MYMICHIGAN MEDICAL CENTER SAGINAW: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MYMICHIGAN MEDICAL CENTER SAGINAW (EIN 38-0997730)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201401359349302020
- 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
- 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) |
|---|---|---|
| Timestamp | 2014-05-15T08:28:26-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 East Fifth Street Suite 1900 | AddressLine1 |
| City | Cincinnati | City |
| State | OH | State |
| ZIP Code | 45202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 380997730 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's of Michigan Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STMA | NameControl |
| Phone | 9899078000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 South Washington Avenue | AddressLine1 |
| City | Saginaw | City |
| State | MI | State |
| ZIP Code | 48601 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Gina Butcher | Name |
| Title | CFO | Title |
| Phone | 9899078000 | Phone |
| Date Signed | 2014-05-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Alicia M Janisch | Name |
| PTIN | P00741382 | PTIN |
| Phone | 5137847100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Medical Center of Saginaw | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Gina Butcher | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 South Washington Avenue | AddressLine1 |
| City | Saginaw | City |
| State | MI | State |
| ZIP Code | 48601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 255427657 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.stmarysofmichigan.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1874 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | Provide medical services which strengthen the healing mission of the Catholic Church. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2713 | TotalNbrEmployees |
| Total Nbr Volunteers | 229 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1194796 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 683397 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 263481428 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 238762384 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 13377846 | InvestmentIncomePriorYear |
| Investment Income Current Year | 12639484 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 20114201 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3342392 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 298168271 | TotalRevenuePriorYear |
| Total Revenue Current Year | 255427657 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 167800 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1079203 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 119235520 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 121066193 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 132634105 | OtherExpensePriorYear |
| Other Expenses Current Year | 134256096 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 252037425 | TotalExpensesPriorYear |
| Total Expenses Current Year | 256401492 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 46130846 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -973835 | RevenuesLessExpensesCY |
| Total Assets BOY | 411916590 | TotalAssetsBOY |
| Total Assets EOY | 413662767 | TotalAssetsEOY |
| Total Liabilities BOY | 143924116 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 147236357 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 267992474 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 266426410 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 239752221 | Expense |
| Grants | 1079203 | Grants |
| Revenue | 238400014 | Revenue |
| Description | 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 54% 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, 2013, the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaled $9,744,509. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 704500 | Expense |
| Revenue | 704500 | Revenue |
| Description | Towne Centre Surgery Center Revenue - Rental revenue received from the Towne Centre Surgery Center joint venture. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 827197 | Expense |
| Revenue | 827197 | Revenue |
| Description | Respite Adult Day Care Revenue - 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 241283918 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 213 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2713 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Melissa Compton | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9899077609 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 South Washington | AddressLine1 |
| City | Saginaw | City |
| State | MI | State |
| ZIP Code | 48601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| James Van Tifflin | |||||||||
| Chairman | 1.00 | 0.00 | X | X | 0 | 0 | 0 | ||
| Jim Whitlock | |||||||||
| Vice-Chairman | 1.00 | 0.00 | X | X | 0 | 0 | 0 | ||
| Paul Furlo | |||||||||
| Secretary | 1.00 | 0.00 | X | X | 0 | 0 | 0 | ||
| Waheed Akbar MD Sch O | |||||||||
| Board Member | 43.00 | 2.00 | X | 1049021 | 0 | 6410 | |||
