HENRY FORD HEALTH ROCHESTER HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: HENRY FORD HEALTH ROCHESTER HOSPITAL (EIN 38-1359247)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-10
IRS object ID: 201811309349302831
Schema version: 2016v3.0
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 N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-10T14:02:30-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	381359247	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Crittenton Hospital Medical Center	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1101 West University Drive	AddressLine1Txt
City	Rochester	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48307	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tonya Mershon	PersonNm
Person Title	Tax Officer	PersonTitleTxt
Signature	2018-05-10	SignatureDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1101 West University Drive	AddressLine1Txt
City	Rochester	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48307	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$211,993,338	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://healthcare.ascension.org/Locations/Michigan/Rochester-Crittenton-Hospital	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1900	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
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	1683	TotalEmployeeCnt
Total Volunteers	408	TotalVolunteersCnt
Total Gross UBI	$3,231,311	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$118,324	PYContributionsGrantsAmt
CY Contributions Grants	$167,868	CYContributionsGrantsAmt
PY Program Service Revenue	$99,123,187	PYProgramServiceRevenueAmt
CY Program Service Revenue	$207,791,418	CYProgramServiceRevenueAmt
PY Investment Income	$790,317	PYInvestmentIncomeAmt
CY Investment Income	-$136,300	CYInvestmentIncomeAmt
PY Other Revenue	$4,171,803	PYOtherRevenueAmt
CY Other Revenue	$1,738,973	CYOtherRevenueAmt
PY Total Revenue	$104,203,631	PYTotalRevenueAmt
CY Total Revenue	$209,561,959	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$44,234,816	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$86,913,170	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$59,834,770	PYOtherExpensesAmt
CY Other Expenses	$111,810,487	CYOtherExpensesAmt
PY Total Expenses	$104,069,586	PYTotalExpensesAmt
CY Total Expenses	$198,723,657	CYTotalExpensesAmt
PY Revenues Less Expenses	$134,045	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,838,302	CYRevenuesLessExpensesAmt
Total Assets BOY	$364,512,658	TotalAssetsBOYAmt
Total Assets EOY	$280,911,089	TotalAssetsEOYAmt
Total Liabilities BOY	$271,215,473	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$226,541,566	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$93,297,185	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$54,369,523	NetAssetsOrFundBalancesEOYAmt
Mission	Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$166,996,688	ExpenseAmt
Revenue	$204,647,043	RevenueAmt
Desc	Crittenton hospital is committed to the advancement of medical education. As a teaching hospital, Crittenton provides both residents and student nurses experiences and the opportunity to fulfill a vital role in patient care. Affiliated with Wayne State University (Detroit, Mi), Crittenton has the following residency programs: Internal Medicine, Family Medicine, and Transitional Year. Crittenton is defined by its vision for a healthier community. In an effort to engage with the communities in Oakland, Macomb, and Lapeer counties, Crittenton provides many resources that benefit the entire community. Such resources include various classes, events, along with an on-line community to learn about new topics, tips, and health resources for everyone in the family. Crittenton has 290 licensed beds, 10,758 patient discharges which resulted in 46,854 patient days of care. in addition, Crittenton had 636 deliveries, 29,087 emergency visits, 7,735 surgeries (both I/P & O/P) along with 78 open heart procedures. The hospital had 1,080 full-time equivalents (FTEs).	Desc
Total Program Service Expenses	$166,996,688	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	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	Yes (true)	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	222	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1683	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	false	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	8	GoverningBodyVotingMembersCnt
Independent Voting Member	8	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	false	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	2486525000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1101 W UNIVERSITY DRIVE	AddressLine1Txt
City	ROCHESTER	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48307	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RUSSELL SHELTON
CHAIRMAN	0.5	0.4	Yes (X)	Yes (X)	$0	$0	$0
LISA ASADOORIAN
TRUSTEE	0.5	0.4	Yes (X)		$0	$0	$0
JEFFREY DECLAIRE MD
TRUSTEE	0.5	0.4	Yes (X)		$0	$0	$0
ROBERT DERY
TRUSTEE	0.5	0.4	Yes (X)		$0	$0	$0
JUDY DIDION PHD
TRUSTEE	0.5	0.4	Yes (X)		$0	$0	$0
FREDERICK MAIBAURER MD
TRUSTEE	0.5	0.4	Yes (X)		$0	$0	$0
BRADFORD MERRELLI MD
TRUSTEE	0.5	0.4	Yes (X)		$0	$0	$0
F SCOTT MILLER
TRUSTEE	0.5	0.4	Yes (X)		$0	$0	$0
MARGARET DIMOND
PRESIDENT & CEO	48.0	2.0		Yes (X)	$0	$341,159	$26,641
DONNA KOPINSKI
CFO (END 5/2017)	48.0	2.0		Yes (X)	$232,779	$0	$19,622
TOMASINE MARX
CFO/COO (START 5/2017)	48.0	2.0		Yes (X)	$0	$461,581	$43,832
MARY KAY LACHANCE
CHIEF INFORMATION OFFICER	50.0	0.0			$0	$406,818	$22,120	Yes (X)
SHERYL ANN WISSMAN MD
CHIEF MEDICAL OFFICER (START 12/2016)	35.0	0			$260,361	$0	$0	Yes (X)
KEVIN FLOREK DO
PHYSICIAN	50.0	0			$253,386	$0	$19,809		Yes (X)
SAMER KAZZIHA MD
PHYSICIAN	50.0	0			$319,598	$0	$22,419		Yes (X)
ROBERT LACOSTE MD
PHYSICIAN	50.0	0			$256,577	$0	$22,532		Yes (X)
MATTHEW PRINCE DO
PHYSICIAN	50.0	0			$352,682	$0	$27,915		Yes (X)
DOUGLAS PUGMIRE DO
PHYSICIAN	50.0	0			$719,244	$0	$26,040		Yes (X)
TERENCE HAMILTON
FORMER OFFICER (END 5/2016)	0.0	50.0			$0	$523,405	$40,484			Yes (X)
MICHELLE HORNBERGER
FORMER OFFICER (END 6/2016)	0.0	0			$166,036	$0	$20,004			Yes (X)
ROY POWELL
FORMER OFFICER (END 10/2015)	0.0	0.0			$499,315	$0	$15,376			Yes (X)
KENNETH SANGER
FORMER OFFICER (END 5/2016)	0.0	0			$145,866	$0	$6,526			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,205,844	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,732,963	TotReportableCompRltdOrgAmt
Total Other Compensation	$313,320	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	83	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
Client Financial Services of Michigan LLC
PO Box 350	Fenton	MI	48430	Collection Agency	$529,379
Equipment Maintenance Solution
1250 Woodward Heights Blvd	Ferndale	MI	48220	Repairs and Maintenance	$254,160
Ronald J Stewart
293 Pine Ridge Drive	Bloomfield Hills	MI	48304	Physician Services	$238,375
Levelset Solutions LLC
306 South Washington Ave	Royal Oak	MI	48067	Marketing Services	$186,738
D4 LLC
222 Andrews Street	Rochester	NY	14604	Information Technology Services	$185,668

