2018-05-10T14:02:30-05:00 2017-06-30 990 2016-07-01 381359247 Crittenton Hospital Medical Center CRIT 3147338000 1101 West University Drive Rochester MI 48307 Tonya Mershon Tax Officer 2018-05-10 2016 2022-09-23 18:48:47Z MARGARET DIMOND 1101 West University Drive Rochester MI 48307 211993338 false X https://healthcare.ascension.org/Locations/Michigan/Rochester-Crittenton-Hospital X 1900 MI To improve the health and well-being of all people in the communities we serve. X 8 8 1683 408 3231311 0 118324 167868 99123187 207791418 790317 -136300 4171803 1738973 104203631 209561959 0 0 0 44234816 86913170 0 0 0 59834770 111810487 104069586 198723657 134045 10838302 364512658 280911089 271215473 226541566 93297185 54369523 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. false false 166996688 204647043 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). 166996688 true true false true false false false false false true true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false true false true true true false false true 222 0 true 1683 true true true false false false false false false false false false X 8 8 false false false false true true true true true false false false true true true false true false false true false X Tomasine Marx 2486525000 1101 W UNIVERSITY DRIVE ROCHESTER MI 48307 RUSSELL SHELTON CHAIRMAN 0.5 0.4 X X 0 0 0 LISA ASADOORIAN TRUSTEE 0.5 0.4 X 0 0 0 JEFFREY DECLAIRE MD TRUSTEE 0.5 0.4 X 0 0 0 ROBERT DERY TRUSTEE 0.5 0.4 X 0 0 0 JUDY DIDION PHD TRUSTEE 0.5 0.4 X 0 0 0 FREDERICK MAIBAURER MD TRUSTEE 0.5 0.4 X 0 0 0 BRADFORD MERRELLI MD TRUSTEE 0.5 0.4 X 0 0 0 F SCOTT MILLER TRUSTEE 0.5 0.4 X 0 0 0 MARGARET DIMOND PRESIDENT & CEO 48.0 2.0 X 0 341159 26641 DONNA KOPINSKI CFO (END 5/2017) 48.0 2.0 X 232779 0 19622 TOMASINE MARX CFO/COO (START 5/2017) 48.0 2.0 X 0 461581 43832 MARY KAY LACHANCE CHIEF INFORMATION OFFICER 50.0 0.0 X 0 406818 22120 SHERYL ANN WISSMAN MD CHIEF MEDICAL OFFICER (START 12/2016) 35.0 0 X 260361 0 0 KEVIN FLOREK DO PHYSICIAN 50.0 0 X 253386 0 19809 SAMER KAZZIHA MD PHYSICIAN 50.0 0 X 319598 0 22419 ROBERT LACOSTE MD PHYSICIAN 50.0 0 X 256577 0 22532 MATTHEW PRINCE DO PHYSICIAN 50.0 0 X 352682 0 27915 DOUGLAS PUGMIRE DO PHYSICIAN 50.0 0 X 719244 0 26040 TERENCE HAMILTON FORMER OFFICER (END 5/2016) 0.0 50.0 X 0 523405 40484 MICHELLE HORNBERGER FORMER OFFICER (END 6/2016) 0.0 0 X 166036 0 20004 ROY POWELL FORMER OFFICER (END 10/2015) 0.0 0.0 X 499315 0 15376 KENNETH SANGER FORMER OFFICER (END 5/2016) 0.0 0 X 145866 0 6526 3205844 1732963 313320 83 true true false Client Financial Services of Michigan LLC PO Box 350 Fenton MI 48430 Collection Agency 529379 Equipment Maintenance Solution 1250 Woodward Heights Blvd Ferndale MI 48220 Repairs and Maintenance 254160 Ronald J Stewart 293 Pine Ridge Drive Bloomfield Hills MI 48304 Physician Services 238375 Levelset Solutions LLC 306 South Washington Ave Royal Oak MI 48067 Marketing Services 186738 D4 LLC 222 Andrews Street Rochester NY 14604 Information Technology Services 185668 7 X 156868 11000 167868 Net Patient Service Revenue 621990 203378369 200233994 3144375 Government ARRA 621990 2005264 2005264 Joint Venture Revenue 621990 1043189 1043189 Orthopedic Services 621110 581339 581339 AUC School of Medicine 611600 363460 363460 419797 419797 0 0 207791418 149705 149705 412663 385292 27371 0 27371 27371 361704 1253433 1901142 361704 -647709 -286005 -286005 125127 144945 -19818 -19818 Cafeteria & Vending 722514 960278 960278 Management Services to Non Affiliates 561000 86936 86936 Cable TV Fees 900099 74527 74527 