MYMICHIGAN MEDICAL CENTER SAGINAW: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: MYMICHIGAN MEDICAL CENTER SAGINAW (EIN 38-0997730)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-10
IRS object ID: 201721309349303927
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-10T19:02:32-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	380997730	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Mary's of Michigan	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STMA	BusinessNameControlTxt
Phone	9899078000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 South Washington Avenue	AddressLine1Txt
City	Saginaw	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Nancy Haywood	PersonNm
Person Title	Chief Financial officer	PersonTitleTxt
Signature	2017-05-10	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	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	St Mary's Medical Center of Saginaw	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Christopher Palazzolo	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 South Washington Avenue	AddressLine1Txt
City	Saginaw	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$267,887,742	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.stmarysofmichigan.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1874	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	Provide medical services which strengthen the healing mission of the Catholic Church.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	2302	TotalEmployeeCnt
Total Volunteers	170	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,035,675	PYContributionsGrantsAmt
CY Contributions Grants	$819,886	CYContributionsGrantsAmt
PY Program Service Revenue	$232,395,739	PYProgramServiceRevenueAmt
CY Program Service Revenue	$260,838,138	CYProgramServiceRevenueAmt
PY Investment Income	$6,930,603	PYInvestmentIncomeAmt
CY Investment Income	$900,616	CYInvestmentIncomeAmt
PY Other Revenue	$6,030,337	PYOtherRevenueAmt
CY Other Revenue	$5,329,102	CYOtherRevenueAmt
PY Total Revenue	$246,392,354	PYTotalRevenueAmt
CY Total Revenue	$267,887,742	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,221,332	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$113,100	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$112,313,845	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$118,097,130	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$146,419,343	PYOtherExpensesAmt
CY Other Expenses	$141,206,568	CYOtherExpensesAmt
PY Total Expenses	$259,954,520	PYTotalExpensesAmt
CY Total Expenses	$259,416,798	CYTotalExpensesAmt
PY Revenues Less Expenses	-$13,562,166	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,470,944	CYRevenuesLessExpensesAmt
Total Assets BOY	$379,384,438	TotalAssetsBOYAmt
Total Assets EOY	$351,102,956	TotalAssetsEOYAmt
Total Liabilities BOY	$147,543,357	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$145,089,689	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$231,841,081	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$206,013,267	NetAssetsOrFundBalancesEOYAmt
Mission	Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$238,896,360	ExpenseAmt
Grant	$113,100	GrantAmt
Revenue	$263,617,873	RevenueAmt
Desc	ST. MARY'S OF MICHIGAN MEDICAL CENTER ("SMMMC") IS A 268 LICENSED BED NONPROFIT ACUTE CARE HOSPITAL WHICH PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES. SMMMC SEEKS TO IMPROVE THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL HEALTH STATUS OF ITS SURROUNDING COMMUNITY. SMMMC PROVIDES A SUBSTANTIAL PORTION OF ITS SERVICES TO THE ELDERLY AND POOR. DURING THE FISCAL YEAR, APPROXIMATELY 53% OF THE VALUE OF SERVICES RENDERED WAS TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM, AND APPROXIMATELY 16% OF THE SERVICES WERE PROVIDED TO PATIENTS WHO WERE DEEMED INDIGENT UNDER STATE, COUNTY, OR MEDICAL CENTER GUIDELINES. DURING THE FISCAL YEAR ENDING JUNE 30, 2016, THE ESTIMATED UNREIMBURSED COST OF SERVICES PROVIDED TO THE ELDERLY, UNINSURED, AND UNDERINSURED TOTALED $12,176,155.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$784,778	ExpenseAmt
Revenue	$929,251	RevenueAmt
Desc	RESPITE ADULT DAY CARE - THE GUARDIAN ANGEL PROGRAM FOSTERS A CARING ATMOSPHERE FOR INDIVIDUALS WITH SPECIAL NEEDS BY PROVIDING THEM WITH A WARM AND SAFE HAVEN AND RELIEF TO THEIR FAMILIES ENABLING THEM TO ENHANCE THEIR QUALITY OF LIFE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$616,216	ExpenseAmt
Revenue	$616,216	RevenueAmt
Desc	TOWNE CENTRE SURGERY CENTER - The joint venture furthers the hospital's mission by providing a broad range of health care services to the residents geographically located on the other side of the city; aiding us in our journey to provide services to all, especially to the elderly, uninsured, and underinsured.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$240,297,354	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	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	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	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	206	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2302	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	10	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	Yes (true)	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Nancy Haywood	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9899077596	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 South Washington Avenue	AddressLine1Txt
City	Saginaw	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48601	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MUHAMMAD ABOUDAN MD
TREASURER	1.0	3.1	Yes (X)	Yes (X)	$0	$0	$0
ELIZABETH ADERHOLDT
PRESIDENT & CEO	43.0	17.0	Yes (X)	Yes (X)	$460,156	$1,235,771	$33,068
JOHN FREEL
CHAIRMAN	1.0	3.1	Yes (X)	Yes (X)	$0	$0	$0
JAMES HRESKO
VICE CHAIR	1.0	3.1	Yes (X)	Yes (X)	$0	$0	$0
BAPINEEDU MAGANTI MD
