BEACON DOWAGIAC INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: BEACON DOWAGIAC INC (EIN 38-1490190)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-12
IRS object ID: 201801329349300710
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 D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-12T11:02:50-05:00	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	381490190	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Lee Memorial Hospital Corporation	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	420 W High Street	AddressLine1Txt
City	Dowagiac	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49047	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tonya Mershon	PersonNm
Person Title	Tax Officer	PersonTitleTxt
Signature	2018-05-12	SignatureDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Borgess Lee Memorial Hospital	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	420 W High Street	AddressLine1Txt
City	Dowagiac	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49047	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$27,860,735	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.healthcare.ascension.org/Locations/Michigan/Dowagiac-Borgess-Lee	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1954	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	To promote the health and well-being of the communities we serve.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	247	TotalEmployeeCnt
Total Volunteers	47	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$70,164	PYContributionsGrantsAmt
CY Contributions Grants	$25,189	CYContributionsGrantsAmt
PY Program Service Revenue	$28,277,696	PYProgramServiceRevenueAmt
CY Program Service Revenue	$27,449,951	CYProgramServiceRevenueAmt
PY Investment Income	$1,490	PYInvestmentIncomeAmt
CY Investment Income	-$947	CYInvestmentIncomeAmt
PY Other Revenue	$144,835	PYOtherRevenueAmt
CY Other Revenue	$364,322	CYOtherRevenueAmt
PY Total Revenue	$28,494,185	PYTotalRevenueAmt
CY Total Revenue	$27,838,515	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$14,293,426	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$15,205,485	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$10,580,322	PYOtherExpensesAmt
CY Other Expenses	$10,698,770	CYOtherExpensesAmt
PY Total Expenses	$24,873,748	PYTotalExpensesAmt
CY Total Expenses	$25,904,255	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,620,437	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,934,260	CYRevenuesLessExpensesAmt
Total Assets BOY	$14,610,010	TotalAssetsBOYAmt
Total Assets EOY	$13,275,510	TotalAssetsEOYAmt
Total Liabilities BOY	$14,085,244	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$11,334,946	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$524,766	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,940,564	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	$21,718,658	ExpenseAmt
Revenue	$27,449,951	RevenueAmt
Desc	LEE MEMORIAL HOSPITAL CORPORATION PROVIDES INPATIENT, SWING BED, AND OUTPATIENT SERVICES TO ALL RESIDENTS IN THE CASS COUNTY AREA REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES.	Desc
Total Program Service Expenses	$21,718,658	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	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	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	35	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	247	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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	2697828681	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	420 W High Street	AddressLine1Txt
City	Dowagiac	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49047	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 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
KATHY A YOUNG
PRESIDENT/CEO	1.0	39.0	Yes (X)	Yes (X)	$0	$1,155,633	$37,924
JERRY LOVE
CHAIR	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
JONI KNAPPER
VICE CHAIR	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
BETH BRUTSCHE
SECRETARY/TREASURER	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
THOMAS J ROHS JR MD
TRUSTEE	1.0	39.0	Yes (X)		$0	$567,805	$43,974
CHARLES BURLING DDS
TRUSTEE	1.0	3.0	Yes (X)		$0	$0	$0
SANJAY DALAL MD
TRUSTEE	1.0	3.0	Yes (X)		$0	$0	$0
GARY DRUSKOVICH MD
TRUSTEE	1.0	3.0	Yes (X)		$0	$0	$0
MARY ELLEN GONDECK CSJ
TRUSTEE	1.0	3.0	Yes (X)		$0	$0	$0
JAMES F HETTINGER
TRUSTEE	1.0	3.0	Yes (X)		$0	$0	$0
MARY SLATER MD
TRUSTEE	1.0	3.0	Yes (X)		$0	$0	$0
ROBERT HILL MD
VP MEDICAL STAFF AFFAIRS	5.0	35.0			$0	$467,372	$40,851	Yes (X)
ASAD KIZILBASH MD
CHIEF OF STAFF	40.0	0			$0	$0	$0	Yes (X)
JOHN RYDER
COO	18.0	22.0			$0	$262,583	$40,553	Yes (X)
CHRISTOPHER FISH MD
PHYSICIAN	40.0	0			$388,260	$0	$24,911		Yes (X)
ABBAS R SYED MD
PHYSICIAN	40.0	0			$319,979	$0	$41,329		Yes (X)
AFTAB ANSARI MD
PHYSICIAN	40.0	0			$303,738	$0	$17,688		Yes (X)
EREM E BOBRAKOV MD
PHYSICIAN	40.0	0			$301,155	$0	$11,586		Yes (X)
GIASUDDIN AHMED MD
PHYSICIAN	40.0	0			$276,485	$0	$32,493		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,589,617	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,453,393	TotReportableCompRltdOrgAmt
Total Other Compensation	$291,309	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	23	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SOUTHWEST MI IMAGING
1700 Gull Road	Kalamazoo	MI	49048	CT & MRI Services	$513,715
PREMIER MEDICAL CARE
1535 Gull Road	Kalamazoo	MI	49048	Radiology Serivces	$362,765
AHSA LLC
PO BOX 945	TRAVERSE CITY	MI	49685	SUPPLEMENTAL STAFFING SERVICES	$147,944
WEST MICHIGAN CANCER CENTER
200 N PARK ST	KALAMAZOO	MI	49007	MEDICAL SERVICES	$118,150

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
Related Organizations	$14,798	RelatedOrganizationsAmt
Government Grants	$8,760	GovernmentGrantsAmt
