MYMICHIGAN MEDICAL CENTER SAGINAW: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MYMICHIGAN MEDICAL CENTER SAGINAW (EIN 38-0997730)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-12
- IRS object ID
- 201831329349300123
- 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 I
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-12T12:08:26-05:00 | 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 | 380997730 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's of Michigan | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STMA | BusinessNameControlTxt |
| Phone | 3147338000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 South Washington Avenue | AddressLine1Txt |
| City | Saginaw | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Tonya Mershon | PersonNm |
| Person Title | Tax Officer | PersonTitleTxt |
| Signature | 2017-09-27 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Medical Center of Saginaw | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Betsy Aderholdt | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 South Washington Avenue | AddressLine1Txt |
| City | Saginaw | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $253,724,779 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.stmarysofmichigan.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1874 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | Provide medical services which strengthen the healing mission of the Catholic Church. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 2291 | TotalEmployeeCnt |
| Total Volunteers | 135 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $819,886 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,064,887 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $260,838,138 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $247,063,249 | CYProgramServiceRevenueAmt |
| PY Investment Income | $900,616 | PYInvestmentIncomeAmt |
| CY Investment Income | $229,740 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,329,102 | PYOtherRevenueAmt |
| CY Other Revenue | $5,366,903 | CYOtherRevenueAmt |
| PY Total Revenue | $267,887,742 | PYTotalRevenueAmt |
| CY Total Revenue | $253,724,779 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $113,100 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $409,100 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $118,097,130 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $115,857,356 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $141,206,568 | PYOtherExpensesAmt |
| CY Other Expenses | $156,556,943 | CYOtherExpensesAmt |
| PY Total Expenses | $259,416,798 | PYTotalExpensesAmt |
| CY Total Expenses | $272,823,399 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,470,944 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$19,098,620 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $351,102,956 | TotalAssetsBOYAmt |
| Total Assets EOY | $167,848,547 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $145,089,689 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $174,431,276 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $206,013,267 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$6,582,729 | 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 | $171,598,785 | ExpenseAmt |
| Grant | $409,100 | GrantAmt |
| Revenue | $249,518,845 | RevenueAmt |
| Desc | ST. MARY'S OF MICHIGAN MEDICAL CENTER ("SMMMC") IS A 268 LICENSED BED NONPROFIT ACUTE CARE HOSPITAL WHICH PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES. SMMMC SEEKS TO IMPROVE THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL HEALTH STATUS OF ITS SURROUNDING COMMUNITY. SMMMC PROVIDES A SUBSTANTIAL PORTION OF ITS SERVICES TO THE ELDERLY AND POOR. DURING THE FISCAL YEAR, APPROXIMATELY 53% OF THE VALUE OF SERVICES RENDERED WAS TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM, AND APPROXIMATELY 16% OF THE SERVICES WERE PROVIDED TO PATIENTS WHO WERE DEEMED INDIGENT UNDER STATE, COUNTY, OR MEDICAL CENTER GUIDELINES. DURING THE FISCAL YEAR ENDING JUNE 30, 2017, THE ESTIMATED UNREIMBURSED COST OF SERVICES PROVIDED TO THE ELDERLY, UNINSURED, AND UNDERINSURED TOTALED $9,154,047. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $832,160 | ExpenseAmt |
| Revenue | $1,028,187 | RevenueAmt |
| Desc | RESPITE ADULT DAY CARE - THE GUARDIAN ANGEL PROGRAM FOSTERS A CARING ATMOSPHERE FOR INDIVIDUALS WITH SPECIAL NEEDS BY PROVIDING THEM WITH A WARM AND SAFE HAVEN AND RELIEF TO THEIR FAMILIES ENABLING THEM TO ENHANCE THEIR QUALITY OF LIFE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $616,216 | ExpenseAmt |
| Revenue | $616,216 | RevenueAmt |
| Desc | TOWNE CENTRE SURGERY CENTER - The joint venture furthers the hospital's mission by providing a broad range of health care services to the residents geographically located on the other side of the city; aiding us in our journey to provide services to all, especially to the elderly, uninsured, and underinsured. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $173,047,161 | 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 | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | 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 | 183 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2291 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Nancy Haywood | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9899077596 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 South Washington Avenue | AddressLine1Txt |
| City | Saginaw | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTOPHER J PALAZZOLO | ||||||||||
| REGIONAL PRESIDENT & CEO (START 7/2016) | 19.6 | 34.4 | Yes (X) | Yes (X) | $0 | $829,173 | $41,412 | |||
| JOHN FREEL | ||||||||||
| CHAIRMAN | 1.0 | 3.1 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JAMES HRESKO | ||||||||||
| VICE-CHAIRMAN | 1.0 | 3.1 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| BAPINEEDU MAGANTI MD | ||||||||||
| SECRETARY | 1.0 | 3.1 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MUHAMMAD ABOUDAN MD | ||||||||||
| TREASURER | 1.0 | 3.1 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JAMES BOLES | ||||||||||
| TRUSTEE | 1.0 | 3.1 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL FURLO | ||||||||||
| TRUSTEE | 1.0 | 5.7 | Yes (X) | $0 | $0 | $0 | ||||
| TODD GREGORY | ||||||||||
| TRUSTEE | 1.0 | 3.1 | Yes (X) | $0 | $0 | $0 | ||||
| ALBERT SARGE HARVEY | ||||||||||
| TRUSTEE | 1.0 | 5.1 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD HEINRICH | ||||||||||
| TRUSTEE | 1.0 | 5.1 | Yes (X) | $0 | $0 | $0 | ||||
| DEBORAH MORGAN | ||||||||||
| TRUSTEE | 1.0 | 3.1 | Yes (X) | $0 | $0 | $0 | ||||
| MARK PIPER | ||||||||||
| TRUSTEE | 1.0 | 3.1 | Yes (X) | $0 | $0 | $0 | ||||
| CHERYL GUELDENZOPF | ||||||||||
| CHIEF ADMINISTRATIVE OFFICER | 45.0 | 0 | Yes (X) | $190,360 | $0 | $25,735 | ||||