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	7	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$156,868	RelatedOrganizationsAmt
Government Grants	$11,000	GovernmentGrantsAmt
Total Contributions	$167,868	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service Revenue	621990	$203,378,369	$200,233,994	$3,144,375
Government ARRA	621990	$2,005,264	$2,005,264
Joint Venture Revenue	621990	$1,043,189	$1,043,189
Orthopedic Services	621110	$581,339	$581,339
AUC School of Medicine	611600	$363,460	$363,460

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$419,797	TotalRevenueColumnAmt
Related Or Exempt Func Income	$419,797	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$207,791,418	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$149,705	TotalRevenueColumnAmt
Exclusion	$149,705	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$412,663	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$385,292	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$27,371	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,371	TotalRevenueColumnAmt
Exclusion	$27,371	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$361,704	SecuritiesAmt
Other	$1,253,433	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,901,142	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$361,704	SecuritiesAmt
Other	-$647,709	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$286,005	TotalRevenueColumnAmt
Exclusion	-$286,005	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$125,127	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$144,945	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$19,818	TotalRevenueColumnAmt
Exclusion	-$19,818	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria & Vending	722514	$960,278	$960,278
Management Services to Non Affiliates	561000	$86,936		$86,936
Cable TV Fees	900099	$74,527	$74,527

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$609,679	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$609,679	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,731,420	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$209,561,959	TotalRevenueColumnAmt
Related Or Exempt Func Income	$204,647,043	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,231,311	UnrelatedBusinessRevenueAmt
Exclusion	$1,515,737	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$512,762	TotalAmt
Management And General	$512,762	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$73,749,442	TotalAmt
Program Services	$66,909,018	ProgramServicesAmt
Management And General	$6,840,424	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$583,945	TotalAmt
Program Services	$529,783	ProgramServicesAmt
Management And General	$54,162	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,645,756	TotalAmt
Program Services	$6,029,347	ProgramServicesAmt
Management And General	$616,409	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,421,265	TotalAmt
Program Services	$4,918,431	ProgramServicesAmt
Management And General	$502,834	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	-$161,963	TotalAmt
Management And General	-$161,963	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$365,609	TotalAmt
Management And General	$365,609	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$3,932	TotalAmt
Management And General	$3,932	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$14,661,758	TotalAmt
Program Services	$14,374,798	ProgramServicesAmt
Management And General	$286,960	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$740,805	TotalAmt
Program Services	$9,084	ProgramServicesAmt
Management And General	$731,721	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$802,349	TotalAmt
Program Services	$318,852	ProgramServicesAmt
Management And General	$483,497	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$40,050	TotalAmt
Program Services	$11,110	ProgramServicesAmt
Management And General	$28,940	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,038,101	TotalAmt
Program Services	$4,594,738	ProgramServicesAmt
Management And General	$443,363	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$17,624	TotalAmt
Program Services	$11,775	ProgramServicesAmt
Management And General	$5,849	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$270,039	TotalAmt
Program Services	$125,590	ProgramServicesAmt
Management And General	$144,449	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,588,467	TotalAmt
Program Services	$4,678,106	ProgramServicesAmt
Management And General	$910,361	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,587,668	TotalAmt
Program Services	$12,876,843	ProgramServicesAmt
Management And General	$1,710,825	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	-$13,227,366	TotalAmt
Program Services	-$13,493,355	ProgramServicesAmt
Management And General	$265,989	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$35,351,039	$35,351,039
Purchased Services	$33,934,435	$23,330,346	$10,604,089
Repairs & Maintenance	$3,844,918	$2,967,667	$877,251
Corporate Overhead Allocation	$3,812,700		$3,812,700

