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BEACON MEDICAL GROUP INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BEACON MEDICAL GROUP INC (EIN 35-1536132)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201313169349303236
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-12T11:44:22-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE STE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351536132EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JEFFREY COSTELLOInCareOfName
Name ControlMEMONameControl
Phone5746473549Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 N MICHIGAN STREETAddressLine1
Address Line2SuiteAddressLine2
CitySOUTH BENDCity
StateINState
ZIP Code46601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEFFREY COSTELLOName
TitleCFOTitle
Date Signed2013-11-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPHILIP NEWBOLDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1615 N MICHIGAN STREETAddressLine1
CitySOUTH BENDCity
StateINState
ZIP Code46601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts105770347GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteQUALITYOFLIFE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionMEMORIAL HEALTH SYSTEM, INC. IS COMMITTED TO IMPROVING THE QUALITY OF LIFE OF THE PEOPLE IN OUR COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees1074TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI2499610TotalGrossUBI
Contributions Grants Prior Year2628344ContributionsGrantsPriorYear
Contributions Grants Current Year2795351ContributionsGrantsCurrentYear
Program Service Revenue Prior Year81205762ProgramServiceRevenuePriorYear
Program Service Revenue CY86611360ProgramServiceRevenueCY
Investment Income Prior Year154362InvestmentIncomePriorYear
Investment Income Current Year735483InvestmentIncomeCurrentYear
Other Revenue Prior Year1383530OtherRevenuePriorYear
Other Revenue Current Year1116609OtherRevenueCurrentYear
Total Revenue Prior Year85371998TotalRevenuePriorYear
Total Revenue Current Year91258803TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year248560GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY394509GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year73826588SalariesEtcPriorYear
Salaries Etc Current Year86388443SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year32526351OtherExpensePriorYear
Other Expenses Current Year35101564OtherExpensesCurrentYear
Total Expenses Prior Year106601499TotalExpensesPriorYear
Total Expenses Current Year121884516TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-21229501RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-30625713RevenuesLessExpensesCY
Total Assets BOY106397632TotalAssetsBOY
Total Assets EOY107729902TotalAssetsEOY
Total Liabilities BOY61570630TotalLiabilitiesBOY
Total Liabilities EOY66293075TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY44827002NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY41436827NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMEMORIAL HEALTH SYSTEM, INC. IS COMMITTED TO IMPROVING THE QUALITY OF LIFE OF THE PEOPLE IN OUR COMMUNITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangetrueSignificantChange
Expense76383211Expense
Revenue59089291Revenue
DescriptionMEMORIAL HEALTH SYSTEM, INC. (THE "CORPORATION") OPERATES MEMORIAL MEDICAL GROUP. MEMORIAL MEDICAL GROUP (MMG) IS A MULTI-SPECIALTY CARE NETWORK OF PHYSICIANS AND ALSO INCLUDES THE MED-POINT IMMEDIATE CARE CENTERS AND CENTER FOR OCCUPATIONAL HEALTH. IN ADDITION TO THE PHYSICIAN PRACTICES, MMG OPERATES A HIGH COMPLEXITY CORE LABORATORY FOR THE SUPPORT OF ITS EMPLOYED PHYSICIANS. THE CENTER FOR OCCUPATIONAL HEALTH (COH) PROVIDES WORKER'S COMPENSATION SERVICES FOR 1500 CLIENT COMPANIES IN ST. JOSEPH AND LAPORTE COUNTIES. MMG ALSO OPERATES MED-POINT URGENT CARE CENTERS TO SUPPLEMENT THE SERVICES OF THE MEDICAL GROUP AND COH. MMG OPERATES MED-POINT EXPRESS, A RETAIL BASED WALK-IN CLINIC AT VARIOUS RETAIL SUPERCENTERS OR GROCERY STORES. IN ADDITION TO THE CORPORATION'S PRIMARY CARE NETWORK, MEMORIAL MEDICAL GROUP MANAGES THE OPERATION OF SEVERAL HOSPITAL BASED PRACTICES FOR THE HOSPITALISTS, TRAUMA ORTHOPEDIC SURGEON, AND PEDIATRIC INTENSIVISTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense22703409Expense
Grants394509Grants
Revenue26989010Revenue
DescriptionMEMORIAL HEALTH SYSTEM, INC. (THE "CORPORATION") WAS ESTABLISHED AS THE PARENT CORPORATION OF MEMORIAL HOSPITAL OF SOUTH BEND, INC. (THE "HOSPITAL") IN 1981 TO DEVELOP A FULL SPECTRUM OF HEALTH-RELATED SERVICES FOR NORTH CENTRAL INDIANA AND SOUTHWESTERN MICHIGAN. THE CORPORATION IS COMMUNITY-OWNED AND NOT-FOR-PROFIT. ALONG WITH ITS SUBSIDIARIES, THE CORPORATION SERVES THE GREATER COMMUNITY THROUGHOUT THE CONTINUUM OF CARE FROM HEALTH PROMOTION AND SICKNESS PREVENTION TO DIAGNOSIS, INPATIENT, OUTPATIENT AND HOME CARE SERVICES. IT CONTROLS MEMORIAL HEALTH FOUNDATION, THE HOSPITAL'S PHILANTHROPIC ARM, AND BEACON HEALTH VENTURES, INC., COLLECTIVELY REFERRED TO AS THE "SYSTEM". THE CORPORATION PROVIDES CORPORATE SERVICES TO THE ABOVE MENTIONED AFFILIATED ORGANIZATIONS AND THE HOSPITAL. ALONG WITH ITS OWN AFFILIATED ORGANIZATIONS, MEMORIAL HEALTH SYSTEM, INC. HAS FORMED SEVERAL JOINT VENTURES WHICH FURTHERS ITS WORK IN THE CONTINUUM OF CARE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense365225Expense
Revenue532618Revenue