| NANCY HAYWOOD | ||||||||||
| CHIEF FINANCIAL OFFICER | 19.6 | 34.4 | Yes (X) | $0 | $541,539 | $41,980 | ||||
| CHARLES HUSSON DO | ||||||||||
| CHIEF MEDICAL OFFICER | 12.0 | 42.0 | Yes (X) | $0 | $574,597 | $21,429 | ||||
| BERNARD JORE | ||||||||||
| VP- CNO | 45.0 | 0 | $269,657 | $0 | $32,679 | Yes (X) | ||||
| SHARON LEAMAN-CASE | ||||||||||
| VP-OPERATIONS | 45.0 | 0 | $283,799 | $0 | $19,913 | Yes (X) | ||||
| RAGHURAM SARVEPALLI | ||||||||||
| VP -MEDICAL AFFAIRS | 45.0 | 0 | $570,668 | $0 | $38,858 | Yes (X) | ||||
| JOSEPH G ADEL MD | ||||||||||
| PHYSICIAN | 45.0 | 1.0 | $1,456,930 | $0 | $43,900 | Yes (X) | ||||
| WAHEED AKBAR MD | ||||||||||
| PHYSICIAN | 45.0 | 2.0 | $868,957 | $0 | $35,447 | Yes (X) | ||||
| SHRINIVAS KAMBALI MD | ||||||||||
| PHYSICIAN | 45.0 | 0 | $674,231 | $0 | $24,615 | Yes (X) | ||||
| NAMAN SALIBI MD | ||||||||||
| PHYSICIAN | 45.0 | 2.0 | $2,205,768 | $0 | $56,270 | Yes (X) | ||||
| TAREK A TAHA MD | ||||||||||
| PHYSICIAN | 45.0 | 0 | $1,157,554 | $0 | $40,925 | Yes (X) | ||||
| ELIZABETH ADERHOLDT | ||||||||||
| FORMER OFFICER (END 6/2016) | 0.0 | 0.0 | $0 | $1,406,091 | $21,458 | Yes (X) | ||||
| JOHN GRAHAM | ||||||||||
| FORMER OFFICER (END DATE 12/2014) | 0.0 | 0.0 | $469,590 | $0 | $11,149 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,147,514 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,351,400 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $455,770 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 124 | 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 | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| MICHIGAN CARDIOVASCULAR INSTITUTE | ||||||
| 1015 S WASHINGTON AVE | SAGINAW | MI | 486012556 | MEDICAL SERVICES | $9,076,308 | |
| GLBR MEDICAL RESOURCES LLC | ||||||
| 912 s washington | saginaw | MI | 48601 | medical recruitment/staffing | $1,243,411 | ste 1 |
| CYBERKNIFE OF SAGINAW LLC | ||||||
| 4677 TOWNE CENTRE ROAD | saginaw | MI | 48604 | medical services | $1,080,247 | STE 301 |
| COMMUNITY HOSPITAL SERVICES | ||||||
| 1321 Cumberland St | saginaw | MI | 48601 | transport services | $778,189 | |
| FRESENIUS MANAGEMENT SERVICES | ||||||
| 16343 COLLECTION CENTER DR | CHICAGO | IL | 606930163 | MEDICAL SERVICES | $671,948 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $865,121 | RelatedOrganizationsAmt |
| Government Grants | $199,766 | GovernmentGrantsAmt |
| Total Contributions | $1,064,887 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621990 | $244,850,009 | $244,850,009 |
| JOINT VENTURE REVENUE- OPERATING | 623990 | $1,121,447 | $1,121,447 |
| ADULT DAY CARE | 624100 | $1,028,187 | $1,028,187 |
| Rental Income from Affiliates | 531120 | $63,606 | $63,606 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $247,063,249 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,176 | TotalRevenueColumnAmt |
| Exclusion | $5,176 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $99,789 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $99,789 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $99,789 | TotalRevenueColumnAmt |
| Exclusion | $99,789 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $224,564 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $224,564 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $224,564 | TotalRevenueColumnAmt |
| Exclusion | $224,564 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Flightcare Medical Crew Revenue | 621910 | $651,698 | $651,698 | |
| CAFETERIA REVENUE | 722514 | $931,979 | $931,979 | |
| Electronic Health Record Incentives | 900099 | $599,583 | $599,583 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,083,854 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,848,718 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $235,136 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,267,114 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $253,724,779 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $251,163,248 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,496,644 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $409,100 | TotalAmt |
| Program Services | $409,100 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,431,669 | TotalAmt |
| Management And General | $1,431,669 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,924,396 | TotalAmt |
| Program Services | $84,950,018 | ProgramServicesAmt |
| Management And General | $15,974,378 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,849,855 | TotalAmt |
| Program Services | $5,788,895 | ProgramServicesAmt |
| Management And General | $1,060,960 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,651,436 | TotalAmt |
| Program Services | $5,526,661 | ProgramServicesAmt |
| Management And General | $1,124,775 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,876,516 | TotalAmt |
| Program Services | $51,802 | ProgramServicesAmt |
| Management And General | $2,824,714 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,047 | TotalAmt |
| Management And General | $8,047 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,460 | TotalAmt |
| Management And General | $6,460 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,781 | TotalAmt |
| Program Services | $91,284 | ProgramServicesAmt |
| Management And General | $50,497 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,947,874 | TotalAmt |
| Program Services | $13,032,511 | ProgramServicesAmt |
| Management And General | $1,915,363 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,724 | TotalAmt |
| Program Services | $45,675 | ProgramServicesAmt |
| Management And General | $98,049 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,675 | TotalAmt |
| Management And General | $304,675 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $447,314 | TotalAmt |
| Program Services | $43,969 | ProgramServicesAmt |
| Management And General | $403,345 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,883,375 | TotalAmt |
| Program Services | $2,346,400 | ProgramServicesAmt |
| Management And General | $4,536,975 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $392,782 | TotalAmt |
| Program Services | $205,163 | ProgramServicesAmt |
| Management And General | $187,619 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,855 | TotalAmt |
| Program Services | $130,532 | ProgramServicesAmt |
| Management And General | $62,323 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,698,665 | TotalAmt |
| Management And General | $3,698,665 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,049,243 | TotalAmt |
| Program Services | $3,890,373 | ProgramServicesAmt |
| Management And General | $5,158,870 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,784,506 | TotalAmt |
| Program Services | $174,288 | ProgramServicesAmt |