SECRETARY	1.0	3.1	Yes (X)	Yes (X)	$0	$0	$0
JAMES BOLES
TRUSTEE	1.0	3.1	Yes (X)		$0	$0	$0
PAUL FURLO
TRUSTEE	1.0	5.7	Yes (X)		$0	$0	$0
TODD GREGORY
TRUSTEE	1.0	3.1	Yes (X)		$0	$0	$0
RICHARD HEINRICH
TRUSTEE	1.0	5.1	Yes (X)		$0	$0	$0
DEBORAH MORGAN
TRUSTEE	1.0	3.1	Yes (X)		$0	$0	$0
MARK PIPER
TRUSTEE	1.0	3.1	Yes (X)		$0	$0	$0
JO STUDLEY-MAY MD
TRUSTEE	1.0	62.1	Yes (X)		$0	$271,154	$46,665
ALBERT SARGE HARVEY
BOARD MEMBER	1.0	7.1	Yes (X)		$0	$0	$0
NANCY HAYWOOD
CHIEF FINANCIAL OFFICER	30.0	30.0		Yes (X)	$186,758	$232,500	$45,146
CHARLES HUSSON DO
CHIEF MEDICAL OFFICER	12.0	42.0		Yes (X)	$74,801	$362,598	$21,407
CHERYL GUELDENZOPF
CHIEF ADMINISTRATIVE OFFICER	45.0	0		Yes (X)	$127,508	$0	$22,612
BERNARD JORE
VP- CNO	45.0	0			$200,375	$0	$31,355	Yes (X)
SHARON LEAMAN-CASE
VP-PROF & SUPP	45.0	0			$187,808	$0	$16,990	Yes (X)
MICHAEL LONG
PRESIDENT-PHYS ENT. (ENDS 8/2015)	45.0	0			$160,737	$0	$18,046	Yes (X)
RAGHURAM SARVEPALLI
VP -MEDICAL AFFAIRS	45.0	0			$661,861	$0	$47,609	Yes (X)
JOSEPH ADEL MD
PHYSICIAN	45.0	1.0			$1,108,359	$0	$39,815		Yes (X)
WAHEED AKBAR MD
PHYSICIAN	45.0	2.0			$810,828	$0	$29,489		Yes (X)
WILLIAM J PITTAS DO
PHYSICIAN	45.0	0			$618,100	$0	$23,544		Yes (X)
NAMAN SALIBI MD
PHYSICIAN	45.0	2.0			$2,147,881	$0	$47,487		Yes (X)
TAREK A TAHA MD
PHYSICIAN	45.0	0			$845,341	$0	$32,526		Yes (X)
GINA BUTCHER
CHIEF FINANCIAL OFFICER (END 1/29/15)	0.0	0.0			$269,195	$0	$12,419			Yes (X)
JOHN GRAHAM
PRESIDENT & CEO (END DATE 12/31/14)	0.0	0.0			$510,112	$0	$11,853			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,369,820	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,102,023	TotReportableCompRltdOrgAmt
Total Other Compensation	$480,031	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	118	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
CMU MEDICAL EDUCATION PARTNERS
1000 haughton ave	sagnaw	MI	48602	medical services	$5,366,586
CYBERKNIFE OF SAGINAW LLC
4677 TOWNE CENTRE ROAD	saginaw	MI	48604	medical services	$1,288,320	STE 301
GLBR MEDICAL RESOURCES LLC
912 s washington	saginaw	MI	48601	medical recruitment/staffing	$1,235,911	ste 1
COMMUNITY HOSPITAL SERVICES
1321 Cumberland St	saginaw	MI	48601	transport services	$940,994
towne center surgery center llc
4599 TOWNE CENTRE ROAD	saginaw	MI	48604	medical services	$769,415

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	27	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$525,108	RelatedOrganizationsAmt
Government Grants	$90,500	GovernmentGrantsAmt
All Other Contributions	$204,278	AllOtherContributionsAmt
Total Contributions	$819,886	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	621990	$255,743,356	$255,743,356
PROGRAM RELATED JV	623990	$3,010,457	$3,010,457
RESPITE	621400	$929,251	$929,251
TOWNE CENTER	621400	$616,216	$616,216
HEALTHSOURCE REVENUE	621400	$452,753	$452,753

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$86,105	TotalRevenueColumnAmt
Related Or Exempt Func Income	$86,105	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$260,838,138	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$900,091	TotalRevenueColumnAmt
Exclusion	$900,091	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$54,903	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$54,903	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$54,903	TotalRevenueColumnAmt
Exclusion	$54,903	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$525	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$525	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$525	TotalRevenueColumnAmt
Exclusion	$525	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA/VENDING	722514	$948,997	$948,997
OTHER REVENUE	900099	$4,325,202		$4,325,202

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	$5,274,199	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$267,887,742	TotalRevenueColumnAmt
Related Or Exempt Func Income	$265,163,340	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,904,516	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$113,100	TotalAmt
Program Services	$113,100	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,610,590	TotalAmt
Program Services	$2,028,832	ProgramServicesAmt
Management And General	$5,581,758	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$284,226	TotalAmt
Program Services	$75,769	ProgramServicesAmt
Management And General	$208,457	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$93,608,516	TotalAmt
Program Services	$87,511,476	ProgramServicesAmt
Management And General	$6,097,040	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	-$2,101,502	TotalAmt
Program Services	-$1,891,352	ProgramServicesAmt
Management And General	-$210,150	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,169,566	TotalAmt
Program Services	$11,438,572	ProgramServicesAmt
Management And General	$730,994	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,525,734	TotalAmt
Program Services	$6,133,750	ProgramServicesAmt
Management And General	$391,984	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$581,634	TotalAmt
Management And General	$581,634	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$630,486	TotalAmt
Management And General	$630,486	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$17,047	TotalAmt
Program Services	$17,047	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$49,246,946	TotalAmt
Program Services	$47,566,520	ProgramServicesAmt
Management And General	$1,680,426	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$762,804	TotalAmt
Program Services	$762,804	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,485,172	TotalAmt
Program Services	$6,427,193	ProgramServicesAmt
Management And General	$57,979	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,454,825	TotalAmt
Program Services	$15,454,825	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,553,153	TotalAmt
Program Services	$6,159,522	ProgramServicesAmt
Management And General	$393,631	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$528,926	TotalAmt
