2019-05-14T19:31:23-05:00 2018-06-30 990 2017-07-01 381359247 ASCENSION PROVIDENCE ROCHESTER HOSPITAL (FKA CRITTENTON HOSPITAL MEDICAL C ENTER) ASCE 3147338000 1101 West University Drive Rochester MI 48307 Tonya Mershon Tax Officer 2019-05-14 2017 2019-02-21 02:37:17Z CHRISTOPHER J PALAZZOLO 1101 West University Drive Rochester MI 48307 205836912 false X SEE SCHEDULE O X 1900 MI To improve the health and well-being of all people in the communities we serve. 7 7 1707 400 2895039 -254729 167868 1000 207791418 200806156 -136300 1479753 1738973 3271241 209561959 205558150 0 0 0 86913170 88537645 0 0 0 111810487 131502193 198723657 220039838 10838302 -14481688 280911089 269366648 226541566 225661580 54369523 43705068 X Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve. true false 154779093 198001139 ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) is a 226-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) treated 9,774 adults and children for a total of 44,696 patient days of service. The hospital also provided services for 190,384 outpatient visits, which included 4,684 outpatient surgeries and 28,790 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. 154779093 true false 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 false false true false false false false false false false false false false false false false true true true false false true 206 0 true 1707 true true true false false false false false true false false false X 7 7 false false false false true true true true true false false false true true true true true false false true false X SARA OBRIEN 3147338070 11775 BORMAN DRIVE MARYLAND HEIGHTS MO 63146 PETER DESTEIGER CHAIR 1.0 2.0 X X 0 0 0 ROBERT DERY VICE CHAIR 1.0 2.0 X X 0 0 0 JUDY DIDION PHD SECRETARY/TREASURER 1.0 2.0 X X 0 0 0 TIM CRAWFORD TRUSTEE 1.0 2.0 X 0 0 0 JEFFREY DECLAIRE MD TRUSTEE 1.0 2.0 X 0 0 0 BRADFORD MERRELLI MD TRUSTEE 1.0 2.0 X 0 0 0 JULIE NICHOLSON TRUSTEE 1.0 2.0 X 0 0 0 TOMASINE F MARX CFO/COO 48.0 2.0 X 0 493783 41868 MARGARET A DIMOND PRESIDENT & CEO (END 11/2017) 48.0 2.0 X 0 559844 24349 CHRISTOPHER J PALAZZOLO PRESIDENT & CEO (START 11/2017) 1.0 49.0 X 0 997987 42988 SHERYL ANN WISSMAN MD CMO 50.0 0 X 264221 0 8094 DEBORAH KING RN CNO 50.0 0 X 255618 0 40980 DOUGLAS E PUGMIRE DO MEDICAL DIRECTOR 50.0 0 X 344181 0 32245 SAMER KAZZIHA MD MEDICAL DIRECTOR 50.0 0 X 311644 0 35823 MATTHEW R PRINCE DO SURGEON 50.0 0 X 275836 0 25498 ROBERT LACOSTE MD MEDICAL DIRECTOR 50.0 0 X 255399 0 33637 ANA M ROTAR MD PHYSICIAN 50.0 0 X 205162 0 21024 MARY KAY LACHANCE FORMER KEY EMPLOYEE (END 6/2017) 0.0 50.0 X 0 452422 23163 TERENCE HAMILTON FORMER OFFICER (END 5/2016) 0.0 50.0 X 0 440369 40976 ROY A POWELL FORMER OFFICER (END 10/2015) 50.0 0.0 X 493996 0 5285 DONNA M KOPINSKI FORMER OFFICER (END 5/2017) 0.0 0.0 X 236827 0 18484 2642884 2944405 394413 52 true false false Client Financial Services of Michigan LLC PO Box 350 Fenton MI 48430 Collection Agency 306233 REHABCARE GROUP SRS DIV PO BOX 503534 SAINT LOUIS MO 63150 REHABILITATION SERVICES 239297 ARUP LABORATORIES 500 S CHIPETA WAY SALT LAKE CITY UT 841081221 LABORATORY SERVICES 155750 ROCHESTER GENERAL SURGERY PLC 75 BARCLAY CIR STE 200 ROCHESTER HILLS MI 483075821 MEDICAL SERVICES 146867 SYNTHES US SALES LLC 1101 SYNTHES AVE MONUMENT CO 80132 MEDICAL EQUIPMENT AND DEVICES 113447 6 X 1000 1000 Net Patient Service Revenue 621990 199007749 196112710 2895039 Income from Joint Ventures 900099 113401 113401 Management Fees 541610 140 140 Program Related Rent 531120 1684866 1684866 0 0 0 0 200806156 472583 472583 0 0 76159 1145408 214396 76159 931012 1007170 1007170 102489 64366 38123 38123 Cafeteria/Vending Revenue 722514 791400 791400 Community Services 900099 90022 90022 RESIDENT EDUCATION 611430 334902 334902 2016794 0 0 2016794 3233118 205558150 198001139 2895039 4660972 568912 506332 62580 73270251 65325322 7944929 2887571 2574459 313112 6244379 5566895 677484 5566532 4962874 603658 7044 7044 -30473 -30473 52122 52122 14382 14382 14422137 13724747 697390 0 163410 37160 126250 747782 267359 480423 398032 301504 96528 5747953 2410035 3337918 64164 51214 12950 192680 144443 48237 5725299 5725299 13891742 5936649 7955093 604760 604760 Medical Supplies 36916846 38616278 -1699432 