BEACON KALAMAZOO INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: BEACON KALAMAZOO INC (EIN 38-1360526)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-14
IRS object ID: 201931349349309393
Schema version: 2017v2.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-14T18:04:57-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	381360526	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ASCENSION BORGESS HOSPITAL (FKA BORGESS MEDICAL CENTER)	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ASCE	BusinessNameControlTxt
Phone	3147338000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1521 Gull Road	AddressLine1Txt
City	Kalamazoo	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49048	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tonya Mershon	PersonNm
Person Title	Tax Officer	PersonTitleTxt
Signature	2019-05-14	SignatureDt

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2020-01-14 16:20:31Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Kathy Young	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1521 Gull Road	AddressLine1Txt
City	Kalamazoo	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49048	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$503,401,830	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://healthcare.ascension.org/Locations/Michigan/MIKAL/Kalamazoo-Ascension-Borgess-Hospital	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1927	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	To improve the health and well-being of all people in the communities we serve.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	3660	TotalEmployeeCnt
Total Volunteers	200	TotalVolunteersCnt
Total Gross UBI	$2,632,404	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$183,288	PYContributionsGrantsAmt
CY Contributions Grants	$1,324,843	CYContributionsGrantsAmt
PY Program Service Revenue	$466,674,179	PYProgramServiceRevenueAmt
CY Program Service Revenue	$494,069,000	CYProgramServiceRevenueAmt
PY Investment Income	$595,944	PYInvestmentIncomeAmt
CY Investment Income	$636,750	CYInvestmentIncomeAmt
PY Other Revenue	$4,726,352	PYOtherRevenueAmt
CY Other Revenue	$7,212,034	CYOtherRevenueAmt
PY Total Revenue	$472,179,763	PYTotalRevenueAmt
CY Total Revenue	$503,242,627	CYTotalRevenueAmt
PY Grants And Similar Paid	$307,774	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$190,133,750	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$190,369,642	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$219,305,779	PYOtherExpensesAmt
CY Other Expenses	$264,021,088	CYOtherExpensesAmt
PY Total Expenses	$409,747,303	PYTotalExpensesAmt
CY Total Expenses	$454,390,730	CYTotalExpensesAmt
PY Revenues Less Expenses	$62,432,460	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$48,851,897	CYRevenuesLessExpensesAmt
Total Assets BOY	$268,587,367	TotalAssetsBOYAmt
Total Assets EOY	$246,153,799	TotalAssetsEOYAmt
Total Liabilities BOY	$330,814,039	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$256,631,771	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$62,226,672	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$10,477,972	NetAssetsOrFundBalancesEOYAmt
Mission	Ascension Borgess Hospital (f/k/a Borgess Medical Center) provides necessary and vital health care services to an area which includes all of S.W. Michigan. This care is given regardless of any individuals' race, color, religion, gender, age, national origin or ability to pay. Ascension Borgess Hospital (f/k/a Borgess Medical Center) is committed to cooperating with patients and families in providing holistic treatment by integrating within the healing process the physical, emotional and spiritual needs of each patient. Services include inpatient routine, inpatient and outpatient ancillary care in support of our stated mission.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$355,049,299	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$495,957,554	RevenueAmt
Desc	Ascension Borgess Hospital (f/k/a Borgess Medical Center) is a 361-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, Borgess Medical Center treated 18,048 adults and children for a total of 87,117 patient days of service. The hospital also provided services for 392,665 outpatient visits, which included 6,968 outpatient surgeries and 58,994 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.	Desc
Total Program Service Expenses	$355,049,299	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	288	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3660	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SARA OBRIEN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3147338070	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11775 BORMAN DRIVE	AddressLine1Txt
City	MARYLAND HEIGHTS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63146	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JERRY LOVE
CHAIR	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
JONI KNAPPER
VICE CHAIR	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
BETH BRUTSCHE
SECRETARY	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
CHARLES BURLING DDS
TREASURER	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
THOMAS STOVER MD
INTERIM PRESIDENT & CEO (START 6/2018)	45.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
KATHY A YOUNG
PRESIDENT & CEO (END 6/2018)	45.0	5.0	Yes (X)	Yes (X)	$0	$1,124,139	$38,400
MARK A SHAMAN MD
TRUSTEE	1.0	4.0	Yes (X)		$0	$0	$0
KATHY GEORGE
TRUSTEE	1.0	3.0	Yes (X)		$0	$0	$0
RASHMI KOTHARI MD
TRUSTEE (START 1/2018)	1.0	3.0	Yes (X)		$0	$0	$0
MARY SLATER MD
TRUSTEE	1.0	3.0	Yes (X)		$0	$0	$0
RICHARD L FELBINGER
CFO (END 8/2017)	15.0	37.0		Yes (X)	$0	$624,090	$32,035
DAMON D SORENSEN
CFO (START 9/2017)	10.0	41.0		Yes (X)	$0	$73,249	$9,509
J PATRICK DYSON
CSO	15.0	37.0			$0	$805,207	$30,482	Yes (X)
ANTHONY F MCDONNELL
CHIEF DEVELOPMENT OFFICER	25.0	25.0			$0	$232,551	$31,844	Yes (X)
ROBERT HILL MD
CMO	10.0	40.0			$0	$432,420	$45,969	Yes (X)
LORI J BROWN RN
CNO	20.0	30.0			$337,963	$0	$30,839	Yes (X)
JOHN RYDER
COO	10.0	40.0			$0	$226,586	$33,342	Yes (X)
GEORGE R DREW MD
PHYSICIAN	50.0	0			$455,346	$0	$33,711		Yes (X)
CHRISTIAN ERTL MD
PHYSICIAN	50.0	0			$454,035	$0	$46,342		Yes (X)
JESSICA D WILLIAMS MD
PHYSICIAN	50.0	0			$441,284	$0	$44,483		Yes (X)
BRIAN T BOWDITCH MD
PHYSICIAN	50.0	0			$407,404	$0	$43,797		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,096,033	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,518,242	TotReportableCompRltdOrgAmt
Total Other Compensation	$420,752	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	130	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PREMIER MEDICAL CARE PC
po box 249	goodlettsville	TN	37070	MEDICAL SERVICES	$4,836,387
KALAMAZOO EMERGENCY ASSOC PLC
1535 gull road	kalamazoo	MI	49048	MEDICAL SERVICES	$2,223,368
SOUTHWEST MI IMAGING LLC
1700 gull road	kalamazoo	MI	49048	IMAGING SERVICES	$2,122,574
CCS PERFUSION ASSOCIATES LLC
31330 schoolcraft road suite 200	livonia	MI	48150	MEDICAL SERVICES	$2,076,277
AHSA LLC
PO BOX 945	TRAVERSE CITY	MI	49685	STAFFING SERVICES	$1,106,904

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	29	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$1,324,843	RelatedOrganizationsAmt
Government Grants	$0	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Total Contributions	$1,324,843	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	621990	$446,107,510	$446,107,510
Services to Affiliates	561000	$35,522,924	$35,522,924
