BEACON HEALTH ALLIANCE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BEACON HEALTH ALLIANCE INC (EIN 38-2335286)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201401349349306345
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-14T17:17:23-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1250 East Fifth Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382335286EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Borgess Health Alliance IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBORGNameControl
Phone2692268301Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11521 Gull RoadAddressLine1
CityKalamazooCity
StateMIState
ZIP Code490481640ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRichard FelbingerName
TitleCFOTitle
Phone2692268301Phone
Date Signed2014-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAlicia M JanischName
PTINP00741382PTIN
Phone5137847100Phone
Date Prepared2014-05-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPaul A SpaudeNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11521 Gull RoadAddressLine1
CityKalamazooCity
StateMIState
ZIP Code490481640ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5929450GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.borgess.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionServing more than 1 million people through a network of hospitals & healthcare facilities.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers18TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3287168ProgramServiceRevenuePriorYear
Program Service Revenue CY4462744ProgramServiceRevenueCY
Investment Income Prior Year110816InvestmentIncomePriorYear
Investment Income Current Year146901InvestmentIncomeCurrentYear
Other Revenue Prior Year50272OtherRevenuePriorYear
Other Revenue Current Year216706OtherRevenueCurrentYear
Total Revenue Prior Year3448256TotalRevenuePriorYear
Total Revenue Current Year4826351TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year6373725SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2394282OtherExpensePriorYear
Other Expenses Current Year46146865OtherExpensesCurrentYear
Total Expenses Prior Year2394282TotalExpensesPriorYear
Total Expenses Current Year52520590TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1053974RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-47694239RevenuesLessExpensesCY
Total Assets BOY4660333TotalAssetsBOY
Total Assets EOY10928315TotalAssetsEOY
Total Liabilities BOY1457059TotalLiabilitiesBOY
Total Liabilities EOY1621319TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3203274NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9306996NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe purpose of Borgess Health is to be a values-based health system continuing the healing mission of the Sisters of St. Joseph and responding to the needs of those we serve. Our commitment to those we serve respects the dignity of human life and actively responds to the needs of the poor.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense29077499Expense
Revenue4462744Revenue
DescriptionTogether, our physicians, associates and members offer a complete continuum of services to nearly 1 million people living in 10 counties in southwest Michigan. Delivering comprehensive prevention, primary care, advanced treatment programs and rehabilitation services, Borgess Health is one of the area's largest health care providers and employers. Borgess Health includes Borgess Medical Center, our flagship hospital, along with many owned or affiliated entities.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Revenue216706Revenue
DescriptionBorgess Health Alliance, Inc. hosts information seminars and provides other health care services to the public regarding changes foreseen in the healthcare industry.Description
FieldValueIRS element (for citing)
Total Program Service Expense29077499TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109646NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Richard FelbingerBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2692265499TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11521 Gull RoadAddressLine1
CityKalamazooCity
StateMIState
ZIP Code49024ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Daniel E Stewart MD
Chair1.003.00XX000
James Devlin
Vice Chair1.003.00XX000
Joni L Knapper
Secretary1.003.00XX000
Susan Pozo PhD
Treasurer1.003.00XX000
Sanjay Dalal MD
Trustee1.003.00X000
S Tim Derrington
Trustee1.003.00X000
Gary Druskovich MD
Trustee1.003.00X000
Mary Ellen Gondeck CSJ
Trustee1.003.00X000
William M Harrison
Trustee1.003.00X000
James F Hettinger
Trustee1.003.00X000
Kevin Holleman MD
Trustee1.003.00X000
Albert Little
Trustee1.003.00X000
Larry D Lueth
Trustee1.003.00X000
Mark Noffsinger MD Sch O
Trustee1.003.00X090760150072
Paul A Spaude
CEO - Health System1.0039.00XX01377283144295
Richard Felbinger
CFO - Health System1.0039.00X048474577766
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2769629TotalReportableCompFrmRltdOrgs
Total Other Compensation272133TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionJoint Venture RevenueDescription
Business Code532000BusinessCode
Total Revenue Column4462744TotalRevenueColumn
Related Or Exempt Function Income4462744RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4462744TotalProgramServiceRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1250000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1103099Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other146901Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column146901TotalRevenueColumn
Exclusion$146,901ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
IS Support Revenue6219908946689466
Bad Debt Collections9000997775177751
Seminar Income62199016701670