Purchased Services 24057802 9556318 14501484 Management Fee to Affiliate 21089595 21089595 Maintenance & Repairs 1511745 1149021 362724 5925171 3645119 2280052 0 220039838 154775729 65264109 0 1358048 2721 42900355 31235581 25644049 29273573 0 0 0 0 2736206 2746432 4013869 4607307 1847708 414641 215378216 38500507 176102166 176877709 4260041 0 0 8713637 7441633 0 2044941 13335010 14722110 280911089 269366648 16876204 15666639 133201 56695 0 0 209532161 209938246 226541566 225661580 X 54307598 43705068 61925 0 54369523 43705068 280911089 269366648 X -14481688 934381 2886216 X false true X true false X false false false false false false false false true 14382 14382 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 61925 56349 5576 0 141454 79529 61925 141454 141454 164215 22761 141454 141495 91800 2 62852 6230 164215 0.0 0.0 0.0 false true true 3780000 3780000 156039935 13052836 142987099 1398936 659573 739363 47924146 24418071 23506075 6235199 370027 5865172 176877709 Due from Affiliates 4828794 Other Receivables 244566 Physician Guarantee Asset 462500 Security Deposit 95644 Self Insurance Trust Funds 4647275 Estimated 3rd Party Payor Settlements 4443331 14722110 0 Pension & Other Post Retirement Liability Contingency Reserves 9016871 Professional Insurance Liability Long Term at Risk Liability Due to Affiliates 36850574 Deferred Compensation/Retirement/Pension Liability 480586 Estimated 3rd Party Payor Settlement 5906795 Recovery Tail Liability 535192 Debt with Ascension Health Alliance 157066485 PGL IBNR LIABILITY 81743 209938246 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE ENDOWMENT FUNDS ARE USED FOR THE GIFT SHOP, THE AUXILLIARY AND THE HOSPITAL FOR GRANTS, SCHOLARSHIPS AND OTHER EXPENSES. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2018. true true X true X 250 true X true true true false false 407044 407044 0.0018 15923283 7862556 8060727 0.0366 0 0.0 0 0 16330327 7862556 8467771 0.0385 15000 202738 4345 198393 0.0009 303 1567508 1567508 0.0071 0 0.0 0 0.0 1289 20595 696 19899 0.0001 0 16592 1790841 5041 1785800 0.0081 0 16592 18121168 7867597 10253571 0.0466 0 0.0 0 0.0 8404 20413 0 20413 0.0001 0 0.0 0 0.0 547 2485 2485 0.0000 520 2078 2078 0.0000 394 10439 10439 0.0000 1506 38580 38580 0.0002 0 11371 73995 0 73995 0.0003 5090103 129415 107837088 121030100 -13193012 X true true USC LLC Surgery Center 0.2427 0.7573 1 1 ASCENSION PROVIDENCE ROCHESTER HOSPITAL (FKA CRITTENTON HOSPITAL MEDICAL C ENTER) 1101 W University Rochester MI 48307 https://healthcare.ascension.org/locations/michigan/miroc/rochester-ascension-providence-rochester-h M391415 X X X X ASCENSION PROVIDENCE ROCHESTER HOSPITAL (FKA CRITTENTON HOSPITAL MEDICAL C ENTER) 1 false false true X X X X X X X X X 15 true false false true X https://healthcare.ascension.org/locations/michigan/miroc/rochester-ascension-providence-rochester-h X true 15 true https://healthcare.ascension.org/locations/michigan/miroc/rochester-ascension-providence-rochester-h false true X 250.0 400.0 X X X X X true true X X X true X https://healthcare.ascension.org/Financial-Assistance/Michigan X https://healthcare.ascension.org/Financial-Assistance/Michigan X https://healthcare.ascension.org/Financial-Assistance/Michigan X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 3E To better target community resources on the service area's most pressing health needs, the hospital participated in a group discussion with organizational decision makers and community leaders to prioritize the significant community health needs while considering several criteria: alignment with Ascension Health strategies of healthcare that leaves no one behind; care for the poor and vulnerable; opportunities for partnership; availability of existing programs and resources; addressing disparities of subgroups; availability of evidence-based practices; and community input. The significant health needs are a prioritized description of the significant health needs of the community as identified through the CHNA. See Schedule H, Part V, Line 7 for the link to the CHNA and Schedule H, Part V, Line 11 for how those needs are being addressed. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER). Community stakeholders of different ages, socioeconomic status, occupation, and cultural backgrounds were invited to participate in the community health needs assessment. The methodology for survey assessment involved the distribution of the survey electronically via email, website accessibility, display boards at community events, and hard copies during the months of September through November 2015. Email invitations with survey website link were sent to: public/private schools, public health, business leaders, physicians, religious organizations, universities/colleges, high school leadership groups, senior centers, and local government agencies. In an effort to specifically identify the needs of the underserved population in the community, surveys were also distributed at area mobile food bank locations. Some of the organizations/agencies that had individual representation on the advisory committee are as follows: * City of Rochester * La Familia * Macomb County Health Department * Oakland County Health Department * Older Persons' Commission * Rochester Area Neighborhood House * Rochester Auburn Hills Community Coalition * Rochester Community Schools * Rochester Hills Public Library * Wayne State University * St. Mary's of the Hills * Gleaners Food Bank of Southeastern Michigan Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER). ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTO HOSPITAL MEDICAL CENTER) has identified three (3) priority needs: #1: Obesity/Overweight. Respondents identified several needs related to obesity including concerns to improve nutrition and diabetes. In addressing the prioritized need of obesity/overweight, community-wide programs have been implemented in addressing healthier lifestyles that integrate education, physical activity, and nutrition. ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTO HOSPITAL MEDICAL CENTER) is committed to improving the health and wellness of the surrounding communities and fully supports local government initiatives and wellness coalitions in their efforts to impact the overall health of the surrounding community. #2: Mental Health: Respondents identified access to substance abuse treatment (alcohol, drugs, and tobacco), mental health, and suicide as areas of concern. ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) is working to address these factors through education classes and youth-led community improvement initiatives. #3: Access to Care: Respondents identified concerns over the inability to pay co-pays and deductibles and the ability to access primary care physicians and specialists. ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) does provide financial assistance available for those who are unable to pay full cost of care. It's part of ASCENSION PROVIDENCE ROCHESTER HOSPITAL'S (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) commitment to the patients and the community. ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) continues to grow its primary care and physician specialty network and now has the benefit of the Ascension Michigan physician resources. Community Needs not being Addressed Identified needs that will not be directly addressed were determined by availability of services in the community. Chronic diseases with substantial support in the community such as cancer, lung disease, and heart disease which are supported by the American Cancer Society, American Lung Association, and the American Heart Association. Injury prevention which scored moderately high will not be addressed by ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER). ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) is a Level 3 Trauma Center with very specific requirements for community education, prevention, strategies, and safety guidelines in place. Finally, senior services scored at a moderate level; however, ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) will not address this need due to the services provided by the Older Person's Commission in the community and the Crittenton Wellness Center located on-site. Crittenton will work collaboratively with these organizations as deemed appropriate to ensure optimal service coordination and utilization. 