2018-05-12T12:08:26-05:00 2017-06-30 990 2016-07-01 380997730 St Mary's of Michigan STMA 3147338000 800 South Washington Avenue Saginaw MI 48601 Tonya Mershon Tax Officer 2017-09-27 2016 2022-09-23 18:48:47Z St Mary's Medical Center of Saginaw Betsy Aderholdt 800 South Washington Avenue Saginaw MI 48601 253724779 false 0928 X www.stmarysofmichigan.org X 1874 MI Provide medical services which strengthen the healing mission of the Catholic Church. X 12 11 2291 135 0 0 819886 1064887 260838138 247063249 900616 229740 5329102 5366903 267887742 253724779 113100 409100 0 118097130 115857356 0 0 0 141206568 156556943 259416798 272823399 8470944 -19098620 351102956 167848547 145089689 174431276 206013267 -6582729 Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve. false false 171598785 409100 249518845 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. 832160 1028187 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. 616216 616216 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. 173047161 true true false true false false false false false false true false true true true true false true false false false false false false false false true true true false true false false false false false false false false false false false true false true true true false false true 183 0 true 2291 true false false false false false false false false false false X 12 11 false false true false true true true true true false false false true true true true true false true true true X Nancy Haywood 9899077596 800 South Washington Avenue Saginaw MI 48601 CHRISTOPHER J PALAZZOLO REGIONAL PRESIDENT & CEO (START 7/2016) 19.6 34.4 X X 0 829173 41412 JOHN FREEL CHAIRMAN 1.0 3.1 X X 0 0 0 JAMES HRESKO VICE-CHAIRMAN 1.0 3.1 X X 0 0 0 BAPINEEDU MAGANTI MD SECRETARY 1.0 3.1 X X 0 0 0 MUHAMMAD ABOUDAN MD TREASURER 1.0 3.1 X X 0 0 0 JAMES BOLES TRUSTEE 1.0 3.1 X 0 0 0 PAUL FURLO TRUSTEE 1.0 5.7 X 0 0 0 TODD GREGORY TRUSTEE 1.0 3.1 X 0 0 0 ALBERT SARGE HARVEY TRUSTEE 1.0 5.1 X 0 0 0 RICHARD HEINRICH TRUSTEE 1.0 5.1 X 0 0 0 DEBORAH MORGAN TRUSTEE 1.0 3.1 X 0 0 0 MARK PIPER TRUSTEE 1.0 3.1 X 0 0 0 CHERYL GUELDENZOPF CHIEF ADMINISTRATIVE OFFICER 45.0 0 X 190360 0 25735 NANCY HAYWOOD CHIEF FINANCIAL OFFICER 19.6 34.4 X 0 541539 41980 CHARLES HUSSON DO CHIEF MEDICAL OFFICER 12.0 42.0 X 0 574597 21429 BERNARD JORE VP- CNO 45.0 0 X 269657 0 32679 SHARON LEAMAN-CASE VP-OPERATIONS 45.0 0 X 283799 0 19913 RAGHURAM SARVEPALLI VP -MEDICAL AFFAIRS 45.0 0 X 570668 0 38858 JOSEPH G ADEL MD PHYSICIAN 45.0 1.0 X 1456930 0 43900 WAHEED AKBAR MD PHYSICIAN 45.0 2.0 X 868957 0 35447 SHRINIVAS KAMBALI MD PHYSICIAN 45.0 0 X 674231 0 24615 NAMAN SALIBI MD PHYSICIAN 45.0 2.0 X 2205768 0 56270 TAREK A TAHA MD PHYSICIAN 45.0 0 X 1157554 0 40925 ELIZABETH ADERHOLDT FORMER OFFICER (END 6/2016) 0.0 0.0 X 0 1406091 21458 JOHN GRAHAM FORMER OFFICER (END DATE 12/2014) 0.0 0.0 X 469590 0 11149 8147514 3351400 455770 124 true true false MICHIGAN CARDIOVASCULAR INSTITUTE 1015 S WASHINGTON AVE SAGINAW MI 486012556 MEDICAL SERVICES 9076308 GLBR MEDICAL RESOURCES LLC 912 s washington ste 1 saginaw MI 48601 medical recruitment/staffing 1243411 CYBERKNIFE OF SAGINAW LLC 4677 TOWNE CENTRE ROAD STE 301 saginaw MI 48604 medical services 1080247 COMMUNITY HOSPITAL SERVICES 1321 Cumberland St saginaw MI 48601 transport services 778189 FRESENIUS MANAGEMENT SERVICES 16343 COLLECTION CENTER DR CHICAGO IL 606930163 MEDICAL SERVICES 671948 23 X 865121 199766 1064887 NET PATIENT