Pharmacy Revenue	446110	$9,322,095	$9,322,095
Management Fees	561000	$1,499,377	$1,499,377
Income from Joint Ventures	621990	$1,071,963	$1,071,963

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$545,131	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,560	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$537,571	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$494,069,000	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$63,277	TotalRevenueColumnAmt
Exclusion	$63,277	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$623,710	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$623,710	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$623,710	TotalRevenueColumnAmt
Exclusion	$623,710	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$574,602	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,128	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$573,474	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$573,473	TotalRevenueColumnAmt
Exclusion	$573,473	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$356,628	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$158,075	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$198,553	TotalRevenueColumnAmt
Exclusion	$198,553	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria/Vending Revenue	722514	$1,490,401	$1,490,401
Community Services	900099	$91,775		$91,775
Laundry Revenue	900099	$3,578,182		$1,483,349	$2,094,833

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,229,413	TotalRevenueColumnAmt
Related Or Exempt Func Income	$851,001	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$378,412	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,389,771	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$503,242,627	TotalRevenueColumnAmt
Related Or Exempt Func Income	$495,957,554	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,632,404	UnrelatedBusinessRevenueAmt
Exclusion	$3,327,826	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$368,802	TotalAmt
Program Services	$319,383	ProgramServicesAmt
Management And General	$49,419	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$138,202,809	TotalAmt
Program Services	$119,731,504	ProgramServicesAmt
Management And General	$18,471,305	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,154,066	TotalAmt
Program Services	$4,465,205	ProgramServicesAmt
Management And General	$688,861	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$36,499,201	TotalAmt
Program Services	$31,620,927	ProgramServicesAmt
Management And General	$4,878,274	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,144,764	TotalAmt
Program Services	$8,788,871	ProgramServicesAmt
Management And General	$1,355,893	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,089,421	TotalAmt
Program Services	$1,007,324	ProgramServicesAmt
Management And General	$82,097	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$21,964	TotalAmt
Management And General	$21,964	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$6,000	TotalAmt
Management And General	$6,000	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$11,049,724	TotalAmt
Program Services	$9,200,850	ProgramServicesAmt
Management And General	$1,848,874	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$16,877	TotalAmt
Program Services	$16,390	ProgramServicesAmt
Management And General	$487	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,458,379	TotalAmt
Program Services	$477,720	ProgramServicesAmt
Management And General	$980,659	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,280,885	TotalAmt
Program Services	$335,685	ProgramServicesAmt
Management And General	$945,200	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,484,878	TotalAmt
Program Services	$6,168,822	ProgramServicesAmt
Management And General	$6,316,056	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$248,745	TotalAmt
Program Services	$184,370	ProgramServicesAmt
Management And General	$64,375	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$366,763	TotalAmt
Program Services	$235,647	ProgramServicesAmt
Management And General	$131,116	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,654,231	TotalAmt
Management And General	$5,654,231	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$18,937,833	TotalAmt
Program Services	$7,363,119	ProgramServicesAmt
Management And General	$11,574,714	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,491,215	TotalAmt
Management And General	$3,491,215	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Purchased Services	$71,259,646	$30,748,528	$40,511,118
Medical Supplies	$84,659,524	$84,067,492	$592,032
Physician Fees to Affiliates	$34,948,510	$34,948,510
Laundry	$5,255,712	$5,255,712

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,790,781	TotalAmt
Program Services	$10,113,240	ProgramServicesAmt
Management And General	$1,677,541	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$454,390,730	TotalAmt
Program Services	$355,049,299	ProgramServicesAmt
Management And General	$99,341,431	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,881,848	BOYAmt
EOY	$17,280	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$149,368	BOYAmt
EOY	$9,496,250	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$64,554,100	BOYAmt
EOY	$50,408,990	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,838,044	BOYAmt
EOY	$6,832,478	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,087,500	BOYAmt
EOY	$1,578,310	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$315,408,242	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$177,948,422	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$140,784,319	BOYAmt
EOY	$137,459,820	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$17,034,554	BOYAmt
EOY	$19,042,574	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,824,485	BOYAmt
EOY	$5,076,378	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$24,433,149	BOYAmt
EOY	$16,241,719	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$268,587,367	BOYAmt
EOY	$246,153,799	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$29,634,254	BOYAmt
EOY	$34,884,064	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$11,264	BOYAmt
EOY	$11,266	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$301,168,521	BOYAmt
EOY	$221,736,441	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$330,814,039	BOYAmt
EOY	$256,631,771	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$62,376,040	BOYAmt
EOY	-$10,622,582	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$149,368	BOYAmt
EOY	$144,610	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$62,226,672	BOYAmt
EOY	-$10,477,972	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$268,587,367	BOYAmt
EOY	$246,153,799	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$48,851,897	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$2,896,803	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$6,000	OtherActivitiesAmt
Total Lobbying Expenditures	$6,000	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 BORGESS HOSPITAL (F/K/A BORGESS MEDICAL CENTER) does not participate in or intervene in (including the publishing or distributing or statements) any political campaign on behalf of (or in opposition to) any candidates 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 BORGESS HOSPITAL (F/K/A BORGESS MEDICAL CENTER) does not participate in or intervene in (including the publishing or distributing or statements) any political campaign on behalf of (or in opposition to) any candidates for public office.