609679 0 0 609679 1731420 209561959 204647043 3231311 1515737 512762 512762 73749442 66909018 6840424 583945 529783 54162 6645756 6029347 616409 5421265 4918431 502834 -161963 -161963 365609 365609 3932 3932 14661758 14374798 286960 0 740805 9084 731721 802349 318852 483497 40050 11110 28940 5038101 4594738 443363 17624 11775 5849 270039 125590 144449 5588467 4678106 910361 14587668 12876843 1710825 -13227366 -13493355 265989 Medical Supplies 35351039 35351039 Purchased Services 33934435 23330346 10604089 Repairs & Maintenance 3844918 2967667 877251 Corporate Overhead Allocation 3812700 3812700 6140322 3453516 2686806 0 198723657 166996688 31726969 0 102232 1358048 36875811 42900355 23859456 25644049 0 0 0 0 2736206 3923271 4013869 2857896 1847708 200939818 24837652 167348546 176102166 92940394 4260041 0 8841922 8713637 27763130 13335010 364512658 280911089 34802080 16876204 0 133201 0 236413393 209532161 271215473 226541566 X 93244019 54307598 53166 61925 93297185 54369523 364512658 280911089 X 10838302 1249793 -624059 -50391698 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 3932 3932 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. 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. 141454 79529 61925 141454 141454 164215 22761 141454 141495 91800 2 62852 6230 164215 138145 182593 56 177223 2076 141495 0.0 0.0 1.0 false false 3780000 3780000 151320841 8075602 143245239 1087097 351164 735933 41967510 16190117 25777393 2784370 220769 2563601 176102166 SELF FUNDED MALPRACTICE INS CLAIMS LIABILITY POST RETIREMENT HEALTH INS LIABILITY PENSION LIABILITY IBNR AETNA GENERAL LIABILITIES Debt with Ascension Health Alliance 159110822 Pension & Other Post Retirement Liability 20233710 Estimated Settlement to Third Party Payors 11291258 Contingency Reserves 9299914 Due to Affiliates 7631451 Professional Insurance Liability 1168267 Long Term at Risk Liability 60000 Recovery Tail Liability 736739 209532161 X 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. true true X true X 250 true X true true true false true true 369789 369789 0.0019 14208967 12020734 2188233 0.0110 34005 21359 12646 0.0001 0 0 14612761 12042093 2570668 0.0129 0 0.0 9762918 7060145 2702773 0.0136 0 0.0 0 0.0 0 0.0 0 0 9762918 7060145 2702773 0.0136 0 0 24375679 19102238 5273441 0.0265 0 0.0 0 0.0 4668 4668 0.0000 0 0.0 0 0.0 3833 3833 0.0000 0 0.0 525 525 0.0000 0 0.0 0 0 9026 0 9026 0.0000 false 4333364 113206 95491069 104022901 -8531832 X true true USC LLC Surgery Center 0.2427 0.7573 1 1 Crittenton Hospital Medical Center 1101 W University Rochester MI 48307 www.crittenton.com M391415 X X X X Crittenton Hospital Medical Center 1 false false true X X X X X X X X X 15 true false false true X https://healthcare.ascension.org/Locations/Michigan/Rochester-Crittenton-Hospital/Community-Benefit- X true 15 true https://healthcare.ascension.org/Locations/Michigan/Rochester-Crittenton-Hospital/Community-Benefit- false true X 250.0 400.0 X X X X X true true X X X true X https://healthcare.ascension.org/Financial-Assistance/Michigan X https://healthcare.ascension.org/Financial-Assistance/Michigan X https://healthcare.ascension.org/Financial-Assistance/Michigan X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 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. 