DescriptionMEMORIAL HEALTH SYSTEM, INC. (THE "CORPORATION") OPERATES MEMORIAL MEDICAL GROUP (MMG). ALONG WITH THE PRIMARY CARE NETWORK, MMG ALSO OPERATES THE MEMORIAL MEDICAL GROUP CLINICAL RESEARCH INSTITUTE (CLINICAL RESEARCH). CLINICAL RESEARCH IS CURRENTLY FOCUSED ON PHARMACOLOGY STUDIES. THE PHARMACOLOGY STUDIES INVOLVE PATIENTS WITH SPECIFIC CONDITIONS OR DISEASES. CLINICAL RESEARCH HAS BROUGHT THE FOLLOWING POSITIVE BENEFITS TO MMG: IMPROVED PATIENT CARE - BRINGS MMG PHYSICIANS AND NURSES CLOSER TO LEADING-EDGE MEDICINE. CORPORATE POSITIONING - CLINICAL RESEARCH CAN ENHANCE MMG'S IDENTITY AND BRAND, IT CAN PROVIDE A MEANS TO MEET PHYSICIANS' ACADEMIC NEEDS AND ENHANCE PHYSICIAN RECRUITMENT.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense660289Expense
Revenue21217Revenue
DescriptionMANAGED CARE SERVICESDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp660289TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev21217TotalOfOtherProgramServiceRev
Total Program Service Expense100112134TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096206NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1074NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEFFREY COSTELLONamePerson
Telephone Number5746473549TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1615 N MICHIGAN STREETAddressLine1
CitySOUTH BENDCity
StateINState
ZIP Code46601ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JOHN HILER
DIRECTOR - CHAIR2.01.0XX298400
VIVIAN SALLIE
DIRECTOR - SECRETARY2.01.0XX239200
RAFAT ANSARI MD
DIRECTOR - THRU MAR 20122.01.0X95200
LARRY HARDING
DIRECTOR - TREASURER2.01.0XX239200
VINCENT HENDERSON MD
DIRECTOR & EMPLOYED PHYSICIAN40.01.0X392628021708
TODD SCHURZ
DIRECTOR - VICE CHAIR2.01.0XX355600
PHILIP NEWBOLD
PRESIDENT & CEO40.04.0XX13827380163374
BIPIN DOSHI
DIRECTOR2.01.0X288900
RICHARD RICE
DIRECTOR2.01.0X288900
TRACY D GRAHAM
DIRECTOR2.01.0X374200
NAJEEB KHAN
DIRECTOR2.00.0X000
WELLINGTON JONES III
DIRECTOR2.01.0X239200
JEFFREY COSTELLO
ASSISTANT TREASURER & CFO40.04.0X631580082813
MICHAEL O'NEIL
COO40.00.0X363113051418
GREG CONRAD
ASST SECRETARY & VP8.032.0X4987919043736995
MICHAEL GORDON
EXECUTIVE DIRECTOR40.00.0263666012168X
STEPHEN SMITH
EMPLOYED PHYSICIAN40.00.01370687013731X
ROBERT YOUNT
EMPLOYED PHYSICIAN40.02.0928009018664X
RAMANAK MITRA
EMPLOYED PHYSICIAN40.00.0955976016421X
ANDREW LOSINIECKI
EMPLOYED PHYSICIAN40.00.0101332104744X
JOSEPH SCHNITTKER
EMPLOYED PHYSICIAN40.00.0892745016043X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8268530TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs190437TotalReportableCompFrmRltdOrgs
Total Other Compensation438079TotalOtherCompensation
Number Individuals GT100 K143NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CERNER CORPORATION
2800 ROCKCREEK PKWYKANSAS CITYMO64117IS SFTWR MAINTENANCE2209751
WOODCOX BLDG CONTRACTORS
51175 PRESCOTT AVESOUTH BENDIN46637CONSTRUCTION MANAGER2158862
MCKESSON INFORMATION SOLUTIONS LLC
PO BOX 98347CHICAGOIL60693IS SFTWR MAINTENANCE1321587
BVK
250 W COVENTRY COURTMILWAUKEEWI53217ADVERTISING1127961
ORACLE
PO BOX 203448DALLASTX75320IS SFTWR MAINTENANCE642715
FieldValueIRS element (for citing)
Number Of Contractors GT100 K35NumberOfContractorsGT100K
Related Organizations215681RelatedOrganizations
Government Grants2579670GovernmentGrants
Total Contributions2795351TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
NET PATIENT REV6211105908973258942238147494
CLINICAL TRIAL REV621500532618532618
MGT ADMIN SVCS56149925567390232355012331889
JOINT VENTURES6211108162908134632827
AFFILIATE RENT531120605330$605,330
FieldValueIRS element (for citing)
Total Program Service Revenue86611360TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column163361TotalRevenueColumn
Exclusion$163,361ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column9010TotalRevenueColumn
Exclusion$9,010ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2354782Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1668281Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real686501Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column686501TotalRevenueColumn
Exclusion$686,501ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities12210263Securities
Other1205122Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities11772668Securities
Other1070595Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities437595Securities
Other134527Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column572122TotalRevenueColumn
Exclusion$572,122ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL DIRECTORSHIP621110315401$315,401
PROFESSIONAL CALL VOLUME - ASK A NURSE62130067080$67,080
MANAGED CARE SERVICES / OTHER5614992121721217

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column17400TotalRevenueColumn
Unrelated Business Revenue17400UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue421098TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column91258803TotalRevenueColumn
Related Or Exempt Function Income83545037RelatedOrExemptFunctionIncome
Unrelated Business Revenue2499610UnrelatedBusinessRevenue
Exclusion$2,418,805ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total145896Total
Program Services145896ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total248613Total
Program Services248613ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3450627Total
Program Services281318ProgramServices
Management And General3169309ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total65021729Total
Program Services59340242ProgramServices
Management And General5681487ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2374189Total
Program Services2077638ProgramServices
Management And General296551ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11923985Total
Program Services9484369ProgramServices
Management And General2439616ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3617913Total
Program Services3003657ProgramServices
Management And General614256ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total361989Total