Program Services	$497,155	ProgramServicesAmt
Management And General	$31,771	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,887,618	TotalAmt
Program Services	$3,654,099	ProgramServicesAmt
Management And General	$233,519	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,073,425	TotalAmt
Program Services	$8,528,408	ProgramServicesAmt
Management And General	$545,017	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,978,854	TotalAmt
Program Services	$1,859,989	ProgramServicesAmt
Management And General	$118,865	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$42,136,255	$42,150,865	-$14,610
Dues & Subscriptions	$249,198	$75,551	$173,647
Symphony Service Fees	$1,803,177		$1,803,177
Other Miscellaneous	$1,817,048	$1,733,229	$83,819

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$259,416,798	TotalAmt
Program Services	$240,297,354	ProgramServicesAmt
Management And General	$19,119,444	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,359,502	BOYAmt
EOY	$3,100,811	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$28,336,079	BOYAmt
EOY	$34,438,204	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,611,297	BOYAmt
EOY	$5,480,210	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,706,048	BOYAmt
EOY	$2,118,472	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$264,721,439	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$189,299,873	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$73,082,826	BOYAmt
EOY	$75,421,566	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$15,395,132	BOYAmt
EOY	$15,780,654	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,908,714	BOYAmt
EOY	$14,322,313	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$244,984,840	BOYAmt
EOY	$200,440,726	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$379,384,438	BOYAmt
EOY	$351,102,956	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$28,734,040	BOYAmt
EOY	$23,726,071	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$118,809,317	BOYAmt
EOY	$121,363,618	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$147,543,357	BOYAmt
EOY	$145,089,689	EOYAmt

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$231,841,081	BOYAmt
EOY	$206,013,267	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$231,841,081	BOYAmt
EOY	$206,013,267	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$379,384,438	BOYAmt
EOY	$351,102,956	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,470,944	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$7,387,592	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$26,911,166	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$17,047	OtherActivitiesAmt
Total Lobbying Expenditures	$17,047	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	Part of St. Mary's annual dues paid to Michigan Health & Hospital Association (MHA) are used for lobbying activities, per prior communication from MHA. St. Mary's of Michigan Medical Center does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition of) any candidate for public office.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	Part of St. Mary's annual dues paid to Michigan Health & Hospital Association (MHA) are used for lobbying activities, per prior communication from MHA. St. Mary's of Michigan Medical Center does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition of) any candidate for public office.

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,261,190	OtherCostOrOtherBasisAmt
Book Value	$9,261,190	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$114,609,924	OtherCostOrOtherBasisAmt
Depreciation	$84,545,778	DepreciationAmt
Book Value	$30,064,146	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$119,325,893	OtherCostOrOtherBasisAmt
Depreciation	$94,402,861	DepreciationAmt
Book Value	$24,923,032	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,524,432	OtherCostOrOtherBasisAmt
Depreciation	$10,351,234	DepreciationAmt
Book Value	$11,173,198	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$75,421,566	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDesc	Book ValueBookValueAmt
INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE	$186,115,448
CONSTRUCTION IN PROGRESS
ASCENSION HEALTH DEFERRED COMPENSATION ASSET	$5,188,280
OTHER RECEIVABLES	$2,487,201
PENSION PLANS
INTERCOMPANY ACCOUNTS RECEIVABLE	$2,548,025
ADVANCES TO AFFILIATES
OTHER DEPOSITS	$15,522
ESTIMATED SETTLEMENTS FROM 3RD PARTY PAYOR	$3,115,952
ASSETS HELD FOR SALE, NET	$970,298

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$200,440,726	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
INTERCOMPANY DEBT WITH ASCENSION HEALTH ALLIANCE	$100,818,408
THIRD PARTY PAYABLE	$7,870,314
VALUATION ALLOWANCE
INTERCOMPANY PAYABLES	$3,361,855
CURRENT PORTION L/T DEBT
AH SAVINGS PLAN LIABILITIY	$1,332,357
CAPITAL LEASE OBLIGATIONS	$1,626,666
PHYSICIAN GUARANTEE LIABILITY	$64,888
PENSION PLAN LIABILITY	$6,289,130

Field	Value	IRS element (for citing)
Total Liability	$121,363,618	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	From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of St. Mary's of Michigan Medical Center: 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, 2016.	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
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$706,996	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$706,996	NetCommunityBenefitExpnsAmt
Total Expense	0.0027	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,734,310	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,764,864	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,969,446	NetCommunityBenefitExpnsAmt
Total Expense	0.0500	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	$47,441,306	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,764,864	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,676,442	NetCommunityBenefitExpnsAmt