All Other Contributions	$1,631	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$25,189	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue	621990	$27,371,683	$27,371,683
Government INcentives	900099	$78,268	$78,268

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	$27,449,951	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,115	TotalRevenueColumnAmt
Exclusion	$3,115	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,803	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,803	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,803	TotalRevenueColumnAmt
Exclusion	$4,803	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$4,062	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$4,062	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$4,062	TotalRevenueColumnAmt
Exclusion	-$4,062	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$35,268	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$18,158	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,110	TotalRevenueColumnAmt
Exclusion	$17,110	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Escheat Revenue	900099	$12,317	$12,317
Other Miscellaneous Revenue	900099	$330,092	$330,092

Miscellaneous Revenue MiscellaneousRevenueGrp

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)
Other Revenue Total	$342,409	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,838,515	TotalRevenueColumnAmt
Related Or Exempt Func Income	$27,449,951	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$363,375	ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$11,536,541	TotalAmt
Program Services	$10,561,439	ProgramServicesAmt
Management And General	$975,102	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$158,943	TotalAmt
Program Services	$145,509	ProgramServicesAmt
Management And General	$13,434	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,754,809	TotalAmt
Program Services	$2,521,964	ProgramServicesAmt
Management And General	$232,845	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$755,192	TotalAmt
Program Services	$691,361	ProgramServicesAmt
Management And General	$63,831	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,530,049	TotalAmt
Program Services	$2,518,372	ProgramServicesAmt
Management And General	$11,677	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$14,323	TotalAmt
Program Services	$927	ProgramServicesAmt
Management And General	$13,396	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$81,658	TotalAmt
Program Services	$35,718	ProgramServicesAmt
Management And General	$45,940	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$743	TotalAmt
Program Services	$743	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$758,108	TotalAmt
Program Services	$312,833	ProgramServicesAmt
Management And General	$445,275	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$45,199	TotalAmt
Program Services	$40,655	ProgramServicesAmt
Management And General	$4,544	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$27,571	TotalAmt
Program Services	$24,872	ProgramServicesAmt
Management And General	$2,699	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$819,231	TotalAmt
Program Services	$35,522	ProgramServicesAmt
Management And General	$783,709	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$94,317	TotalAmt
Management And General	$94,317	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$2,730,241	$2,730,241
Purchased Services	$2,520,258	$1,162,458	$1,357,800
Contract Labor	$385,259	$385,259
Equipment Rental	$357,372	$357,372

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$334,441	TotalAmt
Program Services	$193,413	ProgramServicesAmt
Management And General	$141,028	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$25,904,255	TotalAmt
Program Services	$21,718,658	ProgramServicesAmt
Management And General	$4,185,597	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,206	BOYAmt
EOY	$85,960	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$354,754	BOYAmt
EOY	$358,359	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,565,335	BOYAmt
EOY	$3,639,268	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	$358,064	BOYAmt
EOY	$438,414	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$167	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$18,022,011	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$10,768,831	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$6,440,195	BOYAmt
EOY	$7,253,180	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	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$808,719	BOYAmt
EOY	$606,539	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,081,737	BOYAmt
EOY	$893,623	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,610,010	BOYAmt
EOY	$13,275,510	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,673,557	BOYAmt
EOY	$1,525,667	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	$12,411,687	BOYAmt
EOY	$9,809,279	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,085,244	BOYAmt
EOY	$11,334,946	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$524,766	BOYAmt
EOY	$1,940,564	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$524,766	BOYAmt
EOY	$1,940,564	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$14,610,010	BOYAmt
EOY	$13,275,510	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,934,260	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$518,462	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 D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$105,071	OtherCostOrOtherBasisAmt
Book Value	$105,071	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,134,633	OtherCostOrOtherBasisAmt
Depreciation	$6,814,679	DepreciationAmt
Book Value	$5,319,954	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,249,185	OtherCostOrOtherBasisAmt
Depreciation	$3,776,712	DepreciationAmt
Book Value	$472,473	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,533,122	OtherCostOrOtherBasisAmt
