MYMICHIGAN MEDICAL CENTER SAGINAW: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MYMICHIGAN MEDICAL CENTER SAGINAW (EIN 38-0997730)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201301359349306760
- Schema version
- 2011v1.5
- 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 | 2013-05-15T14:15:27-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | 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 | 2011-07-01 | 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 | Chief Financial Officer | Title |
| Phone | 9899078000 | Phone |
| Date Signed | 2013-05-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Matthew Montgomery | Name |
| PTIN | P00492843 | PTIN |
| Phone | 5137847100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | 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 | 298168271 | 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 | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2669 | TotalNbrEmployees |
| Total Nbr Volunteers | 350 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 518003 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1194796 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 251007264 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 263481428 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 24570058 | InvestmentIncomePriorYear |
| Investment Income Current Year | 13377846 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 791618 | OtherRevenuePriorYear |
| Other Revenue Current Year | 20114201 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 276886943 | TotalRevenuePriorYear |
| Total Revenue Current Year | 298168271 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 153773 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 167800 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 114235423 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 119235520 | 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 | 135725898 | OtherExpensePriorYear |
| Other Expenses Current Year | 132634105 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 250115094 | TotalExpensesPriorYear |
| Total Expenses Current Year | 252037425 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 26771849 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 46130846 | RevenuesLessExpensesCY |
| Total Assets BOY | 420658494 | TotalAssetsBOY |
| Total Assets EOY | 411916590 | TotalAssetsEOY |
| Total Liabilities BOY | 154877937 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 143924116 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 265780557 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 267992474 | 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 | 236082799 | Expense |
| Grants | 167800 | Grants |
| Revenue | 263481428 | 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 53% of the value of services rendered were to elderly patients under the Medicare program, and approximately 17% 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, 2012, the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaled $18,372,186. | Description |
| Total Program Service Expense | 236082799 | 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 | 196 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2669 | 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 |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| 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 | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | 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 | Christopher Frick | 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 |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| John Graham | |||||||
| President & CEO | 45.00 | X | X | 887444 | 0 | 8437 | |
| James Van Tifflin | |||||||
| Chairman | 1.00 | X | 0 | 0 | 0 | ||
| Michael Kremiin | |||||||
| Vice-Chairman | 1.00 | X | 0 | 0 | 0 | ||
| David Hall | |||||||
| Secretary | 1.00 | X | 0 | 0 | 0 | ||
| Waheed Akbar MD | |||||||
| Board Member | 45.00 | X | 522280 | 0 | 7574 | ||
| Jim Whitlock | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Sr Honora Remes | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Paul Furlo | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Bapineedu Maganti | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Brian Chermside start 1112 | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Dr Rao Gudipati start 11512 | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Sr Janet Keim end 71911 | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Dr Lioudmila Kinachtchouk | |||||||
| Board Mbr (end 1/20/12) | 1.00 | X | 0 | 0 | 0 | ||
| Gina Butcher | |||||||
| Chief Financial Officer | 45.00 | X | 188803 | 0 | 7180 | ||
| Richard Ohle | |||||||
| Chief Operating Officer | 45.00 | X | 310201 | 0 | 10443 | ||
| Michael Long | |||||||
| VP - Hospital Admin | 45.00 | X | 225162 | 0 | 4989 | ||
| Cheri Sammis-Berman | |||||||
| VP - Mission Services | 45.00 | X | 235850 | 0 | 6805 | ||
| Ron Haase | |||||||
| VP - Human Resources | 45.00 | X | 260120 | 0 | 5148 | ||
| Raghuram Sarvepalli MD | |||||||
| VP - Medical Affairs | 45.00 | X | 501088 | 0 | 7754 | ||
| Mary Storm | |||||||
| VP-Admin&Legal Services | 45.00 | X | 163610 | 0 | 6062 | ||
| Bernard Jore | |||||||
| VP - CNO | 45.00 | X | 162396 | 0 | 1543 | ||