REVENUE 621990 244850009 244850009 JOINT VENTURE REVENUE- OPERATING 623990 1121447 1121447 ADULT DAY CARE 624100 1028187 1028187 Rental Income from Affiliates 531120 63606 63606 0 0 0 0 247063249 5176 5176 99789 99789 0 99789 99789 224564 0 224564 224564 224564 Flightcare Medical Crew Revenue 621910 651698 651698 CAFETERIA REVENUE 722514 931979 931979 Electronic Health Record Incentives 900099 599583 599583 3083854 2848718 0 235136 5267114 253724779 251163248 0 1496644 409100 409100 1431669 1431669 100924396 84950018 15974378 6849855 5788895 1060960 6651436 5526661 1124775 2876516 51802 2824714 8047 8047 6460 6460 141781 91284 50497 14947874 13032511 1915363 0 143724 45675 98049 304675 304675 447314 43969 403345 6883375 2346400 4536975 392782 205163 187619 192855 130532 62323 3698665 3698665 9049243 3890373 5158870 1784506 174288 1610218 Purchased SErvices 56765926 6225206 50540720 Medical Supplies 46516210 46516210 Corporate Allocations 6646212 6646212 Equipment LEase 1655015 1541831 113184 4095763 2077243 2018520 0 272823399 173047161 99776238 0 3100811 2636672 34438204 27529829 0 0 0 5480210 5383030 2118472 2299410 279343361 195756266 75421566 83587095 0 15780654 16501460 14322313 14054235 200440726 15856816 351102956 167848547 23726071 18717503 0 70648 0 121363618 155643125 145089689 174431276 X 206013267 -6582729 206013267 -6582729 351102956 167848547 X -19098620 -193497376 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 15831 15831 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. 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. 9261190 9261190 122961151 92724814 30236337 124548010 98369588 26178422 22573010 4661864 17911146 83587095 Equity Investment in CyberKnife 190007 F Equity Investment in Advanced Pet Imaging 788573 F Equity Investment in EMMR 11653899 F Equity Investment in St. Mary's PHO 572550 F Equity Investment in Synergy 985415 F Equity Investment in TCSC 2323345 F Equity Investment in Together Health -12329 F 16501460 INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE Deferred Compensation 6499722 Due from Affiliates 3755190 Estimated Third Party Payor Settlements 2788619 Other Receivables 1897810 Assets Held for Sale 890313 Other Current Assets 25162 15856816 INTERCOMPANY DEBT WITH ASCENSION HEALTH ALLIANCE Other Liabilities 98173183 Due to Affiliates 30423538 Pension & Other Post Retirement Liability 8698278 Estimated Third Party Payor Settlements 7102256 Deferred Compensation 6499722 Capital Lease Obligations 1402448 AH Savings Plan Liability 1363441 Intercompany Debt 1323544 Recovery Tail Liability 604402 Physician Guarantee 43844 Taxes Payable 8469 155643125 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2017. true true X true X 250 true X true true false true true 2005592 2005592 0.0074 44768042 20675415 24092627 0.0883 0 0.0 0 0 46773634 20675415 26098219 0.0957 853916 28457 825459 0.0030 5105921 5105921 0 0.0 0 0.0 272475 86010 186465 0.0007 49450 49450 0.0002 0 0 6281762 5220388 1061374 0.0039 0 0 53055396 25895803 27159593 0.0996 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 5445636 732294 109483696 118658615 -9174919 X true true 1 1 STMARY'S OF MICHIGAN MEDICAL CENTER 800 SOUTH WASHINGTON AVENUE SAGINAW MI 48601 http://www.stmarysofmichigan.org/ 730050 X X X X X STMARY'S OF MICHIGAN MEDICAL CENTER 1 false false true X X X X X X X X 15 true true true true X https://ascension.org/About/Community-Impact/Community-Health-Improvement/CHNA-Reports?