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,270,624	OtherCostOrOtherBasisAmt
Book Value	$4,270,624	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$214,034,455	OtherCostOrOtherBasisAmt
Depreciation	$114,817,388	DepreciationAmt
Book Value	$99,217,067	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,576,809	OtherCostOrOtherBasisAmt
Depreciation	$1,518,709	DepreciationAmt
Book Value	$58,100	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$86,836,535	OtherCostOrOtherBasisAmt
Depreciation	$60,950,864	DepreciationAmt
Book Value	$25,885,671	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,689,819	OtherCostOrOtherBasisAmt
Depreciation	$661,461	DepreciationAmt
Book Value	$8,028,358	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$137,459,820	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Investment in Portfolio Companies	$569,100	F
Equity Investment in Kalamazoo Center Med Studies	$3,853,866	F
Equity Investment in West Michigan Air Care	$1,513,640	F
Equity Investment in West Michigan Cancer Center	$13,078,499	F
Equity Investment in Kalamazoo Cty Med Control	$27,469	F
Equity Investment in.

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$19,042,574	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
Deferred Tax Asset
Other Assets	-$2,017
Unidentified Remittances	-$96,933
Due from Affiliates	$4,790,082
Other Receivables	$1,021,771
Deferred Compensation/Retirement/Pension Asset	$1,491,087
Security Deposit	$9,533
Estimated 3rd Party Payor Settlements	$9,028,196

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$16,241,719	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
Deferred Sales Lease Back Liability	$1,407,460
Fin 48 Liability
Asset Retirement Obligation	$121,285
Valuation Allowance	$967,271
Due to Affiliates	$46,443,598
Deferred Compensation/Retirement/Pension Liability	$9,170,122
Liability Sold with Recourse	$490,760
Savings Plan Liability
Estimated 3rd Party Payor Settlement	$5,779,059
Recovery Tail Liability	$2,240,064
Debt with Ascension Health Alliance	$155,116,822

Field	Value	IRS element (for citing)
Total Liability	$221,736,441	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,961,632	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,961,632	NetCommunityBenefitExpnsAmt
Total Expense	0.0197	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,387,182	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,757,951	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,629,231	NetCommunityBenefitExpnsAmt
Total Expense	0.0234	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$81,348,814	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,757,951	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,590,863	NetCommunityBenefitExpnsAmt
Total Expense	0.0431	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	793214	PersonsServedCnt
Total Community Benefit Expns	$403,555	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$403,555	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	346	PersonsServedCnt
Total Community Benefit Expns	$15,678,123	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,678,123	NetCommunityBenefitExpnsAmt
Total Expense	0.0345	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	9	PersonsServedCnt
Total Community Benefit Expns	$3,467	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,467	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,993,146	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,993,146	NetCommunityBenefitExpnsAmt
Total Expense	0.0044	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	161	PersonsServedCnt
Total Community Benefit Expns	$285,175	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$285,175	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	31	ActivitiesOrProgramsCnt
Persons Served	793730	PersonsServedCnt
Total Community Benefit Expns	$18,363,466	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,363,466	NetCommunityBenefitExpnsAmt
Total Expense	0.0404	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	31	ActivitiesOrProgramsCnt
Persons Served	793730	PersonsServedCnt
Total Community Benefit Expns	$99,712,280	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,757,951	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,954,329	NetCommunityBenefitExpnsAmt
Total Expense	0.0835	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$572	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$572	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,353	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,353	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	50	PersonsServedCnt
Total Community Benefit Expns	$19,146	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,146	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,811	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,811	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	50	PersonsServedCnt
Total Community Benefit Expns	$23,882	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,882	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$1,289,610	BadDebtExpenseAmt
Bad Debt Expense Attributable	$429,553	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$226,297,516	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$250,682,905	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$24,385,389	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Emergency Room OtherEmergencyRoomOtherInd	OtherOtherDesc
Ascension Borgess Hospital
1	1521 Gull Road	Kalamazoo	MI	49048	https://healthcare.ascension.org/Locations/Michigan/MIKAL/Kalamazoo-Ascension-Borgess-Hospital	L424370	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
Ascension Borgess PIPP Hospital
2	411 Naomi Street	Plainwell	MI	49080	https://healthcare.ascension.org/Locations/Michigan/MIKAL/Plainwell-Ascension-BorgessPipp-Hospital	L431681						A	Yes (X)	Long-Term Acute Care