Depreciation	$177,440	DepreciationAmt
Book Value	$1,355,682	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$7,253,180	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Estimated Third Party Payor Settlements	$605,000
Due from Affiliates	$269,569
Rent Receivable	$19,054

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$893,623	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Self Insurance Liability
Pension & Other Post Retirement Liability	$4,171,305
Due to Affiliates	$4,036,798
Estimated Third Party Payor Settlements	$1,350,340
AH Savings Plan Liability	$137,900
Other Noncurrent Liabilities	$100,000
Recovery Tail Liability	$12,936

Field	Value	IRS element (for citing)
Total Liability	$9,809,279	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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	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	$1,736,404	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,043,859	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$692,545	NetCommunityBenefitExpnsAmt
Total Expense	0.0267	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,088,370	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,408,031	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,680,339	NetCommunityBenefitExpnsAmt
Total Expense	0.0649	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
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	$8,824,774	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,451,890	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,372,884	NetCommunityBenefitExpnsAmt
Total Expense	0.0916	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	1194	PersonsServedCnt
Total Community Benefit Expns	$30,914	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,914	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	139	PersonsServedCnt
Total Community Benefit Expns	$232,885	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$232,885	NetCommunityBenefitExpnsAmt
Total Expense	0.0090	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	2	PersonsServedCnt
Total Community Benefit Expns	$1,327	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$265	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,062	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	2922	PersonsServedCnt
Total Community Benefit Expns	$86,812	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$86,812	NetCommunityBenefitExpnsAmt
Total Expense	0.0034	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	4257	PersonsServedCnt
Total Community Benefit Expns	$351,938	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$265	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$351,673	NetCommunityBenefitExpnsAmt
Total Expense	0.0136	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	4257	PersonsServedCnt
Total Community Benefit Expns	$9,176,712	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,452,155	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,724,557	NetCommunityBenefitExpnsAmt
Total Expense	0.1052	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)
Persons Served	611	PersonsServedCnt
Total Community Benefit Expns	$9,382	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,382	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	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	611	PersonsServedCnt
Total Community Benefit Expns	$9,382	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,382	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$985,651	BadDebtExpenseAmt
Bad Debt Expense Attributable	$101,378	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$4,891,488	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$4,939,919	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$48,431	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	Borgess Lee Memorial Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	420 West High Street	AddressLine1Txt
City	Dowagiac	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49047	ZIPCd

Field	Value	IRS element (for citing)
Website Address	http://www.borgess.com/about-us/community-health	WebsiteAddressTxt
State License	1060000082	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Borgess Lee Memorial Hospital	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	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://healthcare.ascension.org/Locations/Michigan/Dowagiac-Borgess-Lee/Community-Benefit-Reports	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://healthcare.ascension.org/Locations/Michigan/Dowagiac-Borgess-Lee/Community-Benefit-Reports	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
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/Locations/Michigan/Dowagiac-Borgess-Lee/Financial-Assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://healthcare.ascension.org/Locations/Michigan/Dowagiac-Borgess-Lee/Financial-Assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://healthcare.ascension.org/Locations/Michigan/Dowagiac-Borgess-Lee/Financial-Assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

Facility , 1 - Borgess Lee Memorial Hospital. THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM HOSPITAL LEADERSHIP, REPRESENTATIVES FROM GOVERNMENTAL HEALTH ORGANIZATIONS, AND COMMUNITY AGENCY PEOPLE WHO ARE DIRECTLY INVOLVED IN PROVIDING SERVICES TO THE MEDICALLY UNDERSERVED, MINORITY, AND LOW INCOME POPULATIONS. THE FOLLOWING IS A LIST OF THE CHNA COMMITTEE MEMBERS AND THE ORGANIZATIONS THEY REPRESENT: 1- Jan Troeger - LEE MEMORIAL HOSPITAL 2- JOHN RYDER - LEE MEMORIAL HOSPITAL 3-Samantha Kreitner- LEE MEMORIAL HOSPITAL 4- BOB COCHRANE - CASS COUNTY COUNCIL ON AGING 5- MARY MIDDLETON - CASS FAMILY CLINIC 6- Kathy Valdes- DEPARTMENT OF HUMAN SERVICES 7- Ann Crabb, Delano Clinic 8- Matt Clay- POKAGON HEALTH CENTER 9- JEFF ELLIOT - VAN BUREN/CASS COUNTY DISTRICT HEALTH DEPARTMENT 10- KATHY EMANS - WOODLANDS BEHAVIORAL HEALTHCARE NETWORK 11- Jodi Bolyard - Borgess Medical Group 12- Danielle Persky - Van Buren Cass Health Department 13- Jodee Rolfe Community Benefits Manager