Management And General361989ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total104430Total
Program Services13620ProgramServices
Management And General90810ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total2658Total
Program Services1406ProgramServices
Management And General1252ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4937356Total
Program Services3332429ProgramServices
Management And General1604927ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2438849Total
Program Services1134615ProgramServices
Management And General1304234ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7184022Total
Program Services4190142ProgramServices
Management And General2993880ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total39241Total
Program Services25732ProgramServices
Management And General13509ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2855867Total
Program Services2510057ProgramServices
Management And General345810ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total395031Total
Program Services240231ProgramServices
Management And General154800ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total567382Total
Program Services440336ProgramServices
Management And General127046ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4781623Total
Program Services3130841ProgramServices
Management And General1650782ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1649343Total
Program Services1404494ProgramServices
Management And General244849ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES45756694575669
BAD DEBT EXPENSE28073012807301
LICENSES & TAXES14757661131526344240
GENERAL DUES & SUBSCRIPTIONS516616335987180629

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total408421Total
Program Services256015ProgramServices
Management And General152406ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total121884516Total
Program Services100112134ProgramServices
Management And General21772382ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5781BOY
EOY6031EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6626725BOY
EOY5424203EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY396954BOY
EOY319565EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8223770BOY
EOY7646333EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY106522BOY
EOY16406EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5877805BOY
EOY4583000EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis117883567LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec55808966LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY61116841BOY
EOY62074601EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3980513BOY
EOY4435922EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY16670770BOY
EOY18648935EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3391951BOY
EOY4574906EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY106397632BOY
EOY107729902EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16280847BOY
EOY16196769EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY22383BOY
EOY45694EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY45267400BOY
EOY50050612EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY61570630BOY
EOY66293075EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY44827002BOY
EOY41436827EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY44827002BOY
EOY41436827EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY106397632BOY
EOY107729902EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-30625713ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-125363ReconciliationUnrealizedInvest
Reconcilation Other Changes27360901ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1265409CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1791723CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1966424CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2628344CurrentTaxYearMinus1Year
Current Tax Year2795351CurrentTaxYear
Total10447251Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years59490587CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years63984881CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65503947CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year79153934CurrentTaxYearMinus1Year
Current Tax Year84150367CurrentTaxYear
Total352283716Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60755996CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years65776604CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67470371CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year81782278CurrentTaxYearMinus1Year
Current Tax Year86945718CurrentTaxYear
Total362730967Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22391069CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20657376CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19468541CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20415589CurrentTaxYearMinus1Year
Current Tax Year17211815CurrentTaxYear
Total100144390Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22391069CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20657376CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19468541CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20415589CurrentTaxYearMinus1Year
Current Tax Year17211815CurrentTaxYear
Total100144390Total
FieldValueIRS element (for citing)
Public Support Total509262586577PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3258293CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2405482CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4228947CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3133702CurrentTaxYearMinus1Year
Current Tax Year2527153CurrentTaxYear