| Brian Chermside | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Dr Rao Gudipati | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Sr Sharon Hagen Start 413 | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Bapineedu Maganti | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Sr Honora Remes End 113 | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| John Graham | |||||||||
| President & CEO | 42.00 | 3.00 | X | X | 1243097 | 0 | 8958 | ||
| Gina Butcher | |||||||||
| Chief Financial Officer | 43.00 | 2.00 | X | 214870 | 0 | 5814 | |||
| Richard Ohle | |||||||||
| Chief Operating Officer | 45.00 | 0.00 | X | 313576 | 0 | 10349 | |||
| Michael Long | |||||||||
| VP - Hospital Admin | 45.00 | 0.00 | 226376 | 0 | 5631 | X | |||
| Cheri Sammis-Berman | |||||||||
| VP - Mission Services | 45.00 | 0.00 | 181261 | 0 | 9443 | X | |||
| Raghuram Sarvepalli MD | |||||||||
| VP - Medical Affairs | 45.00 | 0.00 | 569535 | 0 | 7754 | X | |||
| Bernard Jore | |||||||||
| VP - CNO | 45.00 | 0.00 | 194494 | 0 | 6184 | X | |||
| William J Pittas | |||||||||
| Physician | 45.00 | 0.00 | 839446 | 0 | 7594 | X | |||
| Pradip Bhattacharyya | |||||||||
| Physician | 45.00 | 0.00 | 452577 | 0 | 7657 | X | |||
| Weichen Wang | |||||||||
| Physician | 45.00 | 0.00 | 460443 | 0 | 9430 | X | |||
| Bhramaramba Sarvepalli | |||||||||
| Physician | 45.00 | 0.00 | 534433 | 0 | 7573 | X | |||
| Brent Boggess | |||||||||
| Physician | 45.00 | 0.00 | 444317 | 0 | 7350 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6723446 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 100147 | TotalOtherCompensation |
| Number Individuals GT100 K | 110 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Michigan Cardiovascular | |||||
| 1015 S Washington | Saginaw | MI | 48601 | Physician Services | 11218842 |
| HealthCare Services Inc | |||||
| 401 N Michigan Avenue - Suite 2700 | Chicago | IL | 60611 | Consulting Services | 8345441 |
| TriMedx LLC | |||||
| 6325 Digital Way - Suite 400 | Indianapolis | IN | 46278 | Equipment Maintenance | 5614514 |
| Omniflight Helicopters | |||||
| PO Box 172892 | Denver | CO | 802172892 | Flightcare Services | 1439466 |
| Timberline Emergency | |||||
| 4677 Town Center Blvd Suite 302 | Saginaw | MI | 48604 | Emergency Physician Services | 1299575 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 51 | NumberOfContractorsGT100K |
| Related Organizations | 683397 | RelatedOrganizations |
| Total Contributions | 683397 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net Patient Revenue | 621990 | 236277405 | 236277405 |
| Program Related JV | 621400 | 925279 | 925279 |
| Adult Day Care | 623990 | 827197 | 827197 |
| Healthsource Revenue | 621400 | 578060 | 578060 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 154443 | TotalRevenueColumn |
| Related Or Exempt Function Income | 154443 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 238762384 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12639082 | TotalRevenueColumn |
| Exclusion | $12,639,082 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 21272 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 21272 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21272 | TotalRevenueColumn |
| Exclusion | $21,272 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 402 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 402 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 402 | TotalRevenueColumn |
| Exclusion | $402 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| Cafeteria/Vending | 722210 | 1124496 | $1,124,496 | |
| EMR Incentives | 900099 | 1070168 | 1070168 | |
| Medical Records Copies | 900099 | 99159 | 99159 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1027297 | TotalRevenueColumn |
| Exclusion | $1,027,297 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3321120 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 255427657 | TotalRevenueColumn |
| Related Or Exempt Function Income | 239931711 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $14,812,549 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1079203 | Total |
| Program Services | 1079203 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4052773 | Total |
| Program Services | 1055431 | ProgramServices |
| Management And General | 2997342 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96042435 | Total |
| Program Services | 91094689 | ProgramServices |
| Management And General | 4947746 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 164552 | Total |
| Program Services | 148097 | ProgramServices |
| Management And General | 16455 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13664574 | Total |
| Program Services | 12751582 | ProgramServices |
| Management And General | 912992 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7141859 | Total |
| Program Services | 6732032 | ProgramServices |
| Management And General | 409827 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 492996 | Total |
| Management And General | 492996 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 472020 | Total |
| Management And General | 472020 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17544 | Total |
| Management And General | 17544 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59222314 | Total |
| Program Services | 56722771 | ProgramServices |
| Management And General | 2499543 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 738886 | Total |
