTH 1 false false true X X X X X X X X X 23 true false true true X https://impact.beaconhealthsystem.org/chna/ true 24 true https://impact.beaconhealthsystem.org/chna/ false true X 200.0 400.0 X X X X true true X X X X true X HTTPS://WWW.BEACONHEALTHSYSTEM.ORG/PATIENTS-AND-VISITORS/ X HTTPS://WWW.BEACONHEALTHSYSTEM.ORG/PATIENTS-AND-VISITORS/ X HTTPS://WWW.BEACONHEALTHSYSTEM.ORG/PATIENTS-AND-VISITORS/ X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 3E The significant health needs are included in the CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - THREE RIVERS HEALTH SYSTEM, INC. The CHNA began in late 2022, in partnership with the Branch-Hillsdale-St. Joseph County Health Department. The work concluded on the Community Health Improvement Plan (CHIP) with final presentations to collaborative groups in each of the three-county service areas for the Branch-Hillsdale-St. Joseph Department of Health in June 2023. The Vice President of Nursing from Three Rivers Health played a key role in the process as a representative. The Implementation Strategy has three priority areas: maternal and child health, mental health, and advocacy. Three Rivers Health, which serves St. Joseph County in Michigan, joined the Beacon family after the completion of the 2021 CHNA. They participated in their local health department's CHNA. This CHNA identified mental health and resource accessibility as among the top three health needs, aligning with our priority areas and implementation strategy. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - THREE RIVERS HEALTH SYSTEM, INC. In Michigan, local health departments such as Branch-Hillsdale-St.Joseph County Health Department are required to do CHNAs by two oversight bodies. The first is the Public Health Accreditation Board (PHAB). PHAB is a national, non-profit, voluntary association created collaboratively by the CDC and the Robert Wood Johnson Foundation in 2007. PHAB was created because of the obvious lack of uniformity and clear standards in public health across states and territories. The CHNA began in late 2022, in partnership with the Branch-Hillsdale-St.Joseph County Health Department. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - THREE RIVERS HEALTH SYSTEM, INC. The Community Health Needs Assessment (CHNA) was made widely available to the community through posting on the TRH website at beaconhealthsystem.org/CHNA and through email transmission upon request. Hospital staff were also available to discuss the results of the CHNA and implementation strategies in requested community forums. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - THREE RIVERS HEALTH SYSTEM, INC. In partnership with the Branch-Hillsdale-St. Joseph Department of Health and other community partners. These focus on maternal and child health and mental health. For the mental health objectives in the CHIP, raising awareness about Pivotal, the Certified Community Behavioral Health Clinic (CCHBC) in St. Joseph, Michigan, needs improvement. Pivotal states they have not launched an awareness campaign before due to a lack of funding. Beacon will fund a marketing campaign to help raise awareness that all residents can access behavioral health services at Pivotal, which will, in turn, increase mental health care access for St. Joseph County residents. The other priority area, maternal and child health, seeks to improve knowledge and use of the Women, Infant and Children's (WIC) program in St. Joseph County, Michigan. The work plan, which can be found at https://impact.beaconhealthsystem.org/wp-content/uploads/2024/05/Three-Rivers-Implementation-Strategy.pdf, provides details on how we will increase knowledge through sharing information with new birth parents, developing a marketing campaign to strengthen awareness of WIC, providing incentives when currently enrolled families need to recertify in the program, and promoting breastfeeding with support groups and items that support breastfeeding. A USDA 2023 report showed that only about 51% of those eligible actually participate in WIC, a program that is vital to the health and well-being of nearly half our nation's babies along with millions of young children up to age 5 and their mothers. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - Three Rivers Health System, Inc. Beacon Health System includes language offering Financial Assistance on every billing statement sent to the patient. Billing Customer Service also offers Financial Assistance to patients when the patient expresses hardship. The Plain Language Summary included with the statement also clearly explains the process for applying for Financial Assistance. If the patient submits a Financial Assistance application, it is assessed timely, and a determination made. Patients are permitted to apply and be considered for Financial Assistance at any point in the billing cycle. 20 THREE RIVERS HEALTH CENTER FOR WOUND 721 S HEALTH PARKWAY THREE RIVERS MI 49093 WOUND CARE THREE RIVERS HEALTH FAMILY INTERNAL M 711 S HEALTH PARKWAY THREE RIVERS MI 49093 RURAL HEALTH CLINIC - INTERNAL MEDICINE, FAMILY CARE & WOMEN'S SERVICES WEST MI EAR NOSE AND THROAT 3850 GLENKERRY CT PORTAGE MI 49024 EAR, NOSE, AND THROAT CARE THREE RIVERS HEALTH SPECIALTY CLINIC 711 S HEALTH PARKWAY THREE RIVERS MI 49093 OTHER OUTPATIENT CLINIC THREE RIVERS HEALTH FAMILY CARE 721 6TH AVENUE SUITE B THREE RIVER MI 49093 RURAL HEALTH CLINIC THREE RIVERS BONE AND JOINT 1021 HILL STREET SUITE 300 THREE RIVERS MI 49093 BONE AND JOINT FACILITY THREE RIVERS HEALTH ORTHOPEDICS 1021 HILL STREET SUITE 300 THREE RIVERS MI 49093 ORTHOPEDICS THREE RIVERS HEALTH HOMECARE 711 S HEALTH PARKWAY THREE RIVERS MI 49093 HOMECARE THREE RIVERS HEALTH SURGICAL SERVICES 715 S HEALTH PARKWAY THREE RIVERS MI 49093 SURGICAL SERVICES THREE RIVERS HEALTH FAMILY CARE 601 E CHICAGO RD PO BOX 295 WHITE PIGEON MI 49099 RURAL HEALTH CLINIC THREE RIVERS HEALTH IMED 16587 ENTERPRISE DR THREE RIVERS MI 49093 URGENT CARE CENTER THREE RIVERS HEALTH HOSPICE 711 S HEALTH PARKWAY THREE RIVERS MI 49093 HOSPICE CARE THREE RIVERS HEALTH CENTER FOR FAMILY 850 S HEALTH PARKWAY THREE RIVERS MI 49093 OTHER OUTPATIENT CLINIC VEERA PATEL MD - INTERNAL MEDICINE 1021 HILL STREET SUITE 100 THREE RIVERS MI 49093 INTERNAL MEDICINE KALAMAZOO FOOT AND ANKLE SPECIALISTS 7971 MOORSBRIDGE RD PORTAGE MI 49024 FOOT AND ANKLE CARE HAND AND PLASTICS 1021 HILL STREET SUITE 100 THREE RIVERS MI 49093 HAND AND PLASTICS CARE THREE RIVERS HEALTH FAMILY CARE 110 EAST MAIN ST MARCELLUS MI 49067 OTHER OUTPATIENT CLINIC HEALTH TRAC - WELLNESS PAVILLION 501 S HEALTH PARKWAY THREE RIVERS MI 49093 WELLNESS CENTER THREE RIVERS HEALTH SLEEP CLINIC 701 S HEALTH PARKWAY THREE RIVERS MI 49093 OTHER OUTPATIENT CLINIC RHC PAWS CLINIC 721 6TH AVENUE SUITE A THREE RIVERS MI 49093 PEDIATRIC CLINIC Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT Three Rivers Health Hospital prepares a community benefit report both for the state of Michigan and for the annual report, which is posted at WWW.BEACONHEALTHSYSTEM.ORG/CHNA. Schedule H, Part I, Line 7g Subsidized Health Services for Physician Clinics The amount of cost associated with physician clinics is $10,301,853. Schedule H, Part I, Line 6a Community benefit report prepared by related organization BEACON HEALTH SYSTEM PREPARED THE ANNUAL COMMUNITY BENEFIT REPORT Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 5472794 Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE ARE DOLLARS THAT ARE WRITTEN OFF OR RESERVED FOR PATIENTS THAT HAVE AVAILABLE RESOURCES, BUT WOULD NOT PAY FOR SERVICES. THE EXCEPTION TO THIS RULE WOULD BE CHARITY CARE ACCOUNTS THAT ARE INCLUDED IN BAD DEBT BECAUSE OF A LACK OF INFORMATION PROVIDED, OR THE TIMING OF RECEIVING THAT INFORMATION. PAYMENTS ON ACCOUNTS THAT HAVE BEEN WRITTEN OFF WOULD REDUCE THE OVERALL BAD DEBT EXPENSE. DISCOUNTS ON CHARGES ARE NOT INCLUDED IN BAD DEBT EXPENSE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology SEE ABOVE FOR METHODOLOGY. WITH REGARDS TO CHARITY CARE, THE HOSPITAL ESTIMATES THAT APPROXIMATELY $187,632 OF CHARITY CARE IS INCLUDED IN BAD DEBT EXPENSE DUE TO NOT RECEIVING INFORMATION FROM PATIENTS TO HELP DETERMINE ELIGIBILITY, OR NOT RECEIVING THE INFORMATION IN A TIMELY MANNER, THUS WE BELIEVE THE $187,632 SHOULD BE CONSIDERED A COMMUNITY BENEFIT. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS TAKING INTO CONSIDERATION THE TRENDS IN HEALTH CARE COVERAGE, HISTORICAL ECONOMIC TRENDS, AND OTHER COLLECTION INDICATORS. MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCES PERIODICALLY THROUGHOUT THE YEAR BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY MAJOR PAYOR CATEGORY. THE RESULTS OF THE REVIEW ARE THEN UTILIZED TO MAKE MODIFICATIONS, AS NECESSARY, TO THE PROVISION FOR BAD DEBTS TO PROVIDE FOR AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. A SIGNIFICANT PORTION OF THE CORPORATION'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MEDICARE IS OUR LARGEST PAYOR, THUS PAYMENTS FOR THIS POPULATION CREATE A FINANCIAL BURDEN ON THE HOSPITAL AS PAYMENTS DO NOT COVER COSTS. MOST OF THE MEDICARE PATIENTS LIVE ON FIXED INCOMES. WE USED THE COST TO CHARGE RATIO TO DETERMINE COSTS. AS MEDICARE IS OUR LARGEST PAYOR, THE SHORTFALL IN COVERING COSTS IS EXTREME, THUS THIS WOULD SEEM TO QUALIFY AS A BENEFIT TO OUR COMMUNITY. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE HOSPITAL'S CURRENT COLLECTION PROCESS APPLIES TO ALL PATIENTS. IF NO INSURANCE IS AVAILABLE FOR SERVICES, AND THEY DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, WE WILL MAKE THEM AWARE OF THEIR OPTIONS. DISCOUNTS ARE OFFERED WHICH ARE TIED TO COMMERICAL MANAGED CARE CONTRACTS. PAYMENT ARRANGEMENTS CAN BE MADE FOR A SPECIFIC PERIOD OF TIME, WITH NO INTEREST CHARGED. ONCE ARRANGEMENTS ARE MADE, THE ACCOUNT FOLLOWS THE STANDARD COLLECTION PROCESS OF LETTERS AND PHONE CALLS. AFTER 120 DAYS, IF NO PAYMENT HAS BEEN MADE OR IF PAYMENT ARRANGEMENTS ARE NOT KEPT, THE ACCOUNT WILL BE REFERRED TO A COLLECTION AGENCY. Schedule H, Part V, Section B, Line 16a FAP website - THREE RIVERS HEALTH: Line 16a URL: HTTPS://WWW.BEACONHEALTHSYSTEM.ORG/PATIENTS-AND-VISITORS/; Schedule H, Part V, Section B, Line 16b FAP Application website - THREE RIVERS HEALTH: Line 16b URL: HTTPS://WWW.BEACONHEALTHSYSTEM.ORG/PATIENTS-AND-VISITORS/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - THREE RIVERS HEALTH: Line 16c URL: HTTPS://WWW.BEACONHEALTHSYSTEM.ORG/PATIENTS-AND-VISITORS/; Schedule H, Part VI, Line 2 Needs assessment TRH reviews the health indicators of the county and completes community surveys. TRH assesses whether we have a shortage of physicians in the area annually as well. TRH reviews trends of our patient activity by service and type of patient to see if adjustments in service or resource allocation need to be made. TRH also reviews satisfaction surveys periodically to identify any potential gaps in services. TRH partners with the local schools and community mental health on specific health initiatives throughout the year. The most recent CHNA began in late 2022 in partnership with the Branch-Hillsdale-St. Joseph County Health Department. The work concluded on the Community Health Improvement Plan (CHIP) with final presentations to collaborative groups in each of the three-county service areas for the Branch-Hillsdale-St. Joseph Department of Health in June 2023. The vice president of nursing from Three Rivers Health was a key partner in the process as a representative. The Implementation Strategy has three priority areas; maternal and child health, mental health, and advocacy. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance UPON IDENTIFYING PATIENTS WHO HAVE NO COVERAGE, WE WILL SEND THEM TO OUR PATIENT ASSISTANCE REPRESENTATIVE. THIS PERSON WILL THEN REVIEW THE OPTIONS THAT ARE AVAILABLE FOR THIS INDIVIDUAL. IF MEDICAID IS A POSSIBILITY, WE THEN SEND THIS PERSON TO OUR MEDICAID SPECIALIST, WHO WILL HELP THEM WITH THE PROCESS, AS WELL AS ANY FORMS. WE HAVE A FORMAL FINANCIAL ASSISTANCE PROGRAM THAT IS ADVERTISED HOSPITAL WIDE AND ON OUR WEBSITE. IF THEY QUALIFY FOR FINANCIAL ASSISTANCE, WE WILL EDUCATE THEM AND ASSIST THEM WITH THE PROCESS. Schedule H, Part VI, Line 4 Community information Three Rivers Health presently serves St. Joseph County, along with other providers. The county's total population is 60,887. The community was heavily dependent on the auto industry, and thus, the economy has struggled in recent years. While the overall economy in the state has rebounded somewhat, the local county has lagged in the recovery. The County is approximately 521 square miles in size. US 12 and US 131 are two major highways that run through St. Joseph, MI. It is approximately 20 miles south of Kalamazoo, MI. The unemployment rate continues to be high (5.3%), and the population with Medicaid in the community is high (20%). Additionally, people with coverage have also increased. According to the Michigan Department of Health, St. Joseph County ranks 61st out of 83 counties in the state for health status. While the community is classified as rural and is close to urban areas, many people in the community do not have adequate travel arrangements, as can be evidenced by high no-show rates for primary care appointments due to travel issues. We are currently evaluating opportunities with the county to help with the travel issues alongside collaborating with the local health department to address the social drivers of health. Elkhart, Marshall, and St. Joseph Counties are all located in Northern Indiana. They have a total of 6 cities and 16 towns with a combined population of 525,437. St. Joseph is the largest and Marshall the smallest, which is classified as rural. St. Joseph County, Michigan, borders Elkhart County, Indiana, and is similar in rural classification as Marshall County. Although each varies in population density, they are closer in geographic size (SJC, IN-457 square miles, Elkhart-463, Marshall-443, SJC, MI-521). The median household income (2018-2022) is comparable in Elkhart, IN ($63,978), St. Joseph, IN ($61,877) and St. Joseph, MI ($62,281), but higher in Marshall County ($66,016), where 10.5% of people live in poverty compared to the higher rates of 13.8% in St. Joseph, IN, 12% in Elkhart, IN, and 13% in St. Joseph, MI. Elkhart's RV industry is a multi-billion-dollar industry and nearly 1,000 RV manufacturers are located there. Marshall County has become one of the leading agricultural counties in Indiana. St. Joseph, IN, is the regional center for higher education, with more than eight colleges and universities. These campuses have shifted the county's focus from manufacturing to health, education, and customer services. St. Joseph, MI, has over 42 lakes and over 220 acres of woodlands in one of the towns, Sturgis. Schedule H, Part VI, Line 5 Promotion of community health In partnership with Beacon Health System (BHS), Three Rivers Health (TRH) will standardize the training and development of newly hired community health workers, aligning with the training given by community partners. TRH will make the training available on an electronic learning platform for CHWs and establish and follow an Action Plan to develop a referral network for specialized community health and deploy community health workers in the hospital who serve low-income and minority pregnant women to increase health literacy, build protective factors, increase resilience, and provide resources to address social determinants of health. THR will implement the BABE program, which promotes responsible parenting by offering incentives to expectant parents, who earn coupons that can be redeemed at a BABE store for infant-related merchandise such as diapers, clothing, strollers, and cribs. On behalf of Three Rivers Health, Beacon Health System conducts a request for proposal (RFP) process designed to identify programs to collaborate with partners to address the two priority health needs of the community and align with the implementation strategy approved by each hospital governing Board to address the identified needs. BCI offers two