Beacon Health System Inc.

“Tracy graham and ron fenech have a business relationship. Amish shah and jessi hsieh have a business relationship. Form 990, part vi, section a, line 4 beacon health system, inc. ("bhs") updated its corporate bylaws on march 1, 2019 and included significant changes to the board of directors' structure and officers. In 2019 bhs removed language in the bylaws related to the sunset provision. The sunset provision was related to a provision which expired in 2019 where the 14 members of the board of directors were appointed 50% by elkhart general hospital and 50% by beacon medical group. As a result of this change the board of directors shall be appointed by the nominating and governance committee of bhs and approved by the bhs board. Removal of any director may be initiated by a supermajority vote. The number of directors was updated from 'an even number' to 'from 14 to 18' directors. The term limits for these directors were also updated to further clarify whether a partial-year term would be considered a full year term when a director is first elected to fill an open position part way through the term as a result of a vacancy on the board. The board chair's term of service as a director of the corporation shall be extended as necessary in order that the board chair remains a director while serving as chair. Also, after a break in service on the board of at least one year, a former director who has served three consecutive terms is again eligible for service on the board. The bylaws were also amended to add an additional officer position of the immediate past chair. The immediate past chair shall serve on the executive committee and the compensation committee and shall perform such duties and functions as the board may from time to time determine. Upon the expiration of the term of the chair the director shall serve as the immediate past chair for the lessor of (i) two years, or (ii) any remaining portion of that person's term as director. Other smaller changes were made pertaining to the composition and operation of various committees of bhs, events that are considered "significant matters" that would require additional procedures for approval, and duties of the officers. Form 990, part vi, section b, line 11b 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 organization 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, section b, line 12c 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 356 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”

“Description:consulting total fees:677440”

“Description:equipment rental and maintenan total fees:19145964”

“Description:radiology fees total fees:49909”

“Description:lab reading fees total fees:358307”

“Description:contract labor total fees:198388”

“Description:other purchased services total fees:6800884”

“Description:collection fees total fees:3159063”