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://healthcare.ascension.org/Locations/Michigan/MIKAL/Kalamazoo-Ascension-Borgess-Hospital/Commu	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://healthcare.ascension.org/Locations/Michigan/MIKAL/Kalamazoo-Ascension-Borgess-Hospital/Commu	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://healthcare.ascension.org/Financial-Assistance/Michigan	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://healthcare.ascension.org/Financial-Assistance/Michigan	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://healthcare.ascension.org/Financial-Assistance/Michigan	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 A, 1	Facility A, 1 - ASCENSION BORGESS HOSPITAL (F/K/A BORGESS MEDICAL CENTER). In 2015, Borgess Health re-established the Community Benefit Advisory Committee (CBAC). The CBAC represents nine (9) community agency leaders throughout Kalamazoo County and is intended to represent a wide range of expertise and services that impact our community's health status. Each committee member also holds numerous board and community committee positions in Kalamazoo and is adequately positioned to represent the community needs. The CBAC represented a large cross section of community agencies. The committee members' expertise involves public health, not-for-profit agencies, school/educational programs, elderly support services, family health centers, chronic disease specialty clinics, Borgess Health representatives involved in community work, and a local government official. All agencies and their representatives on the committee are involved with providing services to the medically underserved, low income and minority populations. The following list represents the Community Benefit Advisory Committee participating members and data sources: Family Health Center Catholic Charities Comstock Community Center Western Michigan University Borgess Health Borgess-Pipp Hospital Borgess Diabetes Center Kalamazoo County Health & Community Services
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - ASCENSION BORGESS HOSPITAL (F/K/A BORGESS MEDICAL CENTER). The CHNA was conducted with the following hospital facility(s): -Ascension Borgess Lee Hospital -Ascension Borgess PIPP Hospital
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - ASCENSION BORGESS HOSPITAL (F/K/A BORGESS MEDICAL CENTER). The CHNA was conducted with the following non-hospital facility(s): -Family Health Center -Kalamazoo County Health and Community Services
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - ASCENSION BORGESS HOSPITAL (F/K/A BORGESS MEDICAL CENTER) - Part 1. ASCENSION BORGESS HOSPITAL (F/K/A BORGESS MEDICAL CENTER) is addressing the need identified in its most recent CHNA in the following ways: Prioritized Need #1 - Access to Care - Goal: Improve Access to Care Strategy 1: Reduce the racial disparity and improve birth outcomes among high risk women in Kalamazoo by increasing their access to prenatal care Women & Infant Supportive Help (WISH) Program The YWCA of Kalamazoo was the contracted agency for providing perinatal services to women in the Kalamazoo community who are at highest risk, "falling through the cracks" as many of them have been released or discharged from other home visiting and case management programs due to non-compliance or an inability to maintain effective contact with service agencies. Many programs do not have the resources to continue to follow these high-risk, complex cases. The WISH program is designed to be a safety net for this client population. What makes the WISH program unique is that there are no eligibility requirements other than being a perinatal Kalamazoo area resident. Additionally, the women served through this program are those at highest risk for poor birth outcomes, and through this program are receiving comprehensive and intensive case management throughout the perinatal period. The WISH program, which ended in July 2018 but continues as a YWCA program, reached capacity (average monthly caseload was over 50 women) and served the maximum number of women projected to participate at program end through Ascension/Borgess funding. Monthly narrative program reports highlighted coordination of resources among providers including provision of transportation to prenatal, well child, and WIC appointments for clients, assisting with procurement of car seat vouchers from Safe Kids Kalamazoo, and coordination with the local YWCA of Kalamazoo to assist clients in receiving necessary household items. The program made it a priority to help clients minimize or eliminate the barriers they are facing which make it difficult to access the healthcare they need to ensure a safe Although funding for this program ended in July of 2018, the program will continue to operate (with technical assistance and programmatic guidance from Borgess and Cradle Kalamazoo) with United Way funding. A Year 2 program evaluation was conducted in May 2018 for program quality assurance purposes. Results of the evaluation were reported to appropriate stakeholders. Cradle Kalamazoo - Borgess is a voting partner of the Cradle Kalamazoo Steering Committee. Cradle Kalamazoo, is a multi-agency community initiative led by YWCA Kalamazoo. This initiative is based on the work of many community members and organizations, including Dr. Arthur James who brought attention to and began working on the racial disparities in infant mortality in 1992. By bringing together community leaders and organizations to implement evidence-based and holistic interventions, the initiative's goal is to reduce infant death and promote respect for families, women and their children. Borgess leaders and associates attend bi-monthly steering committee meetings, and additionally attend the cultural competence sub-committee meetings. MDHHS Health Equity Grant Project - Borgess is a grantee of a Michigan Department of Health and Human Services grant to provide cultural competency assessment, training, strategy and operational policy change for women and infant health services. Borgess associates from IT, women's health, care management, community benefit and clinical informatics, as well as administration and HR, have been meeting with a national birth equity consultant and a Western Michigan University School of Medicine (WMed) professor for over a year to conduct grant programming. Over 50 Borgess associates have received training in 2017 and 2018 related to health equity, racial disparities and cultural competence. This work will continue indefinitely. Fetal Infant Mortality Review (FIMR) - Borgess has a strong presence on the Kalamazoo FIMR committee. Representatives from the Birthing Center, Community Benefit, Care Management, and Women's Health attend monthly meetings along with numerous additional community agencies and healthcare organizations. FIMR is a process used to look at fetal and infant deaths. Findings are then given to a community action team to come up with creative ideas to help improve birth outcomes for women, and to reduce infant mortality in our community. FIMR can provide information about our health care system, and how it affects families when the attempt to get services. FIMR can also inform healthcare providers about what some mothers go through during their pregnancies and how it impacts the birth of their babies. A group of community individuals volunteer their time to look at why babies are dying. This group of people is called a Community Review Team (CRT). The team is made up of people like you and me who care about the death of an infant. Members include doctors, nurses, social workers, and others. Every month the CRT comes together