| Program Services | 738886 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1022521 | Total |
| Program Services | 995781 | ProgramServices |
| Management And General | 26740 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6138525 | Total |
| Program Services | 5728382 | ProgramServices |
| Management And General | 410143 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 436374 | Total |
| Program Services | 328887 | ProgramServices |
| Management And General | 107487 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3835989 | Total |
| Program Services | 3579689 | ProgramServices |
| Management And General | 256300 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2157387 | Total |
| Program Services | 2013242 | ProgramServices |
| Management And General | 144145 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7910097 | Total |
| Program Services | 7381588 | ProgramServices |
| Management And General | 528509 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1545612 | Total |
| Program Services | 1442343 | ProgramServices |
| Management And General | 103269 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Supplies | 40331927 | 39932908 | 399019 |
| Equip Rent & Maint. | 8161203 | 8151237 | 9966 |
| Meals & Catering | 202302 | 180430 | 21872 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1570399 | Total |
| Program Services | 1226740 | ProgramServices |
| Management And General | 343659 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 256401492 | Total |
| Program Services | 241283918 | ProgramServices |
| Management And General | 15117574 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7127519 | BOY |
| EOY | 6505189 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43473610 | BOY |
| EOY | 33441172 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5294380 | BOY |
| EOY | 4929061 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1184616 | BOY |
| EOY | 2224251 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 293460872 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 210671841 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85910924 | BOY |
| EOY | 82789031 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12481182 | BOY |
| EOY | 13712659 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 125129 | BOY |
| EOY | 75929 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 256319230 | BOY |
| EOY | 269985475 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 411916590 | BOY |
| EOY | 413662767 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28562510 | BOY |
| EOY | 30002973 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115361606 | BOY |
| EOY | 117233384 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143924116 | BOY |
| EOY | 147236357 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267992474 | BOY |
| EOY | 266426410 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267992474 | BOY |
| EOY | 266426410 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 411916590 | BOY |
| EOY | 413662767 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -973835 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 8450075 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -9042304 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Political Expenditures | 0 | PoliticalExpenditures |
| Volunteer Hours | 0 | VolunteerHours |
| Amt Of4955 Tax | 0 | AmtOf4955Tax |
| Amt Of4955 Tax On Managers | 0 | AmtOf4955TaxOnManagers |
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $17,544 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 17544 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part IV, Supplemental Information: | Identifier |
| Explanation | Part II-B: Every year we pay a Michigan Health & Hospital Association (MHA) Membership Renewal Invoice. Per the invoice, 18.67% of the MHA's budgets supports lobbying activities. Therefore, 18.67% of our annual dues of $93,971 ($17,544) supports lobbying activities. 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. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10561312 | OtherCostOrOtherBasis |
| Book Value | 10561312 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 96992474 | OtherCostOrOtherBasis |
| Depreciation | 66507187 | Depreciation |
| Book Value | 30485287 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4906312 | OtherCostOrOtherBasis |
| Depreciation | 4906312 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 176344663 | OtherCostOrOtherBasis |
| Depreciation | 134602231 | Depreciation |
| Book Value | 41742432 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4656111 | OtherCostOrOtherBasis |
| Depreciation | 4656111 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 82789031 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Interest in Investments held by Ascension Health Alliance | 238851929 |
| Construction in Progress | 18557738 |
| Other Receivables | 5690667 |
| Ascension Health Deferred Compensation Asset | 3609403 |
| Pension Plan | 3046187 |
| Trimedx AR | 193819 |
| Other Miscellaneous Assets | 35732 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 269985475 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Intercompany Payables | $106,797,533 |
| Third Party Payable | $7,621,083 |
| Valuation Allowance | $1,550,000 |