| William J Pittas | |||||||
| Physician | 45.00 | 635417 | 0 | 7594 | X | ||
| Pradip Bhattacharyya | |||||||
| Physician | 45.00 | 350304 | 0 | 12599 | X | ||
| Weichen Wang | |||||||
| Physician | 45.00 | 500012 | 0 | 7792 | X | ||
| Bhramaramba Sarvepalli | |||||||
| Physician | 45.00 | 423978 | 0 | 7573 | X | ||
| Brent Boggess | |||||||
| Physician | 45.00 | 362786 | 0 | 7350 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5729451 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 108843 | TotalOtherCompensation |
| Number Individuals GT100 K | 70 | 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 |
|---|---|---|---|---|---|
| HealthCare Services Inc (DBA Accretive | |||||
| 401 N Michigan Ave - Suite 2700 | Chicago | IL | 60611 | Consulting Services | 8139776 |
| TriMedx LLC | |||||
| 6325 Digital Way - Suite 400 | Indianapolis | IN | 46278 | Equipment Maintenance | 4184458 |
| Michigan Cardiovascular | |||||
| 1015 S Washington | Saginaw | MI | 48601 | Physician Services | 2832280 |
| Timberline Emergency | |||||
| 4677 Town Center Blvd Suite 302 | Saginaw | MI | 48604 | Emergency Physician Services | 2280000 |
| Omniflight Helicopters | |||||
| PO Box 172892 | Denver | CO | 802172892 | FlightCare Services | 1214656 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 48 | NumberOfContractorsGT100K |
| Related Organizations | 1194796 | RelatedOrganizations |
| Total Contributions | 1194796 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net Patient Revenue | 621400 | 261251750 | 261251750 |
| Program Related JV | 621400 | 968680 | 968680 |
| Healthsource Revenue | 621400 | 545750 | 545750 |
| Adult Day Care | 623990 | 488111 | 488111 |
| Lab Service Revenue | 621500 | 5655 | 5655 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 221482 | TotalRevenueColumn |
| Related Or Exempt Function Income | 221482 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 263481428 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13377646 | TotalRevenueColumn |
| Exclusion | $13,377,646 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 7696 | 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 | 7696 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7696 | TotalRevenueColumn |
| Exclusion | $7,696 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 200 | 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 | 200 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 200 | TotalRevenueColumn |
| Exclusion | $200 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Pension Curtailment Ga | 900099 | 18153332 | $18,153,332 |
| Medical Records Copies | 900099 | 106140 | $106,140 |
| Cafeteria/Vending | 722320 | 95172 | $95,172 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1751861 | TotalRevenueColumn |
| Exclusion | $1,751,861 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 20106505 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 298168271 | TotalRevenueColumn |
| Related Or Exempt Function Income | 263481428 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $33,492,047 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 167800 | Total |
| Program Services | 167800 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3522889 | Total |
| Management And General | 3522889 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94616039 | Total |
| Program Services | 90307907 | ProgramServices |
| Management And General | 4308132 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 902218 | Total |
| Program Services | 811996 | ProgramServices |
| Management And General | 90222 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13069929 | Total |
| Program Services | 12027011 | ProgramServices |
| Management And General | 1042918 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7124445 | Total |
| Program Services | 6728240 | ProgramServices |
| Management And General | 396205 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 669481 | Total |
| Management And General | 669481 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 490454 | Total |
| Management And General | 490454 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13131 | Total |
| Management And General | 13131 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30185628 | Total |
| Program Services | 28154733 | ProgramServices |
| Management And General | 2030895 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 474735 | Total |
| Program Services | 474735 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 328556 | Total |
| Program Services | 302339 | ProgramServices |
| Management And General | 26217 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5586982 | Total |
| Program Services | 5141167 | ProgramServices |
| Management And General | 445815 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 396899 | Total |
| Program Services | 289485 | ProgramServices |
| Management And General | 107414 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4123650 | Total |
| Program Services | 3794602 | ProgramServices |
| Management And General | 329048 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1894415 | Total |
| Program Services | 1743250 | ProgramServices |
| Management And General | 151165 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8839216 | Total |