_ga=2.1713720 X true 15 true https://ascension.org/About/Community-Impact/Community-Health-Improvement/CHNA-Reports?_ga=2.1713720 false true X 250.0 400.0 X X X X true true X X X true X https://healthcare.ascension.org/financial-assistance X https://healthcare.ascension.org/financial-assistance X https://healthcare.ascension.org/financial-assistance X X X X true X false X X X X true X false false 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. 27 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 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. true Saginaw Future 515 N Washington Avenue Saginaw MI 48601 383021995 501(C)(3) 16500 General Support Field Neurosciences Institute 800 South Washington Avenue Saginaw MI 48601 382790703 501(C)(3) 392600 General Support 2 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. St. Mary's of Michigan Medical Center provides only direct contributions and other general support; therefore, no monitoring of charitable contributions is performed. true true false false false false false false false CHRISTOPHER J PALAZZOLO REGIONAL PRESIDENT & CEO (START 7/2016) 0 514572 0 166155 0 148446 0 15900 0 25512 0 870585 0 40972 ELIZABETH ADERHOLDT FORMER OFFICER (END 6/2016) 0 318644 0 931208 0 156239 0 15069 0 6389 0 1427549 0 0 JOHN GRAHAM FORMER OFFICER (END DATE 12/2014) 0 0 0 0 469590 0 0 0 11149 0 480739 0 0 0 CHERYL GUELDENZOPF CHIEF ADMINISTRATIVE OFFICER 182069 0 0 0 8291 0 12021 0 13714 0 216095 0 0 0 NANCY HAYWOOD CHIEF FINANCIAL OFFICER 0 339165 0 119385 0 82989 0 17225 0 24755 0 583519 0 23559 CHARLES HUSSON DO CHIEF MEDICAL OFFICER 0 374999 0 109163 0 90435 0 17225 0 4204 0 596026 0 15630 BERNARD JORE VP- CNO 188644 0 56074 0 24939 0 14608 0 18071 0 302336 0 0 0 SHARON LEAMAN-CASE VP-OPERATIONS 192365 0 49487 0 41947 0 14147 0 5766 0 303712 0 0 0 RAGHURAM SARVEPALLI VP -MEDICAL AFFAIRS 498660 0 0 0 72008 0 17225 0 21633 0 609526 0 0 0 JOSEPH G ADEL MD PHYSICIAN 1128902 0 327002 0 1026 0 13250 0 30650 0 1500830 0 0 0 WAHEED AKBAR MD PHYSICIAN 819979 0 34500 0 14478 0 14575 0 20872 0 904404 0 0 0 SHRINIVAS KAMBALI MD PHYSICIAN 443415 0 228676 0 2140 0 10622 0 13993 0 698846 0 0 0 NAMAN SALIBI MD PHYSICIAN 1928485 0 261808 0 15475 0 13250 0 43020 0 2262038 0 0 0 TAREK A TAHA MD PHYSICIAN 801730 0 354876 0 948 0 13250 0 27675 0 1198479 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Ascension Health, a related organization of 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 CASH ACCOUNTS TRANSFERRED TO PARENT'S BALANCE SHEET 2016-07-01 186115448 FMV 453358926 ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 63145 501(C)(3) false false false false Schedule N, Part II CASH TRANSFER ST. MARY'S OF MICHIGAN TRANSFERRED ITS BEGINNING HSD CASH BALANCES TO ASCENSION HEALTH ALLIANCE (45-3358926) AS OF JULY 1, 2016. Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT & CEO, THE PROCESS PERFORMED BY 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 ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 63145 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ASCENSION MICHIGAN 28000 DEQUINDRE ROAD WARREN MI 48092 382631907 HEALTH CARE MI 501(c)(3) 10 ASCENSION HEALTH false BORGESS HEALTH ALLIANCE INC 1521 GULL ROAD KALAMAZOO MI 49048 382335286 HEALTH SYSTEM PARENT MI 501(c)(3) Type III-FI ASCENSION MICHIGAN true BORGESS MEDICAL CENTER 1521 GULL ROAD KALAMAZOO MI 49048 381360526 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true