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column47819TotalRevenueColumn
Related Or Exempt Function Income47819RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue216706TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4826351TotalRevenueColumn
Related Or Exempt Function Income4679450RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$146,901ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5920296Total
Program Services296015ProgramServices
Management And General5624281ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total159666Total
Program Services7983ProgramServices
Management And General151683ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total293763Total
Program Services14688ProgramServices
Management And General279075ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total847519Total
Management And General847519ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2937549Total
Program Services1166014ProgramServices
Management And General1771535ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1416844Total
Management And General1416844ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total476802Total
Program Services23840ProgramServices
Management And General452962ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total30096580Total
Program Services27086922ProgramServices
Management And General3009658ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3028085Total
Program Services151404ProgramServices
Management And General2876681ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total85604Total
Management And General85604ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total3797231Total
Program Services189862ProgramServices
Management And General3607369ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total20934Total
Program Services20934ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Contract Service20550391027521952287
Recruiting973106973106
Minor Equipment25323112662240569
Supplies6987969879

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total88462Total
Program Services4423ProgramServices
Management And General84039ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total52520590Total
Program Services29077499ProgramServices
Management And General23443091ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY670364EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY93891BOY
EOY373719EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1457059BOY
EOY1300725EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY167657EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis690000LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec245748LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY465186BOY
EOY444252EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2644197BOY
EOY7519053EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY452545EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4660333BOY
EOY10928315EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY0BOY
EOY320594EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1457059BOY
EOY1300725EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1457059BOY
EOY1621319EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3203274BOY
EOY9153713EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY153283EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3203274BOY
EOY9306996EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4660333BOY
EOY10928315EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-47694239ReconcilationRevenueExpenses
Reconciliation Unrealized Invest27291ReconciliationUnrealizedInvest
Reconcilation Other Changes53770670ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1Borgess Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
EIN381360526EIN
Type Of Organization3 - HospitalTypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$46,401,716Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts46401716SumOfAmounts

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis50000OtherCostOrOtherBasis
Book Value50000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis640000OtherCostOrOtherBasis
Depreciation245748Depreciation
Book Value394252BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings444252TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Woodbridge Center, LLC831886C
Reverence1085810C
SMIC, LLC1681224C
Kalamazoo Foundation2779090C
Other1141043C
FieldValueIRS element (for citing)
Total Of Book Value Program Related7519053TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to Borgess Medical CenterDescription
Amount$1,300,725Amount
FieldValueIRS element (for citing)
Total Of Amounts1300725TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Mark Noffsinger MD Sch O
Trustee07474260115007045168019927030145095767300
Paul A Spaude
CEO - Health System0499198083312904495601267740175210152157800
Richard Felbinger
CFO - Health System02902650155750038730056617021149056251100

