2023-11-10T14:55:39+00:00 2022-12-31 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE INDIANAPOLIS IN 462045100 990 2022-01-01 451257972 Three Rivers Health System Inc THRE 2692781145 701 S HEALTH PARKWAY THREE RIVERS MI 49093 JEFFREY COSTELLO CFO 2023-11-10 true Jeffrey Costello 999009999 Jennifer D Rhoderick P00395735 3176817000 2023-11-09 2022 2023-04-26 12:10:37Z Three Rivers Health MARIA BEHR 701 S HEALTH PARKWAY THREE RIVERS MI 49093 73055645 false X WWW.BEACONHEALTHSYSTEM.ORG X 2011 MI WE DELIVER OUTSTANDING CARE, INSPIRE HEALTH, AND CONNECT WITH HEART. 6 6 589 67 0 0 7424607 4516225 70102988 66637564 34929 61987 211174 1825601 77773698 73041377 12599 0 37132323 34497956 0 0 36351425 41665353 73483748 76175908 4289950 -3134531 44921544 38845134 18271326 11218894 26650218 27626240 WE DELIVER OUTSTANDING CARE, INSPIRE HEALTH, AND CONNECT WITH HEART. false false 62224621 12599 68164712 See Schedule O 62224621 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 86 0 true 589 true false false false false false false false false false false false false X 6 6 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 150 0 0 Raymond L Bendure PhD Vice Chair 2.0 0 X X 267 0 0 Rick Cordes Secretary 2.0 0 X X 150 0 0 Adam Goff OD Director 2.0 0 X 214 0 0 Jennifer Platz Director 2.0 0 X 150 0 0 Jim Stuck Director 2.0 0 X 790 0 0 David A Shannon President thru 10/2022 40.0 0 X 345254 0 17859 Jeffrey P Costello CFO 2.0 50.0 X 0 878794 126495 Kreg R Gruber CEO 2.0 50.0 X 0 1543364 221266 Maria A Behr President 40.0 2.0 X 271694 0 18223 David Parks Dir Information Systems 40.0 0 X 144185 0 28871 Karleen Kinker Pharmacist 40.0 0 X 137299 0 9078 Katharine Gaj Mgr OP Rehab Srvcs 40.0 0 X 145057 0 12725 Shanna Kathleen Cole Pharmacist 40.0 0 X 134432 0 7798 Steve Squires Physician Asst. 40.0 0 X 149374 0 25595 Hope Bailey Former VP Nursing 40.0 0 X 225980 0 25688 Steven Andrews Former CFO 40.0 0 X 121838 0 1211 1676834 2422158 494810 35 true true false KALAMAZOO FOOT & ANKLE SPECIALISTS PLC 12057 WEST INDIAN LAKE DR VICKSBURG MI 49097 Physican Services 1046667 MEDICAL SOLUTIONS LLC 1010 NORTH 102ND ST OMAHA NE 68114 Temp Employment 543981 WEST MICHIGAN EAR NOSE & THROAT 3850 GLENKERRY COURT PORTAGE MI 49024 Physican Services 526058 KALAMAZOO ANESTHESIOLOGY 900 PEELER ST KALAMAZOO MI 49008 Physican Services 517433 HARDENBERGH GROUP 38777 SIX MILE RD LIVONIA MI 48152 Professional Services 435752 55 0 0 0 140019 4376206 0 0 4516225 Net Patient Revenue 622110 66533435 66533435 0 0 Drug Sales 446110 5159 5159 0 0 IMED Shared Service 621110 98607 98607 0 0 0 0 0 0 0 0 0 0 363 363 0 0 66637564 74333 0 0 74333 0 0 0 0 0 0 0 0 198327 0 1922 0 196405 0 196405 0 0 196405 459 11887 -459 -11887 -12346 0 0 -12346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Athletic Club 713940 657397 657397 0 0 340B 446110 545579 545579 0 0 Quality Incentive 622110 227822 227822 0 0 198398 96350 0 102048 1629196 73041377 68164712 0 360440 X 12599 12599 654751 654751 374716 374716 27624477 24834405 2790072 71145 63959 7186 3945155 3546694 398461 1827712 1643113 184599 812587 812587 75723 75723 187279 187279 3208 2884 324 170105 170105 13225010 11889216 1335794 0 146677 131863 14814 1896195 1704672 191523 296 266 30 1775811 1596335 179476 115072 103450 11622 49632 44619 5013 79138 71145 7993 1636838 1471517 165321 752676 676656 76020 Medical Supplies 9285684 9285684 Management Fees 5988100 5988100 Dues & Subscriptions 2862577 2573457 289120 Bad Debt Expense 2299198 2299198 303547 272889 30658 0 76175908 62224621 13951287 0 5813463 1928 15445146 10026543 89317 4906469 6855165 0 0 0 871809 972746 1126035 394894 20159640 2348504 16615867 17811136 130861 0 0 11894 0 0 2693405 44921544 38845134 5237875 5282641 3676696 0 40998 0 0 4051368 3277438 5305387 0 0 2617817 18271326 11218894 X 26650218 27626240 0 0 0 0 26650218 27626240 44921544 38845134 X -3134531 2266 4108287 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 3208 3208 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 Helath, Obstetric and Neonatal Nurses) - 20% ACR (American College of Radiology) - 20% ASHT (American Society of Hand Therapists) - 20% When unable to ascertain allocation of dues attributed to Lobbying a conservative estimate of 20% is applied. 