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

Facility , 1 - Borgess Lee Memorial Hospital. During the most recently conducting CHNA, the following needs were identified: Access to Care - Expand Access to Mental Health Services -Create an FTE Position to add additional provider for expansion of Tele-Psychiatric Services -Offer One Mental Health First Aid Class in the Community -Explore implementing a pilot program of an integrated primary care and behavioral health Clinic Diabetes - improve the health of those at-risk or living with diabetes -Provide Diabetes Screenings and education through community groups and local churches -design, develop and distribute an online pre-diabetes program based on the CDC recognized diabetes prevention lifestyle change program Community Health Education - increase the quality, availability, and effectiveness of educational and community baed programs designed to prevent disease and injury, imporve health and enhance the quality of life. -increase the proportion of elementary, middle and senior high schools that receive health education with classes related to health promotion, disease prevention and mental health Identified needs that will not be addressed were determined by availability of services in the community. Chronic diseases with substantial support in the community such as cancer, lung disease and heart disease are supported by strong Borgess Heath programs with a variety of available resources in addition to the support of the American Cancer Society, American Lung Association and the American Heart Association. The Cass /Van Buren District Health Department provide a number of community services. There is a mental health provider in Cass County, The Woodlands Behavioral Health Care. They provide services to those with mental health needs but there are far more needs in the community than they can provide. Because the demographics of the Cass County is rural coupled with high amount of poverty, there are significant community needs. However, resources are limited as well in this area. BLMH has chosen areas to address where they think they will make the most impact with the resources allotted .

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 17 Billing and Collection Policy	During tax year 2017, the organization learned via verbal comments of IRS agents at public events that the IRS intends that the "readily obtainable" standard in the 501(r) regulations for the AGB calculation and billing and collection policy is only met if those items are posted to the organization's web site. The organization had interpreted that web posting standard to be a safe harbor after consulting with external counsel and tax advisors, and timely took other steps to make the information readily obtainable. Consequently, the organization does not believe its decision to not post these documents to its web site rises to the level of a failure, nor does it believe the circumstances were either willful or egregious, having otherwise timely taken the steps necessary to attain and continue to maintain compliance with the other requirements related to the billing and collection policy and the AGB, as part of its policies and procedures for ensuring compliance with all aspects of 501(r). However, the organization is making this voluntary disclosure in order to communicate to the IRS the changes it is undertaking in response to the recent IRS informal guidance on this specific point concerning the "readily obtainable" standard, and the fact that the organization has started the work necessary to post its AGB information and billing and collection policy to its web site and will complete those additional postings as soon as reasonably possible. The other web postings required under 501(r) (i.e., those related to the community health needs assessment and the financial assistance policy) were timely completed and continue to remain in place as required. The organization believes its safeguards worked as intended in this case (i.e., the organization has regular communications with a number of external law firms and tax consultants and the timely attention to the recent guidance was supported by the framework of regular access to subject matter experts). These changes are in the process of being incorporated into corporate policies and procedures that apply to the organization.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	The cost of providing charity care, means-tested government programs, and other community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied.
Schedule H, Part II Community Building Activities	RESEARCH SHOWS THAT SOCIAL DETERMINANTS AND QUALITY OF LIFE PLAY A MAJOR ROLE IN THE HEALTH STATUS OF INDIVIDUALS AND COMMUNITIES. COMMUNITY BUILDING ACTIVITIES, WHICH FOCUS ON IMPROVING THE QUALITY OF LIFE WITHIN A COMMUNITY, ULTIMATELY INFLUENCE AND IMPROVE HEALTH STATUS.
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 $2,471,300 at charges, ($985,651 at cost).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	The provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 19.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	A cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its related health ministries follow the Catholic Health Association (CHA) guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	The organization has a written debt collection policy and collection procedures will only pertain to patients that do not qualify for charity or financial assistance and who are not complying with payment arrangements that have been agreed to by the hospital and the patient.