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 3Borgess Medical Center, a related organization of Borgess Health Alliance, Inc., uses the following to establish the compensation fo the organization's CEO: -Compensation Committee, -Written Employment Contract, -Compensation Survey or Study, and -Approval by the Board or Compensation Committee
Part I, Line 4bEligible Executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon to facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. Neither contributions to nor distributions from the supplemental nonqualified retirement plan were made in the current year.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
New Program ServicesForm 990, Part III, line 2Borgess Health Alliance, Inc. now reports all of the overhead functions for the Borgess Health System. All of the expenses are now run through Borgess Health Alliance, Inc. instead of allocated to each individual entity.
Form 990, Part VI, Section A, line 6Borgess Health Alliance, Inc. has a single corporate member, Ascension Health.
Form 990, Part VI, Section A, line 7aBorgess Health Alliance, Inc. has a single corporate member, Ascension Health, who has the ability to elect members of the governing body of the Borgess Health Alliance, Inc.
Form 990, Part VI, Section A, line 7bAscension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.
Form 990, Part VI, Section B, line 11Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members' questions.
Form 990, Part VI, Section B, line 12cThe 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 meeting will decide if conflict of interest exists. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Section B, line 15In determining compensation of the organization's CEO, the process performed by Borgess Medical Center (a related organization who paid the CEO) included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Executive/Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals that worked at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the Executive Committee minutes. The individual was not present when his compensation was decided. In determining compensation of other officers of the organization, the process performed by Borgess Medical Center (a related organization who paid the other officer),included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Executive/Compensation committee reviewed and approved the compensation. In the review of the compensation, the other officers was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the Executive Committee minutes.
Form 990, Part VI, Section C, line 19The organization will provide any documents open to public inspection upon request.
Explanation of Compensation Paid to Mark Noffsinger:Form 990, Part VII, Section A:The Compensation paid to Mark Noffsinger reflects payment for his services as Physician at Borgess Medical Center, a related organization, not remuneration for his participation on the Board of Trustees of Borgess Health Alliance, Inc.
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 9:Transfer from Borgess Medical Center 46,401,716. Transfer from Visiting Nurse & Hospice Services of SW Michigan 7,368,954.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Ascension Health
PO box 45998St LouisMO63134311662309National Health SystemMOSection 501(c)(3)Schedule A, Line 11aAscension Health Alliance0
Borgess Medical Center
1521 Gull RoadKalamazooMI49048381360526Healthcare ServicesMISection 501(c)(3)Schedule A, Line 3Borgess Health Alliance Inc1
Borgess Ambulatory Care Corporation
1521 Gull RoadKalamazooMI49048382468823Holding CompanyMISection 501(c)(3)Schedule A, Line 3Borgess Health Alliance Inc1
Borgess Foundation
1521 Gull RoadKalamazooMI49048237222558FundraisingMISection 501(c)(3)Schedule A, Line 11cBorgess Health Alliance Inc1
Borgess Nursing Home
3057 Gull RoadKalamazooMI490481281382555589Residential CareMISection 501(c)(3)Schedule A, Line 3Borgess Health Alliance Inc1
Lee Memorial Hospital Corporation
420 W High StreetDowagiacMI49047381490190Healthcare ServicesMISection 501(c)(3)Schedule A, Line 3Borgess Health Alliance Inc1
Lee Memorial Foundation
420 W High StreetDowagiacMI49047382860459FundraisingMISection 501(c)(3)Schedule A, Line 11cBorgess Health Alliance Inc1
ProMed Healthcare
1521 Gull RoadKalamazooMI49048383193801Healthcare ServicesMISection 501(c)(3)Schedule A, Line 9Borgess Health Alliance Inc1
Visiting Nurse & Hospice Services of SW MI
348 North BurdickKalamazooMI49007381259216Home Nursing and Rehabilitation ServicesMISection 501(c)(3)Schedule A, Line 9Borgess Health Alliance Inc1
Visiting Nurses Home Care DBA Borgess VNA Home Care
348 North BurdickKalamazooMI49007382717691Home Healthcare ServicesMISection 501(c)(3)Schedule A, Line 9Borgess Health Alliance Inc1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Textile Systems IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1817 WalbridgeAddressLine1
CityKalamazooCity
StateMIState
ZIP Code49007ZIPCode
FieldValueIRS element (for citing)
EIN382705047EIN
Primary ActivityLaundry ServicesPrimaryActivity
Legal Domicile StateMILegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Borgess Medical Center
R46401716FMV
Visiting Nurse and Hospice Services of SW Michigan
S7368954FMV

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