Total15553577Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2977857CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2433355CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2306385CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2071687CurrentTaxYearMinus1Year
Current Tax Year2499610CurrentTaxYear
Total12288894Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6236150CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4838837CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6535332CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5205389CurrentTaxYearMinus1Year
Current Tax Year5026763CurrentTaxYear
Total27842471Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years388924CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years395391CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years325266CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year319972CurrentTaxYearMinus1Year
Current Tax Year382481CurrentTaxYear
Total1812034Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years67381070CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years71010832CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years74330969CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year87307639CurrentTaxYearMinus1Year
Current Tax Year92354962CurrentTaxYear
Total392385472Total
FieldValueIRS element (for citing)
Public Support Percentage5090.66921PublicSupportPercentage509
Prior Year Support Percentage0.64460PriorYearSupportPercentage
Investment Income Percentage0.07096InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.04339PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$2,658OtherActivitiesAmount
Total Lobbying Expenditures IIB2658TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER ACTIVITIESIdentifier
Return ReferencePART II-BReturnReference
ExplanationMEMORIAL HEALTH SYSTEM, INC PAYS FOR THE MEMBERSHIP FEES TO SEVERAL NATIONAL ORGANIZATIONS FOR ITS EMPLOYEES. THESE NATIONAL ORGANIZATIONS INDICATE A PORTION OF THE MEMBERSHIP FEES ARE USED FOR LOBBYING PURPOSES. THE MEMBERSHIP FEES PAID WERE FOR THE FOLLOWING ORGANIZATIONS: -AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS -INDIANA CPA SOCIETY -AMERICAN COLLEGE OF HEALTH CARE EXECUTIVES -AMERICAN DIETETIC ASSOCIATION -FINANCIAL EXECUTIVE INSTITUTE -MEDICAL GROUP MANAGEMENT ASSOCIATION -AMERICAN ACADEMY OF FAMILY PHYSICIANS -AMERICAN COLLEGE OF PHYSICIANS -AMERICAN COLLEGE OF CARDIOLOGY -AMERICAN HOSPITAL ASSOCIATION -AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS -INDIANA STATE MEDICAL SOCIETY -SOCIETY FOR HUMAN RESOURCE MANAGMENT -CHAMBER OF COMMERCE OF ST JOSEPH COUNTY -NORTH AMERICAN SPINE SOCIETY -SOCIETY OF THORACIC SURGEONSExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance22198822BeginningOfYearBalance
Contributions1501904Contributions
Investment Earnings Or Losses1884305InvestmentEarningsOrLosses
Grants Or Scholarships923860GrantsOrScholarships
End Of Year Balance24661171EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance21769701BeginningOfYearBalance
Contributions2155236Contributions
Investment Earnings Or Losses-543657InvestmentEarningsOrLosses
Grants Or Scholarships1182458GrantsOrScholarships
End Of Year Balance22198822EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance22665989BeginningOfYearBalance
Contributions1296194Contributions
Investment Earnings Or Losses1929600InvestmentEarningsOrLosses
Grants Or Scholarships4122082GrantsOrScholarships
End Of Year Balance21769701EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance20595396BeginningOfYearBalance
Contributions1076924Contributions
Investment Earnings Or Losses3137353InvestmentEarningsOrLosses
Grants Or Scholarships2143684GrantsOrScholarships
End Of Year Balance22665989EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance28741974BeginningOfYearBalance
Contributions1278996Contributions
Investment Earnings Or Losses-6927657InvestmentEarningsOrLosses
Grants Or Scholarships2497917GrantsOrScholarships
End Of Year Balance20595396EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.78390BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00770PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.20840TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis15797940OtherCostOrOtherBasis
Book Value15797940BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis53229361OtherCostOrOtherBasis
Depreciation18550260Depreciation
Book Value34679101BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1812986OtherCostOrOtherBasis
Depreciation1423126Depreciation
Book Value389860BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis47043281OtherCostOrOtherBasis
Depreciation35835581Depreciation
Book Value11207700BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings62074601TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (7 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN HOME CARE12366886C
INVESTMENT IN VHA200000C
INVETMENT IN STRATUM MEDICAL95000C
LAPORTE MEDICAL GROUP SURGICAL181837C
MEMORIAL SPINE & NEUROSCIENCE359982C
COMMUNITY HEALTH ALLIANCE2520138C
VALPARAISO MEDICAL DEVELOPMENT2925092C
FieldValueIRS element (for citing)
Total Of Book Value Program Related18648935TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED SUPPLEMENTAL BENEFITS$3,790,904
ACCRUED PENSION$46,259,708
FieldValueIRS element (for citing)
Total Of Amounts50050612TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierExplanationExplanation
Sch D, PART V, LINE 4THE 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 HEALTH SYSTEM, INC, AND ITS CORPORATE AFFILIATES. TERM ENDOWMENTS, WHICH ARE THE TEMPORARILY RESTRICTED NET ASSETS, ARE USED AS DESIGNATED BY THE DONOR. THE PERMANENT ENDOWMENT PROVIDES INCOME TO BE USED FOR HEALTH CARE EDUCATIONAL PURPOSES AND PATIENT CARE.