| AH Savings Plan Liability | $1,264,768 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 117233384 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5699774 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5699774 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02220 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24764598 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22845548 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1919050 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00750 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 30464372 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22845548 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7618824 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02970 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5054825 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4734294 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 320531 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 522245 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 522245 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 300908 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 300908 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5877978 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4734294 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1143684 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00450 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 36342350 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27579842 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8762508 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03420 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 444955 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 444955 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 444955 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 444955 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $9,396,094 | BadDebtExpenseAmount |
| Amount Attributable To | 1757070 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 104725747 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 114805053 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -10079306 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's of Michigan Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 S Washington Avenue | AddressLine1 |
| City | Saginaw | City |
| State | MI | State |
| ZIP Code | 48601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.stmarysofmichigan.org | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's of Michigan Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 10 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 0 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (30 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Riverfront Pulmonary Rehabilitation | ||||
| 1015 S Washington Avenue | Saginaw | MI | 48601 | Rehabilitation Clinic |
| Riverfront Cardiac Rehabilitation | ||||
| 1015 S Washington Avenue | Saginaw | MI | 48601 | Rehabilitation Clinic |
| St Mary's of Michigan Towne Centre | ||||
| 4599 Towne Centre Road | Saginaw | MI | 48604 | Emergency Room and other OP Services and Diagnostic center |
| Bay City | ||||
| 4040 N Euclid Avenue | Bay City | MI | 48706 | Physicians Office 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 Family Practice | ||||
| 5810 Gratiot Suite B | Saginaw | MI | 48638 | 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 |
| Home Health Care and Hospice | ||||
| 716 German Street | Tawas City | MI | 48763 | Home Care and Hospice Services |
| Orthopedics | ||||
| 4701 Towne Centre Road Suite 303 | Saginaw | MI | 48604 | Physicians Office |
| Plastic Reconstructive & Hand Surgery | ||||
| 4705 Towne Centre Road | Saginaw | MI | 48604 | Physicians Office |
| Pulmonary & Critical Care Associates | ||||
| 1015 S Washington Avenue | Saginaw | MI | 48601 | Physicians Office |
| Riverfront Rehabilitation | ||||
| 1015 S Washington Avenue | Saginaw | MI | 48601 | Rehabilitation Clinic |
| Riverfront Cardiology | ||||
| 1015 S Washington Avenue | Saginaw | MI | 48601 | Diagnostic Services |
| Saginaw Valley Pediatrics | ||||
| 5821 Colony Drive North | Saginaw | MI | 48638 | Physicians Office |
| Specialty Rehabilitation | ||||
| 4677 Towne Centre Road Suite 104 | Saginaw | MI | 48604 | Rehabilitation Clinic |
| Spine & Rehabilitation Center | ||||
| 4901 Towne Centre Road Suite 300 | Saginaw | MI | 48604 | Rehabilitation Clinic |
| Seton Cancer Institute - Marlette | ||||
| 2780 Main Street | Marlette | MI | 48453 | Cancer Treatment Center |
| Seton Cancer Institute - Tawas | ||||
| 200 Hemlock Street | Tawas City | MI | 48763 | Cancer Treatment Center |
| Seton Cancer Institute - West Branch | ||||
| 2431 S M-30 | West Branch | MI | 48661 | Cancer Treatment Center |
| Vassar | ||||
| 1212 W Saginaw Road | Vassar | MI | 48768 | Physician Office, Rehabilitation, and Diagnostic Center |
| Womens Health Center | ||||
| 4040 N Euclid Avenue Suite B | Bay City | MI | 48706 | Physicians Office |
| Wound Care & Hyperbaric Center | ||||
| 4599 Towne Centre | Saginaw | MI | 48604 | Rehabilitation and other OP Clinic |
| Main Campus Medical Center | ||||
| 800 S Washington Ave | Saginaw | MI | 48601 | Hospital |
| Seton Cancer Institute | ||||