types of financial support to community partners to create an impact in St. Joseph County. Technical assistance is also available for all programs. Please note there is the potential for technical assistance to be offered whether financial assistance is awarded or not. Technical assistance supports the work of the programs by providing project-based assistance to increase the capacity of our community to address its most pressing health needs. Schedule H, Part VI, Line 6 Affiliated health care system In October 2021, Beacon Health System became affiliated with Three Rivers Health Hospital. All organizations continue as full-care providers for their respective counties and are committed to promoting the health of the communities they serve. The Three Rivers Health board of directors consists of 8 voting board members. Beacon Health System board of directors consists of 14 voting board members. Schedule H, Part VI, Line 7 State filing of community benefit report MI true ST JOSEPH COUNTY UNITED WAY 662 E MAIN ST CENTREVILLE MI 49032 386095409 501(C)(3) 5000 GENERAL SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. DONATIONS AND GRANTS GIVEN TO ORGANIZATIONS THAT IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY ARE MONITORED THROUGH OUTCOME MEASUREMENT REPORTS THAT ARE PROVIDED TO THREE RIVERS HEALTH BY THE VARIOUS ORGANIZATIONS. THESE REPORTS INFORM US OF HOW THE DONATIONS AND GRANTS WERE USED. X true true false true false false false false false true false Linda Evans MD Director, Physician 209098 0 0 0 4052 0 7448 0 11035 0 231633 0 0 0 Jeffrey P Costello CFO 0 607351 0 0 0 136883 0 95606 0 22430 0 862270 0 88827 Kreg R Gruber CEO 0 1003311 0 0 0 159401 0 149636 0 20498 0 1332846 0 131845 Maria A Behr President 253550 0 0 0 11131 0 43339 0 9992 0 318011 0 0 0 Hope Bailey Former VP Nursing 194033 0 0 0 941 0 8018 0 17284 0 220277 0 0 0 Alyssa Erskine Employed Physician 354847 0 0 0 15451 0 13200 0 17151 0 400649 0 0 0 James MacDonald Employed Physician 303839 0 0 0 4594 0 12600 0 18194 0 339226 0 0 0 Jessica Puckett Employed Physician 396196 0 0 0 1476 0 13200 0 9185 0 420057 0 0 0 Ramon Urrea Employed Physician 328486 0 0 0 2905 0 7533 0 18783 0 357707 0 0 0 Douglas Van Marel Employed Physician 266296 0 0 0 2301 0 7166 0 6003 0 281766 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees THREE RIVERS HEALTH SYSTEM, INC. OFFERS COMPLIMENTARY HEALTH CLUB MEMBERSHIP TO BEACON HEALTH SYSTEM'S HEALTH AND LIFESTYLE CENTER, A RELATED PARTY. BEACON HEALTH SYSTEM ALSO REIMBURSES FOR DIRECT EXPENSES RELATED TO ANY TRAVEL ON THE ORGANIZATION'S BEHALF. HEALTH OR SOCIAL CLUB DUES FOR THE FOLLOWING INDIVIDUALS WAS INCLUDED IN TAXABLE COMPENSATION: ADAM GOFF. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THREE RIVERS HEALTH SYSTEM, INC. USES A RELATED ORGANIZATION'S (BEACON HEALTH SYSTEM, INC.) COMPENSATION REVIEW PROCESS. THIS REVIEW PROCESS INCLUDES AN EXTENSIVE EXAMINATION USING COMPARABLE MARKET DATA THAT IS THEN REVIEWED BY AN INDEPENDENT CONSULTANT HIRED BY, AND REPORTED TO, THE BOARD OF DIRECTORS. RECOMMENDATIONS ARE PRESENTED TO THE BOARD FOR DELIBERATION AND FINAL DECISION. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan BEACON HEALTH SYSTEM IMPLEMENTED AN EXECUTIVE RETENTION PLAN TO ATTRACT AND RETAIN KEY EMPLOYEES BY PROVIDING ADDITIONAL DEFERRED COMPENSATION. THE CHIEF EXECUTIVE OFFICER WILL PARTICIPATE IN THE PLAN AND WILL SELECT OTHER PARTICIPANTS PURSUANT TO THE GUIDELINES SET BY THE EMPLOYER'S BOARD OF DIRECTORS. THE EMPLOYER MAY MAKE CONTRIBUTIONS UNDER THE PLAN AND HAS SOLE DISCRETION OVER WHETHER TO MAKE A CONTRIBUTION. VESTING OCCURS ON JANUARY 1 OF THE FIFTH YEAR FOR WHICH SUCH CONTRIBUTIONS ARE MADE FOR PARTICIPANTS WHO HAVE BEEN CONTINUOUSLY EMPLOYED. THE PLAN ALSO ALLOWS VESTING TO OCCUR IF THE PARTICIPANT ATTAINS THE AGE OF 62. THE FOLLOWING INDIVIDUALS RECEIVED VESTED PAYMENTS IN 2023, REFLECTED IN COLUMN (B)(III): * KREG GRUBER, $113,175 * JEFFREY COSTELLO, $96,631 THE FOLLOWING INDIVIDUALS RECEIVED DEFFERED PAYMENTS