to review cases about infants that died in the previous year. Each case is a summary of everything that can be found about the pregnancy and the infant. All names of babies, mothers, medical staff and facilities are removed to keep the information confidential. Strategy 2: Design, develop & deliver a Medical Mission at Home in downtown Kalamazoo. A Medical Mission at Home will be tabled until 2019 with a goal of planning this event at that time. Borgess is awaiting further direction from Ascension with regards to a national program. Prioritized Need #2 - Diabetes Prevention - Goal: Improve the health of those at-risk or living with diabetes Strategy 1: Provide diabetes screenings and education through community groups and local churches. Borgess Health has provided biometric screenings in the community which includes height, weight, BMI, blood pressure, total and HDL cholesterol level as well as a random glucose reading to 289 individuals at 8 community locations. Approximately 45 individuals have been referred to their physician for prediabetes and we have an 80% referral completion rate. First year medical students through WMed have assisted at these screening on numerous occasions in 2018. They conduct blood pressures and provide counseling and education. In addition, Borgess has conducted awareness activities at 10 locations, assisting individuals with completion of the CDC Prediabetes Screening Test, which provides the participant with a score for determining their risk for prediabetes. 176 screening tests have been completed and these individuals also receive counseling and education about diabetes prevention. Diabetes presentations have been provided in the community to large groups of community residents at 3 locations, with 226 individuals in attendance. Borgess staff is working closely with the Borgess Diabetes & Endocrine Center to ensure consistent education and screening tools are utilized for each screening event. Monthly internal workgroup meetings have been held for Borgess Health staff involved in diabetes prevention activities including staff responsible for the CDC Diabetes Prevention Program (DPP) application for certification planning process (see Strategy 2.) Strategy 2: Design, develop, and distribute an online pre-diabetes program based on the CDC recognized Diabetes Prevention Lifestyle change program. While national Ascension priorities encourage participation in the CDC Diabetes Prevention Program (DPP), the Borgess Diabetes & Endocrine Center has taken the lead in application to the CDC to receive certification for a Diabetes Prevention Recognition Program (DPP.) Monthly in-person meetings are held with Borgess staff directly responsible for the DPP program implementation and monthly meetings are held with the Borgess diabetes management and prevention team. Application was made to the CDC as of March 2017. Several Borgess associates from the Diabetes Center, Borgess Health & Fitness Center, CorpFit, and additional departments have been trained as diabetes lifestyle coaches to lead the DPP program cohort classes. The first cohort DPP class began June 1, 2017 and will end in June of 2018. A second cohort began in August of 2017 and is nearing completion of the program (one year.) A third cohort began in April 2018 and will continue for one year. The CDC DPP program is complex and requires a year of proving successful outcomes in terms of participant retention as well as health goal outcomes. Although Borgess will not receive CDC recognition in FY 2018, the DPP committee will continue to conduct this important program, as the outcomes reported are significant.
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - ASCENSION BORGESS HOSPITAL (F/K/A BORGESS MEDICAL CENTER) - Part 2. Prioritized Need #3 - Infant Mortality Goal: Reduce racial disparities and improve birth outcomes among high-risk women in Kalamazoo by increasing their access to prenatal care. Strategy 1: Reduce the incidence of infant mortality in Kalamazoo Women & Infant Supportive Help (WISH) Program (See Prioritized Need 1, Access to Care, Strategy 1 report.) Community needs not addressed: Identified needs that will not be 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 are supported by strong Borgess health programs with a variety of available resources in addition to the support of the American Cancer Society, American Lung Association and the American Heart Association. Mental health and lack of providers is certainly a health priority, however, other agencies in the Kalamazoo area have greater resources to address this need. Injury prevention scored moderately high, but will not be addressed in the CHNA implementation strategy and action plans.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 of health 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.
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 $4,605,751 at charges, ($1,289,610 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	The organization has a written debt collection policy and collection procedures will only pertain to patients that do net qualify for charity or financial assistance and who are not complying with payment arrangements that have been agreed to by the hospital and the patient.
Schedule H, Part V, Section B, Line 16a FAP website	A - Ascension Borgess Hospital: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance/Michigan;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - Ascension Borgess Hospital: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance/Michigan;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - Ascension Borgess Hospital: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance/Michigan;
Schedule H, Part VI, Line 2 Needs assessment	ASCENSION BORGESS HOSPITAL (F/K/A BORGESS MEDICAL CENTER) reviews numerous reports and statistics, including epidemiological reports published by the Kalamazoo County Health and Human Services Department, admission and emergency room data to determine where the specific needs of the community are and where we can focus our efforts to offer assistance.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Information regarding financial assistance is posted in the admitting, and registration departments in addition to the emergency department. ASCENSION BORGESS HOSPITAL (F/K/A BORGESS MEDICAL CENTER) has staff dedicated to assisting uninsured patients complete a means test and complete applications for public assistance. Patients are provided with contact numbers on their medical bills to contact the billing office if assistance is needed to pay their bill. We leave it up to the patient to contact us then we direct them through the Charity Care process or applying for other government assistance programs.