| 800 S Washington Ave | Saginaw | MI | 48601 | Cancer Treatment Center |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| Part I, Line 7: 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. | |
| Part I, Line 7g: The organization has not included costs attributable to a physician clinic as part of subsidized health services | |
| Part III, Line 4: 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 health care 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.The organization's share of deduction for bad debts was $9,396,094 at charges, and $3,165,187 at cost. | |
| Part III, Line 8: 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. | |
| Part III, Line 9b: 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. | |
| Part V, Section B, Line 3: Information was gathered through focus groups, community surveys and area agencies in an attempt to acquire broad community input regarding their health concerns. | St. Mary's of Michigan Medical Center |
| Part V, Section B, Line 4: The other hospital facilities with which the reporting hospital facility conducted its CHNA, includes Saginaw County Department of public Health, Covenant HealthCare, Health Delivery Incorporated, Saginaw Intermediate School District, Saginaw County community Mental Health Authority, and Alignment Saginaw. | St. Mary's of Michigan Medical Center |
| Part V, Section B, Line 5c: The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.stmarysofmichigan.org/documents/SMOM_Saginaw_CHNA.pdf | St. Mary's of Michigan Medical Center |
| Part V, Section B, Line 14g: The financial assistance policy is available in the patient handbook. | St. Mary's of Michigan Medical Center |
| Part V, Section B, Line 18e: Question 18 is more appropriately answered as not applicable as the Billing and Collections Policy of St. Mary's of Michigan Medical Center does not allow a hospital to engage in extraordinary collection actions before the organization made reasonable efforts to determine whether the individual is eligible for assistance under the financial assistance policy. Reasonable efforts taken include but are not limited to: - Notifying individuals of the financial assistance policy on admission- Notifying individuals of the financial assistance policy prior to discharge- Notifying individuals of the financial assistance policy in communications with the patients regarding the patients' bills- Documenting its determination of whether patients were eligible for financial assistance under the hospital facility's financial assistance policy | St. Mary's of Michigan Medical Center |
| Part VI, Line 2: St. Mary's of Michigan Medical Center, along with six other local businesses, is a member of Saginaw County Community Health Improvement Planning team. This team, over the course of the year, met at least monthly to implement a community-driven strategic planning process for improving community health. Information was gathered through focus groups, community surveys and area agencies in an attempt to acquire broad community input regarding their health concerns. The Saginaw county Community Health Improvement Planning team was 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 humans services organizations. These representatives play a vital role in designing materials and activities aimed at implementing, promoting, and overseeing the success of the plan. Information was gathered through focus groups, community surveys and area agencies in an attempt to acquire broad community input regarding their health concerns.The following five health issues were identified as priorities:- Infant Mortality- Child Obesity- Adult Obesity- Mental Health- CancerPlans and committees are in place to outline goals, strategies and activities related to the top five health-related indicators along with others. These will be update as necessary in order to ensure successful plan deployment and optimal impact in address the needs of the Saginaw community. | |
| Part VI, Line 3: 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. | |
| Part VI, Line 4: According to U.S. Census 2009, the 2005-2009 population estimate for Saginaw County is 200,050 - down almost 5% from the 2000 Census population count - where 76% of the population is White, 18.3% is African American, and 7.3% is Hispanic/Latino. The area affected most by this population shift is the city of Saginaw where the 2005-2009 population is estimated to be 55,238, with a racial/ethnic make-up of 50.5% White, 42.8% African American, and 12.1% Hispanic/Latino. According to 2005-2009 data, 18.9% of individuals living in Saginaw County and 36.5% of individuals living in the City of Saginaw live below poverty level.Saginaw has long been known as one of Michigan's most dynamic industrial/manufacturing centers. However, the Saginaw Community is growing optimistic as the area emerges to become Mid-Michigan's medical center, with Covenant HealthCare and St. Mary's hospital servicing 26 counties. In addition, there is a growing concerted effort in Saginaw toward health improvement which has been strengthened through the Kresge Safety-net Enhancement Initiative.Challenges yet facing Saginaw include lose of jobs, where the County and City unemployment rates in 2009 were 12.5% and 20.8%, respectively; an aging housing stock (29.0% in County and 57.3% in City built before 1950), and idle and abandoned former industrial and manufacturing sites. Saginaw County, specifically the City of Saginaw, has many areas where there is heavily mixed residential and industrial land-use patterns stemming from historical zoning ordinances. According to published re-ports, the Saginaw-Saginaw Township Metropolitan Area of Michigan is ranked as one of the most segregated areas in the U.S. | |
