Form 990 for tax year 2024

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $470,690

• 1e · Government grants (contributions)

  $10,407,023

• 2a · Program service revenue: Net Patient Revenue

  total $372,952,723 · related or exempt $372,952,723

• 2b · Program service revenue: Outpatient Pharmacy

  total $6,852,823 · unrelated business $327,980 · excluded $6,524,843

• 2c · Program service revenue: Rent from Related Part

  total $1,197,636 · related or exempt $1,197,636

• 3 · Investment income

  total $312,219 · excluded $312,219

• 6a · Gross rents

  real property $919,666

• 6b · Less rental expenses

  real property $421,227

• 6c · Rental income or loss

  real property $498,439

• 6d · Net rental income or loss

  total $498,439 · excluded $498,439

• 7a · Gross sales of assets other than inventory

  other assets $54,317

• 7b · Less cost or other basis and sales expenses

  other assets $31,792

• 7c · Gain or loss

  other assets $22,525

• 7d · Net gain or loss

  total $22,525 · excluded $22,525

• 11a · Other revenue: CAFETERIA

  total $1,288,304 · excluded $1,288,304

• 11b · Other revenue: QUALITY INCENTIVE

  total $742,052 · related or exempt $742,052

• 11c · Other revenue: PRIMLEY DISTRIBUTION

  total $334,620 · excluded $334,620

• 11d · All other revenue

  total $112,615 · related or exempt $66,754 · unrelated business $45,861

• 11e · Other revenue, total

  $2,477,591

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $298,326 · program services $298,326

• 2 · Grants to domestic individuals

  total $320,738 · program services $320,738

• 5 · Compensation of officers, directors and key employees

  total $839,041 · management and general $839,041

• 7 · Other salaries and wages

  total $96,652,412 · program services $82,853,153 · management and general $13,799,259

• 8 · Pension plan contributions

  total $3,029,742 · program services $2,597,180 · management and general $432,562

• 9 · Other employee benefits

  total $14,728,200 · program services $12,625,425 · management and general $2,102,775

• 10 · Payroll taxes

  total $6,925,945 · program services $5,937,114 · management and general $988,831

• 11a · Fees: management

  total $4,940,908 · program services $4,235,485 · management and general $705,423

• 11b · Fees: legal

  total $16,810 · management and general $16,810

• 11c · Fees: accounting

  total $89,352 · management and general $89,352

• 11d · Fees: lobbying

  total $1,813 · management and general $1,813

• 11f · Fees: investment management

  total $260,211 · management and general $260,211

• 11g · Fees: other

  total $29,081,459 · program services $24,929,411 · management and general $4,152,048

• 12 · Advertising and promotion

  total $867 · management and general $867

• 13 · Office expenses

  total $3,633,023 · program services $3,114,329 · management and general $518,694

• 14 · Information technology

  total $14,691 · program services $12,594 · management and general $2,097

• 16 · Occupancy

  total $3,321,122 · program services $2,846,959 · management and general $474,163

• 17 · Travel

  total $97,734 · program services $83,780 · management and general $13,954

• 19 · Conferences, conventions and meetings

  total $40,345 · program services $34,585 · management and general $5,760

• 20 · Interest

  total $1,876,395 · program services $1,608,498 · management and general $267,897

• 22 · Depreciation, depletion and amortization

  total $14,989,669 · program services $12,849,564 · management and general $2,140,105

• 23 · Insurance

  total $1,360,940 · program services $1,166,636 · management and general $194,304

• 24a · Other expenses: PATIENT SUPPLIES, DRUGS

  total $71,523,291 · program services $71,523,291

• 24b · Other expenses: CORPORATE ALLOCATION FE

  total $46,524,780 · program services $39,882,344 · management and general $6,642,436

• 24c · Other expenses: HOSPITAL ASSESSMENT FEE

  total $24,817,600 · program services $21,274,341 · management and general $3,543,259

• 24d · Other expenses: BAD DEBT EXPENSE

  total $22,399,898 · management and general $22,399,898

• 24e · All other expenses

  total $116,281 · program services $99,679 · management and general $16,602

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $7,810 · end of year $7,810

• 2 · Savings and temporary cash investments

  beginning of year $14,485,661 · end of year $8,718,891

• 4 · Accounts receivable

  beginning of year $66,587,288 · end of year $58,217,290

• 7 · Other notes and loans receivable

  beginning of year $328,003 · end of year $368,093

• 8 · Inventories for sale or use

  beginning of year $11,539,619 · end of year $12,608,516

• 9 · Prepaid expenses and deferred charges

  beginning of year $522,020 · end of year $841,689

• 10a · Land, buildings and equipment: cost or other basis

  $440,851,425

• 10b · Land, buildings and equipment: accumulated depreciation

  $275,435,108

• 10c · Land, buildings and equipment, net

  beginning of year $168,648,694 · end of year $165,416,317

• 11 · Investments: publicly traded securities

  beginning of year $8,420,513 · end of year $8,899,279

• 14 · Intangible assets

  beginning of year $2,536,226 · end of year $2,536,226

• 15 · Other assets

  beginning of year $1,238,234 · end of year $11,534,460

• 17 · Accounts payable and accrued expenses

  beginning of year $24,912,022 · end of year $26,120,462

• 20 · Tax-exempt bond liabilities

  beginning of year $52,721,476 · end of year $48,550,540

• 25 · Other liabilities

  beginning of year $1,633,088 · end of year $1,619,193

• 27 · Net assets without donor restrictions

  beginning of year $186,626,969 · end of year $183,959,097

• 28 · Net assets with donor restrictions

  beginning of year $8,420,513 · end of year $8,899,279

The filer's explanations (Part III)

Part I, Line 1a

Elkhart General Hospital, Inc. offers complimentary 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: Chris Annis, John Deputy, Dawn Fisher, Tim Morgan, Matt Zimmerman, and Tonja Lucchese.

Part I, Line 3

Elkhart General Hospital,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.

Part I, Line 4b

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 2024, reflected in column (b)(iii): Kreg Gruber, $198,816 Jeffrey Costello, $130,545 Carl Risk, $73,692 The following individuals received deferred payments in 2024 that will vest in future years, which are reflected in column c: Kreg Gruber, $215,393 Jeffrey Costello, $122,283 Carl Risk, $79,338

Part I, Line 7

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 nonmanagement 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 sustainability. 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 sustainability. Each imperative carries a default weight of 20%. The payout of the ESTIP is made at the discretion of the board.

Related partnerships

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

• South Bend Specialty Surgery Center LLC

  Ambulatory Surgery Center · IN

Related corporations and trusts

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

• Beacon Health Ventures Inc

  C · Home Medical · IN

  Directly controlled by Beacon Health System Inc

• Beacon Health Ventures Michigan Inc

  C · Home Medical · MI

  Directly controlled by Beacon Health System Inc