Total Expense	0.0527	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$624,397	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$624,397	NetCommunityBenefitExpnsAmt
Total Expense	0.0024	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,113,908	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,113,908	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$240,704	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$240,704	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$222,483	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$222,483	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$6,201,492	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,113,908	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,087,584	NetCommunityBenefitExpnsAmt
Total Expense	0.0042	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$53,642,798	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,878,772	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,764,026	NetCommunityBenefitExpnsAmt
Total Expense	0.0569	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$10,534,379	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,057,096	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$102,858,726	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$113,760,209	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$10,901,483	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STMARY'S OF MICHIGAN MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 SOUTH WASHINGTON AVENUE	AddressLine1Txt
City	SAGINAW	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48601	ZIPCd

Field	Value	IRS element (for citing)
Website Address	http://www.stmarysofmichigan.org/	WebsiteAddressTxt
State License	730050	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	STMARY'S OF MICHIGAN MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	http://www.stmarysofmichigan.org/community-health	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	http://www.stmarysofmichigan.org/community-health	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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	300.0	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://www.stmarysofmichigan.org/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.stmarysofmichigan.org/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.stmarysofmichigan.org/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - ST.MARY'S OF MICHIGAN MEDICAL CENTER. INFORMATION WAS GATHERED THROUGH FOCUS GROUPS, NEIGHBORHOOD ASSOCIATION GROUPS, FAITH-BASED GROUPS, RESIDENTS, AND COMMUNITY SURVEYS AND AREA AGENCIES IN AN ATTEMPT TO ACQUIRE BROAD COMMUNITY INPUT REGARDING THEIR HEALTH CONCERNS. IN ADDITION, PUBLIC HEALTH EXPERTS INCLUDING SAGINAW COUNTY PUBLIC HEALTH OFFICER AND LOCAL PUBLIC HEALTH LEADERS WERE KEY PARTICIPANTS IN CHNA ASSESSMENT PLANNING, AND DEVELOPMENT OF ACTION PLANS. GROUPS WERE FACILITATED BY LOCAL AND NATIONAL PUBLIC HEALTH LEADERS.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - ST.MARY'S OF MICHIGAN MEDICAL CENTER. ST. MARY'S OF MICHIGAN MEDICAL CENTER COLLABORATED WITH THE FOLLOWING HOSPITAL ORGANIZATIONS IN CONDUCTING ITS MOST RECENT CHNA: - COVENANT HEALTHCARE
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - ST.MARY'S OF MICHIGAN MEDICAL CENTER. ST. MARY'S OF MICHIGAN MEDICAL CENTER COLLABORATED WITH THE FOLLOWING ORGANIZATIONS IN CONDUCTING ITS MOST RECENT CHNA: - SAGINAW COUNTY DEPARTMENT OF PUBLIC HEALTH - SAGINAW COUNTY COMMUNITY MENTAL HEALTH AUTHORITY - HEALTH DELIVERY INC. - FEDERALLY QUALIFIED HEALTH CENTERS - SAGINAW INTERMEDIATE SCHOOL DISTRICT - ALIGNMENT SAGINAW
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - ST.MARY'S OF MICHIGAN MEDICAL CENTER (SMOM). i) How the CHNA needs were met in FY 2016 for the old/previous CHNA that covered fiscal year 2014-2016 Prioritized Need 1: Chronic Disease - ST.MARY'S OF MICHIGAN MEDICAL CENTER (SMOM) recognizes the critical need to address diabetes in our community. SMOM's goal is to reach both SMOM patients, as well as those who are poor and vulnerable. SMOM has focused on diabetes nutrition and education through the DSME (Diabetes Self-Management Education) and diabetes PATH (Personal Action Towards Health) programs. SMOM has also leveraged the strengths of Ascension Mid-Michigan's current diabetes and nutrition programs to improve and grow the diabetes programming. SMOM has implemented and sustained the CDC recognized DPP (Diabetes Prevention Program) for patients who have been identified as pre-diabetics. The program aims to address access barriers for patients with pre-diabetes to participate and achieve improved, positive, measurable behavioral and clinical changes to their health. SMOM has also offered the Healthy Lifestyle Your Way program for patients with chronic diseases such as diabetes, hypertension and obesity. The program provides 1:1 lifestyle change coaching to patients. SMOM has strategically placed community health workers in the local provider offices and clinics to educate patients and gain referrals to the appropriate program/s. SMOM participated in the Million Hearts Learning Collaborative Project, a national initiative to prevent 1 million heart attacks and strokes by 2017. The Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services co-lead the initiative on behalf of the U.S. Department of Health and Human Services. The focus was on identifying individuals with undiagnosed hypertension and improving control of their blood pressure within both the undiagnosed and diagnoses population by 5% within Saginaw County. Prioritized Need 2: Obesity - SMOM has made it a priority to serve as a vital presence in the community to support physical activity and programing that meets community health needs and supports population health delivery. The SMOM Center of HOPE (off-site community center strategically placed in a