Schedule H, Part VI, Line 4 Community information	Kalamazoo is a two-hospital market with the consumers believing that there are two very good, equal healthcare facilities. However, because it's a newer facility with all private rooms, Bronson's reputation is partially based on facility amenities. Many consumers choose a hospital based on specific service needs and/or physician recommendations and preferences. Outside of Kalamazoo, the Borgess Health service area includes several small rural hospitals and two secondary service level hospitals. Description of Community: Assessment of Kalamazoo County and Borgess Health's Primary Service Areas The City of Kalamazoo is located within county and represents approximately 30% of the total population. The average annual income of a Kalamazoo county resident is $46,019 annually with 18.6% of the population falling below the poverty level. The current unemployment rate is 8.8%. Southwest Michigan Population Demographics and Trends Southwest Michigan is comprised of a nine-county region that borders Indiana. Kalamazoo County is at the heart of southwest Michigan and is the most densely populated of the nine counties. Together, the neighboring cities of Kalamazoo and Portage within the county represent the largest metropolitan area in the region. For the purpose of the Community Health Needs Assessment, we will define our focus on Kalamazoo County, which includes the cities Kalamazoo and Portage. In 2013 County Health Rankings were released on March 21, 2013 by the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. Kalamazoo County places in the middle of the 82 Michigan counties at the 46th rank. According to estimates by the U.S. Census, the City of Kalamazoo's population increased 0.64 percent from 74,262 to 74,743 between 2010 and 2011. During the same timeframe, the population of the City of Portage increased 0.71 percent from 46,292 to 46,624. Population Living in Poverty 2008-2010 estimates projected that 19.2% of the Kalamazoo County population or 46,091 people lived below the poverty level. The proportions of people living below the poverty level in Michigan (15.7%) as well as the proportion in the United States (14.4%) were lower than the proportion in Kalamazoo County. Within Kalamazoo County, the proportion of the population living below the poverty level varied by city and township. In 2008-2010, the City of Kalamazoo had the highest poverty rate with 36.0% of residents living below the poverty level. Poverty estimates for all cities and townships in Kalamazoo County are available from the American Community Survey as an average rate between 2006 and 2010. The highest rate was in the City of Kalamazoo; lowest rates were in Texas Township, Cooper Township, Climax Township, Ross Township, and Prairie Ronde Township.
Schedule H, Part VI, Line 5 Promotion of community health	ASCENSION BORGESS HOSPITAL (F/K/A BORGESS MEDICAL CENTER) provides a number of services to the community at no or a very low cost to the general community and to uninsured patients in our comprehensive Diabetes Uninsured Clinic, Wellness Project offered to adults in Allegan County, pharmaceutical assistance program, and in-home nursing programs. We also provide health screenings e.g., colorectal, immunizations, mammograms and school physicals. Borgess has a history steeped in the tradition of serving the poor and underserved. Borgess leadership including the Board of Trustees are educated on the organization's mission and values and challenge themselves on how to serve the poor and underserved members of our community.
Schedule H, Part VI, Line 6 Affiliated health care system	ASCENSION BORGESS HOSPITAL (F/K/A BORGESS MEDICAL CENTER) is a wholly owned subsidiary of Borgess Health Alliance, Inc. which is a member of Ascension Health. Ascension Health Alliance, D/B/A 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 states and the District of Columbia. Ascension and its member organizations are hereafter referred to collectively as the System. Ascension is sponsored by Ascension Sponsor, a public juridic person. The participating entities of Ascension Sponsor are the Daughters of Charity of St. Vincent De Paul, St. Louise Province; the Congregation 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. Ascension Borgess Hospital, located in Kalamazoo, Michigan, is a nonprofit acute care hospital. The Medical Center provides inpatient, outpatient, and emergency care services for the residents of Kalamazoo, Michigan. Admitting physicians are primarily practitioners in the local area. Substantially all expenses of Ascension Health and its sponsored organizations are related to providing health care services. The System directs its governance and management activities toward a strong, vibrant, Catholic Health 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 health ministry accepts patients regardless of their ability to pay. The System uses four categories to identify the resources utilized for the care of persons living in poverty and community benefit programs: - 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. - 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. - 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 acquired immune deficiency syndrome. - 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 patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines 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 ration of each entity's total operation expenses to the entity's billed charges for patient care.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KATHY A YOUNG