SCH D, PART X, LINE 2MEMORIAL HEALTH SYSTEM, INC, DID NOT HAVE A FOOTNOTE ADDRESSING FIN 48 (ASC 740) LIABILITIES FOR UNCERTAIN TAX POSITIONS IN ITS CONSOLIDATED FINANCIAL STATEMENTS. MEMORIAL HEALTH SYSTEM, INC. DID NOT HAVE ANY UNCERTAIN TAX POSITIONS RECORDED DURING THE CURRENT TAX YEAR.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
CODE OF AMERICA LABS INC
155 NINTH STSAN FRANCISCOCA94110271067272501(c)(3)25000DONAT CTY SOUTH BEND
CHAMBER OF COMMERCE OF ST JOSEPH COUNTY
401 E COLFAX AVESOUTH BENDIN46617350153330501(C)(6)314002012 SBDC CONTRIBUTION
ELEVATE VENTURES INC
1 NORTH CAPITAL AVEINDIAPOLISIN46204274118692501(C)(3)300003YR PLEDGE COMMITMENT
SOUTH BEND MEDICAL FOUNDATION INC
530 N LAFAYETTE BLVDSOUTH BENDIN46601350868178501(C)(3)125002012 SPONSOR PLEDGE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPS/TUITION REIMBURSMENTTypeOfGrant
Number Of Recipients78NumberOfRecipients
Amount Of Cash Grant141207AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE I, PART IICHARITABLE DONATIONSPART OF THE ORGANIZATION'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY. IN ORDER TO FULFILL THIS GOAL, OUR ADMINISTRATORS HAVE THE ABILITY TO MAKE DONATIONS TO ORGANIZATIONS THAT IMPROVE THE HEALTH AND WELL BEING OF OUR COMMUNITY. THESE DONATIONS ARE MONITORED THROUGH OUTCOME MEASUREMENT REPORTS THAT ARE PROVIDED TO MEMORIAL BY THE VARIOUS ORGANIZATIONS. THESE REPORTS INFORM US OF HOW THE DONATIONS WERE USED.
SCHEDULE I, PART IIISCHOLARSHIPS / TUITION REIMBURSMENTFOR SCHOLARSHIPS THE INDIVIDUAL MUST MEET SEVERAL REQUIREMENTS TO QUALIFY. IN ORDER TO QUALIFY FOR A SCHOLARSHIP THE INDIVIDUAL MUST (1) APPLY ON-LINE (INTRANET) AND WITHIN THE ACCEPTABLE TIME PARAMETERS FOR THE SEMESTER OF FUNDS BEING REQUESTED, (2) MAINTAIN A GRADE OF C OR BETTER, (3) PAY FOR TUITION/BOOKS AND SUBMIT CORRESPONDING ORIGINAL RECEIPTS FOR REIMBURSEMENT. REIMBURSED UP TO THE AMOUNT AWARDED BY THE SCHOLARSHIP COMMITTEE. (4) MEET ANY ADDITIONAL REQUIREMENTS OF THE SPECIFIC SCHOLARSHIP FUND, AND (5) MEET ELIGIBILITY REQUIREMENTS WHICH INCLUDE: (A) EMPLOYED BY MEMORIAL HEALTH SYSTEM, INC. (B) ENROLLED IN A QUALIFIED PROGRAM; (C) SUBMITTED A POSITIVE RECOMMENDATION EACH SEMESTER FROM THE IMMEDIATE SUPERVISOR; AND (D) SUBMITTED A POSITIVE RECOMMENDATION EACH SEMESTER FROM THE SCHOOL.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
VINCENT HENDERSON MD
DIRECTOR & EMPLOYED PHYSICIAN35890902756306156014269074390414336000
JEFFREY COSTELLO
ASSISTANT TREASURER & CFO33647701147040180399078239045740714393000
MICHAEL O'NEIL
COO241952084342036819047891035270414531000
PHILIP NEWBOLD
PRESIDENT & CEO66150303261800395055015209401128001546112000
MICHAEL GORDON
EXECUTIVE DIRECTOR2174930405830559005515066530275834000
GREG CONRAD
ASST SECRETARY & VP48183144549408001696508883872516186225855912821818300
STEPHEN SMITH
EMPLOYED PHYSICIAN136855502132000100000373101384418000
ROBERT YOUNT
EMPLOYED PHYSICIAN90178202266303564010000086640946673000
RAMANAK MITRA
EMPLOYED PHYSICIAN9277230275630690010000064210972397000
ANDREW LOSINIECKI
EMPLOYED PHYSICIAN99546202132015727000474401018065000
JOSEPH SCHNITTKER