| Program Services | 8133888 | ProgramServices |
| Management And General | 705328 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1559732 | Total |
| Program Services | 1435273 | ProgramServices |
| Management And General | 124459 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Supplies | 45707599 | 45301759 | 405840 | 0 |
| Professional Fees | 22237720 | 21607103 | 630617 | 0 |
| Equip Rent & Maint | 7971284 | 7969936 | 1348 | 0 |
| Telephone | 569556 | 553907 | 15649 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1585067 | Total |
| Program Services | 1137668 | ProgramServices |
| Management And General | 447399 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 252037425 | Total |
| Program Services | 236082799 | ProgramServices |
| Management And General | 15954626 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19539314 | BOY |
| EOY | 7127519 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33043383 | BOY |
| EOY | 43473610 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1269407 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5331560 | BOY |
| EOY | 5294380 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1476934 | BOY |
| EOY | 1184616 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 298571950 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 212535897 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86598457 | BOY |
| EOY | 86036053 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10588220 | BOY |
| EOY | 12481182 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 262811219 | BOY |
| EOY | 256319230 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 420658494 | BOY |
| EOY | 411916590 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36746373 | BOY |
| EOY | 28562510 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 118131564 | BOY |
| EOY | 115361606 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 154877937 | BOY |
| EOY | 143924116 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 265780557 | BOY |
| EOY | 267992474 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 265780557 | BOY |
| EOY | 267992474 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 420658494 | BOY |
| EOY | 411916590 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 46130846 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -43918929 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 | $13,131 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 13131 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Organizations Direct and Indirect Political Campaign Activities: | Part I-A, Line 1: | Every year we pay a Michigan Health & Hospital Association (MHA) Membership Renewal Invoice. Per the invoice, 13.92% of the MHA's budgets supports lobbying activities. Therefore, 13.92% of our annual dues of $94,332 ($13,131) supports lobbying activities. |
| Explanation of Lobbying Activities: | Part II-B, Line 1: | Every year we pay a Michigan Health & Hospital Association (MHA) Membership Renewal Invoice. Per the invoice, 13.92% of the MHA's budgets support lobbying activities. Therefore, 13.92% of our annual dues of $94,332 ($13,131) support lobbying activities. St. Mary's of Michigan Medical Center does not participate in or intervene in (including the publishing or distributing or statements) any political campaign on behalf of (or in opposition to) any candidate for public office. |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Balance | 0 | BeginningBalance |
| Ending Balance | 0 | EndingBalance |
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 | 101898786 | OtherCostOrOtherBasis |
| Depreciation | 66040399 | Depreciation |
| Book Value | 35858387 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4656111 | OtherCostOrOtherBasis |
| Depreciation | 4833387 | Depreciation |
| Book Value | -177276 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 181455741 | OtherCostOrOtherBasis |
| Depreciation | 141662111 | Depreciation |
| Book Value | 39793630 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 86036053 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Ascension Health Deferred Compensation Asset | 2690438 |
| Trimedx AR | 58447 |
| Other Receivables | 2082004 |
| Other Miscellaneous Assets | 215088 |
| Interest in investments held by Ascension Health Alliance | 242294012 |
| Construction in Progress | 8979241 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 256319230 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Third Party Payable | $5,990,442 |
| AH Savings Plan Liability | $211,000 |
| Intercompany Payables | $107,810,164 |