| Management And General | $1,610,218 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased SErvices | $56,765,926 | $6,225,206 | $50,540,720 |
| Medical Supplies | $46,516,210 | $46,516,210 | |
| Corporate Allocations | $6,646,212 | $6,646,212 | |
| Equipment LEase | $1,655,015 | $1,541,831 | $113,184 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,095,763 | TotalAmt |
| Program Services | $2,077,243 | ProgramServicesAmt |
| Management And General | $2,018,520 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,823,399 | TotalAmt |
| Program Services | $173,047,161 | ProgramServicesAmt |
| Management And General | $99,776,238 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,100,811 | BOYAmt |
| EOY | $2,636,672 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,438,204 | BOYAmt |
| EOY | $27,529,829 | 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 |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,480,210 | BOYAmt |
| EOY | $5,383,030 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,118,472 | BOYAmt |
| EOY | $2,299,410 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $279,343,361 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $195,756,266 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,421,566 | BOYAmt |
| EOY | $83,587,095 | 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 | $15,780,654 | BOYAmt |
| EOY | $16,501,460 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,322,313 | BOYAmt |
| EOY | $14,054,235 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,440,726 | BOYAmt |
| EOY | $15,856,816 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $351,102,956 | BOYAmt |
| EOY | $167,848,547 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,726,071 | BOYAmt |
| EOY | $18,717,503 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $70,648 | 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 | $121,363,618 | BOYAmt |
| EOY | $155,643,125 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,089,689 | BOYAmt |
| EOY | $174,431,276 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,013,267 | BOYAmt |
| EOY | -$6,582,729 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,013,267 | BOYAmt |
| EOY | -$6,582,729 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $351,102,956 | BOYAmt |
| EOY | $167,848,547 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$19,098,620 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$193,497,376 | 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 | $15,831 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $15,831 | 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. ST. MARY'S OF MICHIGAN 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. ST. MARY'S OF MICHIGAN 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,261,190 | OtherCostOrOtherBasisAmt |
| Book Value | $9,261,190 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $122,961,151 | OtherCostOrOtherBasisAmt |
| Depreciation | $92,724,814 | DepreciationAmt |
| Book Value | $30,236,337 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $124,548,010 | OtherCostOrOtherBasisAmt |
| Depreciation | $98,369,588 | DepreciationAmt |
| Book Value | $26,178,422 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,573,010 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,661,864 | DepreciationAmt |
| Book Value | $17,911,146 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $83,587,095 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Equity Investment in CyberKnife | $190,007 | F |
| Equity Investment in Advanced Pet Imaging | $788,573 | F |
| Equity Investment in EMMR | $11,653,899 | F |
| Equity Investment in St. Mary's PHO | $572,550 | F |
| Equity Investment in Synergy | $985,415 | F |
| Equity Investment in TCSC | $2,323,345 | F |
| Equity Investment in Together Health | -$12,329 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $16,501,460 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE | |
| Deferred Compensation | $6,499,722 |
| Due from Affiliates | $3,755,190 |
| Estimated Third Party Payor Settlements | $2,788,619 |
| Other Receivables | $1,897,810 |
| Assets Held for Sale | $890,313 |
| Other Current Assets | $25,162 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $15,856,816 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (12 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY DEBT WITH ASCENSION HEALTH ALLIANCE | |
| Other Liabilities | $98,173,183 |
| Due to Affiliates | $30,423,538 |
| Pension & Other Post Retirement Liability | $8,698,278 |
| Estimated Third Party Payor Settlements | $7,102,256 |
| Deferred Compensation | $6,499,722 |
| Capital Lease Obligations | $1,402,448 |
| AH Savings Plan Liability | $1,363,441 |
| Intercompany Debt | $1,323,544 |
| Recovery Tail Liability | $604,402 |
| Physician Guarantee | $43,844 |
| Taxes Payable | $8,469 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $155,643,125 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2017. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
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 | false | ExpensesExceedBudgetInd |
| 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 | $2,005,592 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,005,592 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0074 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,768,042 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,675,415 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,092,627 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0883 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $46,773,634 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,675,415 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,098,219 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0957 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $853,916 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,457 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $825,459 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0030 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,105,921 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,105,921 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | 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) |
|---|---|---|
