Beacon Health System

Nonprofit profile at a glance

EIN
453864076
IRS 990 coverage
2013–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-EZ 2012, Form 990-T 2024
Location
South Bend, IN, United States
Phone
574.647.1000
Rating
83
Verdict
STRONG
Rating confidence
Moderate
Sector
Fund Raising and/or Fund Distribution

Official website

Reported finances

Revenue
$302,384,065
Expenses
$206,501,643
Assets
$1,264,400,583
Liabilities
$103,509,412

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

22 people listed

Executive titles in this filing

  • Kreg R Gruber (CEO)

Highest reported compensation

  • Kreg R Gruber (CEO): $2,136,422 total reported compensation
  • Jeffrey P Costello (CFO): $1,266,210 total reported compensation
  • Haysam M Eldalati MD (Chief Clinical Officer): $1,082,118 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Locally owned, not-for-profit health system providing care for the health of the people it cares for and the wellbeing of the community you call home. What does excellence mean to you? It means consistent care for you and your loved ones in good times and in crisis. Excellence is part of our mission. We wouldn’t think of giving you anything less than our best – because that is what you deserve. You entrust your health or that of a loved one to us, expecting our medical professionals to have the training and experience to help you when you need it most. Because of your expectations, Clinical Excellence is something we take seriously – yesterday, today and tomorrow. Clinical Excellence Careers at Beacon Fostering, cultivating and preserving a culture of diversity, equity and inclusion.

What it reported doing in 2024

Beacon Health System, Inc.(Beacon) is the parent of Elkhart General Hospital, Inc., Beacon Medical Group, Inc., Memorial Hospital Of South Bend, Inc., Beacon Health Foundation, Inc., Beacon Health Ventures, Inc., Three Rivers Health Hospital, Inc., and Community Hospital Of Bremen, Inc. Beacon provides coordination for the organizations within the system in such matters as approving budgets, strategic planning, marketing, allocating resources, securing tax-exempt bond financing and providing community education.

Operating model

Revenue model
Other-operating. 91% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and reported officer compensation is a large share of total spending, which may reflect staffing concentration.

Rating breakdown

  • Financial Efficiency: 86
  • Transparency & Controls: 74
  • Accountability: 88
  • Sustainability: 83
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 93.7%; rating input score 94
  • Program expense ratio: 99.6%; rating input score 100
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 78.6%; rating input score 79; 27th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 31.7%; rating input score 93; 93rd percentile among comparable filings
  • Total-asset coverage ratio: 6.12; rating input score 87; 87th percentile among comparable filings
  • Liabilities to assets ratio: 0.08; rating input score 85; 85th percentile among comparable filings
  • Officer compensation ratio: 3.7%; rating input score 29; 29th percentile among comparable filings

Growth

  • Program expense growth: 12.6% per year; rating input score 100; 82nd percentile among comparable filings
  • Revenue growth: 16.5% per year; rating input score 100; 91st percentile among comparable filings
  • Asset growth: 13.5% per year; rating input score 100; 82nd percentile among comparable filings

Details

  • What they do: 7 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 93.7% of revenue deployed · 99.6% of spending went to programs
  • Governance: 11 of 14 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $205.7M in reported program spending
  • Leadership: top reported pay $2.1M · 22 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $28.1M reported
  • Consistency: 39 of 39 current checks pass
  • Schedules: 12 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
  • Filing history: 11 filing years from 2013 to 2024
  • Contacts: How to reach this organization
  • Money network: 26 filed money-flow records
  • Related organizations: 13 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 29/100.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.