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,140,322	TotalAmt
Program Services	$3,453,516	ProgramServicesAmt
Management And General	$2,686,806	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$198,723,657	TotalAmt
Program Services	$166,996,688	ProgramServicesAmt
Management And General	$31,726,969	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$102,232	BOYAmt
EOY	$1,358,048	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$36,875,811	BOYAmt
EOY	$42,900,355	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$23,859,456	BOYAmt
EOY	$25,644,049	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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$2,736,206	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,923,271	BOYAmt
EOY	$4,013,869	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,857,896	BOYAmt
EOY	$1,847,708	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$200,939,818	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$24,837,652	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$167,348,546	BOYAmt
EOY	$176,102,166	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$92,940,394	BOYAmt
EOY	$4,260,041	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	$8,841,922	BOYAmt
EOY	$8,713,637	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$27,763,130	BOYAmt
EOY	$13,335,010	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$364,512,658	BOYAmt
EOY	$280,911,089	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$34,802,080	BOYAmt
EOY	$16,876,204	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$133,201	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$236,413,393	BOYAmt
EOY	$209,532,161	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$271,215,473	BOYAmt
EOY	$226,541,566	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$93,244,019	BOYAmt
EOY	$54,307,598	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$53,166	BOYAmt
EOY	$61,925	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$93,297,185	BOYAmt
EOY	$54,369,523	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$364,512,658	BOYAmt
EOY	$280,911,089	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,838,302	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,249,793	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$624,059	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$50,391,698	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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	$3,932	OtherActivitiesAmt
Total Lobbying Expenditures	$3,932	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. CRITTENTON HOSPITAL 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 CANDIDATE FOR PUBLIC OFFICE.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. CRITTENTON HOSPITAL 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 CANDIDATE FOR PUBLIC OFFICE.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$141,454	BeginningYearBalanceAmt
Other Expenditures	$79,529	OtherExpendituresAmt
End Year Balance	$61,925	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$141,454	BeginningYearBalanceAmt
End Year Balance	$141,454	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$164,215	BeginningYearBalanceAmt
Other Expenditures	$22,761	OtherExpendituresAmt
End Year Balance	$141,454	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$141,495	BeginningYearBalanceAmt
Contributions	$91,800	ContributionsAmt
Investment Earnings Or Losses	$2	InvestmentEarningsOrLossesAmt
Other Expenditures	$62,852	OtherExpendituresAmt
Administrative Expenses	$6,230	AdministrativeExpensesAmt
End Year Balance	$164,215	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$138,145	BeginningYearBalanceAmt
Contributions	$182,593	ContributionsAmt
Investment Earnings Or Losses	$56	InvestmentEarningsOrLossesAmt
Other Expenditures	$177,223	OtherExpendituresAmt
Administrative Expenses	$2,076	AdministrativeExpensesAmt
End Year Balance	$141,495	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	1.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,780,000	OtherCostOrOtherBasisAmt
Book Value	$3,780,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$151,320,841	OtherCostOrOtherBasisAmt
Depreciation	$8,075,602	DepreciationAmt
Book Value	$143,245,239	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,087,097	OtherCostOrOtherBasisAmt
Depreciation	$351,164	DepreciationAmt
Book Value	$735,933	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,967,510	OtherCostOrOtherBasisAmt
Depreciation	$16,190,117	DepreciationAmt
Book Value	$25,777,393	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,784,370	OtherCostOrOtherBasisAmt
Depreciation	$220,769	DepreciationAmt
Book Value	$2,563,601	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$176,102,166	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (13 entries)

DescDesc	AmtAmt
SELF FUNDED MALPRACTICE INS CLAIMS LIABILITY
POST RETIREMENT HEALTH INS LIABILITY
PENSION LIABILITY
IBNR AETNA
GENERAL LIABILITIES
Debt with Ascension Health Alliance	$159,110,822
Pension & Other Post Retirement Liability	$20,233,710
Estimated Settlement to Third Party Payors	$11,291,258
Contingency Reserves	$9,299,914
Due to Affiliates	$7,631,451
Professional Insurance Liability	$1,168,267
Long Term at Risk Liability	$60,000
Recovery Tail Liability	$736,739

Field	Value	IRS element (for citing)
Total Liability	$209,532,161	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment funds	The endowment funds are used for the Auxiliary (Gift Shop) along with hospital operations.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2017.

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
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	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$369,789	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$369,789	NetCommunityBenefitExpnsAmt
Total Expense	0.0019	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,208,967	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,020,734	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,188,233	NetCommunityBenefitExpnsAmt
Total Expense	0.0110	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,005	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,359	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,646	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	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	$14,612,761	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,042,093	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,570,668	NetCommunityBenefitExpnsAmt
Total Expense	0.0129	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

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

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,762,918	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,060,145	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,702,773	NetCommunityBenefitExpnsAmt
Total Expense	0.0136	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

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

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$9,762,918	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,060,145	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,702,773	NetCommunityBenefitExpnsAmt
Total Expense	0.0136	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$24,375,679	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,102,238	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,273,441	NetCommunityBenefitExpnsAmt
Total Expense	0.0265	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,668	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,668	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,833	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,833	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$525	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$525	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
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	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$9,026	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,026	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$4,333,364	BadDebtExpenseAmt
Bad Debt Expense Attributable	$113,206	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$95,491,069	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$104,022,901	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$8,531,832	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

Field	Value	IRS element (for citing)
Primary Activities	Surgery Center	PrimaryActivitiesTxt
Org Profit Or Ownership	0.2427	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.7573	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Crittenton Hospital Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1101 W University	AddressLine1Txt
City	Rochester	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48307	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.crittenton.com	WebsiteAddressTxt
State License	M391415	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Crittenton Hospital Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	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/Rochester-Crittenton-Hospital/Community-Benefit-	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
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/Rochester-Crittenton-Hospital/Community-Benefit-	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	250.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
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
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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule H, Part V, Section B, Line 5 Facility , 1

Facility , 1 - Crittenton Hospital Medical Center (CHMC). Community stakeholders of different ages, socioeconomic status, occupation, and cultural backgrounds were invited to participate in the community health needs assessment. Email invitations with survey website link were sent to: public/private schools, public health, business leaders, physicians, religious organizations, universities/colleges, high school leadership groups, senior centers, and local government agencies. In an effort to specifically identify the needs of the underserved population in the community, surveys were also distributed at area mobile food bank locations.