Schedule H, Part V, Section B, Line 16a FAP website	- Borgess Lee Memorial Hospital: Line 16a URL: https://healthcare.ascension.org/Locations/Michigan/Dowagiac-Borgess-Lee/Financial-Assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Borgess Lee Memorial Hospital: Line 16b URL: https://healthcare.ascension.org/Locations/Michigan/Dowagiac-Borgess-Lee/Financial-Assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Borgess Lee Memorial Hospital: Line 16c URL: https://healthcare.ascension.org/Locations/Michigan/Dowagiac-Borgess-Lee/Financial-Assistance;
Schedule H, Part VI, Line 2 Needs assessment	The CHNA Committee met six times over the course of twelve months. Members brought data to these meetings which was reviewed. Discussions and presentations helped committee members identify key community health priorities and resources available to meet them. This process provided a significant amount of data collection that covered multiple categories which related to health needs of Cass County. This data was synthesized to develop a Community Needs Scorecard, the frame work of the CHNA. -Discussion of community goals -Ability to make impact. What can community and Borgess-Lee do to improve goals? -Consider alignment with other systems in the county -Align with Healthy People 2020 Current programs and plans Effectiveness Duplication of services Resources - money and human need Implementation Plan FY2017 - 2019 -Mental Health Services -Explore collaboration with school system for integrated child and adolescent behavioral health program -Explore education within school system -FQHC provides assistance at Cass Schools for students with behavioral health issues. Practitioner completes education with students. -Work with Cass Clinic and implementation -Implement Tobacco cessation program -Diabetes Education -Improve DSME program -Review on-line diabetes program which is available at Borgess Medical Center -Community Collaborative -Assist high utilizers of services -Assist with transportation -Evaluate why utilization is high
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	As part of the intake process, the organization provides a copy of the policy and financial assistance contact information to patients. Also, available is a staff person to discuss with the patient the availability of various government benefits, such as Medicaid or state and local programs and assist the patient with qualification for such programs, where applicable.
Schedule H, Part VI, Line 4 Community information	Cass County is located in southwest Michigan and borders the State of Indiana. It covers about 491 square miles with a total population of 52,242. The area was originally inhabited by three bands of Potawatomi Indians. And during the Civil War, Cass County played a major role in the Underground Railroad which resulted in the settling of many Black families in the area. Both of these factors have contributed to the unique cultural diversity of the county. According to 2010 US Census Data Cass County has 20, 101 households. The current unemployment rate is about 8.1 %, below the state-wide average. The median household income is $45,432. The per capita income is $23,045. Both are below the Michigan average. The percentage of persons with Bachelor's degrees is 16. 7%, much lower than the Michigan average of 25%. About 90% of the full-time residents are white, 5.4% are African-American, 3% are Hispanic and 1% is Native American. About 13.3% of the residents fall below the poverty level, which is better than the state-wide average. The overall population tends to skew slightly older and is declining somewhat. Three characteristics combine to make Cass County somewhat unique, especially as it relates to serving health needs. The first is the county's rather large, rural/agriculture base. About 60% of Cass County is farm land ranking it 15th out of Michigan's 83 counties. Much of the farm land is used for growing seasonal fruits and vegetables which require migrant farm laborers to harvest. This results in a heavy influx of mostly Hispanic families which in turn impacts the need and delivery of health care services. The second characteristic relates to the significant recreational opportunities that abound in Cass County. It has over 250 lakes and the county's close proximity to major population centers in Indiana and Illinois makes a regional recreational "Mecca". During the summer, the population around the lakes grows significantly. Both the summer and full-time lake residents tend to be very affluent. While most of the health care needs of the summer residents are served by out-of-state providers, these people do impact the area's health care service delivery, especially emergency room and fast track primary care services. The third characteristic is the large blue-collar population in the county's two largest population centers-Dowagiac and Cassopolis. The City of Dowagiac is the county's largest city. It has about 2,400 households with a total population of 5,879. Median household income is $31,329 and per capita income is $17,739. Both are well below the county and state averages. Also, about 20% of the residents fall below the poverty rate. The Village of Cassopolis, the County Seat, ranks even lower. It has about 700 households with a total population of 1,774. Median household income is $24,781 and per capita income is $15,114. Almost 30% of the Cassopolis residents fall below the poverty level.
Schedule H, Part VI, Line 5 Promotion of community health	The organizations governing body is mostly comprised of persons who reside in Cass County and are neither employees nor contractors of the organization. The organization is a Critical Access Hospital and provides medical services to all people in the community without regard to the patient's race, creed, national origin, economic status or ability to pay, In addition the organization participates in Medicare Medicaid, CHAMPUS and other government sponsored health care programs, The organization provides education and materials for nutrition/weight loss management, PSA and Flu Shot Clinics.