| Valuation Allowance | $1,350,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 115361606 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| 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 |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4635265 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4635265 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01840 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25467914 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13171294 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12296620 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04880 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 30103179 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13171294 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16931885 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06720 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4870548 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5106442 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -235894 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 465188 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 465188 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 265438 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 265438 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5601174 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5106442 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 494732 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 35704353 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 18277736 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17426617 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07010 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 486982 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 486982 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 486982 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 486982 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $1,574,330 | BadDebtExpenseAmount |
| Amount Attributable To | 927978 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 117241879 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 134042083 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -16800204 | 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 Ave | AddressLine1 |
| City | Saginaw | City |
| State | MI | State |
| ZIP Code | 48601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
| 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 |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| 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 VI Form990ScheduleHPartVI (11 entries)
| ExplanationExplanation |
|---|
| 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 ration 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: The organization is a part of the St. Mary's of Michigan consolidated audit. The provision for bad debts is based upon management's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Periodically throughout the year management assesses the adequacy of allowance for uncollectible 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 bad debts to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, St. Mary's 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 St. Mary's policies.The organization's share of deduction for bad debts was $4,962,451 at charges. |
| 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 VI, Line 7: Operations and governanceSt. Mary's of Michigan Medical Center- operates an emergency room that is open to all persons regardless of ability to pay; - has an open medical staff with privileges available to all qualified physicians in the area; - has a governing body in which independent persons representative of the community comprise a majority;- engages in medical or scientific research programs;- engages in the training and education of health care professionals; and- participates in Medicaid, Medicare, CHAMPUS, Tricare, and/or other government-sponsored health care programs.Patient ServicesSt. Mary's of Michigan Medical Center provides the following in-patient and out-patient medical services to the community:Ambulatory care center services Pain ManagementCardiac services Primary Care PhysiciansCancer treatment services Radiology servicesCyberknife Rehabilitation servicesEmergency care center services Robotic Surgical ServicesFlight Care Sleep StudiesLaboratory services Stroke servicesNeuroscience services Trauma servicesOrthopedic services Some of the services listed above operate at a loss in order to ensure that all services are available to meet community health care needs. These include Trauma services and Physician Offices.During the fiscal year ending June 30, 2012, our Medical Center treated 11,293 adults and children in the community for a total of 61,625 patient days of service. The Medical Center also provided services to 248,052 outpatients, including 2,709 outpatient surgery patients, 51,348 emergency visits and 81,274 Physician office visits. |
| 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 MortalityChild ObesityAdult ObesityMental HealthCancerPlans 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: St. Mary's of Michigan Medical Center is a 268 licensed bed nonprofit acute care hospital which provides inpatient, outpatient and emergency care services. St. Mary's of Michigan Medical Center serves the residents of northeast Michigan. St. Mary's of Michigan Medical Center seeks to improve the physical, mental, social and spiritual health status of its surrounding community. In addition to providing health care services to all individuals who require medical attention, St. Mary's of Michigan Medical Center has developed programs to help achieve its mission.St. Mary's of Michigan Medical Center provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2012, approximately 53% of the value of services rendered were to elderly patients under the Medicare program, and approximately 17% of the services were provided to patients who were deemed indigent under state, county, or Medical Center Guidelines. |