IN 2023 THAT WILL VEST IN FUTURE YEARS, WHICH ARE REFLECTED IN COLUMN C: * KREG GRUBER, $136,436 * JEFFREY COSTELLO, $82,406 * MARIA BEHR, $33,138 Schedule J, Part I, Line 7 Non-fixed payments THE ORGANIZATION HAS THREE INCENTIVE PLANS (EMPLOYEE, MANAGEMENT, AND EXECUTIVE WHICH HAVE A NET OPERATING INCOME TO BUDGET MEASUREMENT FOR THE PAYOUT THRESHOLD. THE EMPLOYEE PLAN SHARES THE EXCESS OVER BUDGET NET OPERATING INCOME WITH THE NON-MANAGMENT EMPLOYEES FOR BEACON HEALTH SYSTEM, INC AND THE AFFILIATED ENTITIES. THE EMPLOYEE INCENTIVE HAS A MAXIMUM CAP OF $4,500,000. THE PAYOUT AND AMOUNT OF THE PAYOUT FOR THE EMPLOYEE INCENTIVE PLAN IS MADE AT THE DISCRETION OF THE BOARD. THE MANAGEMENT INCENTIVE PLAN IS FUNDED WHEN OPERATING INCOME IS EQUAL TO OR GREATER THAN 50% OF THE BUDGETED NET OPERATING INCOME. REWARD AMOUNTS ARE BASED ON A BALANCED SCORE CARD METHODOLOGY UTILIZING BEACON'S STRATEGIC IMPERATIVES AND MEASURED USING SELECTED METRICS SET ON A SLIDING SCALE DEFINED AS THRESHOLD 50%, TARGET 100%. AND MAXIMUM 150%. THE STRATEGIC IMPERATIVES ARE CLINICAL EXCELLENCE, GREAT WORKPLACE, CUSTOMER-DRIVEN CULTURE, SMART GROWTH, AND FINANCIAL SUSTAINAILITY. EACH IMPERATIVE CARRIES A DEFAULT WEIGHT OF 20%. THE PAYOUT OF THE MANAGEMENT INCENTIVE IS MADE AT THE DISCRETION OF THE BOARD. EXECUTIVES ARE COVERED UNDER THE BEACON HEALTH SYSTEM EXECUTIVE SHORT-TERM INCENTIVE PLAN (ESTIP). THE ESTIP IS FUNDED WHEN OPERATING INCOME IS EQUAL TO OR GREATER THAN 50% OF THE BUDGETED NET OPERATING INCOME. REWARD AMOUNTS ARE BASED ON A BALANCED SCORE CARD METHODOLOGY UTILIZING BEACON'S STRATEGIC IMPERATIVES AND MEASURED USING SELECTED METRICS SET ON A SLIDING SCALE DEFINED AS THRESHOLD 50%, TARGET 100%. AND MAXIMUM 150%. THE STRATEGIC IMPERATIVES ARE CLINICAL EXCELLENCE, GREAT WORKPLACE, CUSTOMER-DRIVEN CULTURE, SMART GROWTH, AND FINANCIAL SUSTAINAILITY. EACH IMPERATIVE CARRIES A DEFAULT WEIGHT OF 20%. THE PAYOUT OF THE ESTIP IS MADE AT THE DISCRETION OF THE BOARD. Form 990, Part III, Line 4a Program Service Accomplishments In 2023, Oncology services remained down but showed improvement in volumes. The service line is viewed as a community need therefore; we persevered through with low volumes serving all those we were able. Gaining system support through Beacon Health System Member Substitution Agreement afforded Three Rivers the opportunity to gain consistent providers serving the community on a regular basis with the ability to increase recruitment. The Center for Wound Healing continues to serve this community well offering hyperbaric oxygen therapy and an average healing rate above the state and national average. Having this service line available has proven to allow patients to keep limbs when otherwise travel would be difficult, and treatment may not be possible. Podiatry and Internal Medicine have continued to play an integral role at the Center with regards to wound debridement and offering an interdisciplinary approach to healing and limb retention. Detoxification continued to be a service offered by the organization with medical stabilization to get through the initial acute phase safely. Outpatient infusions continue to be a service need provided on a 24/7 basis. Outpatient therapies (PT, OT and speech) along with Cardiac Rehab are all located on the campus that allow for local care to an underserved community. Three Rivers Health continues to offer many services that would otherwise be impossible for some of the community due to lack of resources and support. These services may or may not be strong revenue stream but are rendered as part of the organization's mission to deliver outstanding care, inspire health and connect with heart. We continue to work to provide high-quality, close to home, and at reasonable cost healthcare; striving to meet the needs of the communities we serve. Form 990, Part III, Line 3 Significant changes in program services THREE RIVERS HEALTH CEASED OPERATIONS OF THE HEALTH CLUB AND BEACON HEALTH SYSTEM TOOK IT OVER. Form 990, Part VI, Line 6 