0 46675185 -4645970 3270255 0 0 38758960 0 0 0 0 0 0 0 0.7587 0.0 0.2413 false true true 6227549 6227549 9245067 648872 8596195 0 0 0 4687024 1699632 2987392 0 0 0 17811136 Other Receivables 579633 Third Party Receivables 2113772 2693405 Capital Leases 55435 Third Party Payables 2562382 2617817 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. SOME NET ASSETS HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED BY THE CORPORATION IN PERPETUITY. 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 HOSPITAL HAS ONE ENDOWMENT FUND ESTABLISHED FOR PATIENT CARE PURPOSES WITH A VALUE OF $8,214,426. THE HOSPITAL HAS ESTABLISHED INVESTMENT AND SPENDING POLICIES RELATED TO THE APPRECIATION OF THIS ENDOWMENT. SHOULD THE UNDERLYING ASSETS FALL BELOW THIS TARGETED AMOUNT THE HOSPITAL PURSUES ACTION CONSISTENT WITH ESTABLISHED POLICIES TO RETURN THE ENDOWMENT TO THE TARGETED AMOUNT. BASED ON THESE POLICIES, ENDOWMENT AMOUNTS ARE TEMPORARILY RESTRICTED UNTIL BOARD AUTHORIZED RELEASE OF FUNDS FOR PATIENT CARE PURPOSES ARE APPROVED. AS A MEMBER ORGANIZATION OF BEACON HEALTH SYSTEM, THE HOSPITAL ALSO CAN BENEFIT FROM ENDOWMENT FUNDS HELD BY RELATED ENTITIES, THE VALUE OF WHICH WAS $38,758,960 AT 12/31/2022. IN 2022, THE HOSPITAL RECEIVED $0 FROM THE RELATED PARTY ENDOWMENT FUNDS. Schedule D, Part V, Line 1a ENDOWMENT FUNDS BEGINNING BALANCE THREE RIVERS HEALTH WAS ACQUIRED BY BEACON HEALTH SYSTEM IN OCTOBER OF 2021. THREE RIVERS HEALTH WOULD NOT SHOW ANY PRIOR YEAR ENDOWMENT FUNDS, SO NO BEGINNING BALANCE WILL POPULATE FOR 2022. THE BEGINNING BALANCE OF 42,986,125 WAS ADDED TO THE 2022 CONTRIBUTIONS OF 3,689,060, SO THAT THE ENDING BALANCE FOR 2022 WILL BE CORRECT. 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 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, 2022 or 2021. true true X true X true X true true true false true true 140170 0 140170 0.0019 15769330 14566615 1202715 0.0163 0 0 0 0.0 0 0 15909500 14566615 1342885 0.0182 210691 0 210691 0.0029 961052 0 961052 0.0130 5864357 3319960 2544397 0.0344 0 0 0 0.0 0 0 0 0.0 0 0 7036100 3319960 3716140 0.0503 0 0 22945600 17886575 5059025 0.0685 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 2299198 785866 8124094 11455873 -3331779 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 true false false true X 200.0 400.0 X X X X true true X X X X true X HTTPS://WWW.BEACONHEALTHSYSTEM.ORG/PAY-YOUR-BILL/ X HTTPS://WWW.BEACONHEALTHSYSTEM.ORG/PAY-YOUR-BILL/ X HTTPS://WWW.BEACONHEALTHSYSTEM.ORG/PAY-YOUR-BILL/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 2 IN OCTOBER 2021, BEACON HEALTH SYSTEM AFFILIATED WITH THREE RIVERS HEALTH SYSTEM. ALL ORGANIZATIONS CONTINUE AS FULL-CARE PROVIDERS FOR THEIR RESPECTIVE COUNTIES, AND THEY ARE COMMITTED TO PROMOTING THE HEALTH OF THE COMMUNITIES THEY SERVE. 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 I, Line 7g Subsidized Health Services OTHER SUBSIDIZED HEALTH SERVICES INCLUDES GROSS CLINIC COSTS OF $4,617,545. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 2299198 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance LINES 7A THROUGH 7C ARE REPORTED USING THE COST TO CHARGE RATIO CALCULATED USING WORKSHEET 2. LINES 7E THROUGH 7G ARE REPORTED USING DIRECT COSTS FOR CLINIC OPERATIONS. A COST ACCOUNTING SYSTEM WAS USED FOR HOSPITAL OPERATIONS. 