| Part VI, Line 5: Expanding Awareness, Education, and Health PromotionSt. Mary's of Michigan Medical Center believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life. St. Mary's of Michigan has invested significantly in unique, top quality health education and materials to accomplish its goals. 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, Excerise, Breast Cancer, Diabetes- Community Outreach - Center of HOPE (network of free clinics), Diabetes Expo, Pharmacy Assistance Program, Hearth Home - HIV Prevention & Education, Community Health Needs AssessmentSupport Groups:MS Support Group, Support for Living - Cancer Support Group, Spinal Cord Injury Resource Group, Bariatric Support Group, Living with Diabetes support GroupPublic Health Access:St. Mary's of Michigan has a rich history of helping those who are poor and most vulnerable. Our vibrant community services committee shares its ideas with the community...and wonderful things happen.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) - Pharmacy Assistance Program and Charitable Community Benefit Pharmacy- Community Outreach Programs - Hearth Home - HIV prevention, education and outreach center - Cancer screening programs - Community Health Needs Assessment In furthering St. Mary's commitment to the surrounding community, contributions to local organizations and causes are made each year. During fiscal year 2012, St. Mary's made significant donations to the following local causes:American Heart Association - $7,500Catholic Diocese of Saginaw - $10,000Hospital Hospitality House - $12,350St. Mary's Standish Community Hospital (Development) - $5,625 Saginaw Bay Symphony Orchestra - $5,000Saginaw Community Foundation - $12,000Saginaw County Chamber Commerce - $15,425St. Mary's of Michigan Foundation - $7,740Saginaw Future - $33,000Saginaw Promise - $5,000Tri-Star Charitable Foundation - $5,000Medical ResearchSt. 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 ResearchMedical EducationSt. 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 EducationSt. 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 | |
| Part VI, Line 6: St. Mary's of Michigan Medical Center is a member of Ascension Health. Ascension Health Alliance became 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 of the United States and the District of Columbia. In addition to serving as the sole corporate member of Ascension Health, Ascension Health Alliance serves as the member or shareholder of various other subsidiaries. Ascension Health Alliance, its subsidiaries, and the Health Ministries are referred to collectively from time to time hereafter as the System.Ascension Health Alliance is sponsored by Ascension Health Ministries, a Public Juridic Person. The Participating Entities of Ascension Health Ministries are the Daughters of Charity of St. Vincent de Paul in the United States, 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-American Province, and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi-US/Caribbean Province. St. Mary's is the sole corporate member of Ascension Health, and Field Neurosciences Institute is a corporate member of St. Mary's. Standish Community Hospital is the sole corporate member of St. Mary's Health. St. Mary's Medical Center, located in Saginaw, Michigan, is a nonprofit acute care hospital that provides inpatient, outpatient, and emergency care services for the residents of northeast Michigan. Admitting physicians are primarily practitioners in the local area. Standish Community Hospital, located in Standish, Michigan, is a nonprofit critical care access hospital. St. Mary's is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of St. Mary's are related to providing healthcare services.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 inpoverty 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 represents the unpaid cost of services provided to persons covered by public programs for the poor.- Cost of other programs for the poor includes unreimbursed costs of programs intentionally designed to serve the poor and vulnerable 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 poor, including health promotion and education, health clinics and screenings, and medical research.Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons who are poor and community benefit programs are estimated using internal cost data.As a member of Ascension Health, the nation's largest Catholic healthcare system, St. Mary's of Michigan Medical Center continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. The goal of St. Mary's of Michigan Medical Center is to perpetuate the healing mission of the church. St. Mary's of Michigan Medical Center furthers this goal through delivery of patient services, care to the elderly and indigent, patient education and health awareness programs for the community, and medical research. Our concern for all human life and dignity of each person leads the organization to provide medical services to all people in the community without regard to the patient's race, creed, national origin, economic status, or ability to pay. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Saginaw County Chamber of Commerce | |||||||