| Total Community Benefit Expns | $272,475 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $86,010 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $186,465 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0007 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $49,450 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $49,450 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $6,281,762 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,220,388 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,061,374 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0039 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $53,055,396 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,895,803 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,159,593 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0996 | 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) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | 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) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | 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) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | 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 | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,445,636 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $732,294 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $109,483,696 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $118,658,615 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,174,919 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 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 | STMARY'S OF MICHIGAN MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 SOUTH WASHINGTON AVENUE | AddressLine1Txt |
| City | SAGINAW | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://www.stmarysofmichigan.org/ | WebsiteAddressTxt |
| State License | 730050 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STMARY'S OF MICHIGAN 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 |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://ascension.org/About/Community-Impact/Community-Health-Improvement/CHNA-Reports?_ga=2.1713720 | 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://ascension.org/About/Community-Impact/Community-Health-Improvement/CHNA-Reports?_ga=2.1713720 | 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 |
| 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 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://healthcare.ascension.org/financial-assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://healthcare.ascension.org/financial-assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - ST.MARY'S OF MICHIGAN MEDICAL CENTER. INFORMATION WAS GATHERED THROUGH FOCUS GROUPS, NEIGHBORHOOD ASSOCIATION GROUPS, FAITH-BASED GROUPS, RESIDENTS, AND COMMUNITY SURVEYS AND AREA AGENCIES IN AN ATTEMPT TO ACQUIRE BROAD COMMUNITY INPUT REGARDING THEIR HEALTH CONCERNS. IN ADDITION, PUBLIC HEALTH EXPERTS INCLUDING SAGINAW COUNTY PUBLIC HEALTH OFFICER AND LOCAL PUBLIC HEALTH LEADERS WERE KEY PARTICIPANTS IN CHNA ASSESSMENT PLANNING, AND DEVELOPMENT OF ACTION PLANS. GROUPS WERE FACILITATED BY LOCAL AND NATIONAL PUBLIC HEALTH LEADERS. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - ST.MARY'S OF MICHIGAN MEDICAL CENTER. ST. MARY'S OF MICHIGAN MEDICAL CENTER COLLABORATED WITH THE FOLLOWING HOSPITAL ORGANIZATIONS IN CONDUCTING ITS MOST RECENT CHNA: - COVENANT HEALTHCARE |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - ST.MARY'S OF MICHIGAN MEDICAL CENTER. ST. MARY'S OF MICHIGAN MEDICAL CENTER COLLABORATED WITH THE FOLLOWING ORGANIZATIONS IN CONDUCTING ITS MOST RECENT CHNA: - SAGINAW COUNTY DEPARTMENT OF PUBLIC HEALTH - SAGINAW COUNTY COMMUNITY MENTAL HEALTH AUTHORITY - HEALTH DELIVERY INC. - FEDERALLY QUALIFIED HEALTH CENTERS - SAGINAW INTERMEDIATE SCHOOL DISTRICT - ALIGNMENT SAGINAW |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - ST.MARY'S OF MICHIGAN MEDICAL CENTER (SMOM). ii) List the programs from the new CHNA that the hospital will be addressing for fiscal year 2017-2020 SMOM will address the following priority health needs identified within the 2017 CHNA: 1. Health Conditions - Obesity, Chronic Illnesses such as Diabetes, Cancer, Heart Disease, and Asthma 2. Social, Emotional, Behavioral Health - Mental Health 3. Access to Healthcare and Services/Accessibility Disparities - Equal Access to Healthy Choices & Opportunities 4. Health Determinants - Access to Health Care and Utilization of Services Priority 1: Obesity & Chronic Illnesses Strategy: Serve as a vital presence in the community to support physical activity and access to and consumption of healthy food via programming that meets community health needs and supports population health delivery - improved outcomes, enhanced patient & provider experience, and lower costs. St. Mary's will address obesity/chronic illness and support healthy lifestyles among adults and children through our established and dedicated pre-diabetes programs, diabetes programs, support groups, exercise programs, and one on one healthy lifestyle coaching. Priority 2: Mental Health Strategy: St. Mary's Center of Hope will serve the community through collaborating with the Saginaw Community Mental Health Authority. St. Mary's will address mental health and support healthy lifestyles among adults through offering Personal Action Toward Health (PATH) classes and encouraging participants to become involved in other free healthy lifestyle and exercise programs. Priority 3: Equal Access to Healthy Choices & Opportunities Strategy: The Center of Hope will serve as a vital presence in the community to provide opportunities for physical activity, access to and consumption of healthy food via programming, and healthy lifestyle classes that meet community health needs and supports population health delivery - improved health outcomes, enhanced patient & provider experience, and lower costs. through offering the following programs and services free to the community: Healthy Gatherings, Healthy Lifestyle Your Way, "You Pick It" farmers market tours, Cooking Matters, Exercise Classes (Yoga, Walking Club, Enhanced Fitness, Hustle Aerobics) and access to washer/dryer, fitness room, kitchen, and the Community Garden . Priority 4: Access to Health Care and Utilization of Services Strategy: St Mary's will increase access to affordable health care, health insurance, and quality health services delivered to uninsured and underserved populations. St. Mary's will also partner in supporting Veterans Affairs programs to improve services to Veterans that are aligned with population health care delivery and better health, improved patient experience and reduced cost through the Veterans Choice Program. St. Mary's will develop and implement an evidence-based standard of care to expand awareness and scope of Advance Care Planning and Advance Directives to Saginaw County residents and providers. St. Mary's will reevaluate operations and services and determine eligibility for the Center of Hope Free Clinic's and Community Benefit Pharmacy. iii) List the programs from the new CHNA that the hospital will NOT be addressing for fiscal year 2017-2019 and why SMOM will not directly address the following priority health needs identified within the 2017 CHNA: 1. Health Conditions - Dental Health and Maternal, Infant, and Child Health 2. Social, Emotional, Behavioral Health - Substance Abuse/Misuse St. Mary's will not directly address the following focus areas/priorities identified within the 2017 CHNA: Dental Health, Maternal, Infant & Child Health, and Substance Abuse/Misuse. While critically important to overall community health, these specific priorities did not meet internally determined criteria that prioritized addressing needs by either continuing or expanding current programs, services and initiatives to steward resources and achieve the greatest community impact. For the three areas not chosen, there are other service providers in the community better resourced to address these priorities. St. Mary's will work collaboratively with these organizations as appropriate to ensure optimal service coordination and utilization. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 27 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| PULMONARY & CRITICAL CARE ASSOCIATES | ||||