neighborhood to meet people where they are) offers yoga, hustle-robotics, walking classes, Cooking Matters classes, and a robust youth education program. In partnership with MSU Extension, YMCA, and Beacon of Hope Church, the Center of HOPE offered the Summer Feeding youth education program. This offers kids within the community a safe and educational place to learn/practice healthy eating, physical activity, and life skills. Prioritized Need 3: Health Care/Insurance Access and Utilization of Services - SMOM offers 3 Free Medical Clinics (Naseau Clinic, Cathedral Clinic, Family Life Community Clinic) that bridge the uninsured to basic health care and provide medications and education until the patient receives health insurance and a primary care provider. SMOM Center of HOPE also operates a Community Benefit Pharmacy, providing medications for under/uninsured. Prioritized Need 4: Behavioral Health - St. Mary's COH has partnered with SCCMHA (Saginaw County Community Mental Health Authority) to provide Chronic Disease PATH classes for their severely mental ill participants. The Stanford Chronic Disease Self-Management Program (PATH) was developed and studied by Stanford University to help people learn to better manage their chronic disease(s). The class is a six-week workshop for 2 1/2 hour sessions each week. ii) List the programs from the new CHNA that the hospital will be addressing for fiscal year 2017-2019 SMOM will address the following priority health needs identified within the 2017 CHNA: 1. Health Conditions - Chronic Disease, Obesity 2. Social, Emotional, Behavioral Health - Nutrition and Healthy Eating 3. Access to Healthcare and Services/Accessibility Disparities - Outreach and awareness, Service Delivery, End of Life Care 4. Health Determinants - Health Insurance Enrollment Other: Human Trafficking, Access to Care (Veterans) 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, HIV/AIDS, Infant, Child, Maternal Health 2. Social, Emotional, Behavioral Health - Substance Abuse/Misuse, Tobacco Use/Misuse, Mental Health, Gun Violence, Teen Pregnancy 3. Access to Healthcare and Services/Accessibility Disparities - Affordability, Professional Development 4. Health Determinants - Race/Place/Income, Transportation, Poverty, Air/Environment hazards 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 areas listed that were not chosen, there are other service providers in the community better resourced to address these priorities, SMOM will work collaboratively with these organizations as appropriate to ensure optimal service coordination and utilization. SMOM will also participate on various committees to aid in coordination, provide support and remain informed on all plans to address identified health needs.

Field	Value	IRS element (for citing)
Facility	27	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (27 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
RIVERFRONT PULMONARY REHABILITATION
1015 S WASHINGTON AVENUE	SAGINAW	MI	48601	REHABILITATION CLINIC
NEUROSURGERY ASSOCIATES
4677 TOWNE CENTRE	SAGINAW	MI	48604	PHYSICIANS OFFICE
PINCONNING FAMILY MEDICINE
204 W THIRD ST	PINCONNING	MI	48650	PHYSICIANS OFFICE
PRIMARY HEALTH CARE
1320 N MICHIGAN AVE	SAGINAW	MI	48602	PHYSICIANS OFFICE
RIVERFRONT CARDIAC REHABILITATION
1015 S WASHINGTON AVENUE	SAGINAW	MI	48601	REHABILITATION CLINIC
STMARY'S OF MICHIGAN 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
CENTER OF HOPE
723 EMERSON STREET	SAGINAW	MI	48607	NEIGHBORHOOD SERVICES
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 DAVIS RD
7540 DAVIS ROAD	SAGINAW	MI	48604	RESPITE SERVICES
GUARDIAN ANGEL RESPITE CARE HOWARD ST
801 HOWARD STREET	SAGINAW	MI	48601	RESPITE SERVICES
HERITAGE FAMILY PHYSICIANS
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
PULMONARY & CRITICAL CARE ASSOCIATES
1015 S WASHINGTON AVENUE	SAGINAW	MI	48601	PHYSICIANS OFFICE
RIVERFRONT CARDIOLOGY
1015 S WASHINGTON AVENUE	SAGINAW	MI	48601	DIAGNOSTIC SERVICES
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
WOMANS HEALTH CENTER
4040 N EUCLID AVENUE SUITE B	BAY CITY	MI	48706	PHYSICIANS OFFICE
WOUND CARE & HYPERBARIC CENTER
4599 TOWNE CENTRE	SAGINAW	MI	48604	REHABILITATION AND OTHER OUTPATIENT CLINIC
SETON CANCER INSTITUTE
800 S WASHINGTON AVE	SAGINAW	MI	48601	CANCER TREATMENT CENTER

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 community benefit programs is estimated using internal cost data and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a costing 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 certain categories in the table this was a cost accounting system; in other categories, a specific cost-to-charge ratio was applied.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	Bad debt is estimated based on aging of patient accounts receivable. Contractual adjustment and bad debt write off percentages are calculated using a 12 month historical look back period.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	Bad debt is estimated based on aging of patient accounts receivable. Contractual adjustment and bad debt write off percentages are calculated using a 12 month historical look back period.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	From the consolidated audited financial statements of Ascension Health Alliance (which include the activity of St. Mary's of Michigan Medical Center): The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, 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. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted the Health Ministry follows established guidelines for placing certain past-due patient balances with 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 Health Ministry's policies.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	St. Mary's follows 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 that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply.