PRESIDENT & CEO (END 6/2018)	$0	$480,392	$0	$553,977	$0	$89,770	$0	$17,550	$0	$20,850	$0	$1,162,539	$0	$0
RICHARD L FELBINGER
CFO (END 8/2017)	$0	$236,518	$0	$135,698	$0	$251,873	$0	$15,444	$0	$16,591	$0	$656,125	$0	$0
J PATRICK DYSON
CSO	$0	$381,448	$0	$372,111	$0	$51,648	$0	$16,491	$0	$13,990	$0	$835,689	$0	$0
ANTHONY F MCDONNELL
CHIEF DEVELOPMENT OFFICER	$0	$171,287	$0	$49,432	$0	$11,832	$0	$11,818	$0	$20,025	$0	$264,394	$0	$0
ROBERT HILL MD
CMO	$0	$317,357	$0	$90,390	$0	$24,673	$0	$13,500	$0	$32,469	$0	$478,389	$0	$0
LORI J BROWN RN
CNO	$244,763	$0	$67,875	$0	$25,325	$0	$9,769	$0	$21,070	$0	$368,802	$0	$0	$0
JOHN RYDER
COO	$0	$176,486	$0	$39,527	$0	$10,573	$0	$12,076	$0	$21,266	$0	$259,928	$0	$0
GEORGE R DREW MD
PHYSICIAN	$451,220	$0	$0	$0	$4,126	$0	$12,150	$0	$21,561	$0	$489,056	$0	$0	$0
CHRISTIAN ERTL MD
PHYSICIAN	$389,533	$0	$49,267	$0	$15,235	$0	$14,850	$0	$31,492	$0	$500,377	$0	$0	$0
JESSICA D WILLIAMS MD
PHYSICIAN	$377,560	$0	$62,419	$0	$1,305	$0	$14,850	$0	$29,633	$0	$485,767	$0	$0	$0
BRIAN T BOWDITCH MD
PHYSICIAN	$404,819	$0	$0	$0	$2,585	$0	$12,150	$0	$31,647	$0	$451,202	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	Ascension Health, a related organization of ASCENSION BORGESS HOSPITAL (F/K/A BORGESS MEDICAL CENTER uses the following methods to establish the compensation of the organization's CEO: - Compensation Committee, - Independent Compensation Consultant, - Compensation Survey or Study, and - Approval by the Board or 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 for calendar year 2017: RICHARD L FELBINGER - $98,490
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. No payments were made to listed persons in Part VII under the non-qualified retirement plan during the year.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part IV, Line 20b Audited FInancial Statements	The activity of Ascension Borgess Hospital (f/k/a Borgess Medical Center) is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of Ascension Borgess Hospital (f/k/a Borgess Medical Center) is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of Ascension Borgess Hospital (f/k/a Borgess 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 ASCENSION HEALTH, A RELATED ORGANIZATION OF Ascension Borgess Hospital (f/k/a Borgess 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 6 Classes of members or stockholders	ASCENSION BORGESS HOSPITAL (F/K/A BORGESS MEDICAL CENTER) has a single corporate member, Ascension Michigan, who has the ability to elect members of the governing body of the ASCENSION BORGESS HOSPITAL (F/K/A BORGESS MEDICAL CENTER).
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	ASCENSION BORGESS HOSPITAL (F/K/A BORGESS MEDICAL CENTER) has a single corporate member, Ascension Michigan who has the ability to elect members to the governing body of the ASCENSION BORGESS HOSPITAL (F/K/A BORGESS MEDICAL CENTER).
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.
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 meeting 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 Conflict 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 15b Process to establish compensation of other employees	IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, THE PROCESS 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 19 Required documents available to the public	The organization will provide any documents open to public inspection upon request.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Miscellaneous Program Revenue - Total Revenue: 3010, Related or Exempt Function Revenue: 3010, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Contracted Services Revenue - Total Revenue: 4550, Related or Exempt Function Revenue: 4550, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Lab Services - Total Revenue: 537571, Related or Exempt Function Revenue: , Unrelated Business Revenue: 537571, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Escheatment Revenue - Total Revenue: 3915, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 3915; Medical Records Fees - Total Revenue: 8937, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 8937; Miscellaneous Revenue - Total Revenue: 1109860, Related or Exempt Function Revenue: 838488, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 271372; Retail Sales - Total Revenue: 12513, Related or Exempt Function Revenue: 12513, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Medical Staff Dues - Total Revenue: 94188, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 94188;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	FAS 158 Pension Adjustment - 208093; Transfers to/from Alpha Fund - 2565863; Transfers to/from Affiliates - 122847;
Form 990, Part XII, Line 2c Audit Committee	Ascension Borgess Hospital (f/k/a Borgess Medical Center) is included in the consolidated financial statements of Ascension. The Finance and Audit committee of Ascension's Board assumes responsibility for the consolidated organization as a whole.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (37 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Business Name Line2DisregardedEntityName/BusinessNameLine2Txt	Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt
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	Yes (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	Yes (true)
GENESYS HEALTH SYSTEM