| 1015 S WASHINGTON AVENUE | SAGINAW | MI | 48601 | REHABILITATION CLINIC |
| RIVERFRONT REHABILITATION | ||||
| 1015 S WASHINGTON AVENUE | SAGINAW | MI | 48601 | REHABILITATION CLINIC |
| TOWNE CENTRE | ||||
| 4599 TOWNE CENTRE ROAD | SAGINAW | MI | 48604 | EMERGENCY ROOM AND OTHER OUTPATIENT SERVICES AND DIAGNOSTIC CENTER |
| BIRCH RUN | ||||
| 9900 E BIRCH RUN ROAD | BIRCH RUN | MI | 48415 | PHYSICIANS OFFICE, REHABILITATION AND DIAGNOSTIC CENTER |
| CHESANING | ||||
| 1600 W BRADY STREET | CHESANING | MI | 48616 | PHYSICIANS OFFICE, REHABILITATION AND DIAGNOSTIC CENTER |
| FRANKENMUTH FAMILY PHYSICIANS | ||||
| 1027 WEST GENESEE STREET | FRANKENMUTH | MI | 48734 | PHYSICIANS OFFICE |
| GRATIOT REHABILITATION SERVICES | ||||
| 5810 GRATIOT SUITE A | SAGINAW | MI | 48638 | REHABILITATION CLINIC |
| GUARDIAN ANGEL RESPITE CARE | ||||
| 7540 DAVIS ROAD | SAGINAW | MI | 48604 | RESPITE SERVICES |
| GRATIOT FAMILY PRACTICES | ||||
| 5810 GRATIOT ROAD SUITE B | SAGINAW | MI | 48638 | PRIMARY CARE PHYSICIANS |
| GUARDIAN ANGEL RESPITE HOWARD STREET | ||||
| 801 HOWARD STREET | SAGINAW | MI | 48601 | RESPITE CARE |
| HERITAGE FAMILY PHYSICIAN | ||||
| 3570 SHATTUCK ROAD | SAGINAW | MI | 48603 | PHYSICIANS OFFICE |
| ORTHOPEDICS | ||||
| 4701 TOWNE CENTRE ROAD SUITE 303 | SAGINAW | MI | 48604 | PHYSICIANS OFFICE |
| PLASTIC RECONSTRUCTIVE HAND & SURGERY | ||||
| 4705 TOWN CENTRE ROAD | SAGINAW | MI | 48604 | PHYSICIANS OFFICE |
| SAGINAW VALLEY PEDIATRICS | ||||
| 5821 COLONY DRIVE NORTH | SAGINAW | MI | 48638 | PHYSICIANS OFFICE |
| SPINE & REHABILITATION CENTER | ||||
| 4901 TOWNE CENTRE ROAD SUITE 300 | SAGINAW | MI | 48604 | REHABILITATION CLINIC |
| SETON CANCER INSTITUTE - MARLETTE | ||||
| 2780 MAIN STREET | MARLETTE | MI | 48453 | CANCER TREATMENT CENTER |
| SETON CANCER INSTITUTE - TAWAS | ||||
| 200 HEMLOCK STREET | TAWAS CITY | MI | 48763 | CANCER TREATMENT CENTER |
| SETON CANCER INSTITUTE - WEST BRANCH | ||||
| 2431 S M-30 | WEST BRANCH | MI | 48661 | CANCER TREATMENT CENTER |
| VASSAR | ||||
| 1212 W SAGINAW ROAD | VASSAR | MI | 48768 | PHYSICIAN OFFICE, REHABILITATION, AND DIAGNOSTIC CENTER |
| WOMENS HEALTH CENTER | ||||
| 4040 N EUCLID AVENUE SUITE B | BAY CITY | MI | 48706 | PHYSICIANS OFFICE |
| SETON CANCER INSTITUTE | ||||
| 800 S WASHINGTON AVE | SAGINAW | MI | 48601 | CANCER TREATMENT CENTER |
| FIELD NEUROSCIENCES INSTITUTE | ||||
| 4677 TOWNE CENTRE | SAGINAW | MI | 48604 | PHYSICIANS OFFICE |
| SPECIALTY REHABILITATION | ||||
| 4677 TOWNE CENTRE ROAD STE 104 | SAGINAW | MI | 48604 | CANCER REHABILITATION |
| BAY CITY | ||||
| 4040 N EUCLID AVENUE SUITE A | BAY CITY | MI | 48706 | LABORATORY, MRI, & ULTRASOUND |
Supplemental Information Detail SupplementalInformationDetail (16 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 6a Community benefit report prepared by related organization | Saginaw County Department of Public Health |
| 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 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 $5,445,636 at charges. |
| 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 | ST. MARY'S OF MICHIGAN FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED. |
| Schedule H, Part V, Section B, Line 16a FAP website | - ST.MARY'S OF MICHIGAN MEDICAL CENTER: Line 16a URL: https://healthcare.ascension.org/financial-assistance; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - ST.MARY'S OF MICHIGAN MEDICAL CENTER: Line 16b URL: https://healthcare.ascension.org/financial-assistance; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - ST.MARY'S OF MICHIGAN MEDICAL CENTER: Line 16c URL: https://healthcare.ascension.org/financial-assistance; |
| Schedule H, Part VI, Line 2 Needs assessment | The Saginaw County Community Health Needs Assessment and Health Improvement Plan 2017 - 2020 was an initiative of Alignment Saginaw Community Health Improvement Plan (CHIP) Partners. Alignment Saginaw is a community collaborative with a mission of preparing and mobilizing around opportunities that impact key areas affecting Saginaw County's quality of life. From September 2016 through January 2017, members of the Saginaw County CHIP Partners, including the two separate hospital systems, and a collection of multi-sector community stakeholders, completed the joint CHNA for Saginaw County. Information regarding Saginaw County's most important health needs, as well as their prioritization, are based upon information provided by residents using the four Mobilizing for Action through Planning and Partnerships (MAPP) assessments: 1) community health status 2) community themes and strengths 3) local public health system 4) forces of change In an attempt to acquire broad community input regarding the health needs of Saginaw County, individuals who live and/or work in Saginaw County, including residents, health care consumers, community leaders, health care professionals, and multi-sector representatives, were interviewed, participated in meetings of CHIP's network of community partners, and/or responded to one of the MAPP surveys. These findings are also informed by a collection of over 100 metrics designed to measure health status and chronic disease priorities, social and economic factors impacting residents, and healthcare delivery system access and utilization trends experienced in the County. The joint community health needs assessment identified eight priority health needs for Saginaw County. The needs were prioritized based upon, input gathered from the CHNA, the implications for long term health outcomes, the ability of local health care systems to have an impact on addressing the need, current priorities and programs, and the effectiveness of existing programs. St. Mary's leadership in collaboration with the St. Mary's CHNA Implementation Strategy Committee then decided to prioritize and address five of the eight identified community needs. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | It is the policy of St. Mary's of Michigan Health to ensure a socially just practice for billing for all Patients receiving care at any of our facilities. St. Mary's of Michigan provides assistance to Patients who do not have the financial resources available to pay for necessary medical service rendered. Various individuals may identify potential charity care recipients. Any Patient that may be a candidate should be referred to a financial counselor. Our billing and collection practices reflect our commitment to and reverence for human dignity and the common good; our special concern for and solidarity with poor and vulnerable persons; and our commitment to distributive justice and stewardship. St. Mary's of Michigan ensures that: A. St. Mary's of Michigan staff and agents behave in a manner that reflects the policies and values of a Catholic-sponsored facility, including treating Patients and their families with dignity, respect and compassion. B. Patients receive prompt access to charge information for any item or service. C. Patients and their families are advised of the hospital's applicable policies, including charity care and the availability of need-based financial assistance in easily understood terms. D. Patients who do not qualify for charity care, but are in need of financial assistance, are offered appropriate extended payment terms or other payment options that take into account the patient's financial status. E. Outstanding balances on patient accounts are pursued fairly and consistently, in a manner that reflects the values and commitments of a Catholic sponsored facility. F. Financial counselors are available to all patients. G. Information is posted in patient access areas including the Emergency Department regarding financial assistance and charity care policies. H. Patients are encouraged to participate in their own care by working with the financial counselor and applying for Medicaid or other public assistance programs to qualify for charity or financial assistance. |
| Schedule H, Part VI, Line 4 Community information | Per the United States Census Bureau, Saginaw County population was 192,326 in 2016. Population race was predominantly white at 76.4%, African American/Black at 19.4%, and Asian at 1.4%. Hispanic/Latino ethnicity make-up of approximately 8.4%. In 2016 the poverty rate for the County was at 17.8% of all residents with income below the poverty level. |
| Schedule H, Part VI, Line 5 Promotion of community health | Expanding Awareness, Education, and Health Promotion St. Mary's of Michigan Medical Center's mission in sustaining communities by improving community health with special attention to the poor and vulnerable incorporates education and awareness of not only disease processes, but promotion of positive, healthy behaviors and wellness prevention lifestyle changes. St. Mary's of Michigan has invested significantly in unique, high quality health education programs and materials to reach our target community and promote health literacy. In efforts to promote healthy living, St. Mary's has made available the following community education programs: Physical Fitness Activities: - Making Strides Against Breast Cancer Walk, Footsteps for Fitness, BEE Healthy for Life Run/Walk, Children's Charity Bike Run - Lunch Connection Programs - Brain Attack - Know What to Do - Community Health Programs - Asthma Camp, Weight-Loss Surgery Information Sessions, Ask the Expert Sessions on: Get Smart About Lung Cancer, Cancer Screening Programs, Nutrition, Allergy and Asthma Exercise Breast Cancer, Diabetes, Healing Hearts Grief Support Programs, Fall Prevention Programs Community Outreach - Center of HOPE (network of free clinics and charitable free community benefit pharmacy), Diabetes Expo, Pharmacy Assistance Program, Hearth Home - HIV Prevention & Education, Support Groups: MS Support Group, Support for Living - Cancer Support Group, Spinal Cord Injury Resource Group, Bariatric Support Group, Living with Diabetes support Group. Access to Care: St. Mary's of Michigan has a rich history of helping those who are poor and the most vulnerable. Our Community Advisory Board provides input to service design and CHNA action plans for person-centered health improvement and care with emphasis on vulnerable populations. Physicians, nurses, therapists, technicians, administrators and volunteers contribute untold hours of volunteer service to reach people in and around Saginaw who need us most. We minister to them in a variety of ways: - Center of HOPE (network of free clinics at area hunger feeding center and area churches, charitable free pharmacy, emergency financial assistance for utilities Free health education programs tailored for low-literacy and low-income populations, Community Health Workers to link needed resources and enroll into eligible social service programs and Medicaid, nutrition and cooking demonstrations for healthy eating for children and families, onsite community garden, yoga and tai chi) - Community Outreach Programs - Hearth Home - HIV prevention, education and outreach center - Cancer screening programs In furthering St. Mary's commitment to the surrounding community, financial contributions and support to local organizations and causes are made each year including Hunger Feeding Center, Community Homeless Shelters Habitat for Humanity, Youth empowerment, temporary housing for needy patient families American Heart Association, Cultural and Educational Enrichment programs, Scholarship support for low income and minority families, community foundations supporting needy elderly and disabled, etc. In addition, physician staff are encouraged to become credentialed providers, and we have multiple volunteer community boards to support planning and decision-making for the best interests of our community. Medical Research St. Mary's of Michigan Medical Center furthers its mission by contributing funds and personnel to support research that has helped advance medical care. Research projects include the following: - Oncology Research - Neurology Research Medical Education St. Mary's of Michigan Medical Center believes that in order to provide the best health care to the community, its clinical personnel must receive ongoing medical education. Resident Education St. Mary's is affiliated with Central Michigan University (CMU), College of Medicine. CMU Medical Education Partners was established in 2009 to prepare physicians focused on improving access to high quality health care in Michigan, with an emphasis on rural and medically underserviced regions. Residents receive training as they rotate through Saginaw area member hospitals including St. Mary's. Residency programs include: - Emergency Medicine - Family Medicine - General Surgery - Internal Medicine - Obstetrics & Gynecology. |