Schedule H, Part V, Section B, Line 16a FAP website	- ST.MARY'S OF MICHIGAN MEDICAL CENTER: Line 16a URL: https://www.stmarysofmichigan.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://www.stmarysofmichigan.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://www.stmarysofmichigan.org/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	St. Mary's of Michigan participated in a community collaborative and as a member of the Community Health Improvement Steering Committee to engage in the community's first comprehensive Community health needs assessment using MAPP Methodology with community driven strategic planning and action plans in 2010 and 2011 and completed its second CHNA assessment refresh in 2013-2014 for the years 2014 - 2016, and presented the CHNA assessment widely to community in March 2014 at a videotaped community engagement event bringing together community residents, neighborhood groups, local, STATE, and national service agencies, TV and newspaper media, public health officials, community foundations, and faith-based groups. Action Plan Development and Implementation Committees including community members have been ongoing each month since inception. In addition to data reviews from national state and local reporting agencies, surveys, focus groups, and reaching target areas of vulnerable populations including homeless, low-income elderly, minority, and disadvantaged population groups to prioritize health needs. The CHIP Team formed in 2009 with a vision of creating a healthier Saginaw community and a mission of developing a health improvement plan that would support and maintain a healthy community. This collaborative effort provides a unique opportunity to address health related issues and ideas in a broad forum with a diverse group of partners. The planning team identified as the Community Health Improvement (CHI) Key Partners is made up of representatives from private enterprise, faith and community based organizations, as well as educational and health and human services organizations. These groups had major participation in designing materials and activities aimed at implementing, promoting, and overseeing the success of the plan. Progress reports each year were developed and distributed to the public and key participating stakeholder agencies, and updated at Alignment Saginaw Collaborative. In this second CHNA refresh Prioritized Health indicators were Chronic Diseases Obesity, Infant Mortality, and Behavioral Health, with Determinants of Health of Access to Care and Utilization of Services, Neighborhood Safety, Parent Support, Transportation, and Health Prevention/Promotion. Plans and committees are in place to outline goals, strategies and activities related to these and included new development of an additional Health and Social Equity Work Group with action plans.
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	Saginaw County population was 193,307 in 2015. Population race was predominantly white at 76.5%, African American/Black at 19.4%, and Asian at 1.4%. Hispanic/Latino ethnicity make-up of approximately 8.2%. In 2015 the poverty rate for the County was at 18.6% 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 Medical Center is a member of Ascension Health ALLIANCE ("THE SYSTEM"). 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 health care facilities, or Health Ministries, located in 23 states and the District of Columbia. Ascension Health and its member organizations are hereafter referred to collectively as the System. SPONSORSHIP: 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. 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 themeans to pay. Discounts provided to those patients who did not qualify forassistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and other community benefit programs. The cost of providing care to persons living in poverty and other community benefit programs is estimated by reducing charges forgone by a factor derived from the ratio of each entity's total operating expenses to the entity's billed charges for patient care.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
American Heart Association
460 N Lindbergh Blvd	St Louis	MO	63141	135613797	501(c)(3)	$7,500	General Support
Hospital Hospitality House of Saginaw
1701 N Michigan Ave	Saginaw	MI	48602	382480414	501(c)(3)	$12,000	General Support
Saginaw Community Foundation
1 Tuscola Street	Saginaw	MI	48607	382474297	501(c)(3)	$15,000	General Support	Suite 100
Saginaw Future
515 N Washington Ave	Saginaw	MI	48601	383021995	501(c)3	$35,100	General Support
Tall Ship Celebration Bay City
PO Box 820	Bay City	MI	48707	352184140	501(c)(3)	$25,000	General Support
Mobile Medical Response Inc
834 S Washington Ave	Saginaw	MI	48601	383198397	501(c)(3)	$10,000	General Support
Pulse 3 Foundation
1015 S Washington Ave	Saginaw	MI	48601	383146518	501(c)(3)	$8,500	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	St. Mary's of Michigan Medical Center provides only direct contributions and other general support; therefore, no monitoring of charitable contributions is performed	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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
ELIZABETH ADERHOLDT
PRESIDENT & CEO	$460,156	$125,075	$0	$934,663	$0	$176,033	$0	$18,606	$0	$14,462	$460,156	$1,268,839	$0	$96,493
JO STUDLEY-MAY MD
TRUSTEE	$0	$270,962	$0	$0	$0	$192	$0	$43,609	$0	$3,056	$0	$317,819	$0	$0
GINA BUTCHER
CHIEF FINANCIAL OFFICER (END 1/29/15)	$23,481	$0	$0	$0	$245,714	$0	$792	$0	$11,627	$0	$281,614	$0	$0	$0
JOHN GRAHAM
PRESIDENT & CEO (END DATE 12/31/14)	$10,720	$0	$0	$0	$499,392	$0	$0	$0	$11,853	$0	$521,965	$0	$0	$0
NANCY HAYWOOD
CHIEF FINANCIAL OFFICER	$186,758	$173,998	$0	$23,333	$0	$35,169	$0	$19,448	$0	$25,698	$186,758	$277,646	$0	$0
CHARLES HUSSON DO
CHIEF MEDICAL OFFICER	$74,801	$289,116	$0	$23,600	$0	$49,882	$0	$18,368	$0	$3,039	$74,801	$384,005	$0	$0
CHERYL GUELDENZOPF
CHIEF ADMINISTRATIVE OFFICER	$125,923	$0	$0	$0	$1,585	$0	$8,208	$0	$14,404	$0	$150,121	$0	$0	$0
BERNARD JORE
VP- CNO	$188,781	$0	$0	$0	$11,594	$0	$12,299	$0	$19,056	$0	$231,730	$0	$0	$0
SHARON LEAMAN-CASE
VP-PROF & SUPP	$161,401	$0	$0	$0	$26,407	$0	$10,370	$0	$6,620	$0	$204,798	$0	$0	$0
MICHAEL LONG
PRESIDENT-PHYS ENT. (ENDS 8/2015)	$150,930	$0	$0	$0	$9,807	$0	$4,195	$0	$13,851	$0	$178,783	$0	$0	$0
RAGHURAM SARVEPALLI
VP -MEDICAL AFFAIRS	$582,905	$0	$0	$0	$78,956	$0	$17,225	$0	$30,384	$0	$709,470	$0	$0	$0
JOSEPH ADEL MD
PHYSICIAN	$1,107,619	$0	$0	$0	$740	$0	$13,250	$0	$26,565	$0	$1,148,174	$0	$0	$0
WAHEED AKBAR MD
PHYSICIAN	$805,459	$0	$0	$0	$5,369	$0	$14,575	$0	$14,914	$0	$840,318	$0	$0	$0
WILLIAM J PITTAS DO
PHYSICIAN	$592,376	$0	$24,140	$0	$1,584	$0	$14,575	$0	$8,969	$0	$641,643	$0	$0	$0
NAMAN SALIBI MD
PHYSICIAN	$2,073,883	$0	$58,639	$0	$15,358	$0	$13,250	$0	$34,237	$0	$2,195,367	$0	$0	$0
TAREK A TAHA MD
PHYSICIAN	$844,833	$0	$0	$0	$508	$0	$13,250	$0	$19,276	$0	$877,867	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	Ascension Health, a related organization of St. Mary's of Michigan Medical Center, uses the following to establish the compensation of the organization's President & CEO: -Compensation Committee, -Independent Compensation Consultant, -Compensation Survey or Study, and -Approval by the Board or Compensation Committee.