22 USC LLC (dba Unasource Surgery Center) 4550 Investment Drive Troy MI 48098 Surgical Center Michigan Resonance Imaging (dba North OaklandNorth Macomb Imaging) 355 Barclay Circle Rochester MI 48307 Imaging Center Crittenton Outpatient Imaging Center 2251 N Squirrel Road Suite 201 Auburn Hills MI 48326 Imaging Services Crittenton Outpatient Sports Rehabilitation Center 2251 N Squirrel Road Suite 101 Auburn Hills MI 48326 Rehabilitation Services Crittenton Barclay Imaging Center 355 Barclay Circle Suite B Rochester Hills MI 48307 Imaging Services Crittenton Wellpointe Imaging Center 1701 S Boulevard East Suite B50 Rochester Hills MI 48307 Imaging Services Crittenton Washington Outpatient Therapy 57850 Van Dyke Rd Suite 200 Washington Township MI 48094 Rehabilitation Services Crittenton Oxford Imaging Center 72 S Washington Street Oxford MI 48371 Imaging Services Crittenton North Oakland Internist 3100 Cross Creek Parkway Suite 220 Auburn Hills MI 48326 Physician Practice Crittenton Internal Medicine & Cardiology 42370 Van Dyke Rd Suite 100 Sterling Heights MI 48314 Physician Practice Crittenton Rochester OBGYN 1135 W University Dr Suite 310 Rochester MI 48307 Physician Practice Crittenton Physical Therapy at OPC (Older Person's Commission) 650 Letica Dr Rochester MI 48307 Rehabilitation Services Crittenton Primary Care 1135 W University Dr Suite 225 Rochester MI 48307 Physician Practice Crittenton Dr Pugmire 1901 Star Batt Dr Suite 200 Rochester Hills MI 48309 Physician Practice Crittenton Diabetes Education and Nutrition Counseling Center 1000 W University Dr Suite 202 Rochester MI 48307 Educational Services Crittenton Dr Cheema & Associates 1135 W University Dr Suite 355 Rochester MI 48307 Physician Practice Crittenton Internal Medicine 2191 South Blvd Suite 101 Auburn Hills MI 48326 Physician Practice CRITTENTON OUTREACH LABORATORY 72 S WASHINGTON STREET SUITE 101 OXFORD MI 48371 OUTREACH LABORATORY SERVICES CRITTENTON OUTREACH LABORATORY 57850 VAN DYKE ROAD SUITE 200 WASHINGTON TOWNSHIP MI 48094 OUTREACH LABORATORY SERVICES CRITTENTON OUTREACH LABORATORY 3100 CROSS CREEK PARKWAY SUITE 220 AUBURN HILLS MI 48326 OUTREACH LABORATORY SERVICES CRITTENTON OUTREACH LABORATORY 75 BARCLAY SUITE 112 ROCHESTER MI 48307 OUTREACH LABORATORY SERVICES CRITTENTON OUTREACH LABORATORY 135 BARCLAY CIRCLE SUITE 100B ROCHESTER MI 48307 OUTREACH LABORATORY SERVICES Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The cost of providing charity care, means-tested government programs, and other community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied. Schedule H, Part II Community Building Activities RESEARCH SHOWS THAT SOCIAL DETERMINANTS AND QUALITY OF LIFE PLAY A MAJOR ROLE IN THE HEALTH STATUS OF INDIVIDUALS AND COMMUNITIES. COMMUNITY BUILDING ACTIVITIES, WHICH FOCUS ON IMPROVING THE QUALITY OF LIFE WITHIN A COMMUNITY, ULTIMATELY INFLUENCE AND IMPROVE HEALTH STATUS. THE COMMUNITY AND COALITION BUILDING ACTIVITIES ARE PERFORMED WITH GROUPS WITH WHICH CRITTENTON HAS PARTNERED TO ENHANCE THE HEALTH OF THE COMMUNITY. THESE ACTIVITIES INCLUDE EVENTS, MEETINGS, AND PROVIDING SUPPORT. THE GROUPS ASSOCIATED WITH COMMUNITY BUILDING INCLUDE: LAKE ORION AND ROCHESTER ROTARY, ROCHESTER COMMUNITY SCHOOLS, LEADER DOG FOR THE BLIND, OAKLAND COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, OLDER'S PERSON'S COMMISSION, AND OAKLAND UNIVERSITY. THE GROUPS FOR COALITION BUILDING ACTIVITIES INCLUDE: ALLIANCE OF COALITIONS FOR HEALTHY COMMUNITIES, ROCHESTER AUBURN HILLS COMMUNITY COALITION, AND THE MICHIGAN BREASTFEEDING NETWORK. THE WORKFORCE DEVELOPMENT PROGRAMS ARE PROVIDED TO STUDENTS IN ROCHESTER COMMUNITY SCHOOLS AND OAKLAND UNIVERSITY TO EXPLORE HEALTHCARE PROFESSIONS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2018 WAS $380,632 AT CHARGES, ($129,415 AT COST). Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL EXPERIENCE, ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION IS PART OF THE ASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSES THE BAD DEBT EXPENSE IS LOCATED ON PAGE 21. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its related health ministries follow the Catholic Health Association (CHA) guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED. Schedule H, Part V, Section B, Line 16a FAP website - ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER): Line 16a URL: https://healthcare.ascension.org/Financial-Assistance/Michigan; Schedule H, Part V, Section B, Line 16b FAP Application website - ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER): Line 16b URL: https://healthcare.ascension.org/Financial-Assistance/Michigan; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER): Line 16c URL: https://healthcare.ascension.org/Financial-Assistance/Michigan; Schedule H, Part VI, Line 2 Needs assessment PLEASE SEE PART V, SECTION B, LINE 3 DISCLOSURE. IN ADDITION, THE ALLOCATION OF ASCENSION PROVIDENCE ROCHESTER HOSPITAL'S (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) RESOURCES TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF COMMUNITY RESIDENTS, ARE BASED ON COMMUNITY NEEDS IDENTIFIED THROUGH BOTH THE STRATEGIC PLANNING PROCESS AND A YEARLY COMPREHENSIVE REVIEW OF COUNTY, STATE, AND FEDERAL HEALTHCARE DATA. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) DOES SEVERAL THINGS IN ORDER TO EDUCATE AND/OR ASSIST A PATIENT IN RECEIVING OUTSIDE ASSISTANCE, INCLUDING THE FOLLOWING: 1) SIGNANGE IS POSTED AT REGISTRATION POINTS THROUGHOUT THE HOSPITAL REGARDING ASSISTANCE TO PAY FOR SERVICES AS WELL AS CRITTTENTON'S UNCOMPENSATED SERVICES PROGRAM. HANDOUTS ARE GIVEN TO THE PATIENTS AND THE PROGRAM IS ALSO OUTLINED ON THE BACK OF EVERY STATEMENT THAT IS SENT TO PATIENTS. 2) FINANCIAL COUNSELORS ARE ON-SITE THAT ARE CONTACTED WHEN A PATIENT WITHOUT INSURANCE COMES INTO THE EMERGENCY ROOM OR IS ADMITTED TO THE HOSPITAL. FINANCIAL COUNSELORS ASSIST PATIENTS IN QUALIFYING FOR COUNTY, STATE, FEDERAL, OR HOSPITAL ASSISTANCE PROGRAMS. 3) TAKE PART AND ASSIST PATIENTS IN QUALIFYING FOR COUNTY INDIGENT HOSPITALIZATION PROGRAM. 4) ALL HOSPTAL MANAGERS THAT DEAL WITH THE PUBLIC ARE DIRECTLY INFORMED OF CRITTENTON'S UNCOMPENSATED SERVICE PROGRAMS AND ASSIST PATIENTS WITH SUGGESTIONS AS WELL AS CASHIERS HAVING ACCESS TO THE SAME INFORMATION AND TRAINING. 5) OFFER ASSISTANCE TO NEWBORN MOTHERS WITHOUT INSURANCE IN THE FORM OF ASSISTANCE IN APPLYING FOR MEDICAID OR OTHER POTENTIAL PAYMENT COVERAGE. Schedule H, Part VI, Line 4 Community information ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) is a 290-bed all inclusive medical facility serving communities in Oakland, Macomb, and Lapeer counties; providing service to both urban and rural areas. In addition to downsizing, many employers are reducing benefits or cost shifting to employees as a means to save costs. This results in higher co-pays and deductibles for the patient. This increase in out-of-pocket expenditures is acting as a deterrent in seeking health care services as a result. Demographically, the population forecast projects minimal growth over the next three years, however, the age of the population continues to rise. The growth of individuals over the age of 55 is projected to grow 20-30%. Demographically, ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) serves a population with a median income of $77,000; well above Michigan's median income of $49,000 and the national median of $53,500. The percent of individuals below poverty level is 7.2%; half the state and national level at 16.2% and 14.8% respectfully. The average age of the population served by ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) is 40 years old and the educational attainment of the community served is 92% earning a high school diploma or higher. According to census.gov, Rochester has 4.6% uninsured individuals. ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) resides in a highly competitive market in Southeast Michigan. There are three other hospital systems within a six mile radius that provide competing primary, secondary, and tertiary health care services. ASCENSION PROVIDENCE ROCHESTER HOSPITAL'S (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) presence with only 290 beds is substantial in that it captures 34% of the market share in its core service area. Schedule H, Part VI, Line 5 Promotion of community health PLEASE SEE PART V, SECTION B, LINE 3 DISCLOSURE. IN ADDITION, ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) UNDERSTANDS THE IMPORTANT ROLE IN WHICH THE COMMUNITY PLAYS IN ITS SUCCESS. THE HOSPITAL IS ABLE TO