| Schedule H, Part VI, Line 6 Affiliated health care system | ST. MARY'S OF MICHIGAN IS AN AFFILIATE OF ASCENSION MICHIGAN AND ASCENSION HEALTH. ST. MARY'S OF MICHIGAN'S AFFILIATES ARE LARGE MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT MINISTRIES INCLUDING HOSPITAL AND NON-HOSPITAL MINISTRIES (PHYSICIAN GROUP PRACTICES, HOSPITAL ORGANIZATIONS, RESEARCH, HOME HEALTH, DURABLE MEDICAL EQUIPMENT AND SENIOR FACILITIES). THESE MINISTRIES WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS ESPECIALLY THOSE WHO ARE VULNERABLE. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION AND RESEARCH. THE ORGANIZATIONS WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, STATE AND NATIONAL LEVEL. 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. Mission: The System directs its governance and management activities toward strong, vibrant Catholic Health Ministries united in service and healing and dedicates its resources to spiritually centered care that sustains and improves the health of the individuals and communities it serves. In accordance with the System's mission of service to those persons living in poverty and other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. The System uses four categories to identify the resources utilized for the care of persons living in poverty and community benefit programs: - Traditional charity care includes the cost of services provided to persons who cannot afford health care because of inadequate resources and/or who are uninsured or underinsured. Unpaid cost of public programs, excluding Medicare represents the unpaid cost of services provided to persons covered by public programs for persons living in poverty and other vulnerable persons. Cost of other programs for persons living in poverty and other vulnerable persons includes unreimbursed costs of programs intentionally designed to serve the persons living in poverty and other vulnerable persons of the community, including substance abusers the homeless victims of child abuse and persons with acquired immune deficiency syndrome. Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the persons living in poverty, including health promotion and education health clinics and screenings, and medical research. Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and other community benefit programs. The cost of providing care to persons living in poverty and other community benefit programs is estimated by reducing charges forgone by a factor derived from the ratio of each entity's total operating expenses to the entity's billed charges for patient care. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Saginaw Future | |||||||
| 515 N Washington Avenue | Saginaw | MI | 48601 | 383021995 | 501(C)(3) | $16,500 | General Support |
| Field Neurosciences Institute | |||||||
| 800 South Washington Avenue | Saginaw | MI | 48601 | 382790703 | 501(C)(3) | $392,600 | General Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | St. Mary's of Michigan Medical Center provides only direct contributions and other general support; therefore, no monitoring of charitable contributions is performed. | ExplanationTxt |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTOPHER J PALAZZOLO | ||||||||||||||
| REGIONAL PRESIDENT & CEO (START 7/2016) | $0 | $514,572 | $0 | $166,155 | $0 | $148,446 | $0 | $15,900 | $0 | $25,512 | $0 | $870,585 | $0 | $40,972 |
| ELIZABETH ADERHOLDT | ||||||||||||||
| FORMER OFFICER (END 6/2016) | $0 | $318,644 | $0 | $931,208 | $0 | $156,239 | $0 | $15,069 | $0 | $6,389 | $0 | $1,427,549 | $0 | $0 |
| JOHN GRAHAM | ||||||||||||||
| FORMER OFFICER (END DATE 12/2014) | $0 | $0 | $0 | $0 | $469,590 | $0 | $0 | $0 | $11,149 | $0 | $480,739 | $0 | $0 | $0 |
| CHERYL GUELDENZOPF | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | $182,069 | $0 | $0 | $0 | $8,291 | $0 | $12,021 | $0 | $13,714 | $0 | $216,095 | $0 | $0 | $0 |
| NANCY HAYWOOD | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $339,165 | $0 | $119,385 | $0 | $82,989 | $0 | $17,225 | $0 | $24,755 | $0 | $583,519 | $0 | $23,559 |
| CHARLES HUSSON DO | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $374,999 | $0 | $109,163 | $0 | $90,435 | $0 | $17,225 | $0 | $4,204 | $0 | $596,026 | $0 | $15,630 |
| BERNARD JORE | ||||||||||||||
| VP- CNO | $188,644 | $0 | $56,074 | $0 | $24,939 | $0 | $14,608 | $0 | $18,071 | $0 | $302,336 | $0 | $0 | $0 |
| SHARON LEAMAN-CASE | ||||||||||||||
| VP-OPERATIONS | $192,365 | $0 | $49,487 | $0 | $41,947 | $0 | $14,147 | $0 | $5,766 | $0 | $303,712 | $0 | $0 | $0 |
| RAGHURAM SARVEPALLI | ||||||||||||||
| VP -MEDICAL AFFAIRS | $498,660 | $0 | $0 | $0 | $72,008 | $0 | $17,225 | $0 | $21,633 | $0 | $609,526 | $0 | $0 | $0 |
| JOSEPH G ADEL MD | ||||||||||||||
| PHYSICIAN | $1,128,902 | $0 | $327,002 | $0 | $1,026 | $0 | $13,250 | $0 | $30,650 | $0 | $1,500,830 | $0 | $0 | $0 |
| WAHEED AKBAR MD | ||||||||||||||
| PHYSICIAN | $819,979 | $0 | $34,500 | $0 | $14,478 | $0 | $14,575 | $0 | $20,872 | $0 | $904,404 | $0 | $0 | $0 |
| SHRINIVAS KAMBALI MD | ||||||||||||||
| PHYSICIAN | $443,415 | $0 | $228,676 | $0 | $2,140 | $0 | $10,622 | $0 | $13,993 | $0 | $698,846 | $0 | $0 | $0 |
| NAMAN SALIBI MD | ||||||||||||||
| PHYSICIAN | $1,928,485 | $0 | $261,808 | $0 | $15,475 | $0 | $13,250 | $0 | $43,020 | $0 | $2,262,038 | $0 | $0 | $0 |
| TAREK A TAHA MD | ||||||||||||||
| PHYSICIAN | $801,730 | $0 | $354,876 | $0 | $948 | $0 | $13,250 | $0 | $27,675 | $0 | $1,198,479 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | Ascension Health, a related organization of St. Mary's of Michigan Medical Center, uses the following to establish the compensation of the organization's President & CEO: -Compensation Committee, -Independent Compensation Consultant, -Compensation Survey or Study, and -Approval by the Board or Compensation Committee. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | The following individual(s) received severance payments from the organization or a related organization: JOHN GRAHAM - $469,590 |
| 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: Nancy Haywood - $23,559 CHRISTOPHER J. PALAZZOLO - $40,972 CHARLES HUSSON, DO - $15,630 |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | CASH ACCOUNTS TRANSFERRED TO PARENT'S BALANCE SHEET | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2016-07-01 | DistributionDt |