| 515 Washington | Saginaw | MI | 48607 | 380995390 | 501(c)(6) | 15425 | General Support |
| Hospital Hospitality House | |||||||
| 604 Emerson St | Saginaw | MI | 48601 | 382480414 | 501(c)(3) | 12350 | General Support |
| Saginaw Community Foundation | |||||||
| 1 Tuscola Street Suite 100 | Saginaw | MI | 48607 | 382474297 | 501(c)(3) | 12000 | General Support |
| Catholic Diocese of Saginaw | |||||||
| 5800 Weiss Street | Saginaw | MI | 48603 | 381358181 | 501(c)(3) | 10000 | General Support |
| St Mary's of Michigan Foundation | |||||||
| 800 S Washington | Saginaw | MI | 48601 | 382246366 | 501(c)(3) | 7740 | General Support |
| American Heart Association | |||||||
| 460 N Lindbergh Blvd | St Louis | MO | 63141 | 135613797 | 501(c)(3) | 7500 | General Support |
| Standish Community Hospital | |||||||
| 805 Cedar | Standish | MI | 48658 | 381671120 | 501(c)(3) | 5625 | General Support |
| Saginaw Future | |||||||
| 515 N Washington 3rd Floor | Saginaw | MI | 48607 | 383021995 | 501(c)(3) | 33000 | General Support |
| Field Neurosciences Institute | |||||||
| 800 S Washington Avenue | Saginaw | MI | 48601 | 382790703 | 501(c)(3) | 897794 | General Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 7 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: St. Mary's of Michigan Medical Center provides only direct contributions and other general support; therefore, no monitoring of charitable contributions is performed. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Waheed Akbar MD Sch O | ||||||||||||||
| Board Member | 941555 | 0 | 100734 | 0 | 6732 | 0 | 5642 | 0 | 768 | 0 | 1055431 | 0 | 0 | 0 |
| John Graham | ||||||||||||||
| President & CEO | 443146 | 0 | 774935 | 0 | 25016 | 0 | 7350 | 0 | 1608 | 0 | 1252055 | 0 | 0 | 0 |
| Gina Butcher | ||||||||||||||
| Chief Financial Officer | 187615 | 0 | 18742 | 0 | 8513 | 0 | 3703 | 0 | 2111 | 0 | 220684 | 0 | 0 | 0 |
| Richard Ohle | ||||||||||||||
| Chief Operating Officer | 246852 | 0 | 61946 | 0 | 4778 | 0 | 5124 | 0 | 5225 | 0 | 323925 | 0 | 0 | 0 |
| Michael Long | ||||||||||||||
| VP - Hospital Admin | 205886 | 0 | 19608 | 0 | 882 | 0 | 4097 | 0 | 1534 | 0 | 232007 | 0 | 0 | 0 |
| Cheri Sammis-Berman | ||||||||||||||
| VP - Mission Services | 137653 | 0 | 40961 | 0 | 2647 | 0 | 3096 | 0 | 6347 | 0 | 190704 | 0 | 0 | 0 |
| Raghuram Sarvepalli MD | ||||||||||||||
| VP - Medical Affairs | 456634 | 0 | 111000 | 0 | 1901 | 0 | 7350 | 0 | 404 | 0 | 577289 | 0 | 0 | 0 |
| Bernard Jore | ||||||||||||||
| VP - CNO | 173561 | 0 | 17002 | 0 | 3931 | 0 | 4484 | 0 | 1700 | 0 | 200678 | 0 | 0 | 0 |
| William J Pittas | ||||||||||||||
| Physician | 614566 | 0 | 224247 | 0 | 633 | 0 | 7350 | 0 | 244 | 0 | 847040 | 0 | 0 | 0 |
| Pradip Bhattacharyya | ||||||||||||||
| Physician | 289254 | 0 | 162000 | 0 | 1323 | 0 | 7408 | 0 | 249 | 0 | 460234 | 0 | 0 | 0 |
| Weichen Wang | ||||||||||||||
| Physician | 348644 | 0 | 110968 | 0 | 831 | 0 | 7350 | 0 | 2080 | 0 | 469873 | 0 | 0 | 0 |
| Bhramaramba Sarvepalli | ||||||||||||||
| Physician | 289771 | 0 | 244000 | 0 | 662 | 0 | 7350 | 0 | 223 | 0 | 542006 | 0 | 0 | 0 |
| Brent Boggess | ||||||||||||||
| Physician | 305567 | 0 | 137000 | 0 | 1750 | 0 | 7350 | 0 | 0 | 0 | 451667 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 4b | ReturnReference |
| Explanation | 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, Part II, column B in the year paid. The organization contributed to Ascension Health's nonqualified supplemental retirement plan and the following individuals received payment: Gina Butcher - $8,329 Michael Long - $8,628 Bernard Jore - $14,402 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | St. Mary's Of Michigan Medical Center has a single corporate member, Ascension Health. | |
| Form 990, Part VI, Section A, line 7a | St. Mary's of Michigan Medical Center has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of St. Mary's of Michigan Medical Center. | |
| Form 990, Part VI, Section A, line 7b | Ascension 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 11 | Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all committee members are provided the Form 990 and management team members are available to answer any committee member questions. | |
| Form 990, Part VI, Section B, line 12c | 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 meeting 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, Section B, line 15 | In determining the compensation of the organization's CEO, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Ascension Health board reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other organizations in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when his or her compensation was decided. The Executive Committee of the Board of Directors in conjunction with the Intermediate Sanctions Compliance Policy of the hospital is responsible for determining the compensation of other officers or key employees of the organization. The process includes a market analysis of comparable healthcare positions from other organizations of comparable size, complexity, and business activity. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. | |