0 USC LLC (dba Unasource Surgery Center) 4550 Investment Drive Troy MI 48098 Surgical Center Michigan Resonance Imaging (dba North OaklandNorth Macomb Imaging) 355 Barclay Circle Rochester MI 48307 Imaging Center Crittenton Outpatient Imaging Center 2251 N Squirrel Road Suite 201 Auburn Hills MI 48326 Imaging Services Crittenton Outpatient Sports Rehabilitation Center 2251 N Squirrel Road Suite 101 Auburn Hills MI 48326 Rehabilitation Services Crittenton Barclay Imaging Center 355 Barclay Circle Suite B Rochester Hills MI 48307 Imaging Services Crittenton Wellpointe Imaging Center 1701 S Boulevard East Suite B50 Rochester Hills MI 48307 Imaging Services Crittenton Washington Outpatient Therapy 57850 Van Dyke Rd Suite 200 Washington Township MI 48094 Rehabilitation Services Crittenton Oxford Imaging Center 72 S Washington Street Oxford MI 48371 Imaging Services Crittenton North Oakland Internist 3100 Cross Creek Parkway Suite 220 Auburn Hills MI 48326 Physician Practice Crittenton Internal Medicine & Cardiology 42370 Van Dyke Rd Suite 100 Sterling Heights MI 48314 Physician Practice Crittenton Rochester OBGYN 1135 W University Dr Suite 310 Rochester MI 48307 Physician Practice Crittenton Physical Therapy at OPC (Older Person's Commission) 650 Letica Dr Rochester MI 48307 Rehabilitation Services Crittenton Primary Care 1135 W University Dr Suite 225 Rochester MI 48307 Physician Practice Crittenton Dr Pugmire 1901 Star Batt Dr Suite 200 Rochester Hills MI 48309 Physician Practice Crittenton Diabetes Education and Nutrition Counseling Center 1000 W University Dr Suite 202 Rochester MI 48307 Educational Services Crittenton Dr Cheema & Associates 1135 W University Dr Suite 355 Rochester MI 48307 Physician Practice Crittenton Internal Medicine 2191 South Blvd Suite 101 Auburn Hills MI 48326 Physician Practice CRITTENTON OUTREACH LABORATORY 72 S WASHINGTON STREET SUITE 101 OXFORD MI 48371 OUTREACH LABORATORY SERVICES CRITTENTON OUTREACH LABORATORY 57850 VAN DYKE ROAD SUITE 200 WASHINGTON TOWNSHIP MI 48094 OUTREACH LABORATORY SERVICES CRITTENTON OUTREACH LABORATORY 3100 CROSS CREEK PARKWAY SUITE 220 AUBURN HILLS MI 48326 OUTREACH LABORATORY SERVICES CRITTENTON OUTREACH LABORATORY 75 BARCLAY SUITE 112 ROCHESTER MI 48307 OUTREACH LABORATORY SERVICES CRITTENTON OUTREACH LABORATORY 135 BARCLAY CIRCLE SUITE 100B ROCHESTER MI 48307 OUTREACH LABORATORY SERVICES Schedule H, Part 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 true true false false false false false false false TERENCE HAMILTON FORMER OFFICER (END 5/2016) 0 346312 0 116374 0 60719 0 15900 0 24584 0 563889 0 0 MICHELLE HORNBERGER FORMER OFFICER (END 6/2016) 70226 0 0 0 95810 0 1112 0 18892 0 186040 0 0 0 ROY POWELL FORMER OFFICER (END 10/2015) 0 0 0 0 499315 0 0 0 15376 0 514691 0 0 0 KENNETH SANGER FORMER OFFICER (END 5/2016) 77482 0 0 0 68384 0 1187 0 5339 0 152392 0 0 0 MARGARET DIMOND PRESIDENT & CEO 0 247291 0 75000 0 18868 0 12437 0 14204 0 367800 0 0 DONNA KOPINSKI CFO (END 5/2017) 232779 0 0 0 0 0 2472 0 17150 0 252401 0 0 0 TOMASINE MARX CFO/COO (START 5/2017) 0 284965 0 97458 0 79158 0 17225 0 26607 0 505413 0 27353 MARY KAY LACHANCE CHIEF INFORMATION OFFICER 0 301051 0 101917 0 3850 0 17225 0 4895 0 428938 0 0 SHERYL ANN WISSMAN MD CHIEF MEDICAL OFFICER (START 12/2016) 260277 0 0 0 84 0 0 0 0 0 260361 0 0 0 KEVIN FLOREK DO PHYSICIAN 251306 0 0 0 2080 0 3863 0 15946 0 273195 0 0 0 SAMER KAZZIHA MD PHYSICIAN 318173 0 0 0 1425 0 0 0 22419 0 342017 0 0 0 ROBERT LACOSTE MD PHYSICIAN 164197 0 0 0 92380 0 1133 0 21399 0 279109 0 0 0 MATTHEW PRINCE DO PHYSICIAN 337682 0 0 0 15000 0 0 0 27915 0 380597 0 0 0 DOUGLAS PUGMIRE DO PHYSICIAN 619244 0 0 0 100000 0 4688 0 21352 0 745284 0 0 0 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 CASH ACCOUNT TRANSFERRED TO SYSTEM OFFICE 2016-07-01 89189761 ACTUAL COST (CASH) 453358926 ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 63145 501(C)(3) false false false false Schedule N, Part II CASH TRANSFER CRITTENTON HOSPITAL MEDICAL CENTER TRANSFERED ITS BEGINNING HSD CASH BALANCES TO ASCENSION HEALTH ALLIANCE (45-3358926) AS OF JULY 1, 2016. 