Schedule H, Part V, Section B, Line 11 Facility , 1

Facility , 1 - Crittenton Hospital Medical Center (CHMC). CHMC has identified three (3) priority needs: #1: Obesity/Overweight. Respondents identified several needs related to obesity including concerns to improve nutrition and diabetes. In addressing the prioritized need of obesity/overweight, community-wide programs have been implemented in addressing healthier lifestyles that integrate education, physical activity, and nutrition. CHMC is committed to improving the health and wellness of the surrounding communities and fully supports local government initiatives and wellness coalitions in their efforts to impact the overall health of the surrounding community. #2: Mental Health: Respondents identified access to substance abuse treatment (alcohol, drugs, and tobacco), mental health, and suicide as areas of concern. CHMC is working to address these factors through education classes and youth-led community improvement initiatives. #3: Access to Care: Respondents identified concerns over the inability to pay co-pays and deductibles and the ability to access primary care physicians and specialists. CHMC does provide financial assistance available for those who are unable to pay full cost of care. It's part of CHMC's commitment to the patients and the community. CHMC continues to grow its primary care and physician specialty network and now has the benefit of the Ascension Michigan physician resources. Community Needs not being Addressed: Identified needs that will not be directly addressed were determined by availability of services in the community. Chronic diseases with substantial support in the community such as cancer, lung disease, and heart disease which are supported by the American Cancer Society, American Lung Association, and the American Heart Association. Injury prevention which scored moderately high will not be addressed by CHMC. CHMC is a Level 3 Trauma Center with very specific requirements for community education, prevention, strategies, and safety guidelines in place. Finally, senior services scored at a moderate level; however, CHMC will not address this need due to the services provided by the Older Person's Commission in the community and the Crittenton Wellness Center located on-site. Crittenton will work collaboratively with these organizations as deemed appropriate to ensure optimal service coordination and utilization.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
USC LLC (dba Unasource Surgery Center)
4550 Investment Drive	Troy	MI	48098	Surgical Center
Michigan Resonance Imaging (dba North OaklandNorth Macomb Imaging)
355 Barclay Circle	Rochester	MI	48307	Imaging Center
Crittenton Outpatient Imaging Center
2251 N Squirrel Road Suite 201	Auburn Hills	MI	48326	Imaging Services
Crittenton Outpatient Sports Rehabilitation Center
2251 N Squirrel Road Suite 101	Auburn Hills	MI	48326	Rehabilitation Services
Crittenton Barclay Imaging Center
355 Barclay Circle Suite B	Rochester Hills	MI	48307	Imaging Services
Crittenton Wellpointe Imaging Center
1701 S Boulevard East Suite B50	Rochester Hills	MI	48307	Imaging Services
Crittenton Washington Outpatient Therapy
57850 Van Dyke Rd Suite 200	Washington Township	MI	48094	Rehabilitation Services
Crittenton Oxford Imaging Center
72 S Washington Street	Oxford	MI	48371	Imaging Services
Crittenton North Oakland Internist
3100 Cross Creek Parkway Suite 220	Auburn Hills	MI	48326	Physician Practice
Crittenton Internal Medicine & Cardiology
42370 Van Dyke Rd Suite 100	Sterling Heights	MI	48314	Physician Practice
Crittenton Rochester OBGYN
1135 W University Dr Suite 310	Rochester	MI	48307	Physician Practice
Crittenton Physical Therapy at OPC (Older Person's Commission)
650 Letica Dr	Rochester	MI	48307	Rehabilitation Services
Crittenton Primary Care
1135 W University Dr Suite 225	Rochester	MI	48307	Physician Practice
Crittenton Dr Pugmire
1901 Star Batt Dr Suite 200	Rochester Hills	MI	48309	Physician Practice
Crittenton Diabetes Education and Nutrition Counseling Center
1000 W University Dr Suite 202	Rochester	MI	48307	Educational Services
Crittenton Dr Cheema & Associates
1135 W University Dr Suite 355	Rochester	MI	48307	Physician Practice
Crittenton Internal Medicine
2191 South Blvd Suite 101	Auburn Hills	MI	48326	Physician Practice
CRITTENTON OUTREACH LABORATORY
72 S WASHINGTON STREET SUITE 101	OXFORD	MI	48371	OUTREACH LABORATORY SERVICES
CRITTENTON OUTREACH LABORATORY
57850 VAN DYKE ROAD SUITE 200	WASHINGTON TOWNSHIP	MI	48094	OUTREACH LABORATORY SERVICES
CRITTENTON OUTREACH LABORATORY
3100 CROSS CREEK PARKWAY SUITE 220	AUBURN HILLS	MI	48326	OUTREACH LABORATORY SERVICES
CRITTENTON OUTREACH LABORATORY
75 BARCLAY SUITE 112	ROCHESTER	MI	48307	OUTREACH LABORATORY SERVICES
CRITTENTON OUTREACH LABORATORY
135 BARCLAY CIRCLE SUITE 100B	ROCHESTER	MI	48307	OUTREACH LABORATORY SERVICES