EMPLOYED PHYSICIAN8882910213202322054900105530908788000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART I, LINE 1AMEMORIAL HEALTH SYSTEM, INC. REIMBURSES DIRECTORS FOR THE TAX EFFECT OF THE 1099 REPORTABLE BENEFITS FOR HEALTH CLUB MEMBERSHIP, WITH MEMORIAL HEALTH SYSTEM'S HEALTH AND LIFESTYLE CENTER AND SPOUSAL TRAVEL. THIS REPORTING IMPACTS 10 CURRENT VOTING BOARD MEMBERS. MEMORIAL HEALTH SYSTEM ALSO REIMBURSES FOR DIRECT EXPENSES RELATED TO ANY TRAVEL ON THE ORGANIZATION'S BEHALF. SOCIAL CLUB MEMBERSHIPS INCLUDED IN TAXABLE COMPENSATION - 2 EMPLOYEES (JEFFERY COSTELLO, AND MICHAEL O'NEIL) SPOUSAL TRAVEL INCLUDED IN TAXABLE COMPENSATION - 2 EMPLOYEES (PHILIP NEWBOLD & JEFFERY COSTELLO)
PART I, LINE 4BBEACON 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.EXECUTIVE RETENTION PLAN
PART I, LINE 6A & 6BTHE 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 $3,000,000. THE MANAGEMENT INCENTIVE PLAN PAYS A SLIDING PERCENTAGE OF BASE COMPENSATION IF THE NET OPERATING INCOME IS EQUAL TO OR GREATER THAN 80% OF THE BUDGETED NET OPERATING INCOME. THE SLIDING SCALE CAPS WHEN OPERATING INCOME REACHES 120% OF THE BUDGETED OPERATING INCOME. EXECUTIVES ARE COVERED UNDER THE BEACON HEALTH SYSTEM EXECUTIVE SHORT-TERM INCENTIVE PLAN (ESTIP). THE ESTIP PLAN PAYS A SLIDING PERCENTAGE OF BASE COMPENSATION IF THE NET OPERATING INCOME IS EQUAL TO OR GREATER THAN 80% OF THE BUDGETED NET INCOME. THE SLIDING SCALE CAPS, WHEN OPERATING INCOME REACHES 120% OF THE BUDGETS OPERATING INCOMES.
PART I, LINE 7BRYAN BOYER, MD IS ELIGIBLE FOR AN INCENTIVE BASED UPON EXCEEDING GROSS PROFESSIONAL BILLINGS. THE INCENTIVE IS A COMPONENT OF THE EMPLOYMENT CONTRACT WITH DR. BOYER. HEIDI COLLINS, MD., CHARLES LAMB, MD., AND MICHAEL STEINBERG, MD., IS ELIGIBLE FOR AN INCENTIVE BASED UPON EXCEEDING THE WRVU TARGET. THE INCENTIVE IS A COMPONENT OF THE EMPLOYMENT CONTRACT WITH DR COLLINS, DR LAMB, AND DR STEINBERG. DAVID HORNBACK, MD IS ELIGIBLE FOR AN INCENTIVE BASED UPON NET PROFESSIONAL BILLINGS. THE INCENTIVE IS A COMPONENT OF THE EMPLOYMENT CONTRACT WITH DR HORNBACK. DENNIS NWACHUKWU, MD. IS ELIGIABLE FOR AN INCENTIVE BASED UPON ATTAINMENT OF QUALITYMEASURES AND ATTAINMENT OF SERVICE LINE BUDGETS. THE INCENTIVE IS A COMPONENT OF THE EMPLOYMENT CONTRACT WITH DR NWACHUKWU. FACULTY INCENTIVE FOR FAMILY PRACTICE RESIDENCY CLINICS PROVIDES FOR AN INCENTIVE PAYMENT WHEN COLLECTIONS FOR PERSONALLY RENDERED SERVICES EXCEED A THRESHOLD. THESE INCENTIVES ARE CAPPED. PHYSICIAN RELATIONS INCENTIVE PLAN PROVIDES FOR AN INCENTIVE PAYMENT TO EMPLOYEES IN A PHYSICIANS RELATIONS POSITION BASED UPON ATTAINMENT OF SATISFACTION SCORES. PAID AS A PERCENTAGE OF BASE PAY UP TO 5%. HOSPITALISTS ARE ELIGIBLE FOR AN INCENTIVE PAYMENT BASED UPON ATTAINMENT OF QUALITY MEASURES AND TENURE. THE INCENTIVE IS A COMPONENT OF THE HOSPITALIST PHYSICIAN COMPENSATION PLAN. HOSPITALIST NURSE PRACTITIONER / PHYSICIAN ASSISTANTS ARE ELIGIBLE FOR AN INCENTIVE BASED UPON ATTAINMENT OF QUALITY MEASURES. THE INCENTIVE IS A COMPONENT OF A QUALITY BONUS PLAN.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanation
FORM 990, PART III, LINE 3MEMORIAL HEALTH SYSTEM HELD 35% INTEREST IN PHYSICIAN'S HOSPITAL, LLC, A LONG-TERM ACUTE CARE HOSPITAL. EFFECTIVE DECEMBER 31, 2012 MHS TRANSFERRED THE OWNERSHIP OF PHYSICIAN'S HOSPITAL, LLC TO BEACON HEALTH VENTURES, INC. (BHV IS A RELATED PARTY, SIBLING ENTITY OF MHS). MEMORIAL HEALTH SYSTEM HAS NO INTERST IN PHYSICIAN'S HOSPITAL LLC AS OF DECEMBER 31, 2012, THEREFORE WILL NOT FILE A SCHEDULE H FOR 2012.