Schedule H, Part VI, Line 6 Affiliated health care system	Lee Memorial Hospital Corporation is a wholly owned subsidiary Ascension Health. 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 Unites States and the District of Columbia. Ascension served as the member or shareholder of various subsidiaries. Ascension and its member organizations are hereafter referred to collectively as the System. Ascension is sponsored by Ascension Sponsor, a Public Juridic Person. The Participating Entities of Ascension Sponsor are the Daughters of Charity of St. Vincent de Paul, St. Louise Province; the Congregation of St. Joseph; 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. The Hospital, located in Dowagiac, Michigan, is a nonprofit critical access hospital. The Hospital provides inpatient, outpatient, and emergency care services for the residents of Dowagiac, Michigan. Admitting physicians are primarily practitioners in the local area. Substantially all expenses of Ascension Health and its sponsored organizations are related to providing health care services. The System directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing, and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with the System's mission of service to those persons living in poverty and other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. The System uses four categories to identify the resources utilized for the care of persons living in poverty and community benefit programs: - Traditional charity care includes the cost of services provided to persons who cannot afford healthcare because of inadequate resources and/or who are uninsured or underinsured. - Unpaid cost of public programs, excluding Medicare, represents the unpaid cost of services provided to persons covered by public programs for persons living in poverty and other vulnerable persons. - Cost of other programs for persons living in poverty and other vulnerable persons includes unreimbursed costs of programs intentionally designed to serve the persons living in poverty and other vulnerable persons of the community, including substance abusers, the homeless, victims of child abuse, and persons with acquired immune deficiency syndrome. - Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the persons living in poverty, including health promotion and education, health clinics and screenings, and medical research. Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and other community benefit programs. The cost of providing care of persons living in poverty and other community benefit programs is estimated by reducing charges foregone by a factor derived from the ratio of each entity's total operating expenses to the entity's billed charges for patient care.
Schedule H, Part VI, Line 7 State filing of community benefit report	MI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	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 (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KATHY A YOUNG
PRESIDENT/CEO	$0	$481,004	$0	$498,252	$0	$176,377	$0	$17,225	$0	$20,699	$0	$1,193,557	$0	$0
THOMAS J ROHS JR MD
TRUSTEE	$0	$522,521	$0	$42,350	$0	$2,934	$0	$13,250	$0	$30,724	$0	$611,779	$0	$0
ROBERT HILL MD
VP MEDICAL STAFF AFFAIRS	$0	$325,743	$0	$121,153	$0	$20,476	$0	$11,925	$0	$28,926	$0	$508,223	$0	$0
JOHN RYDER
COO	$0	$175,084	$0	$53,001	$0	$34,498	$0	$13,153	$0	$27,400	$0	$303,136	$0	$0
CHRISTOPHER FISH MD
PHYSICIAN	$357,075	$0	$28,858	$0	$2,327	$0	$6,625	$0	$18,286	$0	$413,171	$0	$0	$0
ABBAS R SYED MD
PHYSICIAN	$302,878	$0	$8,000	$0	$9,101	$0	$11,925	$0	$29,404	$0	$361,308	$0	$0	$0
AFTAB ANSARI MD
PHYSICIAN	$295,426	$0	$0	$0	$8,312	$0	$5,300	$0	$12,388	$0	$321,426	$0	$0	$0
EREM E BOBRAKOV MD
PHYSICIAN	$277,174	$0	$21,128	$0	$2,853	$0	$3,481	$0	$8,105	$0	$312,741	$0	$0	$0
GIASUDDIN AHMED MD
PHYSICIAN	$237,223	$0	$32,348	$0	$6,914	$0	$6,625	$0	$25,868	$0	$308,978	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part II Officer Compensation	Asad Kizilbash, MD was paid by Apogee Medical Management for services provided to Lee Memorial Hospital Corporation.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	ASCENSION HEALTH, A RELATED ORGANIZATION OF LEE MEMORIAL HOSPITAL CORPORATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE, - INDEPENDENT COMPENSATION CONSULTANT, - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No individuals received current year distributions.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 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 LEE MEMORIAL HOSPITAL CORPORATION INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE PRESIDENT & CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES	IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, THE PROCESS PERFORMED BY BORGESS MEDICAL CENTER, A RELATED ORGANIZATION OF LEE MEMORIAL HOSPITAL CORPORATION, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 6 Classes of members or stockholders	Lee Memorial Hospital Corporation has a single corporate member, Ascension Michigan.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Lee Memorial Hospital Corporation has a single corporate member, Ascension Michigan, who has the ability to elect members to the governing body of Lee Memorial Hospital Corporation.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	All decisions that have a material impact to Lee Memorial Hospital Corporation financial information or corporation as a whole are subject to approval by its single 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 committee 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 conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Line 19 Required documents available to the public	The organization will provide any documents open to public inspection upon request.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	FAS 158 Pension Adjustment - 86609; Transfers with Alpha Fund - -605071;
Form 990, Part XII, Line 2b Audited Financial Statements	The activity of Lee Memorial Hospital Corporation is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of Lee Memorial Hospital Corporation is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of Lee Memorial Hospital Corporation.