| 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-Annual Charity Golf Classic Footsteps for FitnessSt. Mary's Run/Walk for Health Children's Charity Bike RunMaking Strides Against Breast Cancer Walk Lunch Connection Programs: Free Stroke Awareness Oncology SymposiumCommunity Health Programs - No-cost Stroke Screening Weight-Loss Surgery Information SessionsAsk the Expert: Skin Cancer Cancer Screening ProgramsCommunity Outreach-Center of HOPE (network of free clinics) Women's ExpoPharmacy Assistance Program Servant Leadership ProgramHearth Home - HIV Prevention & Education Diaper & Formula CollectionsCommunity Health Needs Assessment Support Groups- MS Support Group Support for Living - Cancer Support GroupSpinal Cord Injury Resource Group Bariatric Support GroupCamp Healing Hearts Public Health Access-Healthy Futures operates a network of free clinics to assist the uninsured, underinsured and homeless population of Saginaw County to obtain healthcare and prescription medications. Staff are on hand to help guide family, friends and neighbors to the many services provided in Saginaw County. Many of the uninsured population in Saginaw County cannot access regular health care due to cultural, geographical or financial barriers. The Healthy Futures program allows patients to enter the health care system through free neighborhood clinics which include: the Naseau Clinic at the Hunger Solution Center, the Family Life Community Clinic at New Life Ministries in the Houghton Jones neighborhood, the Rehmann Health Center in Chesaning, the Self Reliance Clinic at St. Paul's Episcopal Church and Rapha's Clinic at the Living Faith Ministries in the Stone School area. In furthering St. Mary's commitment to the surrounding community, contributions to local organizations and causes are made each year. During fiscal year 2010, St. Mary's made significant donations to the following local causes: American Heart Association $7,500Catholic Diocese of Saginaw $10,660East Side Soup Kitchen $5,500Field Neurosciences Institute $8,050Genesys Charity Classic $6,000Hospital Hospitality House 12,350Michigan Cardiovascular Institute $7,500St. Joseph Health $5,200St. Mary's Standish Community Hospital (Development) $5,500 Saginaw Bay Symphony Orchestra $5,000Saginaw Community Foundation $6,000Saginaw County Chamber Commerce $18,300Saginaw County Medical Society $7,500St. Mary's of Michigan Foundation $6,190Temple Theater Foundation $10,000Medical 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:-Cardiac Research-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 Education-St. Mary's is affiliated with Synergy Medical Education alliance. Synergy Medical is a non-profit medical education corporation with formal affiliation with Michigan State University College of Human Medicine. 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 is a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 20 of the United States and the District of Columbia. Ascension Health is sponsored by the Northeast, Southeast, East Central, and West Central Provinces of the Daughters of Charity of St. Vincent de Paul, the Congregation of St. Joseph, and the Sisters of St. Joseph of Carondelet.Ascension Health is the sole corporate member of St. Mary's, 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.Ascension Health directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with Ascension Health's mission of service to those who are poor and vulnerable, each Health Ministry accepts patients regardless of their ability to pay. Ascension Health uses four categories to identify the resources utilized for the care of persons who are poor 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. The cost of providing care of persons who are poor and community benefit programs is 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 | 0 | RecordsMaintained |
Recipient Table RecipientTable (15 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| American Heart Association | |||||||
| 460 N Lindbergh Blvd | St Louis | MO | 63141 | 135613797 | 501(c)(3) | 7500 | Donation |
| Catholic Diocese of Saginaw | |||||||
| 5800 Weiss St | Saginaw | MI | 48603 | 381358181 | 501(c)(3) | 10660 | Donation |
| East Side Soup Kitchen | |||||||
| PO Box 330 | Saginaw | MI | 48606 | 382602302 | 501(c)(3) | 5500 | Donation |
| St Mary's of Michigan Field Neurosciences Institute | |||||||
| 800 S Washington | Saginaw | MI | 48601 | 382790703 | 501(c)(3) | 8050 | Donation |
| Genesys Health Foundation | |||||||
| One Genesys Parkway | Grand Blanc | MI | 48439 | 383591148 | 501(c)(3) | 6000 | Donation |
| Hospital Hospitality House | |||||||
| 604 Emerson St | Saginaw | MI | 48601 | 382480414 | 501(c)(3) | 12350 | Donation |
| Michigan Cardiovascular Institute | |||||||
| 1015 S Washington Ave | Saginaw | MI | 48601 | 383146518 | 501(c)(3) | 7500 | Donation |
| Saginaw Bay Symphony | |||||||
| 201 N Washington | Saginaw | MI | 48607 | 386082223 | 501(c)(3) | 5000 | Donation |
| Saginaw Community Foundation | |||||||
| 1 Tuscola Street Suite 100 | Saginaw | MI | 48607 | 382474297 | 501(c)(3) | 6000 | Donation |
| Saginaw county Chamber of Commerce | |||||||