Schedule J, Part I, Line 4a Severance or change-of-control payment	Eligible executives receive severance payment contingent solely upon the person's severance from service in specified circumstances, such as upon an involuntary separation from service or under a separation or termination agreement voluntarily entered into by the parties. Severance payments made in calendar year 2015 were paid to: Michael Long - $8,160 Gina Butcher - $245,180 John Graham - $499,392
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. 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 to the executive is reported as compensation on Form 990, Schedule J, Part II, column B in the year paid.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part IV, Line 20b Explanation of Financial Statements	The activity of ST. MARY'S OF MICHIGAN MEDICAL CENTER is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of ST. MARY'S OF MICHIGAN MEDICAL CENTER 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 MEDICAL CENTER.
Form 990, Part VI, Line 6 Classes of members or stockholders	St. Mary's Of Michigan Medical Center has a single corporate member, St. Mary's - St. Joseph Health System.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	St. Mary's of Michigan Medical Center has a single corporate member, St. Mary's - St. Joseph Health System, who has the ability to elect members to the governing body of St. Mary's of Michigan Medical Center.
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 Medical Center financial information or corporation as a whole are subject to approval by its sole corporate member, St. Mary's - St. Joseph Health System.
Form 990, Part VI, Line 11b Review of form 990 by governing body	Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form 990 to a designated committee of the Board to review and answer any questions. Prior to filing the returns, all Board members are provided the Form 990 and management team members are available to answer any Board member questions.
Form 990, Part VI, Line 12c Conflict of interest policy	The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Line 19 Required documents available to the public	The organization will provide any documents open to public inspection upon request.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Billing Arrangements - Total Revenue: 20812, Related or Exempt Function Revenue: 20812, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Intercompany Rent - Total Revenue: 65293, Related or Exempt Function Revenue: 65293, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	DIETARY - Total Expense: 3565204, Program Service Expense: 3565204, Management and General Expenses: , Fundraising Expenses: ; LAUNDRY - Total Expense: 904321, Program Service Expense: 904321, Management and General Expenses: , Fundraising Expenses: ; OTHER PROFESSIONAL SERVICES - Total Expense: 5755807, Program Service Expense: 5410071, Management and General Expenses: 345736, Fundraising Expenses: ; MEDICAL CONTRACTORS - Total Expense: 16396603, Program Service Expense: 16396603, Management and General Expenses: , Fundraising Expenses: ; Reference lab - Total Expense: 338249, Program Service Expense: 338249, Management and General Expenses: , Fundraising Expenses: ; Medical Transportation - Total Expense: 66879, Program Service Expense: 66879, Management and General Expenses: , Fundraising Expenses: ; OTHER CONTRACT SERVICES - Total Expense: 22219883, Program Service Expense: 20885193, Management and General Expenses: 1334690, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Transfers to affiliates - -9727361; Pension and Post Retirement Costs Ascension Admin - -17183805;
DOING BUSINESS AS	St. Mary's of Michigan Primary Healthcare Pinconning Family Medicine St. Mary's Wound Care St. Mary's Medical Oncology St. Mary's Emergency Room Physician Group St. Mary's of Michigan - Neurosurgery St. Mary's Emergency Physicians St. Mary's of Michigan Hospital St. Mary's of Michigan Medical Center St. Mary's Riverfront Cardiology St. Mary's Orthopedics St. Mary's of Michigan Coumadin Clinic St. Mary's Pulmonary & Critical Care Associates St. Mary's of Michigan Specialty Rehabilitation Center St. Mary's Plastic, Reconstructive, Cosmetic and Hand Surgery St. Mary's Pathology St. Mary's Trauma St. Mary's of Michigan Community Pharmacy Assistance Program EMS of Saginaw Emergency Medical Services of Saginaw, Inc. Saint Mary's Flightcare St. Mary's of Michigan Flightcare St. Mary's of Michigan Gratiot Family Practice St. Mary's of Michigan Physical Rehabilitation Center St. Mary's of Michigan Women;s Health Center St. Mary's of Michigan Vassar St. Mary's of Michigan - Dr. Ruth Licht St. Mary's of Michigan Birch Run St. Mary's of Michigan Chesaning St. Mary's of Michigan Frankenmuth St. Mary's of Michigan Guardian Angel Respite & Adult Day Services St. Mary's of Michigan Medical Imaging St. Mary's of Michigan Rehab- Towne Centre St. Mary's of Michigan Respite Care St. Mary's of Michigan Saginaw Valley Pediatrics St. Mary's of Michigan Seton Cancer Institute St. Mary's of Michigan Spine and Rehabilitation Services St. Mary's of Michigan Heritage Family Physicians St. Mary's Medical Center of Saginaw St. Mary's St. Mary's Ambulatory Care Center Michigan Spine and Rehab Center St. Mary's of Michigan Walk-In Clinic Saint Mary's of Michigan Flightcare