Form 990, Part XII, Line 2c Audit Committee	Lee Memorial Hospital Corporation is included in the consolidated financial statements of Ascension. The Finance and Audit committee of Ascension's Board assumes responsibility for the consolidated organization as a whole.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (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)
PROVIDENCE-PROVIDENCE PARK HOSPITAL
16001 WEST NINE MILE ROAD	SOUTHFIELD	MI	48037	381358212	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes (true)
ST JOHN HOSPITAL & MEDICAL CENTER
28000 DEQUINDRE ROAD	WARREN	MI	48092	381359063	HEALTH CARE	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes (true)
ST JOHN MACOMB-OAKLAND HOSPITAL
28000 DEQUINDRE ROAD	WARREN	MI	48092	383322109	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes (true)
ST JOHN PROVIDENCE
28000 DEQUINDRE ROAD	WARREN	MI	48092	382244034	PARENT	MI	501(c)(3)	Type III-FI	ASCENSION MICHIGAN	Yes (true)
ST JOHN RIVER DISTRICT HOSPITAL
4100 RIVER ROAD	EAST CHINA	MI	48054	383160564	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes (true)
ST JOSEPH HEALTH SYSTEM
200 HEMLOCK ROAD	TAWAS CITY	MI	48763	381443395	HEALTH CARE	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes (true)
ST MARY'S - ST JOSEPH HEALTH SYSTEM
800 S WASHINGTON AVENUE	SAGINAW	MI	48601	461084363	SUPPORTING ORGANIZATION	MI	501(c)(3)	Type III-FI	ASCENSION MICHIGAN	Yes (true)
ST MARY'S OF MICHIGAN MEDICAL CENTER
800 S WASHINGTON AVENUE	SAGINAW	MI	48601	380997730	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes (true)
STANDISH COMMUNITY HOSPITAL
805 WEST CEDEAR STREET	STANDISH	MI	48658	381671120	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes (true)
BORGESS AMBULATORY CARE CORPORATION
1521 GULL ROAD	KALAMAZOO	MI	49048	382468823	HOLDING COMPANY	MI	501(c)(3)	3	BORGESS HEALTH ALLIANCE INC	Yes (true)
BORGESS FOUNDATION
1521 GULL ROAD	KALAMAZOO	MI	49048	237222558	FUNDRAISING	MI	501(c)(3)	Type III-FI	BORGESS HEALTH ALLIANCE INC	Yes (true)
PROMED HEALTHCARE
1521 GULL ROAD	KALAMAZOO	MI	49048	383193801	HEALTHCARE SERVICES	MI	501(c)(3)	10	BORGESS HEALTH ALLIANCE INC	Yes (true)
CENTER FOR GERONTOLOGY
5455 ALI DRIVE DEPT200	GRAND BLANC	MI	484395195	382514708	ADULT DAY CARE	MI	501(c)(3)	Type I	GENESYS AMBULATORY HEALTH SERVICES	Yes (true)
GENESYS CONVALESCENT CENTER
8481 HOLLY ROAD	GRAND BLANC	MI	484391812	382317364	CONVALESCENT CENTER	MI	501(c)(3)	3	GENESYS AMBULATORY HEALTH SERVICES	Yes (true)
GENESYS AMBULATORY HEALTH SERVICES
5455 ALI DR DEPT 200	GRAND BLANC	MI	484395195	382371754	HEALTH SRVCS/STAFFING/PROP MNGT	MI	501(c)(3)	Type II	GENESYS HEALTH SYSTEM	Yes (true)
GENESYS HEALTH FOUNDATION
ONE GENESYS PARKWAY	GRAND BLANC	MI	484398065	383591148	FOUNDATION	MI	501(c)(3)	Type I	GENESYS HEALTH SYSTEM	Yes (true)
HEALTH SOURCE GROUP
5455 ALI DR DEPT 200	GRAND BLANC	MI	484395195	382427678	PRG RELATED INVESTMENTS	MI	501(c)(3)	Type I	GENESYS HEALTH SYSTEM	Yes (true)
LEE MEMORIAL FOUNDATION
420 W HIGH STREET	DOWAGIAC	MI	49047	382860459	FUNDRAISING	MI	501(c)(3)	Type III-FI	LEE MEMORIAL HOSPITAL CORPORATION	Yes (true)
EASTWOOD COMMUNITY CLINICS
28000 DEQUINDRE ROAD	WARREN	MI	48092	381958763	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes (true)