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 $410,092 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 $410,092 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/PAY-YOUR-BILL/; Schedule H, Part V, Section B, Line 16b FAP Application website - THREE RIVERS HEALTH: Line 16b URL: HTTPS://WWW.BEACONHEALTHSYSTEM.ORG/PAY-YOUR-BILL/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - THREE RIVERS HEALTH: Line 16c URL: HTTPS://WWW.BEACONHEALTHSYSTEM.ORG/PAY-YOUR-BILL/; Schedule H, Part VI, Line 2 Needs assessment THE HOSPITAL CURRENTLY REVIEWS THE HEALTH INDICATORS OF THE COUNTY AND WILL FROM TIME TO TIME COMPLETE COMMUNITY SURVEYS. WE ASSESS WHETHER WE HAVE A SHORTAGE OF PHYSICIANS IN THE AREA ANNUALLY AS WELL. WE REVIEW TRENDS OF OUR PATIENT ACTIVITY BY SERVICE AND TYPE OF PATIENT TO SEE IF ADJUSTMENTS IN SERVICE OR RESOURCE ALLOCATION NEED TO BE MADE. WE REVIEW OUR PATIENT SATISFACTION SURVEYS PERIODICALLY TO IDENTIFY ANY POTENTIAL GAPS IN SERVICES. WE PARTNER WITH THE LOCAL SCHOOLS AND COMMUNITY MENTAL HEALTH ON SPECIFIC HEALTH INITIATIVE THROUGHOUT THE YEAR. OUR MOST RECENT NEEDS ASSESSMENT WAS COMPLETED IN 2019. WE ALSO PARTNER WITH A LOCAL FQHC ("COVERED BRIDGE"). WE ARE ALSO A PART OF AN ACO THAT HELPS US MONITOR QUALITY INDICATORS OF OUR PATIENTS AND HAS ALSO HELPED US PROMOTE ANNUAL WELLNESS VISITS. WE HAVE 2 FULL TIME CARE COORDINATOR THAT HELPS WITH TRANSITION OF CARE BETWEEN PROVIDERS AS WELL. WE ARE PLANNING ON ADDING MORE STAFF TO HELP WITH THESE INITIATIVES. 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 THE HOSPITAL PRESENTLY SERVES ST. JOSEPH COUNTY, ALONG WITH OTHER PROVIDERS AS WELL. THE ESTIMATED POPULATION OF THE TOTAL MARKET IS AROUND 62,000. 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 UNEMPLOYMENT RATE CONTINUES TO BE HIGH, AND THE MEDICAID POPULATION IN THE COMMUNITY IS EXTREMELY HIGH. ADDITIONALLY, PEOPLE WITH COVERAGE HAS ALSO INCREASED. BECAUSE OF THIS, MANY PEOPLE USE THE ER AS THEIR PRIMARY CARE PROVIDER. WHILE THE COMMUNITY IS RURAL, IT 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. Schedule H, Part VI, Line 5 Promotion of community health THE HOSPITAL HAS A BOARD THAT RESIDES ENTIRELY IN THE COMMUNITY IT SERVES. THE HOSPITAL HAS EXTENDED PRIVILEGES TO ALL QUALIFIED STAFF IN THE COMMUNITY, AND AS MENTIONED ABOVE, HAS SET UP ARRANGEMENTS WITH TERTIARY HOSPITALS TO ARRANGE FOR SPECIALISTS TO PROVIDE CARE IN THE COMMUNITY ON AN AS NEEDED BASIS. THIS IS CRITICAL, AS THIS MEANS THE LOCAL POPULATION DOES NOT HAVE TO TRAVEL EXTENSIVELY FOR THIS SPECIALTY CARE. IF SURPLUS FUNDS ARE AVAILABLE, THESE FUNDS ARE INVESTED BACK INTO THE COMMUNITY, BY ALLOCATING DOLLARS FOR MEDICAL EQUIPMENT REPLACEMENT, PHYSICIAN RECRUITING, AND OTHER COMMUNITY INITIATIVES. THE HOSPITAL ALSO CONTINUES TO ESTABLISH RURAL HEALTH CLINICS IN COMMUNITIES SURROUNDING ITS SERVICE AREA. THE HOSPITAL IS ALSO A MEMBER OF AN ACO, AND THE HOSPITAL HAS HIRED A CARE COORDINATOR TO HELP WITH CHRONIC CARE PATIENTS AND TO HELP PROMOTE THREE RIVERS HEALTH SYSTEM, INC. 45-1257972 ANNUAL WELLNESS VISTS AS WELL. Schedule H, Part VI, Line 6 Affiliated health care system IN OCTOBER 2021, BEACON HEALTH SYSTEM AFFILIATED WITH THREE RIVERS HEALTH SYSTEM. ALL ORGANIZATIONS CONTINUE AS FULL-CARE PROVIDERS FOR THEIR RESPECTIVE COUNTIES, AND THEY ARE COMMITTED TO PROMOTING THE HEALTH OF THE COMMUNITIES THEY SERVE. THE 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) 10000 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 Steven Andrews Former CFO 72741 0 48800 0 297 0 0 0 1211 0 123049 0 0 0 Kreg R Gruber CEO 0 994922 0 261341 0 287101 0 194557 0 26709 0 1764631 0 83287 Jeffrey P Costello CFO 0 602522 0 122536 0 153736 0 110781 