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 17 Billing and Collection Policy	During tax year 2017, the organization learned via verbal comments of IRS agents at public events that the IRS intends that the "readily obtainable" standard in the 501(r) regulations for the AGB calculation and billing and collection policy is only met if those items are posted to the organization's web site. The organization had interpreted that web posting standard to be a safe harbor after consulting with external counsel and tax advisors, and timely took other steps to make the information readily obtainable. Consequently, the organization does not believe its decision to not post these documents to its web site rises to the level of a failure, nor does it believe the circumstances were either willful or egregious, having otherwise timely taken the steps necessary to attain and continue to maintain compliance with the other requirements related to the billing and collection policy and the AGB, as part of its policies and procedures for ensuring compliance with all aspects of 501(r). However, the organization is making this voluntary disclosure in order to communicate to the IRS the changes it is undertaking in response to the recent IRS informal guidance on this specific point concerning the "readily obtainable" standard, and the fact that the organization has started the work necessary to post its AGB information and billing and collection policy to its web site and will complete those additional postings as soon as reasonably possible. The other web postings required under 501(r) (i.e., those related to the community health needs assessment and the financial assistance policy) were timely completed and continue to remain in place as required. The organization believes its safeguards worked as intended in this case (i.e., the organization has regular communications with a number of external law firms and tax consultants and the timely attention to the recent guidance was supported by the framework of regular access to subject matter experts). These changes are in the process of being incorporated into corporate policies and procedures that apply to the organization.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	The cost of providing charity care, means-tested government programs, and other community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied.
Schedule H, Part II Community Building Activities	RESEARCH SHOWS THAT SOCIAL DETERMINANTS AND QUALITY OF LIFE PLAY A MAJOR ROLE IN THE HEALTH STATUS OF INDIVIDUALS AND COMMUNITIES. COMMUNITY BUILDING ACTIVITIES, WHICH FOCUS ON IMPROVING THE QUALITY OF LIFE WITHIN A COMMUNITY, ULTIMATELY INFLUENCE AND IMPROVE HEALTH STATUS. THE COMMUNITY AND COALITION BUILDING ACTIVITIES ARE PERFORMED WITH GROUPS WITH WHICH CRITTENTON HAS PARTNERED TO ENHANCE THE HEALTH OF THE COMMUNITY. THESE ACTIVITIES INCLUDE EVENTS, MEETINGS, AND PROVIDING SUPPORT. THE GROUPS ASSOCIATED WITH COMMUNITY BUILDING INCLUDE: LAKE ORION AND ROCHESTER ROTARY, ROCHESTER COMMUNITY SCHOOLS, LEADER DOG FOR THE BLIND, OAKLAND COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, OLDER'S PERSON'S COMMISSION, AND OAKLAND UNIVERSITY. THE GROUPS FOR COALITION BUILDING ACTIVITIES INCLUDE: ALLIANCE OF COALITIONS FOR HEALTHY COMMUNITIES, ROCHESTER AUBURN HILLS COMMUNITY COALITION, AND THE MICHIGAN BREASTFEEDING NETWORK. THE WORKFORCE DEVELOPMENT PROGRAMS ARE PROVIDED TO STUDENTS IN ROCHESTER COMMUNITY SCHOOLS AND OAKLAND UNIVERSITY TO EXPLORE HEALTHCARE PROFESSIONS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation's policies. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2017 was $13,185,652 at charges, ($4,333,364 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 19.
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	It is the policy of Crittenton Hospital Medical Center to require payment in full for services rendered, which are patient pay, upon receipt of their first statement. The patient then has 30 days to remit payment in full. The burden of proof of a patient's ability to pay in full is the responsibility of the patient. If the patient can prove an inability to pay their debt in full, partial payment arrangements can be made. It is also the policy of the hospital to provide the patient with information regarding the availability of whatever social services may be applicable for the patient. In addition, a charity care application may also be provided.
Schedule H, Part V, Section B, Line 16a FAP website	- Crittenton Hospital Medical Center: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance/Michigan;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Crittenton Hospital Medical Center: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance/Michigan;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Crittenton Hospital Medical Center: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance/Michigan;
Schedule H, Part VI, Line 2 Needs assessment	PLEASE SEE PART V, SECTION B, LINE 3 DISCLOSURE. IN ADDITION, THE ALLOCATION OF CRITTENTON'S RESOURCES TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF COMMUNITY RESIDENTS, ARE BASED ON COMMUNITY NEEDS IDENTIFIED THROUGH BOTH THE STRATEGIC PLANNING PROCESS AND A YEARLY COMPREHENSIVE REVIEW OF COUNTY, STATE, AND FEDERAL HEALTHCARE DATA.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	CRITTENTON HOSPITAL MEDICAL CENTER DOES SEVERAL THINGS IN ORDER TO EDUCATE AND/OR ASSIST A PATIENT IN RECEIVING OUTSIDE ASSISTANCE, INCLUDING THE FOLLOWING: 1) SIGNANGE IS POSTED AT REGISTRATION POINTS THROUGHOUT THE HOSPITAL REGARDING ASSISTANCE TO PAY FOR SERVICES AS WELL AS CRITTTENTON'S UNCOMPENSATED SERVICES PROGRAM. HANDOUTS ARE GIVEN TO THE PATIENTS AND THE PROGRAM IS ALSO OUTLINED ON THE BACK OF EVERY STATEMENT THAT IS SENT TO PATIENTS. 2) FINANCIAL COUNSELORS ARE ON-SITE THAT ARE CONTACTED WHEN A PATIENT WITHOUT INSURANCE COMES INTO THE EMERGENCY ROOM OR IS ADMITTED TO THE HOSPITAL. FINANCIAL COUNSELORS ASSIST PATIENTS IN QUALIFYING FOR COUNTY, STATE, FEDERAL, OR HOSPITAL ASSISTANCE PROGRAMS. 3) TAKE PART AND ASSIST PATIENTS IN QUALIFYING FOR COUNTY INDIGENT HOSPITALIZATION PROGRAM. 4) ALL HOSPTAL MANAGERS THAT DEAL WITH THE PUBLIC ARE DIRECTLY INFORMED OF CRITTENTON'S UNCOMPENSATED SERVICE PROGRAMS AND ASSIST PATIENTS WITH SUGGESTIONS AS WELL AS CASHIERS HAVING ACCESS TO THE SAME INFORMATION AND TRAINING. 5) OFFER ASSISTANCE TO NEWBORN MOTHERS WITHOUT INSURANCE IN THE FORM OF ASSISTANCE IN APPLYING FOR MEDICAID OR OTHER POTENTIAL PAYMENT COVERAGE.
Schedule H, Part VI, Line 4 Community information	CRITTENTON HOSPITAL MEDICAL CENTER SERVES COMMUNITIES IN OAKLAND, MACOMB, AND LAPEER COUNTIES IN MICHIGAN. THE ENTIRE SERVICE AREA ENCOMPASSES SEVERAL ZIP CODES IN THREE (3) REGIONS AND IS FURTHER SUBDIVIDED INO SECTORS. CRITTENTON'S CORE SECTOR INCLUDES THE ROCHESTER, MICHIGAN, ZIP CODE.
Schedule H, Part VI, Line 5 Promotion of community health	PLEASE SEE PART V, SECTION B, LINE 3 DISCLOSURE. IN ADDITION, CRITTENTON UNDERSTANDS THE IMPORTANT ROLE IN WHICH THE COMMUNITY PLAYS IN ITS SUCCESS. THE HOSPITAL IS ABLE TO GIVE BACK TO THE COMMUNITY THROUGH ESSENTIAL HEALTHCARE SERVICES AND COMMUNITY EDUCATION TO CATER TO THE UNMET NEEDS WITHIN ITS COMMUNITY. OFFERING ADVANCED CARE AND SERVICES IS ONE OF THE MANY WAYS CRITTENTON SERVES ITS COMMUNITY. CRITTENTON HAS ALSO PARTNERED WITH PREMIER ORGANIZATIONS (E.G. WAYNE STATE UNIVERSITY AND OAKLAND UNIVERSITY) TO FULLFILL ITS MISSION OF ENHANCING THE HEALTH STATUS OF THE COMMUNITY.
Schedule H, Part VI, Line 6 Affiliated health care system	CRITTENTON HOSPITAL MEDICAL CENTER, a 290 LICENSED BED HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES FOR THE RESIDENTS PRIMARILY OF OAKLAND, MACOMB, AND LAPEER COUNTIES IN MICHIGAN, IS A MEMBER OF ASCENSION MICHIGAN, WHICH IS A MEMBER OF ASCENSION. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 23 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA.ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. CRITTENTON IS RELATED TO ACENSION HEALTH'S OTHER SPONSORED ORGANIZATIONS THROUGH COMMON CONTROL. SUBSTANTIALLY ALL EXPENSES OF ASCENSION HEALTH ARE RELATED TO PROVIDING HEALTH CARE SERVICES. THE SYSTEM DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC MINISTRIES UNITED IN SERVICE AND HEALING, AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH THE SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, EACH MINISTRY MARKET ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY OT PAY. THE SYSTEM USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILITZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS: 1) TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. 2) UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS. 3) COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH AQUIRED IMMUNE DEFICIENCY SYNDROME. 4) COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED AND UNDERINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALITY FOR FINANCIAL ASSISTANCE ARE NOT INCLUDED IN THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS. tHE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF EACH ENTITY'S TOTAL OPERATING EXPENSES TO THE ENTITY'S BILLED CHARGES FOR PATIENT CARE. CERTAIN COSTS SUCH AS GRADUATE MEDICAL EDUCATION AND CERTAIN OTHER ACTIVITIES ARE EXCLUDED FROM TOTAL OPERATING EXPENSES FOR PURPOSES OF THIS COMPUTATION.
Schedule H, Part VI, Line 7 State filing of community benefit report	MI