ASCENSION MEDICAL GROUP MICHIGAN FKA MEDICAL RESOURCES GROUP
43800 GARFIELD	CLINTON TOWNSHIP	MI	48038	383494637	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes (true)
PROVIDENCE HEALTH FOUNDATION
22101 MOROSS	DETROIT	MI	48236	383526629	FUNDRAISING	MI	501(c)(3)	Type III-FI	ST JOHN PROVIDENCE	Yes (true)
SETON HEALTH CORP OF SE MICHIGAN
28000 DEQUINDRE	WARREN	MI	48092	382820107	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes (true)
ST JOHN COMMUNITY HEALTH INVESTMENT CORP
28000 DEQUINDRE ROAD	WARREN	MI	48092	382262856	HEALTH CARE	MI	501(c)(3)	3	ST JOHN PROVIDENCE	Yes (true)
ST JOHN HOSPITAL FOUNDATION
22101 MOROSS	DETROIT	MI	48236	202961579	FUNDRAISING	MI	501(c)(3)	7	ST JOHN PROVIDENCE	Yes (true)
ST JOHN PROVIDENCE PHYSICIANS CMG
28000 DEQUINDRE ROAD	WARREN	MI	48092	382601348	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes (true)
ST JOSEPH HEALTH SYSTEM FOUNDATION
200 HEMLOCK ROAD	TAWAS CITY	MI	48763	010790428	FUNDRAISING	MI	501(c)(3)	Type I	ST JOSEPH HEALTH SYSTEM	Yes (true)
FIELD NEUROSCIENCES INSTITUTE
800 S WASHINGTON AVENUE	SAGINAW	MI	48601	382790703	MEDICAL RESEARCH ORGANIZATION	MI	501(c)(3)	10	STMARY'S OF MICHIGAN MEDICAL CENTER	Yes (true)
ST MARY'S MEDICAL CENTER FOUNDATION SAGINAW MICHIGAN
800 S WASHINGTON AVENUE	SAGINAW	MI	48601	382246366	FUNDRAISING	MI	501(c)(3)	Type II	STMARY'S OF MICHIGAN MEDICAL CENTER	Yes (true)
CRITTENTON HOSPITAL MEDICAL CENTER
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
ADVENT PARTNERS LP
28000 DEQUINDRE	WARREN	MI	48092	383544539	RENTAL REAL ESTATE	MI	NA	N/A
TOWNE CENTRE SURGERY CENETER
4599 TOWNE CENTRE	SAGINAW	MI	48604	204943843	OUTPATIENT SERVICES	MI	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
ST JOSEPH HEALTH ENTERPRISES
200 HEMLOCK ROAD	TAWAS CITY	MI	48764	382686747	OTHER MEDICAL	MI	NA	C Corporation	Yes (true)
GENESYS PRACTICE PARTNERS
5445 ALI DRIVE DEPT 200	GRAND BLANC	MI	48439	030516871	EMPLOYED PHY PRACTICE	MI	NA	C Corporation	Yes (true)
BEECHER BALLENGER SERVICES
ONE GENESYS PARKWAY	GRAND BLANC	MI	484398065	382497922	HOLDING COMPANY	MI	NA	C Corporation	Yes (true)
ADVENT INC
28000 DEQUINDRE	WARREN	MI	48092	382971743	RENTAL REAL ESTATE	MI	NA	C Corporation	Yes (true)
AFFILIATED HEALTH SERVICES INC
28000 DEQUINDRE	WARREN	MI	48092	382292922	MEDICAL SERVICES	MI	NA	C Corporation	Yes (true)
St Mary's Health
800 S Washington Avenue	Saginaw	MI	48601	383477017	Dormant	MI	NA	C Corporation	Yes (true)
TEXTILE SYSTEMS INC
817 WALBRIDGE	KALAMAZOO	MI	49007	382705047	LAUNDRY SERVICES	MI	NA	C Corporation	Yes (true)
CRITTENTON DEVELOPMENT CORPORATION
2251 N SQUIRREL RD STE 310	AUBURN HILLS	MI	48326	382594115	REAL ESTATE	MI	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	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	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	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BORGESS HEALTH ALLIANCE INC
Q	$101,820	FAIR MARKET VALUE
BORGESS HEALTH ALLIANCE INC
P	$1,217,100	FAIR MARKET VALUE
BORGESS HEALTH ALLIANCE INC
S	$6,476,386	FAIR MARKET VALUE
BORGESS MEDICAL CENTER
L	$251,042	FAIR MARKET VALUE
BORGESS MEDICAL CENTER
Q	$478,087	FAIR MARKET VALUE
BORGESS MEDICAL CENTER
P	$576,437	FAIR MARKET VALUE
BORGESS MEDICAL CENTER
S	$122,517	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.