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (37 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	9	ASCENSION HEALTH	false
ST JOHN PROVIDENCE
28000 DEQUINDRE ROAD	WARREN	MI	48092	382244034	PARENT	MI	501(c)(3	Type III-FI	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)
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 RIVER DISTRICT HOSPITAL
4100 RIVER ROAD	EAST CHINA	MI	48054	383160564	HOSPITAL	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)
REVERENCE HOME HEALTH & HOSPICE
5445 ALI DRIVE DEPT 800	GRAND BLANC	MI	484395172	383408684	HEALTH CARE	MI	501(c)(3	7	ST JOHN PROVIDENCE	Yes (true)
EASTWOOD COMMUNITY CLINICS
28000 DEQUINDRE ROAD	WARREN	MI	48092	381958763	HEALTH CARE	MI	501(c)(3	9	ST JOHN PROVIDENCE	Yes (true)
ST JOHN PROVIDENCE PHYSICIANS CMG
28000 DEQUINDRE ROAD	WARREN	MI	48092	382601348	HEALTH CARE	MI	501(c)(3	9	ST JOHN PROVIDENCE	Yes (true)
MEDICAL RESOURCES GROUP
43800 GARFIELD	CLINTON TOWNSHIP	MI	48038	383494637	HEALTH CARE	MI	501(c)(3	9	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	9	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)
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)
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)
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)
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)
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)
LEE MEMORIAL HOSPITAL CORPORATION
420 WEST HIGH STREET	DOWAGIAC	MI	49047	381490190	HEALTHCARE SERVICES	MI	501(c)(3	3	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)
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)
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)
PROMED HEALTHCARE
1521 GULL ROAD	KALAMAZOO	MI	49048	383193801	HEALTHCARE SERVICES	MI	501(c)(3	9	BORGESS HEALTH ALLIANCE INC	Yes (true)
ST MARY'S - ST JOSEPH HEALTH SYSTEM
800 S WASHINGTON AVENUE	SAGINAW	MI	48601	461084363	SUPPORTING ORGANIZATION	MI	501(c)(3	Type III-FI	ASCENSION MICHIGAN	Yes (true)
STANDISH COMMUNITY HOSPITAL
805 WEST CEDEAR STREET	STANDISH	MI	48658	381671120	HOSPITAL	MI	501(c)(3	3	ASCENSION MICHIGAN	Yes (true)
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)
FIELD NEUROSCIENCES INSTITUTE
800 S WASHINGTON AVENUE	SAGINAW	MI	48601	382790703	MEDICAL RESEARCH ORGANIZATION	MI	501(c)(3	9	STMARY'S OF MICHIGAN MEDICAL CENTER	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 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)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
TOWNE CENTRE SURGERY CENTER
4599 TOWNE CENTRE	SAGINAW	MI	48604	204943843	OUTPATIENT SERVICES	MI	STMARY'S OF MICHIGAN MEDICAL CENTER	Related	-$152,723	$3,426,086	false	$0	Yes (true)	0.53333
ADVENT PARTNERS LP
28000 DEQUINDRE	WARREN	MI	48092	383544539	RENTAL REAL ESTATE	MI	NA	N/A						0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
St Mary's Health
800 S Washington Avenue	Saginaw	MI	48601	383477017	Inactive	MI	St Mary's of Michigan	C Corporation	$0	$0	1	Yes (true)
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)
TEXTILE SYSTEMS INC
817 WALBRIDGE	KALAMAZOO	MI	49007	382705047	LAUNDRY SERVICES	MI	NA	C Corporation				Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	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 (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
St Mary's Medical Center Foundation
C	$525,108	Actual amount transferred
St Mary's Medical Center Foundation
B	$284,138	Actual Amount Transferred
St Mary's Medical Center Foundation
Q	$117,913	Actual Amount Transferred
Field Neurosciences Institute
B	$829,443	Actual Amount Transferred
Field Neurosciences Institute
Q	$56,326	Actual Amount Transferred
Standish Community Hospital
O	$324,192	Actual Amount Transferred
Standish Community Hospital
K	$1,784,777	Actual Amount Transferred
Standish Community Hospital
Q	$16,252,423	Actual Amount Transferred
Standish Community Hospital
P	$19,631,090	Actual Amount Transferred
Genesys Regional Medical Center
P	$2,362,681	Actual amounts transferred
Genesys Regional Medical Center
Q	$56,192	Actual amounts transferred