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 (14 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
TERENCE HAMILTON
FORMER OFFICER (END 5/2016)	$0	$346,312	$0	$116,374	$0	$60,719	$0	$15,900	$0	$24,584	$0	$563,889	$0	$0
MICHELLE HORNBERGER
FORMER OFFICER (END 6/2016)	$70,226	$0	$0	$0	$95,810	$0	$1,112	$0	$18,892	$0	$186,040	$0	$0	$0
ROY POWELL
FORMER OFFICER (END 10/2015)	$0	$0	$0	$0	$499,315	$0	$0	$0	$15,376	$0	$514,691	$0	$0	$0
KENNETH SANGER
FORMER OFFICER (END 5/2016)	$77,482	$0	$0	$0	$68,384	$0	$1,187	$0	$5,339	$0	$152,392	$0	$0	$0
MARGARET DIMOND
PRESIDENT & CEO	$0	$247,291	$0	$75,000	$0	$18,868	$0	$12,437	$0	$14,204	$0	$367,800	$0	$0
DONNA KOPINSKI
CFO (END 5/2017)	$232,779	$0	$0	$0	$0	$0	$2,472	$0	$17,150	$0	$252,401	$0	$0	$0
TOMASINE MARX
CFO/COO (START 5/2017)	$0	$284,965	$0	$97,458	$0	$79,158	$0	$17,225	$0	$26,607	$0	$505,413	$0	$27,353
MARY KAY LACHANCE
CHIEF INFORMATION OFFICER	$0	$301,051	$0	$101,917	$0	$3,850	$0	$17,225	$0	$4,895	$0	$428,938	$0	$0
SHERYL ANN WISSMAN MD
CHIEF MEDICAL OFFICER (START 12/2016)	$260,277	$0	$0	$0	$84	$0	$0	$0	$0	$0	$260,361	$0	$0	$0
KEVIN FLOREK DO
PHYSICIAN	$251,306	$0	$0	$0	$2,080	$0	$3,863	$0	$15,946	$0	$273,195	$0	$0	$0
SAMER KAZZIHA MD
PHYSICIAN	$318,173	$0	$0	$0	$1,425	$0	$0	$0	$22,419	$0	$342,017	$0	$0	$0
ROBERT LACOSTE MD
PHYSICIAN	$164,197	$0	$0	$0	$92,380	$0	$1,133	$0	$21,399	$0	$279,109	$0	$0	$0
MATTHEW PRINCE DO
PHYSICIAN	$337,682	$0	$0	$0	$15,000	$0	$0	$0	$27,915	$0	$380,597	$0	$0	$0
DOUGLAS PUGMIRE DO
PHYSICIAN	$619,244	$0	$0	$0	$100,000	$0	$4,688	$0	$21,352	$0	$745,284	$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	ST. JOHN PROVIDENCE, A RELATED ORGANIZATION OF CRITTENTON HOSPITAL MEDICAL CENTER, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION: ROY POWELL - $499,315 KENNETH SANGER - $43,154 MICHELLE HORNBERGER - $80,050
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT AS NOTED: TOMASINE MARX - $27,353