GIVE BACK TO THE COMMUNITY THROUGH ESSENTIAL HEALTHCARE SERVICES AND COMMUNITY EDUCATION TO CATER TO THE UNMET NEEDS WITHIN ITS COMMUNITY. OFFERING ADVANCED CARE AND SERVICES IS ONE OF THE MANY WAYS ACH SERVES ITS COMMUNITY. ACH HAS ALSO PARTNERED WITH PREMIER ORGANIZATIONS (E.G. WAYNE STATE UNIVERSITY AND OAKLAND UNIVERSITY) TO FULLFILL ITS MISSION OF ENHANCING THE HEALTH STATUS OF THE COMMUNITY. Schedule H, Part VI, Line 6 Affiliated health care system ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER), a 290 LICENSED BED HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES FOR THE RESIDENTS PRIMARILY OF OAKLAND, MACOMB, AND LAPEER COUNTIES IN MICHIGAN, IS A MEMBER OF ASCENSION MICHIGAN, WHICH IS A MEMBER OF ASCENSION. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 23 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA.ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. APR IS RELATED TO ACENSION HEALTH'S OTHER SPONSORED ORGANIZATIONS THROUGH COMMON CONTROL. SUBSTANTIALLY ALL EXPENSES OF ASCENSION HEALTH ARE RELATED TO PROVIDING HEALTH CARE SERVICES. THE SYSTEM DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC MINISTRIES UNITED IN SERVICE AND HEALING, AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH THE SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, EACH MINISTRY MARKET ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY OT PAY. THE SYSTEM USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILITZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS: 1) TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. 2) UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS. 3) COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH AQUIRED IMMUNE DEFICIENCY SYNDROME. 4) COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED AND UNDERINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALITY FOR FINANCIAL ASSISTANCE ARE NOT INCLUDED IN THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF EACH ENTITY'S TOTAL OPERATING EXPENSES TO THE ENTITY'S BILLED CHARGES FOR PATIENT CARE. CERTAIN COSTS SUCH AS GRADUATE MEDICAL EDUCATION AND CERTAIN OTHER ACTIVITIES ARE EXCLUDED FROM TOTAL OPERATING EXPENSES FOR PURPOSES OF THIS COMPUTATION. true true false false false false false false false TERENCE HAMILTON FORMER OFFICER (END 5/2016) 0 310389 0 86825 0 43155 0 16200 0 24776 0 481345 0 0 ROY A POWELL FORMER OFFICER (END 10/2015) 93 0 0 0 493903 0 0 0 5285 0 499281 0 0 0 DONNA M KOPINSKI FORMER OFFICER (END 5/2017) 88467 0 3397 0 144962 0 5492 0 12991 0 255310 0 0 0 TOMASINE F MARX CFO/COO 0 304604 0 120558 0 68622 0 17550 0 24318 0 535651 0 24697 MARGARET A DIMOND PRESIDENT & CEO (END 11/2017) 0 361616 0 138094 0 60134 0 8100 0 16249 0 584193 0 0 CHRISTOPHER J PALAZZOLO PRESIDENT & CEO (START 11/2017) 0 544785 0 324134 0 129068 0 16200 0 26788 0 1040975 0 0 MARY KAY LACHANCE FORMER KEY EMPLOYEE (END 6/2017) 0 314434 0 116742 0 21247 0 17550 0 5613 0 475585 0 0 SHERYL ANN WISSMAN MD CMO 215759 0 27504 0 20958 0 5002 0 3091 0 272315 0 0 0 DEBORAH KING RN CNO 176028 0 43755 0 35835 0 13491 0 27489 0 296598 0 0 0 DOUGLAS E PUGMIRE DO MEDICAL DIRECTOR 299269 0 42308 0 2604 0 14670 0 17575 0 376426 0 0 0 SAMER KAZZIHA MD MEDICAL DIRECTOR 307759 0 0 0 3885 0 8100 0 27723 0 347467 0 0 0 MATTHEW R PRINCE DO SURGEON 268513 0 7000 0 323 0 7315 0 18183 0 301334 0 0 0 ROBERT LACOSTE MD MEDICAL DIRECTOR 215888 0 38055 0 1456 0 8103 0 25535 0 289036 0 0 0 ANA M ROTAR MD PHYSICIAN 197958 0 7200 0 5 0 4750 0 16274 0 226186 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ASCENSION HEALTH, A RELATED ORGANIZATION OF ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE Schedule J, Part I, Line 4a Severance or change-of-control payment The following individual(s) received severance payments from the organization or a related organization during calendar year 2017: Donna M Kopinski - $130,038 Roy A Powell - $493,190 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The following individuals received payment from the supplemental nonqualified retirement plan in the amount as noted during calendar year 2017: Tomasine F Marx - $24,697 Form 990, Part III, Line 2 New program services The hospital assumed the responsibility for the services historically provided by the Crittenton Cancer Center (CCR - related 501(c)(3) due to the dissolution of the CCR as of 6/30/2017. Such services included providing rental property, both real and personal, utilized in the delivery of Cancer Care services. Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS The activity of ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER). Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT & CEO, THE PROCESS PERFORMED BY ST. JOHN PROVIDENCE, A RELATED ORGANIZATION OF ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE PRESIDENT & CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, THE PROCESS PERFORMED BY ST. JOHN PROVIDENCE, A RELATED ORGANIZATION OF ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER), INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. Form 990, Part VI, Line 6 Classes of members or stockholders ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) HAS A SINGLE CORPORATE MEMBER, ASCENSION MICHIGAN. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) HAS A SINGLE CORPORATE MEMBER, ASCENSION MICHIGAN, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF CRITTENTON HOSPITAL MEDICAL CENTER. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, ASCENSION MICHIGAN. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Miscellaneous Revenue - Total Revenue: 2016794, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 2016794; Form 990, Part XI, Line 9 Other changes in net assets or fund balances FAS 158 PENSION ADJUSTMENT - 62207; TRANSFERS WITH ALPHA FUND - 2488186; TRANSFERS WITH AFFILIATE - 335823; Form 990, Part XII, Line 2c AUDIT COMMITTEE ASCENSION PROVIDENCE ROCHESTER HOSPITAL (F/K/A CRITTENTON HOSPITAL MEDICAL CENTER) is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole. FORM 990, PAGE 1, ITEM J ENTITY WEBSITE https://healthcare.ascension.org/Locations/Michigan/MIROC/Rochester-Ascension-Providence-Rochester-Hospital ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 63145 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ASCENSION MICHIGAN 28000 DEQUINDRE ROAD WARREN MI 48092 382631907 HEALTH CARE MI 501(c)(3) 10 ASCENSION HEALTH false BORGESS HEALTH ALLIANCE INC 1521 GULL ROAD KALAMAZOO MI 49048 382335286 HEALTH SYSTEM PARENT MI 501(c)(3) Type III-FI ASCENSION MICHIGAN true ASCENSION BORGESS HOSPITAL FKA BORGESS MEDICAL CENTER 1521 GULL ROAD KALAMAZOO MI 49048 381360526 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BRIGHTON CENTER FOR RECOVERY FKA BRIGHTON CENTER FOR RECOVERY 12851 GRAND RIVER BRIGHTON MI 48116 381576680 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true GENESYS HEALTH SYSTEM ONE GENESYS PARKWAY GRAND BLANC MI 484398065 383339703 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true ASCENSION GENESYS HOSPITAL FKA GENESYS REGIONAL MEDICAL CENTER ONE GENESYS PARKWAY GRAND BLANC MI 484398065 382377821 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS-LEE HOSPITAL FKA LEE MEMORIAL HOSPITAL CORPORATION 420 WEST HIGH STREET DOWAGIAC MI 49047 381490190 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION PROVIDENCE HOSPITAL FKA PROVIDENCE - PROVIDENCE PARK HOSPITAL 16001 WEST NINE MILE ROAD SOUTHFIELD MI 48037 381358212 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST JOHN HOSPITAL FKA ST JOHN HOSPITAL & MEDICAL CENTER 28000 DEQUINDRE ROAD WARREN MI 48092 381359063 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION MACOMB OAKLAND HOSPITAL FKA ST JOHN MACOMB-OAKLAND HOSPITAL 28000 DEQUINDRE ROAD WARREN MI 48092 383322109 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ST JOHN PROVIDENCE 28000 DEQUINDRE ROAD WARREN MI 48092 382244034 PARENT MI 501(c)(3) Type III-FI ASCENSION MICHIGAN true ASCENSION RIVER DISTRICT HOSPITAL FKA ST JOHN RIVER DISTRICT HOSPITAL 4100 RIVER ROAD EAST CHINA MI 48054 383160564 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST JOSEPH'S HOSPITAL (FKA ST JOSEPH HEALTH SYSTEM INC) 200 HEMLOCK ROAD TAWAS CITY MI 48763 381443395 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ST MARY'S - ST JOSEPH HEALTH SYSTEM 800 S WASHINGTON AVENUE SAGINAW MI 48601 461084363 SUPPORTING ORGANIZATION MI 501(c)(3) Type III-FI ASCENSION MICHIGAN true ASCENSION ST MARY'S HOSPITAL FKA ST MARY'S OF MICHIGAN 800 S WASHINGTON AVENUE SAGINAW