FORM 990, PART VI, SECTION A, LINE 6BEACON HEALTH SYSTEM, INC. (FORMERLY ELKHART MEMORIAL TOPCO) IS THE SOLE CORPORATE MEMBER OF MEMORIAL HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 7aTHE CORPORATE MEMBER SHALL APPOINT THE BOARD OF DIRECTORS OF MEMORIAL HEALTH SYSTEM AND SHALL HAVE SUCH POWERS OF ADVANCE APPROVAL REGARDING CORPORATE ACTIONS AS ARE DELINEATED IN THE BY-LAWS OF MEMORIAL HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7bDECISIONS OF THE BOARD OF DIRECTORS MUST BE APPROVED BY THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11bTHE 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. THE FORMS AND SCHEDULES ARE REVIEWED BY THE CONTROLLER AND CFO. SUBSEQUENT TO THOSE STEPS, THE ORGANIZATION ENGAGED ERNST & YOUNG US, LLP TO REVIEW THE COMPLETED FORM 990 AND APPROPRIATE SCHEDULES. PRIOR TO FILING THE RETURN THE COMPENSATION COMMITTEE OF THE ORGANIZATION AND CEO CONDUCT A GENERAL OVERVIEW OF THE FORM 990 INCLUDING APPLICABLE COMPENSATION SCHEDULES. IN ADDITION, THE BOARD OF DIRECTORS AND THE AUDIT COMMITTEE WILL RECEIVE A COPY OF THE 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12cTHERE 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 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 AND WE PURSUE THE REPLIES TO GET A 100% RESPONSE RATE. IN THE CURRENT YEAR WE SENT OUT OVER 250 STATEMENTS AND ACHIEVED 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. IT SHOULD BE NOTED THAT IN 2012 THE CONFLICT OF INTEREST STATEMENTS WERE NOT SENT TO ELKHART GENERAL HOSPITAL EMPLOYEES, BUT WILL BE SENT FOR THE CALENDAR YEAR 2013 IN JANUARY 2014. 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, THE FIVE HIGHEST COMPENSATED EMPLOYEES FROM THE PREVIOUS YEAR, EMPLOYEES THAT ARE ON THE GRANT AND SCHOLARSHIP COMMITTEES, AND OTHER KEY EMPLOYEES. THE DUALITY OF INTEREST STATEMENT IS SENT USING THE WEB BASED SURVEY TOOL PROVIDED BY ERNST & YOUNG LLP. THE REPLIES ARE REVIEWED BY THE DIRECTOR OF INTERNAL AUDIT. THE RESULTS OF THE SURVEYS ARE SUMMARIZED USING THE WEB BASED TOOL, AND ARE REVIEWD BY ERNST & YOUNG IN COMPLETING THE FORM 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 ACKNOWLEDGMENT FORM TO BE SIGNED BY BEACON HEALTH SYSTEM, INC'S KEY FINANCIAL EMPLOYEES THAT BEACON HEALTH SYSTEMS, INC'S FINANCIAL INFORMATION IS TO THE BEST OF THEIR KNOWLEDGE TRUE AND ACCURATE. THIS STATEMENT WAS SENT OUT IN JANUARY, 2013 AND THE SIGNED ACKNOWLEDGEMENTS ARE KEPT BY THE DIRECTOR OF INTERNAL AUDIT. IN 2013, 17 DESIGNATED EMPLOYEES WERE REQUESTED TO SIGN THE FORM AND 100% COMPLIED WITH THIS REQUEST. 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, SECTION B, LINE 15a & 15bVICE PRESIDENT AND HIGHER COMPENSATION IS DETERMINED AFTER AN EXTENSIVE EXAMINATION IS CONDUCTED USING COMPARABLE MARKET DATA AND THEN REVIEWED BY AN INDEPENDENT CONSULTANT HIRED BY, AND REPORTING TO, THE BOARD OF DIRECTORS. 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, SECTION C, LINE 19THE 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 MEMORIAL HEALTH SYSTEM, INC. BONDS.