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

Field	Value	IRS element (for citing)
Assets Distri Or Expnss Paid	CASH ACCOUNT TRANSFERRED TO SYSTEM OFFICE	AssetsDistriOrExpnssPaidDesc
Distribution	2016-07-01	DistributionDt
Fair Market Value Of Asset	$89,189,761	FairMarketValueOfAssetAmt
Method Of FMV Determination	ACTUAL COST (CASH)	MethodOfFMVDeterminationTxt
EIN	453358926	EIN
Person	ASCENSION HEALTH ALLIANCE	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 45998	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63145	ZIPCd

Field	Value	IRS element (for citing)
IRC Section	501(C)(3)	IRCSectionTxt

Field	Value	IRS element (for citing)
Director Of Successor2	false	DirectorOfSuccessor2Ind
Employee Of Successor2	false	EmployeeOfSuccessor2Ind
Owner Of Successor2	false	OwnerOfSuccessor2Ind
Receive Compensation2	false	ReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule N, Part II CASH TRANSFER	FormAndLineReferenceDesc
Explanation	CRITTENTON HOSPITAL MEDICAL CENTER TRANSFERED ITS BEGINNING HSD CASH BALANCES TO ASCENSION HEALTH ALLIANCE (45-3358926) AS OF JULY 1, 2016.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT & CEO, THE PROCESS PERFORMED BY ST. JOHN PROVIDENCE, A RELATED ORGANIZATION OF CRITTENTON HOSPITAL MEDICAL CENTER INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE PRESIDENT & CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES	IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, THE PROCESS PERFORMED BY ST. JOHN PROVIDENCE, A RELATED ORGANIZATION OF CRITTENTON HOSPITAL MEDICAL CENTER, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 6 Classes of members or stockholders	CRITTENTON HOSPITAL MEDICAL CENTER HAS A SINGLE CORPORATE MEMBER, ASCENSION MICHIGAN.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Crittenton Hospital Medical Center has a single corporate member, Ascension Michigan, who has the ability to elect members to the governing body of Crittenton Hospital Medical Center.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	All decisions that have a material impact to Crittenton Hospital Medical Center financial information or corporation as a whole are subject to approval by its sole corporate member, Ascension Michigan.
Form 990, Part VI, Line 11b Review of form 990 by governing body	DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD.
Form 990, Part VI, Line 12c Conflict of interest policy	The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Line 19 Required documents available to the public	The Organization will provide any documents open to public inspection upon request.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Rent from Affiliates - Total Revenue: 153000, Related or Exempt Function Revenue: 153000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Community Health Education - Total Revenue: 129533, Related or Exempt Function Revenue: 129533, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Sports Rehabilitation Center - Total Revenue: 89562, Related or Exempt Function Revenue: 89562, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; CPR Classes - Total Revenue: 47702, Related or Exempt Function Revenue: 47702, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other Miscellaneous Revenue - Total Revenue: 609679, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 609679;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Deferred Pension & Post Retirement Costs - 5729969; Transfer of Net Assets From Dissolving Entity - Crittenton Cancer Center - -293339; Transfer Interest in Ascension Health Alliance back to AHA - -89189761; Net Asset Transfers with Affiliates - 33361433;
Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS	The activity of CRITTENTON HOSPITAL MEDICAL CENTER is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of CRITTENTON HOSPITAL MEDICAL CENTER is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of CRITTENTON HOSPITAL MEDICAL CENTER.
Form 990, Part XII, Line 2c AUDIT COMMITTEE	CRITTENTON HOSPITAL MEDICAL CENTER is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (39 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
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)
BORGESS MEDICAL CENTER
1521 GULL ROAD	KALAMAZOO	MI	49048	381360526	HEALTHCARE SERVICES	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes (true)
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)
GENESYS REGIONAL MEDICAL CENTER
ONE GENESYS PARKWAY	GRAND BLANC	MI	484398065	382377821	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes (true)
LEE MEMORIAL HOSPITAL CORPORATION
420 WEST HIGH STREET	DOWAGIAC	MI	49047	381490190	HEALTHCARE SERVICES	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes (true)
PROVIDENCE-PROVIDENCE PARK HOSPITAL
16001 WEST NINE MILE ROAD	SOUTHFIELD	MI	48037	381358212	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes (true)
ST JOHN HOSPITAL & MEDICAL CENTER
28000 DEQUINDRE ROAD	WARREN	MI	48092	381359063	HEALTH CARE	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes (true)
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)
ST JOHN RIVER DISTRICT HOSPITAL
4100 RIVER ROAD	EAST CHINA	MI	48054	383160564	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes (true)
ST JOSEPH HEALTH SYSTEM
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)
ST MARY'S OF MICHIGAN MEDICAL CENTER
800 S WASHINGTON AVENUE	SAGINAW	MI	48601	380997730	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes (true)