ONE GENESYS PARKWAY	GRAND BLANC	MI	484398065	383339703	HEALTH SYSTEM PARENT	MI	501(c)(3)	Type II	ASCENSION MICHIGAN	Yes (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	Yes (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	Yes (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	Yes (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	Yes (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	Yes (true)
ST JOHN PROVIDENCE
28000 DEQUINDRE ROAD	WARREN	MI	48092	382244034	PARENT	MI	501(c)(3)	Type III-FI	ASCENSION MICHIGAN	Yes (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	Yes (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	Yes (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	Yes (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	Yes (true)
ASCENSION STANDISH HOSPITAL FKA STANDISH COMMUNITY HOSPITAL
805 WEST CEDEAR STREET	STANDISH	MI	48658	381671120	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes (true)
ASCENSION PROVIDENCE ROCHESTER HOSPITAL FKA CRITTENTON HOSPITAL MEDICAL CEN
1101 W UNIVERSITY DR	ROCHESTER	MI	48307	381359247	GENERAL HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes (true)	TER
BORGESS AMBULATORY CARE CORPORATION
1521 GULL ROAD	KALAMAZOO	MI	49048	382468823	HOLDING COMPANY	MI	501(c)(3)	3	BORGESS HEALTH ALLIANCE INC	Yes (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	Yes (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	Yes (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	Yes (true)
ASCENSION PROVIDENCE FOUNDATION
22101 MOROSS	DETROIT	MI	48236	383526629	FUNDRAISING	MI	501(c)(3)	Type III-FI	ST JOHN PROVIDENCE	Yes (true)
SETON HEALTH CORPORATION OF SOUTHEAST MICHIGAN
28000 DEQUINDRE	WARREN	MI	48092	382820107	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes (true)
ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH FKA ST JOHN COMMUNITY HEALTH
28000 DEQUINDRE ROAD	WARREN	MI	48092	382262856	HEALTH CARE	MI	501(c)(3)	3	ST JOHN PROVIDENCE	Yes (true)	INVESTMENT CORPORATION
ASCENSION ST JOHN FOUNDATION FKA ST JOHN HOSPITAL FOUNDATION
22101 MOROSS	DETROIT	MI	48236	202961579	FUNDRAISING	MI	501(c)(3)	7	ST JOHN PROVIDENCE	Yes (true)
ST JOHN PROVIDENCE PHYSICIANS CMG
28000 DEQUINDRE ROAD	WARREN	MI	48092	382601348	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes (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	Yes (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	Yes (true)
ASCENSION ST MARY'S FOUNDATION FKA ST MARY'S MEDICAL CENTER FOUNDATION SAGI
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	Yes (true)	NAW MICHIGAN
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 CEN	Yes (true)		TER
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 CEN	Yes (true)		TER
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	Yes (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	Yes (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	Yes (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 SERVICES	Yes (true)
GENESYS CONVALESCENT CENTER
8481 HOLLY ROAD	GRAND BLANC	MI	484391812	382317364	CONVALESCENT CENTER	MI	501(c)(3)	3	GENESYS AMBULATORY HEALTH SERVICES	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Address Line2USAddress/AddressLine2Txt
TOWNE CENTRE SURGERY CENTER LLC
4599 TOWNE CENTRE	SAGINAW	MI	48604	204943843	OUTPATIENT SERVICES	MI	NA	N/A
Open MRI of Michigan
411 W 13 MILE ROAD	MADISON HEIGHTS	MI	48071	383544539	MRI Center	MI	NA	N/A
The Michigan Institute for Advanced Surgery LLC
1375 S Lapeer Rd	Lake Orion	MI	48360	030444972	OUTPATIENT SERVICES	MI	NA	N/A	109
Hospital Consolidated Laboratories LLC
39595 W 10 Mile Rd	Novi	MI	48375	383318428	LAB SERVICES	MI	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt
ST JOSEPH HEALTH ENTERPRISES
200 HEMLOCK ROAD	TAWAS CITY	MI	48764	382686747	OTHER MEDICAL	MI	NA	C Corporation	Yes (true)
GENESYS PRACTICE PARTNERS
5445 ALI DRIVE DEPT 200	GRAND BLANC	MI	48439	030516871	EMPLOYED PHY PRACTICE	MI	NA	C Corporation	Yes (true)
BEECHER BALLENGER SERVICES
ONE GENESYS PARKWAY	GRAND BLANC	MI	484398065	382497922	HOLDING COMPANY	MI	NA	C Corporation	Yes (true)
ADVENT INC
28000 DEQUINDRE	WARREN	MI	48092	382971743	RENTAL REAL ESTATE	MI	NA	C Corporation	Yes (true)
AFFILIATED HEALTH SERVICES INC
28000 DEQUINDRE	WARREN	MI	48092	382292922	MEDICAL SERVICES	MI	NA	C Corporation	Yes (true)
St Mary's Health
800 S Washington Avenue	Saginaw	MI	48601	383477017	Dormant	MI	NA	C Corporation	Yes (true)
TEXTILE SYSTEMS INC
817 WALBRIDGE	KALAMAZOO	MI	49007	382705047	LAUNDRY SERVICES	MI	ASCENSION BORGESS HOSPITAL (FKA BORGESS MEDICAL CENTER)	C Corporation	Yes (true)	$2,658,576	$208,229
CRITTENTON DEVELOPMENT CORPORATION
2251 N SQUIRREL RD STE 310	AUBURN HILLS	MI	48326	382594115	REAL ESTATE	MI	NA	C Corporation	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ASCENSION BORGESS FOUNDATION FKA BORGESS FOUNDATION
M	$331,097	FAIR MARKET VALUE
ASCENSION BORGESS FOUNDATION FKA BORGESS FOUNDATION
Q	$1,910,374	FAIR MARKET VALUE
BORGESS HEALTH ALLIANCE INC
L	$1,690,234	FAIR MARKET VALUE
BORGESS HEALTH ALLIANCE INC
Q	$5,734,687	FAIR MARKET VALUE
BORGESS HEALTH ALLIANCE INC
R	$568,769,019	FAIR MARKET VALUE
ASCENSION BORGESS LEE HOSPITAL FKA LEE MEMORIAL HOSPITAL CORPORATION
L	$81,911	FAIR MARKET VALUE
ASCENSION BORGESS LEE HOSPITAL FKA LEE MEMORIAL HOSPITAL CORPORATION
M	$505,135	FAIR MARKET VALUE
ASCENSION BORGESS LEE HOSPITAL FKA LEE MEMORIAL HOSPITAL CORPORATION
Q	$180,024	FAIR MARKET VALUE
ASCENSION BORGESS LEE HOSPITAL FKA LEE MEMORIAL HOSPITAL CORPORATION
S	$122,517	FAIR MARKET VALUE
TEXTILE SYSTEMS INC
Q	$208,185	FAIR MARKET VALUE
ASCENSION BORGESS FOUNDATION FKA BORGESS FOUNDATION
C	$1,324,843	FAIR MARKET VALUE