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. ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 63145 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ASCENSION MICHIGAN 28000 DEQUINDRE ROAD WARREN MI 48092 382631907 HEALTH CARE MI 501(c)(3) 10 ASCENSION HEALTH false BORGESS HEALTH ALLIANCE INC 1521 GULL ROAD KALAMAZOO MI 49048 382335286 HEALTH SYSTEM PARENT MI 501(c)(3) Type III-FI ASCENSION MICHIGAN true BORGESS MEDICAL CENTER 1521 GULL ROAD KALAMAZOO MI 49048 381360526 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true BRIGHTON CENTER FOR RECOVERY 12851 GRAND RIVER BRIGHTON MI 48116 381576680 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true GENESYS HEALTH SYSTEM ONE GENESYS PARKWAY GRAND BLANC MI 484398065 383339703 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true GENESYS REGIONAL MEDICAL CENTER ONE GENESYS PARKWAY GRAND BLANC MI 484398065 382377821 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true LEE MEMORIAL HOSPITAL CORPORATION 420 WEST HIGH STREET DOWAGIAC MI 49047 381490190 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true PROVIDENCE-PROVIDENCE PARK HOSPITAL 16001 WEST NINE MILE ROAD SOUTHFIELD MI 48037 381358212 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ST JOHN HOSPITAL & MEDICAL CENTER 28000 DEQUINDRE ROAD WARREN MI 48092 381359063 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ST JOHN MACOMB-OAKLAND HOSPITAL 28000 DEQUINDRE ROAD WARREN MI 48092 383322109 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ST JOHN PROVIDENCE 28000 DEQUINDRE ROAD WARREN MI 48092 382244034 PARENT MI 501(c)(3) Type III-FI ASCENSION MICHIGAN true ST JOHN RIVER DISTRICT HOSPITAL 4100 RIVER ROAD EAST CHINA MI 48054 383160564 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ST JOSEPH HEALTH SYSTEM 200 HEMLOCK ROAD TAWAS CITY MI 48763 381443395 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ST MARY'S - ST JOSEPH HEALTH SYSTEM 800 S WASHINGTON AVENUE SAGINAW MI 48601 461084363 SUPPORTING ORGANIZATION MI 501(c)(3) Type III-FI ASCENSION MICHIGAN true ST MARY'S OF MICHIGAN MEDICAL CENTER 800 S WASHINGTON AVENUE SAGINAW MI 48601 380997730 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true STANDISH COMMUNITY HOSPITAL 805 WEST CEDEAR STREET STANDISH MI 48658 381671120 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true BORGESS AMBULATORY CARE CORPORATION 1521 GULL ROAD KALAMAZOO MI 49048 382468823 HOLDING COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC true BORGESS FOUNDATION 1521 GULL ROAD KALAMAZOO MI 49048 237222558 FUNDRAISING MI 501(c)(3) Type III-FI BORGESS HEALTH ALLIANCE INC true PROMED HEALTHCARE 1521 GULL ROAD KALAMAZOO MI 49048 383193801 HEALTHCARE SERVICES MI 501(c)(3) 10 BORGESS HEALTH ALLIANCE INC 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 true GENESYS CONVALESCENT CENTER 8481 HOLLY ROAD GRAND BLANC MI 484391812 382317364 CONVALESCENT CENTER MI 501(c)(3) 3 GENESYS AMBULATORY HEALTH SERVICES true GENESYS AMBULATORY HEALTH SERVICES 5455 ALI DR DEPT 200 GRAND BLANC MI 484395195 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true GENESYS HEALTH FOUNDATION ONE GENESYS PARKWAY GRAND BLANC MI 484398065 383591148 FOUNDATION MI 501(c)(3) Type I GENESYS HEALTH SYSTEM 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 