| Form 990, Part VI, Section C, line 19 | The organization will provide any documents open to public inspection upon request. | |
| Form 990, Part VII, Section A: | Waheed Akbar, M.D. received compensation for his role as Physician, and not for his role of a Board Member. | Explanation of Compensation Paid to Waheed Akbar, M.D.: |
| Form 990, Part IX, line 11g | Contract Dietary: Program service expenses 1,637,256. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,637,256. Contract Laundry: Program service expenses 1,007,926. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,007,926. Contract Other: Program service expenses 3,968,628. Management and general expenses 284,147. Fundraising expenses 0. Total expenses 4,252,775. Contract Repair & Maintenance: Program service expenses 2,234,092. Management and general expenses 159,957. Fundraising expenses 0. Total expenses 2,394,049. Contract Info Systems: Program service expenses 10,834,644. Management and general expenses 775,742. Fundraising expenses 0. Total expenses 11,610,386. Contract Accounting Billing Transcription: Program service expenses 122,991. Management and general expenses 8,806. Fundraising expenses 0. Total expenses 131,797. Contract Trimedx: Program service expenses 4,731,129. Management and general expenses 338,741. Fundraising expenses 0. Total expenses 5,069,870. Contract Printing & Copying: Program service expenses 427,800. Management and general expenses 30,630. Fundraising expenses 0. Total expenses 458,430. Contract Medical Education: Program service expenses 4,717,089. Management and general expenses 337,736. Fundraising expenses 0. Total expenses 5,054,825. Contract Medical: Program service expenses 761,492. Management and general expenses 0. Fundraising expenses 0. Total expenses 761,492. Contract Reference Lab: Program service expenses 473,802. Management and general expenses 0. Fundraising expenses 0. Total expenses 473,802. Contract Medical Transportation: Program service expenses 1,373,634. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,373,634. Professional Fees: Program service expenses 24,432,288. Management and general expenses 563,784. Fundraising expenses 0. Total expenses 24,996,072. | Other Fees |
| Form 990, Part XI, line 9: | Transfers to Affiliates -9,025,346. Total Pension & Other Post - Retirement Costs -16,958. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Ascension Health | ||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 311662309 | National Health System | MO | Section 501(c)(3) | Schedule A, Line 11a | Ascension Health Alliance | 0 |
| St Mary's Health | ||||||||||
| 800 S Washington Avenue | Saginaw | MI | 48601 | 383477017 | System Parent - Standish | MI | Section 501(c)(3) | Schedule A, Line 11a | St Mary's of Michigan Medical Center | 1 |
| Standish Community Hospital | ||||||||||
| 805 W Cedar Street | Standish | MI | 48658 | 381671120 | Hospital | MI | Section 501(c)(3) | Schedule A, Line 3 | St Mary's Health | 1 |
| St Mary's of Michigan Foundation | ||||||||||
| 800 S Washington Avenue | Saginaw | MI | 48601 | 382246366 | Fundraising | MI | Section 501(c)(3) | Schedule A, Line 11c | St Mary's of Michigan Medical Center | 1 |
| Field Neurosciences Institute | ||||||||||
| 800 S Washington Avenue | Saginaw | MI | 48601 | 382790703 | Medical Research Organization | MI | Section 501(c)(3) | Schedule A, Line 9 | St Mary's of Michigan Medical Center | 1 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Towne Centre Surgery Center LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4599 Towne Centre | AddressLine1 |
| City | Saginaw | City |
| State | MI | State |
| ZIP Code | 48604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 204943843 | EIN |
| Primary Activity | Outpatient Services | PrimaryActivity |
| Legal Domicile State | MI | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's of Michigan Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeType |
| Share Of Total Income | 432726 | ShareOfTotalIncome |
| Share Of EOY Assets | 3607059 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
| Percentage Ownership | 0.50890 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's of Michigan Specialists | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 S Washington Avenue | AddressLine1 |
| City | Saginaw | City |
| State | MI | State |
| ZIP Code | 48601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205959777 | EIN |
| Primary Activity | Physician Practices | PrimaryActivity |
| Legal Domicile State | MI | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's of Michigan Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of EOY Assets | 1117712 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Ascension Health | ||
| R | 8448063 | FMV |
| St Mary's of Michigan Foundation | ||
| S | 577283 | FMV |
| Field Neurosciences Institute | ||
| B | 905294 | FMV |
| St Mary's of Michigan Foundation | ||
| C | 591149 | FMV |
| Field Neurosciences Institute | ||
| C | 92248 | FMV |
| Standish Community Hospital | ||
| O | 273202 | FMV |
| Standish Community Hospital | ||
| Q | 3602534 | FMV |
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