0 15714 0 1005289 0 77367 Maria A Behr President 214672 0 30538 0 26484 0 9855 0 8368 0 289917 0 0 0 David A Shannon President thru 10/2022 252200 0 68250 0 24804 0 1500 0 16359 0 363113 0 0 0 Hope Bailey Former VP Nursing 186624 0 38960 0 395 0 3727 0 21960 0 251667 0 0 0 Steve Squires Physician Asst. 133659 0 15624 0 92 0 3072 0 22523 0 174970 0 0 0 David Parks Dir Information Systems 130313 0 13213 0 659 0 3051 0 25820 0 173056 0 0 0 Katharine Gaj Mgr OP Rehab Srvcs 135411 0 8947 0 699 0 2598 0 10127 0 157782 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees THREE RIVERS HEALTH SYSTEM, INC. OFFERS COMPLIMENTRY HEALTH CLUB MEMBERSHIP TO BEACON HEALTH SYSTEM'S HEALTH AND LIFESTYLE CENTER, A RELATED PARTY. HEALTH OR SOCIAL CLUB DUES FOR THE FOLLOWING INDIVIDUALS WAS INCLUDED IN TAXABLE COMPENSATION: JIM STUCK, AND 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 2022, REFLECTED IN COLUMN (B)(III): * KREG GRUBER, $146,136 * JEFFREY COSTELLO, $116,448 THE FOLLOWING INDIVIDUALS RECEIVED DEFFERED PAYMENTS IN 2022 THAT WILL VEST IN FUTURE YEARS, WHICH ARE REFLECTED IN COLUMN C: * KREG GRUBER, $182,357 * JEFFREY COSTELLO, $98,581 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 2022, Oncology services remained down due to changes in provider coverage. However, 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. 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 played an integral role at the Center with regards to wound debridement and offering an interdisciplinary approach to healing and limb retention. Detoxification continues 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. 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 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 COMPENSATION 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 376 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 12, 2023 AND THE SIGNED ACKNOWLEDGEMENTS ARE KEPT BY THE DIRECTOR OF INTERNAL AUDIT. IN 2022, 22 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: 363, Related or Exempt Function Revenue: 363, 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: 83207, Related or Exempt Function Revenue: 83207, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Unclaimed Property - Total Revenue: 8068, Related or Exempt Function Revenue: 8068, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Medical Education - Total Revenue: 5075, Related or Exempt Function Revenue: 5075, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Management Admin Income - Total Revenue: 88464, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 88464; Dr. Raedy - Total Revenue: 13584, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 13584; Form 990, Part IX, Line 11g Other Fees Professional fees & Purch. Srvcs - Total Expense: 13196940, Program Service Expense: 11863981, Management and General Expenses: 1332959, Fundraising Expenses: ; Supplies & Other - Total Expense: 28070, Program Service Expense: 25235, Management and General Expenses: 2835, 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 - 4107341; Rounding - 946; 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 THREE RIVERS HEALTH FOUNDATION 701 S HEALTH PARKWAY THREE RIVERS MI 49093 201384776 FOUNDATION TO HOSPITAL MI 501(c)(3) Type I TRH 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 INTEGRATED HEALTH SYSTEMS INC 701 SOUTH HEALTH PARKWAY THREE RIVERS MI 49093 383134384 PERSONNEL MGMT MI THREE RIVERS health system inc C Corporation 1 true false false false false false false false false false true false false false false false true true true true BEACON MEDICAL GROUP P 1411257 ACTUAL CHARGES BEACON MEDICAL GROUP Q 1410894 ACTUAL CHARGES ELKHART GENERAL HOSPITAL P 528561 ACTUAL CHARGES ELKHART GENERAL HOSPITAL S 526306 CASH