| Fair Market Value Of Asset | $186,115,448 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | FMV | 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 | ST. MARY'S OF MICHIGAN TRANSFERRED ITS BEGINNING HSD CASH BALANCES TO ASCENSION HEALTH ALLIANCE (45-3358926) AS OF JULY 1, 2016. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 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 ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. MARY'S OF MICHIGAN, 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 4 Significant changes to organizational documents | Due to a reorganization on July 24, 2015, the single corporate member changed from St. Mary's - St. Joseph Health System to Ascension Michigan. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | St. Mary's Of Michigan has a single corporate member, Ascension Michigan. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | St. Mary's of Michigan has a single corporate member, Ascension Michigan, who has the ability to elect members to the governing body of St. Mary's of Michigan. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | All decisions that have a material impact to St. Mary's of Michigan 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 15b Process to establish compensation of other employees | IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. |
| Form 990, Part VI, Line 19 Required documents available to the public | The organization will provide any documents open to public inspection upon request. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Other Miscellaneous Income - Total Revenue: 413508, Related or Exempt Function Revenue: 413508, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellaneous Revenue from Affiliates - Total Revenue: 387051, Related or Exempt Function Revenue: 387051, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Government Incentives - Total Revenue: 181092, Related or Exempt Function Revenue: 181092, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical Records - Total Revenue: 114796, Related or Exempt Function Revenue: 114796, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Professional Rehab Fees - Total Revenue: 566436, Related or Exempt Function Revenue: 566436, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; HM Revenues - Total Revenue: 564865, Related or Exempt Function Revenue: 564865, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Mid-Michigan Medical Center Services - Total Revenue: 183311, Related or Exempt Function Revenue: 183311, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; BCBS CQC Revenue - Total Revenue: 437659, Related or Exempt Function Revenue: 437659, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Dietary Revenue - Total Revenue: 235136, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 235136; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Net Asset Transfers With Affiliates - 1053380; Pension and Post Retirement Costs Ascension Admin - -8435308; TRANSFER TO ALPHA FUND AS OF 7/1/2016 - -XXX-XX-XXXX; |
| Form 990, Part XII, Line 2b Audited Financial Statements | The activity of St. Mary's of Michigan is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. Mary's of Michigan is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of St. Mary's of Michigan. |
| Form 990, Part XII, Line 2c Audit Committee | St. Mary's of MIchigan 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. |
| DOING BUSINESS AS | St. Mary's of Michigan Primary Healthcare Pinconning Family Medicine St. Mary's Wound Care St. Mary's Medical Oncology St. Mary's Emergency Room Physician Group St. Mary's of Michigan - Neurosurgery St. Mary's Emergency Physicians St. Mary's of Michigan Hospital St. Mary's of Michigan Medical Center St. Mary's Riverfront Cardiology St. Mary's Orthopedics St. Mary's of Michigan Coumadin Clinic St. Mary's Pulmonary & Critical Care Associates St. Mary's of Michigan Specialty Rehabilitation Center St. Mary's Plastic, Reconstructive, Cosmetic and Hand Surgery St. Mary's Pathology St. Mary's Trauma St. Mary's of Michigan Community Pharmacy Assistance Program EMS of Saginaw Emergency Medical Services of Saginaw, Inc. Saint Mary's Flightcare St. Mary's of Michigan Flightcare St. Mary's of Michigan Gratiot Family Practice St. Mary's of Michigan Physical Rehabilitation Center St. Mary's of Michigan Women;s Health Center St. Mary's of Michigan Vassar St. Mary's of Michigan - Dr. Ruth Licht St. Mary's of Michigan Birch Run St. Mary's of Michigan Chesaning St. Mary's of Michigan Frankenmuth St. Mary's of Michigan Guardian Angel Respite & Adult Day Services St. Mary's of Michigan Medical Imaging St. Mary's of Michigan Rehab- Towne Centre St. Mary's of Michigan Respite Care St. Mary's of Michigan Saginaw Valley Pediatrics St. Mary's of Michigan Seton Cancer Institute St. Mary's of Michigan Spine and Rehabilitation Services St. Mary's of Michigan Heritage Family Physicians St. Mary's Medical Center of Saginaw St. Mary's St. Mary's Ambulatory Care Center Michigan Spine and Rehab Center St. Mary's of Michigan Walk-In Clinic Saint Mary's of Michigan Flightcare |
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) |
| 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 | ||||||||||
| 1101 W UNIVERSITY DR | ROCHESTER | MI | 48307 | 381359247 | GENERAL HOSPITAL | MI | 501(c)(3) | 3 | ASCENSION MICHIGAN | 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 | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVENT PARTNERS LP | ||||||||||||||
| 28000 DEQUINDRE | WARREN | MI | 48092 | 383544539 | RENTAL REAL ESTATE | MI | NA | N/A | ||||||
| TOWNE CENTRE SURGERY CENTER | ||||||||||||||
| 4599 TOWNE CENTRE | SAGINAW | MI | 48604 | 204943843 | OUTPATIENT SERVICES | MI | St Mary's of Michigan | Related | -$128,131 | $3,426,086 | false | $0 | Yes (true) | 0.5333 |
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 | St Mary's of Michigan | C Corporation | Yes (true) | $0 | $0 | 1 |
| 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 | NA | C Corporation | Yes (true) | |||
| 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 | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | 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 | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (10 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| FIELD NEUROSCIENCES INSTITUTE | ||
| S | $385,100 | FAIR MARKET VALUE |
| ST MARY'S MEDICAL CENTER FOUNDATION SAGINAW MICHIGAN | ||
| S | $209,522 | FAIR MARKET VALUE |
| STANDISH COMMUNITY HOSPITAL | ||
| L | $440,968 | FAIR MARKET VALUE |
| STANDISH COMMUNITY HOSPITAL | ||
| O | $165,667 | FAIR MARKET VALUE |
| STANDISH COMMUNITY HOSPITAL | ||
| P | $1,637,835 | FAIR MARKET VALUE |
| STANDISH COMMUNITY HOSPITAL | ||
| S | $1,485,011 | FAIR MARKET VALUE |
| STANDISH COMMUNITY HOSPITAL | ||
| R | $5,709,320 | FAIR MARKET VALUE |
| FIELD NEUROSCIENCES INSTUTUTE | ||
| C | $244,844 | FAIR MARKET VALUE |
| FIELD NEUROSCIENCES INSTITUTE | ||
| B | $392,600 | FAIR MARKET VALUE |
| ST MARY'S MEDICAL CENTER FOUNDATION SAGINAW MICHIGAN | ||
| C | $620,277 | FAIR MARKET VALUE |
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. |
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