Classes of members or stockholders BEACON HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER OF THREE RIVERS HEALTH SYSTEM, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body BEACON HEALTH, THE SOLE CORPORATE MEMBER, HAS THE POWER TO NOMINATE, ELECT AND REMOVE MEMBERS OF THE BOARD OF DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders DECISIONS OF THE BOARD OF DIRECTORS MUST BE APPROVED BY BEACON HEALTH SYSTEM, THE SOLE MEMBER OF THREE RIVERS HEALTH SYSTEM. THE FOLLOWING MATTERS REQUIRE THE APPROVAL OF BEACON HEALTH SYSTEM'S BOARD: 1. SELECTION AND RETENTION OF AUDITORS 2. APPROVAL OF ALL CONTRACTS, POLICIES, OR PROGRAMS OF INSURANCE ESTABLISHING THE TYPES OF INSURANCE COVERAGE REQUIRED AS WELL AS THE COVERAGE LEVELS 3. OTHER MATTERS AS DETERMINED FROM TIME TO TIME BY THE MEMBER, OR AS PROVIDED IN THE BYLAWS OR OTHER GOVERNING DOCUMENTS Form 990, Part VI, Line 11b Review of form 990 by governing body THE ORGANIZATION INCORPORATES NUMEROUS PARTIES IN THE PRODUCTION AND REVIEW OF THE FORM 990 AND ASSOCIATED SCHEDULES. SENIOR ACCOUNTING STAFF AND MANAGEMENT COMPLETE THE FORM 990 AND SCHEDULES. SOME FORMS AND SCHEDULES ARE REVIEWED BY THE CONTROLLER. SUBSEQUENT TO THOSE STEPS, THE ORGANZIATION ENGAGED ERNST & YOUNG TO REVIEW THE COMPLETED FORM 990 AND APPROPRIATE SCHEDULES. PRIOR TO FILING THE RETURN, THE CFO, THE AUDIT COMMITTEE OF THE ORGANIZATION, AND THE CEO CONDUCT A GENERAL OVERVIEW OF THE FORM 990, INCLUDING APPLICABLE COMPENSATION SCHEDULES. IN ADDITION, EACH BOARD MEMBER RECEIVES NOTIFICATION OF THE IRS FORM 990 PLACEMENT ON THE ORGANIZATION'S BOARD PORTALS WHICH ALLOWS FOR BOARD MEMBER REVIEW PRIOR TO FILING THE RETURN. Form 990, Part VI, Line 12c Conflict of interest policy THERE ARE THREE SEPARATE FORMS THAT ARE SENT OUT THROUGH THE INTERNAL AUDIT DEPARTMENT TO KEY EMPLOYEES OR BOARD MEMBERS REGARDING CONFLICT OF INTEREST. THEY ARE AS FOLLOWS: 1. THE FIRST IS A CONFLICT OF INTEREST STATEMENT THAT IS SENT TO SENIOR LEVEL ADMINISTRATION, MANAGEMENT, AND SELECT STAFF SUCH AS PURCHASING DEPARTMENT EMPLOYEES. THE PURPOSE OF THE STATEMENT IS TO REQUIRE THESE EMPLOYEES TO DISCLOSE ANY POTENTIAL CONFLICT OF INTERESTS THEY MAY HAVE. THE STATEMENTS ARE SENT IN JANUARY OF EACH YEAR FOR THE PREVIOUS YEAR ACTIVITIES WE PURSUE THE REPLIES TO GET A 100% RESPONSE RATE. IN THE CURRENT YEAR WE SENT OUT 375 STATEMENTS AND ARE WORKING TO ACHIEVE A 100% RESPONSE RATE. EACH RESPONSE IS REVIEWED BY THE DIRECTOR OF INTERNAL AUDIT AND THE RESULTS ARE REPORTED TO THE CEO OF BEACON HEALTH SYSTEM, THE AUDIT COMMITTEE CHAIRMAN, AS WELL AS THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. 2. THE SECOND STATEMENT IS THE BOARD DUALITY OF INTEREST STATEMENT THAT IS SENT TO CURRENT BOARD MEMBERS, FORMER BOARD MEMBERS FROM THE LAST FIVE YEARS, AND OTHER KEY EMPLOYEES. THE DUALITY OF INTEREST STATEMENT IS SENT USING A WEB BASED SURVEY TOOL PROVIDED BY ERNST & YOUNG. THE REPLIES ARE REVIEWED BY THE DIRECTOR OF INTERNAL AUDIT. THE RESULTS OF THE SURVEYS ARE SUMMARIZED USING THE WEB BASED TOOL, AND ARE REVIEWED BY ERNST & YOUNG IN COMPLETING THE 990. The RESULTS ARE REPORTED TO THE CEO OF BEACON HEALTH SYSTEM, THE AUDIT COMMITTEE CHAIRMAN, AND THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. 3. THE THIRD STATEMENT IS ENTITLED "CODE OF ETHICS FOR SENIOR FINANCIAL OFFICERS". THE STATEMENT REQUIRES AN ACKNOWLEDGEMENT FORM TO BE SIGNED BY BEACON HEALTH SYSTEM'S KEY FINANCIAL EMPLOYEES THAT BEACON'S FINANCIAL INFORMATION IS TO THE BEST OF THEIR KNOWLEDGE TRUE AND ACCURATE. THIS STATEMENT WAS SENT OUT ON JANUARY 4, 2024 AND THE SIGNED ACKNOWLEDGEMENTS ARE KEPT BY THE DIRECTOR OF INTERNAL AUDIT. IN 2023, 26 DESIGNATED EMPLOYEES WERE REQUESTED TO SIGN THE FORM AND WE HAD A 100% COMPLIANCE RATE. ANY POTENTIAL CONFLICTS OF INTERESTS ARE REVIEWED BY INDEPENDENT PARTIES BOTH INTERNAL AND EXTERNAL TO THE ORGANIZATION, AND IF NECESSARY, CORRECTIVE ACTION WOULD BE TAKEN TO RESOLVE A TRUE CONFLICT. THE INDIVIDUAL WITH THE POTENTIAL CONFLICT OF INTEREST WOULD BE EXCLUDED FROM