STANDISH COMMUNITY HOSPITAL
805 WEST CEDEAR STREET	STANDISH	MI	48658	381671120	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes (true)
BORGESS AMBULATORY CARE CORPORATION
1521 GULL ROAD	KALAMAZOO	MI	49048	382468823	HOLDING COMPANY	MI	501(c)(3)	3	BORGESS HEALTH ALLIANCE INC	Yes (true)
BORGESS FOUNDATION
1521 GULL ROAD	KALAMAZOO	MI	49048	237222558	FUNDRAISING	MI	501(c)(3)	Type III-FI	BORGESS HEALTH ALLIANCE INC	Yes (true)
PROMED HEALTHCARE
1521 GULL ROAD	KALAMAZOO	MI	49048	383193801	HEALTHCARE SERVICES	MI	501(c)(3)	10	BORGESS HEALTH ALLIANCE INC	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)
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)
GENESYS HEALTH FOUNDATION
ONE GENESYS PARKWAY	GRAND BLANC	MI	484398065	383591148	FOUNDATION	MI	501(c)(3)	Type I	GENESYS HEALTH SYSTEM	Yes (true)
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)
LEE MEMORIAL FOUNDATION
420 W HIGH STREET	DOWAGIAC	MI	49047	382860459	FUNDRAISING	MI	501(c)(3)	Type III-FI	LEE MEMORIAL HOSPITAL CORPORATION	Yes (true)
EASTWOOD COMMUNITY CLINICS
28000 DEQUINDRE ROAD	WARREN	MI	48092	381958763	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes (true)
ASCENSION MEDICAL GROUP MICHIGAN FKA MEDICAL RESOURCES GROUP
43800 GARFIELD	CLINTON TOWNSHIP	MI	48038	383494637	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes (true)
PROVIDENCE HEALTH FOUNDATION
22101 MOROSS	DETROIT	MI	48236	383526629	FUNDRAISING	MI	501(c)(3)	Type III-FI	ST JOHN PROVIDENCE	Yes (true)
SETON HEALTH CORP OF SE MICHIGAN
28000 DEQUINDRE	WARREN	MI	48092	382820107	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes (true)
ST JOHN COMMUNITY HEALTH INVESTMENT CORP
28000 DEQUINDRE ROAD	WARREN	MI	48092	382262856	HEALTH CARE	MI	501(c)(3)	3	ST JOHN PROVIDENCE	Yes (true)
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	ST JOSEPH HEALTH SYSTEM	Yes (true)
FIELD NEUROSCIENCES INSTITUTE
800 S WASHINGTON AVENUE	SAGINAW	MI	48601	382790703	MEDICAL RESEARCH ORGANIZATION	MI	501(c)(3)	10	STMARY'S OF MICHIGAN MEDICAL CENTER	Yes (true)
ST MARY'S MEDICAL CENTER FOUNDATION SAGINAW MICHIGAN
800 S WASHINGTON AVENUE	SAGINAW	MI	48601	382246366	FUNDRAISING	MI	501(c)(3)	Type II	STMARY'S OF MICHIGAN MEDICAL CENTER	Yes (true)
CRITTENTON HOSPITAL MEDICAL CENTER FOUNDATION
1101 WEST UNIVERSITY DR	ROCHESTER	MI	48307	382627336	SUPPORTING	MI	501(c)(3)	Type I	CRITTENTON HOSPITAL MEDICAL CENTER	Yes (true)
CRITTENTON CANCER CENTER
1101 WEST UNIVERSITY DR	ROCHESTER	MI	48307	383239057	CANCER TREATMENT	MI	501(c)(3)	10	CRITTENTON HOSPITAL MEDICAL CENTER	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
ADVENT PARTNERS LP
28000 DEQUINDRE	WARREN	MI	48092	383544539	RENTAL REAL ESTATE	MI	NA	N/A
TOWNE CENTRE SURGERY CENETER
4599 TOWNE CENTRE	SAGINAW	MI	48604	204943843	OUTPATIENT SERVICES	MI	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 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	OwnershipOwnershipPct
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	NA	C Corporation	Yes (true)
CRITTENTON DEVELOPMENT CORPORATION
2251 N SQUIRREL RD STE 310	AUBURN HILLS	MI	48326	382594115	REAL ESTATE	MI	CRITTENTON HOSPITAL MEDICAL CENTER	C Corporation	Yes (true)	$6,562,037	$14,115,744	1
CRITTENTON MEDICAL PHARMACY
1101 W UNIVERSITY DR	ROCHESTER	MI	48307	203773341	PHARMACY SALES	MI	NA	C Corporation	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	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	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	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	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	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 (12 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Crittenton Cancer Center
A	$153,000	Actual Amount Transferred
Crittenton Hospital Medical Center Foundation
C	$156,868	Actual Amount Transferred
Crittenton Cancer Center
J	$153,000	Actual Amount Transferred
Crittenton Hospital Medical Center Foundation
M	$197,405	Actual Amount Transferred
Ascension Medical Group Michigan
P	$3,334,146	Actual Cost Incurred
Genesys Practice Partners
P	$1,139,621	Actual Cost Incurred
St John Providence
P	$811,984	Actual Cost Incurred
Providence Providence Park Hospital
P	$107,904	Actual Cost Incurred
Crittenton Medical Pharmacy
Q	$50,297	Actual Amount Transferred
Crittenton Hospital Medical Foundation
Q	$73,634	Actual Amount Transferred
Crittenton Hospital Medical Foundation
R	$50,173	Actual Amount Transferred
Crittenton Cancer Center
S	$12,849,509	Actual Amount Transferred

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule R, Part II ProMed Healthcare, Inc.

Due to a corporate reorganization during FY 2017, the sole corporate member of ProMed Healthcare, Inc. changed from Borgess Health Alliance, Inc. to Ascension Medical Group, a disregarded entity of Ascension Health, EIN 31-1662309. At that time, ProMed Healthcare, Inc. ceased to be a member of the Ascension Michigan group.

Schedule R, Part II Medical Resources Group

Due to a corporate reorganization during FY 2017, Medical Resources Group changed its name to Ascension Medical Group Michigan. The sole corporate member of Ascension Medical Group Michigan (f/k/a Medical Resources Group) changed from St. John Providence, Inc. to Ascension Medical Group, a disregarded entity of Ascension Health, EIN 31-1662309. At that time, Ascension Medical Group Michigan (f/k/a Medical Resources Group) ceased to be a member of the Ascension Michigan group.