true LEE MEMORIAL FOUNDATION 420 W HIGH STREET DOWAGIAC MI 49047 382860459 FUNDRAISING MI 501(c)(3) Type III-FI LEE MEMORIAL HOSPITAL CORPORATION true EASTWOOD COMMUNITY CLINICS 28000 DEQUINDRE ROAD WARREN MI 48092 381958763 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE 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 true PROVIDENCE HEALTH FOUNDATION 22101 MOROSS DETROIT MI 48236 383526629 FUNDRAISING MI 501(c)(3) Type III-FI ST JOHN PROVIDENCE true SETON HEALTH CORP OF SE MICHIGAN 28000 DEQUINDRE WARREN MI 48092 382820107 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ST JOHN COMMUNITY HEALTH INVESTMENT CORP 28000 DEQUINDRE ROAD WARREN MI 48092 382262856 HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE true ST JOHN HOSPITAL FOUNDATION 22101 MOROSS DETROIT MI 48236 202961579 FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE true ST JOHN PROVIDENCE PHYSICIANS CMG 28000 DEQUINDRE ROAD WARREN MI 48092 382601348 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ST JOSEPH HEALTH SYSTEM FOUNDATION 200 HEMLOCK ROAD TAWAS CITY MI 48763 010790428 FUNDRAISING MI 501(c)(3) Type I ST JOSEPH HEALTH SYSTEM 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 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 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 true CRITTENTON CANCER CENTER 1101 WEST UNIVERSITY DR ROCHESTER MI 48307 383239057 CANCER TREATMENT MI 501(c)(3) 10 CRITTENTON HOSPITAL MEDICAL CENTER true 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 ST JOSEPH HEALTH ENTERPRISES 200 HEMLOCK ROAD TAWAS CITY MI 48764 382686747 OTHER MEDICAL MI NA C Corporation true GENESYS PRACTICE PARTNERS 5445 ALI DRIVE DEPT 200 GRAND BLANC MI 48439 030516871 EMPLOYED PHY PRACTICE MI NA C Corporation true BEECHER BALLENGER SERVICES ONE GENESYS PARKWAY GRAND BLANC MI 484398065 382497922 HOLDING COMPANY MI NA C Corporation true ADVENT INC 28000 DEQUINDRE WARREN MI 48092 382971743 RENTAL REAL ESTATE MI NA C Corporation true AFFILIATED HEALTH SERVICES INC 28000 DEQUINDRE WARREN MI 48092 382292922 MEDICAL SERVICES MI NA C Corporation true St Mary's Health 800 S Washington Avenue Saginaw MI 48601 383477017 Dormant MI NA C Corporation true TEXTILE SYSTEMS INC 817 WALBRIDGE KALAMAZOO MI 49007 382705047 LAUNDRY SERVICES MI NA C Corporation true CRITTENTON DEVELOPMENT CORPORATION 2251 N SQUIRREL RD STE 310 AUBURN HILLS MI 48326 382594115 REAL ESTATE MI CRITTENTON HOSPITAL MEDICAL CENTER C Corporation 6562037 14115744 1 true CRITTENTON MEDICAL PHARMACY 1101 W UNIVERSITY DR ROCHESTER MI 48307 203773341 PHARMACY SALES MI NA C Corporation true true false true true true false false false false true false false true false true true true true true Crittenton Cancer Center A 153000 Actual Amount Transferred Crittenton Hospital Medical Center Foundation C 156868 Actual Amount Transferred Crittenton Cancer Center J 153000 Actual Amount Transferred Crittenton Hospital Medical Center Foundation M 197405 Actual Amount Transferred Ascension Medical Group Michigan P 3334146 Actual Cost Incurred Genesys Practice Partners P 1139621 Actual Cost Incurred St John Providence P 811984 Actual Cost Incurred Providence Providence Park Hospital P 107904 Actual Cost Incurred Crittenton Medical Pharmacy Q 50297 Actual Amount Transferred Crittenton Hospital Medical Foundation Q 73634 Actual Amount Transferred Crittenton Hospital Medical Foundation R 50173 Actual Amount Transferred Crittenton Cancer Center S 12849509 Actual Amount Transferred 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.