MI 48601 380997730 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION STANDISH HOSPITAL FKA STANDISH COMMUNITY HOSPITAL 805 WEST CEDEAR STREET STANDISH MI 48658 381671120 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true BORGESS AMBULATORY CARE CORPORATION 1521 GULL ROAD KALAMAZOO MI 49048 382468823 HOLDING COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC true ASCENSION BORGESS FOUNDATION FKA BORGESS FOUNDATION 1521 GULL ROAD KALAMAZOO MI 49048 237222558 FUNDRAISING MI 501(c)(3) Type III-FI BORGESS HEALTH ALLIANCE INC true ASCENSION BORGESS LEE FOUNDATION FKA LEE MEMORIAL FOUNDATION 420 W HIGH STREET DOWAGIAC MI 49047 382860459 FUNDRAISING MI 501(c)(3) Type III-FI ASCENSION BORGESS-LEE HOSPITAL FKA LEE MEMORIAL HOSPITAL CORPORATION true ASCENSION EASTWOOD BEHAVIORAL HEALTH FKA EASTWOOD COMMUNITY CLINICS 28000 DEQUINDRE ROAD WARREN MI 48092 381958763 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION PROVIDENCE FOUNDATION 22101 MOROSS DETROIT MI 48236 383526629 FUNDRAISING MI 501(c)(3) Type III-FI ST JOHN PROVIDENCE true SETON HEALTH CORPORATION OF SOUTHEAST MICHIGAN 28000 DEQUINDRE WARREN MI 48092 382820107 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH (FKA ST JOHN COMMUNITY HEALTH INVESTMENT CORP) 28000 DEQUINDRE ROAD WARREN MI 48092 382262856 HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE true ASCENSION ST JOHN FOUNDATION FKA ST JOHN HOSPITAL FOUNDATION 22101 MOROSS DETROIT MI 48236 202961579 FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE true ST JOHN PROVIDENCE PHYSICIANS CMG 28000 DEQUINDRE ROAD WARREN MI 48092 382601348 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ST JOSEPH HEALTH SYSTEM FOUNDATION 200 HEMLOCK ROAD TAWAS CITY MI 48763 010790428 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH'S HOSPITAL (FKA ST JOSEPH HEALTH SYSTEM INC) true FIELD NEUROSCIENCES INSTITUTE 800 S WASHINGTON AVENUE SAGINAW MI 48601 382790703 MEDICAL RESEARCH ORGANIZATION MI 501(c)(3) 10 ASCENSION ST MARY'S HOSPITAL FKA ST MARY'S OF MICHIGAN true ASCENSION ST MARY'S FOUNDATION FKA ST MARY'S MEDICAL CENTER FOUNDATION SAGI NAW MICHIGAN 800 S WASHINGTON AVENUE SAGINAW MI 48601 382246366 FUNDRAISING MI 501(c)(3) Type II ASCENSION ST MARY'S HOSPITAL FKA ST MARY'S OF MICHIGAN true CRITTENTON HOSPITAL MEDICAL CENTER FOUNDATION 1101 WEST UNIVERSITY DR ROCHESTER MI 48307 382627336 SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL (FKA CRITTENTON HOSPITAL MEDICAL CE NTER) true CRITTENTON CANCER CENTER 1101 WEST UNIVERSITY DR ROCHESTER MI 48307 383239057 CANCER TREATMENT MI 501(c)(3) 10 ASCENSION PROVIDENCE ROCHESTER HOSPITAL (FKA CRITTENTON HOSPITAL MEDICAL CE NTER) true GENESYS AMBULATORY HEALTH SERVICES 5455 ALI DR DEPT 200 GRAND BLANC MI 484395195 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true ASCENSION GENESYS FOUNDATION FKA GENESYS HEALTH FOUNDATION ONE GENESYS PARKWAY GRAND BLANC MI 484398065 383591148 FOUNDATION MI 501(c)(3) Type I GENESYS HEALTH SYSTEM true THE HEALTH SOURCE GROUP 5455 ALI DR DEPT 200 GRAND BLANC MI 484395195 382427678 PRG RELATED INVESTMENTS MI 501(c)(3) Type I GENESYS HEALTH SYSTEM true CENTER FOR GERONTOLOGY 5455 ALI DRIVE DEPT200 GRAND BLANC MI 484395195 382514708 ADULT DAY CARE MI 501(c)(3) Type I GENESYS AMBULATORY HEALTH 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WARREN MI 48092 382971743 RENTAL REAL ESTATE MI NA C Corporation true AFFILIATED HEALTH SERVICES INC 28000 DEQUINDRE WARREN MI 48092 382292922 MEDICAL SERVICES MI NA C Corporation true St Mary's Health 800 S Washington Avenue Saginaw MI 48601 383477017 Dormant MI NA C Corporation true TEXTILE SYSTEMS INC 817 WALBRIDGE KALAMAZOO MI 49007 382705047 LAUNDRY SERVICES MI NA C Corporation true CRITTENTON DEVELOPMENT CORPORATION 2251 N SQUIRREL RD STE 310 AUBURN HILLS MI 48326 382594115 REAL ESTATE MI ASCENSION PROVIDENCE ROCHESTER HOSPITAL (FKA CRITTENTON HOSPITAL MEDICAL CE NTER) C Corporation 3788544 13154349 true false false false false false false false false false false false true true true true true true false true CRITTENTON HOSPITAL MEDICAL CENTER FOUNDATION O 63716 FAIR MARKET VALUE CRITTENTON HOSPITAL MEDICAL CENTER FOUNDATION Q 111035 FAIR MARKET VALUE CRITTENTON DEVELOPMENT CORPORATION S 1318362 FAIR MARKET VALUE