BRIGHTON CENTER FOR RECOVERY 12851 GRAND RIVER BRIGHTON MI 48116 381576680 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true GENESYS HEALTH SYSTEM ONE GENESYS PARKWAY GRAND BLANC MI 484398065 383339703 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true GENESYS REGIONAL MEDICAL CENTER ONE GENESYS PARKWAY GRAND BLANC MI 484398065 382377821 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true LEE MEMORIAL HOSPITAL CORPORATION 420 WEST HIGH STREET DOWAGIAC MI 49047 381490190 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true PROVIDENCE-PROVIDENCE PARK HOSPITAL 16001 WEST NINE MILE ROAD SOUTHFIELD MI 48037 381358212 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ST JOHN HOSPITAL & MEDICAL CENTER 28000 DEQUINDRE ROAD WARREN MI 48092 381359063 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ST JOHN MACOMB-OAKLAND HOSPITAL 28000 DEQUINDRE ROAD WARREN MI 48092 383322109 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ST JOHN PROVIDENCE 28000 DEQUINDRE ROAD WARREN MI 48092 382244034 PARENT MI 501(c)(3) Type III-FI ASCENSION MICHIGAN true ST JOHN RIVER DISTRICT HOSPITAL 4100 RIVER ROAD EAST CHINA MI 48054 383160564 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ST JOSEPH HEALTH SYSTEM 200 HEMLOCK ROAD TAWAS CITY MI 48763 381443395 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ST MARY'S - ST JOSEPH HEALTH SYSTEM 800 S WASHINGTON AVENUE SAGINAW MI 48601 461084363 SUPPORTING ORGANIZATION MI 501(c)(3) Type III-FI ASCENSION MICHIGAN true STANDISH COMMUNITY HOSPITAL 805 WEST CEDEAR STREET STANDISH MI 48658 381671120 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true BORGESS AMBULATORY CARE CORPORATION 1521 GULL ROAD KALAMAZOO MI 49048 382468823 HOLDING COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC true BORGESS FOUNDATION 1521 GULL ROAD KALAMAZOO MI 49048 237222558 FUNDRAISING MI 501(c)(3) Type III-FI BORGESS HEALTH ALLIANCE INC true PROMED HEALTHCARE 1521 GULL ROAD KALAMAZOO MI 49048 383193801 HEALTHCARE SERVICES MI 501(c)(3) 10 BORGESS HEALTH ALLIANCE INC true CENTER FOR GERONTOLOGY 5455 ALI DRIVE DEPT200 GRAND BLANC MI 484395195 382514708 ADULT DAY CARE MI 501(c)(3) Type I GENESYS AMBULATORY HEALTH SERVICES true GENESYS CONVALESCENT CENTER 8481 HOLLY ROAD GRAND BLANC MI 484391812 382317364 CONVALESCENT CENTER MI 501(c)(3) 3 GENESYS AMBULATORY HEALTH SERVICES true GENESYS AMBULATORY HEALTH SERVICES 5455 ALI DR DEPT 200 GRAND BLANC MI 484395195 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true GENESYS HEALTH FOUNDATION ONE GENESYS PARKWAY GRAND BLANC MI 484398065 383591148 FOUNDATION MI 501(c)(3) Type I GENESYS HEALTH SYSTEM true HEALTH SOURCE GROUP 5455 ALI DR DEPT 200 GRAND BLANC MI 484395195 382427678 PRG RELATED INVESTMENTS MI 501(c)(3) Type I GENESYS HEALTH SYSTEM true LEE MEMORIAL FOUNDATION 420 W HIGH STREET DOWAGIAC MI 49047 382860459 FUNDRAISING MI 501(c)(3) Type III-FI LEE MEMORIAL HOSPITAL CORPORATION true EASTWOOD COMMUNITY CLINICS 28000 DEQUINDRE ROAD WARREN MI 48092 381958763 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION MEDICAL GROUP MICHIGAN FKA MEDICAL RESOURCES GROUP 43800 GARFIELD CLINTON TOWNSHIP MI 48038 383494637 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true PROVIDENCE HEALTH FOUNDATION 22101 MOROSS DETROIT MI 48236 383526629 FUNDRAISING MI 501(c)(3) Type III-FI ST JOHN PROVIDENCE true SETON HEALTH CORP OF SE MICHIGAN 28000 DEQUINDRE WARREN MI 48092 382820107 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ST