ALL REVIEW PROCEEDINGS. Form 990, Part VI, Line 15a Process to establish compensation of top management official THREE RIVERS HEALTH SYSTEMS, INC'S PARENT, BEACON HEATLH SYSTEM, INC. HAS AN EXTENSIVE EXAMINATION THAT IS CONDUCTED, FOR VICE PRESIDENT AND HIGHER, USING COMPARABLE MARKET DATA THAT IS THEN REVIEWED BY AN INDEPENDENT CONSULTANT HIRED BY, AND REPORTING TO, THE BOARD OF DIRECTORS. HUMAN RESOURCES CONDUCTS THE ANALYSIS AND MAKES RECOMMENDATIONS TO THE CEO WHO THEN MAKES THE RECOMMENDATIONS FOR ALL OTHER EXECUTIVES/OFFICERS TO THE BOARD FOR APPROVAL. THE INDEPENDENT CONSULTING GROUP SEPARATELY MAKES THE RECOMMENDATIONS REGARDING THE CEO'S COMPENSATION TO THE BOARD FOR APPROVAL. RECOMMENDATIONS ARE PRESENTED TO THE COMPENSATION COMMITTEE OF THE BEACON HEALTH SYSTEM, INC. BOARD FOR DELIBERATION AND FINAL DECISION. DELIBERATION AND FINAL DECISION ARE PERFORMED BY THE INDEPENDENT MEMBERS OF THE BOARD. Form 990, Part VI, Line 19 Required documents available to the public THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE DISTRIBUTED QUARTERLY TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE AS PART OF THE CONTINUING DISCLOSURES FOR THE BEACON HEALTH SYSTEM, INC. BONDS. Form 990, Part VIII, Line 2f Other Program Service Revenue Affiliate Rent Revenue - Total Revenue: 312, Related or Exempt Function Revenue: 312, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Drug Sales - Total Revenue: 108, Related or Exempt Function Revenue: 108, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Capitations - Total Revenue: 53922, Related or Exempt Function Revenue: 53922, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Unclaimed Property - Total Revenue: 32353, Related or Exempt Function Revenue: 32353, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Surgery Center - Total Revenue: 18214, Related or Exempt Function Revenue: 18214, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Medical Education - Total Revenue: 1200, Related or Exempt Function Revenue: 1200, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part IX, Line 11g Other Fees Professional fees & Purch. Srvcs - Total Expense: 11816875, Program Service Expense: 10339766, Management and General Expenses: 1477109, Fundraising Expenses: ; Supplies & Other - Total Expense: 9729, Program Service Expense: 8495, Management and General Expenses: 1234, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Write-off Intercompany Balances - 16064860; Rounding - 305; BEACON MEDICAL GROUP 615 N MICHIGAN STREET SOUTH BEND IN 46601 351536132 PHY PRACTICES IN 501(c)(3) 10 BHS true BEACON HEALTH FOUNDATION INC 615 N MICHIGAN STREET SOUTH BEND IN 46601 351536129 FINANCIAL SUPPORT IN 501(c)(3) 7 BHS true ELKHART GENERAL HOSPITAL 600 EAST BOULEVARD ELKHART IN 46514 350877574 HOSPITAL IN 501(c)(3) 3 BHS true COMMUNITY HOSPITAL OF BREMEN INC 1020 HIGH ROAD BREMEN IN 46506 350835006 HOSPITAL IN 501(c)(3) 3 BHS true MEMORIAL HOSPITAL OF SOUTH BEND INC - 615 N MICHIGAN STREET SOUTH BEND IN 46601 350868132 HOSPITAL IN 501(c)(3) 3 BHS true TRAH PROPERTIES INC 701 S HEALTH PARKWAY THREE RIVERS MI 49093 383366344 PROPERTY MANAGEMENT MI 501(c)(3) Type I TRH true THREE RIVERS HEALTH AUTHORITY 701 S HEALTH PARKWAY THREE RIVERS MI 49093 382317300 HOSPITAL MI 501(c)(3) Type III-FI NA false BEACON HEALTH SYSTEM INC 615 N MICHIGAN STREET SOUTH BEND IN 46601 453864076 PARENT ORG IN 501(c)(3) Type III-FI NA false BEACON HEALTH VENTURES INC 615 N MICHIGAN ST SOUTH BEND IN 46601 351901068 HOME MEDICAL IN N/A C Corporation false BEACON HEALTH VENTURES MICHIGAN INC 615 N MICHGIAN ST SOUTH BEND IN 46601 208259773 HOME MEDICAL MI BHS C Corporation false false false false false false false false false false true false false false false false true true true true BEACON MEDICAL GROUP P 2952953 ACTUAL CHARGES BEACON MEDICAL GROUP Q 1109118 ACTUAL CHARGES BEACON MEDICAL GROUP R 287199 CASH BEACON MEDICAL GROUP S 2130722 CASH MEMORIAL HOSPITAL OF SOUTH BEND P 1010907 ACTUAL CHARGES MEMORIAL HOSPITAL OF SOUTH BEND S 1007614 CASH