| 515 Washington | Saginaw | MI | 48607 | 380995390 | 501(c)(6) | 18300 | Donation |
| Saginaw County Medical Society | |||||||
| 350 St Andrew Rd - Suite 242 | Saginaw | MI | 486385988 | 237047192 | 501(c)(3) | 7500 | Donation |
| St Mary's of Michigan Foundation | |||||||
| 800 S Washington | Saginaw | MI | 48601 | 382246366 | 501(c)(3) | 6190 | Donation |
| St Mary's Standish Community Hospital | |||||||
| 805 Cedar | Standish | MI | 48658 | 381671120 | 501(c)(3) | 5500 | Donation |
| St Joseph Health | |||||||
| 200 Hemlock | Tawas City | MI | 487640659 | 381443395 | 501(c)(3) | 5200 | Donation |
| Temple Theater Foundation | |||||||
| 201 N Washington | Saginaw | MI | 48607 | 208079918 | 501(c)(3) | 10000 | Sponsorship |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 14 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | 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 (15 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| John Graham | |||||||||||||
| 437672 | 0 | 426823 | 0 | 22949 | 0 | 7350 | 0 | 1087 | 0 | 895881 | 0 | 0 | 0 |
| Waheed Akbar MD | |||||||||||||
| 484414 | 0 | 34500 | 0 | 3366 | 0 | 7350 | 0 | 224 | 0 | 529854 | 0 | 0 | 0 |
| Gina Butcher | |||||||||||||
| 158766 | 0 | 29056 | 0 | 981 | 0 | 3420 | 0 | 3760 | 0 | 195983 | 0 | 0 | 0 |
| Richard Ohle | |||||||||||||
| 238359 | 0 | 67470 | 0 | 4372 | 0 | 5109 | 0 | 5334 | 0 | 320644 | 0 | 0 | 0 |
| Michael Long | |||||||||||||
| 187467 | 0 | 36926 | 0 | 769 | 0 | 4083 | 0 | 906 | 0 | 230151 | 0 | 0 | 0 |
| Cheri Sammis-Berman | |||||||||||||
| 190936 | 0 | 42610 | 0 | 2304 | 0 | 3126 | 0 | 3679 | 0 | 242655 | 0 | 0 | 0 |
| Ron Haase | |||||||||||||
| 206070 | 0 | 35577 | 0 | 18473 | 0 | 3930 | 0 | 1218 | 0 | 265268 | 0 | 0 | 0 |
| Raghuram Sarvepalli MD | |||||||||||||
| 424551 | 0 | 75299 | 0 | 1238 | 0 | 7350 | 0 | 404 | 0 | 508842 | 0 | 0 | 0 |
| Mary Storm | |||||||||||||
| 136111 | 0 | 26671 | 0 | 828 | 0 | 3143 | 0 | 2919 | 0 | 169672 | 0 | 0 | 0 |
| Bernard Jore | |||||||||||||
| 133525 | 0 | 22501 | 0 | 6370 | 0 | 0 | 0 | 1543 | 0 | 163939 | 0 | 0 | 0 |
| William J Pittas | |||||||||||||
| 634784 | 0 | 0 | 0 | 633 | 0 | 7350 | 0 | 244 | 0 | 643011 | 0 | 0 | 0 |
| Pradip Bhattacharyya | |||||||||||||
| 211262 | 0 | 137719 | 0 | 1323 | 0 | 7350 | 0 | 5249 | 0 | 362903 | 0 | 0 | 0 |
| Weichen Wang | |||||||||||||
| 349584 | 0 | 149597 | 0 | 831 | 0 | 7350 | 0 | 442 | 0 | 507804 | 0 | 0 | 0 |
| Bhramaramba Sarvepalli | |||||||||||||
| 289796 | 0 | 133520 | 0 | 662 | 0 | 7350 | 0 | 223 | 0 | 431551 | 0 | 0 | 0 |
| Brent Boggess | |||||||||||||
| 273284 | 0 | 88362 | 0 | 1140 | 0 | 7350 | 0 | 0 | 0 | 370136 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 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 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 | All decisions that have a material impact to St. Mary's of Michigan Medical Center financial information or corporation as a whole are subject to approval by its sole corporate member, Ascension Health. 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 A, line 7b | All decisions that have a material impact to St. Mary's of Michigan Medical Center financial information or corporation as a whole are subject to approval by its sole corporate member, Ascension Health. 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 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 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 XI, line 5: | Net unrealized losses on investments: -17,451,043. Transfers to Affiliates -7,040,630. Total Pension & Other Post - Retire Costs -19,427,256. Total to Form 990, Part XI, Line 5: -43,918,929. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 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 | Saginaw | MI | 48601 | 383477071 | System Parent - Standish | MI | Section 501(c)(3) | Schedule A, Line 11 | St Mary's of Michigan Medical Center | 0 |
| Standish 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 Hospital Foundation | ||||||||||
| 800 S Washington | Saginaw | MI | 48601 | 382246366 | Fundraising | MI | Section 501(c)(3) | Schedule A, Line 11c | St Mary's of Michigan | 1 |
| Field Neurosciences Institute | ||||||||||
| 800 S Washington | Saginaw | MI | 48601 | 382790703 | Medical Research Organization | MI | Section 501(c)(3) | Schedule A, Line 9 | St Mary's of Michigan | 1 |
| Field Neurosciences Institute Foundation | ||||||||||
| 800 S Washington | Saginaw | MI | 48601 | 383638165 | Fundraising | MI | Section 501(c)(3) | Schedule A, Line 11 | St Mary's of Michigan | 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 | 151993 | ShareOfTotalIncome |
| Share Of EOY Assets | 3490164 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.50891 | 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 | 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 NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| 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 |
| 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 | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Ascension Health | ||
| Q | 5478426 | FMV |
| St Mary's of Michigan Foundation | ||
| Q | 562798 | FMV |
| St Mary's of Michigan Field Neurosciences | ||
| Q | 999406 | FMV |
| St Mary's of Michigan Foundation | ||
| C | 1194796 | FMV |
Comments