JOHN COMMUNITY HEALTH INVESTMENT CORP 28000 DEQUINDRE ROAD WARREN MI 48092 382262856 HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE true ST JOHN HOSPITAL FOUNDATION 22101 MOROSS DETROIT MI 48236 202961579 FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE true ST JOHN PROVIDENCE PHYSICIANS CMG 28000 DEQUINDRE ROAD WARREN MI 48092 382601348 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ST JOSEPH HEALTH SYSTEM FOUNDATION 200 HEMLOCK ROAD TAWAS CITY MI 48763 010790428 FUNDRAISING MI 501(c)(3) Type I ST JOSEPH HEALTH SYSTEM true FIELD NEUROSCIENCES INSTITUTE 800 S WASHINGTON AVENUE SAGINAW MI 48601 382790703 MEDICAL RESEARCH ORGANIZATION MI 501(c)(3) 10 STMARY'S OF MICHIGAN MEDICAL CENTER true ST MARY'S MEDICAL CENTER FOUNDATION SAGINAW MICHIGAN 800 S WASHINGTON AVENUE SAGINAW MI 48601 382246366 FUNDRAISING MI 501(c)(3) Type II STMARY'S OF MICHIGAN MEDICAL CENTER true CRITTENTON HOSPITAL MEDICAL CENTER 1101 W UNIVERSITY DR ROCHESTER MI 48307 381359247 GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true CRITTENTON HOSPITAL MEDICAL CENTER FOUNDATION 1101 WEST UNIVERSITY DR ROCHESTER MI 48307 382627336 SUPPORTING MI 501(c)(3) Type I CRITTENTON HOSPITAL MEDICAL CENTER true CRITTENTON CANCER CENTER 1101 WEST UNIVERSITY DR ROCHESTER MI 48307 383239057 CANCER TREATMENT MI 501(c)(3) 10 CRITTENTON HOSPITAL MEDICAL CENTER true ADVENT PARTNERS LP 28000 DEQUINDRE WARREN MI 48092 383544539 RENTAL REAL ESTATE MI NA N/A TOWNE CENTRE SURGERY CENTER 4599 TOWNE CENTRE SAGINAW MI 48604 204943843 OUTPATIENT SERVICES MI St Mary's of Michigan Related -128131 3426086 false 0 true 0.5333 ST JOSEPH HEALTH ENTERPRISES 200 HEMLOCK ROAD TAWAS CITY MI 48764 382686747 OTHER MEDICAL MI NA C Corporation true GENESYS PRACTICE PARTNERS 5445 ALI DRIVE DEPT 200 GRAND BLANC MI 48439 030516871 EMPLOYED PHY PRACTICE MI NA C Corporation true BEECHER BALLENGER SERVICES ONE GENESYS PARKWAY GRAND BLANC MI 484398065 382497922 HOLDING COMPANY MI NA C Corporation true ADVENT INC 28000 DEQUINDRE WARREN MI 48092 382971743 RENTAL REAL ESTATE MI NA C Corporation true AFFILIATED HEALTH SERVICES INC 28000 DEQUINDRE WARREN MI 48092 382292922 MEDICAL SERVICES MI NA C Corporation true St Mary's Health 800 S Washington Avenue Saginaw MI 48601 383477017 Dormant MI St Mary's of Michigan C Corporation 0 0 1 true TEXTILE SYSTEMS INC 817 WALBRIDGE KALAMAZOO MI 49007 382705047 LAUNDRY SERVICES MI NA C Corporation true CRITTENTON DEVELOPMENT CORPORATION 2251 N SQUIRREL RD STE 310 AUBURN HILLS MI 48326 382594115 REAL ESTATE MI NA C Corporation true CRITTENTON MEDICAL PHARMACY 1101 W UNIVERSITY DR ROCHESTER MI 48307 203773341 PHARMACY SALES MI NA C Corporation true false true true false false false false false false false false true false false true true false true true FIELD NEUROSCIENCES INSTITUTE S 385100 FAIR MARKET VALUE ST MARY'S MEDICAL CENTER FOUNDATION SAGINAW MICHIGAN S 209522 FAIR MARKET VALUE STANDISH COMMUNITY HOSPITAL L 440968 FAIR MARKET VALUE STANDISH COMMUNITY HOSPITAL O 165667 FAIR MARKET VALUE STANDISH COMMUNITY HOSPITAL P 1637835 FAIR MARKET VALUE STANDISH COMMUNITY HOSPITAL S 1485011 FAIR MARKET VALUE STANDISH COMMUNITY HOSPITAL R 5709320 FAIR MARKET VALUE FIELD NEUROSCIENCES INSTUTUTE C 244844 FAIR MARKET VALUE FIELD NEUROSCIENCES INSTITUTE B 392600 FAIR MARKET VALUE ST MARY'S MEDICAL CENTER FOUNDATION SAGINAW MICHIGAN C 620277 FAIR MARKET VALUE 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.