FORM 990, PART XI, LINE 9CASH TRANSFERS FROM MEMORIAL HOSPITAL OF SOUTH BEND: $ 41,769,380 WRITE OFF INTER COMPANY MEMORIAL HOSPITAL OF SOUTH BEND $- 3,972,842 WRITE OFF INTER COMPANY MEMORIAL HEALTH FOUNDATION $- 831,954 WRITE OFF INTER COMPANY ELKHART GENERAL HOSPITAL $- 835,052 CHANGE IN PENSION LIABILITY $- 7,324,085 TRANSFER MICHIANA LINEN OWNERSHIP TO ELKHART GENERAL $- 1,444,543 TOTAL $ 27,360,901

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
MEMORIAL HOSPITAL OF SOUTH BEND INC
615 N MICHIGAN STSOUTH BENDIN46601350868132HOSPITALIN501(C)(3)3BEACON HStrue
MEMORIAL HEALTH FOUNDATION INC
615 N MICHIGAN STSOUTH BENDIN46601351536129FINANCIAL SUPIN501(C)(3)9BEACON HStrue
ELKHART GENERAL HOSPITAL
600 EAST BOULEVARDELKHARTIN46514350877574HOSPITALIN501(C)(3)3BEACON HStrue
BEACON HEALTH SYSTEM INC
615 N MICHIGAN STSOUTH BENDIN46601453864076PARENT ORGIN501(C)(3)11C-III-FIfalseN/A
MEMORIAL ENDOWMENT FUND FOR MEMORIAL HOS
PO BOX 1602SOUTH BENDIN46634356068581ENDOWMENTIN501(c)(3)11D III-OMEM HOSPITALtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
BEACON HEALTH VENTURES INC
615 N MICHIGAN STSOUTH BENDIN46601351901068HOME MEDICALINNAC
BEACON HEALTH VENTURES MICHIGAN INC
615 N MICHIGAN STSOUTH BENDIN46601208259773HOME MEDICALMINAC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (28 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
BEACON HEALTH VENTURES INC
a iv81781ACTUAL CHARGES
MEMORIAL HOSPITAL OF SOUTH BEND INC
a iv606455ACTUAL CHARGES
BEACON HEALTH VENTURES INC
j172469ACTUAL CHARGES
MEMORIAL HOSPITAL OF SOUTH BEND INC
j280769ACTUAL CHARGES
ELKHART GENERAL HOSPITAL INC
b835052ACTUAL CHARGES
MEMORIAL HEALTH FOUNDATION INC
b831954ACTUAL CHARGES
MEMORIAL HOSPITAL OF SOUTH BEND INC
b3972845ACTUAL CHARGES
ELKHART GENERAL HOSPITAL INC
b1444543ACTUAL CHARGES
MEMORIAL HOSPITAL OF SOUTH BEND INC
c41769378CASH TRANSFERS
MEMORIAL HEALTH FOUNDATION INC
c215681CASH TRANSFERS
BEACON HEALTH VENTURES INC
k5030961PHYSICIAN CHARG
MEMORIAL HOSPITAL OF SOUTH BEND INC
k266950119PHYSICIAN CHARG
MEMORIAL HOSPITAL OF SOUTH BEND INC
l21135670ACTUAL CHARGES
BEACON HEALTH VENTURES INC
l1512863ACTUAL CHARGES
MEMORIAL HEALTH FOUNDATION INC
l286116ACTUAL CHARGES
MEMORIAL HEALTH FOUNDATION INC
Q464928ACTUAL CHARGES
BEACON HEALTH VENTURES INC
p3678498ACTUAL CHARGES
MEMORIAL HOSPITAL OF SOUTH BEND INC
p23000000ACTUAL CHARGES
MEMORIAL HEALTH FOUNDATION INC
p182500ACTUAL CHARGES
MEMORIAL HEALTH FOUNDATION INC
q1167360ACTUAL CHARGES
BEACON HEALTH VENTURES INC
q8586695ACTUAL CHARGES
MEMORIAL HOSPITAL OF SOUTH BEND INC
q30436726ACTUAL CHARGES
MEMORIAL HEALTH FOUNDATION INC
r1167360ACTUAL CHARGES
BEACON HEALTH VENTURES INC
r7501395ACTUAL CHARGES
MEMORIAL HOSPITAL OF SOUTH BEND INC
r30436726ACTUAL CHARGES
ELKHART GENERAL HOSPITAL INC
j38127ACTUAL CHARGES
ELKHART GENERAL HOSPITAL INC
q644551ACTUAL CHARGES
ELKHART GENERAL HOSPITAL INC
r644551ACTUAL CHARGES